2022-08-15_Fort-McPherson-VAMC-Bldg-128_SprinklerScan.pdf

Sprinkler Inspection, Testing and/or Maintenance Certificate

For

Fort McPherson VAMC Bldg 128 1701 Hardee Ave SW

Atlanta, GA 30310 Veterans Fire and Life Safety has performed this inspection and testing service in compliance with The Joint Commission/VHA Standards. The inspection/testing frequencies adhered to for this service have been performed in accordance with The Joint Commission/VHA Clarification Memorandum on EC & LS Standards effective January 31, 2021

Quarterly Inspection Inspection Completion Date Aug 15, 2022

Building: Fort McPherson VAMC Bldg 128 Company: United Fire Protection - Atlanta Contact: Mike McGill Contact: Jeffrey Connell

Title: Maintenance & Operations Supervisor Title: Technician

Page of 1 13United Fire Protection - Atlanta Download Date: 08/17/2022

Executive Summary Generated by: BuildingReports.com

Building Information Building: Fort McPherson VAMC Bldg 128 Contact: Mike McGill

Address: 1701 Hardee Ave SW Phone: 4043216111

Address: Fax:

City/State/ZIP Code: Atlanta, GA 30310 Mobile:

Country: United States of America Email:

Inspection Performed By Company: United Fire Protection - Atlanta Inspector: Jeffrey Connell

Address: 2150 Boggs Rd Bldg 100 Phone: 678-221-7136

Address: Suite 140 Fax:

City/State/ZIP Code: Duluth, GA 30096 Mobile:

Country: United States of America Email: jconnell@united-fire.com

Page of 2 13United Fire Protection - Atlanta Download Date: 08/17/2022

Inspection Completion Date: Aug 15, 2022 Building: Fort McPherson VAMC Bldg 128 EC 02.03.05 EP 02 Semi-annual testing of water flow devices and valve tamper switches. NFPA 72 (2019)

Table 14.4.3.2 (17)(10)(a) & (17)(11)

Devices Tested This

Quarter Pass Fail Tested YTD

(2022) Untested YTD

(2022) Total

Quantity Waterflow Switch 4 4 0 4 0 4

EC 02.03.05 EP 10 Quarterly inspection of all fire department water supply connections

Devices Tested This

Quarter Pass Fail Tested YTD

(2022) Untested YTD

(2022) Total

Quantity Fire Dep't Connection 1 1 0 1 0 1

LS 02.01.35 EP 14 All other Life Safety Code automatic extinguishing requirements related to NFPA 101- 2021 18/19.3.5

Devices Tested This

Quarter Pass Fail Tested YTD

(2022) Untested YTD

(2022) Total

Quantity Check Valve 5 5 0 5 0 5

Control Valve 7 7 0 7 0 7

Drain 1 1 0 1 0 1

Gauge 5 5 0 5 0 5

Inspector's Test 3 3 0 3 0 3

Total Device Count: 26

Page of 3 13United Fire Protection - Atlanta Download Date: 08/17/2022

Certification

Company: United Fire Protection - Atlanta Building: Fort McPherson VAMC Bldg 128

Inspector: Jeffrey Connell Contact: Mike McGill

Signed: Aug 15, 2022 Signed:

Page of 4 13United Fire Protection - Atlanta Download Date: 08/17/2022

Inspection & Testing Generated by: BuildingReports.com

Building: Fort McPherson VAMC Bldg 128 The Inspection & Testing section lists all of the items inspected in your building, which are then categorized by the applicable code reference. The most recent inspection is listed in the far right column and is based on the Finish Date of that inspection. The latest inspection uploaded in each previous quarter appears in the four columns to the left.

Passed=P, Failed=F, Replaced=R

EC 02.03.05 EP 02

Semi-annual testing of water flow devices and valve tamper switches. NFPA 72 (2019) Table 14.4.3.2 (17)(10)(a) & (17)(11)

Water shall be flowed through an inspector's test connection indicating the flow of water equal to that from a single sprinkler of the smallest orifice size installed in the system for wet-pipe systems, or an alarm test bypass connection for dry-pipe, pre-action, or deluge systems in accordance with NFPA 25-20. (NFPA 72-19 Table

14.4.3.2 (17)(11)) Devices Tested Q3/22 Pass Q3/22 Fail Q3/22 Tested YTD (2022) Total Quantity Waterflow Switch 4 4 0 4 4

Device Type Location ScanID Address Q3/22 Waterflow Switch 1st 1st Riser Room Flowswitch 1st Fl 44133461 1-M1-46 08/15-P Waterflow Switch 1st 1st Riser Room Main Feed 67977808 1-M1-105 08/15-P The above device replaced ScanID 44133454:

Waterflow Switch 1st 1st Riser Room Main Feed 44133454 1-M1-105 08/15-R Waterflow Switch 2nd 2nd Stairwell 1 Flowswitch 44133468 1-M1-101 08/15-P Waterflow Switch Attic 2nd Stairwell 1 Flowswitch 44133473 1-M1-103 08/15-P

Device Total: 4 Return to Executive Summary

Page of 5 13United Fire Protection - Atlanta Download Date: 08/17/2022

EC 02.03.05 EP 10 Quarterly inspection of all fire department water supply connections

Fire department connections shall be inspected quarterly to verify the following: Connections are visible and accessible, couplings or swivels are not damaged and rotate smoothly, plugs or caps are in place and undamaged, gaskets are in place and in good condition, identification signs are in place, the check valve is not leaking, the automatic drain valve is in place and operating properly, the clapper is in place and operating properly, there are no obstructions, and visible piping supplying the fire department connection is undamaged. (NFPA 25-20 13.8.1) Devices Tested Q3/22 Pass Q3/22 Fail Q3/22 Tested YTD (2022) Total Quantity Fire Dep't Connection 1 1 0 1 1

Device Type Location ScanID Address Q3/22 Fire Dep't Connection 1st 1st Riser Room 44133464 0 08/15-P

Device Total: 1 Return to Executive Summary

Page of 6 13United Fire Protection - Atlanta Download Date: 08/17/2022

LS 02.01.35 EP 14

All other Life Safety Code automatic extinguishing requirements related to NFPA 101- 2021 18/19.3.5

Internal components shall be cleaned, repaired, or replaced as necessary in accordance with the manufacturer's instructions. (NFPA 25-20 13.4.2.2) Devices Tested Q3/22 Pass Q3/22 Fail Q3/22 Tested YTD (2022) Total Quantity Check Valve 5 5 0 5 5

Device Type Location ScanID Address Q3/22 Check Valve 1st 1st Riser Room Check 1st Fl 44133477 1 08/15-P The above device replaced ScanID 44133463:

Check Valve 1st 1st Riser Room Check 1st Fl 44133463 1 08/15-R Check Valve 1st 1st Riser Room FDC Check 44133465 1 08/15-P Check Valve 1st 1st Riser Room Riser Check Main

Feed 44133451 1 08/15-P

Check Valve 2nd 2nd Stairwell 1 Check 2nd Fl 44133467 1 08/15-P Check Valve 2nd 2nd Stairwell 1 Check Attic 44133472 1 08/15-P

Device Total: 5 Return to Executive Summary

Page of 7 13United Fire Protection - Atlanta Download Date: 08/17/2022

All other Life Safety Code automatic extinguishing requirements related to NFPA 101- 2021 18/19.3.5

Operate valve and verify signal receipt shall be verified to be within the first two revolutions of the hand wheel or within one-fifth of the travel distance, or per the manufacturer's published instructions. (NFPA 72-19 Table 14.4.3.2 (17)(10)(a)) Devices Tested Q3/22 Pass Q3/22 Fail Q3/22 Tested YTD (2022) Total Quantity Control Valve 7 7 0 7 7

Device Type Location ScanID Address Q3/22 Control Valve 1st 1st Riser Room Backflow CV #1 44133459 1-M1-109 08/15-P Control Valve 1st 1st Riser Room Backflow CV #2 44133458 1-M1-108 08/15-P Control Valve 1st 1st Riser Room Isolation CV 1st Fl 44133460 1-M1-47 08/15-P Control Valve 1st 1st Riser Room Main Feed for 1st, 2nd & Attic 44133450 1-M1-107 08/15-P

Control Valve 1st 1st Riser Room Test Header CV 44133457 1-M1-106 08/15-P Control Valve 2nd 2nd Stairwell 1 44133466 1-M1-102 08/15-P Control Valve Attic 2nd Stairwell 1 Attic 44133471 1-M1-104 08/15-P

Device Total: 7 Return to Executive Summary

Page of 8 13United Fire Protection - Atlanta Download Date: 08/17/2022

All other Life Safety Code automatic extinguishing requirements related to NFPA 101- 2021 18/19.3.5

A main drain test shall be conducted annually for each water supply lead-in to a building water-based fire protection system to determine whether there has been a change in the condition of the water supply. (NFPA 25-20 13.2.3) Devices Tested Q3/22 Pass Q3/22 Fail Q3/22 Tested YTD (2022) Total Quantity Drain 1 1 0 1 1

Device Type Location ScanID Address Q3/22 Drain 1st 1st Riser Room Main Feed Drain 44133455 0 08/15-P

Device Total: 1 Return to Executive Summary

Page of 9 13United Fire Protection - Atlanta Download Date: 08/17/2022

All other Life Safety Code automatic extinguishing requirements related to NFPA 101- 2021 18/19.3.5

Gauges shall be replaced every 5 years or tested every 5 years by comparison with a calibrated gauge. (NFPA 25- 20 13.2.5.2) Devices Tested Q3/22 Pass Q3/22 Fail Q3/22 Tested YTD (2022) Total Quantity Gauge 5 5 0 5 5

Device Type Location ScanID Address Q3/22 Gauge 1st 1st Riser Room Supply Pressure

Main Feed 57780019 0 08/15-P

The above device replaced ScanID 44133452:

Gauge 1st 1st Riser Room Supply Pressure Main Feed

44133452 1 08/15-R

Gauge 1st 1st Riser Room System Pressure 1st Fl

57780020 0 08/15-P

The above device replaced ScanID 44133462:

Gauge 1st 1st Riser Room System Pressure 1st Fl

44133462 1 08/15-R

Gauge 1st 1st Riser Room System Pressure Main Feed

57780007 0 08/15-P

The above device replaced ScanID 44133453:

Gauge 1st 1st Riser Room System Pressure Main Feed

44133453 1 08/15-R

Gauge 2nd 2nd Stairwell 1 System Pressure 2nd Fl

44133469 0 08/15-P

Gauge Attic 2nd Stairwell 1 System Pressure Attic

44133474 0 08/15-P

Device Total: 5 Return to Executive Summary

Page of 10 13United Fire Protection - Atlanta Download Date: 08/17/2022

All other Life Safety Code automatic extinguishing requirements related to NFPA 101- 2021 18/19.3.5

Testing of pressure switch type waterflow alarm devices on wet pipe systems shall be accomplished by opening the inspector's test connection (NFPA 25-20 5.3.3.3) Devices Tested Q3/22 Pass Q3/22 Fail Q3/22 Tested YTD (2022) Total Quantity Inspector's Test 3 3 0 3 3

Device Type Location ScanID Address Q3/22 Inspector's Test 1st 1st Riser Room 1st Fl 44133456 0 08/15-P Inspector's Test 2nd 2nd Stairwell 1 44133470 0 08/15-P Inspector's Test Attic 2nd Stairwell 1 Attic 44133475 0 08/15-P

Device Total: 3 Return to Executive Summary

Page of 11 13United Fire Protection - Atlanta Download Date: 08/17/2022

Service Summary Generated by: BuildingReports.com

Building: Fort McPherson VAMC Bldg 128 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity

Passed Check Valve Quarterly 5 Control Valve Quarterly 7 Drain Quarterly 1 Fire Dep't Connection Quarterly 1 Gauge Quarterly 5 Inspector's Test Quarterly 3 Waterflow Switch Quarterly 4

Total 26 Grand Total 26

Page of 12 13United Fire Protection - Atlanta Download Date: 08/17/2022

Inventory & Warranty Report Generated by: BuildingReports.com

Building: Fort McPherson VAMC Bldg 128 The Inventory & Warranty Report lists each of the devices and items that are included in your Inspection Report. A complete inventory count by device type and category is provided. Items installed within the last 90 days, within the last year, and devices installed for two years or more are grouped together for easy reference.

Device or Type Category % of Inventory Quantity Check Valve Valve 19.23% 5

Control Valve Valve 26.92% 7

Drain Device 3.85% 1

Fire Dep't Connection Hose 3.85% 1

Gauge Device 19.23% 5

Inspector's Test Valve 11.54% 3

Waterflow Switch Alarm 15.38% 4

Device Type Qty Model # Type Description Install Date

New (under 90 days) Check Valve 5 08/15/2022 Control Valve 7 08/15/2022 Drain 1 08/15/2022 Fire Dep't Connection 1 08/15/2022 Gauge 5 08/15/2022 Inspector's Test 3 08/15/2022 Waterflow Switch 4 08/15/2022

Page of 13 13United Fire Protection - Atlanta Download Date: 08/17/2022

Zone Address Report Generated by: BuildingReports.com

Building: Fort McPherson VAMC Bldg 128 The Zone Address Report lists all of the devices and items that have an individual address, or are grouped together under a common zone. The device type, location, and description are included for your reference.

Address Device Type Location Type ScanID

Control Panel 1 M1-46 Waterflow Switch 1st 1st Riser Room Flowswitch 1st Fl 44133461 M1-47 Control Valve 1st 1st Riser Room Isolation CV 1st Fl 44133460

M1-101 Waterflow Switch 2nd 2nd Stairwell 1 Flowswitch 44133468 M1-102 Control Valve 2nd 2nd Stairwell 1 44133466 M1-103 Waterflow Switch Attic 2nd Stairwell 1 Flowswitch 44133473 M1-104 Control Valve Attic 2nd Stairwell 1 Attic 44133471 M1-105 Waterflow Switch 1st 1st Riser Room Main Feed 67977808 M1-106 Control Valve 1st 1st Riser Room Test Header CV 44133457 M1-107 Control Valve 1st 1st Riser Room Main Feed for 1st, 2nd

& Attic 44133450

M1-108 Control Valve 1st 1st Riser Room Backflow CV #2 44133458 M1-109 Control Valve 1st 1st Riser Room Backflow CV #1 44133459 javascript:openEditDevice('load-edit-p2-device','1267466','2603979','44133461');

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Sprinkler Inspection, Testing and/or Maintenance Certificate