Carl Vinson VAMC - Rolling Fire Door Inspection Report 2025.pdf

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Fire System Maintenance - Carl Vinson VA Medical Center
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36C24726Q0305
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This is a Rolling Fire Door Inspection Report for Carl Vinson Veterans Affairs Medical Center (VAMC) in Dublin, Georgia, completed on September 16, 2025, by Life Safety Services, a Louisville, Kentucky-based fire safety inspection company.

The inspection evaluated seven rolling fire doors manufactured by C.H.I. Rolling Fire Doors across two building locations: five doors in Building 2 Dining Room (doors 1-RFD-003 through 1-RFD-007, each 6 feet wide by 6 feet 10 inches tall) and two doors in Building A Wing 1 outside (doors 1-RFD-001 and 1-RFD-002, each 3 feet 4 inches wide by approximately 6 feet tall). All doors are fire-rated. The inspection was conducted by technician Alex Maldonado under job number SB-082225-C13-RDB. Compliance verification followed NFPA 80 5.2.3.6 standards, assessing 17 minimum points including bottom bar label visibility, slat integrity, door alignment and balance, guide inspection, hood condition, gear and pulley function, fusible links and cable integrity, and operational performance. Drop tests for each door confirmed proper closing speed between 6 and 24 inches per second; recorded speeds ranged from 12.0 to 14.0 inches per second. All seven doors passed inspection as fully compliant (100 percent compliance rate), with all required maintenance and lubrication completed. Door labels were affixed documenting inspection date and technician information. The report was submitted on September 16, 2025, at 2:42 PM UTC with submission ID AF617E07-BD83-4929-BA9E-C4D89ED32B42.

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908 South 8th Street Louisville, KY. 40203

888.675.4519 info@LifeSafetyServices.com

Rolling Fire Door Inspection Report Carl Vinson VAMC

September 16, 2025 www.LifeSafetyServices.com

Start Date 09/16/2025 Start Time 08:00 AM Technicians Alex Maldonado Job # SB-082225-C13-RDB Facility Carl Vinson VAMC Building Main City Dublin State Georgia

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 1 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

No.: 00660 Date: 09/16/2025Rolling Door Inspection

DOORS

Door No. 1-RFD-006

FIELD NOTES

NFPA 80 5.2.3.6 requires verification of the following 17 points as a minimum Floor Serial / Job Number Manufacturer Opening Width (Feet) Opening Width (Inches) Opening Height (Feet) Opening Height (Inches) Door Type Door Location

SB-082225-C13-RDB

C.H.I Rolling fire doors Rolling Building 2 Dining Room

Open Door Photo Closed Door Photo

Is the door fire rated? Yes Fire Rating Tag Yes

Fire Rating Tag Photo

Inspect bottom bar making sure label is clearly visible and legible

Compliant

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 2 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

Inspect slats for dents, holes, and separation Compliant Inspect door for alignment, level, balance and lock (if so equipped)

Compliant

Inspect guides Compliant Inspect seals N/A Inspect hood Compliant Inspect gears, pulleys, and shafts Compliant Inspect fusible links (both sides), sash chains and cables making sure runways are clear and free of binds and twists

Compliant

Check releasing devices Compliant Check operation Compliant Inspection Date 09/16/2025 Inspection Time 09:28 AM

DROP TESTS

Drop test speed needs to be no less than 6" per second and no more than 24" per second Drop Test #1: Speed 14.0000 Drop Test #1: Reset Door Drop Test #2 Check Drop Test #2: Reset Door Maintain and Lubricate Door

DOOR COMPLIANCE

Door Compliant Compliant Fill Out Door Label Door Label Photo

Technician Notes

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 3 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

Door No. 1-RFD-007

FIELD NOTES

NFPA 80 5.2.3.6 requires verification of the following 17 points as a minimum Floor Serial / Job Number Manufacturer Opening Width (Feet) Opening Width (Inches) Opening Height (Feet) Opening Height (Inches) Door Type Door Location

SB-082225-C13-RDB

C.H.I Rolling Fire Doors Rolling Building 2 Dining Room

Open Door Photo Closed Door Photo

Is the door fire rated? Yes Fire Rating Tag Yes

Fire Rating Tag Photo

Inspect bottom bar making sure label is clearly visible and legible

Compliant

Inspect slats for dents, holes, and separation Compliant

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 4 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42 so equipped)

Compliant

Inspect guides Compliant Inspect seals N/A Inspect hood Compliant Inspect gears, pulleys, and shafts Compliant Inspect fusible links (both sides), sash chains and cables making sure runways are clear and free of binds and twists

Compliant

Check releasing devices Compliant Check operation Compliant Inspection Date 09/16/2025 Inspection Time 09:38 AM

DROP TESTS

Drop test speed needs to be no less than 6" per second and no more than 24" per second Drop Test #1: Speed 13.0000 Drop Test #1: Reset Door Drop Test #2 Check Drop Test #2: Reset Door Maintain and Lubricate Door

DOOR COMPLIANCE

Door Compliant Compliant Fill Out Door Label Door Label Photo

Technician Notes

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 5 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

Door No. 1-RFD-005

NFPA 80 5.2.3.6 requires verification of the following 17 points as a minimum Floor Serial / Job Number Manufacturer Opening Width (Feet) Opening Width (Inches) Opening Height (Feet) Opening Height (Inches) Door Type Door Location

SB-082225-C13-RDB

C.H.I Rolling Fire Doors Rolling Building 2 Dining Room

Open Door Photo Closed Door Photo

Is the door fire rated? Yes Fire Rating Tag Yes

Fire Rating Tag Photo

Inspect bottom bar making sure label is clearly visible and legible

Compliant

Inspect slats for dents, holes, and separation Compliant

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 6 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

Compliant

Inspect guides Compliant Inspect seals N/A Inspect hood Compliant Inspect gears, pulleys, and shafts Compliant Inspect fusible links (both sides), sash chains and cables making sure runways are clear and free of binds and twists

Compliant

Check releasing devices Compliant Check operation Compliant Inspection Date 09/16/2025 Inspection Time 09:45 AM

DROP TESTS

Drop test speed needs to be no less than 6" per second and no more than 24" per second Drop Test #1: Speed 13.0000 Drop Test #1: Reset Door Drop Test #2 Check Drop Test #2: Reset Door Maintain and Lubricate Door

DOOR COMPLIANCE

Door Compliant Compliant Fill Out Door Label Door Label Photo

Technician Notes

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 7 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

Door No. 1-RFD-004

NFPA 80 5.2.3.6 requires verification of the following 17 points as a minimum Floor Serial / Job Number Manufacturer Opening Width (Feet) Opening Width (Inches) Opening Height (Feet) Opening Height (Inches) Door Type Door Location

SB-082225-C13-RDB

C.H.I Rolling Fire Doors Rolling Building 2 Dining Room

Open Door Photo Closed Door Photo

Is the door fire rated? Yes Fire Rating Tag Yes

Fire Rating Tag Photo

Inspect bottom bar making sure label is clearly visible and legible

Compliant

Inspect slats for dents, holes, and separation Compliant

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 8 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

Compliant

Inspect guides Compliant Inspect seals N/A Inspect hood Compliant Inspect gears, pulleys, and shafts Compliant Inspect fusible links (both sides), sash chains and cables making sure runways are clear and free of binds and twists

Compliant

Check releasing devices Compliant Check operation Compliant Inspection Date 09/16/2025 Inspection Time 09:49 AM

DROP TESTS

Drop test speed needs to be no less than 6" per second and no more than 24" per second Drop Test #1: Speed 13.0000 Drop Test #1: Reset Door Drop Test #2 Check Drop Test #2: Reset Door Maintain and Lubricate Door

DOOR COMPLIANCE

Door Compliant Compliant Fill Out Door Label Door Label Photo

Technician Notes

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 9 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

Door No. 1-RFD-003

NFPA 80 5.2.3.6 requires verification of the following 17 points as a minimum Floor Serial / Job Number Manufacturer Opening Width (Feet) Opening Width (Inches) Opening Height (Feet) Opening Height (Inches) Door Type Door Location

SB-082225-C13-RDB

C.H.I Rolling Fire Doors Rolling Building 2 Dining Room

Open Door Photo Closed Door Photo

Is the door fire rated? Yes Fire Rating Tag Yes

Fire Rating Tag Photo

Inspect bottom bar making sure label is clearly visible and legible

Compliant

Inspect slats for dents, holes, and separation Compliant

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 10 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

Compliant

Inspect guides Compliant Inspect seals N/A Inspect hood Compliant Inspect gears, pulleys, and shafts Compliant Inspect fusible links (both sides), sash chains and cables making sure runways are clear and free of binds and twists

Compliant

Check releasing devices Compliant Check operation Compliant Inspection Date 09/16/2025 Inspection Time 09:54 AM

DROP TESTS

Drop test speed needs to be no less than 6" per second and no more than 24" per second Drop Test #1: Speed 13.0000 Drop Test #1: Reset Door Drop Test #2 Check Drop Test #2: Reset Door Maintain and Lubricate Door

DOOR COMPLIANCE

Door Compliant Compliant Fill Out Door Label Door Label Photo

Technician Notes

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 11 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

Door No. 1-RFD-002

NFPA 80 5.2.3.6 requires verification of the following 17 points as a minimum Floor 1 Serial / Job Number SB-082225-C13-RDB Manufacturer C.H.I Rolling Fire Doors Opening Width (Feet) 3 Opening Width (Inches) 4 Opening Height (Feet) 6 Opening Height (Inches) 3 Door Type Rolling Door Location Building A wing 1 outside

Open Door Photo Closed Door Photo

Is the door fire rated? Yes Fire Rating Tag Yes

Fire Rating Tag Photo

Inspect bottom bar making sure label is clearly visible and legible

Compliant

Inspect slats for dents, holes, and separation Compliant

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 12 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

Compliant

Inspect guides Compliant Inspect seals N/A Inspect hood Compliant Inspect gears, pulleys, and shafts Compliant Inspect fusible links (both sides), sash chains and cables making sure runways are clear and free of binds and twists

Compliant

Check releasing devices Compliant Check operation Compliant Inspection Date 09/16/2025 Inspection Time 10:19 AM

DROP TESTS

Drop test speed needs to be no less than 6" per second and no more than 24" per second Drop Test #1: Speed 13.0000 Drop Test #1: Reset Door Drop Test #2 Check Drop Test #2: Reset Door Maintain and Lubricate Door

DOOR COMPLIANCE

Door Compliant Compliant Fill Out Door Label Door Label Photo

Technician Notes

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 13 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

Door No. 1-RFD-001

NFPA 80 5.2.3.6 requires verification of the following 17 points as a minimum Floor 1 Serial / Job Number SB-082225-C13-RDB Manufacturer C.H.I Rolling Fire Doors Opening Width (Feet) 3 Opening Width (Inches) 4 Opening Height (Feet) 6 Opening Height (Inches) 4 Door Type Rolling Door Location Building A Wing 1 outside

Open Door Photo Closed Door Photo

Is the door fire rated? Yes Fire Rating Tag Yes

Fire Rating Tag Photo

Inspect bottom bar making sure label is clearly visible and legible

Compliant

Inspect slats for dents, holes, and separation Compliant

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 14 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

Compliant

Inspect guides Compliant Inspect seals N/A Inspect hood Compliant Inspect gears, pulleys, and shafts Compliant Inspect fusible links (both sides), sash chains and cables making sure runways are clear and free of binds and twists

Compliant

Check releasing devices Compliant Check operation Compliant Inspection Date 09/16/2025 Inspection Time 10:33 AM

DROP TESTS

Drop test speed needs to be no less than 6" per second and no more than 24" per second Drop Test #1: Speed 12.0000 Drop Test #1: Reset Door Drop Test #2 Check Drop Test #2: Reset Door Maintain and Lubricate Door

DOOR COMPLIANCE

Door Compliant Compliant Fill Out Door Label Door Label Photo

Technician Notes

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 15 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

DOOR SUMMARY

Compliant Doors 7 Compliant Percentage 100.00 Total Doors 7 Non-compliant Doors 0 Non-compliant Percentage 0.00

FORM COMPLETION

Date 09/16/2025 Time 10:40 AM Reminder

Please ensure the current date and time are selected. They are used to keep paperwork in order.

Technician Signature

Submitted by Alex Maldonado at 09/16/2025 14:42 UTC Page: 16 Captured at 09/16/2025 14:41 UTC Submission ID: AF617E07-BD83-4929-BA9E-C4D89ED32B42

908 South 8th Street Louisville, KY. 40203

888.675.4519 info@LifeSafetyServices.com www.LifeSafetyServices.com

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