VA Medical Center - Joint Commission - TJC - 2025-11-14.pdf
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- Fire Alarm Maintenance and Inspection
- Solicitation number
- 36C24726Q0652
About this file
This is a Joint Commission fire and life safety inspection report for the VA Medical Center located at 1826 Veterans Boulevard, Dublin, Georgia 31021, dated November 14, 2025. The inspection was conducted by Johnson Controls North America, with inspector Aldes Anderson Jr. holding NICET Level 2 certification (#142757). The inspection covered fire alarm systems and life safety devices across multiple buildings at the facility, spanning from October 20 to November 14, 2025, under Work Order #59868766.
The inspection evaluated 2,139 total devices across multiple categories including pull stations (264), smoke detectors (777), duct detectors (74), heat detectors (53 total: 8 standard and 45 fixed-temperature), supervisory duct detectors (70), notification devices (door holders, horns/strobes, speakers, and strobes totaling 796), and HVAC shutdown devices (25). Results indicate 2,135 devices passed inspection with 4 devices unable to be inspected: three elevator-related devices (alternate recall, shunt trip, and primary recall notifiers in Building 19) were out of service due to elevator outages, and one heat detector in Building 5's generator room was disabled on the fire alarm control panel. No device deficiencies were identified. A low-priority recommendation was issued recommending that the facility program fire alarm control panel bypasses for elevator recall, shunt trip, AHU shutdown, door holders, and silent walk test functions to minimize business interruption during contractor work and system testing. The inspection summary indicates 99% of devices were successfully inspected.
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Other files
| File | Type | Posted |
|---|---|---|
| Price Cost Schedule.docx | DOCX document | |
| 36C24726Q0652 0003_1 Fire Alarm Maintenance and Testing.docx | DOCX document | |
| Basis for Award-1.docx | DOCX document | |
| 36C24726Q0652_Questions and Answers.docx | DOCX document | |
| 36C24726Q0652 0002-Dublin VAMC.docx | DOCX document | |
| SiteDrawing_27FEB2024_FireAlarmPanels.pdf | ||
| SOW_FireAlarm_AnnualContract_V1_31AUG26.docx | DOCX document | |
| 36C24726Q0652 0001_2.docx | DOCX document | |
| 36C24726Q0652_1.docx | DOCX document | |
| S02-36C24726Q0652-Fire Alarm Testing.pdf |
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Johnson Controls is committed to serving our customers with the best-in-class services and technologies. Xaap is an advanced inspection reporting application that has been used by Johnson Controls on your inspections.
Xaap is a software-as-a-service (SaaS) solution that provides a streamlined and digitized approach for performing fire and life safety inspections and managing compliance reports in a single, centralized platform.
The application allows inspectors to capture data for fire and life safety systems and devices while generating the required compliance reports directly from their phones. It also provides facility managers, building managers and key stakeholders with a centralized view of all building systems and deficiency data. Users can easily access, download and share historical inspection reports through Xaap.
See how your organization can leverage this smart technology for your internal inspections Visit info.jci.com/xaap-tjc To Learn More
This report is powered by Xaap, the Building Compliance Reporting Platform used by Johnson Controls.
This page is informational only and not part of The Joint Commission Report
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Inspection Summary
Customer Information
Name VA Medical Center
Building Information
Name VA Medical Center
Address 1826 Veterans Blvd, Dublin, GA 31021
Contact Information
Name Daniel DiMartino
Role Monitoring Organization
E-Mail Daniel.dimartino2@va.gov
Phone 4783044664
Account Information
Service Provider
Johnson Controls North America
Office Address
1350 Northmeadow Parkway, Suite 100 Rosewell, GA 30076
Office Phone 678) 896-4090
Office License
Inspector Name
Aldes Anderson
Inspector License
NICET 2. #142757
Inspection Information
Start Date 10/20/2025
Date 11/14/2025
Inspection Type
Joint Commission
Work Order# 59868766
Timezone GMT-04:00
Inspection Summary
The following Tests and Inspections have been covered in this inspection
EP 3 - Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations
EP 4 - Notification Devices Audible, Visual, Speakers and Door Releasing Devices
EP 19 - Smoke Detection Shut Down Devices for HVAC
NFPA 72 - 2010
DEVICE DEFICIENCIES
No device deficiencies in this inspection.
www.xaapbuildings.com
CANNOT INSPECT REPORT
LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE DATE OF TEST TYPE IMAGES
(Building 19) Alternate Recall L01M014 Alternate Elevator
Recall Notifier Notifier — 11/05/2025 Cannot Inspect
CANNOT INSPECT
IMAGES
APPENDIX 1.1
Reason cannot inspect: Elevator is Out of Order
(Building 19) Shunt Trip
Elevator Machine Room
L01M012 Elevator Shunt
Trip Notifier Notifier — 11/05/2025 Cannot Inspect
CANNOT INSPECT
IMAGES
APPENDIX 1.2
Reason cannot inspect: Elevator is out of order
(Building 19) Primary Recall L01M013 Primary Elevator
Recall Notifier Otifier — 11/05/2025 Cannot Inspect
CANNOT INSPECT
IMAGES
APPENDIX 1.3
Reason cannot inspect: Elevator is out of order
(Building 5) Generator room
C-153 L01D002
Heat Detector Fixed Temp
Notifier Notifier — 11/06/2025 Cannot Inspect
CANNOT INSPECT
IMAGES
APPENDIX 1.4
Reason cannot inspect: Upon Arrival of Inspection Team Device was in Disabled mode on FACP.
RECOMMENDATIONS
Priority Created At Created By Updated At Updated By
LOW 11/14/2025 Aldes Anderson Jr. 11/14/2025 Aldes Anderson Jr.
Description: Recommendation:
It is my Recommendation that All Fire Alarm Control Panel be programmed with bypasses within the walk test Function or on its own.
The Following recommended bypasses are.
1.Elevator Recall, Shunt Trip 2.AHU Shutdown
3. Door Holders.
3. Silent Walk Test.
This will Ensure Normal business would not be interrupted by Contractors working on or testing the system in that particular area.
INSPECTION RESULTS SUMMARY
CURRENT INSPECTION RESULTS PREVIOUS INSPECTION RESULTS
TEST PERFORMED DEVICE TYPE TOTAL PASSED FAILED CANNOT INSPECT % INSPECTED TOTAL
EP3 Duct Detector 74 74 0 0 100 74
EP3 Heat Detector 8 8 0 0 100 8
EP3 Heat Detector Fixed Temp 45 44 0 1 97 45
EP3 Pull Station 264 264 0 0 100 264
EP3 Smoke Detector 777 777 0 0 100 777
EP3 Supervisory - Duct Detector 70 70 0 0 100 70
EP4 Door Holder 31 31 0 0 100 31
EP4 Horn/Strobe 75 75 0 0 100 75
EP4 Speaker 140 140 0 0 100 140
EP4 Speaker/Strobe 527 527 0 0 100 527
EP4 Strobe 23 23 0 0 100 23
EP19 AHU Fan Shutdown 24 24 0 0 100 24
EP19 Exhaust Fan 1 1 0 0 100 1
NFPA 72 Alternate Elevator Recall 11 10 0 1 90 11
NFPA 72 Amplifier 9 9 0 0 100 9
NFPA 72 Annunciator 10 10 0 0 100 10
NFPA 72 Elevator Shunt Trip 11 10 0 1 90 11
NFPA 72 Primary Elevator Recall 11 10 0 1 90 11
NFPA 72 Remote Power Supply 8 8 0 0 100 8
NFPA 72 Reporting System Server PC 1 1 0 0 100 1
NFPA 72
EP3
Panel 19 19 0 0 100 19
TOTAL 2139 2135 0 4 99 2139
DUCT, HEAT, FLAME, OPTICAL, SMOKE DETECTORS, PULL STATIONS
CUSTOMER NAME: VA Medical Center
BUILDING NAME: VA Medical Center
BUILDING ADDRESS: 1826 Veterans Blvd, Dublin, GA 31021
CONTACT NAME: Daniel DiMartino
CONTACT E-MAIL: Daniel.dimartino2@va.gov
CONTACT ROLE: Monitoring Organization
CONTACT PHONE: 4783044664
SERVICE PROVIDER: Johnson Controls North America
OFFICE ADDRESS: 1350 Northmeadow Parkway, Suite 100 Rosewell, GA 30076
OFFICE PHONE: 678) 896-4090
INSPECTOR: Aldes Anderson
INSPECTOR LICENSE: NICET 2. #142757
INSPECTION START DATE: 10/20/2025
INSPECTION END DATE: 11/14/2025
WORK ORDER: 59868766
TIMEZONE: GMT-04:00
INSPECTION RESULTS SUMMARY
CURRENT INSPECTION RESULTS PREVIOUS INSPECTION RESULTS
DEVICE TYPE INVENTORY COUNT PASSED FAILED CANNOT INSPECT % INSPECTED INVENTORY COUNT
Pull Station 264 264 0 0 100 264
Duct Detector 74 74 0 0 100 74
Heat Detector 8 8 0 0 100 8
Smoke Detector 777 777 0 0 100 777
Heat Detector Fixed Temp 45 44 0 1 97 45
Supervisory - Duct Detector 70 70 0 0 100 70
DEVICE DEFICIENCIES
No device deficiencies in this inspection.
RETIRED DEVICES
No retired devices in this inspection.
Element of Performance - EP 3 Joint Commission Standard EC.02.03.05 Element of Performance 3 EP
-3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
Customer: VA Medical Center | Building: VA Medical Center
Elements of Performance #3
Every 12 months the facility will test all Pull Stations. The completion date of the tests is documented.
Manual Pull Stations
For additional guidance on performing the tests, see NFPA 72-2010: Table 14.4.5; 17.14
Device Test Method
Manual Pull Stations
Performance Verification. Inspection, testing, and maintenance progress shall satisfy the requirements of this Code, shall conform to the equipment manufacturer's recommendations, and shall verify correct operation of the fire alarm system.
Confirm that each fire alarm box is unobstructed, readily accessible, located in the normal path of egress and that the installed height of each is between 3 ½ feet and 4 ½ feet above the floor. Confirm that there is a manual box within five feet of every exit door. Activate each manual box by physically operating the device.
Operate per manufacturer's instruction. For key-operated pre-signal fire alarm boxes, test both pre-signal and general alarm circuits.
Element of Performance - EP 3 NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
PULL STATION
# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT
1 (Building 9) 1sr Floor Stairwell
Exit L0M1022 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
2 (Building 19) 1st By Corridor L01M024 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
3 (Building 41) 1st Exit to Corridor
L01M028 Notifier Pull Station — Aldes Anderson Jr. 11/04/2025 Passed
4 (Building 13) 1st Exit To Corridor
N17.L2.M2 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
5 (Building 1) 1st Floor at Fire
Door L02M006 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
6 (Building 10) 1st Floor By
Corridor L01M0100 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
7 (Building 1) 1st Floor by Fire
Door L02M013 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
8 (Building 17) 1st Floor By Fire
Door L02M007 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
9 (Building 9) 1st Floor by
Vending L0M1020 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
10 (Building 12) 1st Floor Corridor L01M035 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
11 (Building 9) 1st Floor Exit L0M1019 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
12 (Building 13) 1st Floor Exit Hall N17.L2.M11 — Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
13 (Building 14) 1st Floor Fire
Door L01M015 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
14 (Building 11) 1st Floor Fire
Door Exit L02M002 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
15 (Building 1) 1st Floor Front
Exit L02M010 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
16 (Building 1) 1st Floor Front
Exit L02M011 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
17 (Building 13) 1st Floor Hall Exit N17.L2.M3 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
18 (Building 13) 1st floor Hallway N17.L2.M6 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
19 (Building 6) 1st Floor Mid Exit L01M017 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
20 (Building 19) 1st Floor Rear Exit L01M029 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
21 (Building 12) 1st Floor Side Exit L01M038 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
22 (Building 41) 1st Floor Side Exit L01M029 Notifier Pull Station — Aldes Anderson Jr. 11/04/2025 Passed
23 (Building 3) 1st Floor Stair 11
Exit L01M024 Notifier Pull Station — Aldes Anderson Jr. 11/04/2025 Passed
24 (Building 3) 1st Floor Stair 12
Exit L01M026 Notifier Pull Station — Aldes Anderson Jr. 11/04/2025 Passed
25 (Building 12) 1st Floor Stair Exit L01M037 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
26 (Building 12) 1st Floor Stair Exit L01M039 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
27 (Building 14) 1st Floor Stair Exit L01M021 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
28 (Building 1) 1st Floor Stair Exit L02M008 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
29 (Building 1) 1st Floor Stair Exit L02M014 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
30 (Building 10 West) 1st Floor Stairwell exit L01M011 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
31 (Building 12) 1st Nurse Station L01M036 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
32 (Building 17) 1st Stair Exit L02M010 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
Element of Performance - EP 3 NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
33 (Building 5) 2nd by Stair
ST-22-5
L01M061 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
34 (Building 5) 2nd Exit By C-232 L01M032 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
35 (Building 6) 2nd Floor
Building 6 Exit L01M030 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
36 (Building 9) 2nd Floor by Cart
Wash L0M1030 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
37 (Building 19) 2nd Floor by
Corridor L01M032 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
38 (Building 14) 2nd Floor by Fire
Door L01M029 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
39 (Building 17) 2nd Floor By Fire
Door L02M014 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
40 (Building 2) 2nd Floor By
ST25-2
L01M067 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
41 (Building 6) 2nd floor by Stair
ST22-6
L01M020 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
42 (Building 10) 2nd floor Corridor L01M028 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
43 (Building 12) 2nd Floor Corridor
L01M033 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
44 (Building 9) 2nd Floor
Corridor Exit L0M1028 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
45 (Building 5) 2nd Floor Exit by
A226 L01M062 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
46 (Building 1) 2nd Floor Fire
Door L02M016 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
47 (Building 14) 2nd Floor Fire
Door Exit L01M028 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
48 (Building 11) 2nd Floor Fire
Door Exit L02M030 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
49 (Building 11) 2nd Floor Fire
Door Exit L02M032 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
50 (Building 11) 2nd Floor Fire
Door Exit L02M040 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
51 (Building 5) 2nd Floor Hall by
C-204 L01M031 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
52 (Building 13) 2nd Floor Hallway N17.L2.M19 — Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
53 (Building 15) 2nd Floor Hallway
15 By Exit N17.L1.M28 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
54 (Building 3) 2nd Floor Stair
21-3 Exit L01M037 Notifier Pull Station — Aldes Anderson Jr. 11/04/2025 Passed
55 (Building 3) 2nd floor Stair 22
Exit L01M039 Notifier Pull Station — Aldes Anderson Jr. 11/04/2025 Passed
56 (Building 15) 2nd floor Stair
Exit N17.L1.M29 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
57 (Building 12) 2nd floor Stair
Exit L01M034 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
58 (Building 10) 2nd Floor Stair
Exit L01M030 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
59 (Building 19) 2nd Floor Stair
Exit L01M038 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
60 (Building 17) 2nd Floor Stair
Exit L02M016 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
61 (Building 1) 2nd Floor Stair
Exit L02M015 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
Element of Performance - EP 3 NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
62 (Building 8) 2nd Floor Stair
Exit L02M004 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
63 (Building 11) 2nd Floor Stairwell
L02M045 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
64 (Building 9) 2nd Floor
Stairwell Exit L0M1031 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
65 (Building 9) 2nd floor to corridor L0M1026 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
66 (Building 6) 2nd ST22-6 L01M022 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
67 (Building 12) 12A Entry L01M080 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
68 (Building 15) 15 Hall N17.L1.M20 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
69 (Building 15) 15 Hall Exit N17.L1.M22 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
70 (Building 41) 103-41 To Corridor
L01M034 Notifier Pull Station — Aldes Anderson Jr. 11/04/2025 Passed
71 (Building 41) 104-41 To Corridor
L01M035 Notifier Pull Station — Aldes Anderson Jr. 11/04/2025 Passed
72 (Building 41) 104-41 To Corridor
L01M036 Notifier Pull Station — Aldes Anderson Jr. 11/04/2025 Passed
73 (Building 29) 115-29 Exit L01M025 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
74 (Building 8) Across from
Room N2-142 L02M040 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
75 (Building 16) Base 16 Corr N7.L2.M4 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
76 (Building 19) Basement L01M016 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
77 (Building 16) Basement 16
Door N7.L2.M18 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
78 (Building 6) Basement
Building 6 Entry L01M001 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
79 (Building 6) Basement CR-18
Exit L01M019 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
80 (Building 26) Basement Exit N23.L1.M12 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
81 (Building 12) Basement Exit L01M060 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
82 (Building 14) Basement Fire
Exit N7.L1.M9 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
83 (Building 11) Basement Stair
Exit L02M009 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
84 (Building 3) Basement Stair
Exit L01M014 Notifier Pull Station — Aldes Anderson Jr. 11/04/2025 Passed
85 (Building 3) Basement Stairs
12 Exit L01M023 Notifier Pull Station — Aldes Anderson Jr. 11/04/2025 Passed
86 (Building 12) Basement Stairs
Exit L01M041 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
87 (Building 10 West) Basement
Stairwell Exit L01M003 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
88 (Building 11) Basement
Stairwell Exit L02M029 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
89 (Building 12) Basement
Storage L01M058 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
90 (Building 12) Basement
Storage L01M059 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
91 (Building 10) Base Stair Exit L01M013 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
92 (Building 10) Base Storage Exit N25.L1.M9 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
Element of Performance - EP 3 NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
93 (Building 10) Base Storage Exit L01M012 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
94 (Building 8) BM 101-6 L02M011 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
95 (Building 28) BM 101 Exit L01M020 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
96 (Building 8) BM 102 L02M021 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
97 (Building 8) BM 103-8 L02M031 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
98 (Building 28) BM 103 Exit L01M019 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
99 (Building 2) BM 104 L01M015 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
100 (Building 8) BM 104A Exit L02M046 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
101 (Building 5) BM 110-5 L01M078 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
102 (Building 27) Boiler Room 103 N19.L1.M4 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
103 (Building 27) Boiler Room Exit
N19.L1.M5 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
104 (Building 27) Boiler Room Exit
N19.L1.M6 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
105 (Building 27) Break Area Room
N19.L1.M2 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
106 (Building 40) Building 40 Exit
Room 106-40 L01M041 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
107 (Building 40) Building 40 Exit the Hall L01M040 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
108 (Building 40) Building 40 Rear N31.L1.M22 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
109 (Building 40) Building 40 Room
106-40 L01M026 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
110 (Building 40) Building 40
Room106-40 L01M042 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
111 (Building 73) Building Exit L02M001 Notifier Pull Station — Aldes Anderson Jr. 11/14/2025 Passed
112 (Building 8) Business
Management Center
L02M026 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
113 (Building 8) By Bathing Suite L02M019 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
114 (Building 8) By Elevator L02M006 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
115 (Building 2) By Elevator D3 L01M064 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
116 (Building 8) By Med N1-17 L02M015 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
117 (Building 2) By ST23-2 L01M080 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
118 (Building 8) By Stair K1 L02M029 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
119 (Building 2) By Stairs STB 4-2 L01M018 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
120 (Building 2) By Stair ST11-2 L01M044 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
121 (Building 2) By Stair ST21-2 L01M078 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
122 (Building 2) By Stair St22-2 L01M086 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
123 (Building 2) By Stair ST24-2 L01M076 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
124 (Building 2) By Stair STB1-2 L01M036 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
125 (Building 2) By Stair STB2-2 L01M028 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
126 (Building 2) By Stair STB3-2 L01M027 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
Element of Performance - EP 3 NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
127 (Building 2) By Stair STB 5-2 L01M003 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
128 (Building 2) By Stair STD-2 L01M056 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
129 (Building 2) Canteen Exit L01M121 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
130 (Building 2) Canteen Exit L01M122 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
131 (Building 2) Canteen Kitchen L01M123 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
132 (Building 5) Checking A-167 L01M042 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
133 (Building 16) Corridor by 14-16 L02M001 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
134 (Building 16) Corridor By 14-16 N7.L2.M34 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
135 (Building 4) Corridor By Stairs
2nd Floor N31.L1.M30 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
136 (Building 13) Corridor Exit 2Nd N17.L2.M14 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
137 (Building 29) Corridor Exit by
L01M003 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
138 (Building 29) Corridor Exit by
L01M004 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
139 (Building 86) Corridor To B14 N27.L1.M11 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
140 (Building 16) Cr22-16 Exit N7.L2.M39 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
141 (Building 89) Electrical 1230 L01M003 Pull Station Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
142 (Building 27) Electrical Room
N19.L1.M3 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
143 (Building 5) Electrical Room
C-152 L01M011 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
144 (Building 4) Elevator Lobby 1st
Floor N31.L1.M24 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
145 (Building 4) Elevator Lobby
Basement N31.L1.M3 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
146 (Building 6) Elev Machine
Room N15.L1.M8 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
147 (Building 27) Equipment Room
N19.L1.M8 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
148 (Building 27) Equipment Room
Exit N19.L1.M13 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
149 (Building 25) Exit 101A L01M003 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
150 (Building 2) Exit 103-2 L01M049 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
151 (Building 25) Exit 107-25 L01M0014 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
152 (Building 2) Exit 139-2 L01M057 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
153 (Building 2) Exit 145-2 L01M052 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
154 (Building 8) Exit By 045 8A L02M014 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
155 (Building 8) Exit by 082 8A L02M024 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
156 (Building 5) Exit by A-112 L01M049 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
(Building 10
WEST)
Exit By Bm116 N35.L1.M9 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
158 (Building 10 West) Exit by BM 128 L01M004 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
159 (Building 5) Exit by C-138 L01M002 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
Element of Performance - EP 3 NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
160 (Building 87) Exit By C506 N29.L1.M16 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
161 (Building 87) Exit By C510 N29.L1.M15 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
162 (Building 87) Exit By Coun 2
A110 N29.L1.M4 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
163 (Building 87) Exit By Coun 3
A106 N29.L1.M6 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
164 (Building 87) Exit By Coun 9
A414 N29.L1.M8 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
165 (Building 87) Exit By Coun C114 N29.L1.M12 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
166 (Building 87) Exit By Coun C306 N29.L1.M13 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
167 (Building 5) Exit by CR-138A L01M035 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
168 (Building 89) Exit by Exam 1111 L01M011 Pull Station Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
169 (Building 89) Exit by Exam 1279 L01M007 Pull Station Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
170 (Building 87) Exit By Men C501 N29.L1.M18 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
171 (Building 87) Exit By Nurse
A205 N29.L1.M1 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
172 (Building 89) Exit by office 1133 L01M010 Pull Station Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
173 (Building 5) Exit by police
Electrical Closet D-171
L01M020 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
174 (Building 85) Exit By Room 152 N21.L1.M2 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
175 (Building 89) Exit By Staff Toilet
L01M006 Pull Station Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
176 (Building 87) Exit By Women
A114 N29.L1.M2 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
177 (Building 2) Exit Dock L01M060 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
178 (Building 25) Exit end of East L01M015 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
179 (Building 87) Exit Front Lobby N29.L1.M9 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
180 (Building 2) Exit in Hall CR14-2 L01M047 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
181 (Building 87) Exit Rear Lobby N29.L1.M10 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
182 (Building 87) Exit Rear Lobby N29.L1.M11 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
183 (Building 2) Exit Room 125-2 L01M065 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
184 (Building 10 West) Exit to B10 L01M016 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
185 (Building 14) Exit to BG 86 L01M011 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
186 (Building 14&16) Exit To Bg 86 N7.L1.M11 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
187 (Building 85) Exit To Building
N21.L1.M7 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
188 (Building 10) Fire Door Base N25.L1.M7 Notifier Pull Station — Aldes Anderson Jr. 10/22/2025 Passed
189 (Building 5) Generator c-153 L01M008 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
190 (Building 16) Gym Exit N7.L2.M23 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
191 (Building 85) Gym Exit N21.L1.M11 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
192 (Building 13) Hall 2Nd Flr Blg
N17.L2.M17 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
193 (Building 16) Hall by 101-16 L02M028 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
Element of Performance - EP 3 NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
194 (Building 16) Hall By 201-16 N7.L2.M35 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
195 (Building 2) Hall CR22-2 L01M068 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
196 (Building 86) Hbhc Lobby N27.L1.M14 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
197 (Building 86) Hbhc Team
Station N27.L1.M29 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
198 (Building 85) Kitchen 117 Exit N21.L1.M4 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
199 (Building 10 West) Lobby 121 Exit L01M001 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
200 (Building 10 West) Lobby 121 Exit L01M002 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
201 (Building 25) Main Front Exit L01M004 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
202 (Building 89) Mechanical 2000 L01M009 Pull Station Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
203 (Building 5) Mechanical C-151 L01M005 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
204 (Building 89) Mechanical Room
L01M002 Pull Station Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
205 (Building 87) Mech C503 Exit N29.L1.M24 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
206 (Building 86) Mech Room Exit N27.L1.M8 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
207 (Building 8) Module L02M001 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
208 (Building 25) North Exit 2nd
Floor L0M1016 Otifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
209 (Building 89) Outpatient Foyer L01M015 Pull Station Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
210 (Building 8) Patio Exit L02M025 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
211 (Building 86) Pat Server Exit N27.L1.M26 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
212 (Building 5) Penthouse A L01M046 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
213 (Building 5) Penthouse B-201 L01M017 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
214 (Building 5) Penthouse C L01M014 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
215 (Building 5) Penthouse D L01M058 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
216 (Building 5) Pharmacy C-107 L01M001 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
217 (Building 5) Primary Care
Corridor CR-101 L01M048 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
218 (Building 5) Primary Care
Waiting CR-139A L01M057 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
219 (Building 87) Rear Ext By Men
A101 N29.L1.M7 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
220 (Building 8) Res Hall Exit 8A L02M037 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
221 (Building 8) Resident Hall Exit
8A L02M049 Notifier Pull Station — Aldes Anderson Jr. 11/06/2025 Passed
222 (Building 26) Restroom Vestibule
N23.L1.M3 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
223 (Building 29) Room 100 Exit L01M002 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
224 (Building 28) Room 101 Exit L01M011 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
225 (Building 28) Room 103 Exit L01M012 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
226 (Building 28) Room 105 Exit L01M013 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
227 (Building 28) Room 106 Exit L01M014 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
Element of Performance - EP 3 NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
228 (Building 28) Room 109 Exit L01M016 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
229 (Building 29) Room 110 Exit L01M006 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
230 (Building 29) Room 115 Exit L01M007 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
231 (Building 29) Room 117 Exit L01M008 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
232 (Building 29) Room 122 Exit L01M005 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
233 (Building 2) Room 144-2 L01M051 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
234 (Building 2) Room 216-2 L01M079 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
235 (Building 2) Room 223-2 L01M077 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
236 (Building 2) Room 229-2 L01M070 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
237 (Building 2) Room 229-2 L01M071 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
238 (Building 63) Screened wreck area L02M009 Notifier Pull Station — Aldes Anderson Jr. 11/14/2025 Passed
(Building 10
WEST)
Shell Space N35.L1.M5 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
240 (Building 87) Side Front Exit N29.L1.M26 Notifier Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
241 (Building 25) South Exit 2nd
Floor L0M1017 Otifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
242 (Building 25) South Exit 2ST
Floor L01M002 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
243 (Building 5) Space Chase
C-104C L01M044 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
244 (Building 16) ST 11-16 Exit L02M030 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
245 (Building 5) ST-12-5 L01M009 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
246 (Building 4) St21-4 Exit 2nd
Floor N31.L1.M34 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
247 (Building 16) ST 21-16 Exit L02M038 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
248 (Building 15) Stair Exit 1St 15 N17.L1.M18 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
249 (Building 14) Stair Exit 2Nd Flr N7.L1.M40 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
250 (Building 13) Stair Exit 2Nd Flr N17.L2.M22 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
251 (Building 14) Stair Exit Base L01M012 Notifier Pull Station — Aldes Anderson Jr. 10/23/2025 Passed
252 (Building 2) Stair NO.6 Attic L01M090 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
253 (Building 15) Stairs By 200 N17.L1.M24 Notifier Pull Station — Aldes Anderson Jr. 10/24/2025 Passed
254 (Building 4) Stairwell 11-4
Lobby 1st Floor N31.L1.M27 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
255 (Building 4) Stairwell Lobby
STB-1
N31.L1.M13 Notifier Pull Station — Aldes Anderson Jr. 11/05/2025 Passed
256 (Building 11) Surgical Hall L02M041 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
257 (Building 11) Surgical Hall L02M043 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
258 (Building 5) Urgent Care Exit by B-122 L01M038 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
259 (Building 5) Urgent Care
Nurse station B-161
L01M079 Notifier Pull Station — Aldes Anderson Jr. 11/03/2025 Passed
260 (Building 89) Waiting 1203 Exit L01M008 Pull Station Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
Element of Performance - EP 3 NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
261 (Building 26) Warehouse 108
Exit N23.L1.M4 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
262 (Building 26) Warehouse 108
Exit N23.L1.M5 Notifier Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
263 (Building 89) Woman’s Foyer L01M016 Pull Station Pull Station — Aldes Anderson Jr. 10/20/2025 Passed
264 (Building 26) Work Area 109
Exit N23.L1.M1 — Pull Station — Aldes Anderson Jr. 10/21/2025 Passed
Element of Performance - EP 3 NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
Elements of Performance #3
Every 12 months the facility will test all Smoke Detectors. The completion date of the tests is documented.
Smoke Detectors
For additional guidance on performing the tests, see NFPA 72-2010: Table 14.4.5; 17.14
Device Test Method
Smoke Detectors Performance Verification. Inspection, testing, and maintenance progress shall satisfy the requirements of this Code, shall conform to the equipment manufacturer's recommendations, and shall verify correct operation of the fire alarm system.
The detectors will be tested in place to ensure the smoke entry into the sensing chamber and an alarm response. Testing with smoke or listed aerosol acceptable to the manufacturer, or other means acceptable test method.
Sensitivity Testing: Every 2 Years - Ensure that each smoke detector is within its listed and marked sensitivity range by testing using either:
1. A calibrated test method; or
2. The manufacturer's calibrated sensitivity test instrument; or
3. Listed control equipment arranged for the purpose; or
4. A smoke detector/control unit arrangement whereby the detector causes a signal at the control unit when its sensitivity is outside its acceptable sensitivity range; or
5. Other calibrated sensitivity test method acceptable to the authority having jurisdiction.
**NOTE: The detector sensitivity cannot be tested or measured using any spray device that administers an unmeasured concentration of aerosol into the detector.
Element of Performance - EP 3 Smoke Detectors NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
SMOKE DETECTOR
1 (Building 2) 1st CR-14-2 Fire
Doors L01D025 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
2 (Building 10 West) 1st Elevator
Lobby L0D1039 Notifier Smoke Detector — Aldes Anderson Jr. 10/21/2025 Passed
3 (Building 10 West) 1st Elevator Looby L0D1036 Notifier Smoke Detector — Aldes Anderson Jr. 10/21/2025 Passed
4 (Building 10 West) 1st Elevator Shaft L0D1041 Notifier Smoke Detector — Aldes Anderson Jr. 10/21/2025 Passed
5 (Building 13) 1st Fire Door L01D004 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
6 (Building 8) 1st Fire Doors by
L02D121 Notifier Smoke Detector — Aldes Anderson Jr. 11/06/2025 Passed
7 (Building 11) 1st Floor 126-11 L02D005 Notifier Smoke Detector — Aldes Anderson Jr. 11/03/2025 Passed
8 (Building 8) 1st Floor Building
8 Entry L02D041 Notifier Smoke Detector — Aldes Anderson Jr. 11/06/2025 Passed
9 (Building 8) 1st Floor Building
8 Entry L02D042 Notifier Smoke Detector — Aldes Anderson Jr. 11/06/2025 Passed
10 (Building 2) 1st Floor Canteen
Elevator Lobby L01D123 Notifier Smoke Detector — Aldes Anderson Jr. 11/05/2025 Passed
11 (Building 2) 1st Floor CR-22
Fire Doors L01D026 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
12 (Building 14) 1st Floor Day Room 125-14
L01D056 Notifier Smoke Detector — Aldes Anderson Jr. 10/23/2025 Passed
13 (Building 10) 1st Floor Elevator
Lobby L01D022 Notifier Smoke Detector — Aldes Anderson Jr. 10/22/2025 Passed
14 (Building 14) 1st Floor Elevator
Lobby L01D016 Notifier Smoke Detector — Aldes Anderson Jr. 10/23/2025 Passed
15 (Building 17) 1st Floor Elevator
Lobby L02D002 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
16 (Building 13) 1st Floor Elevator
Lobby L02D001 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
17 (Building 9) 1st Floor Elevator
Lobby L01D017 Notifier Smoke Detector — Aldes Anderson Jr. 11/03/2025 Passed
18 (Building 3) 1st Floor Elevator
Lobby L01D013 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
19 (Building 8) 1st Floor Elevator
Lobby L02D043 Notifier Smoke Detector — Aldes Anderson Jr. 11/06/2025 Passed
20 (Building 12) 1st Floor Fire
Door L01D0111 Notifier Smoke Detector — Aldes Anderson Jr. 10/22/2025 Passed
21 (Building 12) 1st Floor Fire
Door L01D0113 Notifier Smoke Detector — Aldes Anderson Jr. 10/22/2025 Passed
22 (Building 14) 1st Floor Fire
Door L01D015 Notifier Smoke Detector — Aldes Anderson Jr. 10/23/2025 Passed
23 (Building 14) 1st Floor Fire
Door L01D021 Notifier Smoke Detector — Aldes Anderson Jr. 10/23/2025 Passed
24 (Building 19) 1st Floor Fire
Door L01D005 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
25 (Building 13) 1st Floor Fire
Door L01D005 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
26 (Building 9) 1st Floor Fire
Door L01D002 Notifier Smoke Detector — Aldes Anderson Jr. 11/03/2025 Passed
27 (Building 9) 1st Floor Fire
Door L01D009 Notifier Smoke Detector — Aldes Anderson Jr. 11/03/2025 Passed
28 (Building 11) 1st Floor Fire
Door L02D001 Notifier Smoke Detector — Aldes Anderson Jr. 11/03/2025 Passed
29 (Building 11) 1st Floor Fire
Door L02D002 Notifier Smoke Detector — Aldes Anderson Jr. 11/03/2025 Passed
Element of Performance - EP 3 Smoke Detectors NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
30 (Building 3) 1st Floor Fire
Door L01D012 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
31 (Building 3) 1st Floor Fire
Door L01D014 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
32 (Building 1) 1st Floor Fire
Door L02D001 Notifier Smoke Detector — Aldes Anderson Jr. 11/05/2025 Passed
33 (Building 1) 1st Floor Fire
Door L02D002 Notifier Smoke Detector — Aldes Anderson Jr. 11/05/2025 Passed
34 (Building 8) 1st Floor Fire
Door 153 L02D120 Notifier Smoke Detector — Aldes Anderson Jr. 11/06/2025 Passed
35 (Building 12) 1st Floor Fire
Doors L01D0110 Notifier Smoke Detector — Aldes Anderson Jr. 10/22/2025 Passed
36 (Building 19) 1st Floor Fire
Doors L01D004 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
37 (Building 14) 1st Floor Hall L01D029 Notifier Smoke Detector — Aldes Anderson Jr. 10/23/2025 Passed
38 (Building 14) 1st Floor Hall L01D030 Notifier Smoke Detector — Aldes Anderson Jr. 10/23/2025 Passed
39 (Building 14) 1st Floor Hall L01D035 Notifier Smoke Detector — Aldes Anderson Jr. 10/23/2025 Passed
40 (Building 14) 1st Floor Hall L01D040 Notifier Smoke Detector — Aldes Anderson Jr. 10/23/2025 Passed
41 (Building 14) 1st Floor Hall L01D052 Notifier Smoke Detector — Aldes Anderson Jr. 10/23/2025 Passed
42 (Building 14) 1st Floor Hall L01D055 Notifier Smoke Detector — Aldes Anderson Jr. 10/23/2025 Passed
43 (Building 13) 1st Floor Hallway N17.L2.D18 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
44 (Building 13) 1st Floor Hallway N17.L2.D19 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
45 (Building 13) 1st Floor Hallway N17.L2.D20 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
46 (Building 13) 1st Floor Hallway N17.L2.D38 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
47 (Building 19) 1st Floor Hallway L01D006 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
48 (Building 19) 1st Floor Hallway L01D007 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
49 (Building 19) 1st Floor Hallway L01D008 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
50 (Building 19) 1st Floor Hallway L01D009 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
51 (Building 19) 1st Floor Hallway L01D010 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
52 (Building 19) 1st Floor Hallway L01D011 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
53 (Building 19) 1st Floor Hallway L01D012 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
54 (Building 19) 1st Floor Hallway L01D013 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
55 (Building 19) 1st Floor Hallway L01D014 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
56 (Building 19) 1st Floor Hallway L01D015 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
57 (Building 13) 1st Floor Hallway L02D017 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
58 (Building 9) 1st Floor Hallway L01D010 Notifier Smoke Detector — Aldes Anderson Jr. 11/03/2025 Passed
59 (Building 11) 1st Floor Info
Mang. storage L02D003 Notifier Smoke Detector — Aldes Anderson Jr. 11/03/2025 Passed
60 (Building 2) 1st floor in front of Elevator L01D019 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
61 (Building 2) 1st Floor Room
101-2 L01D022 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
62 (Building 2) 1st Floor Room
101-2 L01D024 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
Element of Performance - EP 3 Smoke Detectors NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
63 (Building 14) 1st Hall L01D025 Notifier Smoke Detector — Aldes Anderson Jr. 10/23/2025 Passed
64 (Building 2) 1st Room 101-2 L01D021 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
65 (Building 2) 1st Room 101-2 L01D023 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
66 (Building 2) 2nd 229C-2 L01D041 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
67 (Building 2) 2nd 229E-2 L01D043 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
68 (Building 2) 2nd By Elevator
D1 L01D033 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
69 (Building 8) 2nd Corridor 23 L02D027 Notifier Smoke Detector — Aldes Anderson Jr. 11/06/2025 Passed
70 (Building 2) 2nd CR 22-2 Fire
Doors L01D036 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
71 (Building 19) 2nd Door Fire
Doors L01D017 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
72 (Building 17) 2nd Elevator
Lobby L02D013 Notifier Smoke Detector — Aldes Anderson Jr. 10/24/2025 Passed
73 (Building 12) 2nd Fire Door L01D097 Notifier Smoke Detector — Aldes Anderson Jr. 10/22/2025 Passed
74 (Building 5) 2nd Fire Doors By
C-218 L01D027 Notifier Smoke Detector — Aldes Anderson Jr. 11/03/2025 Passed
75 (Building 5) 2nd Fire Doors By
C-218 L01D028 Notifier Smoke Detector — Aldes Anderson Jr. 11/03/2025 Passed
76 (Building 2) 2nd Floor 221-2 L01D052 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
77 (Building 2) 2nd floor 229.2 L01D045 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
78 (Building 2) 2nd Floor 229.2 L01D046 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
79 (Building 2) 2nd Floor 229.2 L01D046 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
80 (Building 2) 2nd Floor 229.2 L01D047 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
81 (Building 2) 2nd Floor 229.2 L01D048 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
82 (Building 2) 2nd Floor 229A-2 L01D039 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
83 (Building 2) 2nd Floor 229B-2 L01D040 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
84 (Building 2) 2nd Floor 229D-2 L01D042 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
85 (Building 2) 2nd Floor 229F-2 L01D044 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
86 (Building 2) 2nd Floor by Room 229A-2
L01D038 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
87 (Building 2) 2nd Floor
Connector Hall L01D020 Notifier Smoke Detector — Aldes Anderson Jr. 11/04/2025 Passed
88 (Building 8) 2nd Floor
Corridor 22 L02D032 Notifier Smoke Detector — Aldes Anderson Jr. 11/06/2025 Passed
89 (Building 8) 2nd Floor
Corridor 22 L02D034 Notifier Smoke Detector — Aldes Anderson Jr. 11/06/2025 Passed
90 (Building 5) 2nd Floor
Corridor by C-223A
L01D029 Notifier Smoke Detector — Aldes Anderson Jr. 11/03/2025 Passed
91 (Building 5) 2nd Floor
Corridor by C-233 L01D032 Notifier Smoke Detector — Aldes Anderson Jr. 11/03/2025 Passed
92 (Building 8) 2nd Floor CR-21 L02D005 Notifier Smoke Detector — Aldes Anderson Jr. 11/06/2025 Passed
93 (Building 8) 2nd Floor CR-21 L02D009 Notifier Smoke Detector — Aldes Anderson Jr. 11/06/2025 Passed
94 (Building 8) 2nd Floor CR-21 L02D011 Notifier Smoke Detector — Aldes Anderson Jr. 11/06/2025 Passed
95 (Building 6) 2nd floor CR22-6 L01D014 Notifier Smoke Detector — Aldes Anderson Jr. 11/06/2025 Passed
Element of Performance - EP 3 Smoke Detectors NFPA 72-2010: Table 14.4.5; 17.14
Joint Commission Standard EC.02.03.05 Element of Performance 3 EP -3
1b45801b-e16b-4782-bec1-9ce4d215866e | Duct, Heat, Flame, Optical, Smoke Detectors, Pull Stations | 11/14/2025
96 (Building 6) 2nd Floor CR22-6 L01D013 Notifier Smoke Detector — Aldes…
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