1PG SS FM200 (AS)(D).pdf
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- Solicitation number
- 36C24823Q0040
About this file
This document contains a fire protection system inspection report and a related federal contract opportunity notice. The inspection report details the results of evaluating a fire protection system in a VA facility, noting the system components, their status, and any recommendations. The related federal contract opportunity is for multi-campus fire protection inspection, monitoring, and testing services at VA medical centers. It will be a five-year contract with one base year and four option years, set aside for Service-Disabled Veteran-Owned Small Businesses. The solicitation will be issued for these services at the Orlando VA Healthcare System campus located in Orlando, Florida. The estimated value is under $22 million.
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Special Hazards Inspection Report
Customer: Date of Service:
Contact: Time:
Address: SR#:
Task#:
Phone: Inspector:
Email or Fax:
Voltage Serial # Ceiling Type Normal
Ambient Temp.
Nozzle Qty. Nozzle Type
120 hard 72 1 180
Date Last Tested:
Number of Exits
Altitude
10/21/2019 1.00
YES NO N/A
Notified
Notified
Notified
YES NO N/A
YES NO N/A YES NO N/A
Photo Ion Thermal
YES NO N/A 0
YES NO N/A
YES NO N/A
YES NO N/A
N/A
YES NO N/A
YES NO N/A
27x21
Room Integrity Visually Inspected
Have there been any changes in the occupancy classification, machinery or operations since the last inspection?
Have there been any changes or repairs to the fire protection systems since the last inspection?
Have you requested updated MSDS sheets for Class B Flammables and are they readily available?
2. General (To be answered by Customer)
1. Pre-Inspection
Dalton Allison
JCI
If a fire has occurred since the last inspection, have all damaged system components been replaced?
Are Class B Flammables stored in the hazard area?
New in 04-20, 13.5Vdc 100%, 100%
Release Devices Operable
Qty. Of Releasing Control(s)
Type Of Releasing Control
MANUAL PULL STATION
List addl. special layout info: (Time Delay, Cross-Zone etc.) below:
ELECTRIC ACTUATOR
Type Of Release
Qty. Of Release(s)
Qty. Of Release(s) Tested Normal
10. Releasing Controls
Solenoids Tested Normal
Pneumatic Actuators Tested Normal
Manual Cylinder Actuators Tested Normal
Initiator Circuits Tested Normal
*Expiration Dates of Solenoids or Initiators
5. Control Panel Status
Input Alarm Circuits Tested Normal
7. Manual Release Stations
Type Of Equipment Shutdown
Type Of HVAC Shutdown
11. Post Inspection
System Reset For Normal Operation
System Tagged
System Tagged (Red/Green/Other)
Pressure Switches Installed
Dampers Installed & Operable
Qty. Of Abort Switches
Notification Devices Operate. As Designed
Instructional Signs Installed at Each Device
Quantity Of Notification Devices
Alarms Reported To Monitoring Co.
Function Of Pressure Switch:
Break Rods Intact
Abort Switches Tested Normal
Battery Load Tested Normal
Record Battery Voltage & Amp Hours
Time Delay In Seconds
Manual Release Overides Abort Tested
Design Concentration %
9. Auxillary Controls
Equipment Power Shutdown Installed
HVAC Shutdown Installed
30 seconds
Qty. Detectors Sensitivity Tested this Inspection
Scott.Reed@va.gov, Dalton.Allison@va.gov
Date Of Last Sensitivity Test ukn ukn
Detectors Cleaned
Date Of Last Detector Cleaning
Other: (Air Sampling, Fus. Links, Pneumatic etc.)Output Alarm Circuits Tested Normal
Supervisory Circuits Tested Normal
Time Delay Tested Normal
Battery Back-up Voltage Normal
Charge Circuit Tested Normal
Active Zones Indicated
Inactive Zones Indicated
Battery Back-up Present
Qty. Of Detectors Tested At Last Inspection
Semi-Annual (per EP14 and NFPA2001 ver.2014)
Manufacturer
Fike
Model
Job Site Contact Name:
Fire Marshall/AHJ Name:
Monitoring Company Name:
Proper Signage
Room Integrity Tested Main & ReserveDeck to DeckSubfloor Volume of Hazard (LxWxH)
27x21x12
SYSTEM TYPE
Cheetah
Area of Hazard (LxW)
Ecaro-25
03/26/21
Warren H. Shipley
Are Sequence of Operations Available and On-Site
Are As-Builts Available and On-Site
Address
City, State, Zip
Phone#
48545126
11:30
VA -Lake Nona - Superstructure - rm4K907
Scott Reed
13800 Veterans' Way
Orlando, FL 32827
Additional Comments:
Indicator Lights Operational
Trouble Light Operable
75891089
6. Detection
Qty. Of Detectors
Johnson Controls Fire Protection LP
1(321)689-7924 / (407)646-5128
3. Control Panel Status (pre-test)
Panel Monitored
Power Light Operable
Panel Indicator On Normal
Tank pressure monitor
GREEN
Type Of Damper servers shutdown-controlled by bldg FACP controlled by bldg FACP electric
8. Notification Devices
Notification Devices Tested Normal
Qty. Detectors Tested Normal This Inspection
Silence Switch Operable
4. Piping/distribution System
Hazard Area Clean / Orderly
As-built Drawings On Site
Piping Secure & Clear of Debris
Hoses Inspected
Date Of Last Hose Test:
Yes No
AM PM
CO2 FM200 Sapphire Inergen Halon Other: (Indicate) Inspection Renovations Recharge
Yes No Yes No Yes No Yes No N/A
Yes No N/A
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