3PG SS FM200 (AS)(D).pdf
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- Solicitation number
- 36C24823Q0040
About this file
This document contains a federal contract opportunity notice and a related fire protection inspection report. The contract opportunity is for multi-campus fire protection inspection, monitoring, and testing services at the Orlando VA Healthcare System. It is a five-year contract with a base year and four option years to be set aside for Service-Disabled Veteran-Owned Small Businesses. The small business size standard is $22 million for the applicable NAICS code. The inspection report provides details on the results of evaluating fire protection systems in a specific room, including detector testing, control panel status, piping and distribution, releasing controls, and recommendations. Key details inspected include device quantities and types, dates of last testing and cleaning, battery voltages, and whether room integrity was visually confirmed.
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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 70 2, 1 360/180
Date Last Tested:
Number of Exits
Altitude
3.00
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
YES NO N/A
YES NO N/A
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
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:
ECARO-25
03/26/21
Warren H. Shipley / Michael Swartzbaugh
Are Sequence of Operations Available and On-Site
Are As-Builts Available and On-Site
Address
City, State, Zip
Phone#
48545126
9:00
VA - Lake Nona - Room 4K307B-02LN
Scott Reed
13800 Veterans' Way
Orlando, FL 32827
Additional Comments:
Indicator Lights Operational
Trouble Light Operable
75891089
6. Detection
Qty. Of Detectors
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)
40'x38'x12'
SYSTEM TYPE
CHEETAH
Area of Hazard (LxW)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 UNK
UKN
N/A
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
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
New 04/20, 18.0AH 100%, 100%
Release Devices Operable
Qty. Of Releasing Control(s)
Type Of Releasing Control
MANUAL PULL STATON
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
40'x38'
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) repleaced a pressure switch
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?
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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