About this file

This document is an NFPA 25 inspection report for the fire protection systems at Overton Brooks VA Medical Center in Shreveport, Louisiana, conducted by Johnson Controls on August 12-17, 2024. The comprehensive inspection covered multiple fire protection components across the hospital, including 71 tamper switches, 60 water flow switches, control valves, easy riser systems, hose valve outlets, hydrants, antifreeze systems, and fire pumps. The inspection revealed mostly compliant systems with a few notable deficiencies: a tamper switch on the 9th floor with a supervisory signal issue, painted fusible link sprinklers in the Annex's 2nd floor mechanical room, and missing control valve handles on hose valves on the 7th floor and 10th floor.

The inspection was performed by two primary inspectors, William "Andy" Rolen and Ethan Williamson, who systematically examined fire protection infrastructure across the building's basement, first through twelfth floors, stairwells, and campus fire loop. The report documents detailed testing of each system component, including water pressure measurements, valve positions, visual inspections, and functional tests. Most systems passed inspection, with only 4 out of 518 total devices failing, resulting in a 99.23% compliance rate. The report includes specific recommendations for addressing the identified deficiencies and provides comprehensive documentation of the fire protection systems' condition as of August 2024.

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Att 1 - Antifreeze.pdf PDF
Att 2 Water Storage Reservoir.pdf PDF
Att 4.pdf PDF
SF-30 Amendment 2.pdf PDF
SF-30 Amendment.pdf PDF
36C25625Q1231 0001.docx DOCX document
36C25625Q1231_1.docx DOCX document

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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

This report is powered by https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc https://info.jci.com/xaap-tjc

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Inspection Summary

Customer Information

Name Overton Brooks

Building Information

Name Overton Brooks - Main Hospital

Address 510 E Stoner Ave, Shreveport, LA, 71101

Contact Information

Name Paul Celli

Role Supervisor

E-Mail paul.celli@va.gov

Phone 3189905568

Account Information

Service Provider

Johnson Controls North America

Office Address

3691 Old Shed Road, Bossier City, LA 71111

Office Phone 318-655-9114

Office License

F186

Inspector Name

William “Andy” Rolen

Inspector License

LA - E25457 / Backflow - 20240991

Inspection Information

Start Date 08/12/2024

Date 08/17/2024

Inspection Type

Joint Commission

Work Order# 57425096, 57425098, 57425100, 57425102, 57425104, 57425106

Timezone GMT-05:00

Inspection Summary

The following Tests and Inspections have been covered in this inspection

EP 2 - Tamper Switches and Water Flow Devices

EP 9 - Sprinkler Systems Main Drain

EP 10 - Fire Department Water Supply Connections

EP 11 - Fire Pump Tested Under Full Flow (Annual) and/or Pump Supervisory Signals

NFPA 25

www.xaapbuildings.com

General Inspection Notes

1. Annual Fire Sprinkler, Fire Pump, & Fire Hydrant Inspection - Green & Yellow Tagged

GENERAL DEFICIENCIES

DESCRIPTION IMAGES

Annex, 2nd floor mechanical room 2AE101 has painted, fusible link uprights and pendents (see report for pics). —

Hose Valve Outlet 10W5 has missing Control Valve handle (see reports for pics). —

Hose Valve Outlet 7W50 has missing Control Valve handle (see reports for pics). —

9W18 Control Valve Tamper did not indicate supervisory trouble during testing. —

DEVICE DEFICIENCIES

TEST TO

PERFORM

LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE

INSPECTOR /

DATE

IMAGES

EP2 9th floor 9W18 control valve tamper

— Tamper Switch Tamper switch Built in 287006257 Andy Rolen 08/13/2024

DEFICIENCY

IMAGES

APPENDIX 1.1

FAILURE TYPE: Functional Failure,Visual Failure FAILURE REASON: Supervisory signal did not indicate supervisory trouble during testing/inspection.

NFPA 25 10th Floor 10W5 hose valve — Hose Valve

Outlet Hose valve 2.5 287006241

Ethan Williamson 08/14/2024

FAILURE TYPE: Functional Failure,Visual Failure FAILURE REASON: House outlet handle missing. A new one needs to be installed.

NFPA 25 2nd floor, Annex 2AE101 wet system, between

2AE65 & 2AE67

Easy Riser or

Shotgun System

— Easy riser 287005971

Andy Rolen 08/15/2024

FAILURE TYPE: Visual Failure FAILURE REASON: Painted, fusible link uprights and pendents

NFPA 25 7th floor 7W50 hose valve — Hose Valve

Outlet Hose valve 2.5 287006310

Andy Rolen 08/13/2024

FAILURE TYPE: Functional Failure FAILURE REASON: Control valve handle missing

INSPECTION RESULTS SUMMARY

CURRENT INSPECTION RESULTS PREVIOUS INSPECTION RESULTS

TEST PERFORMED DEVICE TYPE TOTAL PASSED FAILED CANNOT INSPECT % INSPECTED TOTAL

EP2 Tamper Switch 71 70 1 0 100 71

EP2 Water Flow Switch 60 60 0 0 100 60

EP9 Main Drain - Standpipe Valve 1 1 0 0 100 1

EP10 Fire Dept. Connection 3 3 0 0 100 3

EP11 Diesel Fire Pumps 1 1 0 0 100 1

NFPA 25 Antifreeze System 4 4 0 0 100 4

NFPA 25 Check Valve 6 6 0 0 100 6

NFPA 25 Control Valve 83 83 0 0 100 83

NFPA 25 Drain 4 4 0 0 100 4

NFPA 25 Easy Riser or Shotgun System 55 54 1 0 100 55

NFPA 25 Gauge 68 68 0 0 100 68

NFPA 25 Hose Valve Outlet 80 78 2 0 100 80

NFPA 25 Hydrants - dry barrel and wall 12 12 0 0 100 12

NFPA 25 Hydrants - wet barrel 1 1 0 0 100 1

NFPA 25 Inspectors Test Valve 57 57 0 0 100 57

NFPA 25 Low Point Drain 1 1 0 0 100 1

NFPA 25 Post Indicator Valve 10 10 0 0 100 10

NFPA 25 Sectional Control Valve 1 1 0 0 100 1

TOTAL 518 514 4 0 100 518

TAMPER SWITCHES AND WATER FLOW DEVICES

CUSTOMER NAME: Overton Brooks

BUILDING NAME: Overton Brooks - Main Hospital

BUILDING ADDRESS: 510 E Stoner Ave, Shreveport, LA, 71101

CONTACT NAME: Paul Celli

CONTACT E-MAIL: paul.celli@va.gov

CONTACT ROLE: Supervisor

CONTACT PHONE: 3189905568

SERVICE PROVIDER: Johnson Controls North America

OFFICE ADDRESS: 3691 Old Shed Road, Bossier City, LA 71111

OFFICE PHONE: 318-655-9114

OFFICE LICENSE: F186

INSPECTOR: William “Andy” Rolen

INSPECTOR LICENSE: LA - E25457 / Backflow - 20240991

INSPECTION START DATE: 08/12/2024

INSPECTION END DATE: 08/17/2024

WORK ORDER: 57425096, 57425098, 57425100, 57425102, 57425104, 57425106

TIMEZONE: GMT-05:00

INSPECTION RESULTS SUMMARY

CURRENT INSPECTION RESULTS PREVIOUS INSPECTION RESULTS

DEVICE TYPE INVENTORY COUNT PASSED FAILED CANNOT INSPECT % INSPECTED INVENTORY COUNT

Water Flow Switch 60 60 0 0 100 60

Tamper Switch 71 70 1 0 100 71

DEVICE DEFICIENCIES

LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE DATE OF TEST TYPE IMAGES

9th floor 9W18 control valve tamper

— Tamper Switch Tamper switch Built in 287006257 08/13/2024

FUNCTIONAL

FAILURE,VISUAL

FAILURE

DEFICIENCY

IMAGES

APPENDIX 1.1

FAILURE REASON: Supervisory signal did not indicate supervisory trouble during testing/inspection.

RETIRED DEVICES

No retired devices in this inspection.

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

Customer: Overton Brooks | Building: Overton Brooks - Main Hospital

Elements of Performance #2

At least semi-annually, the facility tests water-flow devices and at least semi-annually the facility tests supervisory valve tamper switches. The completion date of the tests is documented.

Valve Tamper Switches and Water Flow devices

For additional guidance on performing tests, see NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Device Test Method

Control Valve Tamper Switch:

14.4.2.2-14.(i).(1)

Valve shall be operated and 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 manufacture's specifications

Mechanical, Electro-sonic, or Pressure-Type Water flow Device:

14.4.2.2-14.(j)

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 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.

A.1.1.1.2 There are times when a single inspection or test can meet the requirements of both NFPA 25 and NFPA 72 (e.g., operation of a tamper switch). This standard does not necessarily require that two separate inspections or tests be conducted on the same component, provided the inspection or test meets the requirements of both standards and the individual performing the inspection or test is qualified to perform the inspection or test required by both standards.

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

TAMPER SWITCH

# LOCATION DESCRIPTION MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 1st floor 1E35 above ceiling control valve tamper Tamper Switch Tamper Switch 287005956 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

2 1st floor 1E89 above ceiling control valve tamper.

Tamper Switch Tamper Switch 287005954 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

3 1st floor 1E99 control valve tamper Tamper switch Tamper Switch 287006094 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

4 1st floor 1N7 above ceiling control valve tamper Tamper Switch Tamper Switch 287005958 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

5 1st floor 1N7 control valve tamper Tamper switch Tamper Switch 287006087 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

6 1st floor 1W24a control valve tamper Tamper switch Tamper Switch 287006079 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

7 1st floor 1W26 control valve tamper Tamper switch Tamper Switch 287006072 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

8 2nd floor, Annex 2AE101 control valve tamper, between

2AE65 & 2AE67

Tamper switch Tamper Switch 287005972 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

9 2nd floor 2E28 control valve tamper Tamper switch Tamper Switch 287006064 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

10 2nd floor 2N16 control valve tamper Tamper switch Tamper Switch 287006057 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

11 2nd floor 2W29A control valve tamper Tamper switch Tamper Switch 287006041 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

12 2nd floor 2W29 control valve tamper Tamper switch Tamper Switch 287006049 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

13 3rd floor 3E31 control valve tamper Tamper switch Tamper Switch 287006013 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

14 3rd floor 3N11 control valve tamper Tamper switch Tamper Switch 287006006 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

15 3rd floor 3W66 control valve tamper Tamper switch Tamper Switch 287006021 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

16 3rd floor 3W70 control valve tamper Tamper switch Tamper Switch 287006028 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

17 4th floor 4E1 control valve tamper Tamper switch Tamper Switch 287006035 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

18 4th floor 4N13 control valve tamper Tamper switch Tamper Switch 287006376 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

19 4th floor 4W49 control valve tamper Tamper switch Tamper Switch 287006367 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

20 4th floor 4W55 control valve tamper Tamper switch Tamper Switch 287006360 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

21 4th floor

4W-rt control valve tamper, through

4W34 out opposite door, across roof to double doors

Tamper switch Tamper Switch 287005086 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

22 5th floor 5E1 control valve tamper Tamper switch Tamper Switch 287006390 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

23 5th floor 5N25 control valve tamper (must ring bell for entrance)

Tamper switch Tamper Switch 287006383 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

24 5th floor 5W45 control valve tamper Tamper switch Tamper Switch 287006397 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

25 5th floor 5W52 control valve tamper Tamper switch Tamper Switch 287006351 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

26 6th floor 6E1 control valve tamper Tamper switch Tamper Switch 287005007 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

27 6th floor 6W36 control valve tamper Tamper switch Tamper Switch 287006197 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

28 6th floor 6W52 control valve tamper Tamper switch Tamper Switch 287006344 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

29 7th floor 7E1 control valve tamper Tamper switch Tamper Switch 287006326 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

30 7th floor 7N4 control valve tamper Tamper switch Tamper Switch 287006265 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

31 7th floor 7W36 control valve tamper Tamper switch Tamper Switch 287006319 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

32 7th floor 7W50 control valve tamper Tamper switch Tamper Switch 287006312 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

33 8th floor 8E1 control valve tamper Tamper switch Tamper Switch 287006303 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

34 8th floor 8N5 control valve tamper Tamper switch Tamper Switch 287006288 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

35 8th floor 8W37 control valve tamper Tamper switch Tamper Switch 287006296 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

36 8th floor 8W57 control valve tamper Tamper switch Tamper Switch 287005977 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

37 9th floor

9E20 control valve tamper (will need star bit screwdriver to get in cabinet)

Tamper switch Tamper Switch 287005099 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

38 9th floor 9N6 control valve tamper Tamper switch Tamper Switch 287006281 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

39 9th floor 9W18 control valve tamper Tamper switch Tamper Switch 287006257 Andy Rolen 08/13/2024 Failed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? No

Reason for failure: (Functional Failure,Visual Failure) Supervisory signal did not indicate supervisory trouble during testing/inspection.

40 9th floor 9W23 control valve tamper Tamper switch Tamper Switch 287006274 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

41 10th Floor 10E32 control valve tamper Tamper switch Tamper Switch 287006250 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

42 10th Floor 10N8 Control valve tamper Tamper switch Tamper Switch 287006236 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

43 10th Floor 10W5 control valve tamper Tamper switch Tamper Switch 287006243 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

44 11th floor 11-1 AF Loop control valve tamper Tamper switch Tamper Switch 287006177 Andy Rolen 08/12/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

45 11th floor 11-1 control valve tamper Tamper switch Tamper Switch 287006159 Andy Rolen 08/12/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

46 11th floor 11-2 AF Loop control valve tamper Tamper switch Tamper Switch 287006184 Andy Rolen 08/12/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

47 11th floor 11-3 AF Loop control valve tamper Tamper switch Tamper Switch 287006192 Andy Rolen 08/12/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

48 12th floor 12-1 control valve tamper Tamper switch Tamper Switch 287006168 Andy Rolen 08/12/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

49 Basement BE18 control valve tamper Tamper switch Tamper Switch 287006140 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

50 Basement BE21 control valve tamper Tamper switch Tamper Switch 287006132 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

51 Basement BE24 control valve tamper Tamper switch Tamper Switch 287006100 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

52 Basement BE34 control valve tamper Tamper switch Tamper Switch 287006124 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

53 Basement BN8 control valve tamper Tamper switch Tamper Switch 287006117 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

54 Basement BW1 standpipe control valve tamper Tamper switch Tamper Switch 287005995 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

55 Basement BW8 control valve tamper Tamper switch Tamper Switch 287006109 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

56 Basement

BW12A Control valve tamper (inside closet in Audiology Waiting

Room)

Tamper Switch Tamper Switch 287005953 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

57 Fire Pump Room Fire pump valve 1 tamper Tamper switch Tamper Switch 287005115 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

58 Fire Pump Room Fire pump valve 2 tamper Tamper switch Tamper Switch 287005116 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

59 Fire Pump Room Fire pump valve 3 tamper Tamper switch Tamper Switch 287005117 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

60 Fire Pump Room Fire pump valve 4 tamper Tamper switch Tamper Switch 287005118 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

61 Fire Pump Room Fire pump valve 5 tamper Tamper switch Tamper Switch 287005119 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

62 Fire Pump Room Fire pump valve 6 tamper Tamper switch Tamper Switch 287005120 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

63 Fire Pump Room Fire pump valve 7 tamper Tamper switch Tamper Switch 287005121 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

64 Sub-Basement SB1 control valve tamper Tamper switch Tamper Switch 287006147 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

65 Sub-Basement SB4 AF Loop control valve tamper Tamper switch Tamper Switch 287006156 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

66 Sub-Basement

SB4 control valve tamper (facing Fire Pump Room door, go right to fenced in area, look up)

Tamper Switch Tamper Switch 287005959 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

67 1st floor, Stairwell 11 Stairwell 11 control valve tamper Tamper switch Tamper Switch 287005030 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

3rd floor , Stairwell

Stairwell 11 control valve tamper (ladder needed) Tamper switch Tamper Switch 287005014 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

2nd floor, Stairwell

Stairwell 11 control valve tamper (ladder needed) Tamper switch Tamper Switch 287005023 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

70 Basement Stairwell @ BE94 (ladder needed)

Stem & Yoke Tamper Switch 287005080 Andy Rolen 08/14/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

Stairwell 8 storage area

SW8A control valve tamper (thru dbl doors @ 1W15, walkway to small door)

Tamper switch Tamper Switch 287005061 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

WATER FLOW SWITCH

# LOCATION DESCRIPTION MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 1st floor 1E35 above ceiling water flow switch

Water flow switch Water Flow Switch 287005957 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 10

Open test connection/bypass. Did water flow activate the alarm? Yes

2 1st floor 1E89 above ceiling water flow switch

Water flow switch Water Flow Switch 287005955 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

3 1st floor 1E99 water flow switch Water flow switch Water Flow Switch 287006095 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 10

Open test connection/bypass. Did water flow activate the alarm? Yes

4 1st floor 1N7 water flow switch Water flow switch Water Flow Switch 287006088 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

WATER FLOW SWITCH

5 1st floor 1W24a water flow switch Water flow switch Water Flow Switch 287006080 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 15

Open test connection/bypass. Did water flow activate the alarm? Yes

6 1st floor 1W26 water flow switch Water flow switch Water Flow Switch 287006073 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 10

Open test connection/bypass. Did water flow activate the alarm? Yes

7 2nd floor, Annex 2AE101 water flow switch, between

2AE65 & 2AE67

Water flow switch Water Flow Switch 287005949 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 17

Open test connection/bypass. Did water flow activate the alarm? Yes

8 2nd floor 2E28 water flow switch Water flow switch Water Flow Switch 287006065 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 9

Open test connection/bypass. Did water flow activate the alarm? Yes

9 2nd floor 2N16 water flow switch Water flow switch Water Flow Switch 287006058 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 16

Open test connection/bypass. Did water flow activate the alarm? Yes

10 2nd floor 2W29A water flow switch Water flow switch Water Flow Switch 287006043 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 25

Open test connection/bypass. Did water flow activate the alarm? Yes

11 2nd floor 2W29 water flow switch Water flow switch Water Flow Switch 287006050 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 15

Open test connection/bypass. Did water flow activate the alarm? Yes

12 3rd floor 3E31 water flow switch Water flow switch Water Flow Switch 287006012 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

13 3rd floor 3N11 water flow switch Water flow switch Water Flow Switch 287006005 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 8

Open test connection/bypass. Did water flow activate the alarm? Yes

14 3rd floor 3W66 water flow switch Water flow switch Water Flow Switch 287006020 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 10

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

15 3rd floor 3W70 water flow switch Water flow switch Water Flow Switch 287006027 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

16 4th floor 4E1 water flow switch Water flow switch Water Flow Switch 287006034 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 3

Open test connection/bypass. Did water flow activate the alarm? Yes

17 4th floor 4N13 water flow switch Water flow switch Water Flow Switch 287006375 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 3

Open test connection/bypass. Did water flow activate the alarm? Yes

18 4th floor 4W49 water flow switch Water flow switch Water Flow Switch 287006368 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 3

Open test connection/bypass. Did water flow activate the alarm? Yes

19 4th floor 4W55 water flow switch Water flow switch Water Flow Switch 287006361 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

20 4th floor

4W-rt water flow switch, through

4W34 out opposite door, across roof to double doors

Water flow switch Water Flow Switch 287005085 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 20

Open test connection/bypass. Did water flow activate the alarm? Yes

21 5th floor 5E1 water flow switch Water flow switch Water Flow Switch 287006388 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

22 5th floor 5N25 water flow switch (must ring bell for entrance)

Water flow switch Water Flow Switch 287006382 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

23 5th floor 5W45 water flow switch Water flow switch Water Flow Switch 287006396 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 10

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

24 5th floor 5W52 water flow switch Water flow switch Water Flow Switch 287006352 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

25 6th floor 6E1 water flow switch Water flow switch Water Flow Switch 287005009 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 3

Open test connection/bypass. Did water flow activate the alarm? Yes

26 6th floor 6W36 water flow switch Water flow switch Water Flow Switch 287006199 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 3

Open test connection/bypass. Did water flow activate the alarm? Yes

27 6th floor 6W52 water flow switch Water flow switch Water Flow Switch 287006345 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

28 7th floor 7E1 water flow switch Water flow switch Water Flow Switch 287006327 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30

Open test connection/bypass. Did water flow activate the alarm? Yes

29 7th floor 7N4 water flow switch Water flow switch Water Flow Switch 287006264 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 15

Open test connection/bypass. Did water flow activate the alarm? Yes

30 7th floor 7W36 water flow switch Water flow switch Water Flow Switch 287006320 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 10

Open test connection/bypass. Did water flow activate the alarm? Yes

31 7th floor 7W50 water flow switch Water flow switch Water Flow Switch 287006313 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 10

Open test connection/bypass. Did water flow activate the alarm? Yes

32 8th floor 8E1 water flow switch Water flow switch Water Flow Switch 287006304 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

33 8th floor 8N5 water flow switch Water flow switch Water Flow Switch 287006289 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 15

Open test connection/bypass. Did water flow activate the alarm? Yes

34 8th floor 8W37 water flow switch Water flow switch Water Flow Switch 287006297 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

35 8th floor 8W57 water flow switch Water flow switch Water Flow Switch 287005978 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 20

Open test connection/bypass. Did water flow activate the alarm? Yes

36 9th floor

9E20 water flow switch (will need star bit screwdriver to get in cabinet)

Water flow switch Water Flow Switch 287005100 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 17

Open test connection/bypass. Did water flow activate the alarm? Yes

37 9th floor 9N6 water flow switch Water flow switch Water Flow Switch 287006283 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

38 9th floor 9W18 water flow switch Water flow switch Water Flow Switch 287006259 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 10

Open test connection/bypass. Did water flow activate the alarm? Yes

39 9th floor 9W23 water flow switch Water flow Water Flow Switch 287006276 Andy Rolen 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 10

Open test connection/bypass. Did water flow activate the alarm? Yes

40 10th Floor 10E32 water flow switch Water flow switch Water Flow Switch 287006251 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 10

Open test connection/bypass. Did water flow activate the alarm? Yes

41 10th Floor 10N8 water flow switch Water flow switch Water Flow Switch 287006237 Ethan Williamson 08/13/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 20

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

42 10th Floor 10W5 water flow switch Water flow switch Water Flow Switch 287006244 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 11

Open test connection/bypass. Did water flow activate the alarm? Yes

43 11th floor 11-1 AF Loop water flow switch Water flow switch Water Flow Switch 287006179 Andy Rolen 08/12/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30

Open test connection/bypass. Did water flow activate the alarm? Yes

44 11th floor 11-1 water flow switch Water flow switch Water Flow Switch 287006160 Andy Rolen 08/12/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30

Open test connection/bypass. Did water flow activate the alarm? Yes

45 11th floor 11-2 AF Loop water flow switch Water flow switch Water Flow Switch 287006182 Andy Rolen 08/12/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30

Open test connection/bypass. Did water flow activate the alarm? Yes

46 11th floor 11-3 AF Loop water flow switch Water flow switch Water Flow Switch 287006190 Andy Rolen 08/12/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30

Open test connection/bypass. Did water flow activate the alarm? Yes

47 12th floor 12-1 water flow switch Water flow switch Water Flow Switch 287006169 Andy Rolen 08/12/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30

Open test connection/bypass. Did water flow activate the alarm? Yes

48 Basement BE18 water flow switch Water flow switch Water Flow Switch 287006141 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 3

Open test connection/bypass. Did water flow activate the alarm? Yes

49 Basement BE21 water flow switch Water flow switch Water Flow Switch 287006135 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 11

Open test connection/bypass. Did water flow activate the alarm? Yes

50 Basement BE24 water flow switch Water flow switch Water Flow Switch 287006101 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

51 Basement BE34 water flow switch Water flow switch Water Flow Switch 287006129 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 5

Open test connection/bypass. Did water flow activate the alarm? Yes

52 Basement BN8 water flow switch Water flow switch Water Flow Switch 287006118 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 8

Open test connection/bypass. Did water flow activate the alarm? Yes

53 Basement BW8 water flow switch Water flow switch Water Flow Switch 287006110 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 10

Open test connection/bypass. Did water flow activate the alarm? Yes

54 Basement

BW12A water flow switch (inside closet in Audiology Waiting

Room)

Water flow switch Water Flow Switch 287005952 Ethan Williamson 08/14/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 15

Open test connection/bypass. Did water flow activate the alarm? Yes

55 Sub-Basement SB1 water flow switch Water flow switch Water Flow Switch 287006148 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 15

Open test connection/bypass. Did water flow activate the alarm? Yes

56 Sub-Basement

SB4 water flow switch (facing Fire Pump Room door, go right to fenced in area, look up)

Water flow switch Water Flow Switch 287005960 Ethan Williamson 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 3

Open test connection/bypass. Did water flow activate the alarm? Yes

57 1st floor, Stairwell 11 Stairwell 11 water flow switch Water flow switch Water Flow Switch 287005032 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 20

Open test connection/bypass. Did water flow activate the alarm? Yes

3rd floor , Stairwell

Stairwell 11 water flow switch (ladder needed) Water flow switch Water Flow Switch 287005015 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 20

Open test connection/bypass. Did water flow activate the alarm? Yes

2nd floor, Stairwell

Stairwell 11 water flow switch (ladder needed) Water flow switch Water Flow Switch 287005026 Andy Rolen 08/15/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed I5

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

60 Basement Stairwell @ BE94 (ladder needed)

Notifier Water Flow Switch 287005078 Andy Rolen 08/14/2024 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 20

Open test connection/bypass. Did water flow activate the alarm? Yes

Inspector Signature

Inspector Name William “Andy” Rolen Date 08/17/2024

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2 a3ae3ef9-e3ee-48f6-80f2-8dc027bdcb9c | Tamper Switches and Water Flow Devices | 08/17/2024

SPRINKLER SYSTEMS MAIN DRAIN

BUILDING NAME: Overton Brooks - Main Hospital

BUILDING ADDRESS: 510 E Stoner Ave, Shreveport, LA, 71101

CONTACT NAME: Paul Celli

CONTACT…

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