2025-08-27_Fayetteville-VAMC-Bldg-11_FireScan.pdf
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- Attached to
- J042--Fire Alarm Service
- Solicitation number
- 36C25626Q0430
About this file
This is a Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate for Fayetteville VAMC Building 11 located at 1100 N College Ave, Fayetteville, AR 72703. The inspection was completed on August 27, 2025, by Veterans Fire and Life Safety (Vets Fire & Life Safety), with Inspector Mike Gill performing the work in compliance with The Joint Commission/VHA Standards and the latest Joint Commission/VHA Clarification Memorandum on EC & LS Standards.
The inspection covered six fire alarm system devices across two compliance standards. Under EC 02.03.05 EP 03, three heat detectors located in the 1st Seamstress Shop and 1st Sewing Area, one pull station in the 1st Sewing Area, and one smoke detector in the 1st Transformer Room were tested annually per NFPA 72 (2022) Table 14.4.3.2 (17), with all five devices passing inspection. Under EC 02.03.05 EP 04, one speaker/strobe device in the 1st Transformer Room was tested and passed inspection per NFPA 72 (2022) Table 14.4.3.2 (22). All six devices achieved a 100 percent pass rate with zero failures. All equipment was installed on 08/07/2024 and remains in service within the 1-2 year warranty period. The building contact is Travis Ryan (Safety Specialist), and all inspection results have been documented with individual ScanID numbers and zone addresses for tracking and compliance purposes.
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Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate
For
Fayetteville VAMC Bldg 11 1100 N College Ave
Fayetteville, AR 72703 Veterans Fire and Life Safety has performed this inspection and testing service in compliance with The Joint Commission/VHA Standards. The inspection/testing frequencies adhered to for this service have been performed in accordance with the latest Joint Commission/VHA Clarification Memorandum on EC & LS Standards.
Inspection Completion Date Aug 27, 2025
Building: Fayetteville VAMC Bldg 11 Company: Vets Fire & Life Safety Contact: Travis Ryan Contact: Mike Gill
Title: Safety Specialist Title: Inspector Fire Alarm Testing Report
Page of 1 10 Executive Summary
Vets Fire & Life Safety Download Date: 11/05/2025
Executive Summary Generated by: BuildingReports.com
Building Information Building: Fayetteville VAMC Bldg 11 Contact: Travis Ryan
Address: 1100 N College Ave Phone: 479-225-6412
Address: Fax:
City/State/ZIP Code: Fayetteville, AR 72703 Mobile:
Country: United States of America Email:
Inspection Performed By Company: Vets Fire & Life Safety Inspector: Mike Gill
Address: 7 Sherri Lane Phone: 636-543-0165
Address: Fax:
City/State/ZIP Code: St Peters, MO 63376 Mobile:
Country: United States of America Email: mike.gill@vflsc.com
Page of 2 10
Vets Fire & Life Safety Download Date: 11/05/2025
Inspection Completion Date: Aug 27, 2025 Building: Fayetteville VAMC Bldg 11 EC 02.03.05 EP 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)
Devices Tested This
Quarter Pass Fail Tested YTD
(2025) Untested YTD
(2025) Total
Quantity Heat Detector 3 3 0 3 0 3
Pull Station 1 1 0 1 0 1
Smoke Detector 1 1 0 1 0 1
EC 02.03.05 EP 04 Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22)
Devices Tested This
Quarter Pass Fail Tested YTD
(2025) Untested YTD
(2025) Total
Quantity Speaker/Strobe 1 1 0 1 0 1
Total Device Count: 6
Page of 3 10
Vets Fire & Life Safety Download Date: 11/05/2025
Certification
Company: Vets Fire & Life Safety Building: Fayetteville VAMC Bldg 11
Inspector: Mike Gill Contact: Travis Ryan
Page of 4 10 Inspection & Testing
Vets Fire & Life Safety Download Date: 11/05/2025
Inspection & Testing Generated by: BuildingReports.com
Building: Fayetteville VAMC Bldg 11 The Inspection & Testing section lists all of the items inspected in your building, which are then categorized by the applicable code reference. The most recent inspection is listed in the far right column and is based on the Finish Date of that inspection. The latest inspection uploaded in each previous quarter appears in the four columns to the left.
Passed=P, Failed=F, Replaced=R
EC 02.03.05 EP 03
Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)
Restorable: Perform heat test with a listed and labeled heat source or in accordance with the manufacturer's published instructions. Non-Restorable: Do not perform heat test. Test functionality mechanically and electrically.
(NFPA 72-22 Table 14.4.3.2 (17)(4)(a)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Heat Detector 3 3 0 3 3
Device Type Location ScanID Address Q3/24 Q3/25 Heat Detector 1st Seamstress Shop 89471345 1-1-D28 08/10-P 08/27-P Heat Detector 1st Seamstress Shop 89471346 1-1-D29 08/10-P 08/27-P Heat Detector 1st Sewing Area 89471344 1-1-D12 08/10-P 08/27-P
Device Total: 3 Return to Executive Summary
Page of 5 10
Vets Fire & Life Safety Download Date: 11/05/2025
EC 02.03.05 EP 03
Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)
Operate manual fire alarm boxes per the manufacturer's published instructions. Test both key-operated presignal and general alarm manual fire alarm boxes. (NFPA 72-22 Table 14.4.3.2 (17)(5)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Pull Station 1 1 0 1 1
Device Type Location ScanID Address Q3/24 Q3/25 Pull Station 1st Sewing Area 89471343 1-1-M12 08/10-P 08/27-P
Device Total: 1 Return to Executive Summary
Page of 6 10
Vets Fire & Life Safety Download Date: 11/05/2025
EC 02.03.05 EP 03
Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)
Test smoke detectors in place to ensure smoke entry into the sensing chamber and an alarm response. (NFPA 72- 22 Table 14.4.3.2 (17)(7)(a)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Smoke Detector 1 1 0 1 1
Device Type Location ScanID Address Q3/24 Q3/25 Smoke Detector 1st Transformer Room 89471347 1-1-D11 08/10-P 08/27-P
Page of 7 10
Vets Fire & Life Safety Download Date: 11/05/2025
EC 02.03.05 EP 04
Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22)
For periodic testing, verify the operation of the notification appliances. (NFPA 72-22 Table 14.4.3.2 (22)(2)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Speaker/Strobe 1 1 0 1 1
Device Type Location ScanID Address Q3/24 Q3/25 Speaker/Strobe 1st Transformer Room 89471378 1 08/10-P 08/27-P
Page of 8 10 Service Summary
Vets Fire & Life Safety Download Date: 11/05/2025
Service Summary Generated by: BuildingReports.com
Building: Fayetteville VAMC Bldg 11 The Service Summary section provides an overview of the services performed in this report.
Device Type Service Quantity
Passed Heat Detector Tested 3 Pull Station Tested 1 Smoke Detector Tested/Cleaned 1 Speaker/Strobe Tested 1
Total 6 Grand Total 6
Page of 9 10 Inventory & Warranty Report
Vets Fire & Life Safety Download Date: 11/05/2025
Inventory & Warranty Report Generated by: BuildingReports.com
Building: Fayetteville VAMC Bldg 11 Control Panel: 1 The Inventory & Warranty Report lists each of the devices and items that are included in your Inspection Report. A complete inventory count by device type and category is provided. Items installed within the last 90 days, within the last year, and devices installed for two years or more are grouped together for easy reference.
Device or Type Category % of Inventory Quantity Heat Detector Initiating 50.00% 3
Pull Station Initiating 16.67% 1
Smoke Detector Initiating 16.67% 1
Speaker/Strobe Indicating 16.67% 1
Type Qty Model # Description Install Date
In Service - 1 Year to 2 Years Heat Detector 3 08/07/2024 Pull Station 1 08/07/2024 Smoke Detector 1 08/07/2024 Speaker/Strobe 1 08/07/2024
Page of 10 10 Zone Address Report
Vets Fire & Life Safety Download Date: 11/05/2025
Zone Address Report Generated by: BuildingReports.com
Building: Fayetteville VAMC Bldg 11 Control Panel: 1 The Zone Address Report lists all of the devices and items that have an individual address, or are grouped together under a common zone. The device type, location, and description are included for your reference.
Address Device Type Location Type ScanID 1-D11 Smoke Detector 1st Transformer Room 89471347 1-D12 Heat Detector 1st Sewing Area 89471344 1-D28 Heat Detector 1st Seamstress Shop 89471345 1-D29 Heat Detector 1st Seamstress Shop 89471346 1-M12 Pull Station 1st Sewing Area 89471343 javascript:editViewDevice('89471347');
javascript:editViewDevice('89471344');
javascript:editViewDevice('89471345');
javascript:editViewDevice('89471346');
javascript:editViewDevice('89471343');
| Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate |
| Executive Summary |
| Inspection & Testing |
| Service Summary |
| Inventory & Warranty Report |
| Zone Address Report |
File details come from the government source that posted it. Updated .