2025-08-27_Fayetteville-VAMC-Bldg-9_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 9 completed on August 27, 2025 by Veterans Fire and Life Safety, with inspector Mike Gill conducting the evaluation in compliance with The Joint Commission/VHA Standards and NFPA 72 (2022) requirements.
The inspection tested 14 total devices across multiple categories. Under EC 02.03.05 EP 03 (Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors), one heat detector and six pull stations were tested, with all seven devices passing inspection. Under EC 02.03.05 EP 04 (Annual test of visual and audible fire alarms including speakers and door releasing devices), three speakers and four strobes were tested, with all seven devices failing annunciation testing per NFPA72 14.2.2.3.1. The discrepancy report identifies seven failed devices located at the top of the building requiring investigation and correction on a Time and Materials basis. All 14 devices in the inventory were installed on 08/07/2024 and are currently in service within the 1-2 year warranty period. The building contact is Travis Ryan (479-225-6412) at Fayetteville VAMC, 1100 N College Ave, Fayetteville, AR 72703.
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Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate
For
Fayetteville VAMC Bldg 9 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 9 Company: Vets Fire & Life Safety Contact: Travis Ryan Contact: Mike Gill
Title: Safety Specialist Title: Inspector Fire Alarm Testing Report
Page of 1 12 Executive Summary
Vets Fire & Life Safety Download Date: 11/05/2025
Executive Summary Generated by: BuildingReports.com
Building Information Building: Fayetteville VAMC Bldg 9 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 12
Vets Fire & Life Safety Download Date: 11/05/2025
Inspection Completion Date: Aug 27, 2025 Building: Fayetteville VAMC Bldg 9 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 1 1 0 1 0 1
Pull Station 6 6 0 6 0 6
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 3 0 3 3 0 3
Strobe 4 0 4 4 0 4
Total Device Count: 14
Page of 3 12
Vets Fire & Life Safety Download Date: 11/05/2025
Certification
Company: Vets Fire & Life Safety Building: Fayetteville VAMC Bldg 9
Inspector: Mike Gill Contact: Travis Ryan
Page of 4 12 Discrepancy Report
Vets Fire & Life Safety Download Date: 11/05/2025
Discrepancy Report Generated by: BuildingReports.com
Building: Fayetteville VAMC Bldg 9 Control Panel: 1 The Discrepancy Report consolidates each discrepancy listed within the various Testing sections of your Inspection.
Discrepancies are listed by Category, and grouped by device type. The description of the problem is provided and where appropriate, code references are listed for your convenience. Any item that was inspected that is subject to a recall or part of a manufacturer's replacement/upgrade program is included.
Device Type Manufacturer ModelNumber Date Qty Items listed for Recall or Replacement/Upgrade
No items found during this inspection.
ScanID Location Problem Address Reference
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) Speaker
89471388 Top Failed Annunciation
1 NFPA72 14.2.2.3.1
89471389 Top Failed Annunciation
1 NFPA72 14.2.2.3.1
89471390 Top Failed Annunciation
1 NFPA72 14.2.2.3.1
Strobe
89471384 Top Failed Annunciation
1 NFPA72 14.2.2.3.1
89471385 Top Failed Annunciation
1 NFPA72 14.2.2.3.1
89471386 Top Failed Annunciation
1 NFPA72 14.2.2.3.1
89471387 Top Failed Annunciation
1 NFPA72 14.2.2.3.1
Code References NFPA72 14.2.2.3.1 System deficiencies shall be corrected.
javascript:editViewDevice('89471388');
javascript:editViewDevice('89471389');
javascript:editViewDevice('89471390');
javascript:editViewDevice('89471384');
javascript:editViewDevice('89471385');
javascript:editViewDevice('89471386');
javascript:editViewDevice('89471387');
Page of 5 12 Proposed Solutions Report
Vets Fire & Life Safety Download Date: 11/05/2025
Proposed Solutions Report Generated by: BuildingReports.com
Building: Fayetteville VAMC Bldg 9 Control Panel: 1 The Proposed Solution Report provides a solution for each discrepancy listed on the Discrepancy Report. Provide a check mark where indicated to approve repairs listed within the report. Items listed as T/M are available for repair on a Time and Materials basis.
ScanID Location Solution Model # Cost Fix
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)
Speaker 89471388 Top Investigate T/M 89471389 Top Investigate T/M 89471390 Top Investigate T/M
Strobe 89471384 Top Investigate T/M 89471385 Top Investigate T/M 89471386 Top Investigate T/M 89471387 Top Investigate T/M
Internal WO/PO #: (none) T/M
Page of 6 12 Inspection & Testing
Vets Fire & Life Safety Download Date: 11/05/2025
Inspection & Testing Generated by: BuildingReports.com
Building: Fayetteville VAMC Bldg 9 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 1 1 0 1 1
Device Type Location ScanID Address Q3/24 Q3/25 Heat Detector Ground Shop 89471377 1-1-D7 08/10-P 08/27-P
Device Total: 1 Return to Executive Summary
Page of 7 12
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 6 6 0 6 6
Device Type Location ScanID Address Q3/24 Q3/25 Pull Station Ground Generator Room 89471378 1-1-D7 08/10-P 08/27-P Pull Station Ground Shops 89471379 1-1-M5 08/10-P 08/27-P Pull Station Ground Shops 89471380 1-1-M6 08/10-P 08/27-P Pull Station Basement Behind Locker 89471383 1-1-M36 08/10-F 08/27-P Pull Station 1st Back Door 89471382 1-1-M36 08/10-P 08/27-P Pull Station 1st Washing Room 89471381 1-1-M11 08/10-P 08/27-P
Device Total: 6 Return to Executive Summary
Page of 8 12
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 3 0 3 3 3
Device Type Location ScanID Address Q3/24 Q3/25 Speaker Top 89471388 1 08/10-P 08/27-F Speaker Top 89471389 1 08/10-P 08/27-F Speaker Top 89471390 1 08/10-P 08/27-F
Device Total: 3 Return to Executive Summary
Page of 9 12
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 that each appliance flashes. (NFPA 72-22 Table 14.4.3.2 (22)(3)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Strobe 4 0 4 4 4
Device Type Location ScanID Address Q3/24 Q3/25 Strobe Top 89471384 1 08/10-P 08/27-F Strobe Top 89471385 1 08/10-P 08/27-F Strobe Top 89471386 1 08/10-P 08/27-F Strobe Top 89471387 1 08/10-P 08/27-F
Device Total: 4 Return to Executive Summary
Page of 10 12 Service Summary
Vets Fire & Life Safety Download Date: 11/05/2025
Service Summary Generated by: BuildingReports.com
Building: Fayetteville VAMC Bldg 9 The Service Summary section provides an overview of the services performed in this report.
Device Type Service Quantity
Failed/Other Speaker Tested 3 Strobe Tested 4
Total 7
Passed Heat Detector Tested 1 Pull Station Tested 6
Total 7 Grand Total 14
Page of 11 12 Inventory & Warranty Report
Vets Fire & Life Safety Download Date: 11/05/2025
Inventory & Warranty Report Generated by: BuildingReports.com
Building: Fayetteville VAMC Bldg 9 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 7.14% 1
Pull Station Initiating 42.86% 6
Speaker Indicating 21.43% 3
Strobe Indicating 28.57% 4
Type Qty Model # Description Install Date
In Service - 1 Year to 2 Years Heat Detector 1 08/07/2024 Pull Station 6 08/07/2024 Speaker 3 08/07/2024 Strobe 4 08/07/2024
Page of 12 12 Zone Address Report
Vets Fire & Life Safety Download Date: 11/05/2025
Zone Address Report Generated by: BuildingReports.com
Building: Fayetteville VAMC Bldg 9 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-D7 Pull Station Ground Generator Room 89471378 1-D7 Heat Detector Ground Shop 89471377 1-M5 Pull Station Ground Shops 89471379 1-M6 Pull Station Ground Shops 89471380 1-M11 Pull Station 1st Washing Room 89471381 1-M36 Pull Station Basement Behind Locker 89471383 1-M36 Pull Station 1st Back Door 89471382 javascript:editViewDevice('89471378');
javascript:editViewDevice('89471377');
javascript:editViewDevice('89471379');
javascript:editViewDevice('89471380');
javascript:editViewDevice('89471381');
javascript:editViewDevice('89471383');
javascript:editViewDevice('89471382');
| Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate |
| Executive Summary |
| Discrepancy Report |
| Proposed Solutions Report |
| Inspection & Testing |
| Service Summary |
| Inventory & Warranty Report |
| Zone Address Report |
File details come from the government source that posted it. Updated .