2025-09-01_Fayetteville-VAMC-Bldg-7_FireScan.pdf

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J042--Fire Alarm Service
Solicitation number
36C25626Q0430
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This is a Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate for Fayetteville Veterans Affairs Medical Center (VAMC) Building 7, located at 1100 N College Avenue, Fayetteville, Arkansas 72703. The inspection was completed on September 1, 2025, by Veterans Fire & Life Safety, with Inspector Mike Gill performing the work and Travis Ryan serving as the building contact for the facility.

The inspection and testing covered 32 total devices across multiple fire and life safety system categories, all of which passed testing. Tested devices included: 1 heat detector, 4 pull stations, 8 smoke detectors, 8 horn/strobe units, 10strobes, and 1 control panel. All testing was performed in compliance with The Joint Commission/VHA Standards and NFPA 72 (2022) requirements. The work included annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors per EC 02.03.05 EP 03; annual testing of visual and audible fire alarms, speakers, and door releasing devices per EC 02.03.05 EP 04; and verification of the protected master fire alarm control panel per LS 02.01.34 EP 02. The system control unit was installed on August 10, 2024, and located in 7A Storage with breaker protection. All devices tested in the third quarter of 2025 passed inspection with zero failures, and the inventory report indicates all equipment has been in service for one to two years.

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Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate

For

Fayetteville VAMC Bldg 7 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 Sep 1, 2025

Building: Fayetteville VAMC Bldg 7 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 7 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

System Control Unit Manufacturer: Inspection Date: 09/01/2025 IDC Style:

Model Number: Install Date: 08/10/2024 SLC Style:

Software Version: Version Date: 08/10/2024 NAC Style:

Location: 7A Storage Current Protection: Breaker

Page of 2 12

Vets Fire & Life Safety Download Date: 11/05/2025

Inspection Completion Date: Sep 1, 2025 Building: Fayetteville VAMC Bldg 7 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 4 4 0 4 0 4

Smoke Detector 8 8 0 8 0 8

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 Horn/Strobe 8 8 0 8 0 8

Strobe 10 10 0 10 0 10

LS 02.01.34 EP 02 Protected master fire alarm control panel

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Control Panel 1 1 0 1 0 1

Total Device Count: 32

Page of 3 12

Vets Fire & Life Safety Download Date: 11/05/2025

Certification

Company: Vets Fire & Life Safety Building: Fayetteville VAMC Bldg 7

Inspector: Mike Gill Contact: Travis Ryan

Page of 4 12 Inspection & Testing

Vets Fire & Life Safety Download Date: 11/05/2025

Inspection & Testing Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 7 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 3rd 7A Attic 5294773 1 08/10-P 09/01-P

Device Total: 1 Return to Executive Summary

Page of 5 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 4 4 0 4 4

Device Type Location ScanID Address Q3/24 Q3/25 Pull Station 1st 7B Entrance 5294776 1 08/10-P 09/01-P Pull Station 7A Entrance 5294777 1 08/10-P 09/01-P Pull Station Basement 5294774 1-1-M3 08/07-P 09/01-P Pull Station Basement 7A Office 5294775 1-1-D5 08/07-P 09/01-P

Device Total: 4 Return to Executive Summary

Page of 6 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)

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 8 8 0 8 8

Device Type Location ScanID Address Q3/24 Q3/25 Smoke Detector 2nd 7A Outside Restroom 5294782 1 08/10-P 09/01-P Smoke Detector 2nd 7B Outside Restroom 5294781 1 08/10-P 09/01-P Smoke Detector 3rd 7B Attic 5294783 1 08/10-P 09/01-P Smoke Detector 7A SP-107 5294785 1 08/10-P 09/01-P Smoke Detector Above Panel in 7A Basement 5294784 1 08/10-P 09/01-P Smoke Detector Basement 7A Blue Print Room 5294780 1 08/10-P 09/01-P Smoke Detector Basement 7B Storage 5294778 1 08/10-P 09/01-P Smoke Detector Basement 7B office 5294779 1 08/10-P 09/01-P

Device Total: 8 Return to Executive Summary

Page of 7 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)(1)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Horn/Strobe 8 8 0 8 8

Device Type Location ScanID Address Q3/24 Q3/25 Horn/Strobe 1st 7A Kitchen 5294760 1 08/10-P 09/01-P Horn/Strobe 1st 7A SP-107 5294761 1 08/10-P 09/01-P Horn/Strobe 1st 7B Kitchen 5294757 1 08/10-P 09/01-P Horn/Strobe 1st 7B Left of Entrance 5294759 1 08/10-P 09/01-P Horn/Strobe 1st 7B Left of Entrance 5294758 1 08/10-P 09/01-P Horn/Strobe 2nd 7B Hallway 5294762 1 08/10-P 09/01-P Horn/Strobe Basement 7A Hall By Stairs 5294756 1 08/10-P 09/01-P Horn/Strobe Basement 7B Storage 5294755 1 08/10-P 09/01-P

Device Total: 8 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 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 10 10 0 10 10

Device Type Location ScanID Address Q3/24 Q3/25 Strobe 1st 7A Hall By Stair?s 5294767 1 08/10-P 09/01-P Strobe 1st 7A Restroom 5294768 1 08/10-P 09/01-P Strobe 1st 7B Hall By Stair?s 5294769 1 08/10-P 09/01-P Strobe 2nd 7A Restroom 5294770 1 08/10-P 09/01-P Strobe 2nd 7B Restroom 5294771 1 08/10-P 09/01-P Strobe 7A Blue Print Room Basement 5294772 1 08/10-P 09/01-P Strobe Basement 7A Hall By Stairs 5294764 1 08/10-P 09/01-P Strobe Basement 7A Restroom 5294765 1 08/10-P 09/01-P Strobe Basement 7B Restroom 5294766 1 08/10-P 09/01-P Strobe Basement Hall By Stair?s 5294763 1 08/10-P 09/01-P

Device Total: 10 Return to Executive Summary

Page of 9 12

Vets Fire & Life Safety Download Date: 11/05/2025

LS 02.01.34 EP 02 Protected master fire alarm control panel

Verify correct receipt of alarm, supervisory and trouble signals (inputs), operation of evacuation signals and auxiliary functions (outputs), circuit supervision including detection of open circuits and ground faults, and power supply supervision for detection of loss of ac power and disconnection of secondary batteries. (NFPA 72-22 Table

14.4.3.2 (2)(1)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Control Panel 1 1 0 1 1

Device Type Location ScanID Address Q3/24 Q3/25 Control Panel 7A Storage 5294754 1 08/10-P 09/01-P

Device Total: 1 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 7 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity

Passed Control Panel Tested 1 Heat Detector Tested 1 Horn/Strobe Tested 8 Pull Station Tested 4 Smoke Detector Tested/Cleaned 8 Strobe Tested 10

Total 32 Grand Total 32

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 7 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 Control Panel Control 3.13% 1

Heat Detector Initiating 3.13% 1

Horn/Strobe Indicating 25.00% 8

Pull Station Initiating 12.50% 4

Smoke Detector Initiating 25.00% 8

Strobe Indicating 31.25% 10

Type Qty Model # Description Install Date

In Service - 1 Year to 2 Years Control Panel 1 08/10/2024 Horn/Strobe 8 08/10/2024 Pull Station 1 08/10/2024 Smoke Detector 6 08/10/2024 Strobe 10 08/10/2024 Heat Detector 1 08/07/2024 Pull Station 3 08/07/2024 Smoke Detector 2 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 7 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-D5 Pull Station Basement 7A Office 5294775 1-M3 Pull Station Basement 5294774 javascript:editViewDevice('5294775');

javascript:editViewDevice('5294774');

Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate
Executive Summary
Inspection & Testing
Service Summary
Inventory & Warranty Report
Zone Address Report

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