2025-09-08_Fayetteville-VAMC-Bldg-40_FireScan.pdf

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

For

Fayetteville VAMC Bldg 40 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 8, 2025

Building: Fayetteville VAMC Bldg 40 Company: Vets Fire & Life Safety Contact: Travis Ryan Contact: Mike Gill

Title: Safety Specialist Title: Inspector Fire Alarm Testing Report

Page of 1 13 Executive Summary

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

Executive Summary Generated by: BuildingReports.com

Building Information Building: Fayetteville VAMC Bldg 40 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: 09/08/2025 IDC Style:

Model Number: Install Date: 08/07/2024 SLC Style:

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

Location: 1st FACP Sterlazer Current Protection: Breaker

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

Inspection Completion Date: Sep 8, 2025 Building: Fayetteville VAMC Bldg 40 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 2 2 0 2 0 2

Smoke Detector 2 2 0 2 0 2

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

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

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Battery 2 2 0 2 0 2

Total Device Count: 9

Page of 3 13

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

Certification

Company: Vets Fire & Life Safety Building: Fayetteville VAMC Bldg 40

Inspector: Mike Gill Contact: Travis Ryan

Page of 4 13 Inspection & Testing

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

Inspection & Testing Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 40 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 1st Above FACP Sterlazer 89471388 1-1-D20 08/10-P 09/08-P

Device Total: 1 Return to Executive Summary

Page of 5 13

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 2 2 0 2 2

Device Type Location ScanID Address Q3/24 Q3/25 Pull Station 1st Sterlazer 89471384 1-1-M50 08/10-P 09/08-P Pull Station 1st Sterlazer 89471385 1-1-M51 08/10-P 09/08-P

Device Total: 2 Return to Executive Summary

Page of 6 13

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 2 2 0 2 2

Device Type Location ScanID Address Q3/24 Q3/25 Smoke Detector 1st Sterlazer 89471386 1-1-D22 08/10-P 09/08-P Smoke Detector 1st Above FACP Sterlazer 89471387 1-1-D20 08/10-P 09/08-P

Page of 7 13

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 89471392 1 08/10-P 09/08-P

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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 1st FACP Sterlazer 89471391 1 08/10-P 09/08-P

Page of 9 13

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

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4

With the batteries fully charged and connected to the charger, measure the voltage across the batteries with a voltmeter. Then, with the battery charger disconnected, load test the batteries following the manufacturer's recommendations. (NFPA 72-22 Table 14.4.3.2 (9)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Battery 2 2 0 2 2

Device Type Location ScanID Address Q3/24 Q3/25 Battery 1st FACP Sterlazer 89471389 1 08/10-P 09/08-P Battery 1st FACP Sterlazer 89471390 1 08/10-P 09/08-P

Page of 10 13 Service Summary

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

Service Summary Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 40 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity

Passed Battery Tested 2 Control Panel Tested 1 Heat Detector Tested 1 Pull Station Tested 2 Smoke Detector Tested/Cleaned 2 Speaker/Strobe Tested 1

Total 9 Grand Total 9

Page of 11 13 Battery & Power Supply Testing

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

Battery & Power Supply Testing Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 40 Control Panel: 1 - The Battery & Power Supply Testing section details the readings and measurements of batteries and power supplies used to provide power to the fire alarm and life safety systems. Items are grouped by Passed or Failed/Other.

Type Location Rated Ah

Rated Volts Pre Test

Post Test Min Ah Tested Ah

Battery

Passed Sealed Lead Acid 1st FACP Sterlazer 7 12 12.22 Sealed Lead Acid 1st FACP Sterlazer 7 12 12.30

Page of 12 13 Inventory & Warranty Report

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

Inventory & Warranty Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 40 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 Battery Control 22.22% 2

Control Panel Control 11.11% 1

Heat Detector Initiating 11.11% 1

Pull Station Initiating 22.22% 2

Smoke Detector Initiating 22.22% 2

Speaker/Strobe Indicating 11.11% 1

Type Qty Model # Description Install Date

In Service - 1 Year to 2 Years Battery 2 Sealed Lead Acid 08/07/2024 Control Panel 1 08/07/2024 Heat Detector 1 08/07/2024 Pull Station 2 08/07/2024 Smoke Detector 2 08/07/2024 Speaker/Strobe 1 08/07/2024

Page of 13 13 Zone Address Report

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

Zone Address Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 40 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-D20 Heat Detector 1st Above FACP Sterlazer 89471388 1-D20 Smoke Detector 1st Above FACP Sterlazer 89471387 1-D22 Smoke Detector 1st Sterlazer 89471386 1-M50 Pull Station 1st Sterlazer 89471384 1-M51 Pull Station 1st Sterlazer 89471385 javascript:editViewDevice('89471388');

javascript:editViewDevice('89471387');

javascript:editViewDevice('89471386');

javascript:editViewDevice('89471384');

javascript:editViewDevice('89471385');