2025-09-08_Fayetteville-VAMC-Bldg-5_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 documenting the completion of fire alarm system inspection and testing services for Fayetteville VAMC Building 5 located at 1100 N College Avenue, Fayetteville, Arkansas 72703. The inspection was conducted by Veterans Fire and Life Safety on September 8, 2025, in compliance with The Joint Commission/VHA Standards and the latest Joint Commission/VHA Clarification Memorandum on EC & LS Standards. Inspector Mike Gill from Veterans Fire & Life Safety (located at 7 Sherri Lane, St Peters, MO 63376) performed the inspection, with Travis Ryan serving as the building contact for Fayetteville VAMC.
The report details testing of 26 total devices across multiple categories with 100% pass rate for the third quarter of 2025. Testing included 2 pull stations, 4 smoke detectors, 10 horn/strobes, 6strobes, 2 batteries (sealed lead acid, 7 Ah rated at 12 volts with pre-test readings of 12.38-12.39 volts), 1 module, and 1 power supply. All devices were tested in accordance with NFPA 72 (2022) standards and NFPA 101-2024 Life Safety Code requirements, including annual testing of manual fire alarm boxes, smoke detectors, visual and audible notification appliances, battery load testing, and control panel verification. All equipment is in-service and was installed on August 7, 2024, placing it within the 1-2 year warranty period as of the inspection date.
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Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate
For
Fayetteville VAMC Bldg 5 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 5 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 5 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 13
Vets Fire & Life Safety Download Date: 11/05/2025
Inspection Completion Date: Sep 8, 2025 Building: Fayetteville VAMC Bldg 5 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 Pull Station 2 2 0 2 0 2
Smoke Detector 4 4 0 4 0 4
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 10 10 0 10 0 10
Strobe 6 6 0 6 0 6
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
Module 1 1 0 1 0 1
Power Supply 1 1 0 1 0 1
Total Device Count: 26
Page of 3 13
Vets Fire & Life Safety Download Date: 11/05/2025
Certification
Company: Vets Fire & Life Safety Building: Fayetteville VAMC Bldg 5
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 5 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)
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 Basement Basement Entrance 2937389 1 08/07-P 09/08-P Pull Station 1st 1st Entrance 2937390 1 08/07-P 09/08-P
Device Total: 2 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)
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 4 4 0 4 4
Device Type Location ScanID Address Q3/24 Q3/25 Smoke Detector Basement Basement Stairs 2937391 1 08/07-P 09/08-P Smoke Detector Basement Basement Storage 2937392 1 08/07-P 09/08-P Smoke Detector 1st 1st Stairs 2937393 1 08/07-P 09/08-P Smoke Detector 2nd 2nd Above Stairs 2937394 1 08/07-P 09/08-P
Device Total: 4 Return to Executive Summary
Page of 6 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)(1)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Horn/Strobe 10 10 0 10 10
Device Type Location ScanID Address Q3/24 Q3/25 Horn/Strobe Basement Basement Office 2937374 1 08/07-P 09/08-P Horn/Strobe Basement Basement Office 2937373 1 08/07-P 09/08-P Horn/Strobe Basement Basement Stairs 2937375 1 08/07-P 09/08-P Horn/Strobe 1st 1st Hall By Stairs 2937376 1 08/07-P 09/08-P Horn/Strobe 1st 1st Office On Left 2937377 1 08/07-P 09/08-P Horn/Strobe 1st 1st Office On Right 2937378 1 08/07-P 09/08-P Horn/Strobe 2nd 2nd By Stairs 2937379 1 08/07-P 09/08-P Horn/Strobe 2nd 2nd Office On Left 2937380 1 08/07-P 09/08-P Horn/Strobe 2nd 2nd Office On Right 2937382 1 08/07-P 09/08-P Horn/Strobe 2nd 2nd Office On Right 2937381 1 08/07-P 09/08-P
Device Total: 10 Return to Executive Summary
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 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 6 6 0 6 6
Device Type Location ScanID Address Q3/24 Q3/25 Strobe Basement Basement Restroom 2937383 1 08/07-P 09/08-P Strobe 1st 1st Back Office On Left 2937386 1 08/07-P 09/08-P Strobe 1st 1st Kitchen 2937384 1 08/07-P 09/08-P Strobe 1st 1st Restroom 2937385 1 08/07-P 09/08-P Strobe 2nd 2nd Restroom 2937387 1 08/07-P 09/08-P Strobe 2nd 2nd Restroom 2937388 1 08/07-P 09/08-P
Device Total: 6 Return to Executive Summary
Page of 8 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 Basement Basement Storage 2937371 1 08/07-P 09/08-P Battery Basement Basement Storage 2937370 1 08/07-P 09/08-P
Device Total: 2 Return to Executive Summary
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
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 Module 1 1 0 1 1
Device Type Location ScanID Address Q3/24 Q3/25 Module Basement Basement Storage 2937395 1 08/07-P 09/08-P
Device Total: 1 Return to Executive Summary
Page of 10 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
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 Power Supply 1 1 0 1 1
Device Type Location ScanID Address Q3/24 Q3/25 Power Supply Basement Basement Storage 2937372 1 08/07-P 09/08-P
Device Total: 1 Return to Executive Summary
Page of 11 13 Service Summary
Vets Fire & Life Safety Download Date: 11/05/2025
Service Summary Generated by: BuildingReports.com
Building: Fayetteville VAMC Bldg 5 The Service Summary section provides an overview of the services performed in this report.
Device Type Service Quantity
Passed Battery Tested 2 Horn/Strobe Tested 10 Module Tested 1 Power Supply Tested 1 Pull Station Tested 2 Smoke Detector Tested/Cleaned 4 Strobe Tested 6
Total 26 Grand Total 26
Page of 12 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 5 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 Basement Basement Storage 7 12 12.38 Basement Basement Storage 7 12 12.39
Page of 13 13 Inventory & Warranty Report
Vets Fire & Life Safety Download Date: 11/05/2025
Inventory & Warranty Report Generated by: BuildingReports.com
Building: Fayetteville VAMC Bldg 5 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 7.69% 2
Horn/Strobe Indicating 38.46% 10
Module Monitor 3.85% 1
Power Supply Control 3.85% 1
Pull Station Initiating 7.69% 2
Smoke Detector Initiating 15.38% 4
Strobe Indicating 23.08% 6
Type Qty Model # Description Install Date
In Service - 1 Year to 2 Years Battery 1 08/07/2024 Battery 1 Sealed Lead Acid 08/07/2024 Horn/Strobe 10 08/07/2024 Module 1 08/07/2024 Power Supply 1 08/07/2024 Pull Station 2 08/07/2024 Smoke Detector 4 08/07/2024 Strobe 6 08/07/2024
| Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate |
| Executive Summary |
| Inspection & Testing |
| Service Summary |
| Battery & Power Supply Testing |
| Inventory & Warranty Report |
File details come from the government source that posted it. Updated .