2025-09-15_Fayetteville-VAMC-Bldg-1_FireScan.pdf

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

For

Fayetteville VAMC Bldg 1 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.

Annual Inspection Inspection Completion Date Sep 15, 2025

Building: Fayetteville VAMC Bldg 1 Company: Vets Fire & Life Safety Contact: Travis Ryan Contact: Rod Davis

Title: Safety Specialist Title: Manager Fire Alarm Testing Report

Page of 1 89 Executive Summary

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

Executive Summary Generated by: BuildingReports.com

Building Information Building: Fayetteville VAMC Bldg 1 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: Rod Davis

Address: 7 Sherri Lane Phone: 314-696-7000

Address: Fax:

City/State/ZIP Code: St Peters, MO 63376 Mobile:

Country: United States of America Email: rod.davis@vflsc.com

System Control Unit Manufacturer: Notifier Inspection Date: 08/26/2025 IDC Style:

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

Software Version: Version Date: 08/07/2024 NAC Style:

Location: Basement Current Protection: Breaker

Central Station Signal Verification Type: Mfg: Notifier Model #:

Test Time/Date: 9/8/25 6:12:35 AM Restore Time: 39 sec Note:

Type of Signal Signal Confirmation Notes Confirmed Time:

Confirmed Time:

Confirmed Time:

Confirmed Time:

Confirmed Time:

Confirmed Time:

Confirmed Time:

Page of 2 89

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

Inspection Completion Date: Sep 15, 2025 Building: Fayetteville VAMC Bldg 1 EC 02.03.05 EP 01 Annual test of supervisory signal devices: pressure supervisory; pressure tank, pressure supervisory for a dry pipe (both high and low conditions), steam pressure: water level supervisory signal initiating device; water temperature supervisory; room temperature supervisory and other supervisory initiating devices. Semi-annual test of valve supervisory switches (tamper switches). NFPA 72 (2022) Table 14.4.3.2 (17)(10)(b-g)

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Tamper Switch 42 42 0 42 0 42

EC 02.03.05 EP 02 Semi-annual testing of water flow devices and valve tamper switches. NFPA 72 (2022) Table 14.4.3.2 (17)(10)(a) & (17)(11)

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Waterflow Switch 31 31 0 31 0 31

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 Duct Detector 21 10 11 21 8 29

Heat Detector 6 5 1 6 0 6

Pull Station 41 40 1 41 9 50

Smoke Detector 82 80 2 82 6 88

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 Releasing Device 48 41 7 48 2 50

Speaker 180 173 7 180 8 188

Speaker/Strobe 44 44 0 44 0 44

Strobe 116 116 0 116 2 118

Voice Evacuation 2 2 0 2 0 2

EC 02.03.05 EP 05 Annual test of fire alarm equipment for notifying off-site fire responders. NFPA 72 (2022) Table 14.4.3.2 (4)

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Communication Line 2 2 0 2 0 2

Communicator 1 1 0 1 0 1

Monitor Device 2 2 0 2 0 2

Monitoring 7 7 0 7 0 7

Page of 3 89

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

EC 02.03.05 EP 11 For automatic sprinkler systems: Every 12 months, the hospital tests fire pumps under flow. Fire pump supervisory signals for pump running and pump power loss are tested annually. NFPA 25 (2023) 8.3.3

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Fire Pump Running 1 1 0 1 0 1

Fire Pump Trouble 1 1 0 1 0 1

EC 02.03.05 EP 19 Annual test of automatic smoke-detection shutdown devices for air-handling equipment.

NFPA 90A (2024) 6.4.1

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Duct Detector 21 10 11 21 8 29

Fan Shutdown 10 4 6 10 3 13

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 2 2 0 2 0 2

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 Annunciator 2 2 0 2 0 2

Battery 30 20 10 30 2 32

Power Supply 5 5 0 5 3 8

Programmable Relay 50 50 0 50 2 52

Remote Test Switch 3 3 0 3 0 3

Total Device Count: 774

Page of 4 89

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

Certification

Company: Vets Fire & Life Safety Building: Fayetteville VAMC Bldg 1

Inspector: Rod Davis Contact: Travis Ryan

Page of 5 89 Discrepancy Report

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

Discrepancy Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 1 Control Panel: 1 - Notifier 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 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17) Duct Detector

43811853 2nd M2-3 Mechanical Room Failed Operation 1-2 D25 NFPA72 14.2.2.3.1

17804438 4th Palliative Care Oncology Failed Operation 1-1 D30 NFPA72 14.2.2.3.1

17804439 4th Room 418 AHU 1 Failed Operation 1-1 D50 NFPA72 14.2.2.3.1

17804426 4th Mechanical Failed Operation 1-1-L1 D14 NFPA72 14.2.2.3.1

17804443 Attic Failed Operation 1-1-D72 NFPA72 14.2.2.3.1

43811950 Basement MB10-01 Mechanical room Failed to Report 1-1 NFPA72 14.2.2.3.1

89471355 1st Gen Room M1-2 Admission Failed Operation 1-3-D69 NFPA72 14.2.2.3.1

89471357 1st Gen Room M1-2 Admissions Failed Operation 1-3-D67 NFPA72 14.2.2.3.1

89471356 1st Gen Room M1-2 Admissions Failed Operation 1-3-D68 NFPA72 14.2.2.3.1

89471360 4th Attic Mech Room 418 Failed Operation 1-1-D51 NFPA72 14.2.2.3.1

17804442 Attic Failed Operation 1-1-D73 NFPA72 14.2.2.3.1

Heat Detector

45356789 1st Bldg PC Staff Elevator Failed Operation 1-1-4 D23 NFPA72 14.2.2.3.1

Pull Station

28736478 Basement For Bldg 26 Failed to Report 1-1-3 M101 NFPA72 14.2.2.3.1

Smoke Detector

87654234 2nd Elevator Lobby Failed Operation 1-1-4 35 NFPA72 14.2.2.3.1

17803762 Basement Hallway C01 - Elevator Lobby Failed Operation 1-1-3 46 NFPA72 14.2.2.3.1

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) Releasing Device

43811938 Basement Hall C21 Near Service Elev Failed Operation 1-1 NFPA72 14.2.2.3.1

43811940 Basement Hall C21 Near Service Elev Failed Operation 1-1 NFPA72 14.2.2.3.1

43811932 Basement Hall C21 Service Elev Failed Operation 1-1 NFPA72 14.2.2.3.1 javascript:editViewDevice('43811853');

javascript:editViewDevice('17804438');

javascript:editViewDevice('17804439');

javascript:editViewDevice('17804426');

javascript:editViewDevice('17804443');

javascript:editViewDevice('43811950');

javascript:editViewDevice('89471355');

javascript:editViewDevice('89471357');

javascript:editViewDevice('89471356');

javascript:editViewDevice('89471360');

javascript:editViewDevice('17804442');

javascript:editViewDevice('45356789');

javascript:editViewDevice('28736478');

javascript:editViewDevice('87654234');

javascript:editViewDevice('17803762');

javascript:editViewDevice('43811938');

javascript:editViewDevice('43811940');

javascript:editViewDevice('43811932');

Page of 6 89

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

ScanID Location Problem Address Reference

43811934 Basement Hall C21 Service Elev Failed Operation 1-1 NFPA72 14.2.2.3.1

45367890 Basement Hallway By Stair 8 Failed Operation 1 NFPA72 14.2.2.3.1

43811917 Basement Hallway C15 Near MB4-01 Failed Operation 1-1 NFPA72 14.2.2.3.1

43811919 Basement Hallway C15 Near MB4-01 Failed Operation 1-1 NFPA72 14.2.2.3.1

Speaker

17804027 1st Hallway 1A Near Courtyard Failed Annunciation

1-1-21 NFPA72 14.2.2.3.1

17804023 1st Hallway 1A Near 101-01 Failed Annunciation

1-1-21 NFPA72 14.2.2.3.1

17804024 1st Hallway 1A Near 102-01 Failed Annunciation

1-1-21 NFPA72 14.2.2.3.1

17804026 1st Hallway 1A Near 119-01 Failed Annunciation

1-1-21 NFPA72 14.2.2.3.1

17804025 1st Hallway 1A Near 121-01 Failed Annunciation

1-1-21 NFPA72 14.2.2.3.1

17804014 1st Hallway 1A Near Nurses Station Failed Annunciation

1-1-21 NFPA72 14.2.2.3.1

17803831 1st Hallway C102 Secured Corridor going to 1A

Failed Annunciation

1-1-21 NFPA72 14.2.2.3.1

EC 02.03.05 EP 19 Annual test of automatic smoke-detection shutdown devices for air-handling equipment.

NFPA 90A (2024) 6.4.1

Fan Shutdown

43812026 4th Failed Operation 1-1 NFPA72 21.7.3

43812027 4th Failed Operation 1-1 NFPA72 21.7.3

43812025 4th Attic Fan Shut Down Failed Operation 1-1 NFPA72 21.7.3

43812028 4th Alarm Panel Room Failed Operation 1-1 NFPA72 21.7.3

43811804 4th Alarm Panel Room Failed Operation 1-1-L3M20 NFPA72 21.7.3

45935365 4th Alarm panel room Failed Operation 1-1-L1 M15 NFPA72 21.7.3

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

58237572 2nd E202 Electrical Room Near Decon RM Failed Test 1-1-0 0 NFPA72 Table

14.4.3.2 (9)

58237573 2nd E202 Electrical Room Near Decon RM Failed Test 1-1-0 0 NFPA72 Table

14.4.3.2 (9)

58237565 2nd E202 Electrical Room Near Decon Rm Failed Test 1-1-0 0 NFPA72 Table

14.4.3.2 (9)

58237566 2nd E202 Electrical Room Near Decon Rm Failed Test 1-1-0 0 NFPA72 Table

14.4.3.2 (9)

45935790 3rd E302-01 Date Expired 1-1 NFPA72 Table

14.4.3.2 (9)(5)

45935791 3rd E302-01 Date Expired 1-1 NFPA72 Table

14.4.3.2 (9)(5) javascript:editViewDevice('43811934');

javascript:editViewDevice('45367890');

javascript:editViewDevice('43811917');

javascript:editViewDevice('43811919');

javascript:editViewDevice('17804027');

javascript:editViewDevice('17804023');

javascript:editViewDevice('17804024');

javascript:editViewDevice('17804026');

javascript:editViewDevice('17804025');

javascript:editViewDevice('17804014');

javascript:editViewDevice('17803831');

javascript:editViewDevice('43812026');

javascript:editViewDevice('43812027');

javascript:editViewDevice('43812025');

javascript:editViewDevice('43812028');

javascript:editViewDevice('43811804');

javascript:editViewDevice('45935365');

javascript:editViewDevice('58237572');

javascript:editViewDevice('58237573');

javascript:editViewDevice('58237565');

javascript:editViewDevice('58237566');

javascript:editViewDevice('45935790');

javascript:editViewDevice('45935791');

Page of 7 89

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

ScanID Location Problem Address Reference

45935792 3rd E302-01 Date Expired 1-1 NFPA72 Table

14.4.3.2 (9)(5)

45935793 3rd E302-01 Date Expired 1-1 NFPA72 Table

14.4.3.2 (9)(5)

43811989 Basement Panel Rm Failed Test 1-1-0 0 NFPA72 Table

14.4.3.2 (9)

43811990 Basement Panel Rm Failed Test 1-1-0 0 NFPA72 Table

14.4.3.2 (9)

Code References NFPA72 14.2.2.3.1 System deficiencies shall be corrected.

NFPA72 21.7.3 Connections between fire alarm systems and the HVAC system for the purpose of monitoring and control shall operate and be monitored in accordance with applicable NFPA standards NFPA72 Table 14.4.3.2 (9) Replace any battery cell/unit if the temperature is greater than 18F above ambient. Replace the battery when any cell/unit measures a voltage less than 13.26 volts. Replace the battery when any cell/unit has an internal ohmic value outside of the acceptable range.

NFPA72 Table 14.4.3.2 (9) (5)

Replace the battery or conduct a load test of the battery capacity every 3 years.

javascript:editViewDevice('45935792');

javascript:editViewDevice('45935793');

javascript:editViewDevice('43811989');

javascript:editViewDevice('43811990');

Page of 8 89 Proposed Solutions Report

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

Proposed Solutions Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 1 Control Panel: 1 - Notifier 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 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)

Duct Detector 43811853 2nd M2-3 Mechanical Room Investigate T/M 17804438 4th Palliative Care Oncology Investigate T/M 17804439 4th Room 418 AHU 1 Investigate T/M 17804426 4th Mechanical Investigate T/M 17804443 Attic Investigate T/M 43811950 Basement MB10-01 Mechanical room Investigate T/M 89471355 1st Gen Room M1-2 Admission Investigate T/M 89471357 1st Gen Room M1-2 Admissions Investigate T/M 89471356 1st Gen Room M1-2 Admissions Investigate T/M 89471360 4th Attic Mech Room 418 Investigate T/M 17804442 Attic Investigate T/M

Heat Detector 45356789 1st Bldg PC Staff Elevator Investigate T/M

Pull Station 28736478 Basement For Bldg 26 Investigate T/M

Smoke Detector 87654234 2nd Elevator Lobby Investigate T/M 17803762 Basement Hallway C01 - Elevator Lobby Investigate T/M

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)

Releasing Device 43811938 Basement Hall C21 Near Service Elev Investigate T/M 43811940 Basement Hall C21 Near Service Elev Investigate T/M 43811932 Basement Hall C21 Service Elev Investigate T/M 43811934 Basement Hall C21 Service Elev Investigate T/M 45367890 Basement Hallway By Stair 8 Investigate T/M 43811917 Basement Hallway C15 Near MB4-01 Investigate T/M 43811919 Basement Hallway C15 Near MB4-01 Investigate T/M

Speaker

Page of 9 89 Proposed Solutions Report

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

Building: Fayetteville VAMC Bldg 1 Control Panel: 1 - Notifier 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 17804027 1st Hallway 1A Near Courtyard Investigate T/M 17804023 1st Hallway 1A Near 101-01 Investigate T/M 17804024 1st Hallway 1A Near 102-01 Investigate T/M 17804026 1st Hallway 1A Near 119-01 Investigate T/M 17804025 1st Hallway 1A Near 121-01 Investigate T/M 17804014 1st Hallway 1A Near Nurses Station Investigate T/M 17803831 1st Hallway C102 Secured Corridor going to

1A Investigate T/M

EC 02.03.05 EP 19 Annual test of automatic smoke-detection shutdown devices for air-handling equipment.

NFPA 90A (2024) 6.4.1

Fan Shutdown 43812026 4th Investigate T/M 43812027 4th Investigate T/M 43812025 4th Attic Fan Shut Down Investigate T/M 43812028 4th Alarm Panel Room Investigate T/M 43811804 4th Alarm Panel Room Investigate T/M 45935365 4th Alarm panel room Investigate T/M

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

Battery 58237572 2nd E202 Electrical Room Near Decon RM Replace Battery T/M 58237573 2nd E202 Electrical Room Near Decon RM Replace Battery T/M 58237565 2nd E202 Electrical Room Near Decon Rm Replace Battery T/M 58237566 2nd E202 Electrical Room Near Decon Rm Replace Battery T/M 45935790 3rd E302-01 Replace Battery T/M 45935791 3rd E302-01 Replace Battery T/M 45935792 3rd E302-01 Replace Battery T/M 45935793 3rd E302-01 Replace Battery T/M 43811989 Basement Panel Rm Replace Battery T/M 43811990 Basement Panel Rm Replace Battery T/M

Internal WO/PO #: (none) T/M

Page of 10 89 Notes & Recommendations

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

Notes & Recommendations Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 1 Control Panel: 1 - Notifier The Notes & Recommendations Report details additional inspection notes made by the Inspectors during the course of the building inspection. Notes are grouped by Category.

Note Device Type Location Comment ScanID

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)

1 Duct Detector 2nd Hall 2nd fl west 2b mech rm 16444057 Construction Area

2 Duct Detector 2nd Hall 2nd floor west 2b mech rm 17804038 Construction Area

3 Duct Detector 2nd M2-2 Mechanical Room 43811842 Construction Area

4 Duct Detector 2nd M2-3 Mechanical Room Failed Operation 43811853 Did Not Shut Down Unit

5 Duct Detector 2nd North M2-4 Mech Room 43811844 Construction Area

6 Duct Detector 3rd M3-01 Mech Room Passed 43811859 Shuts Down Unit

7 Duct Detector 3rd North M3-01 Mech Rm Center Passed 17804995 Shuts Down Unit

8 Duct Detector 4th Palliative Care Oncology Failed Operation 17804438 Did Not Shut Down Unit

9 Duct Detector 4th Room 418 AHU 1 Failed Operation 17804439 Did Not Shut Down Unit 10 Duct Detector 4th 407-01 Engineering Passed 17804428

Shuts Down Unit 11 Duct Detector 4th Mechanical Failed Operation 17804426

Did Not Shut Down Unit 12 Duct Detector Attic Failed Operation 17804443

Did Not Shut Down Unit 13 Duct Detector Basement MB10-01 Mech room Passed 43811954

Shuts Down Unit 14 Duct Detector Basement MB10-01 Mechanical room Failed to Report 43811950

Did Not Send Signal To FACP.

No Power To Device

15 Duct Detector Basement Mechanical Primary Care Passed 89471351 Shuts Down Unit 16 Duct Detector Basement Mechanical Primary Care Passed 89471352

Shuts Down Unit javascript:editViewDevice('16444057');

javascript:editViewDevice('17804038');

javascript:editViewDevice('43811842');

javascript:editViewDevice('43811853');

javascript:editViewDevice('43811844');

javascript:editViewDevice('43811859');

javascript:editViewDevice('17804995');

javascript:editViewDevice('17804438');

javascript:editViewDevice('17804439');

javascript:editViewDevice('17804428');

javascript:editViewDevice('17804426');

javascript:editViewDevice('17804443');

javascript:editViewDevice('43811954');

javascript:editViewDevice('43811950');

javascript:editViewDevice('89471351');

javascript:editViewDevice('89471352');

Page of 11 89

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

Note Device Type Location Comment ScanID 17 Pull Station 2nd Hallway C200 Near 240-01 17804080

Construction Area 18 Pull Station 2nd Hallway C202 Near 205-1 17804030

Construction Area 19 Pull Station 2nd Hallway C205 Near 230-01 & 234-01 17804271

Construction Area 20 Pull Station 2nd Hallway C208 Next to Stairwell 17804091

Construction Area 21 Pull Station 2nd Hallway Inside SDS surgery by rm 230-

17804111

Construction Area 22 Pull Station 2nd M2-1 Mechanical Room 17804036

Construction Area 23 Pull Station 2nd M2-2 Mechanical Room 17804099

Construction Area 24 Pull Station 2nd M2-3 Mechanical Room 17804048

Construction Area 25 Pull Station Basement Hallway C11 Near 008-01 17803711

Device Has Been Removed 26 Smoke Detector 2nd Elevator Lobby Failed Operation 87654234

Recalls To Incorrect Floor 27 Smoke Detector 2nd Hallway C201 Near 246-01 17804085

Construction Area 28 Smoke Detector 2nd Hallway C205 Near 230-01 & 234-01 17804270

Construction Area 29 Smoke Detector 2nd Hallway C208 In Front of 247-01 17804088

Construction Area 30 Smoke Detector 2nd Hallway C219 Near 240 & M2-5 17804277

Construction Area 31 Smoke Detector 2nd Hallway Outside Rm 241-01 17804079

Construction Area 32 Smoke Detector 2nd Hallway Outside of 257-01 17804105

Construction Area 33 Smoke Detector Basement Hallway C01 - Elevator Lobby Failed Operation 17803762

Recalls To Incorrect Floor 34 Duct Detector Basement Break Room Passed 89471354

Shuts Down Unit 35 Duct Detector Basement Canteen Mech Room 89471353

In Trouble Upon Arrival 36 Duct Detector Basement Pharmacy Room B-1 Passed 89471359

Shuts Down Unit 37 Duct Detector Basement Pharmacy Room B-1 Unit 7 89471361

In Trouble Upon Arrival javascript:editViewDevice('17804080');

javascript:editViewDevice('17804030');

javascript:editViewDevice('17804271');

javascript:editViewDevice('17804091');

javascript:editViewDevice('17804111');

javascript:editViewDevice('17804036');

javascript:editViewDevice('17804099');

javascript:editViewDevice('17804048');

javascript:editViewDevice('17803711');

javascript:editViewDevice('87654234');

javascript:editViewDevice('17804085');

javascript:editViewDevice('17804270');

javascript:editViewDevice('17804088');

javascript:editViewDevice('17804277');

javascript:editViewDevice('17804079');

javascript:editViewDevice('17804105');

javascript:editViewDevice('17803762');

javascript:editViewDevice('89471354');

javascript:editViewDevice('89471353');

javascript:editViewDevice('89471359');

javascript:editViewDevice('89471361');

Page of 12 89

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

Note Device Type Location Comment ScanID 38 Duct Detector 1st Gen Room M1-2 Admission Failed Operation 89471355

Did Not Shut Down Unit 39 Duct Detector 1st Gen Room M1-2 Admissions Failed Operation 89471356

Did Not Shut Down Unit 40 Duct Detector 1st Gen Room M1-2 Admissions Failed Operation 89471357

Did Not Shut Down Unit 41 Duct Detector 2nd Corr 2025 89471362

Construction Area 42 Duct Detector 2nd Mech Room M2-1 Passed 89471389

Shuts Down Unit 43 Duct Detector 2nd Mech Room M2-2 89471358

Construction Area 44 Duct Detector 4th Attic Mech Room 418 Failed Operation 89471360

Did Not Shut Down Unit 45 Duct Detector Attic Failed Operation 17804442

Did Not Shut Down Unit

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) 46 Releasing Device 2nd Hallway Near 246-01 17804086

Construction Area 47 Releasing Device 2nd Hallway Near 246-01 17804087

Construction Area 48 Releasing Device Basement Hall C21 Near Service Elev Failed Operation 43811938

Did Not Release When Testing Bldg 1.

Released When Testing Bldg 26

49 Releasing Device Basement Hall C21 Near Service Elev Failed Operation 43811940 Did Not Release When Testing Bldg 1.

Released When Testing Bldg 26 50 Releasing Device Basement Hall C21 Service Elev Failed Operation 43811932

Did Not Release When Testing Bldg 1.

Released When Testing Bldg 26

51 Releasing Device Basement Hall C21 Service Elev Failed Operation 43811934 Did Not Release When Testing Bldg 1.

Released When Testing Bldg 26 52 Releasing Device Basement Hallway By Stair 8 Failed Operation 45367890

Did Not Release When Testing Bldg 1.

Released When Testing Bldg 26

53 Releasing Device Basement Hallway C15 Near MB4-01 Failed Operation 43811917 Did Not Release When Testing Bldg 1.

Released When Testing Bldg 26 54 Releasing Device Basement Hallway C15 Near MB4-01 Failed Operation 43811919

Did Not Release When Testing Bldg 1.

Released When Testing Bldg 26

55 Speaker 1st 125-01 Recpt Near 124-01 RR 17803986 javascript:editViewDevice('89471355');

javascript:editViewDevice('89471356');

javascript:editViewDevice('89471357');

javascript:editViewDevice('89471362');

javascript:editViewDevice('89471389');

javascript:editViewDevice('89471358');

javascript:editViewDevice('89471360');

javascript:editViewDevice('17804442');

javascript:editViewDevice('17804086');

javascript:editViewDevice('17804087');

javascript:editViewDevice('43811938');

javascript:editViewDevice('43811940');

javascript:editViewDevice('43811932');

javascript:editViewDevice('43811934');

javascript:editViewDevice('45367890');

javascript:editViewDevice('43811917');

javascript:editViewDevice('43811919');

javascript:editViewDevice('17803986');

Page of 13 89

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

Note Device Type Location Comment ScanID Construction Area 56 Speaker 1st 125-01 Recpt Near 124-01 RR 17803988

Construction Area 57 Speaker 1st 130-01 Employee Health Off Near

Oxygen Room 17803989

Construction Area 58 Speaker 1st Hall 160-1 In Front of Police Disp 17804341

Construction Area 59 Speaker 1st Hall C107 Near 141-01 Cust Service Passed 17804000

Construction Area 60 Speaker 1st Hallway 1A Near Nurses Station Failed

Annunciation 17804014

Did Not Work During Test 61 Speaker 1st Hallway C105 Near 131-01 & 135-01 17803992

Construction Area 62 Speaker 1st Hallway C107 Near 146-01 IT room 17803998

Construction Area 63 Speaker 1st Hallway C108 Near 149-01 CT room 17803996

Construction Area 64 Speaker 1st Hallway C108 Near 149-01 CT room 17803997

Construction Area 65 Strobe 1st 163 Womens RR Near Front Entry Passed 17803852

Construction Area 66 Strobe 1st Hallway C107 Near 141-01 Customer

Service 17803999

Construction Area 67 Strobe 1st Respiratory Therapy 153-01 Near

Elevators 17803991

Construction Area

EC 02.03.05 EP 11 For automatic sprinkler systems: Every 12 months, the hospital tests fire pumps under flow.

Fire pump supervisory signals for pump running and pump power loss are tested annually. NFPA 25 (2023) 8.3.3 68 Fire Pump Running Basement Medical Records Pump Room Passed 17803804

Testing Done By Others 69 Fire Pump Trouble Basement Medical Records Pump Room Passed 17803806

Testing Done By Others

EC 02.03.05 EP 19 Annual test of automatic smoke-detection shutdown devices for air-handling equipment.

NFPA 90A (2024) 6.4.1

70 Fan Shutdown 2nd M2-2 Mechanical Room Physicians

Office 43811849

Construction Area 71 Fan Shutdown 2nd M2-3 Mechanical Room 43811854

Construction Area 72 Fan Shutdown 2nd North M2-4 Mechanical Room 43811843 javascript:editViewDevice('17803988');

javascript:editViewDevice('17803989');

javascript:editViewDevice('17804341');

javascript:editViewDevice('17804000');

javascript:editViewDevice('17804014');

javascript:editViewDevice('17803992');

javascript:editViewDevice('17803998');

javascript:editViewDevice('17803996');

javascript:editViewDevice('17803997');

javascript:editViewDevice('17803852');

javascript:editViewDevice('17803999');

javascript:editViewDevice('17803991');

javascript:editViewDevice('17803804');

javascript:editViewDevice('17803806');

javascript:editViewDevice('43811849');

javascript:editViewDevice('43811854');

javascript:editViewDevice('43811843');

Page of 14 89

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

Note Device Type Location Comment ScanID Construction Area

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 73 Battery 2nd E201-01 Electric Room 58240790

Construction Area 74 Battery 2nd E201-01 Electric Room 58240791

Construction Area 75 Power Supply 2nd E202 Electrical Room Near Decon RM 17804966

Construction Area 76 Power Supply 2nd E202 Electrical Room Near Decon RM 17804967

Construction Area 77 Power Supply 2nd Electric Room E201-01 58240789

Construction Area 78 Programmable Relay 2nd Hallway C201 Near 246-01 43811850

Construction Area 79 Programmable Relay 2nd North M2-4 Mechanical Room 43811845

Construction Area javascript:editViewDevice('58240790');

javascript:editViewDevice('58240791');

javascript:editViewDevice('17804966');

javascript:editViewDevice('17804967');

javascript:editViewDevice('58240789');

javascript:editViewDevice('43811850');

javascript:editViewDevice('43811845');

Page of 15 89 Inspection & Testing

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

Inspection & Testing Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 1 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 01

Annual test of supervisory signal devices: pressure supervisory; pressure tank, pressure supervisory for a dry pipe (both high and low conditions), steam pressure: water level supervisory signal initiating device; water temperature supervisory; room temperature supervisory and other supervisory initiating devices. Semi-annual test of valve supervisory switches (tamper switches). NFPA 72 (2022) Table 14.4.3.2 (17)(10)(b-g)

Operate valve and verify signal receipt shall be verified to be within the first two revolutions of the hand wheel or within one-fifth of the travel distance, or per the manufacturer's published instructions. (NFPA 72-22 Table 14.4.3.2 (17)(10)(a)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Tamper Switch 42 42 0 42 42

Device Type Location ScanID Address Q3/24 Q3/25 Tamper Switch 5th Stair 8 Room 502 East/West Attic

Zone 46717424 1-1-L1 M83 08/20-P 09/15-P

Tamper Switch 5th Stair 8 Room 502 Center Attic Zone

46717415 1-1-L1 M83 08/20-P 09/15-P

Tamper Switch Basement Above Ceiling Staff Lobby- Elev Equip Rm

46717411 1-1-L3 M151 08/20-P 09/15-P

Tamper Switch Basement Above Ceiling Staff Elev Lobby Equip Rm

46717409 1-1-L3 M151 08/20-P 09/15-P

Tamper Switch Bsmnt Outdoor PC43 Mech Rm 46717370 1-1-L4 M45 08/20-P 09/15-P Tamper Switch Basement Above Ceiling PC Staff

Elev Lobby 46717366 1-1-L4 M41 08/20-P 09/15-P

Tamper Switch 1st Outside Main Entrance PIV 46717264 1-1 08/20-P 09/15-P Tamper Switch Basement Medical Records Pump

Room FPD 46717241 1-1-L3 M10 08/20-P 09/15-P

Tamper Switch Basement MB02 Fire Pump Room 46717240 1-1-3 10 08/20-P 09/15-P Tamper Switch Basement Medical Records Pump

Room FPB 46717239 1-1-L3 M10 08/20-P 09/15-P

Tamper Switch Basement MB02 Fire Pump Room 46717238 1-1-3 10 08/20-P 09/15-P Tamper Switch Basement Medical Records Pump

Room FPB 46717237 1-1-L3 M10 08/20-P 09/15-P

Tamper Switch Basement MB02 Fire Pump Room 46717236 1-1-3 10 08/20-P 09/15-P Tamper Switch Basement MB02 Fire Pump Room 46717235 1-1-3 10 08/20-P 09/15-P Tamper Switch Basement Stair 10 East Zone 46717217 1-1-L3 M17 08/20-P 09/15-P

Page of 16 89

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

Device Type Location ScanID Address Q3/24 Q3/25 Tamper Switch Basement Stair 10 Pharmacy 46717211 1-1-L3 M136 08/20-P 09/15-P Tamper Switch 1st Stair 10 East Zone 46717208 1-1-L2 M46 08/20-P 09/15-P Tamper Switch 1st Stair 10 Bldg 21 Feed PC/ER 46717203 1-1-L2 M46 08/20-P 09/15-P Tamper Switch 1st Stair 10 Pharmacy 46717197 1-1-L2 M61 08/20-P 09/15-P Tamper Switch 2nd Stair 10 East Zone 46717190 1-1-L2 M19 08/20-P 09/15-P Tamper Switch 3rd Stair 10 East Zone 46717183 1-1-L1 M32 08/20-P 09/15-P Tamper Switch Basement Stair 9 West Zone 46717177 1-1-L3 M15 08/20-P 09/15-P Tamper Switch 1st Stair 9 West Zone 46717170 1-1-L2 M36 08/20-P 09/15-P Tamper Switch 2nd Stair 9 West Zone 46717163 1-1-L2 M6 08/20-P 09/15-P Tamper Switch 3rd Stair 9 West Zone 46717155 1-1-L1 M34 08/20-P 09/15-P Tamper Switch Basement Stair 8 Center Zone 46717150 1-1-L3 M6 08/20-P 09/15-P Tamper Switch 1st Stair 8 Center Zone 1 46717135 1-1-L2 M39 08/20-P 09/15-P Tamper Switch 1st Stair 8 For Building 2 46717133 1-1-L2 M59 08/20-P 09/15-P Tamper Switch 1st Stair 8 Center Zone 2 X-Ray 46717131 1-1-L2 M40 08/20-P 09/15-P Tamper Switch 1st Stair 8 Hallway 46717129 1-1-L2 M58 08/20-P 09/15-P Tamper Switch 2nd Stair 8 Corridor 46717114 1-1-L2 M14 08/20-P 09/15-P Tamper Switch 2nd Stair 8 Center Zone 1 46717112 1-1-L2 M15 08/20-P 09/15-P Tamper Switch 2nd Stair 8 Center Zone 2 46717110 1-1-L2 M16 08/20-P 09/15-P Tamper Switch 3rd Stair 8 Corridor/Elevator 46717095 1-1-L1 M27 08/20-P 09/15-P Tamper Switch 3rd Stair 8 Center Zone 1 46717091 1-1-1 M28 08/20-P 09/15-P Tamper Switch 3rd Stair 8 Center Zone 2 46717093 1-1-L1 M29 08/20-P 09/15-P Tamper Switch 4th Stair 8 Center Zone 46717088 1-1-L1 M9 08/20-P 09/15-P Tamper Switch 5th Stair 8 Elevator Equip Room 46717081 1-1-L1 M63 08/20-P 09/15-P Tamper Switch 1st Above Ceiling Hall Outside Rm

PC127-01

43812282 1-1 08/20-P 09/15-P

Tamper Switch 1st Above Ceiling By Pharmacy RR- ER Sup

17804930 1-1-L2 M62 08/20-P 09/15-P

Tamper Switch Bsmntt Above Ceiling Rm PC003-01 Elev Pit

17804446 1-1-L4 M18 08/20-P 09/15-P

Tamper Switch 2nd Above Ceiling PC Staff Elev Lobby-Shaft

16444029 1-1-L4 M43 08/20-P 09/15-P

Device Total: 42 Return to Executive Summary

Page of 17 89

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

EC 02.03.05 EP 02

Semi-annual testing of water flow devices and valve tamper switches. NFPA 72 (2022) Table 14.4.3.2 (17)(10)(a) & (17)(11)

Water shall be flowed through an inspector's test connection indicating the flow of water equal to that from a single sprinkler of the smallest orifice size installed in the system for wet-pipe systems, or an alarm test bypass connection for dry-pipe, pre-action, or deluge systems in accordance with NFPA 25-20. (NFPA 72-22 Table

14.4.3.2 (17)(11)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Waterflow Switch 31 31 0 31 31

Device Type Location ScanID Address Q3/24 Q3/25 Waterflow Switch 5th Stair 8 Room 502 East Attic Zone 46717419 1-1-L1 M7 08/20-P 09/15-P Waterflow Switch 5th Stair 8 Room 502 West Attic Zone 46717418 1-1-L1 M6 08/20-P 09/15-P Waterflow Switch 5th Stair 8 Room 502 Center Attic

Zone 46717413 1-1-L1 M5 08/20-P 09/15-P

Waterflow Switch Bsmt Above Ceiling PC Staff Elevator Lobby-Pit

46717412 1-1-L3 M150 08/20-P 09/15-P

Waterflow Switch Basement Outdoor PC43 Mech-Elev Rm

46717368 1-1-L4 M44 08/20-P 09/15-P

Waterflow Switch Basement Stair 10 East Zone 46717220 1-1-L3 M16 08/20-P 09/15-P Waterflow Switch Basement Stair 10 Pharmacy 46717215 1-1-L3 M137 08/20-P 09/15-P Waterflow Switch 1st Stair 10 East Zone 46717204 1-1-L2 M45 08/20-P 09/15-P Waterflow Switch 1st Stair 10 Pharmacy 46717198 1-1-L2 M60 08/20-P 09/15-P Waterflow Switch 2nd Stair 10 East Zone 46717193 1-1-L2 M18 08/20-P 09/15-P Waterflow Switch 3rd Stair 10 East Zone 46717187 1-1-L1 M31 08/20-P 09/15-P Waterflow Switch Basement Stair 9 West Zone 46717180 1-1-L3 M14 08/20-P 09/15-P Waterflow Switch 1st Stair 9 West Zone 46717174 1-1-L2 M35 08/20-P 09/15-P Waterflow Switch 2nd Stair 9 West Zone 46717164 1-1-L2 M5 08/20-P 09/15-P Waterflow Switch 3rd Stair 9 West Zone 46717157 1-1-L1 M35 08/20-P 09/15-P Waterflow Switch Basement Stair 8 Center Zone 46717152 1-1-L3 M5 08/20-P 09/15-P Waterflow Switch 1st Stair 8 Center Zone 2 X-Ray 46717147 1-1-L2 M42 08/20-P 09/15-P Waterflow Switch 1st Stair 8 Hallway 46717144 1-1-L2 M57 08/20-P 09/15-P Waterflow Switch 1st Stair 8 Center Zone 1 46717140 1-1-L2 M41 08/20-P 09/15-P Waterflow Switch 2nd Stair 8 Center Zone 1 46717120 1-1-L2 M7 08/20-P 09/15-P Waterflow Switch 2nd Stair 8 Corridor 46717119 1-1-L2 M8 08/20-P 09/15-P Waterflow Switch 2nd Stair 8 Center Zone 2 46717118 1-1-L2 M13 08/20-P 09/15-P Waterflow Switch 3rd Stair 8 Corridor/Elevator 46717104 1-1-L1 M24 08/20-P 09/15-P Waterflow Switch 3rd Stair 8 Center Zone 2 46717103 1-1-L1 M26 08/20-P 09/15-P Waterflow Switch 3rd Stair 8 Center Zone 1 46717102 1-1-L1 M25 08/20-P 09/15-P Waterflow Switch 4th Stair 8 Center Zone 46717083 1-1-L1 M10 08/20-P 09/15-P Waterflow Switch 4th Stair 8 Elevator Equip Rm 46717080 1-1-L1 M44 08/20-P 09/15-P Waterflow Switch 1st Ceiling Hall Outside Rm PC127-

43812283 1-1 08/20-P 09/15-P

Waterflow Switch 1st Ceiling Outside Pharmacy RR 43812126 1-1-L2 M63 08/20-P 09/15-P

Page of 18 89

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

Device Type Location ScanID Address Q3/24 Q3/25 Waterflow Switch 2nd Ceiling PC Staff Elev Lobby-Shaft 16444028 1-1-L4 M42 08/20-P 09/15-P Waterflow Switch Bsmt Above Ceiling PC Staff Elevator

Lobby-Pit 16444025 1-1-L4 M40 08/20-P 09/15-P

Device Total: 31 Return to Executive Summary

Page of 19 89

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 duct smoke detectors that use sampling tubes to ensure that they will properly sample the airstream in the duct using a method acceptable to the manufacturer or in accordance with their published instructions. (NFPA 72- 22 Table 14.4.3.2 (17)(7)(e)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Duct Detector 21 10 11 21 29

Device Type Location ScanID Address Q3/24 Q3/25 Duct Detector 3rd North m3-0 mech room 17804996 1-1-42 08/07-P 09/08-P Duct Detector Basement Mechanical Primary Care 89471352 1-4-D20 08/10-P 09/02-P Duct Detector Basement Mechanical Primary Care 89471351 1-4-D19 08/10-P 09/02-P Duct Detector Basement MB10-01 Mech room 43811954 1-1 08/07-P 09/02-P Duct Detector 3rd North M3-01 Mech Rm Center 17804995 1-1 D2 08/06-P 09/02-P Duct Detector 3rd M3-01 Mech Room 43811859 1-1-D18 08/06-P 09/02-P Duct Detector 4th 407-01 Engineering 17804428 1-1-L1 D12 08/07-P 09/02-P Duct Detector Basement MB10-01 Mechanical room 43811950 1-1 08/07-P 09/02-F Duct Detector 2nd M2-3 Mechanical Room 43811853 1-2 D25 08/06-F 09/02-F Duct Detector 4th Mechanical 17804426 1-1-L1 D14 08/07-P 09/02-F Duct Detector Attic 17804443 1-1-D72 08/07-P 09/02-F Duct Detector 4th Room 418 AHU 1 17804439 1-1 D50 08/06-P 09/02-F Duct Detector 4th Palliative Care Oncology 17804438 1-1 D30 08/06-P 09/02-F Duct Detector 2nd Hall 2nd fl west 2b mech rm 16444057 1-2-- 08/07-P Duct Detector 2nd Hall 2nd floor west 2b mech rm 17804038 1-2-- 08/07-P Duct Detector 2nd M2-2 Mechanical Room 43811842 1-2 D23 08/06-P Duct Detector 2nd North M2-4 Mech Room 43811844 1-1-2 D47 08/06-P Duct Detector Basement Break Room 89471354 1-3-D70 08/10-P 09/02-P Duct Detector Basement Pharmacy Room B-1 89471359 1-3-M98 08/10-P 09/02-P Duct Detector Basement Canteen Mech Room 89471353 1-3-D29 08/10-P Duct Detector Basement Pharmacy Room B-1 Unit 7 89471361 1-3-M104 08/10-P Duct Detector 1st Gen Room M1-2 Admissions 89471357 1-3-D67 08/10-P 09/02-F Duct Detector 1st Gen Room M1-2 Admissions 89471356 1-3-D68 08/10-P 09/02-F Duct Detector 1st Gen Room M1-2 Admission 89471355 1-3-D69 08/10-P 09/02-F Duct Detector 2nd Mech Room M2-1 89471389 1-3-D18 08/10-P 09/02-P Duct Detector 2nd Corr 2025 89471362 1-7-D68 08/10-P Duct Detector 2nd Mech Room M2-2 89471358 1-3-D42 08/10-P Duct Detector 4th Attic Mech Room 418 89471360 1-1-D51 08/10-P 09/02-F Duct Detector Attic 17804442 1-1-D73 08/07-P 09/02-F

Device Total: 29 Return to Executive Summary

Page of 20 89

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)

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 6 5 1 6 6

Device Type Location ScanID Address Q3/24 Q3/25 Heat Detector 1st Bldg 1 Service Elevator 1 45935800 1-1-3 121 08/28-P Heat Detector Basement 43811969 1-1-3 113 08/05-P 08/28-P Heat Detector Basement 43811966 1-1-3 112 08/05-P 08/28-P Heat Detector Basement 16444055 1-1-3 113 08/05-P 08/28-P Heat Detector 5th Elevator Equipment-Laundry Rm 17804401 1-1-2 99 08/28-P Heat Detector 1st Bldg PC Staff Elevator 45356789 1-1-4 D23 08/28-F

Device Total: 6 Return to Executive Summary

Page of 21 89

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 41 40 1 41 50

Device Type Location ScanID Address Q3/24 Q3/25 Pull Station Basement For Bldg 26 20987376 1-1-3 M100 08/27-P Pull Station 1st Dock 45935539 1-1-3 118 08/05-P 08/25-P Pull Station 1st Hallway C1200 Near 1250-01 pharmacy area 43811879 1-1-3 152 08/05-P 08/25-P

Pull Station 1st Hallway C101 Near 1A 17804044 1-1-2 33 08/05-P 08/25-P Pull Station 1st Hallway PCC102 Near East

Stairwell 17803948 1-1-43 08/05-P 08/25-P

Pull Station 1st Hallway PCC101 Near PC107 Break rm-Stair 12

17803945 1-1-4 20 08/05-P 08/25-P

Pull Station Basement 17803650 1-1 08/05-P 08/25-P Pull Station Basement MB02 Fire Pump Rm

Inside of Records 17803802 1-1-3 11 08/05-P 08/25-P

Pull Station Basement Lobby Primary Care Exit 17803777 1-1-4 46 08/05-P 08/25-P Pull Station Basement MB10-01 Mech room 43811947 1-1-1 46 08/05-P 08/25-P Pull Station Basement Hallway C21 43811937 1-1-3 144 08/05-P 08/25-P Pull Station Basement Hallway C13 Near RR 17803735 1-1-3 12 08/05-P 08/25-P Pull Station Basement Hallway C11 Near 002A-01 17803701 1-1-3 92 08/05-P 08/25-P Pull Station Basement Hallway C01 Near

Elevators 43811914 1-1-3 4 08/05-P 08/25-P

Pull Station 1st Hallway C101 Near 1A 17803835 1-1-2 56 08/05-P 08/25-P Pull Station 1st Hallway 199 Near Welcome Kiosk 17803844 1-1-2 52 08/05-P 08/25-P Pull Station 1st Hallway C118 Near Elevators 17803846 1-1-3 22 08/05-P 08/25-P Pull Station 1st Hallway C111 Near 194-01 17803854 1-1-2 55 08/05-P 08/25-P Pull Station 1st Hallway PC100 Near PC140-01 17803867 1-1-2 64 08/05-P 08/25-P Pull Station 1st Hallway PCC110 Near PC150-01

& ER Vestible 17803894 1-1-4 30 08/05-P 08/25-P

Pull Station 1st Pharmacy Corridor 1202 Near Room 1227-01

43811882 1-1-2 124 08/05-P 08/25-P

Pull Station 1st Hallway office Pharmacy pt window

43811904 1-1-2 153 08/05-P 08/25-P

Pull Station 1st Hall PCC101 Near Stairwell 12- PC wait area

58237578 1-1-2 55 08/05-P 08/25-P

Pull Station 2nd Hallway C200A Near Elev 17804069 1-1-2 12 08/05-P 08/25-P Pull Station 4th 401-01 Treatment Room 17804431 1-1 08/05-P 08/25-P Pull Station 4th 407-01 Engineering 17804417 1-1 08/05-P 08/25-P Pull Station 1st Hallway PC114 Near Pharmacy 17803931 1-1-2 48 08/05-P 08/25-P

Page of 22 89

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

Device Type Location ScanID Address Q3/24 Q3/25 Pull Station 3rd Heros Haven Nurse Station

Hallway 43811819 1-1-1 51 08/05-P 08/25-P

Pull Station 3rd Hallway C319 17315069 1-1-159 08/05-P 08/25-P Pull Station 3rd Hallway C300 Near Elevator 43811805 1-1-1 30 08/25-P Pull Station 3rd North M3-1 Mech Room 17804993 1-1-42 08/05-P 08/25-P Pull Station 3rd 306A Behind Nurses Station 17804347 1-1-49 08/05-P 08/25-P Pull Station 3rd Corridor Corridor 17804361 1-1-L1 M22 08/05-P 08/25-P Pull Station 3rd 313-01 Recovery Near Nurse station 17804358 1-1-21 08/05-P 08/25-P

Pull Station 4th Elevator Lobby 17804175 1-1-1 2 08/05-P 08/25-P Pull Station 3rd North Hallway 17804151 1-1-23 08/05-P 08/25-P Pull Station 3rd Hallway C311 Near 366-01 17804162 1-1-65 08/05-P 08/25-P Pull Station 3rd Hallway C303 Near 304-01 17804129 1-1-1 36 08/05-P 08/25-P Pull Station 3rd 318 Nurses Station 17804123 1-1-1 37 08/05-P 08/25-P Pull Station 4th West Hallway 17804416 1-1-1 13 08/05-P 08/25-P Pull Station Basement For Bldg 26 28736478 1-1-3 M101 08/27-F Pull Station 2nd Hallway C200 Near 240-01 17804080 1-2-17 08/05-P Pull Station 2nd Hallway C202 Near 205-1 17804030 1-1-2 9 08/05-P Pull Station 2nd Hallway C205 Near 230-01 &

234-01 17804271 1-2--3 08/05-P

Pull Station 2nd Hallway C208 Next to Stairwell 17804091 1-2--20 08/05-P Pull Station 2nd Hallway Inside SDS surgery by rm 230-01 17804111 1-1-2 22 08/05-P

Pull Station 2nd M2-1 Mechanical Room 17804036 1-1-2 10 08/05-P Pull Station 2nd M2-2 Mechanical Room 17804099 1-2--21 08/05-P Pull Station 2nd M2-3 Mechanical Room 17804048 1-1-2 11 08/05-P Pull Station Basement Hallway C11 Near 008-01 17803711 1-1-3 13 08/05-P

Device Total: 50 Return to Executive Summary

Page of 23 89

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 82 80 2 82 88

Device Type Location ScanID Address Q3/24 Q3/25 Smoke Detector 2nd Hallway C207 17804269 1-1-2 4 08/05-P 09/08-P Smoke Detector 1st Hall C-119 Front of 1260-1 serv elev 43811906 1-1-3 87 09/08-P

Smoke Detector 1st Hallway C-120 Serv elev 43811912 1-1-3 86 09/08-P Smoke Detector Bsmt Hall C22 Near Service Elev 43811941 1-1 08/10-P 09/08-P Smoke Detector 1st Bldg 1 Service Elevator 2 45935799 1-1-3 124 09/08-P Smoke Detector 1st Bldg 1 Service Elevator 1 45935807 1-1-3 121 09/08-P Smoke Detector 2nd Hallway C201 Near 201-01 17804063 1-1-2 3 08/05-P 09/08-P Smoke Detector 2nd Hallway C200A Near Elev 17804067 1-2-2 29 08/10-P 09/08-P Smoke Detector 2nd Hall C201 Near 203-01 17804057 1-1-2 13 08/05-P 09/08-P Smoke Detector 2nd Hall C201 Near 202-01 17804058 1-1-2 49 08/05-P 09/08-P Smoke Detector 2nd Hallway C204 Near 216-01 17804042 1-1-2 41 08/05-P 09/08-P Smoke Detector 1st Hallway C118 Near Elevators 17803848 1-1-2 64 08/10-P 09/08-P Smoke Detector 2nd Hall C219 Near M2-5 & Elev 43811837 1-2--24 08/28-P Smoke Detector 4th Hallway C400 Elev Lobby 17804403 1-1-1 4 08/28-P Smoke Detector 4th Hallway C400 Elevator Lobby 17804173 1-1-1 4 08/28-P Smoke Detector 1st Hallway C110 Near Elevators 17803981 1-1-2 83 08/10-P 08/28-P Smoke Detector 1st Hall PCC114 Near pharmacy 17803933 1-1-2 9 08/05-P 08/28-P Smoke Detector 1st Hallway PCC104 Near PC

Elevator 17803937 1-1-2 9 08/10-P 08/28-P

Smoke Detector 1st Hall PCC113 Near Staff Elev 17803957 1-1-2 9 08/10-P 08/28-P Smoke Detector Basement Hallway C-12 Service Elev

Lobby 43811936 1-1-3 105 08/28-P

Smoke Detector Basement For Bldg 26 25365411 1-1-3 D101 08/27-P Smoke Detector Basement For Bldg 26 26335476 1-1-3 D100 08/27-P Smoke Detector 4th 43812030 1-1 08/05-P 08/25-P Smoke Detector Basement 43811968 1-1-3 114 08/05-P 08/25-P Smoke Detector 1st 1250-01 Hallway in Pharmacy

Corridor 43811881 1-1-3 110 08/05-P 08/25-P

Smoke Detector 1st Hall C1200 Near Booth in Pharmacy

43811877 1-1-3 108 08/05-P 08/25-P

Smoke Detector 2nd Hall Between bldg 1 and 2 43811840 1-1-2 52 08/05-P 08/25-P Smoke Detector 4th Alarm Panel Room 17804429 1-1-69 08/05-P 08/25-P Smoke Detector 1st Emergency Public Entrance 17804020 1-1-2 99 08/05-P 08/25-P Smoke Detector 1st Hallway PC138 Near PC140-01 17804019 1-1-2 33 08/05-P 08/25-P

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

Device Type Location ScanID Address Q3/24 Q3/25 Smoke Detector 1st 125-01 Reception Near 124-01

RR

17803987 1-1-2 80 08/05-P 08/25-P

Smoke Detector 1st 125-01 Reception Near 125-01 17803985 1-1-2 76 08/05-P 08/25-P Smoke Detector 1st Hallway PC138 Near PC140-01 17803865 1-1-2 39 08/05-P 08/25-P Smoke Detector 1st Hall PC138 Near ER Waiting 17803863 1-1-2 80 08/05-P 08/25-P Smoke Detector 1st Hallway PC132 Near E101-01 17803862 1-1-2 34 08/05-P 08/25-P Smoke Detector 1st Hallway PC132 Near 194-01 17803858 1-1-2 66 08/05-P 08/25-P Smoke Detector 1st Hall PCC105 Near Pharmacy 17803902 1-1-4 37 08/05-P 08/25-P Smoke Detector 1st PC141 Recept Behind desk 17803871 1-1-2 36 08/05-P 08/25-P Smoke Detector 1st PC136 AOD Near AOD desk 17803872 1-1-2 37 08/05-P 08/25-P Smoke Detector 1st Hall PCC107 Near PC163-01 17803884 1-1-2 12 08/05-P 08/25-P Smoke Detector 1st Hall PC137 Near PC143-01 17803874 1-1-2 11 08/05-P 08/25-P Smoke Detector 1st PC142 Interview Near PC143-01 17803875 1-1-2 10 08/05-P 08/25-P Smoke Detector 1st Hallway C111 Near 194-01 17803856 1-1-2 2 08/05-P 08/25-P Smoke Detector 1st 198 Waiting area Near Front Entry 17803849 1-1-2 78 08/05-P 08/25-P Smoke Detector 1st North Hallway C100 Near 1A 17803841 1-1-2 58 08/05-P 08/25-P Smoke Detector 1st Hallway C101 Near 1A 17803833 1-1-2 1 08/05-P 08/25-P Smoke Detector 1st Hallway C102 Near 1A 17803832 1-1-2 45 08/05-P 08/25-P Smoke Detector Basement Hall C11 Patriots cafe 17803704 1-1-3 77 08/05-P 08/25-P Smoke Detector 1st Hall PC137 Near PC136-01 17315070 1-1-2 5 08/05-P 08/25-P Smoke Detector 1st 113 Laundry Room Inside 1A 16444059 1-1-2 99 08/05-P 08/25-P Smoke Detector 1st PC115 Mech rm Near PC114 16444006 1-1-2 1 08/05-P 08/25-P Smoke Detector 1st Hall 1212 Pharmacy Office 43811902 1-1-2 66 08/05-P 08/25-P Smoke Detector 1st 1-1247 Pharmacy Counseling

Booth 58237563 1-1-3 109 08/05-P 08/25-P

Smoke Detector Basement 040-01 Records 17803765 1-1-3 44 08/05-P 08/25-P Smoke Detector Basement Hallway C13 Near PC 17803743 1-1-4 18 08/05-P 08/25-P Smoke Detector Basement Stairwell S02 Near Elev 43811962 1-1-3 38 08/10-P 08/25-P Smoke Detector Bsmt Hall C21 Near Service Elev 43811928 1-1-3 95 08/10-P 08/25-P Smoke Detector Basement Hallway C20 Near MB-01 43811920 1-1-3 96 08/05-P 08/25-P Smoke Detector Bsmt Hall C15 Near 050-01 & MB4-01 43811916 1-1-3 97 08/05-P 08/25-P Smoke Detector Basement Hall C11 Near 008-01

Vending 17803709 1-1-3 8 08/05-P 08/25-P

Smoke Detector 3rd Hallway C320 Near Elev 43811810 1-1-3 85 08/10-P 08/25-P Smoke Detector 3rd Hallway C301 Near 329-01 & 303-

17804134 1-1-1 63 08/05-P 08/25-P

Smoke Detector 3rd Heros Haven Hall In rm 3B341-01 43811827 1-1-24 08/05-P 08/25-P Smoke Detector 3rd Heros Haven Hallway In room

3B344-01 43811826 1-1-28 08/05-P 08/25-P

Smoke Detector 3rd Heros Haven Hall In rm 3B345-01 43811825 1-1-25 08/05-P 08/25-P Smoke Detector 3rd Heros Haven Hallway In room 43811824 1-1-26 08/05-P 08/25-P

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

Device Type Location ScanID Address…