2025-09-15_Fayetteville-VAMC-Bldg-21_FireScan.pdf

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

For

Fayetteville VAMC Bldg 21 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 21 Company: Vets Fire & Life Safety Contact: Travis Ryan Contact: Rod Davis

Title: Safety Specialist Title: Manager Fire Alarm Testing Report

Page of 1 53 Executive Summary

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

Executive Summary Generated by: BuildingReports.com

Building Information Building: Fayetteville VAMC Bldg 21 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

Page of 2 53

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

Inspection Completion Date: Sep 15, 2025 Building: Fayetteville VAMC Bldg 21 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 18 18 0 18 0 18

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 13 13 0 13 0 13

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 12 8 4 12 0 12

Heat Detector 5 5 0 5 0 5

Pull Station 33 33 0 33 0 33

Smoke Detector 53 53 0 53 0 53

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 8 8 0 8 0 8

Speaker 166 166 0 166 0 166

Speaker/Strobe 2 2 0 2 0 2

Strobe 115 115 0 115 0 115

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 12 8 4 12 0 12

Fan Shutdown 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 Battery 6 2 4 6 0 6

Page of 3 53

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 Power Supply 3 2 1 3 0 3

Programmable Relay 13 13 0 13 0 13

Special Control 2 2 0 2 0 2

Total Device Count: 451

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

Certification

Company: Vets Fire & Life Safety Building: Fayetteville VAMC Bldg 21

Inspector: Rod Davis Contact: Travis Ryan

Page of 5 53 Discrepancy Report

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

Discrepancy Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 21 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 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

45365438 2nd By Room 2312 In Corr Failed Operation 1-7-D67 NFPA72 14.2.2.3.1

89471346 2nd Exam Room 2190 Failed Operation 1-7-D20 NFPA72 14.2.2.3.1

89471345 2nd Physicians Room 2199 Failed Operation 1-7-D63 NFPA72 14.2.2.3.1

89471342 Penthouse Mechanical Room South Failed Operation 1-3-D64 NFPA72 14.2.2.3.1

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

45935526 1st 1E03-21 Date Expired 1-1-none NFPA72 Table

14.4.3.2 (9)(5)

45935528 1st 1E03-21 Date Expired 1-1-none NFPA72 Table

14.4.3.2 (9)(5)

58237848 2nd Electrical Room 2E03-21 Date Expired 1-1-none NFPA72 Table

14.4.3.2 (9)(5)

58237849 2nd Electrical Room 2E03-21 Date Expired 1-1-none NFPA72 Table

14.4.3.2 (9)(5)

Power Supply

36723678 1st 1st Electrical Room 1E03-21 Failed Test 1-1-24 NFPA72 Table

14.4.3.2 (2)

Code References NFPA72 14.2.2.3.1 System deficiencies shall be corrected.

NFPA72 Table 14.4.3.2 (9) (5)

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

NFPA72 Table 14.4.3.2 (2) 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 of detection of loss of ac power and disconnection of secondary batteries.

javascript:editViewDevice('45365438');

javascript:editViewDevice('89471346');

javascript:editViewDevice('89471345');

javascript:editViewDevice('89471342');

javascript:editViewDevice('45935526');

javascript:editViewDevice('45935528');

javascript:editViewDevice('58237848');

javascript:editViewDevice('58237849');

javascript:editViewDevice('36723678');

Page of 6 53 Proposed Solutions Report

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

Proposed Solutions Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 21 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 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 45365438 2nd By Room 2312 In Corr Investigate T/M 89471346 2nd Exam Room 2190 Investigate T/M 89471345 2nd Physicians Room 2199 Investigate T/M 89471342 Penthouse Mechanical Room South 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 45935526 1st 1E03-21 Replace Battery T/M 45935528 1st 1E03-21 Replace Battery T/M 58237848 2nd Electrical Room 2E03-21 Replace Battery T/M 58237849 2nd Electrical Room 2E03-21 Replace Battery T/M

Power Supply 36723678 1st 1st Electrical Room 1E03-21 Replace Battery T/M

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

Page of 7 53 Notes & Recommendations

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

Notes & Recommendations Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 21 Control Panel: 1 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 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)

1 Tamper Switch 1st Above Ceiling Hallway Outside Stair 3 Passed 43812285 Testing Done By Others

2 Tamper Switch 1st Above Ceiling Outside Stair 4 at fire doors

Passed 43812276

Testing Done By Others 3 Tamper Switch 1st Above Ceiling Stair 4-At Bldg 2 Entry Passed 43812278

Testing Done By Others 4 Tamper Switch 1st Stair 3 Central Corridor Passed 46717332

Testing Done By Others 5 Tamper Switch 1st Stair 3 East Clear Story Passed 46717327

Testing Done By Others 6 Tamper Switch 1st Stair 4 West C Area/MRI Hall Passed 46717400

Testing Done By Others 7 Tamper Switch 2nd Stair 3 Central Corridor Passed 46717316

Testing Done By Others 8 Tamper Switch 2nd Stair 3 East Clear Story Passed 46717321

Testing Done By Others 9 Tamper Switch 2nd Stair 4 West C & D Areas Passed 46717392

Testing Done By Others 10 Tamper Switch 3rd East Side Penthouse Passed 46717372

Testing Done By Others 11 Tamper Switch 3rd Stair 4 Main Corridor Passed 46717385

Testing Done By Others 12 Tamper Switch 3rd West Side Penthouse Passed 46717378

Testing Done By Others 13 Tamper Switch Above Ceiling Access Pnl Bldg 21/Pharmacy Passed 43812280

Testing Done By Others 14 Tamper Switch Basement Above Ceiling Outside Passed 46717363

Testing Done By Others 15 Tamper Switch Basement Above Ceiling Women's restroom

/Elev Pit Passed 46717405 javascript:editViewDevice('43812285');

javascript:editViewDevice('43812276');

javascript:editViewDevice('43812278');

javascript:editViewDevice('46717332');

javascript:editViewDevice('46717327');

javascript:editViewDevice('46717400');

javascript:editViewDevice('46717316');

javascript:editViewDevice('46717321');

javascript:editViewDevice('46717392');

javascript:editViewDevice('46717372');

javascript:editViewDevice('46717385');

javascript:editViewDevice('46717378');

javascript:editViewDevice('43812280');

javascript:editViewDevice('46717363');

javascript:editViewDevice('46717405');

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

Note Device Type Location Comment ScanID Testing Done By Others 16 Tamper Switch Basement Stair 3 Central Corridor Passed 46717340

Testing Done By Others 17 Tamper Switch Basement Stair 3 East Side Passed 46717338

Testing Done By Others 18 Tamper Switch Basement Stair 3 West Side Passed 46717342

Testing Done By Others

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) 19 Waterflow Switch 1st Stair 3 Central Corridor Passed 46717334

Testing Done By Others 20 Waterflow Switch 1st Stair 3 East Clear Story Passed 46717329

Testing Done By Others 21 Waterflow Switch 1st Stair 4 West C Area/MRI Hall Passed 46717402

Testing Done By Others 22 Waterflow Switch 2nd Stair 3 Central Corridor Passed 46717317

Testing Done By Others 23 Waterflow Switch 2nd Stair 3 East Clear Story Passed 46717323

Testing Done By Others 24 Waterflow Switch 2nd Stair 4 West C & D Areas Passed 46717393

Testing Done By Others 25 Waterflow Switch 3rd East Side Penthouse Passed 46717373

Testing Done By Others 26 Waterflow Switch 3rd Stair 4 Main Corridor Passed 46717386

Testing Done By Others 27 Waterflow Switch 3rd West Side Penthouse Passed 46717379

Testing Done By Others 28 Waterflow Switch Basement Above Ceiling Outside-elev equip room Passed 46717364

Testing Done By Others 29 Waterflow Switch Basement Stair 3 Central Corridor Passed 46717344

Testing Done By Others 30 Waterflow Switch Basement Stair 3 East Side Passed 46717350

Testing Done By Others 31 Waterflow Switch Basement Stair 3 West Side Passed 46717346

Testing Done By Others

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) 32 Smoke Detector 1st Cardio Waiting Passed 45935456

Disabled Upon Arrival 33 Duct Detector 2nd By Room 2312 In Corr Failed Operation 45365438

Did Not Shut Down Unit 34 Duct Detector 2nd Exam Room 2158 Passed 89471348 javascript:editViewDevice('46717340');

javascript:editViewDevice('46717338');

javascript:editViewDevice('46717342');

javascript:editViewDevice('46717334');

javascript:editViewDevice('46717329');

javascript:editViewDevice('46717402');

javascript:editViewDevice('46717317');

javascript:editViewDevice('46717323');

javascript:editViewDevice('46717393');

javascript:editViewDevice('46717373');

javascript:editViewDevice('46717386');

javascript:editViewDevice('46717379');

javascript:editViewDevice('46717364');

javascript:editViewDevice('46717344');

javascript:editViewDevice('46717350');

javascript:editViewDevice('46717346');

javascript:editViewDevice('45935456');

javascript:editViewDevice('45365438');

javascript:editViewDevice('89471348');

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

Note Device Type Location Comment ScanID Shuts Down Unit 35 Duct Detector 2nd Exam Room 2165 Passed 89471347

Shuts Down Unit 36 Duct Detector 2nd Exam Room 2190 Failed Operation 89471346

Did Not Shut Down Unit 37 Duct Detector 2nd Physicians Room 2199 Failed Operation 89471345

Did Not Shut Down Unit 38 Duct Detector 2nd Storage Room 2274 Passed 89471350

Shuts Down Unit 39 Duct Detector Penthouse Mechanical Room South Failed Operation 89471342

Did Not Shut Down Unit 40 Duct Detector Penthouse Mechanical Room West Passed 89471343

Shuts Down Unit javascript:editViewDevice('89471347');

javascript:editViewDevice('89471346');

javascript:editViewDevice('89471345');

javascript:editViewDevice('89471350');

javascript:editViewDevice('89471342');

javascript:editViewDevice('89471343');

Page of 10 53 Inspection & Testing

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

Inspection & Testing Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 21 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 18 18 0 18 18

Device Type Location ScanID Address Q3/24 Q3/25 Tamper Switch Basement Above Ceiling Women's restroom/Elev Pit 46717405 1-1 08/20-P 09/15-P

Tamper Switch 1st Stair 4 West C Area/MRI Hall 46717400 1-1-L6 M40 08/20-P 09/15-P Tamper Switch 2nd Stair 4 West C & D Areas 46717392 1-1-L7 M60 08/20-P 09/15-P Tamper Switch 3rd Stair 4 Main Corridor 46717385 1-1-L7 M87 08/20-P 09/15-P Tamper Switch 3rd West Side Penthouse 46717378 1-1-L7 M85 08/20-P 09/15-P Tamper Switch 3rd East Side Penthouse 46717372 1-1-L7 M83 08/20-P 09/15-P Tamper Switch Basement Above Ceiling Outside 46717363 1-1-L6 M48 08/20-P 09/15-P Tamper Switch Basement Stair 3 West Side 46717342 1-1-L6 M7 08/20-P 09/15-P Tamper Switch Basement Stair 3 Central Corridor 46717340 1-1-L6 M5 08/20-P 09/15-P Tamper Switch Basement Stair 3 East Side 46717338 1-1-L6 M9 08/20-P 09/15-P Tamper Switch 1st Stair 3 Central Corridor 46717332 1-1-L6 M28 08/20-P 09/15-P Tamper Switch 1st Stair 3 East Clear Story 46717327 1-1-L6 M26 08/20-P 09/15-P Tamper Switch 2nd Stair 3 East Clear Story 46717321 1-1-L7 M54 08/20-P 09/15-P Tamper Switch 2nd Stair 3 Central Corridor 46717316 1-1-L7 M56 08/20-P 09/15-P Tamper Switch 1st Above Ceiling Hallway Outside

Stair 3 43812285 1-1-L6 M 08/20-P 09/15-P

Tamper Switch Above Ceiling Access Pnl Bldg 21 /Pharmacy

43812280 1-1-L6 M54 08/20-P 09/15-P

Tamper Switch 1st Above Ceiling Stair 4-At Bldg 2 Entry

43812278 1-1-L6 M 08/20-P 09/15-P

Tamper Switch 1st Above Ceiling Outside Stair 4 at fire doors

43812276 1-1-L6 M150 08/20-P 09/15-P

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

Device Type Location ScanID Address Q3/24 Q3/25

Device Total: 18 Return to Executive Summary

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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 13 13 0 13 13

Device Type Location ScanID Address Q3/24 Q3/25 Waterflow Switch 1st Stair 4 West C Area/MRI Hall 46717402 1-1-L6 M41 08/20-P 09/15-P Waterflow Switch 2nd Stair 4 West C & D Areas 46717393 1-1-L7 M59 08/20-P 09/15-P Waterflow Switch 3rd Stair 4 Main Corridor 46717386 1-1-L7 M86 08/20-P 09/15-P Waterflow Switch 3rd West Side Penthouse 46717379 1-1-L7 M84 08/20-P 09/15-P Waterflow Switch 3rd East Side Penthouse 46717373 1-1-L7 M82 08/20-P 09/15-P Waterflow Switch Basement Above Ceiling Outside-elev equip room 46717364 1-1-L6 M47 08/20-P 09/15-P

Waterflow Switch Basement Stair 3 East Side 46717350 1-1-L6 M8 08/20-P 09/15-P Waterflow Switch Basement Stair 3 West Side 46717346 1-1-L6 M6 08/20-P 09/15-P Waterflow Switch Basement Stair 3 Central Corridor 46717344 1-1-L6 M4 08/20-P 09/15-P Waterflow Switch 1st Stair 3 Central Corridor 46717334 1-1-L6 M27 08/20-P 09/15-P Waterflow Switch 1st Stair 3 East Clear Story 46717329 1-1-L6 M25 08/20-P 09/15-P Waterflow Switch 2nd Stair 3 East Clear Story 46717323 1-1-L7 M53 08/20-P 09/15-P Waterflow Switch 2nd Stair 3 Central Corridor 46717317 1-1-L7 M55 08/20-P 09/15-P

Device Total: 13 Return to Executive Summary

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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 12 8 4 12 12

Device Type Location ScanID Address Q3/24 Q3/25 Duct Detector 3rd Penthouse East 58237794 1-1-7 73 08/06-P 09/08-P Duct Detector 1st Mechanical Room 1188 45935533 1-1 08/06-P 09/08

Removed Duct Detector 1st 1188 Mechanical Room 45935531 1-1 08/06-P 09/08

Removed Duct Detector 2nd Corr 2025 East 89471351 1-7-D75 08/10-P 09/08-P Duct Detector 2nd Exam Room 2131 89471349 1-7-D66 08/10-P 09/08-P Duct Detector 2nd Exam Room 2237 89471344 1-7-D67 08/10-P 09/08-P Duct Detector 2nd Exam Room 2158 89471348 1-7-D72 08/10-F 09/02-P Duct Detector 2nd Exam Room 2165 89471347 1-7-D71 08/10-F 09/02-P Duct Detector 2nd Storage Room 2274 89471350 1-7-D65 08/10-P 09/02-P Duct Detector 2nd By Room 2312 In Corr 45365438 1-7-D67 09/02-F Duct Detector 2nd Physicians Room 2199 89471345 1-7-D63 08/10-F 09/02-F Duct Detector 2nd Exam Room 2190 89471346 1-7-D20 08/10-P 09/02-F Duct Detector Penthouse Mechanical Room West 89471343 1-3-D78 08/10-P 09/02-P Duct Detector Penthouse Mechanical Room South 89471342 1-3-D64 08/10-P 09/02-F

Device Total: 12 Return to Executive Summary

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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 5 5 0 5 5

Device Type Location ScanID Address Q3/24 Q3/25 Heat Detector Basement Elevator Equipment rm 43812008 1-1-L6 ? 08/28-P Heat Detector Basement Elevator Equipment rm 43812007 1-1-L6 ? 08/28-P Heat Detector Basement Elevator Pit 43812004 1-1-6 107 08/28-P Heat Detector Basement Elevator Pit 43812003 1-1-6 105 08/28-P Heat Detector Basement Elevator Pit 43812002 1-1-6 106 08/28-P

Device Total: 5 Return to Executive Summary

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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 33 33 0 33 33

Device Type Location ScanID Address Q3/24 Q3/25 Pull Station Penthouse Exit by Stairs 43812052 1-1-L6 65 08/05-P 08/25-P Pull Station Basement 45935338 1-1-L6 1 08/05-P 08/25-P Pull Station Basement 45935350 1-1-L6 3 08/05-P 08/25-P Pull Station Basement Rear Electric Room 58238885 1-6-121 08/05-P 08/25-P Pull Station Basement Electric Room 58238886 1-1-L6 1 08/05-P 08/25-P Pull Station Basement Electric Room 58238888 1-1 08/05-P 08/25-P Pull Station Basement Electric Room 58238890 1-1 08/05-P 08/25-P Pull Station Basement 45935340 1-1-L6 2 08/05-P 08/25-P Pull Station 3rd Penthouse East 58240778 1-1-7-70 08/05-P 08/25-P Pull Station 3rd Penthouse East 58237790 1-1-7-66 08/05-P 08/25-P Pull Station 3rd Penthouse West 58237788 1-1-7-62 08/05-P 08/25-P Pull Station 3rd Penthouse Western Most 58237785 1-1-L6 1 08/05-P 08/25-P Pull Station 3rd 3rd Floor Exit to Roof 58237782 1-1-L6 1 08/05-P 08/25-P Pull Station 3rd Outside from Lab 43812072 1-1-L6 27 08/05-P 08/25-P Pull Station 3rd Stair 6 Exit 43812051 1-1-L6 28 08/05-P 08/25-P Pull Station 2nd Main Corridor Hallway 58237600 1-7-57 08/05-P 08/25-P Pull Station 2nd Across 2nd Floor Exam Rooms

2328-21 58237646 1-1-L6 3 08/05-P 08/25-P

Pull Station 3rd Penthouse East 58237795 1-1-7-69 08/05-P 08/25-P Pull Station 2nd Womens Clinic Rear Hall Exit 58238878 1-1-121 08/05-P 08/25-P Pull Station 1st Main Corridor Hallway 45935515 1-1-120 08/05-P 08/25-P Pull Station 1st Hallway by Stair 3 45935507 1-1-121 08/05-P 08/25-P Pull Station 1st Main Corridor Exit to MRI 45935457 1-6-29 08/05-P 08/25-P Pull Station 1st Main Lobby Entrance 45935449 1-6-30 08/05-P 08/25-P Pull Station 1st Main Corridor Hallway 45935417 1-1-L6 33 08/05-P 08/25-P Pull Station 1st Vestibule Main Entrance 45935448 1-6-31 08/05-P 08/25-P Pull Station 1st Hallway by Stairwell 2 45935398 1-6-32 08/05-P 08/25-P Pull Station 1st Hallway by 1111 Radiology nursing 45935377 1-6-35 08/05-P 08/25-P

Pull Station 1st Hallway by Stairwell 4 45935376 1-6-34 08/05-P 08/25-P Pull Station 1st MB-3 Mechanical Room 16444070 1-1-L3 73 08/05-P 08/25-P Pull Station 2nd Stair 3 Exit 58237610 1-7-51 08/05-P 08/25-P Pull Station 2nd Hallway by Stairs 2 58237633 1-7-61 08/05-P 08/25-P Pull Station 3rd Stair 4 Exit 43812078 1-1-L7 78 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 Pull Station 3rd Across from Lab 43812074 1-1-L7 71 08/05-P 08/25-P

Device Total: 33 Return to Executive Summary

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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 53 53 0 53 53

Device Type Location ScanID Address Q3/24 Q3/25 Smoke Detector 1st Cardio Waiting 45935456 1-1-6-50 08/05-P 08/28-P Smoke Detector 1st Elevator Lobby 43812001 1-1-6 27 08/28-P Smoke Detector 2nd Elevator Lobby 43811999 1-1-7 53 08/28-P Smoke Detector 3rd Elevator Lobby 43812000 1-1-7 73 08/28-P Smoke Detector Basement 45935358 1-1-L6 12 08/05-P 08/25-P Smoke Detector Basement 45935356 1-1-L6 14 08/05-P 08/25-P Smoke Detector Basement 45935354 1-1-L6 15 08/05-P 08/25-P Smoke Detector Basement 45935351 1-1-L6 13 08/05-P 08/25-P Smoke Detector Basement 45935349 1-1-6 5 08/05-P 08/25-P Smoke Detector Basement 45935346 1-1-6 4 08/05-P 08/25-P Smoke Detector Basement 45935344 1-1-6 6 08/05-P 08/25-P Smoke Detector Basement 45935341 1-1-6 3 08/05-P 08/25-P Smoke Detector Basement 43812006 1-1-L6 08/05-P 08/25-P Smoke Detector Basement 43812005 1-1-6 108 08/05-P 08/25-P Smoke Detector Basement 45935361 1-1-L6 16 08/05-P 08/25-P Smoke Detector Basement 45935362 1-1-L6 7 08/05-P 08/25-P Smoke Detector Basement 46717360 1-1-L6 7 08/05-P 08/25-P Smoke Detector 1st Hallway by Lab/Blood draw lobby 45935433 1-1-7 08/05-P 08/25-P Smoke Detector 1st 45935380 1-1-7 08/05-P 08/25-P Smoke Detector 1st 45935379 1-1-7 08/05-P 08/25-P Smoke Detector 1st Main Lobby Blood Draw 45935438 1-1 08/05-P 08/25-P Smoke Detector 1st Main Corridor By Restrooms 45935454 1-1-6 49 08/05-P 08/25-P Smoke Detector 1st Main Corridor Hallway 45935513 1-1-3 19 08/05-P 08/25-P Smoke Detector 1st Hallway by 1300 Check Out 45935496 1-1-6 41 08/05-P 08/25-P Smoke Detector 1st Dental Reception 45935495 1-1-6 21 08/05-P 08/25-P Smoke Detector 1st Dental Clinic Reception 45935494 1-1-7 08/05-P 08/25-P Smoke Detector 1st Main Corridor Hallway 45935490 1-1-3 23 08/05-P 08/25-P Smoke Detector 1st Main Corridor Hallway 45935487 1-1-3 24 08/05-P 08/25-P Smoke Detector 1st Main Corridor Hallway 45935458 1-1-3 26 08/05-P 08/25-P Smoke Detector 1st Women?s Restroom 45935455 1-1-7 51 08/05-P 08/25-P Smoke Detector 1st Main Corridor Hallway 45935461 1-1-3 25 08/05-P 08/25-P Smoke Detector 1st Main Corridor Hallway 45935491 1-1-3 22 08/05-P 08/25-P Smoke Detector 1st Main Corridor Hallway 45935516 1-1-3 18 08/05-P 08/25-P Smoke Detector 1st Main Corridor Hallway 45935519 1-1-7 08/05-P 08/25-P

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Device Type Location ScanID Address Q3/24 Q3/25 Smoke Detector 1st Cardio Pulmonary Lobby 45935520 1-1-7 08/05-P 08/25-P Smoke Detector 1st 58237806 1-1-7 08/05-P 08/25-P Smoke Detector 1st Hallway by 1105 Clean Linen 63734449 1-1-7 08/05-P 08/25-P Smoke Detector 1st Hallway by 1105 Clean Linen 63734450 1-1-7 08/05-P 08/25-P Smoke Detector 2nd Surgical Clinics Reception 58237621 1-1 08/05-P 08/25-P Smoke Detector 2nd Main Corridor Hallway 58237614 1-1 08/05-P 08/25-P Smoke Detector 2nd Main Corridor Hallway 58237611 1-1 08/05-P 08/25-P Smoke Detector 2nd Main Corridor Hallway 58237608 1-1 08/05-P 08/25-P Smoke Detector 2nd Main Corridor Hallway 58237607 1-1 08/05-P 08/25-P Smoke Detector 2nd Main Corridor Hallway 58237605 1-1 08/05-P 08/25-P Smoke Detector 2nd Main Corridor Hallway 58237603 1-1 08/05-P 08/25-P Smoke Detector 2nd Womens Restroom 58237602 1-1-7 51 08/05-P 08/25-P Smoke Detector 2nd Main Corridor Hallway 58237595 1-1 08/05-P 08/25-P Smoke Detector 2nd Main Corridor Hallway 58237594 1-1-6 48 08/05-P 08/25-P Smoke Detector 2nd Main Corridor Hallway 58237590 1-1 08/05-P 08/25-P Smoke Detector 2nd Mens Restroom 58237585 1-1-7 60 08/05-P 08/25-P Smoke Detector 2nd Main Corridor Hallway 58237589 1-1-3 47 08/05-P 08/25-P Smoke Detector 2nd Outside Womens Clinic 58237623 1-1 08/05-P 08/25-P Smoke Detector 2nd Outside Main Corridor Restroom 58237587 1-1-7 50 08/05-P 08/25-P

Device Total: 53 Return to Executive Summary

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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)

Test interface equipment connections by operating or simulating the equipment being supervised. Verify signals required to be transmitted are received at the control unit. (NFPA 72-22 Table 14.4.3.2 (20)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Releasing Device 8 8 0 8 8

Device Type Location ScanID Address Q3/24 Q3/25 Releasing Device 1st Main Corridor Hallway 45935381 1-1 08/06-P 09/08-P Releasing Device 1st Main Corridor Hallway 58237805 1-1 08/06-P 09/08-P Releasing Device 2nd Main Corridor Hallway 58237596 1-1 08/06-P 09/08-P Releasing Device 2nd Main Corridor Hallway 58237597 1-1 08/06-P 09/08-P Releasing Device 1st Main Corridor Hallway 45935418 1-1 08/06-P 09/08-P Releasing Device 1st Main Corridor Hallway 5823733 1-1 08/06-P 09/08-P Releasing Device 1st Main Corridor Hallway 45935419 1-1 08/06-P 09/08-P Releasing Device 1st Main Corridor Hallway 45935383 1-1 08/06-P 09/08-P

Device Total: 8 Return to Executive Summary

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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 166 166 0 166 166

Device Type Location ScanID Address Q3/24 Q3/25 Speaker 1st 1188 Mechanic Room 16444076 1-1 08/06-P 09/08-P Speaker Basement Electric Room 58238891 1-1 08/06-P 09/08-P Speaker Basement 45935306 1-1 08/06-P 09/08-P Speaker 2nd South Hallway at Back South

2208-21 58237651 1-1 08/06-P 09/08-P

Speaker 2nd Hallway by 2195 Secretary 58237643 1-1 08/06-P 09/08-P Speaker Basement 45935295 1-1 08/06-P 09/08-P Speaker Basement 45935292 1-1 08/06-P 09/08-P Speaker Basement 45935294 1-1 08/06-P 09/08-P Speaker Basement 45935305 1-1 08/06-P 09/08-P Speaker 2nd 58237626 1-1 08/06-P 09/08-P Speaker 2nd Hallway by 2190 Exam 58237641 1-1 08/06-P 09/08-P Speaker 2nd Hallway by 2169 Exam 58237637 1-1 08/06-P 09/08-P Speaker Basement 45935311 1-1 08/06-P 09/08-P Speaker 1st Hallway 45935404 1-1 08/06-P 09/08-P Speaker Basement 45935309 1-1 08/06-P 09/08-P Speaker Basement 45935337 1-1 08/06-P 09/08-P Speaker Basement Electric Room 58238887 1-1 08/06-P 09/08-P Speaker 2nd 3rd Hallway from South 2286-1 58237658 1-1 08/06-P 09/08-P Speaker 2nd Second Hall from South Hallwat

2303-21 58237656 1-1 08/06-P 09/08-P

Speaker 2nd Second Hall from South Hallwat 2303-21

58237655 1-1 08/06-P 09/08-P

Speaker 2nd Back Hallway 2311-21 58237653 1-1 08/06-P 09/08-P Speaker 2nd Hallway 2320-21 58237649 1-1 08/06-P 09/08-P Speaker 2nd Women?s Clinic 2124-21 58238884 1-1 08/06-P 09/08-P Speaker 2nd 3rd Hall from South Back hallway

2272-21 58237663 1-1 08/06-P 09/08-P

Speaker 2nd Women?s Clinic 2125-21 58238883 1-1 08/06-P 09/08-P Speaker 2nd Women?s Clinic Lobby restroom 58238879 1-1 08/06-P 09/08-P Speaker 3rd Penthouse East 58237797 1-1 08/06-F 09/08-P Speaker 2nd 6th Hallway from South Rm 2228-

58237682 1-1 08/06-P 09/08-P

Speaker 2nd 5th hallway from south Near RR 2244-21

58237673 1-1 08/06-P 09/08-P

Speaker 2nd 4th Hallway from South 2269-21 58237668 1-1 08/06-P 09/08-P

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

Device Type Location ScanID Address Q3/24 Q3/25 Speaker 2nd 4th Hallway from South 2269-21 58237666 1-1 08/06-P 09/08-P Speaker 2nd 4th Hallway from South 2269-21 58237667 1-1 08/06-P 09/08-P Speaker 2nd Women?s Clinic 2129-21 58238882 1-1 08/06-P 09/08-P Speaker 2nd 3rd Hall from South Hallway

2278-21 58237661 1-1 08/06-P 09/08-P

Speaker 2nd 3rd Hall from South Back hallway 2275-21

58237662 1-1 08/06-P 09/08-P

Speaker 2nd Women?s Clinic 2135-21 58238881 1-1 08/06-P 09/08-P Speaker 2nd Women?s Clinic Lobby 58238880 1-1 08/06-P 09/08-P Speaker 3rd Micro Lab Off Bio 3110-21 58237802 1-1 08/06-P 09/08-P Speaker 3rd Penthouse East 58237792 1-1 08/06-F 09/08-P Speaker 2nd Surgery Unit 1st Hall from Back hall 2199-21 58237688 1-1 08/06-P 09/08-P

Speaker 2nd Surgery Unit 1st Hall S Outside of RR

58237686 1-1 08/06-P 09/08-P

Speaker 2nd 4th Hallway from South Front hallway 2260-21

58237670 1-1 08/06-P 09/08-P

Speaker 2nd Hallway South At Back Hallway 2238-21

58237676 1-1 08/06-P 09/08-P

Speaker 2nd 5th hallway from south Near RR 2244-21

58237672 1-1 08/06-P 09/08-P

Speaker 2nd Surgery Unit Hall From S Outside of RR

58237684 1-1 08/06-P 09/08-P

Speaker 2nd 6th Hallway from South At 2222-

58237683 1-1 08/06-P 09/08-P

Speaker 2nd 6th hallway From South Rm 2231-21

58237680 1-1 08/06-P 09/08-P

Speaker 2nd Back Hall Between 5th-6th Hall 2235-21

58237677 1-1 08/06-P 09/08-P

Speaker 2nd Hallway by Bathroom 2187 58237640 1-1 08/06-P 09/08-P Speaker 2nd Hallway by 2183 Clerk 58237638 1-1 08/06-P 09/08-P Speaker 2nd Hallway by 2154 Exam 58237628 1-1 08/06-P 09/08-P Speaker 2nd Hallway by 2167 Exam 58237635 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1313 Staff Dentist 45935512 1-1 08/06-P 09/08-P Speaker 2nd Hallway by 2T01 58237634 1-1 08/06-P 09/08-P Speaker 2nd Hallway by 2160 Storage 58237630 1-1 08/06-P 09/08-P Speaker 2nd Hallway by 2171 Patient Intake 58237627 1-1 08/06-P 09/08-P Speaker 2nd 58237622 1-1 08/06-P 09/08-P Speaker 2nd Main Corridor Hallway 58237609 1-1 08/06-P 09/08-P Speaker 2nd 58237620 1-1 08/06-P 09/08-P Speaker 2nd 58237619 1-1 08/06-P 09/08-P Speaker 2nd 58237618 1-1 08/06-P 09/08-P

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Device Type Location ScanID Address Q3/24 Q3/25 Speaker 2nd 58237615 1-1 08/06-P 09/08-P Speaker 2nd Main Corridor Hallway 58237612 1-1 08/06-P 09/08-P Speaker 2nd 58237606 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1289 Closet 45935484 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1317 Chief Dental

Service 45935510 1-1 08/06-P 09/08-P

Speaker 1st Main Lobby Entrance 45935446 1-1 08/06-P 09/08-P Speaker 2nd 58237604 1-1 08/06-P 09/08-P Speaker 2nd Main Corridor Hallway 58237593 1-1 08/06-P 09/08-P Speaker 2nd Main Corridor Hallway 58237592 1-1 08/06-P 09/08-P Speaker 2nd Outside Main Corridor Restroom 58237586 1-1 08/06-P 09/08-P Speaker 2nd Main Corridor Hallway 58237591 1-1 08/06-P 09/08-P Speaker 1st 45935523 1-1 08/06-P 09/08-P Speaker 1st 45935522 1-1 08/06-P 09/08-P Speaker 1st 45935521 1-1 08/06-P 09/08-P Speaker 1st Main Corridor Hallway 45935514 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1333 Dental laboratory 45935506 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1321 Chief Dental

Service 45935508 1-1 08/06-P 09/08-P

Speaker 1st Hallway by 1324 Oral Surgery 45935504 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1224 Exercise Rm' 45935479 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1336 Dental

Treatment 14 45935502 1-1 08/06-P 09/08-P

Speaker 1st Hallway by 1327 Dental treament

45935500 1-1 08/06-P 09/08-P

Speaker 1st Hallway by 1308 Dental Treatment 4

45935499 1-1 08/06-P 09/08-P

Speaker 1st Main Corridor Hallway 45935489 1-1 08/06-P 09/08-P Speaker 1st 45935492 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1275 45935485 1-1 08/06-P 09/08-P Speaker 1st 45935486 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1290 Clinical Dietitian 45935482 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1286 M2VA 45935480 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1227 Assistant

Supervisor 45935477 1-1 08/06-P 09/08-P

Speaker 1st Hallway by 1231 Physician Office

45935476 1-1 08/06-P 09/08-P

Speaker 1st Sleep Lab 45935474 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1237 Sleep Lab 45935473 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1237 Sleep Lab 45935472 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1233 45935470 1-1 08/06-P 09/08-P

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Device Type Location ScanID Address Q3/24 Q3/25 Speaker 1st Hallway by 1248 Pulmonary Staff 45935469 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1254 Clean Utility 45935466 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1240 Sleep Lab 45935468 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1172 Digital Chest 45935427 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1259 Oxygen Storage 45935465 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1222 Consultation 45935463 1-1 08/06-P 09/08-P Speaker 1st Main Corridor Hallway 45935460 1-1 08/06-P 09/08-P Speaker 1st Main Corridor Hallway 45935459 1-1 08/06-P 09/08-P Speaker 1st Main Corridor Outside restrooms 45935453 1-1 08/06-P 09/08-P Speaker 1st Main Corridor Hallway 45935450 1-1 08/06-P 09/08-P Speaker 1st Main Corridor Hallway 45935442 1-1 08/06-P 09/08-P Speaker 1st Main Lobby Entrance 45935445 1-1 08/06-P 09/08-P Speaker 1st Hallway by Blood draw 1 45935432 1-1 08/06-P 09/08-P Speaker Basement 45935359 1-1 08/06-P 09/08-P Speaker 1st 45935416 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1151 45935396 1-1 08/06-P 09/08-P Speaker 1st 45935397 1-1 08/06-P 09/08-P Speaker 1st 45935443 1-1 08/06-P 09/08-P Speaker 1st Radiology Reception 45935441 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1198 Staff Clean Rm 45935437 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1206 45935435 1-1 08/06-P 09/08-P Speaker 1st 45935439 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1202 45935436 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1159 Radioscopic 45935430 1-1 08/06-P 09/08-P Speaker 1st Hallway by Restroom 1195 45935431 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1166 Staff Breakroom 45935428 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1176 Bone Density 45935423 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1172 Chest X Ray 45935411 1-1 08/06-P 09/08-P Speaker 1st Hallway by Restroom 1165 45935422 1-1 08/06-P 09/08-P Speaker 1st Breakroom 45935414 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1104 Equipment Rm 45935415 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1156 Digital Radiology 45935410 1-1 08/06-P 09/08-P Speaker 1st Main Hallway 45935405 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1152 Radiographic

/Fluoroscopic 45935401 1-1 08/06-P 09/08-P

Speaker 1st Hallway by 1155 General Purpose X ray

45935403 1-1 08/06-P 09/08-P

Speaker 1st Hallway by 1145 Restroom 45935393 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1154 Digital Radiology 45935394 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1150 Ultrasound Chief 45935392 1-1 08/06-P 09/08-P

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Device Type Location ScanID Address Q3/24 Q3/25 Speaker 1st Hallway by 1143 Chief

Radiological 45935390 1-1 08/06-P 09/08-P

Speaker 1st Hallway by 1133 conf rm 45935387 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1141 Radiologist 45935388 1-1 08/06-P 09/08-P Speaker Basement 45935364 1-1 08/06-P 09/08-P Speaker 1st Hallway by 1130 Non-Imaging

Procedure 45935385 1-1 08/06-P 09/08-P

Speaker 1st 45935384 1-1 08/06-P 09/08-P Speaker Basement 45935363 1-1 08/06-P 09/08-P Speaker Basement 45935353 1-1 08/06-P 09/08-P Speaker 3rd Out In Hallway Near Lab entrance 43812075 1-1 08/06-P 09/08-P Speaker Basement 45935343 1-1 08/06-P 09/08-P Speaker Basement 45935348 1-1 08/06-P 09/08-P Speaker Basement 45935345 1-1 08/06-P 09/08-P Speaker Basement 45935342 1-1 08/06-P 09/08-P Speaker Basement 45935332 1-1 08/06-P 09/08-P Speaker Basement 45935335 1-1 08/06-P 09/08-P Speaker Basement 45935313 1-1 08/06-P 09/08-P Speaker Basement 45935324 1-1 08/06-P 09/08-P Speaker Basement 45935314 1-1 08/06-P 09/08-P Speaker Basement 45935310 1-1 08/06-P 09/08-P Speaker Basement 45935304 1-1 08/06-P 09/08-P Speaker Basement 45935303 1-1 08/06-P 09/08-P Speaker Basement 45935300 1-1 08/06-P 09/08-P Speaker Basement 45935299 1-1 08/06-P 09/08-P Speaker Basement 45935334 1-1 08/06-P 09/08-P Speaker Basement 45935333 1-1 08/06-P 09/08-P Speaker Basement 45935330 1-1 08/06-P 09/08-P Speaker Basement 45935329 1-1 08/06-P 09/08-P Speaker Basement 45935327 1-1 08/06-P 09/08-P Speaker Basement 45935325 1-1 08/06-P 09/08-P Speaker Basement 45935322 1-1 08/06-P 09/08-P Speaker Basement 45935320 1-1 08/06-P 09/08-P Speaker Basement 45935318 1-1 08/06-P 09/08-P Speaker Basement 45935316 1-1 08/06-P 09/08-P

Device Total: 166 Return to Executive Summary

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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 2 2 0 2 2

Device Type Location ScanID Address Q3/24 Q3/25 Speaker/Strobe 1st Hallway by 1105 Clean Linen 63734451 1-1 08/06-P 09/08-P Speaker/Strobe 1st Main Corridor Hallway 63734437 1-1 08/06-P 09/08-P

Device Total: 2 Return to Executive Summary

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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 115 115 0 115 115

Device Type Location ScanID Address Q3/24 Q3/25 Strobe Basement Electrical Room 58238897 1-1 08/06-P 09/08-P Strobe Basement 45935293 1-1 08/06-P 09/08-P Strobe Basement 45935301 1-1 08/06-P 09/08-P Strobe 1st Restroom 1170 45935426 1-1 08/06-P 09/08-P Strobe 1st Hallway by Restroom 1170 45935424 1-1 08/06-P 09/08-P Strobe 1st Restroom 1145 45935395 1-1 08/06-P 09/08-P Strobe 1st Hallway by 1133 Conf-classroom 45935386 1-1 08/06-P 09/08-P Strobe 1st 45935378 1-1 08/06-P 09/08-P Strobe Basement 45935360 1-1 08/06-P 09/08-P Strobe 1st Restroom 1165 45935421 1-1 08/06-P 09/08-P Strobe 1st Breakroom 45935413 1-1 08/06-P 09/08-P Strobe 1st Hallway by 1188 Mechanical Rm 45935412 1-1 08/06-P 09/08-P Strobe 2nd 5th Hallway from South RR 2244-

58237675 1-1 08/06-P 09/08-P

Strobe 2nd 5th Hallway from South RR 2244-

58237674 1-1 08/06-P 09/08-P

Strobe 2nd Front Hall Between Hall 4 and 5 2260-21

58237671 1-1 08/06-P 09/08-P

Strobe 1st Hallway by 1205 Restroom 45935434 1-1 08/06-P 09/08-P Strobe 3rd Micro Lab Off Bio 58237800 1-1 08/06-P 09/08-P Strobe 3rd Penthouse 58237789 1-1 08/06-P 09/08-P Strobe 2nd Back Hallway At Hallway 6 - Rm

2233-21 58237678 1-1 08/06-P 09/08-P

Strobe Basement Electric Room 58238889 1-1 08/06-P 09/08-P Strobe 2nd Back Hallway Restroom 2 58237664 1-1 08/06-P 09/08-P Strobe 2nd Back Hallway Restroom 2265-21 58237669 1-1 08/06-P 09/08-P Strobe 2nd Back Hallway Restroom 2272-21 58237665 1-1 08/06-P 09/08-P Strobe 2nd 3rd Hallway from South 2281-21 58237659 1-1 08/06-P 09/08-P Strobe 2nd 3rd Hallway from South 2280-21 58237660 1-1 08/06-P 09/08-P Strobe 1st Main Lobby Radiology Reception 45935440 1-1 08/06-P 09/08-P Strobe 2nd Across Hall 2311-21 58237654 1-1 08/06-P 09/08-P Strobe 3rd Bio Lab 58237799 1-1 08/06-P 09/08-P Strobe 3rd Bio Lab 58237798 1-1 08/06-P 09/08-P Strobe 3rd Penthouse East 58237796 1-1 08/06-P 09/08-P Strobe 2nd Back Hallway Restroom 2235-21 58237679 1-1 08/06-P 09/08-P Strobe 3rd Penthouse East 58237791 1-1 08/06-P 09/08-P

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Device Type Location ScanID Address Q3/24 Q3/25 Strobe 2nd 6th Hallway 2227-21 58237681 1-1 08/06-P 09/08-P Strobe 3rd Penthouse Western Most 58237786 1-1 08/06-P 09/08-P Strobe 3rd 3rd Floor 58237784 1-1 08/06-P 09/08-P Strobe 2nd Surgery Unit 1st Hall from rm

58237687 1-1 08/06-P 09/08-P

Strobe 2nd Surgery Unit 1st Hall From 58237685 1-1 08/06-P 09/08-P Strobe 2nd Women?s Clinic Outside rm 1 58238877 1-1 08/06-P 09/08-P Strobe 2nd Women?s Clinic Lobby rest

Rioom 58238876 1-1 08/06-P 09/08-P

Strobe 2nd Women?s Clinic Lobby 58238875 1-1 08/06-P 09/08-P Strobe 3rd Micro Lab Off Bio 3110-21 58237801 1-1 08/06-P 09/08-P Strobe 2nd Mens Restroom 58237584 1-1 08/06-P 09/08-P Strobe 1st Hallway by 1227 ECG 45935478 1-1 08/06-P 09/08-P Strobe 2nd Hallway by 2193 Admin Officer 58237642 1-1 08/06-P 09/08-P Strobe 2nd Front Hallway 2301-21 58237657 1-1 08/06-P 09/08-P Strobe 2nd Back Hallway Restroom 2313-21 58237652 1-1 08/06-P 09/08-P Strobe 2nd South Hallway Restroom2320-21 58237650 1-1 08/06-P 09/08-P Strobe 2nd Across Hall 2327-21 58237648 1-1 08/06-P 09/08-P Strobe 2nd Bathroom 2196 58237644 1-1 08/06-P 09/08-P Strobe 2nd Main Corridor Hallway 58237613 1-1 08/06-P 09/08-P Strobe 2nd Bathroom 2187 58237639 1-1 08/06-P 09/08-P Strobe 2nd Hallway by 2167 Exam 58237636 1-1 08/06-P 09/08-P Strobe 2nd Medical Clinic Reception 58237617 1-1 08/06-P 09/08-P Strobe 2nd Hallway by 2162 Surgery Staff 58237631 1-1 08/06-P 09/08-P Strobe 2nd Bathroom 2163 58237632 1-1 08/06-P 09/08-P Strobe 2nd Hallway by 2171 Patient intake 58237625 1-1 08/06-P 09/08-P Strobe 2nd Bathroom 2155 58237629 1-1 08/06-P 09/08-P Strobe 2nd Surgical Clinic Reception 58237624 1-1 08/06-P 09/08-P Strobe 2nd 58237616 1-1 08/06-P 09/08-P Strobe 2nd Women?s Restroom 58237601 1-1 08/06-P 09/08-P Strobe 2nd Main Corridor By Restroom?s 58237588 1-1 08/06-P 09/08-P Strobe 1st Hallway by 1197 Supervisor 45935429 1-1 08/06-P 09/08-P Strobe 1st Main Corridor Hallway 45935517 1-1 08/06-P 09/08-P Strobe 1st Main Corridor Hallway 45935518 1-1 08/06-P 09/08-P Strobe 1st 45935529 1-1 08/06-P 09/08-P Strobe 1st Main Corridor Hallway 45935488 1-1 08/06-P 09/08-P Strobe 1st Hallway by 1232

Cardiopulmonary Supervisor 45935475 1-1 08/06-P 09/08-P

Strobe 1st Hallway by 1314 Dental resident 45935511 1-1 08/06-P 09/08-P Strobe 1st Restroom 1322 45935509 1-1 08/06-P 09/08-P

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Device Type Location ScanID Address Q3/24 Q3/25 Strobe 1st Hallway by 1334 Soiled Utility 45935505 1-1 08/06-P 09/08-P Strobe 1st Restroom 1335 45935503 1-1 08/06-P 09/08-P Strobe 1st Hallway by 1326 Dental

Treatment 9 45935501 1-1 08/06-P 09/08-P

Strobe 1st Hallway by 1304 Supplies 45935498 1-1 08/06-P 09/08-P Strobe 1st Dental Clinic Reception 45935493 1-1 08/06-P 09/08-P Strobe 1st Restroom 1291 45935483 1-1 08/06-P 09/08-P Strobe 1st Hallway by 1290 Clinical Dietitian 45935481 1-1 08/06-P 09/08-P Strobe 1st Restroom 1235 45935471 1-1 08/06-P 09/08-P Strobe 1st Main Lobby Entrance 45935444 1-1 08/06-P 09/08-P Strobe 1st Main Lobby Entrance 45935447 1-1 08/06-P 09/08-P Strobe 1st Hallway by 1240 Sleep Lab 45935467 1-1 08/06-P 09/08-P Strobe 1st Hallway by 1260 Blood Gas 45935464 1-1 08/06-P 09/08-P Strobe 1st Cardio Pulmonary Reception 45935462 1-1 08/06-P 09/08-P Strobe 1st 45935452 1-1 08/06-P 09/08-P Strobe 1st Mens Restroom 45935451 1-1 08/06-P 09/08-P Strobe 1st 45935425 1-1 08/06-P 09/08-P Strobe 1st Hallway by 1150 Ultrasound Chief 45935391 1-1 08/06-P 09/08-P Strobe 1st Restroom 1134 45935389 1-1 08/06-P 09/08-P Strobe Basement 45935326 1-1 08/06-P 09/08-P Strobe Basement 45935308 1-1 08/06-P 09/08-P Strobe Basement 45935307 1-1 08/06-P 09/08-P Strobe Basement 45935298 1-1 08/06-P 09/08-P Strobe 1st Restroom 1119 45935408 1-1 08/06-P 09/08-P Strobe 1st Main Hallway 45935409 1-1 08/06-P 09/08-P Strobe 1st Hallway by 1114 Patient Waitinhg area 45935407 1-1 08/06-P 09/08-P

Strobe 1st Restroom 1113 45935406 1-1 08/06-P 09/08-P Strobe 1st Hallway by Stairwell 2 45935399 1-1 08/06-P 09/08-P Strobe 1st Hallway by Restroom 1160 45935402 1-1 08/06-P 09/08-P Strobe 1st 1188 Mechanical Room 16444071 1-1 08/06-P 09/08-P Strobe Basement 45935357 1-1 08/06-P 09/08-P Strobe Basement 45935355 1-1 08/06-P 09/08-P Strobe Basement 45935352 1-1 08/06-P 09/08-P Strobe Basement 45935347 1-1 08/06-P 09/08-P Strobe Basement 45935339 1-1 08/06-P 09/08-P Strobe Basement 45935336 1-1 08/06-P 09/08-P Strobe Basement 45935315 1-1 08/06-P 09/08-P Strobe Basement 45935312 1-1 08/06-P 09/08-P Strobe Basement 45935302 1-1 08/06-P 09/08-P

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Device Type Location ScanID Address Q3/24 Q3/25 Strobe Basement 45935297 1-1 08/06-P 09/08-P Strobe Basement 45935296 1-1 08/06-P 09/08-P Strobe Basement 45935331 1-1 08/06-P 09/08-P Strobe Basement 45935328 1-1 08/06-P 09/08-P Strobe Basement 45935323 1-1 08/06-P 09/08-P Strobe Basement 45935317 1-1 08/06-P 09/08-P Strobe Basement 45935321 1-1 08/06-P 09/08-P Strobe Basement 45935319 1-1 08/06-P 09/08-P

Device Total: 115 Return to Executive Summary

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EC 02.03.05 EP 19

Annual test of automatic smoke-detection shutdown devices for air-handling equipment.

NFPA 90A (2024) 6.4.1

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 12 8 4 12 12

Device Type Location ScanID Address Q3/24 Q3/25 Duct Detector 3rd Penthouse East 58237794 1-1-7 73 08/06-P 09/08-P Duct Detector 1st Mechanical Room 1188 45935533 1-1 08/06-P 09/08

Removed Duct Detector 1st 1188 Mechanical Room 45935531 1-1 08/06-P 09/08

Removed Duct Detector 2nd Corr 2025 East 89471351 1-7-D75 08/10-P 09/08-P Duct Detector 2nd Exam Room 2131 89471349 1-7-D66 08/10-P 09/08-P Duct Detector 2nd Exam…