2025-09-15_Fayetteville-VAMC-Bldg-27_FireScan.pdf

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

For

Fayetteville VAMC Bldg 27 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 27 Company: Vets Fire & Life Safety Contact: Travis Ryan Contact: Rod Davis

Title: Safety Specialist Title: Manager Fire Alarm Testing Report

Page of 1 16 Executive Summary

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

Executive Summary Generated by: BuildingReports.com

Building Information Building: Fayetteville VAMC Bldg 27 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

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

Inspection Completion Date: Sep 15, 2025 Building: Fayetteville VAMC Bldg 27 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 2 2 0 2 0 2

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 1 1 0 1 0 1

EC 02.03.05 EP 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Heat Detector 2 2 0 2 0 2

Pull Station 3 3 0 3 0 3

Smoke Detector 2 2 0 2 0 2

EC 02.03.05 EP 04 Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22)

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Speaker 3 3 0 3 0 3

Strobe 3 3 0 3 0 3

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 Programmable Relay 1 1 0 1 0 1

Total Device Count: 17

Page of 3 16

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

Certification

Company: Vets Fire & Life Safety Building: Fayetteville VAMC Bldg 27

Inspector: Rod Davis Contact: Travis Ryan

Page of 4 16 Notes & Recommendations

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

Notes & Recommendations Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 27 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 East Generator Bay BF Valve 1 Passed 43812241 Testing Done By Others

2 Tamper Switch East Generator Bay BF Valve 2 Passed 43812239 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)

3 Waterflow Switch East Generator Bay Passed 43812246 Testing Done By Others javascript:editViewDevice('43812241');

javascript:editViewDevice('43812239');

javascript:editViewDevice('43812246');

Page of 5 16 Inspection & Testing

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

Inspection & Testing Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 27 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 2 2 0 2 2

Device Type Location ScanID Address Q3/24 Q3/25 Tamper Switch East Generator Bay BF Valve 1 43812241 1-1-L3 M70 08/20-P 09/15-P Tamper Switch East Generator Bay BF Valve 2 43812239 1-1-L3 M70 08/20-P 09/15-P

Device Total: 2 Return to Executive Summary

Page of 6 16

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 1 1 0 1 1

Device Type Location ScanID Address Q3/24 Q3/25 Waterflow Switch East Generator Bay 43812246 1-1-L3 M69 08/20-P 09/15-P

Device Total: 1 Return to Executive Summary

Page of 7 16

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 2 2 0 2 2

Device Type Location ScanID Address Q3/24 Q3/25 Heat Detector East Generator Bay 42073981 1-1 08/10-P 08/27-P Heat Detector East Generator Bay 42073982 1-1 08/10-P 08/27-P

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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 3 3 0 3 3

Device Type Location ScanID Address Q3/24 Q3/25 Pull Station East Entry Door Pull Station 17804989 1-1-L3 89 08/06-P 08/27-P Pull Station North Entry Door Pull Station 17804983 1-1-88 08/06-P 08/27-P Pull Station South Entry Door Pull Station 17804958 1-1-87 08/06-P 08/27-P

Device Total: 3 Return to Executive Summary

Page of 9 16

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

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)

Test smoke detectors in place to ensure smoke entry into the sensing chamber and an alarm response. (NFPA 72- 22 Table 14.4.3.2 (17)(7)(a)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Smoke Detector 2 2 0 2 2

Device Type Location ScanID Address Q3/24 Q3/25 Smoke Detector Above Transfer Switches Smoke 17804981 1-1 D82 08/06-P 08/27-P Smoke Detector Above Transfer Switches Smoke 17804982 1-1-D83 08/06-P 08/27-P

Page of 10 16

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 3 3 0 3 3

Device Type Location ScanID Address Q3/24 Q3/25 Speaker East Entry Door Speaker 17804991 1-1-none 08/10-P 09/08-P Speaker North Entry Door Speaker 17804985 1-1-none 08/10-P 09/08-P Speaker South Entry Door Speaker 17804980 1-1-none 08/10-P 09/08-P

Page of 11 16

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 3 3 0 3 3

Device Type Location ScanID Address Q3/24 Q3/25 Strobe East Entry Door Strobe 17804990 1-1-none 08/10-P 09/08-P Strobe North Entry Door Strobe 17804984 1-1-none 08/10-P 09/08-P Strobe South Entry Door Strobe 17804978 1-1-none 08/10-P 09/08-P

Page of 12 16

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

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 Programmable Relay 1 1 0 1 1

Device Type Location ScanID Address Q3/24 Q3/25 Programmable Relay Generator Room Dual Monitor Module 17804986 1-1-L3 69/70 08/10-P 09/08-P

Device Total: 1 Return to Executive Summary

Page of 13 16 Service Summary

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

Service Summary Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 27 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity

Passed Heat Detector Tested 2 Programmable Relay Tested 1 Pull Station Tested 3 Smoke Detector Tested/Cleaned 2 Speaker Tested 3 Strobe Tested 3 Tamper Switch Annual 2 Waterflow Switch Annual 1

Total 17 Grand Total 17

Page of 14 16 Auxiliary Functions Testing

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

Auxiliary Functions Testing Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 27 Control Panel: 1 The Auxiliary Functions Testing section lists each of the ancillary items, systems, and emergency equipment that are controlled by the system control unit. Items are grouped by Passed or Failed/Other. The items are listed by device type, and a check box is provided to indicate if the test conducted was simulated.

Type Location Comment ScanID Simulated

Passed Programmable Relay

Generator Room Dual Monitor Module Passed 17804986 javascript:editViewDevice('17804986');

Page of 15 16 Inventory & Warranty Report

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

Inventory & Warranty Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 27 Control Panel: 1 The Inventory & Warranty Report lists each of the devices and items that are included in your Inspection Report. A complete inventory count by device type and category is provided. Items installed within the last 90 days, within the last year, and devices installed for two years or more are grouped together for easy reference.

Device or Type Category % of Inventory Quantity Heat Detector Initiating 11.76% 2

Programmable Relay Auxiliary 5.88% 1

Pull Station Initiating 17.65% 3

Smoke Detector Initiating 11.76% 2

Speaker Indicating 17.65% 3

Strobe Indicating 17.65% 3

Tamper Switch Supervisory 11.76% 2

Waterflow Switch Initiating 5.88% 1

Type Qty Model # Description Install Date

In Service - 1 Year to 2 Years Notifier

Heat Detector 2 08/10/2024 Programmable Relay 1 08/10/2024 Speaker 3 08/10/2024 Strobe 3 08/10/2024 Pull Station 3 08/06/2024 Smoke Detector 2 08/06/2024

In Service - 25 Years or Older Notifier

Tamper Switch 2 12/31/1969 Waterflow Switch 1 12/31/1969

Page of 16 16 Zone Address Report

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

Zone Address Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 27 Control Panel: 1 The Zone Address Report lists all of the devices and items that have an individual address, or are grouped together under a common zone. The device type, location, and description are included for your reference.

Address Device Type Location Type ScanID 1 Heat Detector East Generator Bay 42073981 1 Heat Detector East Generator Bay 42073982

1 D82 Smoke Detector Above Transfer Switches Smoke 17804981 1-87 Pull Station South Entry Door Pull Station 17804958 1-88 Pull Station North Entry Door Pull Station 17804983

1-D83 Smoke Detector Above Transfer Switches Smoke 17804982 1-L3 69/70 Programmable Relay Generator Room Dual Monitor Module 17804986

1-L3 89 Pull Station East Entry Door Pull Station 17804989 1-L3 M69 Waterflow Switch East Generator Bay 43812246 1-L3 M70 Tamper Switch East Generator Bay BF Valve 1 43812241 1-L3 M70 Tamper Switch East Generator Bay BF Valve 2 43812239

1-none Speaker East Entry Door Speaker 17804991 1-none Strobe East Entry Door Strobe 17804990 1-none Speaker North Entry Door Speaker 17804985 1-none Strobe North Entry Door Strobe 17804984 1-none Speaker South Entry Door Speaker 17804980 1-none Strobe South Entry Door Strobe 17804978 javascript:editViewDevice('42073981');

javascript:editViewDevice('42073982');

javascript:editViewDevice('17804981');

javascript:editViewDevice('17804958');

javascript:editViewDevice('17804983');

javascript:editViewDevice('17804982');

javascript:editViewDevice('17804986');

javascript:editViewDevice('17804989');

javascript:editViewDevice('43812246');

javascript:editViewDevice('43812241');

javascript:editViewDevice('43812239');

javascript:editViewDevice('17804991');

javascript:editViewDevice('17804990');

javascript:editViewDevice('17804985');

javascript:editViewDevice('17804984');

javascript:editViewDevice('17804980');

javascript:editViewDevice('17804978');