2025-09-15_Fayetteville-VAMC-Bldg-34_FireScan.pdf

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J042--Fire Alarm Service
Solicitation number
36C25626Q0430
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This is a Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate for Fayetteville VAMC Building 34 located at 1100 N College Ave, Fayetteville, AR 72703. The inspection was completed on September 15, 2025, by Veterans Fire and Life Safety, with inspector Rod Davis performing the work. The facility contact is Travis Ryan, Safety Specialist. The inspection and testing were performed in compliance with The Joint Commission/VHA Standards and Joint Commission/VHA Clarification Memorandum on EC & LS Standards, adhering to the latest NFPA 72 (2022) requirements.

All nine fire/life safety devices inspected passed testing during this annual inspection cycle. The tested devices include one air pressure switch, three tamper switches (located at Pharmacy Cage BF Valves 1 and 2, and South Lawn), one waterflow switch (Pharmacy Cage), one manual pull station (Building 34 loading dock), two speakers (Building 34 North and South rooms), and one strobe light (Building 34 North room). Year-to-date testing results show 100% pass rate across all inspected items. The inventory report indicates that three supervisory devices (air pressure switch, tamper switches, and waterflow switch) have been in service for 25 years or longer, while the indicating devices (pull station, speakers, and strobe) were installed on August 7, 2024. No deficiencies or corrective actions were identified in the inspection report.

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

For

Fayetteville VAMC Bldg 34 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 34 Company: Vets Fire & Life Safety Contact: Travis Ryan Contact: Rod Davis

Title: Safety Specialist Title: Manager Fire Alarm Testing Report

Page of 1 13 Executive Summary

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

Executive Summary Generated by: BuildingReports.com

Building Information Building: Fayetteville VAMC Bldg 34 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 13

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

Inspection Completion Date: Sep 15, 2025 Building: Fayetteville VAMC Bldg 34 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 Air Pressure Switch 1 1 0 1 0 1

Tamper Switch 3 3 0 3 0 3

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 Pull Station 1 1 0 1 0 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)

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Speaker 2 2 0 2 0 2

Strobe 1 1 0 1 0 1

Total Device Count: 9

Page of 3 13

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

Certification

Company: Vets Fire & Life Safety Building: Fayetteville VAMC Bldg 34

Inspector: Rod Davis Contact: Travis Ryan

Page of 4 13 Notes & Recommendations

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

Notes & Recommendations Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 34 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 Air Pressure Switch Building 34 Inside South Room Passed 43812182 Testing Done By Others

2 Tamper Switch Pharmacy Cage BF Valve 1 Passed 43812175 Testing Done By Others

3 Tamper Switch Pharmacy Cage BF Valve 2 Passed 43812173 Testing Done By Others

4 Tamper Switch South Lawn Passed 43812189 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)

5 Waterflow Switch Pharmacy Cage Passed 43812183 Testing Done By Others javascript:editViewDevice('43812182');

javascript:editViewDevice('43812175');

javascript:editViewDevice('43812173');

javascript:editViewDevice('43812189');

javascript:editViewDevice('43812183');

Page of 5 13 Inspection & Testing

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

Inspection & Testing Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 34 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 switch and verify receipt of signal is obtained where the required pressure is increased or decreased a maximum 10 psi from the required pressure level. (NFPA 72-22 Table 14.4.3.2 (17)(9b)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Air Pressure Switch 1 1 0 1 1

Device Type Location ScanID Address Q3/24 Q3/25 Air Pressure Switch Building 34 Inside South Room 43812182 1-1-L1 M24 08/20-P 09/15-P

Device Total: 1 Return to Executive Summary

Page of 6 13

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

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 3 3 0 3 3

Device Type Location ScanID Address Q3/24 Q3/25 Tamper Switch Pharmacy Cage BF Valve 1 43812175 1-1-L1 M27 08/20-P 09/15-P Tamper Switch Pharmacy Cage BF Valve 2 43812173 1-1-L1 M27 08/20-P 09/15-P Tamper Switch South Lawn 43812189 1-1-L1 M28 08/20-P 09/15-P

Device Total: 3 Return to Executive Summary

Page of 7 13

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 Pharmacy Cage 43812183 1-1-L1 M24 08/20-P 09/15-P

Page of 8 13

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

EC 02.03.05 EP 03

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

Operate manual fire alarm boxes per the manufacturer's published instructions. Test both key-operated presignal and general alarm manual fire alarm boxes. (NFPA 72-22 Table 14.4.3.2 (17)(5)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Pull Station 1 1 0 1 1

Device Type Location ScanID Address Q3/24 Q3/25 Pull Station Building 34 Outside on Loading Dock 17804911 1-1-L-1 M23 08/07-P 08/27-P

Page of 9 13

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

EC 02.03.05 EP 04

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

For periodic testing, verify the operation of the notification appliances. (NFPA 72-22 Table 14.4.3.2 (22)(2)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Speaker 2 2 0 2 2

Device Type Location ScanID Address Q3/24 Q3/25 Speaker Building 34 Inside North Room 17804909 1 08/07-P 08/27-P Speaker Building 34 Inside South Room 58237867 1 08/07-P 08/27-P

Device Total: 2 Return to Executive Summary

Page of 10 13

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

EC 02.03.05 EP 04

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

For periodic testing, verify that each appliance flashes. (NFPA 72-22 Table 14.4.3.2 (22)(3)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Strobe 1 1 0 1 1

Device Type Location ScanID Address Q3/24 Q3/25 Strobe Building 34 Inside North Room 58237868 1 08/07-P 08/27-P

Page of 11 13 Service Summary

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

Service Summary Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 34 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity

Passed Air Pressure Switch Annual 1 Pull Station Tested 1 Speaker Tested 2 Strobe Tested 1 Tamper Switch Annual 3 Waterflow Switch Annual 1

Total 9 Grand Total 9

Page of 12 13 Inventory & Warranty Report

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

Inventory & Warranty Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 34 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 Air Pressure Switch Supervisory 11.11% 1

Pull Station Initiating 11.11% 1

Speaker Indicating 22.22% 2

Strobe Indicating 11.11% 1

Tamper Switch Supervisory 33.33% 3

Waterflow Switch Initiating 11.11% 1

Type Qty Model # Description Install Date

In Service - 1 Year to 2 Years Pull Station 1 08/07/2024 Speaker 2 08/07/2024 Strobe 1 08/07/2024

In Service - 25 Years or Older Air Pressure Switch 1 Low 12/31/1969 Tamper Switch 3 12/31/1969 Waterflow Switch 1 12/31/1969

Page of 13 13 Zone Address Report

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

Zone Address Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 34 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-L1 M24 Air Pressure Switch Building 34 Inside South Room Low 43812182 1-L1 M24 Waterflow Switch Pharmacy Cage 43812183 1-L1 M27 Tamper Switch Pharmacy Cage BF Valve 1 43812175 1-L1 M27 Tamper Switch Pharmacy Cage BF Valve 2 43812173 1-L1 M28 Tamper Switch South Lawn 43812189 1-L-1 M23 Pull Station Building 34 Outside on Loading Dock 17804911 javascript:editViewDevice('43812182');

javascript:editViewDevice('43812183');

javascript:editViewDevice('43812175');

javascript:editViewDevice('43812173');

javascript:editViewDevice('43812189');

javascript:editViewDevice('17804911');

Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate
Executive Summary
Notes & Recommendations
Inspection & Testing
Service Summary
Inventory & Warranty Report
Zone Address Report

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