2021-05-26_Waco-VAMC-Bldg--91_FireScan.pdf

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

For

Waco VAMC Bldg. 91 4800 Memorial Dr Waco, TX 76711

This inspection was performed in accordance with NFPA 101, EDITION 2021, LIFE SAFETY CODE and NFPA 72, EDITION 2019, FIRE ALARM SYSTEMS. Documentation complies with EC 02.03.05

EP 28.

The inspection/testing frequencies adhered to for this service have been performed in accordance with The Joint Commission/VHA Clarification Memorandum on EC & LS Standards effective January 31, 2021. The subsequent pages of this report provide performance measurements, listed ranges of acceptable results, and complete documentation of the inspection. Whenever discrepancies exist between acceptable performance standards and actual test results, notes and/or recommended solutions have been proposed or provided for immediate review and approval.

Annual Inspection Inspection Completion Date May 26, 2021

Building: Waco VAMC Bldg. 91 Company: Convergint Technologies - Central Texas Contact: Che Buval Contact: Troy Hague Title: Safety Officer Title: Service Specialist

Page of 1 40 Executive Summary

Convergint Technologies - Central Texas Download Date: 12/07/2021

Executive Summary Generated by: BuildingReports.com

Building Information Building: Waco VAMC Bldg. 91 Contact: Che Buval

Address: 4800 Memorial Dr Phone: 254-743-0133

Address: Fax:

City/State/Zip: Waco, TX 76711 Mobile:

Country: United States of America Email: Che.Buval@va.gov

Inspection Performed By Company: Convergint Technologies - Central Texas Inspector: Troy Hague

Address: 10535 Boyer Blvd Phone: 2543132867

Address: Suite 300 Fax:

City/State/Zip: Austin, Texas 78758 Mobile:

Country: United States Email: troy.hague@convergint.com

System Control Unit Manufacturer: SimplexGrinnell Inspection Date: 05/26/2021 IDC Style:

Model Number: 4020 Install Date: 12/31/1969 SLC Style:

Software Version: Version Date: 12/31/1969 NAC Style:

Location: 2nd 2 Elev Machine Rm 2A-102 Current Protection:

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

Test Time/Date: 5/26/21 3:36:45 PM Restore Time: Note:

Page of 2 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

Inspection Completion Date: May 26, 2021 Building: Waco VAMC Bldg. 91 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; and room temperature supervisory

Devices Tested This

Quarter Pass Fail Tested YTD

(2021) Untested YTD

(2021) Total

Quantity Air Pressure Switch 0 0 0 0 2 2

EC 02.03.05 EP 02 Semi-annual testing of water flow devices and valve tamper switches

Devices Tested This

Quarter Pass Fail Tested YTD

(2021) Untested YTD

(2021) Total

Quantity Tamper Switch 0 0 0 0 13 13

Waterflow Switch 0 0 0 0 8 8

EC 02.03.05 EP 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors

Devices Tested This

Quarter Pass Fail Tested YTD

(2021) Untested YTD

(2021) Total

Quantity Duct Detector 20 19 1 20 0 20

Heat Detector 0 0 0 0 6 6

Pull Station 25 25 0 25 1 26

Smoke Detector 1 1 0 1 13 14

EC 02.03.05 EP 04 Annual test of visual and audible fire alarms, including speakers and door releasing devices.

Devices Tested This

Quarter Pass Fail Tested YTD

(2021) Untested YTD

(2021) Total

Quantity Bell 27 27 0 27 1 28

Releasing Device 4 4 0 4 3 7

Strobe 26 26 0 26 1 27

EC 02.03.05 EP 05 Annual test of fire alarm equipment for notifying off-site fire responders

Devices Tested This

Quarter Pass Fail Tested YTD

(2021) Untested YTD

(2021) Total

Quantity Communicator 1 1 0 1 0 1

EC 02.03.05 EP 19 Annual test of automatic smoke-detection shutdown devices for air-handling equipment per NFPA 90A-2021

Devices Tested This

Quarter Pass Fail Tested YTD

(2021) Untested YTD

(2021) Total

Quantity Duct Detector 20 19 1 20 0 20

Fan Shutdown 17 16 1 17 0 17

LS 02.01.34 EP 02 Protected master fire alarm control panel

Devices Tested This

Quarter Pass Fail Tested YTD

(2021) Untested YTD

(2021) Total

Quantity Control Panel 2 1 1 2 0 2

Page of 3 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2021 18/19.3.4

Devices Tested This

Quarter Pass Fail Tested YTD

(2021) Untested YTD

(2021) Total

Quantity Annunciator 2 2 0 2 0 2

Battery 6 4 2 6 0 6

Remote Test Switch 8 7 1 8 0 8

LS 02.01.50 EP 07 Annual - Elevators are fully equipped and protected

Devices Tested This

Quarter Pass Fail Tested YTD

(2021) Untested YTD

(2021) Total

Quantity Elevator 1 0 1 1 1 2

Total Device Count: 189

Page of 4 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

Certification Company: Convergint Technologies - Central Texas Building: Waco VAMC Bldg. 91 Inspector: Troy Hague Contact: Che Buval

Signed: May 26, 2021

Troy Hague Certifications Certification Type Number EST3 Series Certification

Page of 5 40 Discrepancy Report

Convergint Technologies - Central Texas Download Date: 12/07/2021

Discrepancy Report Generated by: BuildingReports.com

Building: Waco VAMC Bldg. 91 Control Panel: 0 - SimplexGrinnell 4020 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 19 Annual test of automatic smoke-detection shutdown devices for air-handling equipment per NFPA 90A-2021

Fan Shutdown 49876362 2nd Wall AH4-2 mech rm 2B100 Failed Operation 0 NFPA72 21.7.3

LS 02.01.34 EP 02 Protected master fire alarm control panel

Control Panel 49872643 2nd 2 Elev Machine Rm 2A-102 Previously red tagged/not re 0-1

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2021 18/19.3.4

Battery 62947723 2nd 2 Elev Machine Rm 2A-102 Left Batt Previously failed / not repl

62947724 2nd 2 Elev Machine Rm 2A-102 Right Batt Previously failed / not repl

Remote Test Switch 49876359 2nd Wall AH4-2 mech rm 2B100 Failed Test 0-1

Building: Waco VAMC Bldg. 91 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

Duct Detector 62947637 2nd Wall AH4-2 mech rm 2B100 located in attic Failed Test 1 NFPA72 14.2.2.2.2

LS 02.01.50 EP 07 Annual - Elevators are fully equipped and protected javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876362');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49872643');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','62947723');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','62947724');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876359');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','62947637');

Page of 6 40 Discrepancy Report

Convergint Technologies - Central Texas Download Date: 12/07/2021

ScanID Location Problem Address Reference

Elevator 62947725 2nd 2A102 Mech. Rm Elevator# 1 Shunt

Pwr Monitor Active trouble signals

1-M1 10 javascript:openEditDevice('load-edit-f2-device','771932','2633598','62947725');

Page of 7 40 Proposed Solutions Report

Convergint Technologies - Central Texas Download Date: 12/07/2021

Proposed Solutions Report Generated by: BuildingReports.com

Building: Waco VAMC Bldg. 91 Control Panel: 0 - SimplexGrinnell 4020 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 19 Annual test of automatic smoke-detection shutdown devices for air-handling equipment per

NFPA 90A-2021

Fan Shutdown 49876362 2nd Wall AH4-2 mech rm 2B100 Investigate T/M

LS 02.01.34 EP 02 Protected master fire alarm control panel

Control Panel 49872643 2nd 2 Elev Machine Rm 2A-102 See notes

/recommendations 4020 T/M

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2021 18/19.3.4

Battery 62947723 2nd 2 Elev Machine Rm 2A-102 Left Batt Repair noted deficiencies

DURA12-18NB T/M

62947724 2nd 2 Elev Machine Rm 2A-102 Right Batt Repair noted deficiencies

DURA12-18NB T/M

Remote Test Switch 49876359 2nd Wall AH4-2 mech rm 2B100 Replace T/M

Building: Waco VAMC Bldg. 91 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

Duct Detector 62947637 2nd Wall AH4-2 mech rm 2B100 located in attic Replace T/M

LS 02.01.50 EP 07 Annual - Elevators are fully equipped and protected

Elevator 62947725 2nd 2A102 Mech. Rm Elevator# 1 Shunt Pwr

Monitor Troubleshoot T/M

PO #: (none) T/M

Page of 8 40 Notes & Recommendations

Convergint Technologies - Central Texas Download Date: 12/07/2021

Notes & Recommendations Generated by: BuildingReports.com

Building: Waco VAMC Bldg. 91 The Notes & Recommendations Report details additional inspection notes made by the Inspectors during the course of the building inspection. Notes are grouped by Category.

General Note 5/26/21 - Annual Fire Alarm inspection partially complete (74%)- Unable to test A/V's and Elevator related devices due to Fire Alarm Panel replacement started by Koetter Life Safety. 100% testing will be performed by Installation Contractor upon completion. Devices not tested were not able to be tested due to replacement.

Building: Waco VAMC Bldg. 91 Control Panel: 0 - SimplexGrinnell 4020 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

2 Heat Detector Basement elevator pit p2 Shunt Trip 49876391 5/26/21 - Unable to test. Panel is currently being replaced by Koetter Life Safety.

3 Heat Detector 2nd Elevator machine rm 49876375 5/26/21 - Unable to test. Panel is currently being replaced by Koetter Life Safety.

4 Heat Detector 2nd Elevator machine rm 49876376 5/26/21 - Unable to test. Panel is currently being replaced by Koetter Life Safety.

5 Heat Detector pit elevator pit p1 Shunt Trip 49876390 5/26/21 - Unable to test. Panel is currently being replaced by Koetter Life Safety.

6 Heat Detector shaft elevator shaft p1 Shunt Trip 49876384 5/26/21 - Unable to test. Panel is currently being replaced by Koetter Life Safety.

7 Heat Detector shaft elevator shaft p2 Shunt Trip 49876385 5/26/21 - Unable to test. Panel is currently being replaced by Koetter Life Safety.

8 Pull Station sub basement exit 49876207 5/26/21 - Unable to test. Panel is currently being replaced by Koetter Life Safety.

EC 02.03.05 EP 04 Annual test of visual and audible fire alarms, including speakers and door releasing devices.

9 Releasing Device 2nd 2nd corridor by elevator 49876325

5/26/21 - Unable to test. Panel is currently being replaced by Koetter Life Safety.

10 Releasing Device 2nd 2nd corridor by elevator 49876326

5/26/21 - Unable to test. Panel is currently being replaced by Koetter Life Safety.

11 Strobe sub basement exit 49876209

5/26/21 - Unable to test. Panel is currently being replaced by Koetter Life Safety.

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

NFPA 90A-2021

12 Fan Shutdown 2nd Wall AH4-2 mech rm 2B100 Failed Operation 49876362

Failed to operate due to control device not functioning.

LS 02.01.34 EP 02 Protected master fire alarm control panel 13 Control Panel 2nd 2 Elev Machine Rm 2A-102 Previously red tagged/not re 49872643

5/26/21 - Panel is currently being replaced by Koetter Life Safety.

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2021 18/19.3.4 javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876391');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876375');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876376');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876390');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876384');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876385');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876207');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876325');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876326');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876209');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876362');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49872643');

Page of 9 40 Notes & Recommendations

Convergint Technologies - Central Texas Download Date: 12/07/2021

Note Device Type Location Comment ScanID 14 Remote Test Switch 2nd Wall AH4-2 mech rm 2B100 Failed Test 49876359

Failed to initiate alarm or fan shutdown when activated.

Building: Waco VAMC Bldg. 91 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 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors 15 Duct Detector 2nd Wall AH4-2 mech rm 2B100 located in attic Failed Test 62947637

Failed to initiate alarm or fan shutdown when smoke was introduced into the sample chamber. Device is not polling.

EC 02.03.05 EP 04 Annual test of visual and audible fire alarms, including speakers and door releasing devices.

16 Releasing Device 2nd corridor by 2a-113 by stair 3 Electric

Latch Release 62947711

5/26/21 - Unable to test. Panel is currently being replaced by Koetter Life Safety.

LS 02.01.50 EP 07 Annual - Elevators are fully equipped and protected 17 Elevator 2nd 2A102 Mech. Rm Elevator# 1 Shunt 62947726

5/26/21 - Unable to test. Panel is currently being replaced by Koetter Life Safety.

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876359');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','62947637');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','62947711');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','62947726');

Page of 10 40 Inspection & Testing

Convergint Technologies - Central Texas Download Date: 12/07/2021

Inspection & Testing Generated by: BuildingReports.com

Building: Waco VAMC Bldg. 91 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; and room temperature supervisory

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 72-19 Table 14.4.3.2 (17)(9b)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Air Pressure Switch 0 0 0 0 2

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Air Pressure Switch Sub-Basement 2 2A-101

Inside mec room wet/dry 07843192 0-2

Air Pressure Switch Sub-Basement 2 2A-101 Inside mec room wet/dry

49876198 0-2

Device Total: 2 Return to Executive Summary

Page of 11 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

EC 02.03.05 EP 02 Semi-annual testing of water flow devices and valve tamper switches

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 72-19 Table 14.4.3.2 (17)(10)(a)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Tamper Switch 0 0 0 0 13

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Tamper Switch Sub-Basement inside mech room 07843261 1

Tamper Switch Sub-Basement inside mech room

07843263 1

Tamper Switch Sub-Basement inside mech room

49876191 1

Tamper Switch Sub-Basement inside mech room dry

07843185 1

Tamper Switch Sub-Basement inside mech room dry

52280602 1

Tamper Switch Sub-Basement inside mech room up high

49876204 1

Tamper Switch Sub-Basement inside mech room wet

07843265 1

Tamper Switch Basement above ceiling near elevator

49876332 1

Tamper Switch Basement above ceiling near elevator

49876343 1

Tamper Switch Basement above ceiling near room 1b100

49876349 1

Tamper Switch 1st above ceiling near room 1b100

49876338 1

Tamper Switch 2nd above ceiling near room 2a101

49876156 1

Tamper Switch 2nd above ceiling near room 2a116

49876330 1

Device Total: 13 Return to Executive Summary

Page of 12 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

EC 02.03.05 EP 02 Semi-annual testing of water flow devices and valve tamper switches

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 72-19 Table

14.4.3.2 (17)(11)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Waterflow Switch 0 0 0 0 8

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Waterflow Switch Sub-Basement inside mech room up high 49876203 1

Waterflow Switch Sub-Basement inside mech room wet main

0783193 1

Waterflow Switch Basement 2 2A-101 Above ceiling near elevator.

49876344 0-2

Waterflow Switch Basement above ceiling near room bb100 Above ceiling near elevator.

49876350 1-2

Waterflow Switch 1st Above ceiling near 1b100

49876339 1-2

Waterflow Switch 1st Above ceiling near elevator.

49876331 1-2

Waterflow Switch 2nd Above ceiling near 2a101

49876025 1-2

Waterflow Switch 2nd Above ceiling near 2a116

49876327 1-2

Device Total: 8 Return to Executive Summary

Page of 13 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors

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- 19 Table 14.4.3.2 (17)(7)(e)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Duct Detector 20 19 1 20 20

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Duct Detector 2nd Wall AH3-8 mech rm

2B100 62947636 0-1-20 05/14-P 07/23-P 05/10-P

Duct Detector 2nd Wall AH3-7 mech rm 2B100

62947635 1-1-20 05/14-P 07/23-P 05/10-P

Duct Detector 2nd Wall AH4-1 mech rm 2B100

62947634 1-1-30 05/14-P 05/10-P

Duct Detector 2nd 2nd wall AH2-2 mech rm Behind canteen

62947715 1 07/22-P 05/10-P

Duct Detector 2nd 2nd wall AH1-8 mech rm

62947714 1-1-16 07/22-P 05/10-P

Duct Detector 2nd 2nd wall AH1-7 mech rm Behind canteen

62947713 1 07/22-P 05/10-P

Duct Detector 2nd 2nd wall AH2-1 mech rm Behind canteen

62947712 1 07/22-P 05/10-P

Duct Detector 2nd Wall AH4-2 mech rm 2B100 located in attic

62947637 1 05/14-P 05/10-F

Duct Detector basement wall AH1-3 by

BA105

49876235 0-1-8 05/10-P

Duct Detector basement wall AH1-2 by

BA105

49876236 0-1-8 05/10-P

Duct Detector basement wall AH1-1 by

BA105

49876237 0-1-8 05/10-P

Duct Detector basement wall AH3-3 by

BB121

49876230 0-1-12 05/10-P

Duct Detector basement wall AH3-2 by

BB121

49876229 0-1-12 05/10-P

Duct Detector basement wall AH3-1 by

BB121

49876228 0-1-12 05/10-P

Duct Detector 1st wall AH3-6 by rm 121 49876262 0-1-20 05/10-P Duct Detector 1st wall AH3-5 by rm 121 49876261 0-1-20 05/10-P Duct Detector 1st wall AH3-4 by rm 121 49876260 0-1-20 05/10-P Duct Detector 1st wall AH1-6 by rm 105 49876282 0-1-16 05/10-P Duct Detector 1st wall AH1-5 by rm 105 49876281 0-1-16 05/10-P Duct Detector 1st wall AH1-4 by rm 105 49876280 0-1-16 05/10-P Duct Detector 2nd wall AH3-7 mech rm

2B100

674 EE45074 0 07/23

Removed

Device Total: 20 Return to Executive Summary

Page of 14 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors

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 72-19 Table 14.4.3.2 (17)(4)(a)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Heat Detector 0 0 0 0 6

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Heat Detector Basement elevator pit p2

Shunt Trip 49876391 0-1-m1-9

Heat Detector 2nd Elevator machine rm 49876375 0-1-m1-18 Heat Detector 2nd Elevator machine rm 49876376 0-1-m1-17 Heat Detector pit elevator pit p1 Shunt Trip 49876390 0-1-m1-6 Heat Detector shaft elevator shaft p1

Shunt Trip 49876384 0-1-m1-4

Heat Detector shaft elevator shaft p2 Shunt Trip

49876385 0-1-m1-7

Device Total: 6 Return to Executive Summary

Page of 15 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors

Operate manual fire alarm boxes per the manufacturer's published instructions. Test both key-operated presignal and general alarm manual fire alarm boxes. (NFPA 72-19 Table 14.4.3.2 (17)(5)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Pull Station 25 25 0 25 26

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Pull Station 1st 1st front exit 49876253 0-1-15 05/07-P Pull Station 2nd Exit mech rm 2B-100 by stair attic 49876366 0-1-34 07/23-P 05/07-P

Pull Station 2nd Exit mech rm 2B-100 front in corner obstructed

49876361 0-1-29 07/22-F 05/07-P

Pull Station 2nd 2nd exit mech rm 2B- 100 by stair 5

49876353 0-1-29 05/14-P 07/22-P 05/07-P

Pull Station 2nd 2nd back mech rm by stair 2

49876302 0-1-23 07/22-P 05/07-P

Pull Station 2nd 2nd mech rm behind Canteen dining

49876299 0-1-23 07/22-P 05/07-P

Pull Station 2nd 2nd exit corridor by 2B107 by stair 4

49876319 0-1-29 07/23-P 05/07-P

Pull Station 2nd 2nd corridor by 2a-113 by stair 3

49876312 0-1-23 05/14-P 08/28-P 10/27-P 05/07-P

Pull Station 2nd 2nd Canteen dining 49876298 0-1-23 05/14-P 07/22-P 05/07-P Pull Station 2nd 2nd corridor by 2a103 by stair 1 49876294 0-1-23 05/14-P 07/22-P 05/07-P

Pull Station 2nd Floor 2B100 mech room 674 EE45069 0-1-23 05/26 Removed

Pull Station 1st stair 5 exit By 108 49876270 0-1-19 05/07-P Pull Station 1st nurses station By rm 121 49876263 0-1-19 05/07-P Pull Station 1st stair 4 exit By rm 118 49876264 0-1-19 05/07-P Pull Station 1st exit stair 3 49876274 0-1-15 05/07-P Pull Station 1st corridor by 108 by stair 1 49876278 0-1-15 05/07-P Pull Station 1st nurses station By rm 105 49876279 0-1-15 05/07-P Pull Station 1st corridor by 118 by stair 2 49876287 0-1-15 05/07-P Pull Station basement women's clinic exit nurses station 49876222 0-1-11 05/07-P

Pull Station basement corridor by BA- 118 by stair 2

49876243 0-1-7 05/07-P

Pull Station basement by BA105 nurses station

49876242 0-1-7 05/07-P

Pull Station basement corridor by BA108 by stair 1

49876240 0-1-7 05/07-P

Pull Station basement corridor by BB- 108 by stair 5

49876225 0-1-11 05/07-P

Pull Station basement women's clinic exit by BB-119

49876218 0-1-11 05/07-P

Page of 16 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Pull Station basement front exit 49876211 0-1-7 05/07-P Pull Station basement corridor by BA-

130 by stair 3 49876248 0-1-7 05/07-P

Pull Station sub basement exit 49876207 0-1-3

Device Total: 26 Return to Executive Summary

Page of 17 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors

Test smoke detectors in place to ensure smoke entry into the sensing chamber and an alarm response. (NFPA 72- 19 Table 14.4.3.2 (17)(7)(a)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Smoke Detector 1 1 0 1 14

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Smoke Detector 2nd 2nd corridor by elevator 49876324 0-1-31 07/22-P Smoke Detector 2nd 2nd electric closet 2B-

49876352 0-1-31 07/22-P

Smoke Detector 2nd 2nd elevator lobby 49876288 0-1-m1-3 Smoke Detector 2nd Elevator machine rm 49876373 0-1-m1-19 Smoke Detector 2nd Elevator machine rm 49876374 0-1-26 Smoke Detector Attic Center rm 52282458 0-1-35 05/07-P The above device replaced ScanID 49876371:

Smoke Detector Attic Center rm 49876371 0-1-35 07/23-P 05/07-R Smoke Detector 1st corridor by elevator 49876257 0-1-38 Smoke Detector 1st elevator lobby 49876254 0-1-m1-2 Smoke Detector basement corridor by elevator 49876216 0-1-37

Smoke Detector basement elevator lobby 49876215 0-1-m1-1 Smoke Detector shaft elevator shaft p1 49876388 0-1-26 Smoke Detector shaft elevator shaft p1

Elevator Recall 49876389 0-1-m1-5

Smoke Detector shaft elevator shaft p2 49876386 0-1-26 Smoke Detector shaft elevator shaft p2

Elevator Recall 49876387 0-1-m1-8

Device Total: 14 Return to Executive Summary

Page of 18 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices.

For periodic testing, verify the operation of the notification appliances. (NFPA 72-19 Table 14.4.3.2 (22)(1)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Bell 27 27 0 27 28

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Bell 1st 1st front exit 49876251 0 05/07-P Bell 2nd 2nd mech rm 2B100 49876355 0 05/14-P 07/23-P 05/07-P Bell 2nd 2nd mech rm behind canteen dining 49876303 0 07/22-P 05/07-P

Bell 2nd 2nd by stair 4 exit 49876321 0 07/23-P 05/07-P Bell 2nd 2nd corridor by 2B110 49876322 0 05/14-P 07/23-P 05/07-P Bell 2nd 2nd by stair 3 exit 49876314 0 05/14-P 07/22-P 05/07-P Bell 2nd 2nd corridor by canteen 49876289 0 05/14-P 07/22-P 05/07-P Bell 2nd 2nd canteen dining 49876297 0 05/14-P 07/22-P 05/07-P Bell 2nd 2nd by stair 1 exit by

2A-103 49876293 0 05/14-P 07/22-P 05/07-P

Bell Attic Opposite end from attic access

52282459 0 05/07-P

The above device replaced ScanID 49876372:

Bell Attic Opposite end from attic access

49876372 0 05/07-R

Bell Attic Above mech rm 2B100 52282457 0 05/07-P The above device replaced ScanID 49876368:

Bell Attic Above mech rm 2B100 49876368 0 07/23-P 05/07-R Bell 1st corridor by 108 exit stair

49876268 0 05/07-P

Bell 1st corridor by 118 exit stair

49876265 0 05/07-P

Bell 1st nurses station By rm 121 49876258 0 05/07-P Bell 1st by stair 3 exit 49876272 0 05/07-P Bell 1st by stair 1 exit by 108 49876276 0 05/07-P Bell 1st by stair 2 exit by 118 49876286 0 05/07-P Bell 1st nurses station By rm 105 49876283 0 05/07-P Bell basement by stair 2 exit by

BA118

49876245 0 05/07-P

Bell basement by stair 1 exit by

BA108

49876238 0 05/07-P

Bell basement corridor by BA105 Nurses station

49876233 0 05/07-P

Bell basement corridor by BA105 49876232 0 05/07-P Bell basement by stair 5 exit by

BB108

49876226 0 05/07-P

Bell basement women's clinic exit stair 4

49876220 0 05/07-P

Page of 19 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Bell basement women's clinic nurses station 49876223 0 05/07-P

Bell basement front exit 49876212 0 05/07-P Bell basement by stair 3 exit by

BA130

49876246 0 05/07-P

Bell sub basement exit 49876208 0

Device Total: 28 Return to Executive Summary

Page of 20 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices.

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 72-19 Table 14.4.3.2 (20)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Releasing Device 4 4 0 4 7

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Releasing Device 2nd 2nd corridor by elevator 49876325 0 07/22-P Releasing Device 2nd 2nd corridor by elevator 49876326 0 07/22-P Releasing Device 2nd corridor by 2a-113 by stair 3 Electric Latch Release

62947711 1-1-23 07/22-F

Releasing Device 1st corridor by elevator 49876255 0 05/07-P Releasing Device 1st corridor by elevator 49876256 0 05/07-P Releasing Device basement corridor by elevator 49876231 0 05/07-P

Releasing Device basement corridor by elevator

49876217 0 05/07-P

Device Total: 7 Return to Executive Summary

Page of 21 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices.

For periodic testing, verify that each appliance flashes. (NFPA 72-19 Table 14.4.3.2 (22)(3)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Strobe 26 26 0 26 27

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Strobe 1st 1st front exit 49876252 0 05/07-P Strobe 2nd 2nd corridor by canteen 49876290 0 05/14-P 07/22-P 05/10-P Strobe 2nd Mech rm by 2B100 49876360 0 07/22-P 05/07-P Strobe 2nd Mech rm by 2B100 49876354 0 05/14-P 07/23-P 05/07-P Strobe 2nd 2nd by stair 2 exit back mech rm 49876301 0 07/22-P 05/07-P

Strobe 2nd 2nd mech rm behind canteen dining

49876300 0 07/22-P 05/07-P

Strobe 2nd 2nd by stair 1 exit by 2a103

49876295 0 05/14-P 07/22-P 05/07-P

Strobe 2nd 2nd by stair 4 exit 49876320 0 07/23-P 05/07-P Strobe 2nd 2nd corridor by 2B110 49876323 0 05/14-P 07/23-P 05/07-P Strobe 2nd 2nd by stair 3 exit 49876313 0 05/14-P 07/22-P 05/07-P Strobe 2nd 2nd by canteen dining 49876296 0 05/14-P 07/22-P 05/07-P Strobe 1st stair 5 corridor by 108 exit 49876269 0 05/07-P

Strobe 1st stair 4 corridor by 118 exit By rm 118

49876266 0 05/07-P

Strobe 1st nurses station By rm 121 49876259 0 05/07-P Strobe 1st by stair 3 exit 49876273 0 05/07-P Strobe 1st by stair 1 exit by 108 49876277 0 05/07-P Strobe 1st by stair 2 exit by 118 49876285 0 05/07-P Strobe 1st nurses station By rm 105 49876284 0 05/07-P Strobe basement by stair 2 exit by

BA118

49876244 0 05/07-P

Strobe basement by stair 1 exit by

BA108

49876239 0 05/07-P

Strobe basement corridor by BA105 Nurses station

49876234 0 05/07-P

Strobe basement by stair 5 exit by

BB108

49876227 0 05/07-P

Strobe basement women's clinic exit

49876219 0 05/07-P

Strobe basement women's clinic nurses station

49876224 0 05/07-P

Strobe basement front exit 49876213 0 05/07-P Strobe basement by stair 3 exit by

BA130

49876247 0 05/07-P

Strobe sub basement exit 49876209 0

Page of 22 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21

Device Total: 27 Return to Executive Summary

Page of 23 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

EC 02.03.05 EP 05 Annual test of fire alarm equipment for notifying off-site fire responders

Test all system functions and features in accordance with the equipment manufacturer's published instructions for correct operation in conformance with the applicable sections of Chapter 26. Except for DACT, actuate initiating device and verify receipt of the correct initiating device signal at the supervising station within 90 seconds. Upon completion of the test, restore the system to its functional operating condition. (NFPA 72-19 Table 14.4.3.2 (4)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Communicator 1 1 0 1 1

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Communicator 2nd 2 Elev Machine Rm 2A-

49872644 0 08/28-P 10/27-P 05/26-P

Device Total: 1 Return to Executive Summary

Page of 24 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

EC 02.03.05 EP 19

Annual test of automatic smoke-detection shutdown devices for air-handling equipment per NFPA 90A-2021

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- 19 Table 14.4.3.2 (17)(7)(e)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Duct Detector 20 19 1 20 20

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Duct Detector 2nd Wall AH3-8 mech rm

2B100 62947636 0-1-20 05/14-P 07/23-P 05/10-P

Duct Detector 2nd Wall AH3-7 mech rm 2B100

62947635 1-1-20 05/14-P 07/23-P 05/10-P

Duct Detector 2nd Wall AH4-1 mech rm 2B100

62947634 1-1-30 05/14-P 05/10-P

Duct Detector 2nd 2nd wall AH2-2 mech rm Behind canteen

62947715 1 07/22-P 05/10-P

Duct Detector 2nd 2nd wall AH1-8 mech rm

62947714 1-1-16 07/22-P 05/10-P

Duct Detector 2nd 2nd wall AH1-7 mech rm Behind canteen

62947713 1 07/22-P 05/10-P

Duct Detector 2nd 2nd wall AH2-1 mech rm Behind canteen

62947712 1 07/22-P 05/10-P

Duct Detector 2nd Wall AH4-2 mech rm 2B100 located in attic

62947637 1 05/14-P 05/10-F

Duct Detector basement wall AH1-3 by

BA105

49876235 0-1-8 05/10-P

Duct Detector basement wall AH1-2 by

BA105

49876236 0-1-8 05/10-P

Duct Detector basement wall AH1-1 by

BA105

49876237 0-1-8 05/10-P

Duct Detector basement wall AH3-3 by

BB121

49876230 0-1-12 05/10-P

Duct Detector basement wall AH3-2 by

BB121

49876229 0-1-12 05/10-P

Duct Detector basement wall AH3-1 by

BB121

49876228 0-1-12 05/10-P

Duct Detector 1st wall AH3-6 by rm 121 49876262 0-1-20 05/10-P Duct Detector 1st wall AH3-5 by rm 121 49876261 0-1-20 05/10-P Duct Detector 1st wall AH3-4 by rm 121 49876260 0-1-20 05/10-P Duct Detector 1st wall AH1-6 by rm 105 49876282 0-1-16 05/10-P Duct Detector 1st wall AH1-5 by rm 105 49876281 0-1-16 05/10-P Duct Detector 1st wall AH1-4 by rm 105 49876280 0-1-16 05/10-P Duct Detector 2nd wall AH3-7 mech rm

2B100

674 EE45074 0 07/23

Device Total: 20 Return to Executive Summary

Page of 25 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

EC 02.03.05 EP 19

Annual test of automatic smoke-detection shutdown devices for air-handling equipment per NFPA 90A-2021

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 72-19 Table 14.4.3.2 (20)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Fan Shutdown 17 16 1 17 17

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Fan Shutdown 2nd Wall AH3-8 mech rm

2B100 49876363 1-1-20 05/14-P 07/22-P 05/10-P

Fan Shutdown 2nd Wall AH3-7 mech rm 2B100

49876364 1-1-20 05/14-P 07/23-P 05/10-P

Fan Shutdown 2nd Wall AH4-1 mech rm 2B100

49876365 0 05/14-P 05/10-P

Fan Shutdown 2nd 2nd wall AH2-2 mech rm Behind canteen

49876308 0 07/22-P 05/10-P

Fan Shutdown 2nd 2nd wall AH1-8 mech rm Behind canteen

49876309 0 07/22-P 05/10-P

Fan Shutdown 2nd 2nd wall AH1-7 mech rm Behind canteen

49876310 0 07/22-P 05/10-P

Fan Shutdown 2nd 2nd wall AH2-1 mech rm Behind canteen

49876311 0 07/22-P 05/10-P

Fan Shutdown 2nd Wall AH4-2 mech rm 2B100

49876362 0 05/14-P 05/10-F

Fan Shutdown basement wall AH3-3 by

BB121

49876397 0 05/10-P

Fan Shutdown basement wall AH3-2 by

BB121

49876396 0 05/10-P

Fan Shutdown basement wall AH3-1 by

BB121

49876395 0 05/10-P

Fan Shutdown 1st wall AH3-6 by rm 121 49876380 0 05/10-P Fan Shutdown 1st wall AH3-5 by rm 121 49876379 0 05/10-P Fan Shutdown 1st wall AH3-4 by rm 121 49876378 0 05/10-P Fan Shutdown 1st wall AH1-6 by rm 105 49876383 0 05/10-P Fan Shutdown 1st wall AH1-5 by rm 105 49876382 0 05/10-P Fan Shutdown 1st wall AH1-4 by rm 105 49876381 0 05/10-P Fan Shutdown basement wall AH1-1 by

BA105

49876392 0 05/26

Removed Fan Shutdown basement wall AH1-2 by

BA105

49876393 0 05/26

Removed Fan Shutdown basement wall AH1-3 by

BA105

49876394 0 05/26

Device Total: 17 Return to Executive Summary

Page of 26 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

LS 02.01.34 EP 02 Protected master fire alarm control panel

Verify correct receipt of alarm, supervisory and trouble signals (inputs), operation of evacuation signals and auxiliary functions (outputs), circuit supervision including detection of open circuits and ground faults, and power supply supervision for detection of loss of ac power and disconnection of secondary batteries. (NFPA 72-19 Table

14.4.3.2 (2)(1)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Control Panel 2 1 1 2 2

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Control Panel 2nd 2 2A-101 49872647 0-2 05/14-P 08/28-F 10/27-F 05/07-P Control Panel 2nd 2 Elev Machine Rm 2A-

49872643 0-1 08/28-F 10/27-F 05/26-F

Page of 27 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2021 18/19.3.4

Verify the correct operation and identification of annunciators. If provided, verify the correct operation of annunciator under a fault condition. (NFPA 72-19 Table 14.4.3.2 (11)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Annunciator 2 2 0 2 2

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Annunciator 1st 1st front exit 49876250 0 10/27-P 05/07-P Annunciator basement front exit 49876214 0 10/27-P 05/07-P

Page of 28 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2021 18/19.3.4

With the batteries fully charged and connected to the charger, measure the voltage across the batteries with a voltmeter. Then, with the battery charger disconnected, load test the batteries following the manufacturer's recommendations. (NFPA 72-19 Table 14.4.3.2 (9)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Battery 6 4 2 6 6

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Battery 2nd 2B101 electric rm bottom bank of 10 cells 52282463 1 05/07-P

Battery 2nd 2B101 electric rm top bank of 10 cells

49876377 0 08/28-P 05/07-P

Battery 2nd 2A101 Fire Command Room Front Batt in main FACP Batt cabinet

62947722 1 08/28-P 10/27-P 05/07-P

Battery 2nd 2A101 Fire Command Room Rear Batt in main FACP Batt cabinet

62947721 1 08/28-P 10/27-P 05/07-P

Battery 2nd 2 Elev Machine Rm 2A- 102 Right Batt

62947724 0 08/28-F 10/27-F 05/07-F

The above device replaced ScanID 49872646:

Battery 2nd 2 Elev Machine Rm 2A-

49872646 0 08/28-R

Battery 2nd 2 Elev Machine Rm 2A- 102 Left Batt

62947723 0 08/28-F 10/27-F 05/07-F

The above device replaced ScanID 49872645:

Battery 2nd 2 Elev Machine Rm 2A-

49872645 0 08/28-R

Device Total: 6 Return to Executive Summary

Page of 29 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2021 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 72-19 Table 14.4.3.2 (20)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Remote Test Switch 8 7 1 8 8

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Remote Test Switch 2nd Wall AH3-8 mech rm

2B100 49876358 1-1-20 05/14-P 07/23-F 05/10-P

Remote Test Switch 2nd 2nd wall AH3-7 mech rm 2B100

49876357 1 05/14-P 07/23-F 05/10-P

Remote Test Switch 2nd 2nd wall AH4-1 mech rm 2B100

49876356 0-1-30 05/14-P 07/23-F 05/10-P

Remote Test Switch 2nd 2nd wall AH2-2 mech rm

49876307 0-1-24 07/22-P 05/10-P

Remote Test Switch 2nd 2nd wall AH1-8 mech rm

49876306 0-1-16 07/22-P 05/10-P

Remote Test Switch 2nd 2nd wall AH1-7 mech rm

49876305 0-1-16 07/22-P 05/10-P

Remote Test Switch 2nd 2nd wall AH2-1 mech rm

49876304 0-1-24 07/22-P 05/10-P

Remote Test Switch 2nd Wall AH4-2 mech rm 2B100

49876359 0-1 05/14-P 07/23-F 05/10-F

Device Total: 8 Return to Executive Summary

Page of 30 40

Convergint Technologies - Central Texas Download Date: 12/07/2021

LS 02.01.50 EP 07 Annual - Elevators are fully equipped and protected

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 72-19 Table 14.4.3.2 (20)) Devices Tested Q2/21 Pass Q2/21 Fail Q2/21 Tested YTD (2021) Total Quantity Elevator 1 0 1 1 2

Device Type Location ScanID Address Q2/20 Q3/20 Q4/20 Q2/21 Elevator 2nd 2A102 Mech. Rm

Elevator# 1 Shunt Pwr Monitor

62947725 1-M1 10 08/28-F 05/10-F

Elevator 2nd 2A102 Mech. Rm Elevator# 1 Shunt

62947726 1-M1 15 08/28-P

Page of 31 40 Service Summary

Convergint Technologies - Central Texas Download Date: 12/07/2021

Service Summary Generated by: BuildingReports.com

Building: Waco VAMC Bldg. 91 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity

Failed/Other Battery Tested 2 Control Panel Tested 1 Duct Detector Tested 1 Elevator Tested 1 Fan Shutdown Tested 1 Remote Test Switch Tested 1

Total 7

Passed Annunciator Tested 2 Battery Tested 4 Bell Tested 27 Communicator Tested 1 Control Panel Tested 1 Duct Detector Tested 19 Fan Shutdown Tested 16 Pull Station Tested 25 Releasing Device Tested 4 Remote Test Switch Tested 7 Smoke Detector Tested 1 Strobe Tested 26

Total 133

Untested Air Pressure Switch 2 Bell 1 Elevator 1 Heat Detector 6 Pull Station 1 Releasing Device 3 Smoke Detector 13 Strobe 1 Tamper Switch 13 Waterflow Switch 8

Total 49

Page of 32 40 Service Summary

Convergint Technologies - Central Texas Download Date: 12/07/2021

Device Type Service Quantity Grand Total 189

Page of 33 40 Auxiliary Functions Testing

Convergint Technologies - Central Texas Download Date: 12/07/2021

Auxiliary Functions Testing Generated by: BuildingReports.com

Building: Waco VAMC Bldg. 91 Control Panel: 0 - SimplexGrinnell 4020 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 Fan Shutdown

2nd 2nd wall AH1-7 mech rm Behind canteen Passed 49876310 2nd 2nd wall AH1-8 mech rm Behind canteen Passed 49876309 2nd 2nd wall AH2-1 mech rm Behind canteen Passed 49876311 2nd 2nd wall AH2-2 mech rm Behind canteen Passed 49876308 2nd Wall AH4-1 mech rm 2B100 Passed 49876365 1st wall AH1-4 by rm 105 Passed 49876381 1st wall AH1-5 by rm 105 Passed 49876382 1st wall AH1-6 by rm 105 Passed 49876383 1st wall AH3-4 by rm 121 Passed 49876378 1st wall AH3-5 by rm 121 Passed 49876379 1st wall AH3-6 by rm 121 Passed 49876380 basement wall AH3-1 by BB121 Passed 49876395 basement wall AH3-2 by BB121 Passed 49876396 basement wall AH3-3 by BB121 Passed 49876397

Releasing Device 1st corridor by elevator Passed 49876256 1st corridor by elevator Passed 49876255 basement corridor by elevator Passed 49876217 basement corridor by elevator Passed 49876231

Building: Waco VAMC Bldg. 91 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 Fan Shutdown

2nd Wall AH3-7 mech rm 2B100 Passed 49876364 2nd Wall AH3-8 mech rm 2B100 Passed 49876363

Failed/Other Elevator

Shunt Trip 2nd 2A102 Mech. Rm Elevator# 1 Shunt Pwr Active trouble 62947725 javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876310');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876309');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876311');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876308');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876365');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876381');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876382');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876383');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876378');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876379');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876380');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876395');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876396');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876397');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876256');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876255');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876217');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876231');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876364');

javascript:openEditDevice('load-edit-f2-device','771932','2633598','49876363');

Page of 34 40 Auxiliary Functions Testing

Convergint Technologies - Central Texas Download Date: 12/07/2021

Building: Waco VAMC Bldg. 91 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

Failed/Other Elevator

Monitor signals

Page of 35 40 Battery & Power Supply Testing

Convergint Technologies - Central Texas Download Date: 12/07/2021

Battery & Power Supply Testing Generated by: BuildingReports.com

Building: Waco VAMC Bldg. 91 Control Panel: 0 - SimplexGrinnell 4020 The Battery & Power Supply Testing section details the readings and measurements of batteries and power supplies used to provide power to the fire alarm and life safety systems. Items are grouped by Passed or Failed/Other.

Type Location Rated Ah

Rated Volts Pre Test

Post Test Min Ah Tested Ah

Battery

Passed Nickel-Cadmium 2nd 2B101 electric rm top bank of 10 cells 55Ah 12VDC 13.42 13.05 35.75

Ah 44Ah

Failed/Other Sealed Lead Acid 2nd 2 Elev Machine Rm 2A-

102 Left Batt 18Ah 12VDC

Sealed Lead Acid 2nd 2 Elev Machine Rm 2A- 102 Right Batt

18Ah 12VDC

Building: Waco VAMC Bldg. 91 Control Panel: 1 The Battery & Power Supply Testing section details the readings and measurements of batteries and power supplies used to provide power to the fire alarm and life safety systems. Items are grouped by Passed or Failed/Other.

Type Location Rated Ah

Rated Volts Pre Test

Post Test Min Ah Tested Ah

Battery

Passed Sealed Lead Acid 2nd 2A101 Fire Command

Room Front Batt in main FACP Batt cabinet

10 12Vdc 13.79 13.63 65% 10Ah

Sealed Lead Acid 2nd 2A101 Fire Command Room Rear Batt in main FACP Batt cabinet

10 12Vdc 13.81 13.67 65% 10Ah

Nickel-Cadmium 2nd 2B101 electric rm bottom bank of 10 cells

55Ah 12VDC 12.75 12.23 35.75 Ah

41.25Ah

Page of 36 40 Inventory & Warranty Report

Convergint Technologies - Central Texas Download Date: 12/07/2021

Inventory & Warranty Report Generated by: BuildingReports.com

Building: Waco VAMC Bldg. 91 Control Panel: 0 - SimplexGrinnell 4020 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 1.06% 2

Annunciator Control 1.06% 2

Battery Control 3.17% 6

Bell Indicating 14.81% 28

Communicator Control 0.53% 1

Control Panel Control 1.06% 2

Duct Detector Initiating 10.58% 20

Elevator Auxiliary 1.06% 2

Fan Shutdown Auxiliary 8.99% 17

Heat Detector Initiating 3.17% 6

Pull Station Initiating 13.76% 26

Releasing Device Auxiliary 3.70% 7

Remote Test Switch Initiating 4.23% 8

Smoke Detector Initiating 7.41% 14

Strobe Indicating 14.29% 27

Tamper Switch Supervisory 6.88% 13

Waterflow Switch Initiating 4.23% 8