2021-10-26_Temple-VAMC-Bldg--146_FireScan.pdf

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

For

Temple VAMC Bldg. 146 1901 Veterans Memorial Dr

Temple, TX 76504

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 Oct 26, 2021

Building: Temple VAMC Bldg. 146 Company: Convergint Technologies - Central Texas Contact: Che Buval Contact: Jessy Martin Title: Safety Officer Title: Service Specialist

Page of 1 23 Executive Summary

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

Executive Summary Generated by: BuildingReports.com

Building Information Building: Temple VAMC Bldg. 146 Contact: Che Buval

Address: 1901 Veterans Memorial Dr Phone: 254-743-0133

Address: Fax:

City/State/Zip: Temple, TX 76504 Mobile:

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

Inspection Performed By Company: Convergint Technologies - Central Texas Inspector: Jessy Martin

Address: 10535 Boyer Blvd Phone: 5034626730

Address: Suite 300 Fax:

City/State/Zip: Austin, Texas 78758 Mobile: 5034626730

Country: United States Email: jessy.martin@convergint.com

System Control Unit Manufacturer: SimplexGrinnell Inspection Date: 10/26/2021 IDC Style:

Model Number: 4010 Install Date: 08/14/2014 SLC Style:

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

Location: 1st 1 st entry corridor by E07 Current Protection:

Monitoring Company: Johnson Controls Phone: 877-200-7485 Account #: SD1642

Central Station Signal Verification Type: Mfg: Model #:

Test Time/Date: 10/26/21 9:40:25 AM Restore Time: Note:

Page of 2 23

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

Inspection Completion Date: Oct 26, 2021 Building: Temple VAMC Bldg. 146 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 1 1

Waterflow Switch 0 0 0 0 1 1

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 Beam Detector 1 1 0 1 0 1

Duct Detector 5 5 0 5 0 5

Pull Station 8 8 0 8 0 8

Smoke Detector 16 16 0 16 0 16

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 Horn/Strobe 10 10 0 10 0 10

Strobe 22 22 0 22 0 22

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 5 5 0 5 0 5

Fan Shutdown 5 5 0 5 0 5

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 1 1 0 1 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

Devices Tested This

Quarter Pass Fail Tested YTD

(2021) Untested YTD

(2021) Total

Quantity Annunciator 1 1 0 1 0 1

Battery 2 2 0 2 0 2

Total Device Count: 74

Page of 3 23

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

Certification Company: Convergint Technologies - Central Texas Building: Temple VAMC Bldg. 146 Inspector: Jessy Martin Contact: Che Buval

Signed: Oct 26, 2021 Signed: Oct 26, 2021

Jessy Martin Certifications Certification Type Number NICET Fire Alarm Systems Level II 152267

Texas State Certification - Fire Alarm Systems 2688841

Page of 4 23 Notes & Recommendations

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

Notes & Recommendations Generated by: BuildingReports.com

Building: Temple VAMC Bldg. 146 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 10/26/2021 JCM - Annual Fire Alarm Inspection & Testing Complete.

System is NORMAL before and after testing.

Previously RED tagged for AHU-1 Duct detector failing to operate.

*Panel is RED Tagged* from a previous inspection.

Page of 5 23 Inspection & Testing

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

Inspection & Testing Generated by: BuildingReports.com

Building: Temple VAMC Bldg. 146 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 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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Tamper Switch 0 0 0 0 1

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Tamper Switch 1st Riser Closet in W02 41136906 1

Device Total: 1 Return to Executive Summary

Page of 6 23

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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Waterflow Switch 0 0 0 0 1

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Waterflow Switch 1st Riser Closet in W02 41136907 1

Page of 7 23

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 the detector by introducing smoke, other aerosol, or an optical filter into the beam path. (NFPA 72-19 Table

14.4.3.2 (17)(f)) Devices Tested Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Beam Detector 1 1 0 1 1

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Beam Detector 1st rm E25 above rm

E18 41136879 1 03/17-F 10/26-P

Page of 8 23

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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Duct Detector 5 5 0 5 5

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Duct Detector Mezzanine Mezzanine west ahu 5-1 52282222 1-M1-10 03/17-P 10/26-P

Duct Detector Mezzanine west ahu 5-

52282229 1 03/17-P 10/26-P

Duct Detector Mezzanine west ahu 20-2

52282227 1 03/17-P 10/26-P

Duct Detector Mezzanine west ahu 20-1

52282225 1 03/17-P 10/26-P

Duct Detector Mezzanine west ahu 1 41136890 1-M1-10 03/17-F 10/26-P

Device Total: 5 Return to Executive Summary

Page of 9 23

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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Pull Station 8 8 0 8 8

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Pull Station 1st 1 st corridor by W16 41136839 1-M1-3 03/17-P 10/26-P Pull Station 1st 1 st corridor by E02 near staff lounge 41136857 1-M1-2 03/17-P 10/26-P

Pull Station 1st 1 st entry corridor by E07

41136836 1-M1-1 11/05-P 03/17-P 05/04-P 09/01-P 10/26-P

Pull Station 1 st exit in E25 41136878 1-M1-24 03/17-P 10/26-P Pull Station 1 st exit in E14 left 41136864 1-M1-37 03/17-P 10/26-P Pull Station 1 st exit in E14 right 41136863 1-M1-36 03/17-P 10/26-P Pull Station 1 st corridor exit by E19 41136868 1-M1-38 03/17-P 10/26-P Pull Station 1 st corridor by E15 by stairs 41136860 1-M1-34 03/17-P 10/26-P

Device Total: 8 Return to Executive Summary

Page of 10 23

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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Smoke Detector 16 16 0 16 16

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Smoke Detector 1st 1 st corridor by W06 41136847 1-M1-6 03/17-P 10/26-P Smoke Detector 1st 1 st corridor by W12 41136841 1-M1-7 03/17-P 10/26-P Smoke Detector 1st 1 st corridor by W12 41136853 1-M1-8 03/17-P 10/26-P Smoke Detector 1st 1 st corridor by W27 41136854 1-M1-9 03/17-P 10/26-P Smoke Detector 1st 1 st corridor by W02 41136848 1-M1-5 03/17-P 10/26-P Smoke Detector 1st 1 st corridor by E07 above facp 41136850 1-M1-4 03/17-P 10/26-P

Smoke Detector Mezzanine west by unit 4

41136887 1-M1-18 03/17-P 10/26-P

Smoke Detector Mezzanine east end 41136883 1-M1-22 03/17-P 10/26-P Smoke Detector Mezzanine by stairs 41136884 1-M1-21 03/17-P 10/26-P Smoke Detector Mezzanine east end little rm 41136882 1-M1-23 03/17-P 10/26-P

Smoke Detector Mezzanine by unit 10 41136885 1-M1-20 03/17-P 10/26-P Smoke Detector Mezzanine west by unit 1 41136886 1-M1-19 03/17-P 10/26-P

Smoke Detector Mezzanine west by unit 5

41136888 1-M1-17 03/17-P 10/26-P

Smoke Detector Mezzanine west by unit 7

41136889 1-M1-16 03/17-P 10/26-P

Smoke Detector 1 st corridor by E14 41136862 1-M1-33 03/17-P 10/26-P Smoke Detector 1 st corridor by E15 41136861 1-M1-33 03/17-P 10/26-P

Device Total: 16 Return to Executive Summary

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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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Horn/Strobe 10 10 0 10 10

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Horn/Strobe 1st 1 st corridor by W27 41136852 1 03/17-P 10/26-P Horn/Strobe 1st 1 st corridor by W05 41136846 1 03/17-P 10/26-P Horn/Strobe 1st 1 st corridor by W16 41136840 1 03/17-P 10/26-P Horn/Strobe 1st 1 st corridor by E02 41136856 1 03/17-P 10/26-P Horn/Strobe 1st 1 st corridor by E11 41136859 1 03/17-P 10/26-P Horn/Strobe 1st 1 st entry corridor by E07 41136837 1 03/17-P 10/26-P

Horn/Strobe 1 st corridor by E25 41136877 1 03/17-P 10/26-P Horn/Strobe 1 st in rm E14 41136865 1 03/17-P 10/26-P Horn/Strobe 1 st in rm E14 41136866 1 03/17-P 10/26-P Horn/Strobe 1 st corridor by E19 41136869 1 03/17-P 10/26-P

Device Total: 10 Return to Executive Summary

Page of 12 23

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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Strobe 22 22 0 22 22

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Strobe 1st Rm E29 52282220 1-M1-24 03/17-P 10/26-P The above device replaced ScanID 674 EE31856:

Strobe Rm E29 674

EE31856

1-M1-24 03/17-R

Strobe 1st rm E27 52282221 1-M1-24 03/17-P 10/26-P The above device replaced ScanID 674 EE31855:

Strobe rm 27 674

EE31855

1-M1-24 03/17-R

Strobe 1st 1 st women’s rr W24

41136851 1 03/17-P 10/26-P

Strobe 1st 1 st group rm W6 41136844 1 03/17-P 10/26-P Strobe 1st 1 st group rm W8 41136843 1 03/17-P 10/26-P Strobe 1st 1 st group rm W10 41136842 1 03/17-P 10/26-P Strobe 1st 1 st men’s rr W4 41136845 1 03/17-P 10/26-P Strobe 1st 1 st break rm W21 41136855 1 03/17-P 10/26-P Strobe 1st 1 st waiting area

W02 41136849 1 03/17-P 10/26-P

Strobe 1st 1 st women’s bathroom E07

41136838 1 03/17-P 10/26-P

Strobe 1st 1 st men’s rr E09 41136858 1 03/17-P 10/26-P Strobe 1st in rm E16 41136874 1 03/17-P 10/26-P Strobe 1st in rm E18 41136875 1 03/17-P 10/26-P Strobe 1st in rm E20 41136876 1 03/17-P 10/26-P Strobe 1st in rm E25 41136872 1 03/17-P 10/26-P Strobe 1 st in rm E25 41136871 1 03/17-P 10/26-P Strobe 1 st in rm E23 52282218 1 03/17-P 10/26-P The above device replaced ScanID 674 EE31854:

Strobe 1 st in rm E23 674

EE31854

1 03/17-R

Strobe 1st in rm E25 52282219 1 03/17-P 10/26-P The above device replaced ScanID 41136873:

Strobe 1st in rm E25 41136873 1 03/17-R Strobe 1 st in rm E21 41136870 1 03/17-P 10/26-P Strobe 1st in rm E15 41136880 1 10/26-P Strobe 1st in rm E11 41136881 1 03/17-P 10/26-P Strobe 1 st in rm E14 41136867 1 03/17-P 10/26-P

Device Total: 22 Return to Executive Summary

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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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Communicator 1 1 0 1 1

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Communicator 1st 1 st entry corridor by E07 41136834 1 11/05-P 03/17-P 05/04-P 09/01-P 10/26-P

Page of 14 23

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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Duct Detector 5 5 0 5 5

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Duct Detector Mezzanine Mezzanine west ahu 5-1 52282222 1-M1-10 03/17-P 10/26-P

Duct Detector Mezzanine west ahu 5-

52282229 1 03/17-P 10/26-P

Duct Detector Mezzanine west ahu 20-2

52282227 1 03/17-P 10/26-P

Duct Detector Mezzanine west ahu 20-1

52282225 1 03/17-P 10/26-P

Duct Detector Mezzanine west ahu 1 41136890 1-M1-10 03/17-F 10/26-P

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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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Fan Shutdown 5 5 0 5 5

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Fan Shutdown Mezzanine west ahu 5-

52282228 1 03/17-P 10/26-P

Fan Shutdown Mezzanine west ahu 20-2

52282226 1 03/17-P 10/26-P

Fan Shutdown Mezzanine west ahu 20-1

52282224 1 03/17-P 10/26-P

Fan Shutdown Mezzanine west ahu 5-

52282223 1 03/17-P 10/26-P

Fan Shutdown Mezzanine west ahu 1 41136891 1 03/17-F 10/26-P

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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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Control Panel 1 1 0 1 1

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Control Panel 1st 1 st entry corridor by E07 41136833 1 11/06-P 03/17-P 05/04-P 09/01-F 10/26-P

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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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Annunciator 1 1 0 1 1

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Annunciator 1 st entry corridor by

W102 41136938 1-M1-1 03/17-P 05/04-P 10/26-P

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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 Q4/21 Pass Q4/21 Fail Q4/21 Tested YTD (2021) Total Quantity Battery 2 2 0 2 2

Device Type Location ScanID Address Q4/20 Q1/21 Q2/21 Q3/21 Q4/21 Battery 1st Right Battery 1st entry corridor by E07 41136835 1 11/05-P 03/17-P 05/04-P 09/01-P 10/26-P

Battery Left Battery 1st entry corridor by E07

62947700 1 11/05-P 03/17-P 05/04-P 09/01-P 10/26-P

Device Total: 2 Return to Executive Summary

Page of 19 23 Service Summary

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

Service Summary Generated by: BuildingReports.com

Building: Temple VAMC Bldg. 146 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity

Passed Annunciator Tested 1 Battery Tested 2 Beam Detector Tested 1 Communicator Tested 1 Control Panel Tested 1 Duct Detector Tested 5 Fan Shutdown Tested 5 Horn/Strobe Tested 10 Pull Station Tested 8 Smoke Detector Tested 16 Strobe Tested 22

Total 72

Untested Tamper Switch 1 Waterflow Switch 1

Total 2 Grand Total 74

Page of 20 23 Auxiliary Functions Testing

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

Auxiliary Functions Testing Generated by: BuildingReports.com

Building: Temple VAMC Bldg. 146 Control Panel: 1 - SimplexGrinnell 4010 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

Mezzanine west ahu 1 Passed 41136891 Mezzanine west ahu 20-1 Passed 52282224 Mezzanine west ahu 20-2 Passed 52282226 Mezzanine west ahu 5-1 Passed 52282223 Mezzanine west ahu 5-2 Passed 52282228 javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136891');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','52282224');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','52282226');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','52282223');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','52282228');

Page of 21 23 Battery & Power Supply Testing

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

Battery & Power Supply Testing Generated by: BuildingReports.com

Building: Temple VAMC Bldg. 146 Control Panel: 1 - SimplexGrinnell 4010 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 1st Right Battery 1st entry corridor by E07 12 12Vdc 13.7 13.5 100%

Sealed Lead Acid Left Battery 1st entry corridor by E07

12Ah 12Vdc 13.7 13.5 100%

Page of 22 23 Inventory & Warranty Report

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

Inventory & Warranty Report Generated by: BuildingReports.com

Building: Temple VAMC Bldg. 146 Control Panel: 1 - SimplexGrinnell 4010 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 Annunciator Control 1.35% 1

Battery Control 2.70% 2

Beam Detector Initiating 1.35% 1

Communicator Control 1.35% 1

Control Panel Control 1.35% 1

Duct Detector Initiating 6.76% 5

Fan Shutdown Auxiliary 6.76% 5

Horn/Strobe Indicating 13.51% 10

Pull Station Initiating 10.81% 8

Smoke Detector Initiating 21.62% 16

Strobe Indicating 29.73% 22

Tamper Switch Supervisory 1.35% 1

Waterflow Switch Initiating 1.35% 1

Type Qty Model # Description Install Date

In Service - 3 Years to 5 Years Annunciator 1 08/16/2018 Beam Detector 1 08/16/2018 Communicator 1 08/16/2018 Duct Detector 5 08/16/2018 Fan Shutdown 5 08/16/2018 Horn/Strobe 10 08/16/2018 Pull Station 7 08/16/2018 Smoke Detector 16 08/16/2018 Strobe 22 08/16/2018 Tamper Switch 1 08/16/2018 Waterflow Switch 1 08/16/2018

Duracell ultra Battery 2 DURA12-12F2 Sealed Lead Acid 08/16/2018

SimplexGrinnell Pull Station 1 08/16/2018

In Service - 5 Years to 10 Years SimplexGrinnell

Control Panel 1 4010 08/14/2014

Page of 23 23 Zone Address Report

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

Zone Address Report Generated by: BuildingReports.com

Building: Temple VAMC Bldg. 146 Control Panel: 1 - SimplexGrinnell 4010 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 M1-1 Pull Station 1st 1 st entry corridor by E07 41136836 M1-1 Annunciator 1 st entry corridor by W102 41136938 M1-2 Pull Station 1st 1 st corridor by E02 near staff lounge 41136857 M1-3 Pull Station 1st 1 st corridor by W16 41136839 M1-4 Smoke Detector 1st 1 st corridor by E07 above facp 41136850 M1-5 Smoke Detector 1st 1 st corridor by W02 41136848 M1-6 Smoke Detector 1st 1 st corridor by W06 41136847 M1-7 Smoke Detector 1st 1 st corridor by W12 41136841 M1-8 Smoke Detector 1st 1 st corridor by W12 41136853 M1-9 Smoke Detector 1st 1 st corridor by W27 41136854 M1-10 Duct Detector Mezzanine Mezzanine west ahu 5-1 52282222 M1-10 Duct Detector Mezzanine west ahu 1 41136890 M1-16 Smoke Detector Mezzanine west by unit 7 41136889 M1-17 Smoke Detector Mezzanine west by unit 5 41136888 M1-18 Smoke Detector Mezzanine west by unit 4 41136887 M1-19 Smoke Detector Mezzanine west by unit 1 41136886 M1-20 Smoke Detector Mezzanine by unit 10 41136885 M1-21 Smoke Detector Mezzanine by stairs 41136884 M1-22 Smoke Detector Mezzanine east end 41136883 M1-23 Smoke Detector Mezzanine east end little rm 41136882 M1-24 Strobe 1st Rm E29 52282220 M1-24 Strobe 1st rm E27 52282221 M1-24 Pull Station 1 st exit in E25 41136878 M1-33 Smoke Detector 1 st corridor by E14 41136862 M1-33 Smoke Detector 1 st corridor by E15 41136861 M1-34 Pull Station 1 st corridor by E15 by stairs 41136860 M1-36 Pull Station 1 st exit in E14 right 41136863 M1-37 Pull Station 1 st exit in E14 left 41136864 M1-38 Pull Station 1 st corridor exit by E19 41136868 javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136836');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136938');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136857');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136839');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136850');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136848');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136847');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136841');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136853');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136854');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','52282222');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136890');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136889');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136888');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136887');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136886');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136885');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136884');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136883');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136882');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','52282220');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','52282221');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136878');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136862');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136861');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136860');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136863');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136864');

javascript:openEditDevice('load-edit-f2-device','771923','2790900','41136868');

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