Attachment 4 - 154A 2024 Annual Device Testing.docx

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H942--Amendment 0003 | North Montana VA Fire Alarm and Fire Suppression MITMR
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36C25925Q0360
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This document is an annual fire alarm device testing report for Building 154A at the Fort Harrison VA Medical Center. The comprehensive testing, conducted on January 6-9, 2024, by Firefighter/Inspector Kevin Graves, systematically evaluated multiple fire detection and notification systems across basement and first-floor areas. The testing covered smoke detectors, heat detectors, pull stations, duct detectors, and alarm notification devices, following NFPA 72-2010 standards for annual inspection requirements.

The testing revealed mostly successful results, with most devices passing inspection. However, several devices failed or showed partial functionality, including horn/strobe units near Exam Room 9, outside Room A133, in Room B5, and in the file room B10. Specific areas tested included ambulance entries, patient care zones, stairwells, elevators, mechanical rooms, and various specialized care areas. The documentation meticulously tracks each device's location, type, test results, and specific identifiers, providing a detailed record of the facility's fire alarm system performance and maintenance status.

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2024 Annual Fire Alarms Tests Building 154A ambulatory healthcare

EC.02.03.05

EP 3: Duct, heat, smoke detectors, and manual fire alarm boxes. NFPA 72-2010: Table 14.4.5; 17.14 Annually EP 4: Notification devices (audible & visual), and door- releasing devices NFPA 72-2010: Table 14.4.5 Annually EP 5: Emergency services notification transmission equipment NFPA 72-2010: Table 14.4.5 Annual.

Firefighter/Inspector Kevin Graves Fort Harrison VA Fire Department

(406) 447-6777

Building 154A Annual Device Testing

321 13:56:54 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

THU 04-JAN-24

322 13:53:00 154A-BSMT OUTPAT. STAIRS 1:M2-65

SAT 06-JAN-24 SMOKE DETECTOR FIRE ALARM

323 13:53:12 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

324 13:58:48 154A BASE P.T. ELEVATOR LOBBY 7:M1-116

SAT 06-JAN-24 SMOKE DETECTOR FIRE ALARM

325 13:58:56 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

326 14:02:57 154A BASE NEW P.T STORAGE N7:M1-119

SAT 06-JAN-24 SMOKE DETECTOR FIRE ALARM

327 14:03:04 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

328 14:05:36 PRIMARY CARE BSMT HLL FIRE DR E N11;M1-7

SAT 06-JAN-24 SMOKE DETECTOR FIRE ALARM

329 14:05:44 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

330 14:15:28 PRIMARY CARE BSMT HLL FIRE DR W N11;M1-6

SAT 06-JAN-24 SMOKE DETECTOR FIRE ALARM

331 14:15:37 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

332 14:16:35 PRIMARY CARE BSMT HALL TO HOSP N11;M1-5

SAT 06-JAN-24 PULL STATION FIRE ALARM

333 14:16:42 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

334 14:17:19 SPECIALTY CARE BASEMENT HALL BC3 7:M1-10

SAT 06-JAN-24 PULL STATION FIRE ALARM

335 14:17:26 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

336 14:18:45 154A BASE NEW P.T. ENTRY N7:M1-117

SAT 06-JAN-24 PULL STATION FIRE ALARM

337 14:18:54 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

338 14:19:28 154A BASE NEW P.T. WORK AREA N7:M1-115

SAT 06-JAN-24 PULL STATION FIRE ALARM

339 14:19:33 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

340 14:20:30 154A-BSMT OUTPAT.STAIRS TO ELECT 1:M2-69

SAT 06-JAN-24 PULL STATION FIRE ALARM

341 14:20:37 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

342 14:21:31 154A BSMT OUTPAT. WEST EXIT 1:M2-40

SAT 06-JAN-24 PULL STATION FIRE ALARM

343 14:21:35 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

344 14:23:23 154A BSMT ROOM B18 M/R STORAGE 1:M2-48

SAT 06-JAN-24 SMOKE DETECTOR FIRE ALARM

345 14:23:27 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

346 14:45:08 SPECIALTY MAIN FLR AC113 7:M1-2

SAT 06-JAN-24 PULL STATION FIRE ALARM

347 14:45:18 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

348 14:46:19 OUTPATIENT MAIN ENTRY M1-5

SAT 06-JAN-24 PULL STATION FIRE ALARM

349 14:46:28 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

350 14:48:03 154A 1ST FL LAB ELEV EQUIP RM 7:M1-103

SAT 06-JAN-24 SMOKE DETECTOR FIRE ALARM

351 14:48:12 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

352 14:48:41 154A 1ST FL LAB ELEV EQUIP RM 7:M1-102

SAT 06-JAN-24 HEAT DETECTOR FIRE ALARM

353 14:48:50 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

354 15:00:10 AMBULANCE ENTRY 7:M1-6

SAT 06-JAN-24 PULL STATION FIRE ALARM

355 15:02:49 154A-1ST BY SECLUSION ROOM 1:M2-3

SAT 06-JAN-24 PULL STATION FIRE ALARM

356 15:03:03 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

357 15:05:23 AMBULANCE ENTRY 7:M1-7

SAT 06-JAN-24 PULL STATION FIRE ALARM

358 15:05:36 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

359 15:07:43 SPECIALTY CARE BASEMENT RM 332 7:M1-15

SAT 06-JAN-24 PULL STATION FIRE ALARM

360 15:07:54 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

361 15:08:10 SPECIALTY CARE BASEMENT RM 332 7:M1-14

SAT 06-JAN-24 DUCT DETECTOR FIRE ALARM

362 15:08:23 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

363 15:08:26 SPECIALTY CARE BASEMENT RM 332 7:M1-16

SAT 06-JAN-24 DUCT DETECTOR FIRE ALARM

364 15:08:31 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

365 15:09:32 SPECIALTY CARE BASEMENT RM 332 7:M1-13

SAT 06-JAN-24 DUCT DETECTOR TEST ABNORMAL

366 15:09:42 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

367 15:19:10 154A 1ST FL LAB ELEVATOR LOBBY 7:M1-101

SAT 06-JAN-24 SMOKE DETECTOR FIRE ALARM

368 15:19:30 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

369 15:23:04 154A-1ST OUTPAT. RM AC106 TO CAN 1:M2-11

SAT 06-JAN-24 SMOKE DETECTOR FIRE ALARM

370 15:23:21 ALARM GLOBAL ACKNOWLEDGE AT NODE 8

SAT 06-JAN-24

371 15:30:08 SPECIALTY CARE MAIN FLR RM A15 7:M1-1

SAT 06-JAN-24 SMOKE DETECTOR FIRE ALARM

372 09:29:41 154 2ND HALL IN SURGERY 1:M3-125

SUN 07-JAN-24 PULL STATION FIRE ALARM

373 09:46:36 154 OEF CLINIC EAST EXIT 1:M4-100

SUN 07-JAN-24 PULL STATION FIRE ALARM

374 09:58:23 PRIMARY CARE BSMT HALL TO HOSP N11;M1-5

SUN 07-JAN-24 PULL STATION FIRE ALARM

518 14:32:29 154-1ST AMBULANCE ENTRY BY ELEV 1:M2-2

TUE 09-JAN-24 SMOKE DETECTOR FIRE ALARM

519 14:37:40 154A-BSMT OUTPAT. RM B13 1:M2-67

TUE 09-JAN-24 DUCT DETECTOR FIRE ALARM

520 14:38:30 ALARM GLOBAL ACKNOWLEDGE AT NODE 3

TUE 09-JAN-24

521 14:45:07 154A-BSMT OUTPAT. RM B13C 1:M2-71

TUE 09-JAN-24 DUCT DETECTOR FIRE ALARM

522 14:47:38 ALARM GLOBAL ACKNOWLEDGE AT NODE 3

V. A. Hospital, Fort Harrison, Mt.

Building 154A

Pt.
Dev. Type
Type
Location
Code
Intials
Date
Air handler off
Air handler start up
13
PHOTO
DUCT
154A NEW BASEMENT
7:M1-13
KG
Jan-24
Pass
Pass
14
PHOTO
DUCT
154A NEW BASEMENT
7:M1-14
KG
Jan-24
Pass
Pass
16
PHOTO
DUCT
154A NEW BASEMENT
7:M1-16
KG
Jan-24
Pass
Pass
67
RPHOTO
DUCT
154A-BASE OUTPAT. RM. B13
1:M2-67
KG
Jan-24
Pass
Pass
71
MBZAM
DUCT
154A Basement RM B18-C By left light
1:M2-71
KG
Jan-24
Pass
Pass
48
PHOTO
SMOKE
154A Basement Rm B18-B to the right of door
M2-48
KG
Jan-24
Pass
Pass
Intials
Date
Pass Fail
3
ADRPUL
PULL
154A-1ST OUTPAT. Ambulance Entrance
1:M2-3
KG
Jan-24
Pass
40
ADRPUL
PULL
154A BASEMENT OUTPAT. WEST EXIT
1:M2-40
KG
Jan-24
Pass
66
ADRPUL
PULL
154A-BASE Operator Rm.
1:M2-66
KG
Jan-24
Pass
69
ADRPUL
PULL
154A-Basement by ramp to PT
1:M2-69
KG
Jan-24
Pass
2
ADRPUL
PULL
154A 1st flr Room AC113
7:M1-2
KG
Jan-24
Pass
5
ADRPUL
PULL
154A 1st flr Outpatient Ent.
7:M1-5
KG
Jan-24
Pass
6
ADRPUL
PULL
154A 1st flr Amb. Entrance
7:M1-6
KG
Jan-24
Pass
7
ADRPUL
PULL
154A 1st flr Amb. Entrance
7:M1-7
KG
Jan-24
Pass
10
ADRPUL
PULL
154A Base Hall BC3
7:M1-10
KG
Jan-24
Pass
15
ADRPUL
PULL
154A Base Outside Mech. RM.
7:M1-15
KG
Jan-24
Pass
117
ADRPUL
PULL
PT FRONT ENTRANCE
7:M1-117
KG
Jan-24
Pass
115
ADRPUL
PULL
PT REAR ENTRANCE
7:M1-115
KG
Jan-24
Pass
68
RZAM
RELAY
154A-BASE OUTPAT. RM. B13
1:M2-68
KG
Jan-24
Pass
103
PHOTO
SMOKE
154A-PT ELEV. MECH RM.
7:M1-103
KG
Jan-24
Pass
101
PHOTO
SMOKE
154A-PT ELEV. 1ST FLOOR
7:M1-101
KG
Jan-24
Pass
HEAT
154A-PT ELEV. MECH RM.
7:M1-102
KG
Jan-24
Pass
Intials
Date
Pass Fail
Gauge #
2
PHOTO
SMOKE
154A-1ST AMBULANCE ENTRANCE
1:M2-2
KG
Jan-24
Pass
5
PHOTO
SMOKE
154A Hall By RM. A-125A
1:M2-5
KG
Jan-24
Pass
9
PHOTO
SMOKE
154A-1ST OUTPAT. STAIRWELL, to Basement
1:M2-9
KG
Jan-24
unaccessable/construction zone
11
PHOTO
SMOKE
154A-in hallway between waiting rm and canteen
1:M2-11
KG
Jan-24
Pass
PHOTO
SMOKE
154A 1st flr Panel Rm.
7:M1-1
KG
Jan-24
Pass
65
PHOTO
SMOKE
154A-BASE OUTPAT STAIRS
1:M2-65
KG
Jan-24
Pass
119
PHOTO
SMOKE
154A BSMT R-B31J in PT by Kitchen
7:M1-119
KG
Jan-24
Pass
116
PHOTO
SMOKE
154A BSMT PT ELEV
7:M1-116
KG
Jan-24
Pass

Notification devices (audible & visual), and door- releasing devices NFPA 72-2010: Table 14.4.5 Annually

Building 154A Alarm Notification Devices

Device
Location
Device #
Status
Initials

154A

1st floor

Horn/Strobe
Near Blue 7
154A-1-HS-1
Pass
KG
Horn/Strobe
Right of basement entrance
154A-1-HS-2
Pass
KG
Horn/Strobe
Across from A97
154A-1-HS-3
Pass
KG
Horn/Strobe
Next to A98
154A-1-HS-4
Pass
KG
Horn/Strobe
Next to A90
154A-1-HS-5
Pass
KG
Horn/Strobe
Next to A80/ Blue31
154A-1-HS-6
Pass
KG
Horn/Strobe
Across from A88
154A-1-HS-7
Pass
KG
Horn/Strobe
Outside ER entrance
154A-1-HS-8
Pass
KG
Strobe
Treatment room bathroom
154A-1-S-1
Pass
KG
Horn/Strobe
Near Exam rm9
154A-1-HS-10
Fail
KG
Horn/Strobe
Waiting room near north door
154A-1-HS-12
Pass
KG
Strobe
Outpatient entrance
Being Moved
Pass
KG
Horn/Strobe
Waiting room east wall
154A-1-HS-13
Pass
KG
Horn/Strobe
Waiting room south wall near restrooms
154A-1-HS-14
Pass
KG
Strobe
In male restroom
154A-1-S-2
Pass
KG
Strobe
In female restroom
154A-1-S-3
Pass
KG
Strobe
Inside A120
154A-1-S-4
Pass
KG
Horn/Strobe
Waiting room west wall above A126
154A-1-HS-11
Pass
KG
Horn/Strobe
Outside A133
154A-1-HS-15
Fail
KG
Horn/Strobe
Business office S103
154A-1-HS-16
Pass
KG
Horn/Strobe
West outpatient entrance
154A-1-HS-17
Pass
KG
Strobe
Inside 37 Green
154A-1-S-5
Pass
KG
Horn/Strobe
Left of 45 Green
154A-1-HS-18
Pass
KG
Horn/Strobe
Outside 55 orange
154A-1-HS-20
Pass
KG
Horn/Strobe
outside A193 / Orange 50
154A-1-HS-21
Pass
KG
Horn/Strobe
Inside eye clinic entrance
154A-1-HS-22
Pass
KG
Horn/Strobe
Outside A183 Orange 60
154A-1-HS-23
Pass
KG
Horn/Strobe
Outside A189 Orange 66
154A-1-HS-24
Pass
KG
Strobe
Inside Green 48
154A-1-S-6
Pass
KG
Strobe
Inside A187
154A-1-S-7
Pass
KG
Horn/Strobe
Outside A137 Green 48
154A-1-HS-19
Pass
KG
Horn/Strobe
Outside A142
154A-1-HS-25
Pass
KG
Horn/Strobe
Outside A138/Bathroom
154A-1-HS-26
Pass
KG
Strobe
Inside A138/Bathroom
154A-1-S-8
Pass
KG
Horn/Strobe
Outside A154
154A-1-HS-27
Pass
KG
Strobe
Inside Gold 93
154A-1-S-9
Pass
KG
Horn/Strobe
Exit at Gold 87
154A-1-HS-28
Pass
KG
Strobe
In Gold A163
154A-1-S-10
Pass
KG
Horn/Strobe
Gold 79
154A-1-HS-29
Pass
KG
Horn/Strobe
Outside Gold 76
154A-1-HS-30
Pass
KG
Horn/Strobe
ER Breakroom
154-1-HS-9
Pass
KG
Strobe
Training room S110
154A-1-S-11
Pass
KG
Horn/Strobe
Gold 71
154A-1-HS-32
Pass
KG
Horn/Strobe
Near A173
154A-1-HS-33
Pass
KG
Horn/Strobe
Across from gold 73
154A-1-HS-31
Pass
KG
Horn/Strobe
Hall to shops
154A-1-HS-34
Pass
KG
Horn/Strobe
Hall to shops
154A-1-HS-35
Pass
KG
Horn/Strobe
Hall to shops
154A-1-HS-36
Pass
KG

154A Basement

Horn/Strobe
B1
154A-B-HS-9
Pass
KG
Horn/Strobe
Rm B5
Fail
KG
Horn/Strobe
Across B7
154A-B-HS-7
Pass
KG
Horn/Strobe
Across B2
154A-B-HS-8
Pass
KG
Strobe
Bathroom
154A-B-S-4
Pass
KG
Strobe
Bathroom
154A-B-S-5
Pass
KG
Horn/Strobe
B2 Hall near Exit
154A-B-HS-10
Pass
KG
Horn/Strobe
mechanical room 154A
154A-B-HS-15
Pass
KG
Horn/Strobe
Outside B1A
154A-B-HS-6
Pass
KG
Horn/Strobe
Outside B18B
154A-B-HS-2
Pass
KG
Strobe
Inside B18B
154A-B-S-1
Pass
KG
Horn/Strobe
B18C
154A-B-HS-3
Pass
KG
Strobe
B18C
154A-B-S-3
Pass
KG
Horn/Strobe
File room B10
154A-B-HS-4
Fail
KG
Horn/Strobe
File room B10
154A-B-HS-5
Pass*
KG
Horn/Strobe
B18A police office
154A-B-HS-1
Pass
KG
Strobe
Inside file room across from B18C
154A-B-S-2
Fail
KG

154A BSMT PT

Horn/Strobe
Front entrance PT
154A-B-HS-11
Pass
KG
Strobe
Inside B-11
154A-B-S-10
Pass
KG
Horn/Strobe
Outside B-11
154A-B-HS-12
Pass
KG
Strobe
Kitchen
154A-B-S-9
Pass
KG
Strobe
Pool
154A-B-S-8
Pass
KG
Horn/Strobe
Near Rear Exit
154A-B-HS-13
Pass
KG
Horn/Strobe
Outside of bathrooms
154A-B-HS-14
Pass
KG
Strobe
Men's bathroom
154A-B-S-6
Pass
KG
Strobe
Women's bathroom
154A-B-S-7
Pass
KG

* Strobe light slow functioning - KG

KEY

Building - Floor - Device type - Device #

H-Horn

S-Strobe

B- Basement

Devices that did not pass are listed below.

VAFD FORM 7E

Horn/Strobe
Near Exam rm9
154A-1-HS-10
Fail
KG
Horn/Strobe
Outside A133
154A-1-HS-15
Fail
KG
Horn/Strobe
Rm B5
Fail
KG
Horn/Strobe
File room B10
154A-B-HS-4
Fail
KG
Horn/Strobe
File room B10
154A-B-HS-4
Fail
KG
Horn/Strobe
File room B10
154A-B-HS-5
Pass*
KG
9
PHOTO
SMOKE
154A-1ST OUTPAT. STAIRWELL, to Basement
1:M2-9
KG
Jan-24
unaccessable/construction zone

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