Bldg Sprinkler Inspections.pdf
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- 36C26126Q0018
About this file
These documents are annual inspection reports for automatic sprinkler systems at the VA Sierra Nevada Health Care System, located at 975 Kirman Avenue in Reno, Nevada. The reports, completed by inspector Will Headley (and occasionally Dorothy Kunde) between October and December 2019, document detailed inspections of wet pipe sprinkler systems across multiple buildings (Buildings 1, 1A, 5, 6, 10, 12, and 1D/4).
The standardized NFPA (National Fire Protection Association) Form 6 inspection reports systematically assess various components including gauges, control valves, alarm valves, fire department connections, pressure reducing valves, sprinklers, and pipes. Each building's report indicates routine maintenance checks were completed, with most inspections finding no significant issues. A few notable comments include a leaky fire water riser drain line in one building, multiple escutcheons being adjusted, two dusty sprinkler heads being cleaned, and some main drain test results showing variations that were determined not to indicate systemic problems.
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Inspector: Will Headley
Contract No.: Builind lA
Property Name: VA Sierra Nevada Health Care System
Property Address: 975 Kirman Avenue, Reno NV. 89502
Form 6
Automatic Sprinkler Systems Inspection, Testing, and Maintenance of Wet Pipe Sprinkler Systems
Phone Number: 775-784-3957 Date: 3/27/2020
Inspections Monthly
Ej Yes 0 No 0 N/A Gauges—normal water pressure maintained
Control Valves
El Yes 0 No 0 N/A In the correct (open or closed) position
El Yes 0 No 0 N/A Sealed, locked, or supervised
El Yes ID No 1=1 N/A Accessible
El Yes 0 No 1=1 N/A Free from damage or leaks
El Yes 1=1 No 1=1 N/A Proper signage
Alarm Valves
El Yes 1=1 No 0 N/A Free of damage
El Yes 1=1 No 0 N/A Accessible
El Yes 1=1 No 1=1 N/A Retard chamber/alarm drains not leaking
Quarterly
El Yes 1=1 No 1=1 N/A Alarm devices—free of damage
Z Yes 0 No 1=1 N/A Hydraulic data nameplate—securely attached to riser/legible
Fire Department Connections
El Yes 0 No 0 N/A Visible and accessible
El Yes 1=1 No El N/A Coupling/swivels operate correctly
E Yes 1=1 No I=1 N/A Plugs/caps are in place
El Yes 0 No I=1 N/A Gaskets are not damaged
El Yes 0 No 1=1 N/A Identification signs are in place
Z Yes 1=1 No 1=1 N/A Ball drip valve is functional
Pressure Reducing Valve
El Yes 1=1 No 0 N/A In the open position/not leaking
Z Yes 1=1 No 1=1 N/A Maintaining downstream pressure
NFPA° NFPA Water-Based Fire Protection Systems Forms 1 of 3
This Report Covers: El Monthly 1=1 Quarterly Annual
Three-Year 1=1 Five-Year
Form 6
El Yes
Annual
0 No 0 N/A In good condition
Sprinklers (visible)
El Yes 11 No 0 N/A No damage or leaks
El Yes 11 No 11 N/A Free of corrosion, foreign material, or paint
El Yes 0 No 11 N/A Installed in proper orientation
0 Yes 11 No 11 N/A Fluid in glass bulbs
LEI Yes E No 11 N/A Spare sprinklers—proper number and type. Complete with wrench?
El Yes 11 No 11 N/A Hangers and seismic bracing—not damaged or loose
Pipes and Fittings (visible)
El Yes 11 No 11 N/A In good condition/no external corrosion
ISI Yes 11 No 0 N/A No leaks or mechanical damage
[El Yes 0 No 11 N/A Correct alignment—no external loads
CI Yes 11 No Z N/A Hose racks—inspected per NFPA 1962
CI Yes 0 No Z N/A Building—wet piping not exposed to freezing temperatures
Five-Year
El Yes El No 11 N/A Alarm valve interior including strainers, filters, and restriction orifice
El Yes 11 No 0 N/A Check valve—internal moves freely, in good condition
IZ Yes 11 No 11 N/A Obstruction inspection—no foreign or obstructing material found
Test
CI Yes 11 No El N/A Alarm devices—water motor gong
CI Yes 0 No El N/A Main drain test—if the sole supply is through a backflow preventer
Static psi Residual psi
CI Yes 11 No Z N/A Do results differ by more than 10% from previous test?
Semi-annual
Z Yes 11 No 0 N/A Supervisory switch functions
Z Yes 11 No 0 N/A Alarm devices—inspectors test or bypass opened/obstructed waterflow
Annual
Z Yes Ei No 0 N/A Main drain test Static 171 Residual 130
CI Yes Z No 11 N/A Do results differ by more than 10% from previous test?
Z Yes CI No 0 N/A All control valves operated through full range of motion and returned to normal position.
El Yes 11 No 0 N/A Specific gravity or anti-freeze system (if present)
Z Yes 11 No El N/A Backflow preventer—test
El Yes 0 No 11 N/A Backflow preventer—flow test
NFPX NFPA Water-Based Fire Protection Systems Forms 2 of 3
Three-Year
El Yes 1=1 No
Five-Year
El Yes U No
LI Yes LI No
[s] N/A Hose has been tested in accordance with NFPA 1962
N/A Gauges tested or replaced
El N/A Pressure reducing valve—flow test and comparable to previous results
Routine Maintenance
El Yes 0 No 0 N/A Sprinklers tested or replaced per appropriate testing schedule
Comments
5 year gauge replacement completed 9/28/2018. Referenced for annual main drain comparisons.
Signature:
Date:
License/Certification No.:
NFPA Water-Based Fire Protection Systems Forms 3 of 3
Automatic Sprinkler Systems Inspection, Testing, and Maintenance of Wet Pipe Sprinkler Systems
Property Name: VA Sierra Nevada Health Care System
Property Address: 975 Kirman Avenue, Reno NV. 89502
Phone Number: 775-784-3957
Inspector: Will Headley
Contract No.: Building 1
Date: 10/21-22/2019
This Report Covers: El Monthly Li Quarterly Annual
0 Three-Year Li Five-Year
Inspections Monthly
Yes
Yes
Ei Yes
Yes
Yes
El Yes
0 No
0 No
0 No
0 No
1=1 No
0 No
N/A
0 N/A
0 N/A
0 N/A
0 N/A
0 N/A
Gauges—normal water pressure maintained
Control Valves
In the correct (open or closed) position
Sealed, locked, or supervised
Accessible
Free from damage or leaks
Proper signage
Alarm Valves
Z Yes El No Cl N/A Free of damage
Z Yes El No CI N/A Accessible
Z Yes 1:1 No CI N/A Retard chamber/alarm drains not leaking
El Yes El No 0 N/A Alarm devices—free of damage
Z Yes 1:1 No CI N/A Hydraulic data nameplate—securely attached to riser/legible
Z Yes ID No 1:1 N/A Visible and accessible
0 Yes 0 No CI N/A Coupling/swivels operate correctly
Z Yes 1=1 No EI N/A Plugs/caps are in place
Z Yes CI No 1=1 N/A Gaskets are not damaged
Z Yes 1:1 No ID N/A Identification signs are in place
Z Yes ID No El N/A Ball drip valve is functional
Yes CI No CI N/A In the open position/not leaking
Yes 1=1 No CI N/A Maintaining downstream pressure
NFAV NFPA Water-Based Fire Protection Systems Forms
1 o13
IZI Yes 0 No 0 N/A In good condition •
Sprinklers (visible)
Z Yes 1=1 No 1=1 N/A No damage or leaks
El Yes 1=1 No 1=1 N/A Free of corrosion, foreign material, or paint
Z Yes I=1 No 1=1 N/A Installed in proper orientation
Z Yes 1=1 No ID N/A Fluid in glass bulbs
El Yes El No 1=1 N/A Spare sprinklers—proper number and type. Complete with wrench?
El Yes El No 1=I N/A Hangers and seismic bracing—not damaged or loose
El Yes lj No 1=1 N/A In good condition/no external corrosion
El Yes 1=1 No ID N/A No leaks or mechanical damage
El Yes ID No 1=1 N/A Correct alignment—no external loads
1=1 Yes 1=1 No liEl N/A Hose racks—inspected per NFPA 1962
Z Yes El No I=1 N/A Building—wet piping not exposed to freezing temperatures
El Yes El No 1=1 N/A Alarm valve interior including strainers, filters, and restriction orifice
El Yes El No 1=1 N/A Check valve—internal moves freely, in good condition
El Yes 1=1 No 1=1 N/A Obstruction inspection—no foreign or obstructing material found
1=1 Yes El No Z N/A Alarm devices—water motor gong
1=1 Yes 1=1 No Z N/A Main drain test—if the sole supply is through a backflow preventer
El Yes El No Z N/A Do results differ by more than 10% from previous test?
El Yes El No El N/A Supervisory switch functions
El Yes I=1 No 1=1 N/A Alarm devices—inspectors test or bypass opened/obstructed waterflow
Z Yes El No I:I N/A Main drain test Static 174 Residual 150
0 Yes El No 11 N/A Do results differ by more than 10% from previous test?
El Yes 1=1 No 1=1 N/A All control valves operated through full range of motion and returned to normal position.
Z Yes 1=1 No 1=1 N/A Specific gravity or anti-freeze system (if present)
El Yes El No 1=1 N/A Backflow preventer—test
Z Yes 1=1 No 1=1 N/A Backflow preventer—flow test rn 0.11 NFPA NFPA Water-Based Fire Protection Systems Forms 2 of 3
Form 6
Three-Year
Yes No El N/A Hose has been tested in accordance with NFPA 1962
El Yes El No El N/A Gauges tested or replaced
Yes No E N/A Pressure reducing valve—flow test and comparable to previous results
Routine Maintenance
El Yes 0 No 0 N/A Sprinklers tested or replaced per appropriate testing schedule
Comments
Leaky Fire Water Riser Drain Line North Stairwell (P190918-002).
Date: 7
WPM NFPA Water-Based Fire Protection Systems Forms 3 of 3
Property Name: Inspector: Will Headley VA Sierra Nevada Health Care System
Contract No.: Building 1D/4
Date: 12/15, 16/2019
Property Address: 975 Kirman Avenue, Reno NV. 89502
Phone Number: 775-784-3957
Annual Quarterly
Five-Year
O Monthly
1:1 Three-Year
This Report Covers:
Inspections
Monthly
Form 6
Automatic Sprinkler Systems Inspection, Testing, and Maintenance of Wet Pipe Sprinkler Systems
El Yes 0 No 0 N/A Gauges—normal water pressure maintained
[ZI Yes D No 0 N/A In the correct (open or closed) position
IZ Yes 0 No 0 N/A Sealed, locked, or supervised
[Z Yes 0 No 0 N/A Accessible
El Yes 0 No 0 N/A Free from damage or leaks
El Yes 0 No 0 N/A Proper signage lEl Yes 0 No 0 N/A Free of damage
El Yes 0 No 0 N/A Accessible
El Yes 0 No 0 N/A Retard chamber/alarm drains not leaking
El Yes 0 No 0 N/A Alarm devices—free of damage
El Yes El No 0 N/A Hydraulic data nameplate—securely attached to riser/legible
El Yes 0 No 0 N/A Visible and accessible
El Yes 0 No 0 N/A Coupling/swivels operate correctly
El Yes 0 No 0 N/A Plugs/caps are in place
El Yes 0 No 0 N/A Gaskets are not damaged
El Yes 0 No 0 N/A Identification signs are in place
El Yes 0 No 0 N/A Ball drip valve is functional
El Yes 0 No 0 N/A In the open position/not leaking
El Yes 0 No 0 N/A Maintaining downstream pressure
WPAz NFPA Water-Based Fire Protection Systems Forms 1 of 3
E Yes 0 No 0 N/A In good condition
1:31 Yes 1=1 No I=1 N/A No damage or leaks
E Yes 1=1 No 1=1 N/A Free of corrosion, foreign material, or paint
El Yes 1=I No I=1 N/A Installed in proper orientation
[Z] Yes I=1 No I:I N/A Fluid in glass bulbs
[Z] Yes I:I No El N/A Spare sprinklers—proper number and type. Complete with wrench?
El Yes I=1 No ID N/A Hangers and seismic bracing—not damaged or loose
El Yes 1=1 No El N/A In good condition/no external corrosion
El Yes 1=1 No El N/A No leaks or mechanical damage
El Yes 1=1 No 1=1 N/A Correct alignment—no external loads
I=1 Yes 1=1 No IZI N/A Hose racks—inspected per NFPA 1962 l=I Yes ID No [Z] N/A Building—wet piping not exposed to freezing temperatures
El Yes 1=I No El N/A Alarm valve interior including strainers, filters, and restriction orifice
El Yes El No 1=1 N/A Check valve—internal moves freely, in good condition
[ZI Yes I=1 No 1=1 N/A Obstruction inspection—no foreign or obstructing material found
0 Yes El No El N/A Alarm devices—water motor gong
ID Yes 1:1 No [S] N/A Main drain test—if the sole supply is through a backflow preventer
I=1 Yes El No El N/A Do results differ by more than 10% from previous test?
El Yes El No LI N/A Supervisory switch functions
El Yes El No El N/A Alarm devices—inspectors test or bypass opened/obstructed waterflow
El Yes El No I=1 N/A Main drain test Static 179 Residual 165
0 Yes El No I:I N/A Do results differ by more than 10% from previous test?
Z Yes I=1 No I=1 N/A All control valves operated through full range of motion and returned to normal position.
IZI Yes ID No 1=1 N/A Specific gravity or anti-freeze system (if present)
Z Yes 1=1 No I=1 N/A Backflow preventer—test
El Yes El No 1=1 N/A Backflow preventer—flow test
NFPX NFPA Water-Based Fire Protection Systems Forms 2 of 3
Form 6
Three-Year
El Yes El No Z N/A Hose has been tested in accordance with NFPA 1962
Z Yes El No El N/A Gauges tested or replaced
El Yes 1:1 No Z N/A Pressure reducing valve—flow test and comparable to previous results
Routine Maintenance
EI Yes 0 No 0 N/A Sprinklers tested or replaced per appropriate testing schedule
Comments
Multiple escutcheons were adjusted on the spot. Two dusty heads were cleaned on the spot.
[71) NFPX NFPA Water-Based Fire Protection Systems Forms 3 of 3
Inspector: Will Headley
Contract No.: Building 10
Property Name: VA Sierra Nevada Health Care System
Property Address: 975 Kirman Avenue, Reno NV. 89502
Phone Number: 775-784-3957 Date: 12/18/2019
Annual This Report Covers:
Inspections Monthly
1=1 Monthly 0 Quarterly
0 Three-Year 0 Five-Year
Form 6
Automatic Sprinkler Systems Inspection, Testing, and Maintenance of Wet Pipe Sprinkler Systems
E Yes 0 No 0 N/A Gauges—normal water pressure maintained
Yes 0 No 0 N/A In the correct (open or closed) position
Yes 0 No 0 N/A Sealed, locked, or supervised
Yes 0 No U N/A Accessible
Yes 0 No LI N/A Free from damage or leaks
Yes U No 0 N/A Proper signage
El Yes 0 No 0 N/A Free of damage
El Yes 0 No 0 N/A Accessible
Yes 0 No 0 N/A Retard chamber/alarm drains not leaking
Yes No 0 N/A Alarm devices—free of damage
El Yes No 0 N/A Hydraulic data nameplate—securely attached to riser/legible
Yes No 0 N/A Visible and accessible
Yes No 0 N/A Coupling/swivels operate correctly
Yes No U N/A Plugs/caps are in place
El Yes No 0 N/A Gaskets are not damaged
Yes No 0 N/A Identification signs are in place
Yes No 1=1 N/A Ball drip valve is functional
Yes No 0 N/A In the open position/not leaking
Yes No 0 N/A Maintaining downstream pressure
NEPA' NFPA Water-Based Fire Protection Systems Forms 1 of 3 lE1 Yes
Annual
0 No 0 N/A In good condition
Sprinklers (visible)
IZ1 Yes 1=1 No I=1 N/A No damage or leaks
Z Yes 11 No 11 N/A Free of corrosion, foreign material, or paint
Z Yes El No I=1 N/A Installed in proper orientation
Z Yes 1=1 No 0 N/A Fluid in glass bulbs
El Yes 1:1 No El N/A Spare sprinklers—proper number and type. Complete with wrench?
EZ1 Yes El No El N/A Hangers and seismic bracing—not damaged or loose
El Yes El No ID N/A In good condition/no external corrosion
El Yes 1=1 No El N/A No leaks or mechanical damage
Z Yes El No El N/A Correct alignment—no external loads
I=1 Yes El No El N/A Hose racks—inspected per NFPA 1962
1=1 Yes 1=1 No Z N/A Building—wet piping not exposed to freezing temperatures
[ZI Yes 1=1 No 1=1 N/A Alarm valve interior including strainers, filters, and restriction orifice
[ZI Yes I=1 No I=1 N/A Check valve—internal moves freely, in good condition
Z Yes 1=1 No 1=1 N/A Obstruction inspection—no foreign or obstructing material found
LI Yes LI No El N/A Alarm devices—water motor gong
1=I Yes ID No Z N/A Main drain test—if the sole supply is through a backflow preventer
El Yes El No El N/A Do results differ by more than 10% from previous test?
El Yes I=1 No El N/A Supervisory switch functions
El Yes 1:1 No I=1 N/A Alarm devices—inspectors test or bypass opened/obstructed waterflow
[E] Yes ID No 0 N/A Main drain test Static 172 Residual 100
Z Yes El No 1:1 N/A Do results differ by more than 10% from previous test?
El Yes I=1 No 1=1 N/A All control valves operated through full range of motion and returned to normal position.
El Yes El No 1=1 N/A Specific gravity or anti-freeze system (if present)
El Yes I=1 No I=1 N/A Backflow preventer—test
Z Yes 1=1 No El N/A Backflow preventer—flow test
Date: / Signature:
Form 6
Three-Year
LI Yes LI No N/A Hose has been tested in accordance with NFPA 1962
Five-Year
P Yes I=1 No N/A Gauges tested or replaced
1=I Yes El No El N/A Pressure reducing valve—flow test and comparable to previous results
Routine Maintenance
El Yes p No 0 N/A Sprinklers tested or replaced per appropriate testing schedule
Comments
Additional connbustable load (filter storage) was accepted by Safety in L1885.
Main Drain results differerred by >10%. Piping alignment was verified. No negative findings identified.
Lo..1 pew NFPA Water-Based Fire Protection Systems Forms 3 of 3 •
Inspection, Testing, and Maintenance of Wet Pipe Sprinkler Systems
Property Name: VA Sierra Nevada Health Care System
Property Address: 975 Kirman Avenue, Reno NV. 89502
Phone Number: 775-784-3957
Inspector: Will Headley
Contract No.: Building 12
Date: 12/20, 23, 24/2019
This Report Covers: D Monthly
Three-Year
Quarterly
Five-Year
Annual
Inspections Monthly
El Yes 0 No 0 N/A Gauges—normal water pressure maintained
Control Valves
El Yes 0 No 0 N/A In the correct (open or closed) position
El Yes 0 No 0 N/A Sealed, locked, or supervised
• Yes D No 1:1 N/A Accessible
• Yes U No 0 N/A Free from damage or leaks
• Yes D No 0 N/A Proper signage
El Yes D No 0 N/A
El Yes ID No 0 N/A
Z Yes 0 No 0 N/A
Quarterly
Z Yes D No DI N/A
El Yes 0 No 0 N/A
El Yes D No 0 N/A
[2] Yes 0 No 0 N/A
El Yes 0 No 0 N/A
El Yes 0 No 0 N/A
El Yes LI No 0 N/A
IZI Yes D No D N/A
Alarm Valves
Free of damage
Accessible
Retard chamber/alarm drains not leaking
Alarm devices—free of damage
Hydraulic data nameplate—securely attached to riser/legible
Fire Department Connections
Visible and accessible
Coupling/swivels operate correctly
Plugs/caps are in place
Gaskets are not damaged
Identification signs are in place
Ball drip valve is functional
Pressure Reducing Valve
• Yes 0 No 0 N/A In the open position/not leaking
• Yes U No D N/A Maintaining downstream pressure fl NFPR NFPA Water-Based Fire Protection Systems Forms 1 of 3
Ei Yes 0 No 0 N/A In good condition
El Yes I=1 No 1=I N/A No damage or leaks
Z Yes El No 1=I N/A Free of corrosion, foreign material, or paint
El Yes DI No I=1 N/A Installed in proper orientation
El Yes El No El N/A Fluid in glass bulbs
Z Yes 1=I No El N/A Spare sprinklers—proper number and type. Complete with wrench?
El Yes 11 No I=1 N/A Hangers and seismic bracing—not damaged or loose
El Yes El No I=1 N/A In good condition/no external corrosion
E Yes ID No I=1 N/A No leaks or mechanical damage
Z Yes 1:1 No I=1 N/A Correct alignment—no external loads
El Yes ID No Z N/A Hose racks—inspected per NFPA 1962
1:1 Yes I=1 No Z N/A Building—wet piping not exposed to freezing temperatures
Z Yes IEI No El N/A Alarm valve interior including strainers, filters, and restriction orifice
El Yes lj No El N/A Check valve—internal moves freely, in good condition
El Yes 1=I No El N/A Obstruction inspection—no foreign or obstructing material found
0 Yes El No El N/A Alarm devices—water motor gong
0 Yes I=1 No El N/A Main drain test—if the sole supply is through a backflow preventer
El Yes El No El N/A Do results differ by more than 10% from previous test?
El Yes ID No I=1 N/A Supervisory switch functions
Z Yes I=1 No El N/A Alarm devices—inspectors test or bypass opened/obstructed waterflow
El Yes 0 No 0 N/A Main drain test Static 182 Residual 150
0 Yes El No I=1 N/A Do results differ by more than 10% from previous test?
Z Yes I=1 No El N/A All control valves operated through full range of motion and returned to normal position.
Z Yes ID No 1:1 N/A Specific gravity or anti-freeze system (if present)
El Yes 11 No El N/A Backflow preventer—test
El Yes 1=1 No I=1 N/A Backflow preventer—flow test
CnO NPPAz NFPA Water-Based Fire Protection Systems Forms 2 of 3
Form 6
Three-Year
1:1 Yes I= No N/A Hose has been tested in accordance with NFPA 1962
LI Yes Ei No N/A Gauges tested or replaced
LI Yes 1:1 No Z N/A Pressure reducing valve—flow test and comparable to previous results
Routine Maintenance
[3] Yes 0 No 0 N/A Sprinklers tested or replaced per appropriate testing schedule
Comments
NFPA Water-Based Fire Protection Systems Forms 3 of 3
No N/A
0 No
No
No
No
No
N/A
N/A
N/A
N/A
N/A
No N/A
UI No N/A
No N/A
Form 6
Automatic Sprinkler Systems Inspection, Testing, and Maintenance of Wet Pipe Sprinkler Systems
Property Name: VA Sierra Nevada Health Care System
Property Address: 975 Kirman Avenue, Reno NV. 89502
Phone Number: 775-784-3957
Inspector: Will Headley
Contract No.: Building 5
Date: 10/9/2019
This Report Covers: El Monthly Quarterly 1E1 Annual
0 Three-Year Five-Year
Inspections Monthly
1E1 Yes
• Yes
IZ Yes
[Fl Yes
• Yes
• Yes
• Yes
El Yes
Yes
Quarterly
El Yes
• Yes
▪ Yes
• Yes
El Yes
El Yes
• Yes
• Yes
El Yes
▪ Yes
Gauges—normal water pressure maintained
Control Valves
In the correct (open or closed) position
Sealed, locked, or supervised
Accessible
Free from damage or leaks
Proper signage
Alarm Valves
Free of damage
Accessible
Retard chamber/alarm drains not leaking
No I=1 N/A Alarm devices—free of damage
No 0 N/A Hydraulic data nameplate—securely attached to riser/legible
Fire Department Connections
No 0 N/A Visible and accessible
No 0 N/A Coupling/swivels operate correctly
No 0 N/A Plugs/caps are in place
No 0 N/A Gaskets are not damaged
No 0 N/A Identification signs are in place
No 0 N/A Ball drip valve is functional
Pressure Reducing Valve
No 1=1 N/A In the open position/not leaking
No U N/A Maintaining downstream pressure
NFPX NFPA Water-Based Fire Protection Systems Forms
1=1
E
UI
1=1
E Yes 0 No 0 N/A In good condition
El Yes El No 1=1 N/A No damage or leaks
El Yes 1:1 No IEI N/A Free of corrosion, foreign material, or paint
El Yes El No ID N/A Installed in proper orientation
El Yes 1=1 No IEI N/A Fluid in glass bulbs
1:1 Yes El No ID N/A Spare sprinklers—proper number and type. Complete with wrench?
El Yes IEI No El N/A Hangers and seismic bracing—not damaged or loose
El Yes LI No 1=1 N/A In good condition/no external corrosion
El Yes I=1 No I=1 N/A No leaks or mechanical damage
El Yes I=1 No 1=1 N/A Correct alignment—no external loads
El Yes 1=1 No El N/A Hose racks—inspected per NFPA 1962
0 Yes El No El N/A Building—wet piping not exposed to freezing temperatures
El Yes 1=1 No El N/A Alarm valve interior including strainers, filters, and restriction orifice
El Yes El No ID N/A Check valve—internal moves freely, in good condition
El Yes El No 1=1 N/A Obstruction inspection—no foreign or obstructing material found
El Yes El No El N/A Alarm devices—water motor gong
1:1 Yes IEI No El N/A Main drain test—if the sole supply is through a backflow preventer
I=1 Yes El No El N/A Do results differ by more than 10% from previous test?
E Yes IEI No 1=1 N/A Supervisory switch functions
E Yes El No El N/A Alarm devices—inspectors test or bypass opened/obstructed waterflow
El Yes 11 No El N/A Main drain test Static 176 Residual 120
0 Yes 11 No E N/A Do results differ by more than 10% from previous test?
El Yes 1=1 No IEI N/A All control valves operated through full range of motion and returned to normal position.
Igl Yes El No 1=1 N/A Specific gravity or anti-freeze system (if present)
El Yes 1=1 No 1=1 N/A Backflow preventer—test
El Yes 1=1 No El N/A Backflow preventer—flow test
NFPA Water-Based Fire Protection Systems Forms 2 of 3
Three-Year
LI Yes 1=1 No N/A Hose has been tested in accordance with NFPA 1962
Five-Year
El Yes 1:1 No 1=1 N/A Gauges tested or replaced
CEI Yes 1=1 No N/A Pressure reducing valve—flow test and comparable to previous results
Routine Maintenance
El Yes 0 No 0 N/A Sprinklers tested or replaced per appropriate testing schedule
Comments
No negative findings.
Signature:
License/Certification No.:
NFPA NFPA Water-Based Fire Protection Systems Forms 3 of 3
Inspection, Testing, and Maintenance of Wet Pipe Sprinkler Systems
Property Name: VA Sierra Nevada Health Care System Inspector: Will Headley
Dorothy Kunde
Property Address:
Phone Number:
975 Kirman Avenue, Reno NV. 89502 Contract No.: Building 6
775-784-3957
Date: 10/21/2019
This Report Covers:
Inspections Monthly
LI Monthly
El Three-Year
0 Quarterly
EJ Five-Year
El Yes 0 No 0 N/A Gauges—normal water pressure maintained
IE Yes 0 No 0 N/A In the correct (open or closed) position
El Yes 0 No 0 N/A Sealed, locked, or supervised
Z Yes I=1 No 1=1 N/A Accessible
El Yes I=1 No El N/A Free from damage or leaks
El Yes I=1 No El N/A Proper signage
[ZI Yes El No El N/A Free of damage
Z Yes ID No El N/A Accessible
El Yes I=1 No 1=1 N/A Retard chamber/alarm drains not leaking
Z Yes 1=1 No 1=1 N/A Alarm devices—free of damage
El Yes ID No I=1 N/A Hydraulic data nameplate—securely attached to riser/legible
[Z1 Yes I=1 No El N/A Visible and accessible
El Yes LI No I=1 N/A Coupling/swivels operate correctly
El Yes 1=1 No I=1 N/A Plugs/caps are in place
El Yes 1=1 No I=1 N/A Gaskets are not damaged
El Yes El No 1=1 N/A Identification signs are in place
Z Yes El No I=1 N/A Ball drip valve is functional
El Yes I=1 No 1=1 N/A In the open position/not leaking
El Yes El No I=1 N/A Maintaining downstream pressure
NFPA Water-Based Fire Protection Systems Forms 1 of 3
El Yes
Annual
0 No 0 N/A In good condition
Sprinklers (visible)
El Yes ID No 1=1 N/A No damage or leaks
El Yes CI No CI N/A Free of corrosion, foreign material, or paint
El Yes CI No CI N/A Installed in proper orientation
Z Yes El No 1=1 N/A Fluid in glass bulbs
CI Yes [E] No CI N/A Spare sprinklers—proper number and type. Complete with wrench?
El Yes 1=1 No I=1 N/A Hangers and seismic bracing—not damaged or loose
El Yes 1:1 No 1=1 N/A In good condition/no external corrosion
Z Yes 1:1 No CI N/A No leaks or mechanical damage
Z Yes 1:1 No CI N/A Correct alignment—no external loads
CI Yes I=1 No El N/A Hose racks—inspected per NFPA 1962
CI Yes I=1 No E N/A Building—wet piping not exposed to freezing temperatures
El Yes 1:1 No El N/A Alarm valve interior including strainers, filters, and restriction orifice
Z Yes 1:1 No El N/A Check valve—internal moves freely, in good condition
El Yes 1:1 No El N/A Obstruction inspection—no foreign or obstructing material found
1:1 Yes 1=1 No El N/A Alarm devices—water motor gong
1:1 Yes 1=1 No El N/A Main drain test—if the sole supply is through a backflow preventer
CI Yes 1=1 No LSI N/A Do results differ by more than 10% from previous test?
El Yes CI No CI N/A Supervisory switch functions
El Yes CI No CI N/A Alarm devices—inspectors test or bypass opened/obstructed waterflow
El Yes 0 No El N/A Main drain test Static 178 Residual 120
El Yes 1:1 No El N/A Do results differ by more than 10% from previous test?
El Yes CI No CI N/A All control valves operated through full range of motion and returned to normal position.
El Yes 1:1 No CI N/A Specific gravity or anti-freeze system (if present)
El Yes 1=1 No CI N/A Backflow preventer—test
Z Yes I=1 No 1:1 N/A Backflow preventer—flow test
[7] qr:
2'7f Signature:
License/Certification No.:
Form 6
Three-Year
LI Yes LI No N/A Hose has been tested in accordance with NFPA 1962
El Yes El No EI N/A Gauges tested or replaced
LI Yes No EI N/A Pressure reducing valve—flow test and comparable to previous results
Routine Maintenance
E1 Yes 0 No 0 N/A Sprinklers tested or replaced per appropriate testing schedule
Comments
No negative findings. Although last year annual Main Drain results were greater than 10% the next quarter indicated within the 10% allowance. 2018-180/150, 2019-178/120, following quarter-175/145.
Assessment determined no change in piping conditions.
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NFPX NFPA Water-Based Fire Protection Systems Forms 3 of 3
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File details come from the government source that posted it. Updated .