QTRLY flow and tamper blank document.xlsx
XLSX spreadsheet 31 KB Posted
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- 36C26126Q0018
About this file
This document is a Quarterly Fire Water Flow Devices Test form for the Reno VA Medical Center (VAMC) located at 975 Kirman Ave, 89502. The comprehensive inspection checklist follows NFPA 25-2020 standards and requires detailed testing of fire protection water flow devices across multiple building floors and areas, including stairwells, service elevators, and various building sections.
The inspection protocol involves specific steps such as notifying Biomedical Engineering and Boiler Plant operators, verifying fire alarm system status, measuring water pressure before and after flow testing, checking waterflow devices for physical condition, examining tamper switches, and assessing gauge operability. The document covers 67 specific inspection points across different building floors and areas, with instructions to document pressure readings, restoration times, and pass/fail conditions for each location. Any negative or failing results require follow-up work orders for corrective action and retesting. The inspection is to be conducted by Kyle Lawrence, with coordination recommended to minimize unnecessary fire pump activation.
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QFW-Flow
| EC.02.03.05 EP 2 | ATTACHMENT B1 | |||
| QUARTERLY FIRE WATER FLOW DEVICES TEST | NFPA 25-2020: 5.3.3.1, 13.2.4.3.2, 5.3.3.2, 13.2.4.4.2 | SOP PLB 405 | ||
| QUARTERLY FIRE WATER DEVICES INSPECTION | NFPA 25-2020: 5.2.4, 13.2.4.3.1, 13.2.4.4.1, 13.2.5.1.1, 13.2.6.1 | |||
| Site: | RENO VAMC. 975 Kirman Ave. 89502 | |||
| EE: | ||||
| WO# | ||||
| Inspector: | Kyle Lawrence | |||
| Date: |
| Note: Make every attempt to coordinate with BioMed to complete during the FW alarm testing | |||||||||||||||
| and during the weekly fire pump run to mitigate unneeded running of the fire pump. | |||||||||||||||
| 1. Notify the following of the test. | |||||||||||||||
| a. Bio Medical Engineering 3929 | Rich Chriss | ||||||||||||||
| b. Boiler Plant x1287 | Operator | ||||||||||||||
| c. Supervisor | |||||||||||||||
| 2. Verify the fire alarm system is in test. | Yes: Continue. | No: Stop | Initials | KHL | |||||||||||
| 3. Record the pressure indicated by the supply water gauge in the (Pressure Before) column below. | |||||||||||||||
| 4. Open valve to test position. | |||||||||||||||
| 5. After the flow has stabilized, record the flowing pressure indicated by the water supply gauge in the | |||||||||||||||
| (Flow Pressure) column below. | |||||||||||||||
| 6. Slowly close the test valve. Note: Do not shock system. Record the time taken for the supply water pressure to return to the static (nonflowing) pressure. | |||||||||||||||
| Record the pressure in the (Pressure After) column. Record time in the (Restore Time ) column. Verify waterflow device. Record Pass or Fail in Pass/Fail Column. | |||||||||||||||
| If No Gauge (NG), verify waterflow device. Record Pass or Fail in Pass/Fail Column. | |||||||||||||||
| 7. Verify Waterflow Device is free of physical damage and annotate condition. G=Good or P=Poor in Physical Condition (Waterflow Device) column below. | |||||||||||||||
| 8. Verify Tamper Switch is not physically damaged and annotate condition. G=Good or P=Poor in Physical Condition (Tamper Switch) column below. | |||||||||||||||
| 9. Verify Gauge is operable and not physically damaged and annotate condition. G=Good or P=Poor in Physical Condition (Gauge) column below. | |||||||||||||||
| 10. Secure fire pump by depressing the stop button. | |||||||||||||||
| 11. Test jockey pump to verify readiness condition. | Initials | KHL | |||||||||||||
| 12. Inform Bio Medical Engineering, Boiler Plant and Supervisor when Complete. | Initials | KHL | |||||||||||||
| 13. Negative (P or Fail) results are to be followed up with work orders for corrective action and retested. | |||||||||||||||
| ID | Building | Floor | Area | Reference Area | Pressure Before | Flow Pressure | Pressure After | Restore Time-Sec | Physical Condition | Pass Fail | Work Order | Repair Date | Pass Fail | ||
| Waterflow Device | Tamper Switch | Gauge | |||||||||||||
| 1 | 1 | 5 | North | Stair | |||||||||||
| 2 | 1 | 4 | North | Stair | |||||||||||
| 3 | 1 | 3 | North | Stair | |||||||||||
| 4 | 1 | 2 | North | Stair | |||||||||||
| 5 | 1 | 1 | North | Stair | |||||||||||
| 6 | 1 | Penthouse | Center | Stair | |||||||||||
| 7 | 1 | 6 | Center | Stair | |||||||||||
| 8 | 1 | 5 | Center | Stair | |||||||||||
| 9 | 1 | 5 | Center East | C5330 | |||||||||||
| ID | Building | Floor | Area | Reference Area | Pressure Before | Flow Pressure | Pressure After | Restore Time-Sec | Physical Condition | Pass Fail | Work Order | Repair Date | Pass Fail | ||
| Waterflow Device | Tamper Switch | Gauge | |||||||||||||
| 10 | 1 | 4 | Center | Stair | |||||||||||
| 11 | 1 | 4 | Center East | C4331A | |||||||||||
| 12 | 1 | 3 | Center | Stair | |||||||||||
| 13 | 1 | 3 | Center East | C3332 | |||||||||||
| 14 | 1 | 2 | Center | Stair | |||||||||||
| 15 | 1 | 2 | Center East | C2331A | |||||||||||
| 16 | 1 | 1 | Center | Stair (1) | |||||||||||
| 17 | 1 | 1 | Center | Stair (2) | |||||||||||
| 18 | 1 | Basement | Center East | C0330 | |||||||||||
| 19 | 1 | Basement | Center East | C0339 | |||||||||||
| 20 | 1A | 3 | North | Stair | |||||||||||
| 21 | 1A | 3 | North | Stair-Pent | |||||||||||
| 22 | 1A | 2 | North | Stair | |||||||||||
| 23 | 1A | 1 | North | Stair | |||||||||||
| 24 | 1D | Basement | East Stairs | BD-101 | |||||||||||
| 25 | 1D | 1 | East | G1541 | |||||||||||
| 26 | 5 | 1 | East | East | |||||||||||
| 27 | 5 | 2 | East | East | |||||||||||
| 28 | 1D | 2 | East | G2530 | |||||||||||
| 29 | 1D | 3 | East | G3540 | |||||||||||
| 30 | 1D | 4 | East | 3D-102 | |||||||||||
| 31 | 1D | 5 | East | G5545 | |||||||||||
| 32 | 1D | 5 | East | G5545 | |||||||||||
| 33 | 1D | 3 | West | G3651A | |||||||||||
| 34 | 1D | 3 | MRI West | Stair | |||||||||||
| 35 | 1D | 2 | MRI West | Stair | |||||||||||
| 36 | 1D | 2 | West | G2652 | |||||||||||
| 37 | 1D | 1 | MRI West | Stair | |||||||||||
| 38 | 1D | 1 | MRI West | Stair-ER | |||||||||||
| 39 | 1D | Basement | MRI West | Stair L Hatch | |||||||||||
| 40 | 1D | Basement | MRI West | G0700 | |||||||||||
| 41 | 1D | 1 | West | G1646 | |||||||||||
| 42 | 1D | 1 | PT/OT | OSA G1575 | |||||||||||
| ID | Building | Floor | Area | Reference Area | Pressure Before | Flow Pressure | Pressure After | Restore Time-Sec | Physical Condition | Pass Fail | Work Order | Repair Date | Pass Fail | ||
| Waterflow Device | Tamper Switch | Gauge | |||||||||||||
| 43 | 12 | Penthouse | North | Stair | |||||||||||
| 44 | 12 | 6 | North | Stair | |||||||||||
| 45 | 12 | 5 | North | Stair | |||||||||||
| 46 | 12 | 4 | North | Stair | |||||||||||
| 47 | 12 | 3 | North | Stair | |||||||||||
| 48 | 12 | 2 | North | Stair | |||||||||||
| 49 | 12 | 1 | North | Stair | |||||||||||
| 50 | 12 | Basement | North | OS B0100 | |||||||||||
| 51 | 12 | 6 | South | Stair | |||||||||||
| 52 | 12 | 5 | South | Stair | |||||||||||
| 53 | 12 | 4 | South | Stair | |||||||||||
| 54 | 12 | 3 | South | Stair | |||||||||||
| 55 | 12 | 2 | South | Stair | |||||||||||
| 56 | 12 | 1 | South | Stair | |||||||||||
| 57 | 12 | Gen Bldg. | South | BGEN1 | |||||||||||
| 58 | 12 | 1 | Service Elevator | B1260 | ********** | ********** | ********** | Capped | Off | ********** | ********** | ********** | ********** | ********** | |
| 59 | 12 | 1 | Service Elevator | B1260 | ********** | ********** | ********** | Capped | Off | ********** | ********** | ********** | ********** | ********** | |
| 60 | 12 | 2 | Service Elevator | B2260 | |||||||||||
| 61 | 10 | 1 | Top of Ramp | Hatch | |||||||||||
| 62 | 10 | 1 | West | OSA L1832 | |||||||||||
| 63 | 10 | 1 | East | OSA L1862 | |||||||||||
| 64 | 10 | Basement | IRM | L0878 | |||||||||||
| 65 | 6 | 1 | East | Stair | |||||||||||
| 66 | 6 | 2 | East | Stair | |||||||||||
| 67 | 7 | 1 | Records | N227 | |||||||||||
| NG | No Gauge | ||||||||||||||
| COMMENTS: | |||||||||||||||
| Building 15 demo'd February 2019. No longer in service. Removed ID #'s 68-71. | |||||||||||||||
| **Flow ID # 61. Verify Waterflow Alarm Device Pass or Fail |
File details come from the government source that posted it. Updated .