PAD Bldg 5 Annual Device Testing - February 2025.rtf

Facility - Palo Alto VA Download Date: 03/21/2025

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

PA5

3801 Miranda Ave

Palo Alto, CA 94304

This inspection was performed in accordance with NFPA 101, EDITION 2024, LIFE SAFETY CODE, NFPA 72, EDITION 2022, FIRE ALARM SYSTEMS and NFPA 90A, EDITION 2022, AIR CONDITIONING/VENTILATING SYSTEMS.

This inspection and testing service has been performed in compliance with The Joint Commission/VHA Standards. The inspection/testing frequencies adhered to for this service have been performed in accordance with the latest Joint Commission/VHA Clarification Memorandum on EC & LS Standards.

Annual Inspection Inspection Completion Date Mar 17, 2025 Building: PA5 Company: Facility - Palo Alto VA Contact: Anthony Losito Contact: Olaf Soto Title: Electronics Shop Supervisor Title: Inspector

Executive Summary Generated by: BuildingReports.com

Building Information Building: PA5 Contact: Anthony Losito Address: 3801 Miranda Ave Phone: 6508523437 Address:

Fax:

City/State/ZIP Code: Palo Alto, CA 94304 Mobile:

Country: United States of America Email:

Inspection Performed By Company: Facility - Palo Alto VA Inspector: Olaf Soto Address: 2700 Gregory St Ste 180 Phone: 650-362-4841 Address:

Fax:

City/State/ZIP Code: Savannah, GA 31404 Mobile:

Country: United States of America Email: olaf@redwoodcityalarms.com

System Control Unit Manufacturer: Notifier Inspection Date: 03/13/2025 IDC Style:

Model Number: NFS-3030D Install Date: 05/10/2017 SLC Style:

Software Version:

Version Date: 05/10/2017 NAC Style:

Location: 1st Floor Electrical Room Bldg 5 FACP Current Protection:

Inspection Completion Date: Mar 17, 2025 Building: PA5

EC 02.03.05 EP 02

Semi-annual testing of water flow devices and valve tamper switches. NFPA 72 (2022) Table 14.4.3.2 (17)(10)(a) & (17)(11) Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Tamper Switch Waterflow Switch

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17) Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Duct Detector Pull Station Smoke Detector

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22) Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Releasing Device Speaker Speaker/Strobe Strobe Voice Evacuation

EC 02.03.05 EP 05

Annual test of fire alarm equipment for notifying off-site fire responders. NFPA 72 (2022) Table 14.4.3.2 (4) Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Monitor Device

EC 02.03.05 EP 11

For automatic sprinkler systems: Every 12 months, the hospital tests fire pumps under flow. Fire pump supervisory signals for pump running and pump power loss are tested annually. NFPA 25 (2023) 8.3.3 Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Fire Pump Auto

EC 02.03.05 EP 19

Annual test of automatic smoke-detection shutdown devices for air-handling equipment. NFPA 90A (2024) 6.4.1 Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Duct Detector Fan Shutdown

LS 02.01.34 EP 02

Protected master fire alarm control panel Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Control Panel

LS 02.01.34 EP 10

All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Annunciator Battery Power Supply Programmable Relay

LS 02.01.50 EP 07

Annual - Elevators are fully equipped and protected Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Elevator Total Device Count: 299

Certification Company: Facility - Palo Alto VA Building: PA5 Inspector: Olaf Soto Contact: Anthony Losito file_0.jpg file_1.wmf

Signed: Mar 17, 2025 Signed:

Inspection & Testing

Building: PA5 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. NFPA 72 (2022) Table 14.4.3.2 (17)(10)(a) & (17)(11) 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 72-22 Table 14.4.3.2 (17)(10)(a)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Tamper Switch

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Tamper Switch 1st Stair 1 12535345 1-L1 M09 01/17-P 08/15-P 03/12-P Tamper Switch 1st Stair C 12535350 1-L1 M04 01/17-P 08/15-P 03/12-P Tamper Switch 1st Stair 3 12535302 1-L1 M11 01/17-P 08/15-P 03/12-P Tamper Switch 2nd Stair 1 12535371 1-L1 M29 01/17-P 08/15-P 03/12-P Tamper Switch 2nd South Fire Exit Stairwell 12535406 1-L1 M27 01/17-P 08/15-P 03/12-P Tamper Switch 2nd North Stair 3 12535376 1-L1 M31 01/17-P 08/15-P 03/12-P Tamper Switch 3rd Stair 3 45210220 1-L2 11 01/17-P 08/15-P 03/13-P Tamper Switch 3rd Stairs Exit Near Police 12535525 1-L2 M07 01/17-P 08/15-P 03/12-P Tamper Switch 3rd Stairs 1 12535418 1-L2-M09 01/17-P 08/15-P 03/12-P Tamper Switch 4th Area B Stair Riser 12535554 1-L2 M17 01/17-P 08/15-P 03/12-P Tamper Switch 4th North Stair 3 12535542 1-L2 M21 01/17-P 08/15-P 03/12-P Tamper Switch Roof Area A Stair Riser Penthouse 12535536 1-L002 M030 01/17-P 08/15-P 03/13-P Tamper Switch 1st Floor Area B Stair Riser 12535329 1-L1 M07 01/17-P 08/15-P 03/11-P Tamper Switch 4th Floor Stair 1 12535550 1-L002 M019 01/17-P 08/15-P 03/12-P Tamper Switch Outside Fire Pump 45211863 1-L1 M059 01/19-P 08/15-P 03/12-P Tamper Switch Outside Fire Pump 45211869 1-L1 M057 01/19-F 08/15-F 03/12-P Tamper Switch Outside Fire Pump 45211870

1-L1 M055 / PIV

01/19-P 08/15-P 03/12-P Tamper Switch Outside Fire Pump 45211871 1-L1 M057 01/19-F 08/15-F 03/12-P Tamper Switch Outside Fire Pump 45211872 1-L1 M057 01/19-F 08/15-F 03/12-P Tamper Switch Outside Fire Pump 45211873 1-L1 M057 01/19-F 08/15-F 03/12-P Tamper Switch Outside Fire Pump 45211874 1-L1 M057 01/19-F 08/15-F 03/12-P Tamper Switch Outside Fire Pump 45211875 1-L1 M057 01/19-F 08/15-F 03/12-P Device Total: 22

EC 02.03.05 EP 02

Semi-annual testing of water flow devices and valve tamper switches. NFPA 72 (2022) Table 14.4.3.2 (17)(10)(a) & (17)(11) 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 72-22 Table 14.4.3.2 (17)(11)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Waterflow Switch

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Waterflow Switch 1st Stair 1 12535346 1-L1 M08 01/19-P 08/15-P 03/12-P Waterflow Switch 1st Stair C 12535351 1-L1 M03 01/19-P 08/15-P 03/12-P Waterflow Switch 1st Stair 3 12535303 1-L1 M10 01/19-P 08/15-P 03/12-P Waterflow Switch 2nd Stair 1 12535372 1-L1 M28 01/19-P 08/15-P 03/12-P Waterflow Switch 2nd South Fire Exit Stairwell 12535405 1-L1 M26

03/12-P The above device replaced ScanID 45210611:

Waterflow Switch 2nd South Fire Exit Stairwell 45210611 1-L1 M26 01/19-P 08/15-P 03/12-R Waterflow Switch 2nd North Stair 3 12535377 1-L1 M30 01/19-P 08/15-P 03/12-P Waterflow Switch 3rd Stair 3 Stairs Exit 45210219 1-L2 10 01/19-P 08/15-P 03/13-P Waterflow Switch 3rd Stairs Exit Police 12535526 1-L2 M06 01/19-P 08/15-P 03/12-P Waterflow Switch 3rd Stairs 1 12535419 1-L2-M08 01/19-P 08/15-P 03/12-P Waterflow Switch 4th Area B Stair Riser 12535555 1-L2 M16 01/19-P 08/15-P 03/12-P Waterflow Switch 4th Stair 1 12535551 1-L002 M018 01/19-P 08/15-P 03/12-P Waterflow Switch 4th North Stair 3 12535543 1-L2 M20 01/19-P 08/15-P 03/12-P Waterflow Switch Roof Area A Stair Riser Penthouse 12535537 1-L002 M029 01/19-P 08/15-P 03/13-P Waterflow Switch 1st Floor Area B Stair Riser 12535330 1-L1 M06 01/19-P 08/15-P 03/11-P Device Total: 14

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17) 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 72-22 Table 14.4.3.2 (17)(7)(e)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Duct Detector

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Duct Detector Basement Area C 45212593 1-L1 D36 01/19-P

03/17-P Duct Detector Basement Boiler Room B-113 45210824 1-L1 D24 01/19-P

03/17-P Duct Detector 1st Men's Restroom Area A 45212765 1-L1 D11 01/19-P

03/17-P Duct Detector 1st Room A-117A 45212767 1-L1 D8 01/19-P

03/13-P Duct Detector 1st Outside By Room A-117A Elevator Lobby 45212766 1-L1 D9 01/19-P

03/13-P Duct Detector 1st Women's Restroom Area A 45212764 1-L1 D23 01/19-P

03/13-P Duct Detector 2nd Women's Restroom Area A 45212759 1-L1 D35 01/19-P

03/17-P Duct Detector 2nd Back Counter In Room A252 12535397 1-L1 D17 01/19-P

03/13-P Duct Detector 2nd In Room B-226 12535368 1-L1 D13 01/19-P

03/13-P Duct Detector 2nd In Room B-232 12535367 1-L1 D12 01/19-P

03/13-P Duct Detector 2nd Men's Restroom A-241 45212757 1-L1 D34 01/19-P

03/13-P Duct Detector 3rd In Office B322 in Hatch 45212595 1-L2 D2 01/19-P

03/17-P Duct Detector 3rd Women's Locker Room B323 45212594 1-L2 D3 01/19-P

03/17-P Duct Detector 3rd Men's Restroom Area A 45212756 1-L2 D9 01/19-P

03/13-P Duct Detector 3rd Women's Rest Room Area A 45212755 1-L2 D10 01/19-P

03/13-P Duct Detector 3rd Elevator Corridor Area A 45212758 1-L2 D7 01/19-P

03/13-P Duct Detector 4th Women's Restroom Area A 45212762 1-L2 D18 01/19-P

03/13-P Duct Detector 4th Reception Area A-432 ABOVE COPIER MACH.

45212763 1-L2 D17 01/19-P

03/13-P Duct Detector 4th Men's Restroom Area A 45212761 1-L2 D14 01/19-P

03/13-P Duct Detector 4th Corner of rm Inside Room B-429 45212760 1-L2 D12 01/19-P

03/13-P Duct Detector Roof Roof AHU.4 ROOF mounted outside unit 45208351 1-L2 D023 01/19-P

03/17-P Duct Detector Roof AHU-1 Roof 45210815

1-L2 D24 AHU1

01/19-P

03/13-P Device Total: 22

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17) Operate manual fire alarm boxes per the manufacturer's published instructions. Test both key-operated presignal and general alarm manual fire alarm boxes. (NFPA 72-22 Table 14.4.3.2 (17)(5)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Pull Station

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Pull Station 1st Room A-117A 45212768 1-L1 M19 01/17-P

03/12-P Pull Station 1st Exit Near A-100 45210806 1-L1 M16 01/17-P

03/11-P Pull Station 1st By Room A-116 12535347 1-L1 M13 01/17-P

03/11-P Pull Station 1st Entrance 45210805 1-L1 M17 01/17-P

03/11-P Pull Station 2nd South Outside Entrance To Fire Exit Stairs 45210610 1-L1 M32 01/17-P

03/13-P Pull Station 2nd Entrance To Central Fire Exit Stairs 45210623 1-L1 M34 01/17-P

03/13-P Pull Station 2nd North Entrance To Fire Exit Stairs 45210646 1-L1 M36 01/17-P

03/11-P Pull Station 3rd Stairs Exit 45210245 1-2 5 01/17-P

03/13-P Pull Station 3rd Stairs Exit 45210218 1-2 13 01/17-P

03/13-P Pull Station 3rd Stairs Exit 45210236 1-2 M12 01/17-P

03/11-P Pull Station 4th Central Entrance To Fire Exit Stairs 45210672 1-L2 M22 01/17-P

03/13-P Pull Station 4th North Entrance To Fire Exit Stairs 45210654 1-L2 M23 01/17-P

03/13-P Pull Station Roof South Exit Penthouse 45208211 1-L002 M032 01/17-P

03/13-P Pull Station Roof Penthouse North Exit To Roof 45210675 1-L2 M31 01/17-P

03/12-P Pull Station 1st Floor Physical Therapy Room C-166 45208174 1-L001 M021 01/17-P

03/11-P Pull Station 1st Floor Wheel Chair Repair Room 45208193 1-L001 M015 01/17-P

03/11-P Pull Station 1st Floor Wheel Chair Repair Room 45208192 1-L001 M014 01/17-P

03/11-P Pull Station 1st Floor Amputee SVC A236 45208191 1-L001 M043 01/17-P

03/11-P Pull Station 1st Floor Amputee SVC Room B136 45208189 1-L001 M022 01/17-P

03/11-P Pull Station 1st Floor Room A117B 45208185 1-L001 M018 01/17-P

03/11-P Pull Station 1st Floor Simulation Center Room C-181 45208176 1-L001 01/17-P

03/11-P Pull Station 1st Floor Elevator Area C 45207772 1-L001 M020 01/17-P

03/11-P Pull Station 1st Floor Area B Stair Exit 45207743 1-L001 M041 01/17-P

03/11-P Pull Station 1st Floor Area B Stair Exit 45207742 1-L001 M012 01/17-P

03/11-P Pull Station 1st Floor FACP ROOM Exit A 114 45207733 1-L001 M005 01/17-P

03/11-P Pull Station 4th Floor Area B Stair Exit 12535557 1-L002 M015 01/17-P

03/12-P Device Total: 26

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17) Test smoke detectors in place to ensure smoke entry into the sensing chamber and an alarm response. (NFPA 72-22 Table 14.4.3.2 (17)(7)(a)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Smoke Detector

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Smoke Detector 1st Corridor By C-176 45210811 1-L1 D-30 01/19-P

03/11-P Smoke Detector 2nd North Stairwell 2 Elevator AREA C ELEV. S8 45210648 1-L1 D22 01/19-P

03/13-P Smoke Detector 2nd South Waiting Room B 45210618 1-L1 M14 01/19-P

03/13-P Smoke Detector 2nd Central Hallway Elevator Lobby P5 & P6 ELEV..

45210630 1-L1 D18 01/19-P

03/13-P Smoke Detector 2nd Central Hallway Elevator Lobby ELEV. S7 LOBBY 45210631 1-L1 D16 01/19-P

03/13-P Smoke Detector 2nd North Entrance To Waiting Room C 45210636 1-L1 D20 01/19-P

03/13-P Smoke Detector 2nd North Ceiling Of Waiting Room C 45210637 1-L1 D21 01/19-P

03/13-P Smoke Detector 2nd B-311 44230235 1-L001 D01 01/19-P

03/12-P Smoke Detector 2nd South Entrance To Waiting Room B 45210621 1-L1 M15 01/19-P

03/11-P Smoke Detector 3rd Lobby Elevator P5 & P6 45210231 1-2 D006 01/19-P

03/13-P Smoke Detector 3rd LOBBY Elevator S7 45210230 1-2 D008 01/19-P

03/13-P Smoke Detector 3rd ELEV. S8 LOBBY STAIR 2 45210221 1-2 D11 01/19-P

03/13-P Smoke Detector 4th Central Hallway Elevator Lobby Lobby Elevator P5 & P6 45210669 1-L2 D16 01/19-P

03/13-P Smoke Detector 4th S7 Elevator LOBBY ALCOVE 45210668 1-L2 D15 01/19-P

03/13-P Smoke Detector 4th North RM 425 45212097 1-L2 D19 01/19-P

03/13-P Smoke Detector 4th North Stairwell 2 Elevator ELEV. S8 45210656 1-L2 D20 01/19-P

03/13-P Smoke Detector Roof Mechanical ELEVATOR P5/P6 PENTHOUSE MECH.

45210814 1-L2 D22 01/19-P

03/17-P Smoke Detector Roof P6 And P5 Elevator Machinery Enclosure PENTHOUSE 45210677 1-L2 D21 01/19-P

03/17-P Smoke Detector 1st Floor Elevator S7 LOBBY 45207762 1-L001 D004 01/19-P

03/13-P Smoke Detector 1st Floor Elevator P-5 & P-6 45207761 1-L001 D005 01/19-P

03/13-P Smoke Detector 1st Floor Room B-427F Area B Above Ceiling 12535559 1-L002 D013 01/19-P

03/12-P Smoke Detector 1st Floor Telecom Rm A 308 45207740 1-L001 D027 01/19-P

03/12-P Smoke Detector 1st Floor STAIRWELL 2 Elevator Area C NORTH 45207770 1-L001 D010 01/19-P

03/12-P Smoke Detector 1st Floor Telecom Rm A186 45208187 1-L001 D032 01/19-P

03/11-P Smoke Detector 1st Floor Corridor At B 106 45207755 1-L001 D002 01/19-P

03/11-P Smoke Detector 1st Floor Corridor At C 159 45207767 1-L001 D031 01/19-P

03/11-P Smoke Detector 1st Floor Corridor At C 181 45207766 1-L001 D007 01/19-P

03/11-P Smoke Detector 1st Floor Corridor At A 183 45207765 1-L001 D006 01/19-P

03/11-P Smoke Detector 1st Floor Corridor At B 105 45207756 1-L001 D003 01/19-P

03/11-P Smoke Detector 1st Floor Corridor At Area B 45207741 1-L001 D026 01/19-P

03/11-P Smoke Detector 1st Floor Corridor At B 109 45207751 1-L001 D028 01/19-P

03/11-P Smoke Detector 1st Floor Corridor At B 108 45207749 1-L001 D029 01/19-P

03/11-P Smoke Detector 1st Floor FACP Room B 114 45207734 1-L001 D001 01/19-P

03/11-P Device Total: 33

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22) 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 72-22 Table 14.4.3.2 (20)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Releasing Device

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Releasing Device 1st Corridor By C-181 45212096 01/17-P

03/12-P Releasing Device 1st Corridor By C-181 45212095 01/17-P

03/12-P Releasing Device 1st Corridor By C-176 45212094 01/17-P

03/12-P Releasing Device 1st Corridor By B-108 45208349 01/17-P

03/12-P Releasing Device 1st Corridor By B-108 45208348 01/17-P

03/12-P Releasing Device 1st Corridor By A-116 45208347 01/17-P

03/12-P Releasing Device 2nd Outside Men's Bathroom Ceiling A-241 45208346 01/17-P

03/12-P Releasing Device 2nd Outside Men's Bathroom Ceiling A-241 45208345 01/17-P

03/12-P Device Total: 8

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22) For periodic testing, verify the operation of the notification appliances. (NFPA 72-22 Table 14.4.3.2 (22)(2)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Speaker

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Speaker 1st Corridor By C-150 45210812 1-SP1. 7-Mar 01/17-P

03/12-P Speaker 2nd North Hallway Outside Room C-282 45210649

1-SP2.3 10

01/17-P

03/13-P Speaker 2nd South Hallway Ceiling Outside RM B-208 45210608

1-SP2.1 7

01/17-P

03/13-P Speaker 2nd South Hallway Ceiling Outside RM B-226 45210614

1-SP2.1 4

01/17-P

03/13-P Speaker 2nd Central Hallway Elevator Lobby 45210627

1-SP2.2 8

01/17-P

03/13-P Speaker 2nd North Hallway Outside Room C-262 45210643

1-SP2.3 4

01/17-P

03/13-P Speaker 3rd Hallway Near B308 45210246

1-SP 3.1-2

01/17-P

03/13-P Speaker 3rd Hallway Near A-349 45210233

1-SP 3.2-5

01/17-P

03/13-P Speaker 3rd Hallway Near C-380 45210224

1-SP 3.3-2

01/17-P

03/13-P Speaker 3rd Hallway Near C-380 45210217

1-SP 3.3-6

01/17-P

03/13-P Speaker 4th Central Elevator Lobby 45210670

1-SP4.2 5

01/17-P

03/13-P Speaker 1st Floor Corr Near B-114 45207747 1-SP1 4-Jan 01/17-P

03/12-P Speaker 1st Floor Elevator P-5 & P-6 45207760 1-SP1 8-Feb 01/17-P

03/12-P Speaker 4th Floor Corr Near Area B Stair 45208198 1-SP4 3-Jan 01/17-P

03/12-P Speaker 4th Floor Corr Near B-429 45208203 1-SP4 7-Jan 01/17-P

03/12-P Speaker 4th Floor Corr Near B-411 45208206 1-SP4 8-Jan 01/17-P

03/12-P Device Total: 16

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22) For periodic testing, verify the operation of the notification appliances. (NFPA 72-22 Table 14.4.3.2 (22)(2)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Speaker/Strobe

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Speaker/Strobe Basement Boiler Room B-113 45210819

1-ST1/SP1 1-18/1-15

01/22-P

03/12-P Speaker/Strobe Basement Boiler Room B-113 45210823

1-ST1/SP1 1-17/1-14

01/22-P

03/12-P Speaker/Strobe 1st Corridor By C-151 45210813

1-ST1/SP1 3-6/3-6

01/22-P

03/12-P Speaker/Strobe 1st Corridor By C-176 45210810

1-ST1/SP1 3-5/3-5

01/22-P

03/12-P Speaker/Strobe 1st Corridor By C-180 45210809

1-ST1/SP1 3-3/3-3

01/22-P

03/12-P Speaker/Strobe 1st Women's Restroom 45210808

1-ST1/SP1 2-12/2-13 EOL

01/22-P

03/12-P Speaker/Strobe 1st Lobby Area Of A-100 45210807

1-ST1/SP1 2-6/2-6

01/22-P

03/12-P Speaker/Strobe 2nd North Conference Room A-281 45210651 1-ST2.3 / SP2.3 11-Oct 01/22-P

03/13-P Speaker/Strobe 2nd North Hallway Outside Room C-288 45210650 1-ST2.3 / SP2.3 12-Nov 01/22-P

03/13-P Speaker/Strobe 2nd South Ceiling Inside Room B-209 45210609 1-ST2.1 / SP2.1 8-Jul 01/22-P

03/13-P Speaker/Strobe 2nd South Ceiling Main Hallway Intersection 45210612 1-ST2.1 / SP2.1 6-May 01/22-P

03/13-P Speaker/Strobe 2nd South Ceiling Hallway Outside RM B-225 45210613 1-ST2.1 / SP2.1 5-Apr 01/22-P

03/13-P Speaker/Strobe 2nd South Hallway Ceiling Outside RM B-222 45210615 1-ST2.1 / SP2.1 2-Feb 01/22-P

03/13-P Speaker/Strobe 2nd South Hallway Ceiling Outside Room B-232 45210617 1-ST2.1 / SP2.1 1-Jan 01/22-P

03/13-P Speaker/Strobe 2nd South Waiting Room B West End 45210619 1-ST2.2 / SP2.2 1-Jan 01/22-P

03/13-P Speaker/Strobe 2nd South Waiting Room B East End 45210620 1-ST2.2 / SP2.2 2-Feb 01/22-P

03/13-P Speaker/Strobe 2nd Men's Bathroom Ceiling A-241 45210622 1-ST2.2 / SP2.2 4-Apr 01/22-P

03/13-P Speaker/Strobe 2nd Central Hallway Outside Entrance To Fire Exit 45210624 1-ST2.2 / SP2.2 5-May 01/22-P

03/13-P Speaker/Strobe 2nd Resource Room Ceiling A-244 45210625 1-ST2.2 / SP2.2 6-Jun 01/22-P

03/13-P Speaker/Strobe 2nd Ceiling Room A-240 45210626 1-ST2.2 / SP2.2 3-Mar 01/22-P

03/13-P Speaker/Strobe 2nd Ceiling Woman's Resource Center A-247 45210628 1-ST2.2 / SP2.2 7-Aug 01/22-P

03/13-P Speaker/Strobe 2nd Ceiling Room A-250 45210632 1-ST2.2 / SP2.2 10-Oct 01/22-P

03/13-P Speaker/Strobe 2nd Ceiling Room A-250 45210633 1-ST2.2 / SP2.2 9-Sep 01/22-P

03/13-P Speaker/Strobe 2nd Check-In Room A-252 45210634 1-ST2.2 / SP2.2 12-Dec 01/22-P

03/13-P Speaker/Strobe 2nd Central Hallway Outside RM A-252 45210635 1-ST2.2 / SP2.2 11-Nov 01/22-P

03/13-P Speaker/Strobe 2nd Waiting Room C 45210638 1-ST2.3 / SP2.3 1-Jan 01/22-P

03/13-P Speaker/Strobe 2nd Waiting Room C 45210639 1-ST2.3 / SP2.3 2-Feb 01/22-P

03/13-P Speaker/Strobe 2nd North Women's Bathroom 45210640

1-ST2.2 / SP2.2 13 / 13 EOL

01/22-P

03/13-P Speaker/Strobe 2nd North Hallway Outside Room C-258 45210641 1-ST2.3 / SP2.3 3-Mar 01/22-P

03/13-P Speaker/Strobe 2nd North Hallway Intersection Outside Nurses Station 45210642 1-ST2.3 / SP2.3 3-Mar 01/22-P

03/13-P Speaker/Strobe 2nd North Hallway Outside C-270 45210644 1-ST2.3 / SP2.3 6-May 01/22-P

03/13-P Speaker/Strobe 2nd North Stairwell Elevator Alcove 45210647 1-ST2.3 / SP2.3 9-Sep 01/22-P

03/13-P Speaker/Strobe 2nd North Hallway Outside C-267 45210645 1-ST2.3 / SP2.3 8-Jul 01/22-P

03/13-P Speaker/Strobe 2nd South Hallway Ceiling Outside RM B-202 45210607

1-ST2.1 / SP2.1 8 / 9 EOL

01/22-P

03/12-P Speaker/Strobe 2nd Ceiling Room A-250 45208410

1-ST2.2.3 / SP2.

01/22-P

03/12-P Speaker/Strobe 3rd Employee Fitness Room 45210249

1-ST/SP 3.1-3/3.1-3

01/22-P

03/13-P Speaker/Strobe 3rd Hallway Near Room B302 45210247

1-ST/SP 3.2-1/3.1-1

01/22-P

03/13-P Speaker/Strobe 3rd Hallway Near Room B321 45210244

1-ST/SP 3.1-4/3.1-4

01/22-P

03/13-P Speaker/Strobe 3rd Near Room B-312 45210243

1-ST/SP 3.1-6/3.1-6

01/22-P

03/13-P Speaker/Strobe 3rd Room B-324 45210242

1-ST/SP 3.1-7/3.1-7

01/22-P

03/13-P Speaker/Strobe 3rd Women's Locker Room B-323 45210241

1-ST/SP 3.1-5/3.1-5

01/22-P

03/13-P Speaker/Strobe 3rd Hallway Near B-325 45210240

1-ST/SP 3.1-8 EOL/3.1-5

01/22-P

03/13-P Speaker/Strobe 3rd Bathroom Women's 45210239

1-ST/SP 3.2-9/3.2-10

01/22-P

03/13-P Speaker/Strobe 3rd Hallway Near Room A-328 45210238

1-ST/SP 3.2-2/3.2-2

01/22-P

03/13-P Speaker/Strobe 3rd Bathroom Men's 45210237

1-ST/SP 3.2-1/3.2-1

01/22-P

03/13-P Speaker/Strobe 3rd Near Room A-349C 45210235

1-ST/SP 3.2-3/3.2-3

01/22-P

03/13-P Speaker/Strobe 3rd Room A-349 45210234

1-ST/SP 3.2-4/3.2-4

01/22-P

03/13-P Speaker/Strobe 3rd Staff Break Room 45210232

1-ST/SP 3.2-5/3.2-6

01/22-P

03/13-P Speaker/Strobe 3rd In Front of Elevator 45210229

1-ST/SP 3.2-6/3.2-7

01/22-P

03/13-P Speaker/Strobe 3rd Room A-352 45210228

1-ST/SP 3.2-7/3.2-8

01/22-P

03/13-P Speaker/Strobe 3rd Hallway Near A-354 45210227

1-ST/SP 3.2-8/3.2-9

01/22-P

03/13-P Speaker/Strobe 3rd Hallway Near C-391 45210226

1-ST/SP 3.3-1/3.3-1

01/22-P

03/13-P Speaker/Strobe 3rd Hallway Near C-362 45210225

1-ST/SP 3.3-2/3.3-3

01/22-P

03/13-P Speaker/Strobe 3rd Hallway Near C-387 45210223

1-ST/SP 3.3-3/3.3-4

01/22-P

03/13-P Speaker/Strobe 3rd Center Elevator 45210222

1-ST/SP 3.3-4 /3.3-5

01/22-P

03/13-P Speaker/Strobe 3rd Hallway Near C-377 45210216

1-ST/SP 3.3-5 EOL/3.3-7

01/22-P

03/13-P Speaker/Strobe 4th North Hallway Outside RM-454 45210662 1-ST4.3 / SP4.3 1-Jan 01/22-P

03/13-P Speaker/Strobe 4th North Inside Women's Bathroom 45210663

1-ST4.3 / SP4.3 10 EOL / 10 EOL

01/22-P

03/13-P Speaker/Strobe 4th North Hallway Outside Women's Bathroom 45210664 1-ST4.2 / SP4.2 9-Sep 01/22-P

03/13-P Speaker/Strobe 4th North Inside Room A-432 45210665 1-ST4.2 / SP4.2 8-Aug 01/22-P

03/13-P Speaker/Strobe 4th North Inside Room A-432 Back Hallway 45210666 1-ST4.2 / SP4.2 7-Jul 01/22-P

03/13-P Speaker/Strobe 4th S7 Elevator Alcove 45210667 1-ST4.2 / SP4.2 6-May 01/22-P

03/13-P Speaker/Strobe 4th Inside Room A-431 45210674 1-ST4.2 / SP4.2 3-Apr 01/22-P

03/13-P Speaker/Strobe 4th Inside Room A-431 45210673 1-ST4.2 / SP4.2 4-May 01/22-P

03/13-P Speaker/Strobe 4th North Inside Room C-347 45210660 1-ST4.3 / SP4.3 5-Jun 01/22-P

03/13-P Speaker/Strobe 4th North Inside Room C-347 45210659 1-ST4.3 / SP4.3 4-May 01/22-P

03/13-P Speaker/Strobe 4th North Hallway Intersection Outside RM C-435 45210658 1-ST4.3 / SP4.3 3-Apr 01/22-P

03/13-P Speaker/Strobe 4th North Room C-449 45210657 1-ST4.3 / SP4.3 3-Apr 01/22-P

03/13-P Speaker/Strobe 4th North Fire Exit Stairwell Elevator Alcove 45210655 1-ST4.3 / SP4.3 6-Jul 01/22-P

03/13-P Speaker/Strobe 4th North Hallway Outside Room C-444 45210653 1-ST4.3 / SP4.3 7-Aug 01/22-P

03/13-P Speaker/Strobe 4th North Room C-443 45210652

1-ST4.3 / SP4.3 9 EOL / 8

01/22-P

03/13-P Speaker/Strobe Roof Penthouse ENTRANCE ON COLUMN AHU Room 12535534 1-ST4.4 / SP4.4 2-Feb 01/22-P

03/13-P Speaker/Strobe Roof South Exit Penthouse 45208212

1-ST4/SP4 4-1/4-1

01/22-P

03/13-P Speaker/Strobe Roof Penthouse North Exit To Roof 45210676 1-ST4.4 / SP4.4 2-Feb 01/22-P

03/12-P Speaker/Strobe 1st Floor FACP Room B 114 45207732

1-ST1/SP1 1-1/1-1

01/22-P

03/12-P Speaker/Strobe 1st Floor Room B-110 45207738

1-ST1/SP1 1-11/1- 10

01/22-P

03/12-P Speaker/Strobe 1st Floor Conf Room B -110D 45207739

1-ST1/SP1 1-10/1-11

01/22-P

03/12-P Speaker/Strobe 1st Floor Corr Area B Stair 45207744

1-ST1/SP1 1-14/1- 12

01/22-P

03/12-P Speaker/Strobe 1st Floor Room B-111 45207746

1-ST1/SP1 1-13/1- 16

01/22-P

03/12-P Speaker/Strobe 1st Floor Near Room B-109D 45207750

1-ST1/SP1 1-5/1-6

01/22-P

03/12-P Speaker/Strobe 1st Floor Near Room B-109A 45207752

1-ST1/SP1 1-9/1-9

01/22-P

03/12-P Speaker/Strobe 1st Floor Room B-106 45207753

1-ST1/SP1 1-3/1-3

01/22-P

03/12-P Speaker/Strobe 1st Floor Corr At Room B-106 45207754

1-ST1/SP1 1-2/1-2

01/22-P

03/12-P Speaker/Strobe 1st Floor Corr At Room A-116 45207757

1-ST1/SP1 2-3/2-3

01/22-P

03/12-P Speaker/Strobe 1st Floor Men's Rest Room Near A-116 45207758

1-ST1/SP1 2-2/2-2

01/22-P

03/12-P Speaker/Strobe 1st Floor West Exit Area A 45207759

1-ST1/SP1 2-4/2-4

01/22-P

03/12-P Speaker/Strobe 1st Floor Elevator S7 45207763

1-ST1/SP1 2-8/2-9

01/22-P

03/12-P Speaker/Strobe 1st Floor Corridor At A 183 45207764

1-ST1/SP1 2-11/2-12

01/22-P

03/12-P Speaker/Strobe 1st Floor Corridor At C Stair 45207768

1-ST1/SP1 3-10/3-11

01/22-P

03/12-P Speaker/Strobe 1st Floor Corridor At C 171 45207769

1-ST1/SP1 3-7/3-8

01/22-P

03/12-P Speaker/Strobe 1st Floor Elevator Area C 45207771

1-ST1/SP1 3-9/3-10

01/22-P

03/12-P Speaker/Strobe 1st Floor Occupational Health Program Room C-149 45208170

1-ST1/SP1 3-4/3-4

01/22-P

03/12-P Speaker/Strobe 1st Floor Optometry Conf Room C-172 45208171

1-ST1/SP1 3-8/3-9

01/22-P

03/12-P Speaker/Strobe 1st Floor Physical Therapy Room C-166 45208172

1-ST1/SP1 3-11/3-12

01/22-P

03/12-P Speaker/Strobe 1st Floor Physical Therapy Room C-166 45208173

1-ST1/SP1 3-13/3-13

01/22-P

03/12-P Speaker/Strobe 1st Floor Simulation Center Room C-181 45208175

1-ST1/SP1

01/22-P

03/12-P Speaker/Strobe 1st Floor Simulation Center Room C-181 45208177

1-ST1/SP1 3-2/3-2

01/22-P

03/12-P Speaker/Strobe 1st Floor Simulation Center Room C-181 45208178

1-ST1/SP1

01/22-P

03/12-P Speaker/Strobe 1st Floor Simulation Center Room C-181 45208179

1-ST1/SP1 3-1/3-1

01/22-P

03/12-P Speaker/Strobe 1st Floor Room A-118 45208180

1-ST1/SP1 2-10/2-11

01/22-P

03/12-P Speaker/Strobe 1st Floor Room A-184 45208181

1-ST1/SP1 2-9/2-10

01/22-P

03/12-P Speaker/Strobe 1st Floor Room A-101 45208182

1-ST1/SP1 2-7/2-7

01/22-P

03/12-P Speaker/Strobe 1st Floor Room A-117B 45208184

1-ST1/SP1 2-5/2-5

01/22-P

03/12-P Speaker/Strobe 1st Floor Amputee SVC Room B136 45208188

1-ST1/SP1 1-7/1-8

01/22-P

03/12-P Speaker/Strobe 1st Floor Wheel Chair Repair Room 45208194

1-ST1/SP1 2-1/2-1

01/22-P

03/12-P Speaker/Strobe 1st Floor Corr Near Room B-107 45207748

1-ST1/SP1 1-4/1- 5

01/22-P

03/11-P Speaker/Strobe 4th Floor Room B-421C 45208195

1-ST4/SP4 1-1/1-1

01/22-P

03/12-P Speaker/Strobe 4th Floor Corr Near Room B-422 45208196

1-ST4/SP4 1-2/1-2

01/22-P

03/12-P Speaker/Strobe 4th Floor Corr Near Room B-414 45208200

1-ST4/SP4 1-6/1-5

01/22-P

03/12-P Speaker/Strobe 4th Floor Room B-414 45208202

1-ST4/SP4 1-5/1-4

01/22-P

03/12-P Speaker/Strobe 4th Floor Room B-427 45208204

1-ST4/SP4 1-7/1-6

01/22-P

03/12-P Speaker/Strobe 4th Floor Room B-430 45208207

1-ST4/SP4 1-9/1-9

01/22-P

03/12-P Speaker/Strobe 4th Floor Men's Restroom Across A-431 45208209

1-ST4/SP4 2-1/2-1

01/22-P

03/12-P Speaker/Strobe 4th Floor Corr Near A-431 45208210

1-ST4/SP4 2-2/2-2

01/22-P

03/12-P Device Total: 114

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22) For periodic testing, verify that each appliance flashes. (NFPA 72-22 Table 14.4.3.2 (22)(3)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Strobe

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Strobe 2nd Ceiling Woman's Resource Center A-247H 45210629

1-ST2.2 7

01/17-P

03/13-P Strobe 2nd Resource Room A-244 12535373 01/17-P

03/12-P Strobe 3rd Bathroom Men's Police 45210248

1-ST 3.1-2

01/17-P

03/13-P Strobe 4th Unisex Bathroom RM A-404 45210671

1-ST4.3 2

01/17-P

03/13-P Strobe 4th North Unisex Bathroom RM C-451 45210661

1-ST4.3 2

01/17-P

03/13-P Strobe 1st Floor Women's Restroom Near B-110 45207736 1-ST1 13-Jan 01/17-P

03/12-P Strobe 1st Floor By Room B-109C 45207737 1-ST1 10-Jan 01/17-P

03/12-P Strobe 1st Floor Men's Restroom Near Area B Stair 45207745 1-ST1 15-Jan 01/17-P

03/12-P Strobe 1st Floor Amputee SVC Room B136 Restroom 45208190 1-ST1 8-Jan 01/17-P

03/12-P Strobe 4th Floor B-Wing Restroom 45208199 1-ST4 3-Jan 01/17-P

03/12-P Strobe 4th Floor Kitchen B-415 45208201 1-ST4 4-Jan 01/17-P

03/12-P Strobe 4th Floor Restroom Near B-411 45208208 1-ST4 8-Jan 01/17-P

03/12-P Device Total: 12

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22) For periodic testing, verify the operation of the notification appliances. (NFPA 72-22 Table 14.4.3.2 (22)(2)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Voice Evacuation

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Voice Evacuation 1st Floor Electrical Room Bldg 5 DAA 2 45207721 01/17-P

03/12-P Voice Evacuation 1st Floor Electrical Room Bldg 5 DAA 3 45207722 01/17-P

03/12-P Voice Evacuation 1st Floor Electrical Room Bldg 5 DAA 4 45207723 01/17-P

03/12-P Device Total: 3

EC 02.03.05 EP 05

Annual test of fire alarm equipment for notifying off-site fire responders. NFPA 72 (2022) Table 14.4.3.2 (4) 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 72-22 Table 14.4.3.2 (4)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Monitor Device

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Monitor Device 1st Lower inside elec rm B-116 MC-RM INSIDE FCPS 24S 44231100 2-1 M01 01/17-P

03/12-P Monitor Device 3rd B-311 44230232 1-2 m02 01/17-P

03/13-P Monitor Device 4th B-425 house keeping closet left battery 44230230 2-2 m51 01/17-P

03/13-P Monitor Device Roof Roof AHU.5 AHU Room 45208350 1-L2 M56 01/17-P

03/13-P Monitor Device 1st Floor Electrical Room Power Supply Monitor Module 45207731 1-L001 M002 01/17-P

03/12-P Monitor Device 1st Floor Electrical Room Power Supply Relay Module 45207730 1-L001 M039 01/17-P

03/12-P Device Total: 6

EC 02.03.05 EP 11

For automatic sprinkler systems: Every 12 months, the hospital tests fire pumps under flow. Fire pump supervisory signals for pump running and pump power loss are tested annually. NFPA 25 (2023) 8.3.3 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 72-22 Table 14.4.3.2 (2)(1)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Fire Pump Auto

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Fire Pump Auto Outside Fire Pump 45211868 1-L1 M057 01/17-P

03/12-P Device Total: 1

EC 02.03.05 EP 19

Annual test of automatic smoke-detection shutdown devices for air-handling equipment. NFPA 90A (2024) 6.4.1 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 72-22 Table 14.4.3.2 (17)(7)(e)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Duct Detector

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Duct Detector Basement Area C 45212593 1-L1 D36 01/19-P

03/17-P Duct Detector Basement Boiler Room B-113 45210824 1-L1 D24 01/19-P

03/17-P Duct Detector 1st Men's Restroom Area A 45212765 1-L1 D11 01/19-P

03/17-P Duct Detector 1st Room A-117A 45212767 1-L1 D8 01/19-P

03/13-P Duct Detector 1st Outside By Room A-117A Elevator Lobby 45212766 1-L1 D9 01/19-P

03/13-P Duct Detector 1st Women's Restroom Area A 45212764 1-L1 D23 01/19-P

03/13-P Duct Detector 2nd Women's Restroom Area A 45212759 1-L1 D35 01/19-P

03/17-P Duct Detector 2nd Back Counter In Room A252 12535397 1-L1 D17 01/19-P

03/13-P Duct Detector 2nd In Room B-226 12535368 1-L1 D13 01/19-P

03/13-P Duct Detector 2nd In Room B-232 12535367 1-L1 D12 01/19-P

03/13-P Duct Detector 2nd Men's Restroom A-241 45212757 1-L1 D34 01/19-P

03/13-P Duct Detector 3rd In Office B322 in Hatch 45212595 1-L2 D2 01/19-P

03/17-P Duct Detector 3rd Women's Locker Room B323 45212594 1-L2 D3 01/19-P

03/17-P Duct Detector 3rd Men's Restroom Area A 45212756 1-L2 D9 01/19-P

03/13-P Duct Detector 3rd Women's Rest Room Area A 45212755 1-L2 D10 01/19-P

03/13-P Duct Detector 3rd Elevator Corridor Area A 45212758 1-L2 D7 01/19-P

03/13-P Duct Detector 4th Women's Restroom Area A 45212762 1-L2 D18 01/19-P

03/13-P Duct Detector 4th Reception Area A-432 ABOVE COPIER MACH.

45212763 1-L2 D17 01/19-P

03/13-P Duct Detector 4th Men's Restroom Area A 45212761 1-L2 D14 01/19-P

03/13-P Duct Detector 4th Corner of rm Inside Room B-429 45212760 1-L2 D12 01/19-P

03/13-P Duct Detector Roof Roof AHU.4 ROOF mounted outside unit 45208351 1-L2 D023 01/19-P

03/17-P Duct Detector Roof AHU-1 Roof 45210815

1-L2 D24 AHU1

01/19-P

03/13-P Device Total: 22

EC 02.03.05 EP 19

Annual test of automatic smoke-detection shutdown devices for air-handling equipment. NFPA 90A (2024) 6.4.1 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 72-22 Table 14.4.3.2 (20)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Fan Shutdown

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Fan Shutdown Basement Boiler Room B-113 45210818 1-L1 D24 01/17-P

03/17-P Device Total: 1

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 72-22 Table 14.4.3.2 (2)(1)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Control Panel

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Control Panel 1st Floor Electrical Room Bldg 5 FACP 45207719 01/17-P

03/13-P Device Total: 1

LS 02.01.34 EP 10

All other Life Safety Code fire alarm requirements related to NFPA 101-2024 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 72-22 Table 14.4.3.2 (11)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Annunciator

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Annunciator 1st Floor Electrical Room Bldg 5 Digital Voice Commands Center 45207720 01/17-P

03/12-P Annunciator 1st Floor Lobby A-101 45208183 01/17-P

03/11-P Device Total: 2

LS 02.01.34 EP 10

All other Life Safety Code fire alarm requirements related to NFPA 101-2024 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 72-22 Table 14.4.3.2 (9)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Battery

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Battery 3rd B-311 right battery 44230234 01/19-F 08/15-F 03/13-P Battery 3rd B-311 left battery 44230233 01/19-F 08/15-F 03/13-P Battery 4th Electrical Room B-425 Right battery 45212099 01/19-P 08/15-P 03/13-P Battery 4th B-425 house keeping closet left battery 45212098 01/19-P 08/15-P 03/13-P Battery 1st Floor Electrical Room DAA Battery Left 45207724 01/19-P 08/15-P 03/12-P Battery 1st Floor Electrical Room DAA Battery Right 45207725 01/19-P 08/15-P 03/12-P Battery 1st Floor Electrical Room FACP Battery Left 45207726 01/19-P 08/15-P 03/12-P Battery 1st Floor Electrical Room FACP Battery Right 45207727 01/19-P 08/15-P 03/12-P Battery 1st Floor Electrical Room Power Supply Battery Left 45207728 01/19-P 08/15-P 03/12-P Battery 1st Floor Electrical Room Power Supply Battery Right 45207729 01/19-P 08/15-P 03/12-P Device Total: 10

LS 02.01.34 EP 10

All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 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 72-22 Table 14.4.3.2 (2)(1)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Power Supply

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Power Supply 3rd B-311 44230231 01/17-P

03/13-P Power Supply 4th B-425 house keeping closet left battery 44230229 01/17-P

03/13-P Power Supply 1st Floor Electrical Room 45207735 01/17-P

03/12-P Device Total: 3

LS 02.01.34 EP 10

All other Life Safety Code fire alarm requirements related to NFPA 101-2024 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 72-22 Table 14.4.3.2 (20)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Programmable Relay

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Programmable Relay Roof AHU 1 45210250 1-2 57 01/17-P

03/12-P Device Total: 1

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 72-22 Table 14.4.3.2 (20)) Devices Tested Q1/25 Pass Q1/25 Fail Q1/25 Tested YTD (2025) Total Quantity Elevator

Device Type Location ScanID Address Q1/24 Q3/24 Q1/25 Elevator Roof Roof 45210817 1-L2 M27 01/17-P

03/17-P Elevator Roof Roof 45210816 1-L2 M28 01/17-P

03/17-P Elevator Roof P6 And P5 Elevator Machinery Enclosure 45210680 1-L2 M26 01/17-P

03/17-P Elevator Roof P6 And P5 Elevator Machinery Enclosure 45210678 1-L2 M25 01/17-P

03/17-P Device Total: 4

Service Summary

Building: PA5 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity Passed Annunciator Tested Battery Tested Control Panel Tested Duct Detector Tested Elevator Tested Fan Shutdown Tested Fire Pump Auto Tested Monitor Device Tested Power Supply Tested Programmable Relay Tested Pull Station Tested Releasing Device Tested Smoke Detector Tested/Cleaned Speaker/Strobe Tested Speaker Tested Strobe Tested Tamper Switch Tested Voice Evacuation Tested Waterflow Switch Tested Total Grand Total

Auxiliary Functions Testing

Building: PA5 Control Panel: 1 - Notifier NFS-3030D 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 Elevator

Roof P6 And P5 Elevator Machinery Enclosure Passed 45210678

Roof P6 And P5 Elevator Machinery Enclosure Passed 45210680

Roof Roof Passed 45210816

Roof Roof Passed 45210817 Fan Shutdown

Basement Boiler Room B-113 Passed 45210818 Programmable Relay

Roof AHU 1 Passed 45210250 Releasing Device

1st Corridor By A-116 Passed 45208347

1st Corridor By B-108 Passed 45208348

1st Corridor By B-108 Passed 45208349

1st Corridor By C-176 Passed 45212094

1st Corridor By C-181 Passed 45212095

1st Corridor By C-181 Passed 45212096

2nd Outside Men's Bathroom Ceiling A-241 Passed 45208345

2nd Outside Men's Bathroom Ceiling A-241 Passed 45208346

Battery & Power Supply Testing

Building: PA5 Control Panel: 1 - Notifier NFS-3030D 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.

Battery Type Location Rated Ah Rated Volts Pre Test Post Test Min Ah Tested Ah Passed Sealed Lead Acid 3rd B-311 left battery

Sealed Lead Acid 3rd B-311 right battery

4th Electrical Room B-425 Right battery

4th B-425 house keeping closet left battery

1st Floor Electrical Room DAA Battery Left

55-NB

1st Floor Electrical Room DAA Battery Right

1st Floor Electrical Room FACP Battery Left

1st Floor Electrical Room FACP Battery Right

1st Floor Electrical Room Power Supply Battery Left

1st Floor Electrical Room Power Supply Battery Right

Inventory & Warranty Report

Building: PA5 Control Panel: 1 - Notifier NFS-3030D 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 0.67% Battery Control 3.34% Control Panel Control 0.33% Duct Detector Initiating 7.36% Elevator Auxiliary 1.34% Fan Shutdown Auxiliary 0.33% Fire Pump Auto Monitor 0.33% Monitor Device Monitor 2.01% Power Supply Control 1.00% Programmable Relay Auxiliary 0.33% Pull Station Initiating 8.70% Releasing Device Auxiliary 2.68% Smoke Detector Initiating 11.04% Speaker Indicating 5.35% Speaker/Strobe Indicating 38.13% Strobe Indicating 4.01% Tamper Switch Supervisory 7.36% Voice Evacuation Control 1.00% Waterflow Switch Initiating 4.68%

Type Qty Model # Description Install Date In Service - 2 Years to 3 Years Power-Sonic Battery

PS-12550

Sealed Lead Acid 01/18/2023 In Service - 3 Years to 5 Years Power-Sonic Battery

PS-127

Sealed Lead Acid 01/20/2022

POWER SONIC

Battery

PS1270

Sealed Lead Acid 02/16/2021 Power-Sonic Battery

PS-12550

Sealed Lead Acid 01/21/2021 In Service - 5 Years to 10 Years Power-Sonic Battery

PS-127

Sealed Lead Acid 01/16/2019 Notifier Monitor Device

09/13/2017 Power-Sonic Power Supply

PS-127

09/13/2017 Magnetic Door Holder Releasing Device

05/11/2017 Notifier Elevator

FCM-1

05/11/2017 Programmable Relay Frm-1

05/11/2017 Pull Station

LBG-12LX

05/11/2017 Pull Station

NGB-12LX

05/11/2017 Smoke Detector

FSP-851

05/11/2017 Tamper Switch

Victaulic

05/11/2017 Waterflow Switch

VSR-SF

05/11/2017 Potter Electric Waterflow Switch

VCD

05/11/2017

SIMPLEX

Speaker/Strobe

SIMPLEX

05/11/2017 SimplexGrinnell Strobe

System Sensor Smoke Detector

FSP-851

05/11/2017 Speaker

SPCR

05/11/2017 Speaker/Strobe

SPSCR

05/11/2017 Strobe

SCR

05/11/2017 Victaulic Tamper Switch V-40-1520

05/11/2017 Notifier Annunciator

DVC-EM

05/10/2017 Annunciator

LCD2-80

05/10/2017 Control Panel

NFS-3030D

05/10/2017 Duct Detector

DNR FSP-851

05/10/2017 Duct Detector

FSP-851

05/10/2017 Elevator

FSP-851

05/10/2017 Fan Shutdown

FRM-1

05/10/2017 Monitor Device

FRM-1

05/10/2017 Power Supply

FCPS-24S8

05/10/2017 Pull Station

NBG -12LX

05/10/2017 Pull Station

NBG-12LX

05/10/2017 Releasing Device

FM990

05/10/2017 Smoke Detector

FSP-851

05/10/2017 Speaker/Strobe

SPSCR

05/10/2017

05/10/2017 Voice Evacuation

DAA-5070

05/10/2017 Waterflow Switch

VSR-SF

05/10/2017 Potter Electric Fire Pump Auto

GPU-208/40/3/60

05/10/2017

OSYSU-2

05/10/2017 Tamper Switch

PCVS-1

05/10/2017 Waterflow Switch

VSR-SF

05/10/2017 Simplex Pull Station

Speaker/Strobe

05/10/2017 System Sensor Speaker

SPCR

05/10/2017 Speaker/Strobe

SPSCR

05/10/2017 Speaker/Strobe

SPSR

05/10/2017 Strobe

SCR

05/10/2017 Victaulic Tamper Switch

SERIES 708W

05/10/2017 Building: PA5 Control Panel: 2 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.

Type Qty Model # Description Install Date In Service - 5 Years to 10 Years Notifier Monitor Device

FCM-1

09/13/2017 Monitor Device

PS-127

09/13/2017

Zone Address Report

Building: PA5 Control Panel: 1 - Notifier NFS-3030D 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 Zone/Circuit: 2 Pull Station 3rd Stairs Exit

45210245 Pull Station 3rd Stairs Exit

45210218 Programmable Relay Roof AHU 1

45210250 D006 Smoke Detector 3rd Lobby Elevator P5 & P6

45210231 D008 Smoke Detector 3rd LOBBY Elevator S7

45210230 D11 Smoke Detector 3rd ELEV. S8 LOBBY STAIR 2

45210221 M12 Pull Station 3rd Stairs Exit

45210236 m02 Monitor Device 3rd B-311

44230232 Zone/Circuit: L001 D001 Smoke Detector 1st Floor FACP Room B 114

45207734 D01 Smoke Detector 2nd B-311

44230235 D002 Smoke Detector 1st Floor Corridor At B 106

45207755 D003 Smoke Detector 1st Floor Corridor At B 105

45207756 D004 Smoke Detector 1st Floor Elevator S7 LOBBY

45207762 D005 Smoke Detector 1st Floor Elevator P-5 & P-6

45207761 D006 Smoke Detector 1st Floor Corridor At A 183

45207765 D007 Smoke Detector 1st Floor Corridor At C 181

45207766 Zone/Circuit: L1 D8 Duct Detector 1st Room A-117A

45212767 D9 Duct Detector 1st Outside By Room A-117A Elevator Lobby

45212766 Zone/Circuit: L001 D010 Smoke Detector 1st Floor STAIRWELL 2 Elevator Area C NORTH

45207770 Zone/Circuit: L1 D11 Duct Detector 1st Men's Restroom Area A

45212765 D12 Duct Detector 2nd In Room B-232

12535367 D13 Duct Detector 2nd In Room B-226

12535368 D16 Smoke Detector 2nd Central Hallway Elevator Lobby ELEV. S7 LOBBY

45210631 D17 Duct Detector 2nd Back Counter In Room A252

12535397 D18 Smoke Detector 2nd Central Hallway Elevator Lobby P5 & P6 ELEV..

45210630 D20 Smoke Detector 2nd North Entrance To Waiting Room C

45210636 D21 Smoke Detector 2nd North Ceiling Of Waiting Room C

45210637 D22 Smoke Detector 2nd North Stairwell 2 Elevator AREA C ELEV. S8

45210648 D23 Duct Detector 1st Women's Restroom Area A

45212764 D24 Duct Detector Basement Boiler Room B-113

45210824 D24 Fan Shutdown Basement Boiler Room B-113

45210818 Zone/Circuit: L001 D026 Smoke Detector 1st Floor Corridor At Area B

45207741 D027 Smoke Detector 1st Floor Telecom Rm A 308

45207740 D028 Smoke Detector 1st Floor Corridor At B 109

45207751 D029 Smoke Detector 1st Floor Corridor At B 108

45207749 D031 Smoke Detector 1st Floor Corridor At C 159

45207767 D032 Smoke Detector 1st Floor Telecom Rm A186

45208187 Zone/Circuit: L1 D34 Duct Detector 2nd Men's Restroom A-241

45212757 D35 Duct Detector 2nd Women's Restroom Area A

45212759 D36 Duct Detector Basement Area C

45212593 D-30 Smoke Detector 1st Corridor By C-176

45210811 Zone/Circuit: L001 M002 Monitor Device 1st Floor Electrical Room Power Supply Monitor Module

45207731 Zone/Circuit: L1 M03 Waterflow Switch 1st Stair C

12535351 M04 Tamper Switch 1st Stair C

12535350 Zone/Circuit: L001 M005 Pull Station 1st Floor FACP ROOM Exit A 114

45207733 Zone/Circuit: L1 M06 Waterflow Switch 1st Floor Area B Stair Riser

12535330 M07 Tamper Switch 1st Floor Area B Stair Riser

12535329 M08 Waterflow Switch 1st Stair 1

12535346 M09 Tamper Switch 1st Stair 1

12535345 M10 Waterflow Switch 1st Stair 3

12535303 M11 Tamper Switch 1st Stair 3

12535302 Zone/Circuit: L001 M012 Pull Station 1st Floor Area B Stair Exit

45207742 Zone/Circuit: L1 M13 Pull Station 1st By Room A-116

12535347 Zone/Circuit: L001 M014 Pull Station 1st Floor…