Q73 - Annual - Building 1 - 2023-09-29.pdf

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EHRM Infrastructure Upgrades Construction - Miami - Project 546-20-120 Federal contract opportunity
Solicitation number
36C77624B0027
Issued by
Department of Veterans Affairs Technology Acquisition Center Austin

About this file

This document appears to be a Request for Proposal (RFP) for the EHRM Infrastructure Upgrades Construction - Miami - Project 546-20-120. The project is a competitive Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside, and the contractor will be required to provide all tools, equipment, materials, labor, and supervision to complete the construction project at the VA Miami health care Bruce W. Carter VA Medical Center. The project is being solicited by the Department of Veterans Affairs Technology Acquisition Center Austin. Key details include the location, the scope of work, the set-aside status, and the requirement for the contractor to provide all necessary resources to complete the project.

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Johnson Controls is committed to serving our customers with the best-in-class services and technologies. Xaap is an advanced inspection reporting application that has been used by Johnson Controls on your inspections.

Xaap is a software-as-a-service (SaaS) solution that provides a streamlined and digitized approach for performing fire and life safety inspections and managing compliance reports in a single, centralized platform.

The application allows inspectors to capture data for fire and life safety systems and devices while generating the required compliance reports directly from their phones. It also provides facility managers, building managers and key stakeholders with a centralized view of all building systems and deficiency data. Users can easily access, download and share historical inspection reports through Xaap.

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Inspection Summary

Customer Information

Name VA Medical Center (1201 NW 16th Street)

Building Information

Name VA Medical Center - Building 1 New

Address 1201 NW 16th Street, Miami, FL 33125

Contact Information

Name Veronica Allen

Role Administrative Officer

E-Mail veronica.allen3@va.gov

Phone 7867970136

Account Information

Service Provider Johnson Controls North America

Office Address 10550 Commerce Parkway, Miramar FL 33025

Office Phone 954-431-3700

Office License 80542700012002

Inspector Name Nestor De Four

Inspector License

FP122-000286

Inspection Information

Start Date 09/27/2023

Date 09/29/2023

Inspection Type Joint Commission

Work Order# 55004034

Timezone GMT-04:00

Inspection Summary

The following Tests and Inspections have been covered in this inspection

EP 2 - Tamper Switches and Water Flow Devices EP 5 - Emergency Services Notification Transmission Equipment EP 9 - Sprinkler Systems Main Drain EP 10 - Fire Department Water Supply Connections

NFPA 25

General Inspection Notes

1. ANNUAL FIRE SPRINKLER INSPECTION

www.xaapbuildings.com

GENERAL DEFICIENCIES

DESCRIPTION IMAGES

1- Replace (2) damage 11/4” ITV in Stair#1- Penthouse- (handles missing unable to operate) GENERAL DEFICIENCY IMAGES

APPENDIX 1

1- Address Stair#6-3rd (1) 3” Bfly valve & (1) 3” potter VSR flow Switch have no address and did not activate signal on FACP-troubleshoot alarm tech. GENERAL DEFICIENCY IMAGES

APPENDIX 2

3- Address-Lower (1) Tyco 1/2”x155deg QR pendt & install white semi-recess outer plate - 2 floor in corridor by Stair#7 by room#2B136 GENERAL DEFICIENCY IMAGES

APPENDIX 3

DEVICE DEFICIENCIES

TEST TO PERFORM LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE INSPECTOR / DATE IMAGES

EP2 Building 1, Floor 1 2” Bfly valve Stair#4 3:M3-34 Tamper Switch — — —

Nestor Roderick De Four

09/28/2023

FAILURE TYPE: Functional Failure FAILURE REASON: Did not activate signal on FACP when tested-Troubleshoot Alarm tech

EP2 Building 1, Floor 1 2” Bfly valve Stair#4 3:M3-21 Tamper Switch — — —

Nestor Roderick De Four

09/28/2023

FAILURE TYPE: Functional Failure FAILURE REASON: Did not activate signal on FACP when tested

EP2 Building 1, Floor 14 STAIR 1 5:M4-74 Water Flow Switch — — —

Nestor Roderick De Four

09/29/2023

FAILURE TYPE: Visual Failure FAILURE REASON: Unable to locate on 14th Floor

EP2 Building 1, Floor 14 BLDG 1 STAIR 1 5:M4-73 Tamper Switch — — —

Nestor Roderick De Four

09/29/2023

FAILURE TYPE: Visual Failure FAILURE REASON: Unable to locate -on 14th floor

EP2 Building 1, Floor 2 21/2”Potter VSR- Stair#8 M2-6 -old Address Water Flow Switch — — —

Nestor Roderick De Four

09/28/2023

DEFICIENCY

IMAGES

APPENDIX 1.2

FAILURE TYPE: Functional Failure FAILURE REASON: Did not activate signal on FACP when tested- troubleshoot alarm tech

EP2 Building 1, Floor 2 21/2”Milwaukee Bfly valve Stair#7

4:M2-7 old Address Tamper Switch — — —

Nestor Roderick De Four

09/28/2023

DEFICIENCY

IMAGES

APPENDIX 1.1

FAILURE TYPE: Functional Failure FAILURE REASON: Did not activate signal on FACP when tested

INSPECTION RESULTS SUMMARY

CURRENT INSPECTION RESULTS PREVIOUS INSPECTION RESULTS

TEST PERFORMED DEVICE TYPE TOTAL PASSED FAILED CANNOT INSPECT % INSPECTED TOTAL

EP2 Tamper Switch 141 137 4 0 100 141

EP2 Water Flow Switch 93 91 2 0 100 93

EP5 DACT Main/Central Station 1 1 0 0 100 1

EP9 Main Drain - Wet Pipe Valve 12 12 0 0 100 12

EP10 Fire Dept. Connection 3 3 0 0 100 3

TOTAL 250 244 6 0 100 250

TAMPER SWITCHES AND WATER FLOW DEVICES

CUSTOMER NAME: VA Medical Center (1201 NW 16th Street) BUILDING NAME: VA Medical Center - Building 1 New BUILDING ADDRESS: 1201 NW 16th Street, Miami, FL 33125

CONTACT NAME: Veronica Allen CONTACT E-MAIL: veronica.allen3@va.gov CONTACT ROLE: Administrative Officer

CONTACT PHONE: 7867970136

SERVICE PROVIDER: Johnson Controls North America OFFICE ADDRESS: 10550 Commerce Parkway, Miramar FL 33025

OFFICE PHONE: 954-431-3700

OFFICE LICENSE: 80542700012002

INSPECTOR: Nestor De Four

INSPECTOR LICENSE: FP122-000286

INSPECTION START DATE: 09/27/2023

INSPECTION END DATE: 09/29/2023

WORK ORDER: 55004034

TIMEZONE: GMT-04:00

INSPECTION RESULTS SUMMARY

CURRENT INSPECTION RESULTS PREVIOUS INSPECTION RESULTS

DEVICE TYPE INVENTORY COUNT PASSED FAILED CANNOT INSPECT % INSPECTED INVENTORY COUNT

Water Flow Switch 93 91 2 0 100 93

Tamper Switch 141 137 4 0 100 141

DEVICE DEFICIENCIES

LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE DATE OF TEST TYPE IMAGES

Building 1, Floor 1 2” Bfly valve Stair#4 3:M3-34 Tamper Switch — — — 09/28/2023 FUNCTIONAL

FAILURE —

FAILURE REASON: Did not activate signal on FACP when tested-Troubleshoot Alarm tech

Building 1, Floor 1 2” Bfly valve Stair#4 3:M3-21 Tamper Switch — — — 09/28/2023 FUNCTIONAL

FAILURE —

FAILURE REASON: Did not activate signal on FACP when tested

Building 1, Floor 2 21/2”Milwaukee Bfly valve Stair#7

4:M2-7 old Address Tamper Switch — — — 09/28/2023 FUNCTIONAL

FAILURE

DEFICIENCY

IMAGES

APPENDIX 1.1

FAILURE REASON: Did not activate signal on FACP when tested

Building 1, Floor 2 21/2”Potter VSR- Stair#8 M2-6 -old Address Water Flow Switch — — — 09/28/2023 FUNCTIONAL

FAILURE

DEFICIENCY

IMAGES

APPENDIX 1.2

FAILURE REASON: Did not activate signal on FACP when tested- troubleshoot alarm tech

Building 1, Floor 14 BLDG 1 STAIR 1 5:M4-73 Tamper Switch — — — 09/29/2023 VISUAL FAILURE —

FAILURE REASON: Unable to locate -on 14th floor

Building 1, Floor 14 STAIR 1 5:M4-74 Water Flow Switch — — — 09/29/2023 VISUAL FAILURE —

FAILURE REASON: Unable to locate on 14th Floor

RETIRED DEVICES

No retired devices in this inspection.

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023 Customer: VA Medical Center (1201 NW 16th Street) | Building: VA Medical Center - Building 1 New

Elements of Performance #2

At least semi-annually, the facility tests water-flow devices and at least semi-annually the facility tests supervisory valve tamper switches. The completion date of the tests is documented.

Valve Tamper Switches and Water Flow devices

For additional guidance on performing tests, see NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Device Test Method

Control Valve Tamper Switch:

14.4.2.2-14.(i).(1)

Valve shall be operated and 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 manufacture's specifications

Mechanical, Electro-sonic, or Pressure-Type Water flow Device:

14.4.2.2-14.(j)

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 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.

A.1.1.1.2 There are times when a single inspection or test can meet the requirements of both NFPA 25 and NFPA 72 (e.g., operation of a tamper switch). This standard does not necessarily require that two separate inspections or tests be conducted on the same component, provided the inspection or test meets the requirements of both standards and the individual performing the inspection or test is qualified to perform the inspection or test required by both standards.

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023

WATER FLOW SWITCH

# LOCATION DESCRIPTION ADDRESS DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 Building 1, Floor 1 1st floor Radiation Oncology back of reception 3:M4-20 Water Flow Switch — Nestor Roderick De

Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

2 Building 1, Floor 2 21/2”Potter VSR- Stair#8 M2-6 -old Address Water Flow Switch — Nestor Roderick De

Four 09/28/2023 Failed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

Reason for failure: (Functional Failure) Did not activate signal on FACP when tested- troubleshoot alarm tech

3 Building 1, Floor 1 A1 BOILER PUMP ROOM 3:M2-198 Water Flow Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 45sec

Open test connection/bypass. Did water flow activate the alarm? Yes

4 Building 1, Floor 1 A1 BOILER PUMP ROOM 3:M2-200 Water Flow Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 38sec

Open test connection/bypass. Did water flow activate the alarm? Yes

5 Building 1, Floor 1 A1 M1 3 1

MEA-19-Engineering Shop

3:M2-157 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 40sec

Open test connection/bypass. Did water flow activate the alarm? Yes

6 Building 1, Floor 1 A1 S1 STAIR 2 3:M2-181 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

7 Building 1, Floor 2 A1 STAIR #2 4:M1-31 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

8 Building 1, Floor 1 A2 SERVICE ELEVATOR LOBBY 3:M2-127 Water Flow Switch — Nestor Roderick De

Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed Sec

Open test connection/bypass. Did water flow activate the alarm? Yes

9 Building 1, Floor 2 A2 STAIR #8 4:M1-12 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023

10 Building 1, Floor 3 A2 STAIR #8 4:M1-159 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

11 Building 1, Floor 1 A2 STAIRS 8 3:M2-145 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

12 Building 1, Floor 1 A2 STAIRS S1 8 3:M2-210 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

13 Building 1, Floor 5 (A) S1 STAIR 2 5:M4-38 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

14 Building 1, Floor 4 (A) S4 STAIR 2 5:M4-36 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

15 Building 1, Floor 5 (A) S5 STAIR 1 5:M4-56 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 41sec

Open test connection/bypass. Did water flow activate the alarm? Yes

16 Building 1, Floor 5 (A) S5 STAIR 8 5:M4-76 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 36sec

Open test connection/bypass. Did water flow activate the alarm? Yes

17 Building 1, Floor 6 (A) S6 STAIR 2 5:M4-40 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 41sec

Open test connection/bypass. Did water flow activate the alarm? Yes

18 Building 1, Floor 7 (A) S7 STAIR 2 5:M4-42 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 28Sec

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023

19 Building 1, Floor 8 (A) S8 2 STAIR 5:M4-44 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

20 Building 1, Floor 9 (A) S9 STAIR 2 5:M4-46 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

21 Building 1, Floor 11 (A) S11 STAIR 2 5:M4-50 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

22 Building 1, Floor 12 (A) S12 STAIR 2 5:M4-52 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 25sec

Open test connection/bypass. Did water flow activate the alarm? Yes

23 Building 1, Floor 2 A STAIR #2 4:M1-26 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

24 Building 1, Floor 3 A STAIR #2 4:M1-191 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

25 Building 1, Floor 3 A STAIR #2 4:M1-193 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

26 Building 1, Floor 10 (A) STAIR 2 5:M4-48 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 25sec

Open test connection/bypass. Did water flow activate the alarm? Yes

27 Building 1, Floor 1 A STAIR 3 3:M2-188 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023

28 Building 1, Floor 2 A STAIR #3 4:M1-36 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

29 Building 1, Floor 2 A STAIR #3 4:M1-49 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 33sec

Open test connection/bypass. Did water flow activate the alarm? Yes

30 Building 1, Basement

BASEMENT CENTER

SOUTH 3:M2-67 Water Flow Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed Sec

Open test connection/bypass. Did water flow activate the alarm? Yes

31 Building 1, Basement

BASEMENT

ELEVATOR LOBBY 3:M2-76 Water Flow Switch — Nestor Roderick De

Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed Sec

Open test connection/bypass. Did water flow activate the alarm? Yes

32 Building 1, Basement

BASEMENT FHC -

Mail room 3:M2-5 Water Flow Switch — Nestor Roderick De

Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

33 Building 1, Floor 5 (B) S5 STAIR 6 5:M4-129 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

34 Building 1, Floor 6 (B) S6 STAIR 1 5:M4-58 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

35 Building 1, Floor 7 (B) S7 STAIR 1 5:M4-60 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

36 Building 1, Floor 8 (B) S8 1 STAIR#1 5:M4-62 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 31sec

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023

37 Building 1, Floor 9 (B) S9 STAIR 1 5:M4-64 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

38 Building 1, Floor 10 (B) S10 STAIR 1 5:M4-66 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 40sec

Open test connection/bypass. Did water flow activate the alarm? Yes

39 Building 1, Floor 11 (B) S11 STAIR 1 5:M4-68 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

40 Building 1, Floor 12 (B) S12 STAIR 1 5:M4-70 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30

Open test connection/bypass. Did water flow activate the alarm? Yes

41 Building 1, Floor 4 (B) STAIR #1 5:M4-54 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 36sec

Open test connection/bypass. Did water flow activate the alarm? Yes

42 Building 1, Floor 1 By-roomE-16 above ceiling 3:M4-27 Water Flow Switch — Nestor Roderick De

Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 38sec

Open test connection/bypass. Did water flow activate the alarm? Yes

43 Building 1, Floor 1

C1 HAC 1C115-

Spinal Cord Housekeeping

3:M1-171 Water Flow Switch — Nestor Roderick De Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 25Sec

Open test connection/bypass. Did water flow activate the alarm? Yes

44 Building 1, Floor 3 C1 STAIR #1 4:M1-132 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

45 Building 1, Floor 3 C1 STAIR #1 4:M1-134 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023

46 Building 1, Floor 1 C1 STAIR 6 3:M-159 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 38sec

Open test connection/bypass. Did water flow activate the alarm? Yes

47 Building 1, Floor 1 C1 STAIR 7 3:M1-144 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 36sec

Open test connection/bypass. Did water flow activate the alarm? Yes

48 Building 1, Floor 3 C2 STAIR 6 4:M2-129 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 25sec

Open test connection/bypass. Did water flow activate the alarm? Yes

49 Building 1, Floor 3 C2 STAIR #6 4:M2-131 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 32sec

Open test connection/bypass. Did water flow activate the alarm? Yes

50 Building 1, Floor 2 C2 STAIR 6 4:M3-48 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 20sec

Open test connection/bypass. Did water flow activate the alarm? Yes

51 Building 1, Floor 2 C2 STAIR #6 4:M3-50 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

52 Building 1, Floor 2 C2 STAIR #6 4:M3-52 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

53 Building 1, Floor 3 C2 STAIR 7 4:M2-143 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 31sec

Open test connection/bypass. Did water flow activate the alarm? Yes

54 Building 1, Floor 3 C2 STAIR #7 4:M2-151 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 32sec

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023

55 Building 1, Floor 2 C3 C2 7-1 CORR-above ceiling Stair#5 4:M3-89 Water Flow Switch — Nestor Roderick De

Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 38sec

Open test connection/bypass. Did water flow activate the alarm? Yes

56 Building 1, Basement

CENTER SOUTH

BASEMENT 3:M2-55 Water Flow Switch — Nestor Roderick De

Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 50sec

Open test connection/bypass. Did water flow activate the alarm? Yes

57 Building 1, Floor 4 (C) S4 STAIR 6 5:M4-127 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 25sec

Open test connection/bypass. Did water flow activate the alarm? Yes

58 Building 1, Floor 6 (C) S6 STAIR 6 5:M4-131 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 40sec

Open test connection/bypass. Did water flow activate the alarm? Yes

59 Building 1, Floor 7 (C) S7 STAIR 6 5:M4-133 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

60 Building 1, Floor 8 (C) S8 6 STAIR#6 5:M4-135 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

61 Building 1, Floor 9 (C) S9 STAIR 6 5:M4-137 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

62 Building 1, Floor 10 (C) S10 STAIR 6 5:M4-139 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

63 Building 1, Floor 11 (C) S11 STAIR 6 5:M4-141 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023

64 Building 1, Floor 12 (C) S12 STAIR 6 5:M4-143 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 40

Open test connection/bypass. Did water flow activate the alarm? Yes

65 Building 1, Floor 2 C STAIR #1 4:M3-5 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 33sec

Open test connection/bypass. Did water flow activate the alarm? Yes

66 Building 1, Floor 2 C STAIR #4 4:M3-26 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 40sec

Open test connection/bypass. Did water flow activate the alarm? Yes

67 Building 1, Floor 3 C STAIR #4 4:M3-150 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

68 Building 1, Floor 3 C STAIR #4 4:M3-178 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 20sec

Open test connection/bypass. Did water flow activate the alarm? Yes

69 Building 1, Floor 3 C STAIR #4 4:M3-180 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 25sec

Open test connection/bypass. Did water flow activate the alarm? Yes

70 Building 1, Floor 2 D1 STAIR #13 4:M3-79 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

71 Building 1, Floor 1 D2 PATIENT ESCORT MECHANICAL ROOM 3:M1-33 Water Flow Switch — Nestor Roderick De

Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 55sec

Open test connection/bypass. Did water flow activate the alarm? Yes

72 Building 1, Floor 1 D2 S1 STAIR 13 3:M1-19 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023

73 Building 1, Floor 1 D3 STAIR 14 3:M1-189 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

74 Building 1, Floor 2 D3 STAIR #14 4:M2-26 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 32sec

Open test connection/bypass. Did water flow activate the alarm? Yes

75 Building 1, Floor 2 D3 STAIR #14 4:M2-78 Water Flow Switch — Nestor Roderick De Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed Sec

Open test connection/bypass. Did water flow activate the alarm? Yes

76 Building 1, Floor 2 D STAIR #12 4:M3-66 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 42sec

Open test connection/bypass. Did water flow activate the alarm? Yes

77 Building 1, Floor 3 D STAIR #13 4:M2-29 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 37sec

Open test connection/bypass. Did water flow activate the alarm? Yes

78 Building 1, Floor 1 In ceiling in Stairwell#5 3:M3-42 Water Flow Switch — Nestor Roderick De

Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 50sec

Open test connection/bypass. Did water flow activate the alarm? Yes

79 Building 1, Floor 1 In corridor by room 100 above ceiling 3:M4-18 Water Flow Switch — Nestor Roderick De

Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

80 Building 1, Floor 1 Radiation oncology back of reception 3:M4-20 Water Flow Switch — Nestor Roderick De

Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

81 Building 1, Basement

SOUTHWEST

BASEMENT 3:M2-66 Water Flow Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed Sec

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023

82 Building 1, Floor 1 stair#1 3:M3-6 Water Flow Switch — Nestor Roderick De Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 32sec

Open test connection/bypass. Did water flow activate the alarm? Yes

83 Building 1, Floor 1 stair#1 3:M3-8 Water Flow Switch — Nestor Roderick De Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 40sec

Open test connection/bypass. Did water flow activate the alarm? Yes

84 Building 1, Floor 13 STAIR 1 5:M4-72 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

85 Building 1, Floor 14 STAIR 1 5:M4-74 Water Flow Switch — Nestor Roderick De Four 09/29/2023 Failed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

Reason for failure: (Visual Failure) Unable to locate on 14th Floor

86 Building 1, Floor 13 STAIR 1 5:M4-82 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 37sec

Open test connection/bypass. Did water flow activate the alarm? Yes

87 Building 1, Floor 1 Stair#4 3M3-33 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 28Sec

Open test connection/bypass. Did water flow activate the alarm? Yes

88 Building 1, Floor 1 Stair#4 3M3-20 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 40sec

Open test connection/bypass. Did water flow activate the alarm? Yes

89 Building 1, Floor 1 Stair#6 3:M1-159 Water Flow Switch — Nestor Roderick De Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 32sec

Open test connection/bypass. Did water flow activate the alarm? Yes

90 Building 1, Floor 4 STAIR 6 (C) 5:M4-145 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 20sec

Open test connection/bypass. Did water flow activate the alarm? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023

91 Building 1, Floor 4 STAIR 6 (C) 5:M4-147 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 33sec

Open test connection/bypass. Did water flow activate the alarm? Yes

92 Building 1, Floor 1 Stair11 3:M3-38 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 30sec

Open test connection/bypass. Did water flow activate the alarm? Yes

93 Building 1, Floor 1 Stair12 3:M3-58 Water Flow Switch — Nestor Roderick De Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is flow switch free of damage with its electrical connections secure? Yes

What was the number of seconds that the water flow signal was delayed 35sec

Open test connection/bypass. Did water flow activate the alarm? Yes

TAMPER SWITCH

# LOCATION DESCRIPTION ADDRESS DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 Building 1, Floor 1 2” Bfly valve Stair#4 3:M3-34 Tamper Switch — Nestor Roderick De Four 09/28/2023 Failed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

Reason for failure: (Functional Failure) Did not activate signal on FACP when tested-Troubleshoot Alarm tech

2 Building 1, Floor 1 2” Bfly valve Stair#4 3:M3-21 Tamper Switch — Nestor Roderick De Four 09/28/2023 Failed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

Reason for failure: (Functional Failure) Did not activate signal on FACP when tested

3 Building 1, Floor 2 21/2”Milwaukee Bfly valve Stair#7 4:M2-7 old Address Tamper Switch — Nestor Roderick De

Four 09/28/2023 Failed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

Reason for failure: (Functional Failure) Did not activate signal on FACP when tested

4 Building 1, Floor 1 A1 BOILER PUMP ROOM 3:M2-201 Tamper Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

5 Building 1, Floor 1 A2 STAIRS 8 BY RECEIVING 3:M2-209 Tamper Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

6 Building 1, Floor 1 BLDG. 1 1FL A1 BOILER PUMP RM 3:M2-199 Tamper Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

7 Building 1, Floor 1 BLDG. 1 1FL A1 M1 3 1 MEA-19 3:M2-158 Tamper Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

8 Building 1, Floor 1 BLDG. 1 1FL A1 MEA-24 M1 2 1 3:M2-160 Tamper Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

9 Building 1, Floor 1 BLDG. 1 1FL A1 MEA-24 M1 2 1 3:M2-161 Tamper Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

Element of Performance - EP-2 NFPA 72-2010: Table 14.4.5 and NFPA 25-2011: Table 5.1.1.2

Joint Commission Standard EC.02.03.05 Element of Performance 2 EP -2

2a281e75-0f6a-433f-9191-386d805b40e3 | Tamper Switches and Water Flow Devices | 09/29/2023

TAMPER SWITCH

10 Building 1, Floor 1 BLDG. 1 1FL A1 MEA-24 M1 2 1 3:M2-162 Tamper Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

11 Building 1, Floor 1 BLDG. 1 1FL A1 STAIRS 2 3:M2-180 Tamper Switch — Nestor Roderick De

Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

12 Building 1, Floor 1 BLDG. 1 1FL A2 REC ELEV MACH RM 3:M2-139 Tamper Switch — Nestor Roderick De

Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

13 Building 1, Floor 1 BLDG. 1 1FL A2 SERV ELEV LOB 3:M2-128 Tamper Switch — Nestor Roderick De

Four 09/29/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

14 Building 1, Floor 1 BLDG. 1 1FL A2 STAIRS 8 3:M2-144 Tamper Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

15 Building 1, Floor 1 BLDG. 1 1FL A STAIRS 3 3:M2-187 Tamper Switch — Nestor Roderick De

Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

16 Building 1, Floor 1 BLDG. 1 1FL C1 STAIRS 6 3:M1-160 Tamper Switch — Nestor Roderick De

Four 09/27/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

17 Building 1, Floor 1 BLDG. 1 1FL C1 STAIRS 7 3:M1-145 Tamper Switch — Nestor Roderick De

Four 09/28/2023 Passed

Quarterly Visual Inspection Only - Is tamper switch free of damage with its electrical connections secure? Yes

18 Building 1, Floor 1 BLDG. 1 1FL C2 HAC 1C115 3:M1-170 Tamper Switch — Nestor Roderick De

Four…

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