Att 002 - Fire Alarm Inspection Reports - 2900 Block.pdf
PDF 2 MB Posted
- Attached to
- Fire Alarm Replacement Federal contract opportunity
- Solicitation number
- W9124823Q0011
About this file
This document contains fire alarm inspection reports for four buildings at an Army installation. The reports detail inspection dates, teams, device locations and addresses, sensitivity test results, and notes on failures and deviations from standards. Numerous smoke detectors failed sensitivity testing on Siemens fire alarm panels. Backflow preventers also failed inspections or required repairs. Sprinkler systems required new heads and had missing or unpainted components. The reports identify building numbers, locations, and points of contact for the installation and the fire and security contractor that performed the inspections.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amedment 002_Combined Synopsis Solicitation W9124823Q0011.pdf | ||
| Amedment 001_Combined Synopsis Solicitation W9124823Q0011.pdf | ||
| Att 005 - WD 2015-4675 Rev 20.pdf | ||
| Att 004 - Fire Alarm Reference Materials - Bldgs 7402 _7404.pdf | ||
| Att 003 - Exit Sign Locations - Bldgs 7402_7404.pdf | ||
| Att 001 - Fire Alarm Layout (Typical) - 2900 Block.pdf | ||
| Combined Synopsis Solicitation W9124823Q0011.pdf |
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Text version
X
BATTERY VOLTAGE TYPE:
VDC VDC AH 12
VDC VDC AH 12
ELEVATOR SYSTEM(S)
SHUNT
BATTERY VOLTAGE TYPE:
VDC VDC AH
VDC VDC AH
KF KINGFISHER PS PULL STATION HS HORN / STROBE WA WATER ALARM AN ANNUNCIATOR
FA FIRE ALARM PANEL SD SMOKE DETECTOR S STROBE ONLLY DH DOOR HOLDER AN MASS CONSOLE
BPS POWER SUPPLY HD HEAT DETECTOR MS MASS STROBE TS TAMPER SWITCH CR CONTROL RELAY
VP VOICE / MASS PANEL DD DUCT DETECTOR SPK SPEAKER WF WATER FLOW CM CONTROL MOD
PASS
DOOR HOLDERS PASS
HVAC AUTO RESTART FROM FACP RESET PASS
PASS
PRIMARY RECALL
IS SYSTEM CONNECTED TO MONITORING AGENCY
RESPONSE TO SUPERVISORY TIME:N/A
1:19
ELEVATOR RESTART FROM FIRE SYSTEM RESET
KFRI COMBO
PASS
N/A
ANNUNCIATOR
SPECIAL CONSIDERATIONS - List any unique functions to be aware of before testing
KINGFISHER
MODEL TYPE LOCATION
PASS
TIME:
HVAC SHUTDOWN
PASS
FIRE ALARM
PANEL REPORT
VDC
BATTERY CHARGING VOLTAGE
PANEL MANUFACTURER
1:19
5/27/2021
RESPONSE TO TROUBLE
System DOES NOT provide the audible notification for the facility. The fire alarm system uses Horn/Strobes
NOTES, FAILURES AND SYSTEM DEVIATIONS FROM CONTRACT STANDARDS
Cooper Wheelock AMP for Mass Notification system is bad. No voice notification in the facility, Mass
20.3
TIME:
SIEMENS
13.51
DIGITAL ALARM RADIO TRANSMITTER (DART)
VDC 26.0
LAMPS / LED TEST
LOCATION
SECONDARY RECALL RECALL
13.47
CIRCUIT BREAKER LOCATION
LOCATION
ELECT ROOM
AMP
PASS @ 78%
PASS @ 78%
VDC
INSPECTION DATES:
27.5
BATTERY CHARGING VOLTAGE
POC CONTACT INFO
20.3
MXL-IQ
INSPECTION TEAM:
JENNIFER
MODEL
CENTERAL DISPATCH 270-798-1221
MONITORING AGENCY
Indiana AVE Fort Campbell KY 42223
FIRE ALARM CONTROL PANEL (FACP)
BUILDING POC NAME
PANEL MANUFACTURER
KS,BH,RR
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
VDC
MONITORING AGENCY PERSONNEL NOTIFIED
PASS
SWAPPED BATTERY CHARGING LOCATIONLED TESTTRANSMITTER RECEIVES ALARMS FROM FACP
NAPASS
TRANSMITTER RECEIVES TROUBLES FROM FACP
MODELRESPONSE TO ALARM MANUFACTURER
AMP
AMP
1 YEAR -
INSPECTION TYPE
PASS
BUILDING NUMBER 2 YEAR -
5 YEAR -
OTHER -
26.0 AMP
BUILDING 2989-5YR-5-27-2021 PAGE 1 OF 9
VDC VDC AH 12
VDC VDC AH 12
BATTERY VOLTAGE TYPE:
VDC VDC AH 12
VDC VDC AH 12
BATTERY VOLTAGE TYPE:
VDC VDC AH 12
VDC VDC AH 12
BATTERY VOLTAGE TYPE:
VDC VDC AH
VDC VDC AH
BATTERY VOLTAGE TYPE:
VDC VDC AH
VDC VDC AH
PASS
FAIL
FAIL @ 0%
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
SP-80
BATTERY CHARGING VOLTAGE
27.2
PANEL MANUFACTURER
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
AUXILIARY
PANEL REPORT
7.0
PASS @ 70%
PASS @ 77%
VDC
AMP
AMP
VDC AMP
AMP
VDC 7.0
VDC
VDC
POWER EXPANDER/AUDIO-VISUAL PANEL
MODEL
BATTERY CHARGING VOLTAGE
0.00
AMP
AMP
VDC 7.0
VDC
12.84 0.00
0.00 FAIL @ 0%
13.48 5.38
7.0
POWER EXPANDER/AUDIO-VISUAL PANEL
WHEELOCK
PANEL MANUFACTURER MODEL PURPOSE LOCATION
ELECT ROOM
0.00
FAIL @ 0%
PANEL MANUFACTURER
POWER EXPANDER/AUDIO-VISUAL PANEL
LOCATIONPURPOSEMODEL
AMP
SBP 4 MASS SYSTEM ELECT ROOM
VDC 7.0 AMP0.00 0.00
PANEL MANUFACTURER MODEL
BATTERY CHARGING VOLTAGE
POWER EXPANDER/AUDIO-VISUAL PANEL
ELECT ROOM
Cooper Wheelock AMP for Mass Notification system is bad.
LOCATIONPURPOSE
WHEELOCK
BATTERY CHARGING VOLTAGE
27.7 13.47 4.9
SIEMENS PAD-3 NAC POWER
MODELPANEL MANUFACTURER PURPOSE
MASS PANEL
11.4
PASS
LOCATION
0.00
PURPOSE
VDC 7.0 AMPFAIL @ 0%
POWER EXPANDER/AUDIO-VISUAL PANEL
LOCATION
VDC AMP
NOTES, FAILURES AND SYSTEM DEVIATIONS FROM CONTRACT STANDARDS
BATTERY CHARGING VOLTAGE
INSPECTION DATES: INSPECTION TEAM: INSPECTION TYPE
5/27/2021 KS,BH,RR 1 YEAR -
2 YEAR -
BUILDING POC NAME 5 YEAR -
POC CONTACT INFO OTHER -
BUILDING NUMBER 2989 Indiana AVE Fort Campbell KY 42223
BUILDING 2989-5YR-5-27-2021 PAGE 2 OF 9
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/27/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA FACP ROOM P
KF FACP ROOM P
VP FACP ROOM P
BPS FACP ROOM - NAC BOOSTER P
BPS FACP ROOM - MASS AMP F
SD FACP ROOM P 3.82 Range .88 to 3.86
S FACP ROOM P
PS FACP ROOM P
PIV OUTSIDE P
FDC OUTSIDE P
WA OUTSIDE P
S OUTSIDE P
TS ON PIV P
TS BACKFLOW CONTROL VALVE#1 P
TS BACKFLOW CONTROL VALVE#2 P
TS FORWARD FLOW P
WF SPRINKLER RISER P
SD MECH ROOM P 3.85 Range .88 to 3.86
HS MECH ROOM P
PS MECH ROOM P
PS 1ST FLOOR IN STAIR #3 P
PS 1ST FLOOR BY STAIR #3 P
SD 1ST FLOOR BY STAIR #3 P 3.58 Range .88 to 3.86
HS 1ST FLOOR BY STAIR #3 P
SPK 1ST FLOOR BY STAIR #3 F
SD 1ST FLOOR BY 138 P 3.75 Range .88 to 3.86
HS 1ST FLOOR BY 137 P
SPK 1ST FLOOR BY 137 F
SD 1ST FLOOR BY ROOM 146 P 3.68 Range .88 to 3.86
SPK 1ST FLOOR BY 136 F
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,BH,RR 2989
FIRE ALARM
DEVICE REPORT
BUILDING 2989-5YR-5-27-2021 PAGE 3 OF 9
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/27/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,BH,RR 2989
FIRE ALARM
DEVICE REPORT
SD 1ST FLOOR BY 136 P 3.63 Range .88 to 3.86
SD 1ST FLOOR LOBBY BY ELECT ROOM 134 P 3.71 Range .88 to 3.86
HS 1ST FLOOR LOBBY BY ELECT ROOM 134 P
MS 1ST FLOOR LOBBY BY ELECT ROOM 134 P
PS 1ST FLOOR LOBBY EXIT NEAR ROOM 103 P
SD 1ST FLOOR WAITING ROOM 103 P 3.73 Range .88 to 3.86
S MENS ROOM P
S WOMENS ROOM P
SD 1ST FLOOR VENDING ROOM 106 P 3.84 Range .88 to 3.86
HS 1ST FLOOR LOBBY ENTRANCE P
MS 1ST FLOOR LOBBY ENTRANCE P
PS 1ST FLOOR LOBBY ENTRANCE P
SD 1ST FLOOR LAUNDRY ROOM 132 P 3.66 Range .88 to 3.86
SPK 1ST FLOOR LOBBY F
SPK 1ST FLOOR LOBBY F
DH 1ST FLOOR BY BY 128 P 3.66 Range .88 to 3.86
DH 1ST FLOOR LOBBY P
DH 1ST FLOOR LOBBY P
DH 1ST FLOOR LOBBY P
SD 1ST FLOOR BY BY 128 P 3.66 Range .88 to 3.86
HS 1ST FLOOR BY BY 128 P
SPK 1ST FLOOR BY BY 128 F
HD 1ST FLOOR JANITOR ROOM 108 P
SPK 1ST FLOOR BY 127 F
SD 1ST FLOOR BY 126 P 3.71 Range .88 to 3.86
SPK 1ST FLOOR BY 125 F
HS 1ST FLOOR BY 125 P
SD COMM ROOM 133 F NO ACCESS
SD 1ST FLOOR BY 124 F 3.90 Range .88 to 3.86
SPK 1ST FLOOR BY 113 F
BUILDING 2989-5YR-5-27-2021 PAGE 4 OF 9
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/27/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,BH,RR 2989
FIRE ALARM
DEVICE REPORT
SD 1ST FLOOR BY 122 P 3.61 Range .88 to 3.86
HS 1ST FLOOR BY 122 P
SPK 1ST FLOOR BY 115 F
SD 1ST FLOOR BY 121 P 3.75 Range .88 to 3.86
SPK 1ST FLOOR BY 140 F
HS 1ST FLOOR BY 140 P
SD 1ST FLOOR BY 140 P 3.72 Range .88 to 3.86
PS 1ST FLOOR BY 140 P
PS 1ST FLOOR IN STAIR #2 P
PS 2ND FLOOR BY 212 P
HS 2ND FLOOR BY 212 P
SPK 2ND FLOOR BY 212 F
SD 2ND FLOOR BY 212 F 4.11 Range .88 to 3.86
SD 2ND FLOOR BY 210 F 4.35 Range .88 to 3.86
SPK 2ND FLOOR BY 210 F
HS 2ND FLOOR BY 209 P
SD 2ND FLOOR BY 208 P 3.64 Range .88 to 3.86
SPK 2ND FLOOR BY 208 F
SD 2ND FLOOR BY 206 F 4.15 Range .88 to 3.86
HS 2ND FLOOR BY 206 P
SPK 2ND FLOOR BY 206 F
SD 2ND FLOOR BY 205 P 3.25 Range .88 to 3.86
SPK 2ND FLOOR BY 204 F
SD 2ND FLOOR BY 203 P 3.69 Range .88 to 3.86
HS 2ND FLOOR BY 203 P
SD 2ND FLOOR LOBBY 203 SIDE F 3.97 Range .88 to 3.86
DH 2ND FLOOR LOBBY 203 SIDE P
SD 2ND FLOOR VENDING 223 F 4.03 Range .88 to 3.86
HD 2ND FLOOR JANITOR 224 P
HS 2ND FLOOR MECH ROOM 225 P
BUILDING 2989-5YR-5-27-2021 PAGE 5 OF 9
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/27/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,BH,RR 2989
FIRE ALARM
DEVICE REPORT
HD 2ND FLOOR MECH ROOM 225 P
PS 2ND FLOOR LOBBY P
HS 2ND FLOOR LOBBY P
SPK 2ND FLOOR LOBBY F
SPK 2ND FLOOR LOBBY F
SD 2ND FLOOR LAUNDRY 226 P 3.57 Range .88 to 3.86
SD 2ND FLOOR COMM ROOM 227 F NO ACCESS
SD 2ND FLOOR LOBBY BY ELECT ROOM 228 P 3.67 Range .88 to 3.86
SD 2ND IN ELECT ROOM 228 P 3.68 Range .88 to 3.86
DH 2ND FLOOR LOBBY BY ELECT ROOM 228 P
SD 2ND FLOOR BY 239 F 4.10 Range .88 to 3.86
HS 2ND FLOOR BY 239 P
SPK 2ND FLOOR BY 239 F
SD 2ND FLOOR BY 238 P 3.55 Range .88 to 3.86
SPK 2ND FLOOR BY 238 F
HS 2ND FLOOR BY 237
SD 2ND FLOOR BY 236 P 3.81 Range .88 to 3.86
SPK 2ND FLOOR BY STAIR #3 F
PS 2ND FLOOR BY STAIR #3 P
HS 2ND FLOOR BY 235 P
SD 2ND FLOOR BY 235 F 5.26 Range .88 to 3.86
PS ATTIC P
HD ATTIC
HD ATTIC
HD ATTIC
HD ATTIC
HD ATTIC
HD ATTIC
HD ATTIC
HD ATTIC
BUILDING 2989-5YR-5-27-2021 PAGE 6 OF 9
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/27/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,BH,RR 2989
FIRE ALARM
DEVICE REPORT
HD ATTIC
HD ATTIC
HS ATTIC
HS ATTIC
HS ATTIC
DD ATTIC F 4.06 Range .63 to 2.64
DD ATTIC P 2.07 Range .63 to 2.64
DD ATTIC F 4.17 Range .63 to 2.64
DD ATTIC F 4.37 Range .63 to 2.64
BUILDING 2989-5YR-5-27-2021 PAGE 7 OF 9
BACKFLOW INSPECTION REPORT
PSID PSID PSID
ON
PSID
PASS PASS PASS
CHECK VALVE #2 BACKPRESSURE TEST
CLOSED TIGHT
PASSED 5/27/2021
375A
TEST KIT (BRAND) TEST KIT (MODEL) TEST KIT (SERIAL NUMBER)
PASS
Yes
WILKINS 4"
INSPECTION DATES: INSPECTION TEAM:
5/27/2021 KS,BH,RR
BUILDING NUMBER 02989 Indiana AVE Fort Campbell KY 42223
SERVICE LOCATION
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
SERIAL NUMBER
MECH ROOM
RP X-02748
TYPE OF ASSEMBLY MANUFACTURER MODEL SIZE
PASS
DEVICE PROTECTED FROM FREEZING AND FLOODING
No. 2 SHUT OFF CHECK VALVE #2
REDUCED PRESSURE PRINCIPLE ASSEMBLY
CLOSED TIGHT HELD AT
RELIEF VALVE OPENING
POINT
CHECK VALVE #2
BACKPRESSURE TEST
CHECK VALVE #1
OPENED AT 2 HELD ATCLOSED TIGHT Yes
HELD AT HELD ATCLOSED TIGHT
DOUBLE CHECK VALVE ASSEMBLY
CHECK VALVE #2
PSID
No. 2 SHUT OFF
NOTES, FAILURES AND PARTS USED IF REPAIRED
STATE AND CERTIFICATION NUMBER(S) WITH EXPIRATION DATE(S)
6850 - MAY 2024
COMPANY FINAL TEST BY (PRINT) (SIGNATURE)
PREMIER FIRE & SECURITY
(SIGNATURE) REPAIRED BY (PRINT) (SIGNATURE)
8 1.2
CHECK VALVE #1
K STACEY
THE ABOVE REPORT IS TRUE, ACCURATE, AND COMPLETE.
TESTED BY (PRINT)
4" WILKINS 375A Backflow
BUILDING 2989-5YR-5-27-2021 PAGE 8 OF 9
Sprinkler System Inspection
X
Yes No N/A Yes No N/A P P P P
Yes No N/A
P P P P
Yes No N/A P
O Yes No N/A P P P
P Yes No N/A
P Yes No N/A P P
Air:Pilot:Pilot:
50 Static:System:
Air:
ANNUAL -
INSPECTION TYPE
5. Dry Pipe and Pre-action 5 Year
6. Pre-action Bi-Annual
SYSTEM TYPE
OTHER -
PRE-ACTION -
DRY PIPE -
WET PIPE -
Indiana AVE Fort Campbell KY 42223
5 YEAR -
2 YEAR -2989
Hydrostatic or Previous Gauge Readings
Is there a Backflow Device at the riser?
Current Gauge Readings
Street:
Internally inspected, cleaned and free from damage?
Is air compressor in service and in
Residule:
Static:
OTHER -
Residule: 45
System: 45
Anti-freeze loops have correct solution mixture.
Does low air supply works properly?
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
SPECIAL CONSIDERATIONS - List any unique functions to be aware of prior to testing
Are fire department caps in good condition?
Alarm test in proper position.
Does water flow devices work properly?
Is fire department connection accessible?
3. 2 Year and 5 Year Inspections:
and filled with the correct sprinkler heads?
Is sprinkler head cabinet mounted close to the riser
Are all control valves and trim in good condition?
5. Dry Pipe Bi-Annual
Trip valve, drain and clean internally Does quick opening devices work properly?
All low points drained?
All low points drained?
Are OS&Y stems lubricated?
All strainers cleaned and in proper condition.Operated valve to verify proper function?
Verified water travels through inspectors test.
Street:
INSPECTION DATES:
5/27/2021
Adequate heating, and on if necessary.
KS,BH,RR
INSPECTION TEAM:
Is hydrolic nameplace present and visible?
Are control valves supervised, lock or Tamper?
VALVE LOCATION
POC CONTACT INFO
BUILDING POC NAME
VALVE SIZE AND TYPE
NOTES, FAILURES AND SYSTEM DEVIATIONS FROM CONTRACT STANDARDS
Does low air supply works properly?
1.All Inspections:
BUILDING NUMBER
Verify water supply "conduct main drain test"
Gauges appear to be in working order ?
2.Annual, 2 Year and 5 Year Inspections:
STAIRWELLS 2 AND 3 HAVE A TOTAL OF 2 PAINTED 155DG BRASS UPRIGHT 1/2" QUICK RESPONSE HEADS
STAIRWELL 3 MISSING SEMI RECESSED SLIP ON ESCT MISSING
4" OS&Y #2 ON BACKFLOW NEEDS PACKING REPLACED
PHONE ROOM 146 - 1 PAINTED 155DG CHROME PEND 1/2" QUICK RESPONSE HEAD
MAKE
31 SECONDS TO ALARM
Is air pressure on the system satisfactory?
satisfactory operating condition?
Did system trip by device to verify operation?
Does quick opening devices work properly?
Did system trip by manual actuator?
MODEL NUMBER
MECH ROOM 4" STRAIGHT NANA
4. Wet Systems 5 Year Wet:
P
Is System in operation?
BUILDING 2989-5YR-5-27-2021 PAGE 9 OF 9
VDC VDC AH 12
VDC VDC AH 12
ELEVATOR SYSTEM(S)
SHUNT
BATTERY VOLTAGE TYPE:
VDC VDC AH
VDC VDC AH
KF KINGFISHER PS PULL STATION HS HORN / STROBE WA WATER ALARM AN ANNUNCIATOR
FA FIRE ALARM PANEL SD SMOKE DETECTOR S STROBE ONLLY DH DOOR HOLDER AN MASS CONSOLE
BPS POWER SUPPLY HD HEAT DETECTOR MS MASS STROBE TS TAMPER SWITCH CR CONTROL RELAY
VP VOICE / MASS PANEL DD DUCT DETECTOR SPK SPEAKER WF WATER FLOW CM CONTROL MOD
1 YEAR -
INSPECTION TYPE
PASS
BUILDING NUMBER 2 YEAR -
5 YEAR -
OTHER -
35.0 AMP
MODELRESPONSE TO ALARM MANUFACTURER
AMP
AMP
PASS
SWAPPED BATTERY CHARGING LOCATIONLED TESTTRANSMITTER RECEIVES ALARMS FROM FACP
NAPASS
TRANSMITTER RECEIVES TROUBLES FROM FACP
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
VDC
MONITORING AGENCY PERSONNEL NOTIFIED
CORTNEY
MODEL
CENTERAL DISPATCH 270-798-1221
MONITORING AGENCY
Indiana AVE Fort Campbell KY 42223
FIRE ALARM CONTROL PANEL (FACP)
BUILDING POC NAME
PANEL MANUFACTURER
KS-BH-RR
INSPECTION DATES:
27.3
BATTERY CHARGING VOLTAGE
POC CONTACT INFO
27.5
MXL-IQ
INSPECTION TEAM:
13.56
CIRCUIT BREAKER LOCATION
LOCATION
ELECT ROOM
AMP
PASS @ 79%
PASS @ 79%
VDC
27.5
TIME:
SIEMENS
13.62
DIGITAL ALARM RADIO TRANSMITTER (DART)
VDC 35.0
LAMPS / LED TEST
LOCATION
SECONDARY RECALL RECALL
NOTES, FAILURES AND SYSTEM DEVIATIONS FROM CONTRACT STANDARDS
21 OF 40 SMOKE DETECTOR HEADS FAILED THE SENSITIVITY TEST ON SIEMENS MXL-IQ PANEL
FIRE ALARM
PANEL REPORT
VDC
BATTERY CHARGING VOLTAGE
PANEL MANUFACTURER
2:00
5/27/2021
RESPONSE TO TROUBLE
ANNUNCIATOR
SPECIAL CONSIDERATIONS - List any unique functions to be aware of before testing
KINGFISHER
MODEL TYPE LOCATION
PASS
TIME:
HVAC SHUTDOWN
PASS
2:00
ELEVATOR RESTART FROM FIRE SYSTEM RESET
KFRI COMBO
PASS
N/A
RESPONSE TO SUPERVISORY TIME:N/A
PASS
DOOR HOLDERS PASS
HVAC AUTO RESTART FROM FACP RESET PASS
PASS
PRIMARY RECALL
IS SYSTEM CONNECTED TO MONITORING AGENCY
BUILDING 2990-5YR-5-27-2021 PAGE 1 OF 9
VDC VDC AH 12
VDC VDC AH 12
BATTERY VOLTAGE TYPE:
VDC VDC AH 12
VDC VDC AH 12
BATTERY VOLTAGE TYPE:
VDC VDC AH 12
VDC VDC AH 12
BATTERY VOLTAGE TYPE:
VDC VDC AH
VDC VDC AH
BATTERY VOLTAGE TYPE:
VDC VDC AH
VDC VDC AH
2 YEAR -
BUILDING POC NAME 5 YEAR -
POC CONTACT INFO OTHER -
BUILDING NUMBER 2990 Indiana AVE Fort Campbell KY 42223
INSPECTION DATES: INSPECTION TEAM: INSPECTION TYPE
5/27/2021 KS,BH,RR 1 YEAR -
NOTES, FAILURES AND SYSTEM DEVIATIONS FROM CONTRACT STANDARDS
BATTERY CHARGING VOLTAGE
LOCATION
VDC AMP
LOCATION
3.95
PURPOSE
VDC 7.0 AMPFAIL @ 56%
POWER EXPANDER/AUDIO-VISUAL PANEL
MODELPANEL MANUFACTURER PURPOSE
MASS PANEL
13.54
PASS
BATTERY CHARGING VOLTAGE
27.8 13.81 8.3
SIEMENS PAD-3 NAC POWER ELECT ROOM
LOCATIONPURPOSE
WHEELOCK
PANEL MANUFACTURER MODEL
BATTERY CHARGING VOLTAGE
POWER EXPANDER/AUDIO-VISUAL PANEL
SPB-80 MASS AMP ELECT ROOM
VDC 7.0 AMP13.06 0.92
13.06
FAIL @ 13%
PANEL MANUFACTURER
POWER EXPANDER/AUDIO-VISUAL PANEL
LOCATIONPURPOSEMODEL
AMP13.93 6.52
7.0
POWER EXPANDER/AUDIO-VISUAL PANEL
WHEELOCK
PANEL MANUFACTURER MODEL PURPOSE LOCATION
ELECT ROOM
AMP
AMP
VDC 7.0
VDC
13.51 3.73
3.56 FAIL @ 51%
VDC
VDC
POWER EXPANDER/AUDIO-VISUAL PANEL
MODEL
BATTERY CHARGING VOLTAGE
27.1
VDC
AMP
AMP
VDC AMP
AMP
VDC 7.0
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
SP-40
BATTERY CHARGING VOLTAGE
27.3
PANEL MANUFACTURER
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
AUXILIARY
PANEL REPORT
7.0
PASS @ 119%
PASS @ 93%
PASS
PASS
FAIL @ 53%
BUILDING 2990-5YR-5-27-2021 PAGE 2 OF 9
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/27/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA ELECTRICAL ROOM P
KF ELECTRICAL ROOM P
BPS ELECTRICAL ROOM P
BPS ELECTRICAL ROOM P
VP ELECTRICAL ROOM P
PS ELECTRICAL ROOM P
SD ELECTRICAL ROOM F 3.89 Range .88 to 3.86
HS ELECTRICAL ROOM P
PIV OUTSIDE P
WA OUTSIDE P
FDC OUTSIDE P
WPSR MECH ROOM P
BCKFLW MECH ROOM P
TS MECH ROOM OS&Y BACKFLOW #1 VALVE P
TS MECH ROOM OS&Y BACKFLOW #2 VALVE P
TS MECH ROOM FORWARD FLOW P
WF SPRINKLER RISER P
SD MECH ROOM F 4.98 Range .88 to 3.86
PS MECH ROOM P
HS MECH ROOM P
PS 1ST FLOOR EXIT BY STAIR # 3 P
SD 1ST FLOOR BY 144 F 3.96 Range .88 to 3.86
SPK 1ST FLOOR BY 144 P
HS 1ST FLOOR BY 144 P
SD 1ST FLOOR BY ROOM 146 P 3.84 Range .88 to 3.86
SPK 1ST FLOOR BY 136 P
SD 1ST FLOOR BY 136 P 3.18 Range .88 to 3.86
HS 1st FLOOR BY 136 P
SD 1ST FLOOR LAUNDRY ROOM F 3.99 Range .88 to 3.86
SD IN ELECT ROOM 134 P 3.28 Range .88 to 3.86
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,BH,RR 2990
FIRE ALARM
BUILDING 2990-5YR-5-27-2021 PAGE 3 OF 9
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/27/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,BH,RR 2990
FIRE ALARM
DEVICE REPORT
SPK 1ST FLOOR BY ROOM 134 P
DH 1ST FLOOR BY ROOM 134 P
SD 1ST FLOOR BY ROOM 134 P 3.40 Range .88 to 3.86
SD 1ST FLOOR CQ DESK P 3.80 Range .88 to 3.86
MS 1ST FLOOR CQ DESK P
HS 1ST FLOOR CQ DESK P
SD 1ST FLOOR MAIL ROOM F NO ACCESS
SD COMM ROOM 133 F 3.92 Range .88 to 3.86
PS LOBBY EXIT P
PS LOBBY ENTRANCE P
MS LOBBY ENTRANCE P
HS LOBBY ENTRANCE P
SD WAITING 103 P 3.84 Range .88 to 3.86
S MENS ROOM P
S WOMENS ROOM P
SD VENDIND 106 F 4.69 Range .88 to 3.86
SD LOBBY NEAR 106 P 3.83 Range .88 to 3.86
DH LOBBY NEAR 106 P
HS 1ST FLOOR BY JANITOR 108 P
SD 1ST FLOOR BY JANITOR 108 P
SPK 1ST FLOOR BY JANITOR 108 P
HD IN JANITOR 108 P
SPK 1ST FLOOR BY 109 P
SD 1ST FLOOR BY 126 P 3.72 Range .88 to 3.86
SPK 1ST FLOOR BY 125 P
SD 1ST FLOOR BY 125 P 3.83 Range .88 to 3.86
HS 1st FLOOR BY 125 P
SPK 1ST FLOOR BY 113 P
SD 1ST FLOOR BY 113 P 3.73 Range .88 to 3.86
HS 1ST FLOOR BY 118 P
BUILDING 2990-5YR-5-27-2021 PAGE 4 OF 9
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/27/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,BH,RR 2990
FIRE ALARM
DEVICE REPORT
SPK 1ST FLOOR BY 118 P
SD 1ST FLOOR BY 118 P 3.82 Range .88 to 3.86
PS 1ST FLOOR IN STAIR # 2 P
SD 1ST FLOOR BY STAIR # 2 P 3.78 Range .88 to 3.86
PS 1ST FLOOR BY STAIR # 2 P
HS 1ST FLOOR BY STAIR # 2 P
PS 2ND FLOOR BY STAIR # 2 P
SD 2ND FLOOR BY STAIR # 2 F 4.09 Range .88 to 3.86
SPK 2ND FLOOR BY STAIR # 2 P
SD 2ND FLOOR BY 210 F 4.27 Range .88 to 3.86
SPK 2ND FLOOR BY 210 P
HS 2ND FLOOR BY 209 P
SPK 2ND FLOOR BY 208 P
SD 2ND FLOOR BY 208 F 3.97 Range .88 to 3.86
SPK 2ND FLOOR BY 206 P
SD 2ND FLOOR BY 206 P 3.66 Range .88 to 3.86
SPK 2ND FLOOR BY 205 P
SD 2ND FLOOR BY 221 F 4.67 Range .88 to 3.86
HS 2ND FLOOR BY 203 P
SPK 2ND FLOOR BY 203 P
SD 2ND FLOOR BY 203 F 4.09 Range .88 to 3.86
SD 2ND FLOOR LOBBY NEAR 203 F 4.50 Range .88 to 3.86
DH 2ND FLOOR LOBBY NEAR 203 P
PS 2ND FLOOR LOBBY P
HS 2ND FLOOR LOBBY P
SD 2ND FLOOR VENDING 223 P 3.65 Range .88 to 3.86
HD 2ND FLOOR JANITOR 224 P
HS 2ND FLOOR MECH ROOM 225 P
S 2ND FLOOR MECH ROOM 225 P
SD 2ND FLOOR LOBBY F 4.30 Range .88 to 3.86
BUILDING 2990-5YR-5-27-2021 PAGE 5 OF 9
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/27/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,BH,RR 2990
FIRE ALARM
DEVICE REPORT
SD 2ND FLOOR ELECT ROOM 228 P 3.85 Range .88 to 3.86
SD 2ND FLOOR COMM ROOM F NO ACCESS
SD 2ND FLOOR LOBBY NEAR 230 P
DH 2ND FLOOR LOBBY NEAR 230 P 3.82 Range .88 to 3.86
SD 2ND FLOOR BY 230 P 3.84 Range .88 to 3.86
HS 2ND FLOOR BY 230 P
SPK 2ND FLOOR BY 230 P
SD 2ND FLOOR BY 231 P 3.72 Range .88 to 3.86
HS 2ND FLOOR BY 232 P
SPK 2ND FLOOR BY 232 P
SD 2ND FLOOR BY 233 F 4.15 Range .88 to 3.86
PS 2ND FLOOR BY 234 P
HS 2ND FLOOR BY 234 P
SD 2ND FLOOR BY 234 F 4.73 Range .88 to 3.86
PS ATTIC P
HS ATTIC P
HS ATTIC P
HS ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
DD ATTIC F 4.98 Range .63 to 2.64
DD ATTIC F 4.26 Range .63 to 2.64
BUILDING 2990-5YR-5-27-2021 PAGE 6 OF 9
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/27/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,BH,RR 2990
FIRE ALARM
DEVICE REPORT
DD ATTIC F 3.95 Range .63 to 2.64
DD ATTIC F 4.02 Range .63 to 2.64
BUILDING 2990-5YR-5-27-2021 PAGE 7 OF 9
ON
PSID
7.2 2
CHECK VALVE #1
K STACEY
THE ABOVE REPORT IS TRUE, ACCURATE, AND COMPLETE.
TESTED BY (PRINT)
4" WILKINS 375A Backflow
(SIGNATURE) REPAIRED BY (PRINT) (SIGNATURE)
STATE AND CERTIFICATION NUMBER(S) WITH EXPIRATION DATE(S)
6850 - 11 MAY 2024
COMPANY FINAL TEST BY (PRINT) (SIGNATURE)
PREMIER FIRE & SECURITY
NOTES, FAILURES AND PARTS USED IF REPAIRED
DOUBLE CHECK VALVE ASSEMBLY
CHECK VALVE #2
PSID
No. 2 SHUT OFF
CLOSED TIGHT Yes
HELD AT HELD ATCLOSED TIGHT
REDUCED PRESSURE PRINCIPLE ASSEMBLY
CLOSED TIGHT HELD AT
RELIEF VALVE OPENING
POINT
CHECK VALVE #2
BACKPRESSURE TEST
CHECK VALVE #1
OPENED AT 2.1 HELD AT
X-03392
TYPE OF ASSEMBLY MANUFACTURER MODEL SIZE
PASS
DEVICE PROTECTED FROM FREEZING AND FLOODING
No. 2 SHUT OFF CHECK VALVE #2
SERVICE LOCATION
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
SERIAL NUMBER
MECH ROOM
RP
INSPECTION DATES: INSPECTION TEAM:
5/27/2021 KS,BH,RR
BUILDING NUMBER 02990 Indiana AVE Fort Campbell KY 42223
375A
TEST KIT (BRAND) TEST KIT (MODEL) TEST KIT (SERIAL NUMBER)
PASS
Yes
WILKINS 4"
PASS PASS PASS
CHECK VALVE #2 BACKPRESSURE TEST
CLOSED TIGHT
PASSED 5/27/2021
BUILDING 2990-5YR-5-27-2021 PAGE 8 OF 9
X
Yes No N/A Yes No N/A P P P P
Yes No N/A
P P P P
Yes No N/A P P Yes No N/A P P P
P Yes No N/A
P Yes No N/A P P
MECH ROOM 4" STRAIGHT NANA
4. Wet Systems 5 Year Wet:
P
Is System in operation?
FDC CAPS MISSING
MAKE
Is air pressure on the system satisfactory?
satisfactory operating condition?
Did system trip by device to verify operation?
Does quick opening devices work properly?
Did system trip by manual actuator?
MODEL NUMBER
BUILDING NUMBER
Verify water supply "conduct main drain test"
Gauges appear to be in working order ?
2.Annual, 2 Year and 5 Year Inspections:
POC CONTACT INFO
BUILDING POC NAME
VALVE SIZE AND TYPE
NOTES, FAILURES AND SYSTEM DEVIATIONS FROM CONTRACT STANDARDS
Does low air supply works properly?
1.All Inspections:
INSPECTION DATES:
5/27/2021
Adequate heating, and on if necessary.
KS,BH,RR
INSPECTION TEAM:
Is hydrolic nameplace present and visible?
Are control valves supervised, lock or Tamper?
VALVE LOCATION
All low points drained?
All low points drained?
Are OS&Y stems lubricated?
All strainers cleaned and in proper condition.Operated valve to verify proper function?
Verified water travels through inspectors test.
Street:
and filled with the correct sprinkler heads?
Is sprinkler head cabinet mounted close to the riser
Are all control valves and trim in good condition?
5. Dry Pipe Bi-Annual
Trip valve, drain and clean internally Does quick opening devices work properly?
Anti-freeze loops have correct solution mixture.
Does low air supply works properly?
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
SPECIAL CONSIDERATIONS - List any unique functions to be aware of prior to testing
Are fire department caps in good condition?
Alarm test in proper position.
Does water flow devices work properly?
Is fire department connection accessible?
3. 2 Year and 5 Year Inspections:
Internally inspected, cleaned and free from damage?
Is air compressor in service and in
Residule:
Static:
OTHER -
Residule: 40
System: 45
5 YEAR -
2 YEAR -2990
Hydrostatic or Previous Gauge Readings
Is there a Backflow Device at the riser?
Current Gauge Readings
Street: 45
ANNUAL -
INSPECTION TYPE
5. Dry Pipe and Pre-action 5 Year
6. Pre-action Bi-Annual
SYSTEM TYPE
OTHER -
PRE-ACTION -
DRY PIPE -
WET PIPE -
Indiana AVE Fort Campbell KY 42223
Static:System:
Air: Air:Pilot:Pilot:
BUILDING 2990-5YR-5-27-2021 PAGE 9 OF 9
VDC VDC AH 12
VDC VDC AH 12
ELEVATOR SYSTEM(S)
SHUNT
BATTERY VOLTAGE TYPE:
VDC VDC AH
VDC VDC AH
KF KINGFISHER PS PULL STATION HS HORN / STROBE WA WATER ALARM AN ANNUNCIATOR
FA FIRE ALARM PANEL SD SMOKE DETECTOR S STROBE ONLLY DH DOOR HOLDER AN MASS CONSOLE
BPS POWER SUPPLY HD HEAT DETECTOR MS MASS STROBE TS TAMPER SWITCH CR CONTROL RELAY
VP VOICE / MASS PANEL DD DUCT DETECTOR SPK SPEAKER WF WATER FLOW CM CONTROL MOD
1 YEAR -
INSPECTION TYPE
PASS
BUILDING NUMBER 2 YEAR -
5 YEAR -
OTHER -
35.0 AMP
MODELRESPONSE TO ALARM MANUFACTURER
AMP
AMP
PASS
MASS PANEL AUDIBLE NOT WORKING UPON ARRIVAL, CYCLED POWER AND STARTED WORKING.
SWAPPED BATTERY CHARGING LOCATIONLED TESTTRANSMITTER RECEIVES ALARMS FROM FACP
NAPASS
TRANSMITTER RECEIVES TROUBLES FROM FACP
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
VDC
MONITORING AGENCY PERSONNEL NOTIFIED
JOSHUA
MODEL
CENTERAL DISPATCH 270-798-1221
MONITORING AGENCY
Indiana AVE Fort Campbell KY 42223
FIRE ALARM CONTROL PANEL (FACP)
BUILDING POC NAME
PANEL MANUFACTURER
KS,AS,RR
INSPECTION DATES:
26.79
BATTERY CHARGING VOLTAGE
POC CONTACT INFO
3.56
MXL-IQ
INSPECTION TEAM:
13.36
CIRCUIT BREAKER LOCATION
LOCATION
ELECT ROOM
AMP
FAIL @ 10%
FAIL @ 17%
VDC
5.83
TIME:
SIEMENS
13.47
DIGITAL ALARM RADIO TRANSMITTER (DART)
VDC 35.0
LAMPS / LED TEST
LOCATION
SECONDARY RECALL RECALL
22 TROUBLES UPON ARRIVAL, RESET AND CLEARED
2 TOTAL 12V-7AMP BATTERIES FAILED IN SIEMENS PAD-2 BOOSTER PANEL
NOTES, FAILURES AND SYSTEM DEVIATIONS FROM CONTRACT STANDARDS
SIEMENS PAD 2 HAS TROUBLES FOR OUT PUT 2 AND 4
FIRE ALARM
PANEL REPORT
VDC
BATTERY CHARGING VOLTAGE
PANEL MANUFACTURER
7:55
5/24/2021
RESPONSE TO TROUBLE
ANNUNCIATOR
SPECIAL CONSIDERATIONS - List any unique functions to be aware of before testing
KINGFISHER
MODEL TYPE LOCATION
PASS
TIME:
HVAC SHUTDOWN
PASS
7:55
ELEVATOR RESTART FROM FIRE SYSTEM RESET
KFRI COMBO
PASS
N/A
RESPONSE TO SUPERVISORY TIME:N/A
PASS
DOOR HOLDERS PASS
HVAC AUTO RESTART FROM FACP RESET PASS
PASS
PRIMARY RECALL
IS SYSTEM CONNECTED TO MONITORING AGENCY
BUILDING 2992-5YR-5-24-2021 PAGE 1 OF 10
VDC VDC AH 12
VDC VDC AH 12
BATTERY VOLTAGE TYPE:
VDC VDC AH 12
VDC VDC AH 12
BATTERY VOLTAGE TYPE:
VDC VDC AH 12
VDC VDC AH 12
BATTERY VOLTAGE TYPE:
VDC VDC AH
VDC VDC AH
BATTERY VOLTAGE TYPE:
VDC VDC AH
VDC VDC AH
2 YEAR -
BUILDING POC NAME 5 YEAR -
POC CONTACT INFO OTHER -
BUILDING NUMBER 2992 Indiana AVE Fort Campbell KY 42223
INSPECTION DATES: INSPECTION TEAM: INSPECTION TYPE
5/24/2021 KS,AS,RR 1 YEAR -
NOTES, FAILURES AND SYSTEM DEVIATIONS FROM CONTRACT STANDARDS
BATTERY CHARGING VOLTAGE
LOCATION
VDC AMP
LOCATION
4.47
PURPOSE
VDC 7.0 AMPPASS @ 64%
POWER EXPANDER/AUDIO-VISUAL PANEL
MODELPANEL MANUFACTURER PURPOSE
MASS PANEL
13.57
PASS
BATTERY CHARGING VOLTAGE
27.4 12 2.4
SIEMENS PAD-3 NAC POWER ELECT ROOM
LOCATIONPURPOSE
WHEELOCK
PANEL MANUFACTURER MODEL
BATTERY CHARGING VOLTAGE
POWER EXPANDER/AUDIO-VISUAL PANEL
SPB-80 MASS AMP ELECT ROOM
VDC 7.0 AMP13.62 4.65
13.57
PASS @ 66%
PANEL MANUFACTURER
POWER EXPANDER/AUDIO-VISUAL PANEL
LOCATIONPURPOSEMODEL
AMP12 2.4
7.0
POWER EXPANDER/AUDIO-VISUAL PANEL
WHEELOCK
PANEL MANUFACTURER MODEL PURPOSE LOCATION
ELECT ROOM
AMP
AMP
VDC 7.0
VDC
13.57 8.3
6.76 PASS @ 97%
VDC
VDC
POWER EXPANDER/AUDIO-VISUAL PANEL
MODEL
BATTERY CHARGING VOLTAGE
27.3
VDC
AMP
AMP
VDC AMP
AMP
VDC 7.0
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
SP-40
BATTERY CHARGING VOLTAGE
27.39
PANEL MANUFACTURER
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
AUXILIARY
PANEL REPORT
7.0
FAIL @ 34%
FAIL @ 34%
PASS
PASS
PASS @ 119%
BUILDING 2992-5YR-5-24-2021 PAGE 2 OF 10
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/24/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA ELECT ROOM
KF ELECT ROOM
VP ELECT ROOM
BPS ELECT ROOM MASS
BPS ELECT ROOM FIRE ALARM
PS ELECT ROOM WITH FACP P
SD ELECT ROOM WITH FACP P 3.85 Range .88 to 3.86
HS ELECT ROOM WITH FACP P
PS 1ST FLOOR EXIT BY STAIR # 3 P
HS 1ST FLOOR EXIT BY STAIR # 3 P
SD 1ST FLOOR BY STAIR # 3 P 3.64 Range .88 to 3.86
HS 1ST FLOOR BY STAIR # 3 P
PS 1ST FLOOR IN STAIR # 3 P
SPK 1ST FLOOR BY 140 P
SD 1ST FLOOR BY 135 P 3.60 Range .88 to 3.86
HS 1ST FLOOR BY 135 P
SD 1ST FLOOR BY 134 F 3.88 Range .88 to 3.86
SD 1ST FLOOR BY 134 P 3.62 Range .88 to 3.86
SPK 1ST FLOOR BY 141 P
DH 1ST FLOOR BY 131 P
SD 1ST FLOOR BY 131 F 3.99 Range .88 to 3.86
SPK 1ST FLOOR BY 143 P
SPK 1ST FLOOR BY 131 P
SD CQ DESK 144 P 3.84 Range .88 to 3.86
HS CQ DESK 144 P
MS CQ DESK 144 P
SD MAIL ROOM 148 F 5.02 Range .88 to 3.86
SD WAITING 103 BY REST ROOMS P 3.75 Range .88 to 3.86
SD VENDING 106 P 3.50 Range .88 to 3.86
SD LOBBY NEAR 106 VENDING F 5.00 Range .88 to 3.86
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,AS,RR 2992
FIRE ALARM
BUILDING 2992-5YR-5-24-2021 PAGE 3 OF 10
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/24/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,AS,RR 2992
FIRE ALARM
DEVICE REPORT
DH LOBBY NEAR 106 VENDING P
HS MAIN ENTRANCE P
MS MAIN ENTRANCE P
PS MAIN ENTRANCE P
PS LOBBY EXIT P
SD 1ST FLOOR LAUNDRY P 3.26 Range .88 to 3.86
HS 1ST FLOOR BY 125 P
SD 1ST FLOOR BY 125 P 3.61 Range .88 to 3.86
SPK 1ST FLOOR BY JANITOR 108 P
HD IN 1ST FLOOR JANITOR 108 P
SD 1ST FLOOR BY 123 P 3.54 Range .88 to 3.86
SPK 1ST FLOOR BY 123 P
SPK 1ST FLOOR BY 122 P
HS 1ST FLOOR BY 122 P
SD 1ST FLOOR BY 121 F 4.11 Range .88 to 3.86
SPK 1ST FLOOR BY 121 P
HS 1ST FLOOR BY 113 P
SD 1ST FLOOR BY 120 P 3.64 Range .88 to 3.86
SPK 1ST FLOOR BY 114 P
SD 1ST FLOOR BY 118 F 4.11 Range .88 to 3.86
HS 1ST FLOOR BY 118 P
PS 1ST FLOOR EXIT BY STAIR # 2 P
PS 1ST FLOOR IN STAIR # 2 P
PS 2ND FLOOR BY STAIR #2 P
SD 2ND FLOOR BY STAIR #2 P 3.26 Range .88 to 3.86
HS 2ND FLOOR BY 212 P
SD 2ND FLOOR BY 212 F 3.91 Range .88 to 3.86
SPK 2ND FLOOR BY 212 P
HS 2ND FLOOR BY 209 P
SPK 2ND FLOOR BY 209 P
BUILDING 2992-5YR-5-24-2021 PAGE 4 OF 10
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/24/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,AS,RR 2992
FIRE ALARM
DEVICE REPORT
SD 2ND FLOOR BY 214 P 3.75 Range .88 to 3.86
SPK 2ND FLOOR BY 207 P
SD 2ND FLOOR BY 216 P 3.68 Range .88 to 3.86
SPK 2ND FLOOR BY 216 P
HS 2ND FLOOR BY 216 P
SPK 2ND FLOOR BY 205 P
SD 2ND FLOOR BY 217 P 3.72 Range .88 to 3.86
SPK 2ND FLOOR BY 218 P
SD 2ND FLOOR BY 219 F 4.31 Range .88 to 3.86
HS 2ND FLOOR BY 203 P
DH 2ND FLOOR BY 203 P
DH 2ND FLOOR NEAR 236 P
SD 2ND FLOOR LOBBY NEAR 203 P 3.79 Range .88 to 3.86
PS 2ND FLOOR LOBBY P
SD 2ND FLOOR VENDING 220 P 3.70 Range .88 to 3.86
HD 2ND FLOOR JANITOR P
HD 2ND FLOOR MECH ROOM 222 P
HS 2ND FLOOR MECH ROOM 222 P
SD 2ND FLOOR LAUNDRY 223 F 3.97 Range .88 to 3.86
SD 2ND FLOOR ELECT ROOM 225 P 3.41 Range .88 to 3.86
SD 2ND FLOOR LOBBY NEAR 225 P 3.85 Range .88 to 3.86
SPK 2ND FLOOR LOBBY P
SPK 2ND FLOOR LOBBY P
SD 2ND FLOOR BY 227 P 3.76 Range .88 to 3.86
HS 2ND FLOOR BY 236 P
SPK 2ND FLOOR BY 236 P
SD 2ND FLOOR BY 228 P 3.72 Range .88 to 3.86
HS 2ND FLOOR BY 229 P
SPK 2ND FLOOR BY 229 P
SD 2ND FLOOR BY 230 P 3.61 Range .88 to 3.86
BUILDING 2992-5YR-5-24-2021 PAGE 5 OF 10
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/24/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,AS,RR 2992
FIRE ALARM
DEVICE REPORT
PS 2ND FLOOR BY STAIR # 3 P
SD 2ND FLOOR BY STAIR # 3 P 3.76 Range .88 to 3.86
HS 2ND FLOOR BY STAIR # 3 P
SPK 2ND FLOOR BY STAIR # 3 P
PS 3RD FLOOR BY STAIR # 3 P
SD 3RD FLOOR BY 331 F 4.34 Range .88 to 3.86
HS 3RD FLOOR BY 331 P
SPK 3RD FLOOR BY 332 P
SD 3RD FLOOR BY 328 P 3.22 Range .88 to 3.86
HS 3RD FLOOR BY 328 P
SPK 3RD FLOOR BY 328 P
SD 3RD FLOOR BY 327 F 4.00 Range .88 to 3.86
SD 3RD FLOOR BY 326 P 3.70 Range .88 to 3.86
HS 3RD FLOOR BY 326 P
SD 3RD FLOOR LOBBY BY 324 P 3.65 Range .88 to 3.86
DH 3RD FLOOR LOBBY BY 324
SD 3RD FLOOR ELECT ROOM 324 F 4.79 Range .88 to 3.86
SD 3RD FLOOR LAUNDRY 322 P 3.75 Range .88 to 3.86
SPK 3RD FLOOR BY 324 P
SD 3RD FLOOR IN 319 F 3.89 Range .88 to 3.86
HD 3RD FLOOR JANITOR P
HD 3RD FLOOR MECH ROOM 321 P
HS 3RD FLOOR MECH ROOM 321 P
SD 3RD FLOOR LOBBY NEAR 318 P 3.69 Range .88 to 3.86
DH 3RD FLOOR LOBBY NEAR 318 P
SD 3RD FLOOR BY 318 P 3.71 Range .88 to 3.86
HS 3RD FLOOR BY 318 P
SPK 3RD FLOOR BY 304 P
SD 3RD FLOOR BY 316 F 3.99 Range .88 to 3.86
SPK 3RD FLOOR BY 316 P
BUILDING 2992-5YR-5-24-2021 PAGE 6 OF 10
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/24/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,AS,RR 2992
FIRE ALARM
DEVICE REPORT
HS 3RD FLOOR BY 315 P
SPK 3RD FLOOR BY 315 P
SD 3RD FLOOR BY 315 P 3.72 Range .88 to 3.86
SPK 3RD FLOOR BY 307 P
SD 3RD FLOOR BY 313 F 4.05 Range .88 to 3.86
SPK 3RD FLOOR BY 313 P
HS 3RD FLOOR BY 309 P
SPK 3RD FLOOR BY 311 P
SD 3RD FLOOR BY 311 F 4.13 Range .88 to 3.86
PS 3RD FLOOR BY STAIR # 2 P
SD 3RD FLOOR BY STAIR # 2 P 3.69 Range .88 to 3.86
DD ATTIC F 4.45 Range .63 to 2.64
DD ATTIC F 3.69 Range .63 to 2.64
DD ATTIC F 4.45 Range .63 to 2.64
DD ATTIC F 4.20 Range .63 to 2.64
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
HD ATTIC P
PS ATTIC P
HS ATTIC P
HS ATTIC P
HS ATTIC P
SD 1ST FLOOR MECH ROOM P 3.74 Range .88 to 3.86
TS MECH ROOM BACKFLOW VALVE # 1 P
BUILDING 2992-5YR-5-24-2021 PAGE 7 OF 10
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/24/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,AS,RR 2992
FIRE ALARM
DEVICE REPORT
TS MECH ROOM BACKFLOW VALVE # 2 P
TS MECH ROOM FORWARD FLOW P
WF MECH ROOM SPRINKLER RISER P
WPSR
BCKFLW
FDC
PIV
INSPTEST
INSPTEST
INSPTEST
WA
BUILDING 2992-5YR-5-24-2021 PAGE 8 OF 10
ON
PSID
CHECK VALVE #1
THE ABOVE REPORT IS TRUE, ACCURATE, AND COMPLETE.
TESTED BY (PRINT)
4" WILKINS 375A Backflow
(SIGNATURE) REPAIRED BY (PRINT) (SIGNATURE)
4" WILKINS 375A BACKFLOW FAILED DUE TO LEAKING #1 CHECK
STATE AND CERTIFICATION NUMBER(S) WITH EXPIRATION DATE(S)
COMPANY FINAL TEST BY (PRINT) (SIGNATURE)
NOTES, FAILURES AND PARTS USED IF REPAIRED
DOUBLE CHECK VALVE ASSEMBLY
CHECK VALVE #2
PSID
No. 2 SHUT OFF
CLOSED TIGHT No
HELD AT HELD ATCLOSED TIGHT
REDUCED PRESSURE PRINCIPLE ASSEMBLY
CLOSED TIGHT HELD AT
RELIEF VALVE OPENING
POINT
CHECK VALVE #2
BACKPRESSURE TEST
CHECK VALVE #1
OPENED AT 3 HELD AT
04891
TYPE OF ASSEMBLY MANUFACTURER MODEL SIZE
DEVICE PROTECTED FROM FREEZING AND FLOODING
No. 2 SHUT OFF CHECK VALVE #2
SERVICE LOCATION
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
SERIAL NUMBER
MECH ROOM
RP
INSPECTION DATES: INSPECTION TEAM:
5/24/2021 KS,AS,RR
BUILDING NUMBER 02992 Indiana AVE Fort Campbell KY 42223
375A
TEST KIT (BRAND) TEST KIT (MODEL) TEST KIT (SERIAL NUMBER)
WILKINS 4"
PASS FAIL FAILED
CHECK VALVE #2 BACKPRESSURE TEST
CLOSED TIGHT
FAILED 5/24/2021
BUILDING 2992-5YR-5-24-2021 PAGE 9 OF 10
Yes No N/A Yes No N/A P P P P
Yes No N/A
P P P P
Yes No N/A P P Yes No N/A P P P
P Yes No N/A
P Yes No N/A P P
MECH ROOM 4" STRAIGHT NANA
4. Wet Systems 5 Year Wet:
P
Is System in operation?
PAINTED QR 1/2" CHROME 155DG PEND HEAD BY 307, AND ONE BETWEEN 304 AND 305.
A TOTAL OF 4 HEADS PAINTED IN STAIRS, 1/2" QR UPRIGHT 155DG HEADS.
MAKE
29 SECONDS TO ALARM
Is air pressure on the system satisfactory?
satisfactory operating condition?
Did system trip by device to verify operation?
Does quick opening devices work properly?
Did system trip by manual actuator?
MODEL NUMBER
BUILDING NUMBER
Verify water supply "conduct main drain test"
Gauges appear to be in working order ?
2.Annual, 2 Year and 5 Year Inspections:
POC CONTACT INFO
BUILDING POC NAME
VALVE SIZE AND TYPE
NOTES, FAILURES AND SYSTEM DEVIATIONS FROM CONTRACT STANDARDS
Does low air supply works properly?
1.All Inspections:
INSPECTION DATES:
5/24/2021
Adequate heating, and on if necessary.
KS,AS,RR
INSPECTION TEAM:
Is hydrolic nameplace present and visible?
Are control valves supervised, lock or Tamper?
VALVE LOCATION
All low points drained?
All low points drained?
Are OS&Y stems lubricated?
All strainers cleaned and in proper condition.Operated valve to verify proper function?
Verified water travels through inspectors test.
Street: 45 and filled with the correct sprinkler heads?
Is sprinkler head cabinet mounted close to the riser
Are all control valves and trim in good condition?
5. Dry Pipe Bi-Annual
Trip valve, drain and clean internally Does quick opening devices work properly?
Anti-freeze loops have correct solution mixture.
Does low air supply works properly?
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
SPECIAL CONSIDERATIONS - List any unique functions to be aware of prior to testing
Are fire department caps in good condition?
Alarm test in proper position.
Does water flow devices work properly?
Is fire department connection accessible?
3. 2 Year and 5 Year Inspections:
Internally inspected, cleaned and free from damage?
Is air compressor in service and in
Residule:
Static:
OTHER -
Residule: 43
System: 43
5 YEAR -
2 YEAR -2992
Hydrostatic or Previous Gauge Readings
Is there a Backflow Device at the riser?
Current Gauge Readings
Street: 45
ANNUAL -
INSPECTION TYPE
5. Dry Pipe and Pre-action 5 Year
6. Pre-action Bi-Annual
SYSTEM TYPE
OTHER -
PRE-ACTION -
DRY PIPE -
WET PIPE -
Indiana AVE Fort Campbell KY 42223
Static:System:
Air: Air:Pilot:Pilot:
BUILDING 2992-5YR-5-24-2021 PAGE 10 OF 10
VDC VDC AH
VDC VDC AH
ELEVATOR SYSTEM(S)
SHUNT
BATTERY VOLTAGE TYPE:
VDC VDC AH
VDC VDC AH
KF KINGFISHER PS PULL STATION HS HORN / STROBE WA WATER ALARM AN ANNUNCIATOR
FA FIRE ALARM PANEL SD SMOKE DETECTOR S STROBE ONLLY DH DOOR HOLDER AN MASS CONSOLE
BPS POWER SUPPLY HD HEAT DETECTOR MS MASS STROBE TS TAMPER SWITCH CR CONTROL RELAY
VP VOICE / MASS PANEL DD DUCT DETECTOR SPK SPEAKER WF WATER FLOW CM CONTROL MOD
PASS
DOOR HOLDERS PASS
HVAC AUTO RESTART FROM FACP RESET PASS
PASS
PRIMARY RECALL
IS SYSTEM CONNECTED TO MONITORING AGENCY
RESPONSE TO SUPERVISORY TIME:N/A
9:11
ELEVATOR RESTART FROM FIRE SYSTEM RESET
KFRI COMBO
PASS
N/A
ANNUNCIATOR
SPECIAL CONSIDERATIONS - List any unique functions to be aware of before testing
KINGFISHER
MODEL TYPE LOCATION
PASS
TIME:
HVAC SHUTDOWN
PASS
FIRE ALARM
PANEL REPORT
VDC
BATTERY CHARGING VOLTAGE
PANEL MANUFACTURER
9:11
5/20/2021
RESPONSE TO TROUBLE
MASS IN TROUBLE FOR AMP FAIL, VOICE NOT WORKING. CYCLED POWER AND GOT WORKING
NOTES, FAILURES AND SYSTEM DEVIATIONS FROM CONTRACT STANDARDS
10 OF 52 SMOKES (FP-11) FAILED SENSITIVITY TEST ON SIEMENS MXL-IQ PANEL.
3.04
TIME:
SIEMENS
13.53
DIGITAL ALARM RADIO TRANSMITTER (DART)
VDC 35.0
LAMPS / LED TEST
LOCATION
SECONDARY RECALL RECALL
13.41
CIRCUIT BREAKER LOCATION
LOCATION
ELECT ROOM
AMP
FAIL @ 9%
FAIL @ 9%
VDC
INSPECTION DATES:
26.89
BATTERY CHARGING VOLTAGE
POC CONTACT INFO
3.08
MXL-IQ
INSPECTION TEAM:
REAGEN
MODEL
CENTERAL DISPATCH 270-798-1221
MONITORING AGENCY
Indiana AVE Fort Campbell KY 42223
FIRE ALARM CONTROL PANEL (FACP)
BUILDING POC NAME
PANEL MANUFACTURER
KS,AS,RR
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
VDC
MONITORING AGENCY PERSONNEL NOTIFIED
PASS
UPON ARRIVAL FACP IN TROUBLE FOR TAMPER ON SPRINKLER, ADJUSTED AND CLEARED.
SWAPPED BATTERY CHARGING LOCATIONLED TESTTRANSMITTER RECEIVES ALARMS FROM FACP
NAPASS
TRANSMITTER RECEIVES TROUBLES FROM FACP
MODELRESPONSE TO ALARM MANUFACTURER
AMP
AMP
1 YEAR -
INSPECTION TYPE
PASS
BUILDING NUMBER 2 YEAR -
5 YEAR -
OTHER -
35.0 AMP
BUILDING 2993-5YR-5-20-2021 PAGE 1 OF 9
VDC VDC AH 12
VDC VDC AH 12
BATTERY VOLTAGE TYPE:
VDC VDC AH 12
VDC VDC AH 12
BATTERY VOLTAGE TYPE:
VDC VDC AH 12
VDC VDC AH 12
BATTERY VOLTAGE TYPE:
VDC VDC AH
VDC VDC AH
BATTERY VOLTAGE TYPE:
VDC VDC AH
VDC VDC AH
PASS
PASS
PASS @ 80%
NCS
11501 Plantside Drive Suite #4 Louisville, KY 40299
(502) 614-8646
SP-40
BATTERY CHARGING VOLTAGE
27.35
PANEL MANUFACTURER
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
AUXILIARY
PANEL REPORT
7.0
PASS @ 90%
FAIL @ 13%
VDC
AMP
AMP
VDC AMP
AMP
VDC 7.0
VDC
VDC
POWER EXPANDER/AUDIO-VISUAL PANEL
MODEL
BATTERY CHARGING VOLTAGE
27.34
AMP
AMP
VDC 7.0
VDC
13.62 5.59
7.00 PASS @ 100%
13.57 0.90
7.0
POWER EXPANDER/AUDIO-VISUAL PANEL
WHEELOCK
PANEL MANUFACTURER MODEL PURPOSE LOCATION
ELECT ROOM
13.59
PASS @ 108%
PANEL MANUFACTURER
POWER EXPANDER/AUDIO-VISUAL PANEL
LOCATIONPURPOSEMODEL
AMP
SPB-80 MASS AMP ELECT ROOM
VDC 7.0 AMP13.6 7.56
PANEL MANUFACTURER MODEL
BATTERY CHARGING VOLTAGE
POWER EXPANDER/AUDIO-VISUAL PANEL
ELECT ROOM
LOCATIONPURPOSE
WHEELOCK
BATTERY CHARGING VOLTAGE
27.94 13.77 6.28
SIEMENS PAD-3 NAC POWER
MODELPANEL MANUFACTURER PURPOSE
MASS PANEL
13.62
PASS
LOCATION
4.69
PURPOSE
VDC 7.0 AMPPASS @ 67%
POWER EXPANDER/AUDIO-VISUAL PANEL
LOCATION
VDC AMP
NOTES, FAILURES AND SYSTEM DEVIATIONS FROM CONTRACT STANDARDS
BATTERY CHARGING VOLTAGE
INSPECTION DATES: INSPECTION TEAM: INSPECTION TYPE
5/20/2021 KS,AS,RR 1 YEAR -
2 YEAR -
BUILDING POC NAME 5 YEAR -
POC CONTACT INFO OTHER -
BUILDING NUMBER 2993 Indiana AVE Fort Campbell KY 42223
BUILDING 2993-5YR-5-20-2021 PAGE 2 OF 9
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/20/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA ELECT ROOM P
KF ELECT ROOM P
BPS ELECT ROOM P
BPS ELECT ROOM P
VP ELECT ROOM P
PS EXIT BY 139 P
HS BY 139 P
PS IN STAIR 137 P
SD BY 139 P 3.33 Range .88 to 3.86
SPK BY 139 P
SD BY 141 P 3.11 Range .88 to 3.86
HS BY 141 P
SD BY 143 P 3.23 Range .88 to 3.86
SPK BY 143 P
SD BY 133 P 3.39 Range .88 to 3.86
HS BY 133 P
SD CQ DESK 144 P 3.46 Range .88 to 3.86
HS CQ DESK 144 P
MS CQ DESK 144 P
SD 1ST FLOOR LOBBY BY 131 P 3.70 Range .88 to 3.86
DH 1ST FLOOR LOBBY BY 131 P
SPK 1ST FLOOR LOBBY P
SPK 1ST FLOOR LOBBY P
PS 1ST FLOOR LOBBY P
PS 1ST FLOOR LOBBY P
SD ABOVE FACP IN ELECT ROOM 131 P 3.82 Range .88 to 3.86
HS IN ELECT ROOM 131 P
PS IN ELECT ROOM 131 P
SD MAIL ROOM 148 P 3.71 Range .88 to 3.86
SD 1ST FLOOR LAUNDRY 129 P 3.34 Range .88 to 3.86
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,AS,RR 2993
FIRE ALARM
BUILDING 2993-5YR-5-20-2021 PAGE 3 OF 9
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/20/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,AS,RR 2993
FIRE ALARM
DEVICE REPORT
HS 1ST FLOOR LAUNDRY 129 P
SD IN WAITING 103 P 3.25 Range .88 to 3.86
S MENS ROOM P
S WOMENS ROOM P
SD IN VENDING 106 F 4.02 Range .88 to 3.86
SD LOBBY NEAR 106 P
DH LOBBY NEAR 106 P
HS BY 125 P
HD IN JAINTOR 108 P
SD BY 108 P
HS BY 108 P
SPK BY 108 P
SD BY 123 P 3.69 Range .88 to 3.86
HS BY 122 P
SPK BY 122 P
SD BY 121 P 3.68 Range .88 to 3.86
HS BY 113 P
SD BY 119 P 3.77 Range .88 to 3.86
SPK BY 119 P
HS BY 118 P
SD BY 118 P 3.52 Range .88 to 3.86
SPK BY 118 P
PS BY ROOM 118 P
PS IN STAIR 117 P
SD 2ND FLOOR BY STAIR #2 P 3.67 Range .88 to 3.86
PS 2ND FLOOR BY STAIR #2 P
SD 2ND FLOOR BY 212 F 4.08 Range .88 to 3.86
HS 2ND FLOOR BY 209 P
SPK 2ND FLOOR BY 209 P
SD 2ND FLOOR BY 214 P 3.71 Range .88 to 3.86
BUILDING 2993-5YR-5-20-2021 PAGE 4 OF 9
Suite #4 Louisville, KY 40299
(502) 614-8646
Premier Fire & Security Inc.
1251 N 6th St
Paducah, KY 42002
(270) 443-7060
DATE
5/20/2021
DEVICE DEVICE LOCATION DEVICE
ADDRESS
OR
ZONE
P A
S S
F
A
IL
S en si ti vi ty
NOTES:
FA = FIRE ALARM - KF = KINGFISHER - BPS = BOOSTER POWER SUPPLY - VP=VOICE/MASS PANEL - AN=ANNUNCIATOR/MASS CONSOLE - PS=MANUAL PULL - SD=SMOKE DETECTOR - DD=DUCT DETECTOR - HD = HEAT DETECTOR - MM=MONITOR MODULE - CR=CONTROL RELAY - CM=CONTROL MODULE - HS = HORN/STROBE - S=STROBE ONLY - MS=MASS STROBE - SPK=SPEAKER - DH=DOOR HOLDER
BUILDING NUMBERINSPECTION TEAM
KS,AS,RR 2993
FIRE ALARM
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