Attachment 4 - Togus VAMC Building 203 Damper Inspection Report - 20.pdf
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This document is a Damper Inspection Report conducted by Life Safety Services (LSS) for the Togus Veterans Affairs Medical Center (VAMC) in Building 203 on 10/06/2022. The inspection was performed in accordance with the National Fire Protection Association's (NFPA) Standard 80 Chapter 19 and 105 Chapter 7, focusing on fire and smoke dampers. The report details the inspection of two dampers on the second floor: a smoke damper (2-SD-001) located inside the director conference room and a fire damper (2-FD-002) located at a floor hatch across from room 202. Both dampers passed the inspection, resulting in a 100% pass rate for the two dampers examined, with no failures or inaccessible dampers reported.
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908 South 8th Street Louisville, KY. 40203
888.675.4519 info@LifeSafetyServices.com
Damper Inspection Report Togus VAMC - Building 203
10/06/2022 www.LifeSafetyServices.com
DAMPER INSPECTION REPORT
Corporate Office 908 South 8th Street 500 Louisville, KY 40203 www.LifeSafetyServices.com 888-675-4519
Facility: Togus VAMC Inspection Date: 10/06/2022 Inspected By: Lashawn Jones Job ID: SB-062822-01-SS
FIRE & SMOKE DAMPER INSPECTION SERVICES
LSS Life Safety Services, LLC, in accordance with The National Fire Protection Association’s (NFPA) Standard 80 Chapter 19 and 105 Chapter 7 inspected fire and smoke dampers located in 203 during the period of 10/06/2022.
The following report and digital pictures provide the result of the inspection for the dampers that were inspected.
This report is intended to describe the location and operability of the dampers for the date in which LSS Life Safety Services’ representatives performed the inspection of the dampers, and is not intended to constitute any warranty as to the continued operation of any damper.
Thank you for contracting LSS Life Safety Services for this project and we look forward to the opportunity of working with you in the future on additional projects.
Technician Signature
908 South 8th Street 500 Louisville, KY 40203 www.LifeSafetyServices.com 888-675-4519
Project Summary Building Fire Smoke Combination Pass Fail Non-Accessible Total Dampers
203 1 1 0 2 0 0 2
GRAND TOTAL 1 1 0 2 0 0 2
Statistics Test Result % of Dampers
Pass 100.00%
Fail 0.00%
Non-Accessible / Decommissioned 0.00%
Type Total % of Dampers
Fire 1 50.00%
Smoke 1 50.00%
Combination 0 0.00%
908 South 8th Street 500 Louisville, KY 40203 www.LifeSafetyServices.com 888-675-4519
Facility: Togus VAMC Inspection Date: 10/06/2022 Inspected By: Lashawn Jones
All Dampers Date Floor Damper Number Damper
Type Damper Location
Inspection Result
Reason for Failure or Inaccessibility
10/06/2022 2 2-SD-001 Smoke Inside director conference room Pass
10/06/2022 2 2-FD-002 Fire Floor hatch across from room 202 Pass
908 South 8th Street 500 Louisville, KY 40203 www.LifeSafetyServices.com 888-675-4519
Location Description: Inside director conference room
Tag: 2-SD-001
Type: Smoke
Floor: 2
Status: Pass
Open Photo
Closed Photo https://www.gocanvas.com/values/14926031317 https://www.gocanvas.com/values/14926031317 https://www.gocanvas.com/values/14926031318 https://www.gocanvas.com/values/14926031318
908 South 8th Street 500 Louisville, KY 40203 www.LifeSafetyServices.com 888-675-4519
Location Description: Floor hatch across from room 202
Tag: 2-FD-002
Type: Fire
Floor: 2
Status: Pass
Open Photo Closed Photo https://www.gocanvas.com/values/14926031390 https://www.gocanvas.com/values/14926031390 https://www.gocanvas.com/values/14926031391 https://www.gocanvas.com/values/14926031391
908 South 8th Street Louisville, KY. 40203
888.675.4519 info@LifeSafetyServices.com
Damper Inspection Report Togus VAMC - Building 203
10/06/2022 www.LifeSafetyServices.com
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