Attachment A2. Spreadsheets 1-5 and Campus Map.pdf

Item # Joint Commission

Reference

NFPA

Ref

Fire System Component Involved (# of Bldgs) Service Required Frequency 2023-2024

1 EC.02.03.05 EP-1 72 Fire Panel Battery Supervision, (32) Test Annual x 2 EC.02.03.05 EP-1 72 Normal Power Failure Supervision, (32) Test Annual x 3 EC.02.03.05 EP-10 25 Fire Department Connections, (26) Inspect Quarterly x 4 EC.02.05.07 EP-1 111 Fire Alarm Panel Batteries, (32) Inspect & Test Annual x 5 EC.02.03.05 EP-2 72 Water Flow Devices, (20) Test Quarterly x 6 EC.02.03.05 EP-5 72 Off-Premises Transmission Equipment, (0) Test Annual NIC 7 EC.02.03.05 EP-2 72 Tamper Switches, (18) Test Semi-Annual x 8 EC.02.03.05 EP-13 & 14 96 Kitchen Extinguishing Systems (2) Inspect & PM Semi-Annual x 9 EC.02.03.05 EP-3 72 Door Releasing Devices, (8) Test Annual x

10 EC.02.03.05 EP-3 72 Smoke Detectors, (32) Test Annual x 11 EC.02.03.05 EP-3 72 Duct Smoke Detectors w/o AHU Shutdown, (1) Test Annual x 12 EC.02.03.05 EP-19 90A Duct Smoke Detectors w/AHU Shutdown, (5) Test & PM Annual x 13 EC.02.03.05 EP-3 72 Heat Detectors, (12) Test Annual x 14 EC.02.03.05 EP-3 72 Pull Stations, (32) Test Annual x 15 EC.02.03.05 EP-4 72 Bells, Horns, & Speakers, (32) Test Annual x 16 EC.02.03.05 EP-4 72 Strobes, (32) Test Annual x 17 EC.02.03.05 EP-4 72 Control Panels, (32) Test Annual x 18 EC.02.03.05 EP-4 72 Fiber Optic Interfaces, (32) Test Annual x 19 EC.02.03.05 EP-9 25 Automatic Sprinkler Systems, (19) Main Drain Test Annual x 20 EC.02.03.05 EP-10 25 Fire Hydrants, (29 Locations) Flow & Pressure Annual x 21 EC.02.03.05 EP-12 25 Standpipes, (1 Location) Flow & Pressure 5 Years NIC 22 EC.02.03.05 EP-18 80 Smoke Dampers, (6) Test & PM 6 Years NIC 23 EC.02.03.05 EP-18 105 Fire Dampers, (6) Test & PM 6 Years NIC

NIC = Not in Contract

Spreadsheet #1: Testing Summary 2023-2024 as of July 11, 2023 Per JC and NFPA

Attachment A2 Page 1 of 9

Annual Quarterly Semi-annual *29 Hydrant Locations on Spreadsheet #4

Dates of Service

A pr il

O ct ob er

D ec em be r

Test & Inspect Items

In di vi du al D ev ic e Id en tif ic at io n

Re qu ire d

Fi re

D ep ar tm en t C on ne ct io ns

Sp rin kl er

S ys te m

, W at er F lo w

D ev ic es

Ki tc he n

H oo ds

In di vi du al D ev ic e Id en tif ic at io n

Re qu ire d

FA

CP

B at te ry

S up er vi si on

N or m al

P ow er F ai lu re S up er vi si on

Fi re

A la rm P an el b ac ku p

Ba tt er ie s

Fi re

D ep ar tm en t C on ne ct io ns

Sp rin kl er

S ys te m

, W at er F lo w

D ev ic es

D oo r R el ea si ng D ev ic es

Sm ok e D et ec to rs

(S ur fa ce m ou nt ed

D uc t S m ok e

D et ec to rs

Pu ll

St at io ns

Be lls

, H or ns , s pe ak er s, S tr ob es

Fi re

A la rm C on tr ol P an el s

Fi be r O pt ic In te rf ac es

D uc t S m ok e

D et ec to rs

A H

U S hu td ow n

Sp rin kl er

S ys te m

, M ai n D ra in te st

Sp rin kl er

S ys te m

, T am pe r S w itc he s

In di vi du al D ev ic e Id en tif ic at io n

Re qu ire d

Fi re

D ep ar tm en t C on ne ct io ns

Sp rin kl er

S ys te m

,W at er F lo w

D ev ic es

Ki tc he n

H oo ds

In di vi du al D ev ic e Id en tif ic at io n

Re qu ire d

Fi re

D ep ar tm en t C on ne ct io ns

Sp rin kl er

S ys te m

, W at er F lo w

D ev ic es

Sp rin kl er

S ys te m

, T am pe r S w itc he s

Fi re

H yd ra nt s, A nn ua l F lo w a nd In sp ec tio n

Patient Buildings Dayhoff NA NA

Jamison NA NA Noyes NA NA NA Red Brick Cottage 1 NA NA Red brick Cottage 2 NA NA Red Brick Cottage 3 NA NA Red Brick Cottage 4 NA NA Smith NA NA NA Tawes NA NA NA White NA NA NA

Tenant/Ancillary Buildings Administration NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA Ben Rush Voc Rehab NA NA NA NA NA NA NA NA NA NA Bland Bryant NA NA NA NA NA NA NA NA NA NA Central Kitchen/Storeroom NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA Cottage 1 MPRC NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA Cottage 12 NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA Cottage 4 NA NA NA ü NA NA NA NA NA NA NA NA NA NA NA NA NA Dix NA NA NA NA NA NA NA NA NA NA

Spreadsheet #2 - Spring Grove Hospital Center Quarterly Testing Schedule, 2023-2024

Jan 1- Mar 31 April 1 - June 30

(Annual) Jul 1- Sept 30

Oct 1- Dec 31 (Semi-Annual)

Key:

Spreadsheet # 2 Page 1 of 2

Attachment A2 Page 2 of 9

Annual Quarterly Semi-annual *29 Hydrant Locations on Spreadsheet #4

Dates of Service

A pr il

O ct ob er

D ec em be r

Test & Inspect Items

In di vi du al D ev ic e Id en tif ic at io n

Re qu ire d

Fi re

D ep ar tm en t C on ne ct io ns

Sp rin kl er

S ys te m

, W at er F lo w

D ev ic es

Ki tc he n

H oo ds

In di vi du al D ev ic e Id en tif ic at io n

Re qu ire d

FA

CP

B at te ry

S up er vi si on

N or m al

P ow er F ai lu re S up er vi si on

Fi re

A la rm P an el b ac ku p

Ba tt er ie s

Fi re

D ep ar tm en t C on ne ct io ns

Sp rin kl er

S ys te m

, W at er F lo w

D ev ic es

D oo r R el ea si ng D ev ic es

Sm ok e D et ec to rs

(S ur fa ce m ou nt ed

D uc t S m ok e

D et ec to rs

Pu ll

St at io ns

Be lls

, H or ns , s pe ak er s, S tr ob es

Fi re

A la rm C on tr ol P an el s

Fi be r O pt ic In te rf ac es

D uc t S m ok e

D et ec to rs

A H

U S hu td ow n

Sp rin kl er

S ys te m

, M ai n D ra in te st

Sp rin kl er

S ys te m

, T am pe r S w itc he s

In di vi du al D ev ic e Id en tif ic at io n

Re qu ire d

Fi re

D ep ar tm en t C on ne ct io ns kl er

S ys te m

,W at er F lo w

D ev ic es

Ki tc he n

H oo ds

In di vi du al D ev ic e Id en tif ic at io n

Re qu ire d

Fi re

D ep ar tm en t C on ne ct io ns

Sp rin kl er

S ys te m

, W at er F lo w

D ev ic es

Sp rin kl er

S ys te m

, T am pe r S w itc he s

Fi re

H yd ra nt s, A nn ua l F lo w a nd In sp ec tio n

Spreadsheet #2 - Spring Grove Hospital Center Quarterly Testing Schedule, 2023-2024

Jan 1- Mar 31 April 1 - June 30

(Annual) Jul 1- Sept 30

Oct 1- Dec 31 (Semi-Annual)

Key:

Employee's Café NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA Garage I and II NA NA NA NA NA NA NA NA NA NA Garrett NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA Hill NA NA NA NA NA NA NA NA NA NA

Maintenance Mall NA NA NA NA NA NA NA NA NA NA

Mitchell NA NA NA NA NA NA NA NA NA NA

MPRC NA NA NA NA NA NA NA NA NA

MPRC Annex NA NA NA NA NA NA NA NA NA

Preston NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA

Rice NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA

Stone Cottage C NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA

Stone Cottage E NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA

Stone Cottage G NA NA NA NA NA NA NA NA NA NA

Tuerk NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA

Spreadsheet # 2 Page 2 of 2

Attachment A2 Page 3 of 9

D uc t S m ok e

D et ec to rs

B 1 2 3 4 B 1 2 3 4 B 1 2 3 4 B 1 2 3 4 A A B 1 4

1 Dayhoff S 2 4 X X X 2 4 X X X Siemens

Lobby Bsmt 1 17 X X X X 51 X X X 18 24 X X X X X X X

2 Jamison S X 2 X X X X 2 X X X Siemens

Lobby X 3 X X X X X 3 X X X X 4 X X X X X X X

3 Noyes S 2 1 1 X X 2 1 1 X X Siemens

Lobby/Str Stair 1 4 4 X ## X 11 11 X X X X 2 X X X X 11 X

4 Red Brick Cottage 1 S 2 1 2 X X 1 1 2 X X Siemens

Stair Bsmt 1 5 3 X X X 7 7 X X X 2 X X X 2 X 11 X

5 Red Brick Cottage 2 S 2 1 2 X X 1 1 2 X X Siemens

Stair Bsmt 1 5 3 X X X 7 7 X X X 2 X X X 1 X 10 X

6 Red Brick Cottage 3 S 2 1 2 X X 1 1 2 X X Siemens

Stair Bsmt 1 5 3 X X X 7 7 X X X 2 X X X 2 X 16 X

7 Red Brick Cottage 4 S 2 1 2 X X 1 1 2 X X Siemens

Stair Bsmt 1 5 3 X X X 7 7 X X X 2 X X X 1 X 10 X

8 Smith S 3 3 1 2 X 2 2 1 2 X Siemens

Bmt ME

Rm Lobby 3 8 7 6 2 3 18 15 16 X X 4 X X X 3 2 18 X

9 Tawes S 2 X X X X 1 X X X X Siemens

Bmt ME

Rm Entry Lobby

3 12 10 X X 7 15 20 X X X 14 X X X X X 6 X

10 White S 2 X 4 X X 2 X 4 X X Siemens

Lobby Lobby 1 27 X X X X 60 X X X X 25 X X X X X X X

11 Administration NS X X X X X X X X X X Cm2m

Edwards Lobby X 2 2 1 X X 1 5 3 X X X X 2 X x X X X X

12 Ben Rush Voc Rehab S 8 X X X X 8 X X X X Cm2m

Edwards Bmt Hall

Frt Dr X 5 7 5 X X 3 10 8 X X X X 5 X X X X X X

13 Bland Bryant S 2 1 1 1 2 2 1 1 1 2 Cm2m

Edwards Bsmt Lobby 4 6 6 6 5 X 20 20 21 13 X X 10 X 6 X X X (1)

Central Kitchen & Storeroom

(Property)

NS X X X X X X X X X X JCI

Entry Wall

X X 6 X X X X 12 X X X X X X 21 X X X X (6)

Spreadsheet #3: Spring Grove Hospital Center: Fire Protection Systems July 11, 2023

Building No.

Building Name

Sp rin kl ed

-S N on -S pr in kl ed

-N S

Tamper Switches FACP Type

N ot es

Sm ok e D am pe rs

St an dp ip e

Fi re

D am pe rs

Flow Switches

FA

CP

L oc at io n

A nn ul at or L oc at io n

Pull Stations Smoke Detectors Heat Detectors

Spreadsheet #3 Page 1 of 3

Attachment A2 Page 4 of 9 t S m ok e

D et ec to rs

B 1 2 3 4 B 1 2 3 4 B 1 2 3 4 B 1 2 3 4 A A B 1 4

Spreadsheet #3: Spring Grove Hospital Center: Fire Protection Systems July 11, 2023

Building No.

Building Name

Sp rin kl ed

-S N on -S pr in kl ed

-N S

Tamper Switches FACP Type

N ot es

Sm ok e D am pe rs

St an dp ip e

Fi re

D am pe rs

Flow Switches

FA

CP

L oc at io n

A nn ul at or L oc at io n

Pull Stations Smoke Detectors Heat Detectors

15 Cottage 1 MPRC NS X X X X X X X X X X

LS14

Edwards Rm by Frt

Dr x 2 X X X X X 4 X X X X X X X X X X X X

16 Cottage 4 NS X X X X X X X X X X

LS14

Edwards Rm by Frt

Dr x 2 X X X X X 4 X X X X X X X X X X X X

17 Cottage 12 NS X X X X X X X X X X

LS14

Edwards Rm by Frt

Dr x 2 X X X X X 4 X X X X X X X X X X X X

18 Dix S 2 1 1 X X 2 1 1 X X Siemens

Lobby X 4 4 4 X X 4 11 11 X X X X 4 X X X X X X

19 Employee's Café NS X X X X X X X X X X Siemens

Lobby

Mens Rm X X 6 X X X X X X X X X X X 6 X X X X (3)

20 Garage I and II NS X X X X X X X X X X

LS14

Edwards 1st Flr X X 1 1 X X X 4 4 X X X X X X X X X X X

21 Garrett NS X X X X X X X X X X

Simplex 1st Flr Frt

Off X 1 3 3 3 X X 11 11 11 X X X X X X X X X (4)

22 Hill S 2 1 1 X X 2 1 1 X X Cm2M

Edwards Lobby X 1 6 4 X X X 13 13 X X X X 2 X X X X X X

23 Maintenance Mall S 1 X X X X 1 X X X X

RC-3

Edwards and Dell

CPU

Bmt.

Lobby & Safety

Off.

X 3 4 X X X X X X X X X X X X X X X X X

24 Mitchell S 2 1 1 X X 2 1 1 X X Cm2m

Edwards Lobby X 1 5 4 X X X 13 13 X X X X X X X X X X X

25 MPRC S X X X X X 2 X X X X

Cm2m

Edwards Lobby X 3 7 2 2 X X X X X X X 3 X X 2 X X X (1)

26 MPRC Annex S X 2 X X X X 1 X X X

LS14

Edwards Telcom Room

Lobby X 3 X X X X X X X X X 2 X 1 X X X X (7)

Spreadsheet #3 Page 2 of 3

Attachment A2 Page 5 of 9 t S m ok e

D et ec to rs

B 1 2 3 4 B 1 2 3 4 B 1 2 3 4 B 1 2 3 4 A A B 1 4

Spreadsheet #3: Spring Grove Hospital Center: Fire Protection Systems July 11, 2023

Building No.

Building Name

Sp rin kl ed

-S N on -S pr in kl ed

-N S

Tamper Switches FACP Type

N ot es

Sm ok e D am pe rs

St an dp ip e

Fi re

D am pe rs

Flow Switches

FA

CP

L oc at io n

A nn ul at or L oc at io n

Pull Stations Smoke Detectors Heat Detectors

27 Preston NS X X X X X X X X

Cm2m Edwards and Dell

CPU

Bmt ME Rm and

Operators Rm

X X 6 X X X X X X X X X X 2 X X X X (2)

28 Rice NS X X X X X X X X X X Cm2m

Edwards Lobby X 5 2 1 X X X X X X X X 4 X X X X X (7)

29 Stone Cottage C 4/NS X X X X X X X X X X

LS14

Edwards Rm by Frt

Dr X 1 3 3 3 X X X X X X X X X X X X X X (4)

30 Stone Cottage E NS X X X X X X X X X X

Edwards Rm by Frt

Dr X 1 3 3 3 X X X X X X X X X X X X X X (4)

31 Stone Cottage G S 2 1 1 X X 2 1 1 X X

LS14

Edwards Rm by Frt

Dr x 2 3 2 X X X X X X X X X X X X X X X X

32 Tuerk NS X X X X X X X X X X

Simplex Bmt ME

Rm X 3 5 4 X X X X 4 X X X X X X X X X X (5)

(1) (2) (3) (4) (5) (6) (7)

Includes hood fire suppression system Sprinkler system out of service, not in contract

Key:

Patient Buildings

Tenant/Ancillary Buildings Smoke detectors in offices not in contract Includes two (2) hood fire suppression system and two (2) Duct detectors located in ground floor mechanical room

Notes:

Standpipes out of service, not in contract Heat detectors in rooms 100 & 101 (2 units)

Spreadsheet #3 Page 3 of 3

Attachment A2 Page 6 of 9

Hydrant # Location 1 Red Brick #1 2 Red Brick # 2 3 Red Brick #3 4 Red Brick # 4 5 Dayhoff Building, Front 6 Dayhoff Building, Rear 7 Dayhoff Building, Side 8 White Building, East 9 White Building, West

10 Hill Building at White & Sycamore Streets 11 Stone Cottages 12 Hamilton Building, Wade Avenue 13 Rush/ADAA Building 14 Tawes Building 15 Smith Building 16 Administration Building 17 Jamison Building (Hickory & Elm) 18 Tuerk Building; Hickory Street 19 Pecan Street 20 RedBrick Apartments, Hickory Street 21 Building #14 Garage, end of Pecan Street 22 Building# 21, Lawn Shop 23 Green House, Ash Street 24 Moylan Building# 23, Magnolia Street 25 Dix Building 26 Noyes Building 27 Between Sullivan & Noyes 28 Between Hill & Mitchell 29 Bloomsbury Avenue, end of Asylum Lane 30 Central Maintenance Parking Lot Corner of Maple & Elm at stop sign behind Stone Cottage 31 Bland Bryant, corner of Pine & Ash 32 Between Hill & Dix

Key: Out of Service

Spreadsheet #4 SGHC: Fire Hydrants Locations September 2023

Attachment A2 Page 7 of 9

Building Number

Building Name

Sp rin kl ed

-S N on kl ed

-N S

Ta m pe r S w itc he s

Fl ow

S w itc he s

FA

CP

T yp e

FA

CP

L oc at io n

An nu nc ia to r L oc at io n

Pu ll

St at io ns

Sm ok e D et ec to rs

D uc t S m ok e

D et ec to rs

H ea t D et ec to rs

Sm ok e D am pe rs

St an dp ip e

Fi re

D am pe rs

1 Dayhoff S 6 6 Siemens Bsmt ME Rm Lobby 18 51 24 0 0 0 0 2 Jamison S 2 2 Siemens Me Rm N/A 3 3 4 0 0 0 0 3 Noyes S 4 4 Siemens Lobby N/A 9 22 0 2 0 0 11 4 Red Brick Cottage 1 S 5 4 Siemens Bsmt ME Rm Stairs 9 14 2 0 2 0 11 5 Red Brick Cottage 2 S 5 4 Siemens Bsmt ME Rm Stairs 9 14 2 0 1 0 10 6 Red Brick Cottage 3 S 5 4 Siemens Bsmt ME Rm Stairs 9 14 2 0 2 0 16 7 Red Brick Cottage 4 S 5 4 Siemens Bsmt ME Rm Stairs 9 14 2 0 1 0 10 8 Smith S 9 7 Siemens Bsmt ME Rm Lobby 26 52 4 0 0 2 18 9 Tawes S 2 1 Siemens Bsmt ME Rm Lobby 25 42 14 0 0 0 0

10 White S 6 6 Siemens Lobby Lobby 28 60 25 0 0 0 0

11 Administration NS 0 0 Cm2m

Edwards Lobby N/A 5 9 0 2 0 0 0

12 Ben Rush Voc Rehab S 8 8 Cm2m

Edwards Bmt Hall Frt Dr N/A 17 21 0 5 0 0 0

13 Bland Bryant S 7 7 C+N6:N18m2m

Edwards Bsmt Lobby 27 74 0 16 0 0 0

Central Kitchen &

Storeroom NS 0 0 4002 Edwards Ent Wall N/A 6 12 0 21 0 0 0

15 Cottage 1 MPRC NS 0 0 LS14 Edwards Rm by Frt Dr N/A 2 4 0 0 0 0 0 16 Cottage 4 NS 0 0 LS14 Edwards Rm by Frt Dr N/A 2 4 0 0 0 0 0 17 Cottage 12 NS 0 0 LS14 Edwards 1st Flr N/A 2 8 0 0 0 0 0 18 Dix S 4 4 Siemens Lobby N/A 12 26 0 4 0 0 0 19 Employee's Café NS 0 0 Siemens Lobby N/A 6 0 0 6 0 0 0 20 Garage I and II NS 0 0 LS14 Edwards Front Door N/A 0 4 0 2 0 0 0 21 Garrett NS 0 0 2001 Simplex 1st Flr Frt Off N/A 10 33 0 0 0 0 0 22 Hill S 4 4 Sm2m Edwrds Lobby N/A 11 26 0 2 0 0 0

23 Maintenance Mall S 1 1 RC-3 Edwards and Dell Bsmt Lobby &

Safety Off.

N/A 7 0 0 0 0 0 0

24 Mitchell S 4 4 Cm2m

Edwards Lobby N/A 10 26 0 0 0 0 0

25 MPRC S 0 2

Cm2m

Edwards Lobby N/A 14 0 3 2 0 0 0

26 MPRC Annex S 2 1 LS14 Edwards Telcom Room Lobby 3 0 2 1 0 0 0

27 Preston NS 0 0 Cm2m

Edwards and Dell CPU

Bsmt ME Rm and Operators

RM

N/A 6 0 0 2 0 0 0

28 Rice NS 0 0 Cm2m

Edwards 0 N/A 8 0 4 0 0 0 0

29 Stone Cottage C NS 0 0 LS14 Edwards Rm by Frt Dr N/A 10 0 0 0 0 0 0 30 Stone Cottage E NS 0 0 5721 Edwards Rm by Frt Dr N/A 10 0 0 0 0 0 0 31 Stone Cottage G S 4 4 LS14 Edwards Rm by Frt Dr N/A 7 0 0 0 0 0 0 32 Tuerk NS 0 0 2001 Simplex Bsmt ME Rm N/A 12 0 0 0 0 0 0

Grand Total 83 77 332 533 88 65 6 2 76

Spreadsheet #5 Life Safety Device Tally 7/11/2023

Attachment A2 Page 8 of 9

Attachment A2 Page 9 of 9