Attachment F-Firecheck Inspection Report- ASU.pdf

Initial Annual Fire & Smoke Door Inspection

Albuquerque Indian Health Service

Albuquerque Indian Health

801 Vassar Dr Ne

Albuquerque, NM 87106

Inspection No.: SLS384140

Code Edition: NFPA 80 - 2010 for Healthcare

Inspection Initiated: August 28 2025

If the report indicates that deficiencies were found (and were not repaired on-site), please refer to corresponding proposal.

This comprehensive FireCheck® inspection report is based on NFPA 80 (fire) and NFPA 105 (smoke) requirements. This report applies only to door list provided by the Customer.

Code Interpretation Disclaimer: All information provided by DH Pace Inc. represents our interpretation regarding the intent of the standard(s) and/or code(s) applicable to the issue being addressed. By law, the Authority Having Jurisdiction (AHJ) is the only entity with the legal standing and discretionary authority to make a definitive ruling on these matters. As such, DH Pace disclaims any consequential damages that may arise from the use of the information provided, recommendation made, or opinions expressed on this matter.

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Inspection Rpt. 8/28/2025

Inspection No. SLS384140 Printed 9/5/2025 10:26 AM 1 of 27

Initial Annual Fire & Smoke Door Inspection Summary Name Albuquerque Indian Health Contact Patricio, Patrick

Address 801 Vassar Dr Ne Contact # (505) 290-0260

City, State Zip Albuquerque, NM 87106 Inspection Date 8/28/2025

P/F

Initial

Repaired

Post Repair

Pass 0 0 0

Fail 19 0 19

Total

Priority of Failed Openings

Opening #

Critical 15

Immediate 4

Total Failed

Priority Definitions

Critical - Deficiency requires urgent corrective action without delay

Immediate - Deficiency requires corrective action without delay

Essential - Deficiency requires corrective action, safety concern

Owner to remove excess signage.

Owner to verify rating of protection plates, electric strikes, power transfer cords, presence sensors, door position/alarm sensors, steel pick guards, door/frame guards, gasketing/perimeter seal, door viewers, and auto door bottoms/sweeps.

Name:

Faron Shetter Jr - DSI Signature:

Date:

9/05/2025

Faron Shetter Jr DH Pace Compliance Services

5656 Pasadena Avenue N.E.

Albuquerque, NM 87113

(505) 344-3667

Main: (505) 221-9025

Email: Faron.ShetterJr@dhpace.com

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 2 of 27

Initial Annual Fire & Smoke Door Inspection Criteria Name Albuquerque Indian Health Code Edition:

Address 801 Vassar Dr Ne Albuquerque, NM 87106 NFPA 80 - 2010 for Healthcare

Inspection Date 8/28/2025 Inspection No. SLS384140

Criteria

Components

Description

# Failed Openings

FC1 Frame, Door No open holes or breaks exist in surfaces of either the door or frame. 4

FC2 Frame, Door Glazing, vision light frames, and glazing beads are intact and securely fastened in place, if so equipped. Safety glass is the correct size and type.

FC3 Frame, Door, Hardware The door, frame, hinges, hardware and non-combustible threshold are secured, aligned, and in working order with no signs of visible damage.

FC4 Frame, Door, Hardware No parts are missing or broken. 1

FC5 Top, Bottom, Hinge Edge, Strike Edge

Door clearances do not exceed clearances listed in 4.8.4 and 6.3.1.7. WOOD/PLAM EDGES/TOP not > 1/8", WOOD/PLAM BOTTOM not > 3/4", HM-STEEL EDGES/TOP 1/8" + or - 1/16", HM-STEEL BOTTOM not > 3/4"

FC6 Hardware The self-closing device is operational, that is, the active door completely closes when operated from the full open position.

FC7 Hardware If a coordinator is installed, the inactive leaf closes before the active leaf. 0

FC8 Hardware Where latching hardware is required, it operates and secures the door when it is in the closed position (not required for cross-corridor doors 1-hr Smoke Barriers in Healthcare deemed "Substantial Doors" and not 20-min rated/labeled)

FC9 Hardware Auxiliary items that interfere or prohibit operation are not installed on the door or frame. 0

FC10 Frame, Door, Hardware No field modifications to the door assembly have been performed to void the label. 0

FC11 Frame, Door Gasketing and edge seals, where required, are inspected to verify their presence and integrity.

FC12 Size, Mounting Signage is the correct size and mounted properly. 1

FC13.D Door Labels are present and readily visible on the opening door. 5

FC13.F Frame Labels are present and readily visible on the opening frame. 14

FC13.G Glass Labels are present and readily visible on the opening glass. 0

FC13.H Hardware Labels are present and readily visible on the opening hardware. 14

FC13.P Protection Plate Labels are present and readily visible on the protection plate (when plate is mounted above 16" from bottom of door)

FC14 Hardware Doors installed in pressurized applications have gasketing and a bottom seal (note deficient gasketing on FC11)

FC15 Hardware No louvers or transfer grills in door (when door is in combo fire and smoke barrier or just smoke barrier)

Door Type S - Single UP - Unequal Pair P - Pair DE - Double

Egress B - Bank D - Dutch

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 3 of 27

Initial Annual Fire & Smoke Door Inspection Details Name Albuquerque Indian Health

Address 801 Vassar Dr Ne Albuquerque, NM 87106

Inspection Date 8/28/2025 Project # 384633 Inspection No. SLS384140

Building: MAIN

Floor: 01

Opening

Barcode Door Material

Door Size

Area Frame Material

Inspector Barrier Type

Date Priority

278-415176-001-0001

Failed

MECHANICAL

Shawn Boxer

8/28/2025

Single

Wood

36" x 80"

Hollow Metal Not Filled

1-Hour Smoke Barrier

Immediate

Leaf

Fire Rating

Smoke Label

Failed Fire Criteria

Leaf A

60 mins

N/A

FC5, FC15

278-415176-001-0002

STAIR

Hollow Metal

48" x 84"

Hollow Metal Filled

2-Hour Fire Barrier

Critical

90 mins

FC5, FC13.F, FC13.H

278-415176-001-0004

278-415176-001-0005

FC6

278-415176-001-0006

180 mins

FC1, FC4

Floor: 02

278-415176-001-0007

FC1, FC5, FC13.F, FC13.H

278-415176-001-0008

278-415176-001-0009

36" x 84"

FC5

278-415176-001-0010

1-Hour Fire Barrier

FC13.D, FC13.F, FC13.H

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 4 of 27

Floor: 02

278-415176-001-0011

FC1, FC5, FC13.D, FC13.F, FC13.H

Floor: 03

278-415176-001-0012

278-415176-001-0014

278-415176-001-0015

46" (3'10") x 84"

FC5, FC13.H

Floor: 04

278-415176-001-0016

278-415176-001-0017

28" x 84"

Label Missing

FC5, FC6, FC12, FC13.D, FC13.F

278-415176-001-0018

278-415176-001-0019

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Printed 9/5/2025 10:26 AM 5 of 27

Floor: 05

278-415176-001-0020

STORAGE

FC1, FC6, FC13.D, FC13.F, FC13.H

278-415176-001-0021

FC6, FC13.D, FC13.F, FC13.H

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Printed 9/5/2025 10:26 AM 6 of 27

Initial Annual Fire & Smoke Inspection Door Details

Building: MAIN Floor: 01 Opening: 0001

Fire / Smoke

278-415176-001-0001

Yes / No

60 mins

Failed Notes

General Notes

Compliant Repaired

WD/PLAM strike edge clearance > 1/8"

Strike Edge

No

FC15

No louver or transfer grille installed in door

Hardware

Push

Pull

FC15 - Deficiency

FC5 - Deficiency

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 7 of 27

Building: MAIN Floor: 01 Opening: 0002

278-415176-001-0002

HM strike edge clearance > 3/16" HM top edge clearance > 3/16"

Top, Strike Edge

FC13.F

Missing / illegible frame label

Frame

FC13.H

Missing / illegible fire exit hardware label (cannot label panic hardware, must be fire exit hardware - no mechanical dogging)

Hardware, FC13.F - Deficiency

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 8 of 27

Building: MAIN Floor: 01 Opening: 0004

278-415176-001-0004

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 9 of 27

Building: MAIN Floor: 01 Opening: 0005

278-415176-001-0005

Missing / damaged closer

FC6 - Deficiency

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Printed 9/5/2025 10:26 AM 10 of 27

Building: MAIN Floor: 01 Opening: 0006

278-415176-001-0006

180 mins

FC1

Missing hardware leaving hole in frame / door

Door

FC4

Lock/latch fire exit hardware missing part

FC1 - Deficiency

FC4 - Deficiency

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 11 of 27

Building: MAIN Floor: 02 Opening: 0007

278-415176-001-0007

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 12 of 27

Building: MAIN Floor: 02 Opening: 0008

278-415176-001-0008

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 13 of 27

Building: MAIN Floor: 02 Opening: 0009

278-415176-001-0009

No / No

WD/PLAM top edge clearance > 1/8"

Top

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Printed 9/5/2025 10:26 AM 14 of 27

Building: MAIN Floor: 02 Opening: 0010

278-415176-001-0010

FC13.D

Missing / illegible door label (double-check top of door)

FC13.D - Deficiency

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Printed 9/5/2025 10:26 AM 15 of 27

Building: MAIN Floor: 02 Opening: 0011

278-415176-001-0011

FC5 - Repaired Deficiency

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Printed 9/5/2025 10:26 AM 16 of 27

Building: MAIN Floor: 03 Opening: 0012

278-415176-001-0012

Bottom clearance for HM and WD/PLAM > 3/4"

Top, Bottom, Deficiency

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Printed 9/5/2025 10:26 AM 17 of 27

Building: MAIN Floor: 03 Opening: 0014

278-415176-001-0014

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 18 of 27

Building: MAIN Floor: 03 Opening: 0015

278-415176-001-0015

46" (3'10") x 84"

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 19 of 27

Building: MAIN Floor: 04 Opening: 0016

278-415176-001-0016

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 20 of 27

Building: MAIN Floor: 04 Opening: 0017

278-415176-001-0017

28" x 84"

WD/PLAM top edge clearance > 1/8" Bottom clearance for HM and WD/PLAM > 3/4"

Top, Bottom

FC12

Signage > 5%

Size

FC12 - Deficiency

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 21 of 27

Building: MAIN Floor: 04 Opening: 0017

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 22 of 27

Building: MAIN Floor: 04 Opening: 0018

278-415176-001-0018

Top

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 23 of 27

Building: MAIN Floor: 04 Opening: 0019

278-415176-001-0019

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 24 of 27

Building: MAIN Floor: 05 Opening: 0020

278-415176-001-0020

STORAGE

Missing 'F' stamp on latch that designates rated lockset

FC13.H - Deficiency

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Printed 9/5/2025 10:26 AM 25 of 27

Building: MAIN Floor: 05 Opening: 0021

278-415176-001-0021

Missing 'F' stamp on latch that designates rated lockset

FC13.H - Deficiency

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Printed 9/5/2025 10:26 AM 26 of 27

--- End of Report ---

Albuquerque Indian Health Service

Albuquerque Indian Health

801 Vassar Dr Ne

Albuquerque, NM 87106

Inspection No.:

SLS384140

Code Edition: NFPA 80 - 2010 for Healthcare

Inspection Initiated: August 28 2025

If the report indicates that deficiencies were found (and were not repaired on-site), please refer to corresponding proposal.

This comprehensive FireCheck® inspection report is based on NFPA 80 (fire) and NFPA 105 (smoke) requirements. This report applies only to door list provided by the Customer.

Code Interpretation Disclaimer: All information provided by DH Pace Inc. represents our interpretation regarding the intent of the standard(s) and/or code(s) applicable to the issue being addressed. By law, the Authority Having Jurisdiction (AHJ) is the only entity with the legal standing and discretionary authority to make a definitive ruling on these matters. As such, DH Pace disclaims any consequential damages that may arise from the use of the information provided, recommendation made, or opinions expressed on this matter.

This document was developed by and is the Exclusive property of DH Pace Company, Inc. Any unauthorized use, reproduction or duplication, in whole or in part, is expressly prohibited. © 2022 DH Pace Company, Inc.

Printed 9/5/2025 10:26 AM 27 of 27