Dry Chem Sys in Radioactive Storage_Redacted.pdf

National Fire Protection Association (NFPA) Suppression Fire Protection System

Report of Inspection, Testing, and Maintenance of Suppression Fire Protection Systems

Inspector: SEMI-ANNUAL Inspection Date: January 09, 2023 Service Ticket #: 184336

Site: System Inspected: Area: Site Contact:

James J Peters VA Medical Center 130 West Kingsbridge Road, Bronx, NY, 10468

System # 66-0790 Type: Dry Chemical Panel:

Radioactive Storage Shed Floor:

Building:

If ALL items on the form are marked "OK" or "N/A", the inspection has found no deficiencies.

Any items that are marked "NO" are discrepancies. Describe these in more detail for each item. Some discrepancies could be resolved immediately (such as moving boxes that obstruct access to a manual pull station). If any discrepancies remain unresolved CONTACT UNITED FIRE PROTECTION CORPORATION FOR SERVICE AND REPAIR 24 HOURS / 7 DAYS = 908-688-0300

RELEVANT HAZARD MODIFICATIONS TO NOTE DURING MONTHLY INSPECTION

Look for any of the following items that have changed since the last inspection:

-Have new walls been erected or demolished, that make the hazard different from before?

-Have penetrations been made in any of the walls that would allow clean agent gas to leak out of the hazard?

-Have there been changes to the HVAC system (such as a new air conditioner installed in the wall)?

The following items would NOT be considered relevant changes to note:

-Movement of furniture (desks, racks, etc.).

-Erection or demolition of cubicle walls that do not extend to near the ceiling.

-Painting of walls.

-Additional equipment, similar to that already within the hazard (as long as clean agent equipment is not obstructed).

TYPE OF SUPRESSION SYSTEM(S)

TYPE OF SUPRESSION SYSTEM(S) 1) ABC Dry Chem System 2) 3)

TYPE OF ACTUATION (fill in quantity of each)

SLC Wiring / Class Mechanical - heat link

Manual Release 1 - mechanical

Photo Smoke

Ion Smoke

Heat Detector

Cross Zone None

(Explain) No cross zoning - mechanical system

Other

(4) - 212 deg links

Waterflow

Supervisory (tampers)

CONTROL PANEL

Quantity

Model Kidde Industrial Dry Chem Control Head

Manufacturer Kidde

Software Version

Graphic

Manufacturer

AGENT STORAGE CONTAINERS

Quantity

Agent Type Dry Chem

Manufacturer Kidde

PREACTION INFORMATION

Valve Size

Model

Manufacturer

COMPRESSOR INFORMATION

Manufacturer

Model

HP

Volts

INSPECTION

Were all personnel and authorities notified? YES

Are all devices securely mounted and unobstructed? YES

Is there a 24-hour call for service sticker on the control panel? YES

Is area free of any changes that might affect protection? YES

Is area free of unsealed penetrations? N/A

Do doors operate properly? YES

Are doors vapor tight? N/A

Are all ceiling tiles in place? N/A

If required, was area checked for volume? N/A

Were all tanks checked for hydrostatic date? YES

Were all tanks checked for weight and recorded? YES

Is there an adequate amount of agent for area? YES

Is net weight the same as last inspection? Weight lbs 45 LBS main tank 21 LBS second tank

YES

Is cylinder bracketing secure? YES

Are nozzles secure and unobstructed? YES

Are nozzles located to give maximum protection? YES

Is all piping secure and free of corrosion? YES

Is main reserve capability operational and readily accessible? N/A

Is there a riser diagram by the control panel? For NYC only, is the riser diagram 11" x 17" per the 2008 NYC city fire code?

N/A

Is there a sequence of operation by control panel (NYC)? N/A

Does control panel have a sign describing the type of agent supression system (NYC)? N/A

DETECTION (see Individual Detector Report below)

Were all detectors checked for operation per manufacturer's recommendation? N/A

Did they function properly? N/A

Were all settings recorded? N/A

Were all detectors cleaned where needed? N/A

Were they replaced as needed? N/A

MANUAL RELEASES

Are all manual releases properly labeled? YES

Did they all function properly? YES

Are they easily accessible in case of fire? YES

Will manual release override abort? N/A

ABORTS

Were all aborts tested? N/A

Did they function properly? N/A

TIME DELAY

Did delay and/or investigation timer operate as intended? N/A

Delay in seconds

NA

Investigation in seconds

NA

GRAPHIC ANNUNCIATOR

Was annunciator checked? N/A

Did all the lights work properly? N/A

CONTROL

Were all operating functions checked & functioning properly? YES

Were batteries functioning properly? N/A

Were all supervisory functions checked & function properly? N/A

Were batteries tested per manufacture's recommendations? N/A

Amps in Stand-by

NA

Amps in Alarm

NA

Battery Size Volts

NA

AH

NA

Were all batteries replaced as needed? Date Installed

NA

N/A

Was alarm verification checked? N/A

Was ground fault protection tested? N/A

Is there a fuse cut out / fuse disconnect, and is it labeled properly?Location

NA

N/A

Is there a circuit breaker # and location on the control panel?Location of breaker

NA

N/A

Breaker #

NA

Panel #

NA

AUDIBLE(S)

Do all indicating devices operate as per NFPA and/or Local AHJ? YES

Do all indicating devices have signs to show purpose? N/A

Are warning signs provided? N/A

Class / Style Wiring

NA

EXPLOSIVE RELEASE DEVICES

Were they replaced with bulbs and fired? N/A

Are they within replacement date?

NA

N/A

SOLENOID RELEASE DEVICE

Solenoid and/or Control Head(s) removed from Cylinder and/or Valve and activated? N/A

PREACTION VALVE

First Valve Location

NA

Was preaction valve tripped? N/A

Was waterflow test valve checked? N/A

Priming water pressure PSI

NA

Building water pressure PSI

NA

Residual water pressure PSI

NA

Was tamper valve checked and working properly? N/A

Was air pressure checked and working properly? N/A

Normal Air Pressure PSI or Oz

NA

Compressor On Pressure PSI or Oz

NA

Low Air Pressure PSI or Oz

NA

High Air Pressure PSI or Oz

NA

INTERLOCKS AND AUXILIARY FUNCTIONS TESTING

Remote Station Monitoring Local bell only 1/13/22

N/A

Account Number

NA

Equipment Shutdown N/A

Description of Equipment Shutdown

NA

Building Tie-in N/A

Description of Building Tie-in There is no indication of Building Fire Alarm tie in

Self air conditioning system N/A

Description of self air conditioning system

Building air conditioning N/A

Description of building air conditioning

NA

Dampers? (If E.T.L.'s remove and test with bulb) N/A

Description of Dampers

NA

Door releases N/A

Description of door releases

NA

Fans N/A

Description of fans

NA

Purge N/A

Description of Purge

NA

Other Local Bell Wheelock 6"

Were all tested? YES

Did they function properly? YES

Was annual room pressurization test performed? N/A

Date room pressurization last tested?

NA

If interlocks cannot be tested, or there is not adequate interlocks or if deficiencies exist, explain in detail below:

NA

Agent Type Dry Chem - Kidde

INDIVIDUAL DEVICE REPORT 4 Devices (uploaded files will be emailed/stored with Inspection Report)

Location Manufacturer Serial # Model # Sens.

Setting Graphic

Conn.

Comments

Shed-A

Globe NA ML 212 Deg NA

NA

Shed-A

Globe NA ML 212 Deg NA

NA

Shed-B

Globe NA ML 212 Deg NA

NA

Shed-B

Globe NA ML 212 Deg NA

AGENT STORAGE CONTAINER REPORT

ACS # Gross Weight lbs.

Agent Weight lbs.

Pressure P.S.I Hydro Test Date

Liquid Levels Inches

Location Area Protecting

1 TAR051214 21lbs 360 04/2017 NA Exterior of waste shed Waste Shed

2 P14335TC 45lbs 360 04/2017 NA Exterior of waste shed Waste Shed

3 87-20043-001 237grams 2-2018 NA Nitrogen cartridge

UNITED FIRE PROTECTION CORP.

Work Ticket Delivery Date: January 09, 2023 Ticket #: 184336.01092023

Account #: 66-0790

PO#

Site Name: James J Peters VA Medical Center

Address: 130 West Kingsbridge Road, Bronx, NY, 10468 Building

Site Contact:

Type of Call: Inspection

Work Tickets Notes: Call

Associate Radiation Safety Officer

Scope of Work: Perform Semi Annual Dry Chemical inspection.

TO BE PERFORMED:

Site Act # Frequency Ctrl Panl

System Area Building Str# Str Fl City St

66-0790 Semi Annual

Dry Chemical

Radioactive Storage Shed

130 West Kingsbridge Road

Bronx NY

Description of Work Performed:

Performed Semi Annual Dry Chemical inspection. Replaced all (4) 212* fusible links.

Note:

System is Local only. Bell on side of enclosure.

There is no connection to the building Simplex Fire Alarm.

All systems have been restored to normal operations upon completion of inspection.

Material Used:

Qty Make Model Description

4 Globe ML 212* Fusable Links

Technicians Actual Time for the Job:

Date Technician Disp Arr Dep Trvl Frm Site

Total Trvl

HRPC TOJ Lunch

01/09/2023 08:00 09:00 12:00 00:00 00:00 R 03:00 00:00

01/09/2023 08:00 09:00 12:00 00:00 00:00 R 15:00 00:00

System Left: In Normal Operation Is Call or Insp Complete? Yes Need to Reschedule? No