S02_RFP Attachment_VA 01 00 00 Sprinkler Work Notifications General Requirements - Attachment 1a and 1b.pdf
PDF 140 KB Posted
- Attached to
- Z1DA--FY23 NRM-Tier 1 (PROJ 673-22-109) D/B: Install Fan Array in AHU OR2-7 and Replace Exhaust Fans
- Solicitation number
- 36C24823R0068
About this file
This document contains two attachments related to fire sprinkler work notifications for a project at the James A. Haley Veterans' Hospital in Tampa, Florida. Attachment 1a details the notification process for when fire sprinkler systems must be impaired, including precautions that must be taken, justification, approvals required from safety personnel, and other notifications. It requires contact information for the contracting officer's technical representative. Attachment 1b similarly outlines the notification process for when full protection of fire sprinkler systems is restored. The related federal contract opportunity is for installing a fan array in an air handling unit and replacing exhaust fans at the James A. Haley Veterans' Hospital as part of Project 673-22-109. The point of contact listed is amy.shaw3@va.gov and the opportunity is through the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8.
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Text version
Attachments 1a & 1b
Fire Sprinkler Work
Notifications
SECTION 01 00 00
GENERAL REQUIREMENTS
ATTACHMENT #1 - A
NOTIFICATION OF IMPAIRED FIRE SPRINKLER BY CONTRACTOR PERSONNEL
PROJECT No. & TITLE:
NAME OF FACILITY:
NOTIFIED BY:
TITLE:
COMPANY:
NATURE OF IMPAIRMENT:
PRECAUTIONS TO BE TAKEN:
CLOSED VALVE #: BLDG. #: ROOM #:
CONTROLLING:
START DATE: Su M T W Th F Sa @ TIME:
END DATE: Su M T W Th F Sa @ TIME:
JUSTIFICATION:
COR CONTACTED: DATE/TIME
EXT: or CELL:
SAFETY OFFICER CONTACTED (EXT. 7292)
EGCC OPERATOR/CEP CONTACTED (EXT. 7080)
FIRE DEPARTMENT CONTACTED (813- 971-3636)
VISN SAFETY MANAGER( )
Section 01 00 00, Revised May 2015 General Requirements – Attachment #1 - A Page 1
SECTION 01 00 00
GENERAL REQUIREMENTS
ATTACHMENT #1 - B
NOTIFICATION OF RESTORED FIRE SPRINKLER BY CONTRACTOR PERSONNEL
PROJECT No. & TITLE:
NAME OF FACILITY:
NOTIFIED BY:
TITLE:
COMPANY:
NATURE OF IMPAIRMENT:
FULL PROTECTION RESTORED, EXCEPT:
OPENED VALVE #: BLDG. #: ROOM #:
CONTROLLING:
DATE: Su M T W Th F Sa @ TIME:
REASON FOR PARTIAL RESTORATION:
COR CONTACTED: DATE/TIME
EXT: or CELL:
SAFETY OFFICER CONTACTED (EXT. 7292)
EGCC OPERATOR/CEP CONTACTED (EXT. 7080)
FIRE DEPARTMENT CONTACTED (813- 971-3636)
VISN SAFETY MANAGER( )
Section 01 00 00, Revised May 2015 General Requirements – Attachment #1 - B Page 1
| DATETIMESAFETY OFFICER CONTACTED EXT 7598: |
| DATETIMEEGCC OPERATORCEP CONTACTED EXT 7080: |
| DATETIMEFIRE DEPARTMENT CONTACTED 8139713636: |
| DATETIMERSFPE CONTACTED: |
| DATETIMESAFETY OFFICER CONTACTED EXT 7598_2: |
| DATETIMEEGCC OPERATORCEP CONTACTED EXT 7080_2: |
| DATETIMEFIRE DEPARTMENT CONTACTED 8139713636_2: |
| DATETIMERSFPE CONTACTED_2: |
| Contract Information: |
| DATETIMECOTR CONTACTED: |
| DATETIMECOTR CONTACTED_2: |
| End Time - #1A: |
| Group18: Off |
| Group19: Off |
| Project # and Title - #1A: |
| Name of Facility - #1A: |
| Notified By - #1A: |
| Title - #1A: |
| Company - #1A: |
| Nature of Impairment - #1A: |
| Closed Valve - #1A: |
| BLDG # - #1A: |
| Room # - #1A: |
| Controlling - #1A: |
| Justification - #1A: |
| COTR Name - #1A: |
| COTR Phone Ext - #1A: |
| COTR Cell # - #1A: |
| RSFPE # - #1A: |
| Precautions Taken - #1A: |
| Precautions Taken - #1B: |
| Justification - #1B: |
| Start Time - #1A: |
| Start Time - #1B: |
| Group20: Off |
| Reset: |
| Print: |
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