Pages from FA Inspection Report - HILO.pdf
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Department of the Army National Guard
About this file
This is a job work order and fire alarm system inspection/testing report for Phoenix Pacific, Inc. (PPI) documenting assessment services performed on February 18-19, 2025, at six buildings (701-705, 771) located at Keaukaha Military Reservation in Hilo, Hawaii for client Hawk-Niking, LLC.
The assessment identified multiple critical deficiencies requiring repairs. All fire alarm control panels (FACPs) operate as standalone systems without third-party monitoring. Secondary power supply batteries installed in 2009 are physically damaged and require replacement across four buildings: Bldg 701/703/704/705 (12v 18ah), Bldg 704 ICAP Training room (12v 33ah), and Bldg 771 (12v 7ah). A CPU RAM battery (CR2032) requires replacement in Bldg 704 ICAP. An end-of-line capacitor (50uF, 50v) needs replacement for Bldg 702 pull stations. Additionally, three notification devices (strobe horns/pull stations) must be replaced due to failure or weather damage in Bldgs 704, 705, and 771. A sprinkler riser flow switch at Bldg 702 requires replacement but falls outside PPI's scope. Recommended service includes installing a 120vac surge suppressor at the 4100U FACP and further assessment of panel interconnection capabilities. Buildings 751, 752, and 753 have no fire alarm devices. PPI will generate a comprehensive repair quote including 12 hours of technician service and all required materials/parts. The work order specifies service completion, though final quote generation and customer notification remain pending.
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DESCRIPTION:
CALL TYPE:
WORK PERFORMED: DATE of SERVICE:
2/18/2025 , 2/19/2025
TECHNICNIAN:
M.Kanealii
SERVICE:
Assess conditions and operations of the Fire alarm systems for the buildings as follows:
701 ,702 ,703 ,704 ,705 ,771 Buildings below have no devices affiliated or connected to the Fire alarm systems:
751, 752, 753
ACTIONS:
Assessment and findings to include testing below:
*ALL FACPs are operating as STANDALONE systems and do not monitor, report or activate each other. System is not monitored by any third-party entity (exp: Alert Alarm) *****************Bldg. 701,703,704,705 ***************** Monaco Vulcan FACP [Bldg 704 elct rm]
PANEL CONDITION ON ARRIVAL AND COMPLETION:
1 Trouble active [Secondary power supplies]
Power supplies:
PRIMARY: 120vac , 20ah SECONDARY: 12v 18ah [installation date 2009]
Initiating devices:
Pull stations:
[4] 270-SPO (EDWARDS)
Notification devices:
Strobe Horns:
[3] 757-7A-T (EDWARDS)
2045 Lauwiliwili St., Unit 101, Kapolei, HI 96707 Main: (808) 682-1000 info@phoenixpacificinc.com www.phoenixpacificinc.com
JOB WORK ORDER
ORDER #:
240230-3
DATE: 03/06/2025
CLIENT LOCATION: HAWK-NIKING, LLC
235 KELLOG STREET
WAHIAWA , HI 96786
BILLED TO:
HAWK-NIKING, LLC
235 KELLOG STREET
WAHIAWA , HI 96786
HIANG: Hilo B701, B702, B703, B704, & B705 - Assess/Troubleshoot FAS Assess
10 - SERVICE
Deficiencies:
-System is in trouble due to failed batteries -Secondary power supplies installation dated 2009 , Batteries are physically damaged .
Replacements needed -Strobe horn in hallway of bldg. 704,705 did not sound , this device should be replaced.
*****************Bldg.702**************** Pyrotronics System3 CP-30 FACP [Bldg.702 elct rm]
PANEL CONDITION ON ARRIVAL AND COMPLETION:
1 trouble active [ZN2]
Power supplies:
PRIMARY: 120vac,20ah
SECONDARY: N/A
Initiating devices:
Pull stations:
[4] MS57 (PYROTRONICS)
Notification devices:
[2] Bells PID not available
UNMONITORED by FACP:
[1] SPRINKLER RISER FLOW SWICTH (Device drives bell powered by 120vac)
Deficiencies:
- System is in trouble due to a bad EOL/capacitor
- ZN2 pull stations is in trouble assumed from a bad EOL/capacitor, A new capacitor is needed.
- Flow switch for sprinkler riser at Spray booth Bay is damaged, did not activate properly needs to be replaced and should be monitored by the FACP.
*****************Bldg.704 ICAP Training rm**************** SIMPLEX 4100U [Bldg 704 ICAP Training rm]
PANEL CONDITION ON ARRIVAL:
Panel was deenergized on arrival, reasoning is uncertain but, assumed to be due to systems condition being in trouble and not being able to silence. Systems history log was accessed and reviewed. PPI noticed several events occurred related to power outages or over currents. These are likely generated from actual events and the system may had "LATCHED" in reboot when in attempted to restart. This results in the system being in a constant cycle which would keep the trouble PSEUDO sounders activated.
PANEL CONDITION ON STARTUP:
01. Card 2 IDnet Card (250 points) , IdNet CHANNEL FAILURE, "ABNORMAL"
02. CPU FAIL
*PPI tech conducted several different methods to reboot the system and was successful. PPI was able to Test the system and complete the services needed. See below for systems condition on completion.
Power supplies:
PRIMARY: 120vac , 20ah SECONDARY: 12v 18ah [installation date 2009]
Initiating devices:
Pull stations:
[3] 4099-9020 (SIMPLEX)
Smoke Detectors:
[16] 4098-9714 Det w/4098-9792 base (SIMPLEX)
Notification devices:
[3] 49MTV-WRF (SIMPLEX)
PANEL CONDITION ON COMPLETION:
2 Troubles active:
1. Card 1 power supply/charger, Battery missing/low , "ABNORMAL"
2. Ram battery missing/failed, trouble point , "ABNORMAL"
Deficiencies:
-System is in trouble due to failed batteries reflected above -Secondary power supplies installation dated 2009 , batteries are out of date and failed a load test. Replacements needed.
-CPU RAM battery is failed , replacement needed -Uncompleted tie in for alarm relays between 4100U FACP and Monaco FACP at 704 hallway. An Assessment is needed
- Pull station device outside of exit door towards bldg. 771 was untested. This device is severely weathered and is unserviceable and will need to be replaced.
*****************Bldg. 771 [Warehouse]***************** Monaco Vulcan FACP [Bldg 704 Hallway outside elct rm]
PANEL CONDITION ON ARRIVAL AND COMPLETION:
1 Trouble active [Secondary power supplies]
Power supplies:
PRIMARY: 120vac , 20ah SECONDARY: 12v 7ah [installation date 2009]
Initiating devices:
Pull stations:
[3]MS57 (PYROTRONICS)
Heat Detectors:
[5] 501 (CHEMETRON)
*TESTING WAS SIMULATED BY SHORTING THE CONTACTS AT THE DEVICE AS THE DEVICES ARE OLD
AND UNRESETABLE. DEVICES ARE ASSUMED OPERABLE FROM READINGS OBTAINED THROUGH
MULTIMETER AND CONDUCTING CONTNIUITY CHECKS TO IMMULATE AN ALARM TO RECIEVE SIGNALS AT
FACP.
Notification devices:
[3] Bells PID not available
Deficiencies:
-Secondary power supplies installation dated 2009 , Batteries are physically damaged , Replacement is needed -Uncompleted tie in for alarm relays from Monaco FACP to SIMPLEX 4100U FACP, An assessment is needed.
FOLLOW UP:
1.PPI to bill accordingly for services for 1 technician 2.PPI to advise customers of findings above,repairs needed and recommendations below.
3.PPI to generate a quote for all repairs to include recommended service for 1 technician at 12 hours of service and parts/materials needed.
REPAIRS NEEDED:
*Replace secondary power supplies and wiring to FACPs below:
-SIMPLEX 4100U [Bldg 704 ICAP Training rm] [2]12v 33ah -Monaco Vulcan FACP [Bldg 704 elct rm] [2]12v 18ah -Monaco Vulcan FACP [Bldg 704 Hallway outside elct rm] [2]12v 7ah
*Replace RAM battery at CPU for below FACP:
-SIMPLEX 4100U [Bldg 704 ICAP Training rm]
*Replace End of line Capacitor for below device:
Bldg.702 warehouse north bay pull station (100-115588) 50uF,50v capacitor)
*Replace devices at locations below:
-[1] 757-7A-T at 704/705 hallway outside operations -[1] 4099-9020 at 704 outside of exit door towards bldg. 771 [1] Sprinkler riser Flow Switch at 702 spray paint booth (Out of PPIs obligation/capabilities)
RECOMMENDED SERVICE:
-Install 120vac inline surge suppressor at the 4100U FACP -Further assess Monaco and 4100U FACP for capabilities to interconnect panels for monitoring.
PARTS/MATERIALS:
-Needed for repairs:
[1] CR2032 battery (RAM) [2] 12v 33ah batteries [2] 12v 18ah batteries
[2] 12v 7ah batteries [1] 100-115588, 50uF,50v capacitor [SIEMENS] [1] 757-7A-T ,Strobe horn [EDWARDS] [1] 4099-9020 addressable pull station [SIMPLEX]
-Needed for recommended service:
[1] DTK-120HW (Surge suppressor)
IS JOB COMPLETE? -- DISC/CREDIT: $0.00
SALES TAX: $0.00
TAXABLE: $0.00
NON-TAXABLE: $0.00
DISCOUNT: $0.00
BALANCE $0.00
NET DUE: $0.00
Customer:
Date: 03/06/2025 03:11 PM
Employee: Mahi Kanealii Date: 03/06/2025 03:11 PM
TERMS AND CONDITIONS
I / We hereby authorize the above work to be done along with the necessary materials and grant Phoenix Pacific, Inc., or its employees permission to test and/or operate the unit to be worked on. An express mechanic's lien is hereby acknowledged to secure payment for the work performed. Payment is due upon completion of work if no prior arrangement has been cleared by Phoenix Pacific, Inc., for credit. I / We agree to pay later fees at the rate of 1-1/2% per month on all accounts remainig unpaid after the due date, plus attorney's fees if collection proceedings are instituted.
PHOTO REPORT
ORDER #:
240230-3
DATE: 02/19/2025
CLIENT: HAWK-NIKING, LLC
STREET: 235 KELLOG STREET
CITY: WAHIAWA, HI 96786
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NFPA 72, Fig. 14.6.2.4 (p. 1 of 11)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
FIRE ALARM AND EMERGENCY COMMUNICATION SYSTEM INSPECTION AND TESTING FORM
To be completed by the system inspector or tester at the time of the inspection or test.
It shall be permitted to modify this form as needed to provide a more complete and/or clear record.
Insert N/A in all unused lines.
Attach additional sheets, data, or calculations as necessary to provide a complete record.
Date of this inspection or test: 2/19/2025 Time of inspection or test: 0800am
1. PROPERTY INFORMATION
Name of property: Keaukaha Military Reservation , HIANG Bldg.702
Address: Keaukaha Military Reservation
Description of property: MAINTENANCE/SUPPORT
Occupancy type:
Name of property representative: Hawaii Air National Guard
Address:
Phone: Fax: E-mail:
Authority having jurisdiction over this property: Hawaii Air National Guard
Phone: Fax: E-mail:
2. INSTALLATION, SERVICE, AND TESTING CONTRACTOR INFORMATION
Service and/or testing organization for this equipment: Phoenix Pacific INC.
Address: 2045 LAUWILIWILI STREET UNIT 101 KAPOLEI HI96707
Phone: 808-682-1000 Fax: 808-682-1047 E-mail: info@phoenixhawaii.com
Service technician or tester: M.Kanealii
Qualifications of technician or tester: NICET Level II, Fire Alarms Systems
A contract for test and inspection in accordance with NFPA standards is in effect as of: n/a
The contract expires: n/a Contract number: n/a Frequency of tests and inspections: n/a
Monitoring organization for this equipment: n/a
A contract for test and inspection in accordance with NFPA standards is in effect as of: n/a
Address: BLDG 702
Phone: n/a Fax: n/a E-mail: n/a
Entity to which alarms are retransmitted: Phone:
3. TYPE OF SYSTEM OR SERVICE
Fire alarm system (nonvoice)
Fire alarm with in-building fire emergency voice alarm communication system (EVACS)
Mass notification system (MNS)
Combination system, with the following components:
Fire alarm EVACS MNS Two-way, in-building, emergency communication system
Other (specify):
NFPA 72, Fig. 14.6.2.4 (p. 2 of 11)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
3. TYPE OF SYSTEM OR SERVICE (continued)
NFPA 72 edition: 2019 Additional description of system(s):
3.1 Control Unit
Manufacturer: SIEMENS PYROTRONICS Model number: SYSTEM 3 (CP- 30)
3.2 Mass Notification System This system does not incorporate an MNS
3.2.1 System Type:
In-building MNS—combination
In-building MNS—stand-alone Wide-area MNS Distributed recipient MNS
Other (specify):
3.2.2 System Features:
Combination fire alarm/MNS MNS ACU only Wide-area MNS to regional national alerting interface
Local operating console (LOC) Direct recipient MNS (DRMNS) Wide-area MNS to DRMNS interface
Wide-area MNS to high-power speaker array (HPSA) interface In-building MNS to wide-area MNS interface
Other (specify):
3.3 System Documentation
An owner’s manual, a copy of the manufacturer’s instructions, a written sequence of operation, and a copy of the record record drawings are stored on site. Location: n/a
3.4 System Software This system does not have alterable site-specific software.
Software revision number: n/a Software last updated on: n/a
A copy of the site-specific software is stored on site. Location: n/a
4. SYSTEM POWER
4.1 Control Unit
4.1.1 Primary Power
Input voltage of control panel: 120 Control panel amps: 20
4.1.2 Engine-Driven Generator This system does not have a generator.
Location of generator:
Location of fuel storage: Type of fuel:
4.1.3 Uninterruptible Power System This system does not have UPS.
Equipment powered by a UPS system:
Location of UPS system:
Calculated capacity of UPS batteries to drive the system components connected to it:
In standby mode (hours): In alarm mode (minutes):
NFPA 72, Fig. 14.6.2.4 (p. 3 of 11)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
4. SYSTEM POWER (continued)
4.1.4 Batteries
Location: n/a Type: n/a Nominal voltage: n/a Amp/hour rating: n/a
Calculated capacity of batteries to drive the system:
In standby mode (hours): n/a In alarm mode (minutes): n/a
Batteries are marked with date of manufacture.
4.2 In-Building Fire Emergency Voice Alarm Communication System or Mass Notification System
This system does not have an EVACS or MNS.
4.2.1 Primary Power
Input voltage of EVACS or MNS panel: EVACS or MNS panel amps:
4.2.2 Engine-Driven Generator This system does not have a generator.
Location of generator:
Location of fuel storage: Type of fuel:
4.2.3 Uninterruptible Power System This system does not have a UPS.
Equipment powered by a UPS system:
Location of UPS system:
Calculated capacity of UPS batteries to drive the system components connected to it:
In standby mode (hours): In alarm mode (minutes):
4.2.4 Batteries
Location: Type: Nominal voltage: Amp/hour rating:
Calculated capacity of batteries to drive the system:
In standby mode (hours): In alarm mode (minutes):
Batteries are marked with date of manufacture.
4.3 Notification Appliance Power Extender Panels This system does not have power extender panels.
4.3.1 Primary Power
Input voltage of power extender panel(s): Power extender panel amps:
4.3.2 Engine-Driven Generator This system does not have a generator.
Location of generator:
Location of fuel storage: Type of fuel:
4.3.3 Uninterruptible Power System This system does not have a UPS.
Equipment powered by a UPS system:
Location of UPS system:
NFPA 72, Fig. 14.6.2.4 (p. 4 of 11)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
4.3.4 Batteries
Location: Type: Nominal voltage: Amp/hour rating:
Calculated capacity of batteries to drive the system:
In standby mode (hours): In alarm mode (minutes):
Batteries are marked with date of manufacture.
5. ANNUNCIATORS This system does not have annunciators.
5.1 Location and Description of Annunciators
Annunciator 1:
Annunciator 2:
Annunciator 3:
6. NOTIFICATIONS MADE PRIOR TO TESTING
Monitoring organization Contact: n/a Time:
Building management Contact: n/a Time:
Building occupants Contact: n/a Time:
Authority having jurisdiction Contact: n/a Time:
Other, if required Contact: n/a Time:
7. TESTING RESULTS
7.1 Control Unit and Related Equipment
Description
Visual
Inspection
Functional
Test Comments
Control unit PASS
Lamps/LEDs/LCDs PASS
Fuses PASS
Trouble signals PASS
Disconnect switches PASS
Ground-fault monitoring PASS
Supervision N/A
Local annunciator N/A
Remote annunciators N/A
Power extender panels N/A
Isolation modules N/A
Other (specify) N/A
NFPA 72, Fig. 14.6.2.4 (p. 5 of 11)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7. TESTING RESULTS (continued)
7.2 Control Unit Power Supplies
Description
Visual
Inspection
Functional
Test Comments
120-volt power PASS
Generator or UPS N/A
Battery condition N/A
Load voltage N/A
Discharge test N/A
Charger test N/A
Other (specify) N/A
7.3 In-Building Fire Emergency Voice Alarm Communications Equipment
Description
Visual
Inspection
Functional
Test Comments
Control unit N/A
Lamps/LEDs/LCDs N/A
Fuses N/A
Primary power supply N/A
Secondary power supply N/A
Trouble signals N/A
Disconnect switches N/A
Ground-fault monitoring N/A
Panel supervision N/A
System performance N/A
Sound pressure levels
Occupied Yes No
N/A
Ambient dBA
Alarm dBA
(attach report with locations, values, and weather conditions)
System intelligibility
CSI STI
(attach report with locations, values, and weather conditions)
N/A
NFPA 72, Fig. 14.6.2.4 (p. 6 of 11)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.4 Notification Appliance Power Extender Panels
Description
Visual
Inspection
Functional
Test Comments
Lamps/LEDs/LCDs N/A
Fuses N/A
Primary power supply N/A
Secondary power supply N/A
Trouble signals N/A
Ground-fault monitoring N/A
Panel supervision N/A
Other (specify) N/A
7.5 Mass Notification Equipment
Description
Visual
Inspection
Functional
Test Comments
Functional test N/A
Reset/power down test N/A
Fuses N/A
Primary power supply N/A
UPS power test N/A
Trouble signals N/A
Disconnect switches N/A
Ground-fault monitoring N/A
CCU security mechanism N/A
Prerecorded message content N/A
Prerecorded message activation N/A
Software backup performed N/A
Test backup software N/A
Fire alarm to MNS interface N/A
MNS to fire alarm interface N/A
In-building MNS to wide-area
MNS
NFPA 72, Fig. 14.6.2.4 (p. 7 of 11)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.5 Mass Notification Equipment (continued)
Description
Visual
Inspection
Functional
Test Comments
MNS to direct recipient MNS N/A
Sound pressure levels
Occupied Yes No
N/A
Ambient dBA
Alarm dBA
(attach report with locations, values, and weather conditions)
System intelligibility
CSI STI
(attach report with locations, values, and weather conditions)
N/A
Other (specify) N/A
7.6 Two-Way Communications Equipment
Description
Visual
Inspection
Functional
Test Comments
Phone handsets N/A
Phone jacks N/A
Off-hook indicator N/A
Call-in signal N/A
System performance N/A
System audibility N/A
System intelligibility N/A
Radio communications enhancement system
N/A
Area of refuge communication system
N/A
Elevator emergency communications system
NFPA 72, Fig. 14.6.2.4 (p. 8 of 11)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.7 Combination Systems
Description
Visual
Inspection
Functional
Test Comments
Fire extinguishing monitoring devices/system
N/A
Carbon monoxide detector/system N/A
Combination fire/security system N/A
Other (specify) N/A
7.8 Special Hazard Systems
Description (specify)
Visual
Inspection
Functional
Test Comments
N/A
N/A
N/A
7.9 Emergency Communications System
Visual
Functional
Simulated operation
Ensure predischarge notification appliances of special hazard systems are not overridden by the MNS.
See NFPA 72, 24.4.1.7.1.
7.10 Monitored Systems
Description (specify)
Visual
Inspection
Functional
Test Comments
Engine-driven generator N/A
Fire pump N/A
Special suppression systems N/A
NFPA 72, Fig. 14.6.2.4 (p. 9 of 11)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.11 Auxiliary Functions
Description
Visual
Inspection
Functional
Test Comments
Door-releasing devices N/A
Fan shutdown N/A
Smoke management/smoke control N/A
Smoke damper operation N/A
Smoke shutter release N/A
Door unlocking N/A
Elevator recall N/A
Elevator shunt trip N/A
MNS override of FA signals N/A
Other (specify) N/A
7.12 Alarm Initiating Device
Device test results sheet attached listing all devices tested and the results of the testing
7.13 Supervisory Alarm Initiating Device
Device test results sheet attached listing all devices tested and the results of the testing
7.14 Alarm Notification Appliances
Appliance test results sheet attached listing all appliances tested and the results of the testing
7.15 Supervisory Station Monitoring
Description
Visual
Inspection
Functional
Test Time Comments
Alarm signal N/A
Alarm restoration N/A
Trouble signal N/A
Trouble restoration N/A
Supervisory signal N/A
Supervisory restoration N/A
NFPA 72, Fig. 14.6.2.4 (p. 10 of 11)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
8. NOTIFICATIONS THAT TESTING IS COMPLETE
Monitoring organization Contact: N/A Time:
Building management Contact: N/A Time:
Building occupants Contact: N/A Time:
Authority having jurisdiction Contact: N/A Time:
Other, if required Contact: N/A Time:
9. SYSTEM RESTORED TO NORMAL OPERATION
Date: Time:
10. CERTIFICATION
10.1 Inspector Certification:
This system, as specified herein, has been inspected and tested according to all NFPA standards cited herein.
Signed: Printed name: Mahiolii Kanealii Date: 2/19/2025
Organization: Phoenix Pacific Title: NICET II , Fire alarm systems
Phone: 808-682-1000
10.2 Acceptance by Owner or Owner’s Representative:
The undersigned has a service contract for this system in effect as of the date shown below.
Signed: Printed name: Date:
Organization: Title: Phone:
NFPA 72, Fig. 14.6.2.4 (p. 11 of 11)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
DEVICE TEST RESULTS
(Attach additional sheets if required)
Device Type Address Location Test Results
PullStation (MS series) N/A Bldg.702 Motor.Veh bay 1 PASS
PullStation (MS series) N/A Bldg.702 Motor.Veh bay 2 PASS
PullStation (MS series) N/A Bldg.702 Power pro bay 1 PASS
PullStation (MS series) N/A Bldg.702 Power pro bay 2 PASS
Bell N/A Bldg.702 Power pro bay PASS
Bell N/A Bldg.702 Motor.Veh bay PASS
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
To be completed by the system inspector or tester at the time of the inspection or test.
It shall be permitted to modify this form as needed to provide a more complete and/or clear record.
Name of property: Keaukaha Military Reservation , HIANG Bldg.704
Address: Keaukaha Military Reservation
Description of property: MAINTENANCE/SUPPORT
Occupancy type:
Name of property representative: Hawaii Air National Guard
Address:
Phone: Fax: E-mail:
Authority having jurisdiction over this property: Hawaii Air National Guard
Phone: Fax: E-mail:
2. INSTALLATION, SERVICE, AND TESTING CONTRACTOR INFORMATION
Service and/or testing organization for this equipment: Phoenix Pacific INC.
Address: 2045 LAUWILIWILI STREET UNIT 101 KAPOLEI HI96707
Phone: 808-682-1000 Fax: 808-682-1047 E-mail: info@phoenixhawaii.com
Service technician or tester: M.Kanealii
Qualifications of technician or tester: NICET Level II, Fire Alarms Systems
A contract for test and inspection in accordance with NFPA standards is in effect as of: n/a
The contract expires: n/a Contract number: n/a Frequency of tests and inspections: n/a
Monitoring organization for this equipment: n/a
A contract for test and inspection in accordance with NFPA standards is in effect as of: n/a
Address: BLDG 704
Phone: n/a Fax: n/a E-mail: n/a
Entity to which alarms are retransmitted: Phone:
3. TYPE OF SYSTEM OR SERVICE
Fire alarm system (nonvoice)
Fire alarm with in-building fire emergency voice alarm communication system (EVACS)
Mass notification system (MNS)
Combination system, with the following components:
Fire alarm EVACS MNS Two-way, in-building, emergency communication system
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
NFPA 72 edition: 2019 Additional description of system(s):
3.1 Control Unit
Manufacturer: Monaco Enterprises Model number: VULCAN 1
3.2 Mass Notification System This system does not incorporate an MNS
3.2.1 System Type:
In-building MNS—combination
In-building MNS—stand-alone Wide-area MNS Distributed recipient MNS
Other (specify):
3.2.2 System Features:
Combination fire alarm/MNS MNS ACU only Wide-area MNS to regional national alerting interface
Local operating console (LOC) Direct recipient MNS (DRMNS) Wide-area MNS to DRMNS interface
Wide-area MNS to high-power speaker array (HPSA) interface In-building MNS to wide-area MNS interface
Other (specify):
3.3 System Documentation
An owner’s manual, a copy of the manufacturer’s instructions, a written sequence of operation, and a copy of the record record drawings are stored on site. Location: n/a
3.4 System Software This system does not have alterable site-specific software.
Software revision number: n/a Software last updated on: n/a
A copy of the site-specific software is stored on site. Location: n/a
4. SYSTEM POWER
4.1 Control Unit
4.1.1 Primary Power
Input voltage of control panel: 120 Control panel amps: 20
4.1.2 Engine-Driven Generator This system does not have a generator.
Location of generator:
Location of fuel storage: Type of fuel:
4.1.3 Uninterruptible Power System This system does not have UPS.
Equipment powered by a UPS system:
Location of UPS system:
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
4.1.4 Batteries
Location: FACP Type: SLA Nominal voltage: 12vdc Amp/hour rating: 18ah
Calculated capacity of batteries to drive the system:
In standby mode (hours): n/a In alarm mode (minutes): n/a
Batteries are marked with date of manufacture.
4.2 In-Building Fire Emergency Voice Alarm Communication System or Mass Notification System
This system does not have an EVACS or MNS.
4.2.1 Primary Power
Input voltage of EVACS or MNS panel: EVACS or MNS panel amps:
4.2.2 Engine-Driven Generator This system does not have a generator.
Location of generator:
Location of fuel storage: Type of fuel:
4.2.3 Uninterruptible Power System This system does not have a UPS.
Equipment powered by a UPS system:
Location of UPS system:
Calculated capacity of UPS batteries to drive the system components connected to it:
In standby mode (hours): In alarm mode (minutes):
4.2.4 Batteries
Location: Type: Nominal voltage: Amp/hour rating:
Calculated capacity of batteries to drive the system:
In standby mode (hours): In alarm mode (minutes):
Batteries are marked with date of manufacture.
4.3 Notification Appliance Power Extender Panels This system does not have power extender panels.
4.3.1 Primary Power
Input voltage of power extender panel(s): Power extender panel amps:
4.3.2 Engine-Driven Generator This system does not have a generator.
Location of generator:
Location of fuel storage: Type of fuel:
4.3.3 Uninterruptible Power System This system does not have a UPS.
Equipment powered by a UPS system:
Location of UPS system:
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
Location: Type: Nominal voltage: Amp/hour rating:
Calculated capacity of batteries to drive the system:
In standby mode (hours): In alarm mode (minutes):
Batteries are marked with date of manufacture.
5. ANNUNCIATORS This system does not have annunciators.
5.1 Location and Description of Annunciators
Annunciator 1:
Annunciator 2:
Annunciator 3:
6. NOTIFICATIONS MADE PRIOR TO TESTING
Monitoring organization Contact: n/a Time:
Building management Contact: n/a Time:
Building occupants Contact: n/a Time:
Authority having jurisdiction Contact: n/a Time:
Other, if required Contact: n/a Time:
7. TESTING RESULTS
7.1 Control Unit and Related Equipment
Description
Visual
Inspection
Functional
Test Comments
Control unit PASS
Lamps/LEDs/LCDs PASS
Fuses PASS
Trouble signals PASS
Disconnect switches PASS
Ground-fault monitoring PASS
Supervision N/A
Local annunciator N/A
Remote annunciators N/A
Power extender panels N/A
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.2 Control Unit Power Supplies
Description
Visual
Inspection
Functional
Test Comments
120-volt power PASS
Generator or UPS N/A
Battery condition FAILED
Load voltage FAILED
Discharge test N/A
Charger test N/A
Other (specify) N/A
7.3 In-Building Fire Emergency Voice Alarm Communications Equipment
Description
Visual
Inspection
Functional
Test Comments
Control unit N/A
Lamps/LEDs/LCDs N/A
Fuses N/A
Primary power supply N/A
Secondary power supply N/A
Trouble signals N/A
Disconnect switches N/A
Ground-fault monitoring N/A
Panel supervision N/A
System performance N/A
Sound pressure levels
Occupied Yes No
N/A
Ambient dBA
Alarm dBA
(attach report with locations, values, and weather conditions)
System intelligibility
CSI STI
(attach report with locations, values, and weather conditions)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.4 Notification Appliance Power Extender Panels
Description
Visual
Inspection
Functional
Test Comments
Lamps/LEDs/LCDs N/A
Fuses N/A
Primary power supply N/A
Secondary power supply N/A
Trouble signals N/A
Ground-fault monitoring N/A
Panel supervision N/A
Other (specify) N/A
7.5 Mass Notification Equipment
Description
Visual
Inspection
Functional
Test Comments
Functional test N/A
Reset/power down test N/A
Fuses N/A
Primary power supply N/A
UPS power test N/A
Trouble signals N/A
Disconnect switches N/A
Ground-fault monitoring N/A
CCU security mechanism N/A
Prerecorded message content N/A
Prerecorded message activation N/A
Software backup performed N/A
Test backup software N/A
Fire alarm to MNS interface N/A
MNS to fire alarm interface N/A
In-building MNS to wide-area
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.5 Mass Notification Equipment (continued)
Description
Visual
Inspection
Functional
Test Comments
MNS to direct recipient MNS N/A
Sound pressure levels
Occupied Yes No
N/A
Ambient dBA
Alarm dBA
(attach report with locations, values, and weather conditions)
System intelligibility
CSI STI
(attach report with locations, values, and weather conditions)
N/A
Other (specify) N/A
7.6 Two-Way Communications Equipment
Description
Visual
Inspection
Functional
Test Comments
Phone handsets N/A
Phone jacks N/A
Off-hook indicator N/A
Call-in signal N/A
System performance N/A
System audibility N/A
System intelligibility N/A
Radio communications enhancement system
N/A
Area of refuge communication system
N/A
Elevator emergency communications system
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.7 Combination Systems
Description
Visual
Inspection
Functional
Test Comments
Fire extinguishing monitoring devices/system
N/A
Carbon monoxide detector/system N/A
Combination fire/security system N/A
Other (specify) N/A
7.8 Special Hazard Systems
Description (specify)
Visual
Inspection
Functional
Test Comments
N/A
N/A
N/A
7.9 Emergency Communications System
Visual
Functional
Simulated operation
Ensure predischarge notification appliances of special hazard systems are not overridden by the MNS.
See NFPA 72, 24.4.1.7.1.
7.10 Monitored Systems
Description (specify)
Visual
Inspection
Functional
Test Comments
Engine-driven generator N/A
Fire pump N/A
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.11 Auxiliary Functions
Description
Visual
Inspection
Functional
Test Comments
Door-releasing devices N/A
Fan shutdown N/A
Smoke management/smoke control N/A
Smoke damper operation N/A
Smoke shutter release N/A
Door unlocking N/A
Elevator recall N/A
Elevator shunt trip N/A
MNS override of FA signals N/A
Other (specify) N/A
7.12 Alarm Initiating Device
Device test results sheet attached listing all devices tested and the results of the testing
7.13 Supervisory Alarm Initiating Device
Device test results sheet attached listing all devices tested and the results of the testing
7.14 Alarm Notification Appliances
Appliance test results sheet attached listing all appliances tested and the results of the testing
7.15 Supervisory Station Monitoring
Description
Visual
Inspection
Functional
Test Time Comments
Alarm signal N/A
Alarm restoration N/A
Trouble signal N/A
Trouble restoration N/A
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
Monitoring organization Contact: N/A Time:
Building management Contact: N/A Time:
Building occupants Contact: N/A Time:
Authority having jurisdiction Contact: N/A Time:
Other, if required Contact: N/A Time:
9. SYSTEM RESTORED TO NORMAL OPERATION
Date: Time:
10. CERTIFICATION
10.1 Inspector Certification:
This system, as specified herein, has been inspected and tested according to all NFPA standards cited herein.
Signed: Printed name: Mahiolii Kanealii Date: 2/19/2025
Organization: Phoenix Pacific Title: NICET II , Fire alarm systems
Phone: 808-682-1000
10.2 Acceptance by Owner or Owner’s Representative:
The undersigned has a service contract for this system in effect as of the date shown below.
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
PullStation (270-SPO) N/A Bldg.705 Entrance Gate PASS
PullStation (270-SPO) N/A Bldg.705 Hallway PASS
PullStation (270-SPO) N/A Bldg.704 near Restrooms PASS
PullStation (270-SPO) N/A Bldg.703 PASS
Strobe Horn (757-7A-T) N/A Bldg.705 Hallway FAILED
Strobe Horn (757-7A-T) N/A Bldg.701 entrance PASS
Strobe Horn (757-7A-T) N/A Bldg.703 PASS
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
To be completed by the system inspector or tester at the time of the inspection or test.
It shall be permitted to modify this form as needed to provide a more complete and/or clear record.
Name of property: Keaukaha Military Reservation , HIANG Bldg.704 ICAP Training room
Address: Keaukaha Military Reservation
Description of property: MAINTENANCE/SUPPORT
Occupancy type:
Name of property representative: Hawaii Air National Guard
Address:
Phone: Fax: E-mail:
Authority having jurisdiction over this property: Hawaii Air National Guard
Phone: Fax: E-mail:
2. INSTALLATION, SERVICE, AND TESTING CONTRACTOR INFORMATION
Service and/or testing organization for this equipment: Phoenix Pacific INC.
Address:
2045 LAUWILIWILI STREET UNIT 101 KAPOLEI HI96707
Phone:
808-682-1000
Fax: 808-682-1047 E-mail: info@phoenixhawaii.com
Service technician or tester: M.Kanealii
Qualifications of technician or tester: NICET Level II, Fire Alarms Systems
A contract for test and inspection in accordance with NFPA standards is in effect as of: n/a
The contract expires: n/a Contract number: n/a Frequency of tests and inspections: n/a
Monitoring organization for this equipment:
n/a
A contract for test and inspection in accordance with NFPA standards is in effect as of: n/a
Address:
BLDG.704 ICAP TRAINING RM
Phone:
n/a
Fax: n/a E-mail: n/a
Entity to which alarms are retransmitted: n/a
Phone: n/a
3. TYPE OF SYSTEM OR SERVICE
Fire alarm system (nonvoice)
Fire alarm with in-building fire emergency voice alarm communication system (EVACS)
Mass notification system (MNS)
Combination system, with the following components:
Fire alarm EVACS MNS Two-way, in-building, emergency communication system
Other (specify):
mailto:info@phoenixhawaii.com
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
NFPA 72 edition: 2019 Additional description of system(s):
3.1 Control Unit
Manufacturer: SIMPLEX Model number: 4100U
3.2 Mass Notification System This system does not incorporate an MNS
3.2.1 System Type:
In-building MNS—combination
In-building MNS—stand-alone Wide-area MNS Distributed recipient MNS
Other (specify):
3.2.2 System Features:
Combination fire alarm/MNS MNS ACU only Wide-area MNS to regional national alerting interface
Local operating console (LOC) Direct recipient MNS (DRMNS) Wide-area MNS to DRMNS interface
Wide-area MNS to high-power speaker array (HPSA) interface In-building MNS to wide-area MNS interface
Other (specify):
3.3 System Documentation
An owner’s manual, a copy of the manufacturer’s instructions, a written sequence of operation, and a copy of the record record drawings are stored on site. Location: n/a
3.4 System Software This system does not have alterable site-specific software.
Software revision number: 11.09.01 rev3 Software last updated on: 8/5/24
A copy of the site-specific software is stored on site. Location: n/a
4. SYSTEM POWER
4.1 Control Unit
4.1.1 Primary Power
Input voltage of control panel: 120 Control panel amps: 20
4.1.2 Engine-Driven Generator This system does not have a generator.
4.1.3 Uninterruptible Power System This system does not have UPS.
Equipment powered by a UPS system:
Location of UPS system:
Location of generator:
Location of fuel storage: Type of fuel:
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
4.1.4 Batteries
Location: FACP Type: SLA Nominal voltage: 12vdc Amp/hour rating: 33Ah
Calculated capacity of batteries to drive the system:
In standby mode (hours): n/a In alarm mode (minutes): n/a
Batteries are marked with date of manufacture.
4.2 In-Building Fire Emergency Voice Alarm Communication System or Mass Notification System
This system does not have an EVACS or MNS.
4.2.1 Primary Power
4.2.2 Engine-Driven Generator This system does not have a generator.
4.2.3 Uninterruptible Power System This system does not have a UPS.
4.2.4 Batteries
Location: Type: Nominal voltage: Amp/hour rating:
4.3 Notification Appliance Power Extender Panels This system does not have power extender panels.
4.3.1 Primary Power
4.3.2 Engine-Driven Generator This system does not have a generator.
4.3.3 Uninterruptible Power System This system does not have a UPS.
Input voltage of EVACS or MNS panel: EVACS or MNS panel amps:
Input voltage of power extender panel(s): Power extender panel amps:
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
Location: Type: Nominal voltage: Amp/hour rating:
5. ANNUNCIATORS This system does not have annunciators.
5.1 Location and Description of Annunciators
6. NOTIFICATIONS MADE PRIOR TO TESTING
Monitoring organization Contact: n/a Time:
Building management Contact: n/a Time:
Building occupants Contact: n/a Time:
Authority having jurisdiction Contact: n/a Time:
Other, if required Contact: n/a Time:
7. TESTING RESULTS
7.1 Control Unit and Related Equipment
Description
Visual Inspection
Functional Test
Comments
Control unit
PASS
Lamps/LEDs/LCDs
Fuses
Trouble signals
Disconnect switches
Ground-fault monitoring
Supervision
Local annunciator
Remote annunciators
Power extender panels
Isolation modules
Other (specify)
Annunciator 1:
Annunciator 2:
Annunciator 3:
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.2 Control Unit Power Supplies
Inspection
120-volt power
Generator or UPS
Battery condition
FAILED
Load voltage
FAILED
Discharge test
Charger test
7.3 In-Building Fire Emergency Voice Alarm Communications Equipment
Inspection
Control unit
Primary power supply
Secondary power supply
Panel supervision
System performance
Sound pressure levels
Occupied Yes No
Ambient dBA
Alarm dBA
(attach report with locations, values, and weather conditions)
System intelligibility
CSI STI
(attach report with locations, values, and weather conditions)
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.4 Notification Appliance Power Extender Panels
Inspection
Secondary power supply
Panel supervision
7.5 Mass Notification Equipment
Inspection
Functional test
Reset/power down test
UPS power test
CCU security mechanism
Prerecorded message content
Prerecorded message activation
Software backup performed
Test backup software
Fire alarm to MNS interface
MNS to fire alarm interface
In-building MNS to wide-area
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.5 Mass Notification Equipment (continued)
Inspection
MNS to direct recipient MNS
Sound pressure levels
Occupied Yes No
Ambient dBA
Alarm dBA
(attach report with locations, values, and weather conditions)
System intelligibility
CSI STI
(attach report with locations, values, and weather conditions)
7.6 Two-Way Communications Equipment
Inspection
Phone handsets
Phone jacks
Off-hook indicator
Call-in signal
System performance
System audibility
System intelligibility
Radio communications enhancement system
Area of refuge communication system
Elevator emergency communications system
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.7 Combination Systems
Inspection
Fire extinguishing monitoring devices/system
Carbon monoxide detector/system
Combination fire/security system
7.8 Special Hazard Systems
Description (specify)
Inspection
7.9 Emergency Communications System
Functional
Simulated operation
Ensure predischarge notification appliances of special hazard systems are not overridden by the MNS.
See NFPA 72, 24.4.1.7.1.
7.10 Monitored Systems
Description (specify)
Inspection
Engine-driven generator
Fire pump
Special suppression systems
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
7.11 Auxiliary Functions
Inspection
Door-releasing devices
Fan shutdown
Smoke management/smoke control
Smoke damper operation
Smoke shutter release
Door unlocking
Elevator recall
Elevator shunt trip
MNS override of FA signals
7.12 Alarm Initiating Device
Device test results sheet attached listing all devices tested and the results of the testing
7.13 Supervisory Alarm Initiating Device
Device test results sheet attached listing all devices tested and the results of the testing
7.14 Alarm Notification Appliances
Appliance test results sheet attached listing all appliances tested and the results of the testing
7.15 Supervisory Station Monitoring
Inspection
Time
Alarm signal
Alarm restoration
Trouble signal
Trouble restoration
Supervisory signal
Supervisory restoration
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
Monitoring organization Contact: N/A Time:
Building management Contact: N/A Time:
Building occupants Contact: N/A Time:
Authority having jurisdiction Contact: N/A Time:
Other, if required Contact: N/A Time:
9. SYSTEM RESTORED TO NORMAL OPERATION
10. CERTIFICATION
10.1 Inspector Certification:
This system, as specified herein, has been inspected and tested according to all NFPA standards cited herein.
Signed: Printed name: Mahiolii Kanealii Date: 2/19/2025
Organization: Phoenix Pacific Title: NICET II , Fire alarm systems
Phone: 808-682-1000
10.2 Acceptance by Owner or Owner’s Representative:
The undersigned has a service contract for this system in effect as of the date shown below.
Date: Time:
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
Pull Station (4099-9020) N/A Bldg.704 ICAP rm Entry PASS
Pull Station (4099-9020) N/A Bldg.704 ICAP rm exit PASS
Pull Station (4099-9020) N/A Bldg.704 outside exit towards 771
UNTESTED/ NOT ABLE TO TEST
SEVERELY WEATHERED TO BE
REPLACED
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling 1 PASS
Smoke Detector (4098- 9714)
N/A Bldg.704 ICAP rm ceiling 2 PASS
Smoke Detector (4098- 9714)
N/A Bldg.704 ICAP rm ceiling
PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling
PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling
PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling 6 PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling 7 PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling 8 PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling 9 PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling
PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling
PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling
PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling
PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling
PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling
PASS
Smoke Detector (4098-9714) N/A Bldg.704 ICAP rm ceiling
PASS
Strobe Horn (49MTV-WRF ) N/A Blfg.704 ICAP rm entry PASS
Strobe Horn (49MTV-WRF ) N/A Bldg.704 ICAP rm exit PASS
Strobe Horn (49MTV-WRF ) N/A Bldg.704 outside ICAP facing 771
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
To be completed by the system inspector or tester at the time of the inspection or test.
It shall be permitted to modify this form as needed to provide a more complete and/or clear record.
Name of property: Keaukaha Military Reservation , HIANG Bldg.771
Address: Keaukaha Military Reservation
Description of property: MAINTENANCE/SUPPORT
Occupancy type:
Name of property representative: Hawaii Air National Guard
Address:
Phone: Fax: E-mail:
Authority having jurisdiction over this property: Hawaii Air National Guard
Phone: Fax: E-mail:
2. INSTALLATION, SERVICE, AND TESTING CONTRACTOR INFORMATION
Service and/or testing organization for this equipment: Phoenix Pacific INC.
Address: 2045 LAUWILIWILI STREET UNIT 101 KAPOLEI HI96707
Phone: 808-682-1000 Fax: 808-682-1047 E-mail: info@phoenixhawaii.com
Service technician or tester: M.Kanealii
Qualifications of technician or tester: NICET Level II, Fire Alarms Systems
A contract for test and inspection in accordance with NFPA standards is in effect as of: n/a
The contract expires: n/a Contract number: n/a Frequency of tests and inspections: n/a
Monitoring organization for this equipment: n/a
A contract for test and inspection in accordance with NFPA standards is in effect as of: n/a
Address: BLDG 771
Phone: n/a Fax: n/a E-mail: n/a
Entity to which alarms are retransmitted: n/a Phone: n/a
3. TYPE OF SYSTEM OR SERVICE
Fire alarm system (nonvoice)
Fire alarm with in-building fire emergency voice alarm communication system (EVACS)
Mass notification system (MNS)
Combination system, with the following components:
Fire alarm EVACS MNS Two-way, in-building, emergency communication system
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
NFPA 72 edition: 2019 Additional description of system(s):
3.1 Control Unit
Manufacturer: Monaco Enterprises Model number: VULCAN 1
3.2 Mass Notification System This system does not incorporate an MNS
3.2.1 System Type:
In-building MNS—combination
In-building MNS—stand-alone Wide-area MNS Distributed recipient MNS
Other (specify):
3.2.2 System Features:
Combination fire alarm/MNS MNS ACU only Wide-area MNS to regional national alerting interface
Local operating console (LOC) Direct recipient MNS (DRMNS) Wide-area MNS to DRMNS interface
Wide-area MNS to high-power speaker array (HPSA) interface In-building MNS to wide-area MNS interface
Other (specify):
3.3 System Documentation
An owner’s manual, a copy of the manufacturer’s instructions, a written sequence of operation, and a copy of the record record drawings are stored on site. Location: n/a
3.4 System Software This system does not have alterable site-specific software.
Software revision number: n/a Software last updated on: n/a
A copy of the site-specific software is stored on site. Location: n/a
4. SYSTEM POWER
4.1 Control Unit
4.1.1 Primary Power
Input voltage of control panel: 120 Control panel amps: 20
4.1.2 Engine-Driven Generator This system does not have a generator.
Location of generator:
Location of fuel storage: Type of fuel:
4.1.3 Uninterruptible Power System This system does not have UPS.
Equipment powered by a UPS system:
Location of UPS system:
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
4.1.4 Batteries
Location: FACP Type: SLA Nominal voltage: 12vdc Amp/hour rating: 7ah
Calculated capacity of batteries to drive the system:
In standby mode (hours): n/a In alarm mode (minutes): n/a
Batteries are marked with date of manufacture.
4.2 In-Building Fire Emergency Voice Alarm Communication System or Mass Notification System
This system does not have an EVACS or MNS.
4.2.1 Primary Power
Input voltage of EVACS or MNS panel: EVACS or MNS panel amps:
4.2.2 Engine-Driven Generator This system does not have a generator.
Location of generator:
Location of fuel storage: Type of fuel:
4.2.3 Uninterruptible Power System This system does not have a UPS.
Equipment powered by a UPS system:
Location of UPS system:
Calculated capacity of UPS batteries to drive the system components connected to it:
In standby mode (hours): In alarm mode (minutes):
4.2.4 Batteries
Location: Type: Nominal voltage: Amp/hour rating:
Calculated capacity of batteries to drive the system:
In standby mode (hours): In alarm mode (minutes):
Batteries are marked with date of manufacture.
4.3 Notification Appliance Power Extender Panels This system does not have power extender panels.
4.3.1 Primary Power
Input voltage of power extender panel(s): Power extender panel amps:
4.3.2 Engine-Driven Generator This system does not have a generator.
Location of generator:
Location of fuel storage: Type of fuel:
4.3.3 Uninterruptible Power System This system does not have a UPS.
Equipment powered by a UPS system:
Location of UPS system:
Copyright © 2009 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
Location: Type: Nominal voltage: Amp/hour rating:
Calculated capacity of batteries to drive the system:
In standby mode (hours): In alarm mode (minutes):
Batteries are marked with date of manufacture.
5. ANNUNCIATORS This system does not have annunciators.
5.1 Location and Description of Annunciators
Annunciator 1:
Annu…
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