USAutomatic Sprinkler Corporation

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1 Inspection Report Information For CITY OF WESTFIELD - PUBLIC SAFETY Prepared by: T.Hughes, C.Gibbs

2 a fire protection company Sheet 1 of 2 Phone: (317) Fax: (317) REPORT OF INSPECTION REPORT/BILL TO CITY OF WESTFIELD - PUBLIC SAFETY BUILDING OR LOCATION Westfield PHONE (317) Owner's Section (To be answered by owner or occupant.) A. Explain any occupancy hazard changes since the previous inspection. NONE B. Describe fire protection modifications since last inspection? NONE C. Describe any fires since last inspection? NONE D. When was the system piping last checked for obstructive materials? Unknown [X ] E. When was the dry-piping system last checked for proper pitch? Unknown [X ] F. Are dry valves adequately protected from freezing? YES G. Have all fire pumps been tested to their full capacity through the use of hose streams or flow meters within the past 12 months? N/A H. Are gravity, surface or pressure tanks protected from freezing? N/A Inspector's Section (all responses reference current inspection) 1. GENERAL Yes N/A No a. Is the building occupied? X b. Are all systems in service? X c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflector? X d. In areas protected by wet system, does the building appear to be properly heated in all areas, including blind attics and perimeter areas, where accessible? Do all exterior openings appear to be protected against freezing? X e. Does the hand hose on the sprinkler system appear to be satisfactory? X 2. CONTROL VALVES (See item 14) a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position? X b. Are all control valves in the open position and locked, sealed or equipped with a tamper switch? X 3. WATER SUPPLIES (See item 15) a. Was a water flow test made at the sprinkler riser? X 4. TANKS, PUMPS, FIRE DEPARTMENT CONNECTIONS a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? X b. Are fire dept. connections in satisfactory condition, couplings free, caps in place and check valves tight? X C. Are they accessible and visible? X 5. WET SYSTEMS a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? X b. Have antifreeze system solutions been tested? X c. Were the antifreeze test results satisfactory? Freezing point: Deg. F X 6. DRY SYSTEMS (See items 10-12) a. Is dry valve in service? X b. Are the air pressure and priming water level in accordance with the manufacturer's instructions? X c. Has the operation of the air or nitrogen supply been tested? Is it in service? X d. Were low points drained during this inspection? X e. Did quick-opening devices operate satisfactorily? X f. Did the dry valve trip properly during the trip pressure test? X g. Did the heating equipment in the dry-pipe valve room operate at the time of inspection? X 7. SPECIAL SYSTEMS (See item 16) a. Did the deluge or pre-action valves operate properly during testing? X b. Did the detection devices operate properly during testing? X c. Did the supervisory devices operate during test? X 8. ALARMS a. Did water motor gong test satisfactorily? X b. Did electric alarm test satisfactorily? X c. Supervisory alarm service test satisfactorily? X 9. SPRINKLERS a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? X b. Are all sprinklers less than 50 years old, thus not requiring sample testing? X c. Is stock of spare sprinklers available? X d. Does the exterior condition of sprinkler system appear to be satisfactory? X e. Temperature. Are sprinklers of proper temperature ratings for their locations? X

3 Inspection Report USAutomatic Sprinkler Corporation Sheet 2 of 2 a fire protection company Inspection Contract REPORT OF INSPECTION BUILDING OR LOCATION Westfield DATE 12/13/2010 Wet Systems No: 1 Make and Model: RISER WITH VANE TYPE FLOW SWITCH Dry Systems No: 1 Make and Model: RELIABLE MODEL-D Special Systems No: Type: Make and Model? Condition? 10. Date dry pipe valve trip tested (control valve partially open) (See Trip Test Report) 11. Date dry pipe valve trip tested (control valve fully open) (See Trip Test Report) 12. Date quick opening device tested (See Trip Test Report) 13. Date deluge or preaction valve tested (See Trip Test Report) DRY VALVE TRIP TEST TABLE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. PARTIAL TRIP RELIABLE MODEL-D 28305E RELIABLE MODEL TIME TO TRIP TIME WATER ALARM THROUGH TEST WATER AIR TRIP POINT REACHED OPERATED CONNECTION* PRESSURE PRESSURE AIR PRESSURE TEST OUTLET* PROPERLY DRY PIPE MIN. SEC. PSI PSI PSI MIN. SEC. YES NO OPERATING Without Q.O.D TEST With Q.O.D X IF NO, EXPLAIN OPERATION [ ] PNEUMATIC [ ] ELECTRIC [ ] HYDRAULIC PIPING SUPERVISED [ ] YES [ ] NO DETECTING MEDIA SUPERVISED [ ] YES [ ] NO DELUGE & DOES VALVE OPERATE FROM THE MANUAL TRIP AND / OR REMOTE CONTROL STATIONS [ ] YES [ ] NO PREACTION IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT IF NO, EXPLAIN VALVES FOR TESTING [ ] YES [ ] NO MAKE MODEL SERIAL NO. DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO SUPERVISION LOSS ALARM OPERATE VALVE RELEASE OPERATE RELEASE [ ] YES [ ] NO [ ] YES [ ] NO MINUTES: SECONDS: 14. CONTROL VALVE MAINTENANCE TABLE Open Signs Secured If yes, how? Supervision Operatonal CONTROL VALVES Number Type Yes No Yes No Yes No Sealed/Locked/Supvd? Yes No City Connection Control Valve 2 OSY X X X SUPVD X Tank Control Valves Pump Control Valves Sectional Control Valves System Control Valves 2 OSY X X X SUPVD X Other Control Valves 15. WATER FLOW TEST Water Pressure? City PSI Tank PSI Fire Pump PSI Jocky Pump PSI Water flow test? (If none made Why?) Test Pipe Located Size Pressure Flow Pressure Test Pipe Located Size Pressure Flow Pressure Test Pipe Before Pressure After Test Pipe Before Pressure After DRY SYSTEM 2" WET SYSTEM 2" DETECTION DEVICES: Test Method? Type of Equipment: Manufacturer: Valve A B C D E F Valve A B C D E F Auxiliary equipment: No? Type? Location? Test Result? 17. EXPLAIN ANY "NO' ANSWERS AND COMMENTS: 18. ADJUSTMENTS OR CORRECTIONS MADE DURING THIS INSPECTION: 19. ALTHOUGH THESE COMMENTS ARE NOT THE RESULT OF AN ENGINEERING REVIEW, THE FOLLOWING DESIRABLE IMPROVEMENTS ARE RECOMMENDED: 20. INSPECTION AND SUGGESTED IMPROVEMENTS WERE DISCUSSED WITH THE UNDERSIGNED OWNER OR OWNER'S REPRESENTATIVE. NOTE ALL SYSTEMS WERE RETURNED TO SERVICE EXCEPT THOSE OUTLINED IN THIS REPORT.

4 a fire protection company Sheet 1 of 1 Phone: (317) Fax: (317) REPORT OF INSPECTION for FIRE ALARM SYSTEM REPORT/BILL TO CITY OF WESTFIELD - PUBLIC SAFETY BUILDING OR LOCATION Westfield DATE OF PREVIOUS FIRE ALARM INSPECTION PHONE (317) GENERAL INFORMATION A. Control panel manufacturer: Simplex Model: 4020 Voltage: 24 B. Class A [ ] Class B [ X ] Number of zones: C. Protection of facilities are: Complete [X ] Partial [ ] D. Detector types: Heat [ ] Smoke/POC [ X ] Flame [ ] Other [ ] E. Test frequency: Annual [ X ] Semi-Annual [ ] Monthly [ ] Other [ ] 2. EQUIPMENT INFORMATION: (Explain any "No" answers below or on addendum.) Yes N/A No A. Are drawings and wiring diagrams available at panel? X B. Are operating instructions posted at panel? X C. Are the zones labeled and identified? X D. Is there a standby power source? Battery [ X ] Generator [ ] X 3. EQUIPMENT TEST AND INSPECTION SATISFACTORY? Yes N/A No A. Battery charger and voltage Volts DC:Battery / Charger X B. Standby generator operation X C. Test of detectors Method of test: Testgas [ X ] Heat [ ] Sensitivity ] X D. Manual stations X E. Audio/visual alarms X F. Annunciators X G. Flowswitches X H. Tamper/supervisory switches X I. HVAC shut down/damper closure X J. Smoke evacuation system operation X K. Elevator capture operation X L. Door releases/other releases X M. Lamps and LED's on panel and annunciator X N. Ground fault detection and supervisory trouble functions (Annually) Date checked: X O. Conductors for alarms in their own raceway and properly protected X P. Voice alarm supervision and clarity of loudspeakers verified X Q. Remote/Central station alarm and supervisory signals verified. Agency: X 4. Although these comments are not the result of an engineering review, the following improvements are recommended: Signature of Inspector:

5 a fire protection company Sheet 1 of 1 Phone: (317) Fax: (317) REPORT OF INSPECTION for CLEAN AGENT SUPPRESSION SYSTEM REPORT/BILL TO CITY OF WESTFIELD - PUBLIC SAFETY BUILDING OR LOCATION Westfield DATE OF PREVIOUS INSPECTION PHONE (317) INSPECTION FREQUENCY [ ] Monthly [ ] Quarterly [ ] Semi-Annual [ X ] Annually [ ] Other 1. SYSTEM TYPE A. Manufacturer: Ansul Model: B. High pressure system: [ X] C. Cylinders/storage tank Main Size/Weight Hazard Server Room Reserve 2. DETECTION AND CONTROL PANEL A. Control panel manufacturer: Ansul Model: Auto Pulse 442R B. Detection type: Photo Smoke / Ion Smoke Number: C. Method used to test detectors 3. CONDITION ON ARRIVAL Yes N/A No A. Are all control heads connected and appear operational? X B. Does cylinder pressure(s) appear proper? X C. Hydrostatic test date of cylinders (Maximum 12 years.) 4. EQUIPMENT TEST AND INSPECTION Yes N/A No A. Are all cylinders, piping, hangers and nozzles properly secured? X B. Are operating instruction and warning signs in place? X C. Did control panel and zone indicators function properly? X D. Did remote annunciator function properly? X E. Did audio/visual alarms operate? X F. Did manual pull stations/push button timers function properly? X G. Did timers function properly? Electric [ X] Pnuematic [ ] X H. Pre-discharge time: I. Abort function properly? X J. Time delay? X K. Did all detectors test satisfatorily? X L. Are all detectors spaced properly? X M. Are detection circuits supervised? X N. Are detection circuits cross zoned? X O. Did solenoid/control heads function properly? X P. Did ancillary and shutdown devices function properly? X Q. Cylinder weight proper? Tank liquid level Pressure X R. Is hazard area ventilation/purge system functioning properly? X S. Are all ceiling and floor tiles in place? X T. Was sensitivity test performed? X U. Was system restored to service? X 5. EXPLANATION OF "NO" ANSWERS 6. COMMENTS Signature of Inspector:

6 a fire protection company Sheet 1 of 2 Phone: (317) Fax: (317) ALARM & DETECTION EQUIPMENT TEST REPORT REPORT/BILL TO CITY OF WESTFIELD - PUBLIC SAFETY BUILDING OR LOC. Westfield Testing Device: UL LISTED TEST GAOther PHONE (317) ABBREVIATIONS TO USE: Non-Coded Manual Stations - MS Heat Detector Fixed Temp. - HD-FT Fire Fighters Phone Jacks - FPJ Coded Manual Station - C -MS Heat Detector Rate of Rise - HD-R/R Fire Fighters Phones - FP Suppression Manual Station - S-MS Ultra-Violet Flame Detector - UV/IR Trouble Bell - TB Abort Switch - AS Infrared Flame Detector - IF-D Alarm Bell - AB Photoelectric Detector - PD Remote Indicator - RI Horn / Strobe - HS Ionization Detector - ID Waterflow Switch (Note Size) - WF Horn - H Duct Smoke Detector - DSD Pressure Switch - PS Speaker / Strobe - SS Beam Smoke Detector - BSD Tamper Switch - O.S.Y. Speaker - SP Location / Zone Device Manufacturer Model Visual Funct'l Factory Measured Trip Pass Fail Type Check Check Setting Setting Time 1. LOW AIR DRY PS POTTER N/A X X N/A N/A INSTANT X 2. JANITOR'S CLOSET 1ST FLOOR WF POTTER N/A X X N/A N/A LESS 90 SEC X 3. RISER ROOM TAMPER 108 OSY POTTER N/A X X N/A N/A N/A X 4. MECH ROOM RISER 109 WF POTTER N/A X X N/A N/A LESS 90 SEC X 5. MECH ROOM TAMPER 111 OSY POTTER N/A X X N/A N/A N/A X 6. MECH ROOM TAMPER 112 OSY POTTER N/A X X N/A N/A N/A X 7. MECH ROOM TAMPER 113 OSY POTTER N/A X X N/A N/A N/A X 8. MECH ROOM 110 WF POTTER N/A X X N/A N/A LESS 90 SEC X 9. 1ST FL FIRE COMM 26 PD SIMPLEX X X N/A N/A N/A X 10. 1ST FL FIRE S ADMIN 16 PD SIMPLEX X X N/A N/A N/A X 11. 1ST FL FIRE S ADMIN 15 PD SIMPLEX X X N/A N/A N/A X 12. 1ST FL FIRE S ADMIN 14 PD SIMPLEX X X N/A N/A N/A X 13. CORR O/S MECH RM 8 PD SIMPLEX X X N/A N/A N/A X 14. 1ST FL MAIN ENTRY 32 PD SIMPLEX X X N/A N/A N/A X 15. 1ST FL MAIN ENTRY 33 PD SIMPLEX X X N/A N/A N/A X 16. 1ST FL FIRE W ADMIN 30 PD SIMPLEX X X N/A N/A N/A X 17. 1ST FL FIRE N ADMIN 29 PD SIMPLEX X X N/A N/A N/A X 18. 1ST FL FIRE N ADMIN 24 PD SIMPLEX X X N/A N/A N/A X 19. 1ST FL FIRE E ADMIN 23 PD SIMPLEX X X N/A N/A N/A X 20. 1ST FL FIRE E ADMIN 19 PD SIMPLEX X X N/A N/A N/A X 21. 1ST FL ADMIN MECH 21 PD SIMPLEX X X N/A N/A N/A X 22. 1ST FL ADMIN STRGE 25 PD SIMPLEX X X N/A N/A N/A X 23. 1ST FL FIRE COPIER 28 PD SIMPLEX 4098=9701 X X N/A N/A N/A X 24. 1ST FL FIRE RECORDS 31 PD SIMPLEX X X N/A N/A N/A X 25. 1ST FL FIRE BREAK RM 27 PD SIMPLEX X X N/A N/A N/A X 26. 2ND FL E STAIRWELL 90 PD SIMPLEX X X N/A N/A N/A X 27. 2ND FL MAIN CORR 88 PD SIMPLEX X X N/A N/A N/A X 28. 2ND FL POLICE COMP 87 PD SIMPLEX X X N/A N/A N/A X 29. 2ND FL MAIN CORR 86 PD SIMPLEX X X N/A N/A N/A X 30. 2ND FL ELEV LOBBY 84 PD SIMPLEX X X N/A N/A N/A X 31. 2ND FL FIRE DAYROOM102 PD SIMPLEX X X N/A N/A N/A X 32. 2ND FL FIRE WKOUT RM96 PD SIMPLEX X X N/A N/A N/A X 33. 2ND FL FIRE PANTRY 98 PD SIMPLEX X X N/A N/A N/A X 34. 2ND FL FIRE POLE ROO104 PD SIMPLEX X X N/A N/A N/A X Recommendations:

7 a fire protection company Sheet 2 of 2 Phone: (317) Fax: (317) ALARM & DETECTION EQUIPMENT TEST REPORT REPORT/BILL TO CITY OF WESTFIELD - PUBLIC SAFETY BUILDING OR LOC. Westfield Testing Device: UL LISTED TEST GAOther PHONE (317) Location / Zone Device Manufacturer Model Visual Funct'l Factory Measured Trip Pass Fail Type Check Check Setting Setting Time 35. 2ND FL FIRE LAUNDRY R95 PD SIMPLEX X X N/A N/A N/A X 36. 2ND FL LOCKER ROOM 93 PD SIMPLEX X X N/A N/A N/A X 37. 2ND FL LINEN RM 94 PD SIMPLEX X X N/A N/A N/A X 38. 2ND FL LOCKER RM 91 PD SIMPLED X X N/A N/A N/A X 39. 2ND FL MAIN CORR 80 PD SIMPLEX X X N/A N/A N/A X 40. 2ND FL MAIN CORR 75 PD SIMPLEX X X N/A N/A N/A X 41. 2ND FL POLICE EVIDEN 77 PD SIMPLEX X X N/A N/A N/A X 42. 2ND FL POLICE LAB 78 PD SIMPLEX X X N/A N/A N/A X 43. 2ND FL POLICE LAB VES79 PD SIMPLEX X X N/A N/A N/A X 44. 2ND FL WEST STAIRWE73 PD SIMPLEX X X N/A N/A N/A X 45. 2ND FL WEST STAIRWE74 PD SIMPLEX X X N/A N/A N/A X 46. 2ND FL EAST STAIRWEL89 PD SIMPLEX X X N/A N/A N/A X 47. 1ST FL POLICE LOCKER50 PD SIMPLEX X X N/A N/A N/A X 48. 1ST FL POLICE BREAK R48 PD SIMPLEX X X N/A N/A N/A X 49. 1ST FL POLICE LOCKER51 PD SIMPLEX X X N/A N/A N/A X 50. 1ST FL POLICE N ADMIN52 PD SIMPLEX X X N/A N/A N/A X 51. 1ST FL POLICE N ADMIN57 PD SIMPLEX X X N/A N/A N/A X 52. 1ST FL POLICE N ADMIN64 PD SIMPLEX X X N/A N/A N/A X 53. 1ST FL POLICE N ADMIN65 PD SIMPLEXX X X N/A N/A N/A X 54. 1ST FL POLICE ARMORY58 PD SIMPLEX X X N/A N/A N/A X 55. 1ST FL POLICE SQUAD R53 PD SIMPLEX X X N/A N/A N/A X 56. 1ST FL POLICE SQUAD R54 PD SIMPLEX X X N/A N/A N/A X 57. 1ST FL POLICE SQUAD R56 PD SIMPLEX X X N/A N/A N/A X 58. 1ST FL POLICE SALLY P61 PD SIMPLEX X X N/A N/A N/A X 59. 1ST FL POLCE SALLY PO62 MS SIMPLEX X X N/A N/A N/A X 60. 1ST FL POLICE N ADMIN47 PD SIMPLEX X X N/A N/A N/A X 61. 1ST FL POLICE N ADMIN41 PD SIMPLEX X X N/A N/A N/A X 62. 1ST FL POLICE N ADMIN40 PD SIMPLEX X X N/A N/A N/A X 63. 1ST FL POLICE N ADMIN38 PD SIMPLEX X X N/A N/A N/A X 64. 1ST FL POLICE COPIER38 PD SIMPLEX X X N/A N/A N/A X 65. 1ST FL POLICE CRIME C45 PD SIMPLEX X X N/A N/A N/A X 66. 1ST FL POLICE N ADMIN64 MS SIMPLEX X X N/A N/A N/A X 67. 1ST FL POLICE S ADMIN39 PD SIMPLEX X X N/A N/A N/A X 68. 1ST FL POLICE S ADMIN44 PD SIMPLEX X X N/A N/A N/A X 69. 1ST FL POLICE STAFF V49 MS SIMPLEX X X N/A N/A N/A X 70. 1ST FL POLICE STAFF V18 MS SIMPLEX X X N/A N/A N/A X 71. 2ND FL E STAIRWELL EX89 MS SIMPLEX X X N/A N/A N/A X 72. 2ND FL STAIRWELL EXIT74 MS SIMPLEX X X N/A N/A N/A X 73. 2ND FL FIRE POLE EXIT103 MS SIMPLEX X X N/A N/A N/A X 74. MECHANICAL ROOM EX11 MS SIMPLEX X X N/A N/A N/A X Recommendations:

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