Fire Alarm and Life Safety System Inspection Certificate

Transcription

1 Fire Alarm and Life Safety System Inspection Certificate For Sample FireScan Healthcare 123 Main Street Anytown, State Tested to NFPA 72 Standards, 2007 Edition This Inspection was performed in accordance with applicable NFPA Standards. The subsequent pages of this report provide performance measurements, listed ranges of acceptable results, and complete documentation of the inspection. Whenever discrepancies exist between acceptable performance standards and actual test results, notes and/or recommended solutions have been proposed or provided for immediate review and approval. Inspection Date Oct 12, 2014 Building: Sample FireScan Healthcare Contact: John Williams Title: Administrator Company: BuildingReports Demonstration Company Contact: John Doe Title: Inspector

2 Executive Summary Generated by: BuildingReports.com Building Information Building: Sample FireScan Healthcare Contact: John Williams Address: 123 Main Street Phone: Address: City/State/Zip: Anytown, State Country: United States of America Inspection Performed By Company: BuildingReports Demonstration Company Fax: Mobile: Inspector: John Doe Address: 1325 Satellite Blvd Phone: Address: Suite 1607 City/State/Zip: Suwanee, Georgia Fax: Mobile: Country: United States of America System Control Unit Manufacturer: SimplexGrinnell Inspection Date: 10/12/2014 IDC Style: Model Number: 4100U Install Date: 04/07/2005 SLC Style: Software Version: Version Date: 07/08/2009 NAC Style: Location: 1st FACP Room Current Protection: Monitoring Company: Acme Central Signal Phone: Account #: 2456RR Central Station Signal Verification Type: Digital Communicator Mfg: Silent Knight Model #: 5704 Test Time/Date: 10/12/14 10:54:18 AM Restore Time3:00pm Confirmed signals and restored system with operator 3. Type of Signal Signal Confirmation Notes Type: Alarm Confirmed Time: 4:30pm Confirmed with operator 5. Type: Supervisory Confirmed Time: 4:35pm Confirmed with operator 5. Type: Trouble Confirmed Time: 4:45pm Confirmed with operator 5. BuildingReports Demonstration Company 1 07/22/2014

3 Inspection Date: October, 12, 2014 Building: Sample FireScan Healthcare EC EP 02 Six-month testing of tamper switches and quarterly testing of water-flow switches. Devices Tested This Quarter Pass Fail Tested YTD (2014) Total Quantity Tamper Switch Waterflow Switch EC EP 03 Annual testing of duct detectors, electro-mechanical releasing devices, heat detectors, manual fire alarm boxes, and smoke detectors. Devices Tested This Quarter Pass Fail Tested YTD (2014) Total Quantity Duct Detector Heat Detector Pull Station Releasing Device Smoke Detector EC EP 04 Annual test of visual and audible fire alarms, including speakers Devices Tested This Quarter Pass Fail Tested YTD (2014) Total Quantity Horn/Strobe Strobe EC EP 05 Quarterly test of fire alarm equipment for notifying off-site fire responders Devices Tested This Quarter Pass Fail Tested YTD (2014) Total Quantity Communicator Monitoring EC EP 19 Annual test of automatic smoke-detection shutdown devices for air-handling equipment Devices Tested This Quarter Pass Fail Tested YTD (2014) Total Quantity Fan Shutdown LS EP 02 Protected master fire alarm control panel Devices Tested This Quarter Pass Fail Tested YTD (2014) Total Quantity Control Panel LS EP 03 Approved location for remote annunciator panel Devices Tested This Quarter Pass Fail Tested YTD (2014) Total Quantity Annunciator LS EP 04 All other Life Safety Code fire alarm requirements related to NFPA : 18/ Devices Tested This Quarter Pass Fail Tested YTD (2014) Total Quantity Battery Power Supply LS EP 04 Elevators are fully equipped and protected BuildingReports Demonstration Company 2 07/22/2014

4 Devices Tested This Quarter Pass Fail Tested YTD (2014) Total Quantity Elevator Certification Company: BuildingReports Demonstration Company Building: Sample FireScan Healthcare Inspector: John Doe Contact: John Williams Signed: Oct 12, :47:43 PM Signed: Oct 12, :47:27 PM John Doe Certifications Certification Type Number IMSA Fire Alarm Interior Level I NICET Fire Alarm Systems Level II BuildingReports Demonstration Company 3 07/22/2014

5 Discrepancy Report Generated by: BuildingReports.com Building: Sample FireScan Healthcare Control Panel: 1 - SimplexGrinnell 4100U The Discrepancy Report consolidates each discrepancy listed within the various Testing sections of your Inspection. Discrepancies are listed by Category, and grouped by device type. The description of the problem is provided and where appropriate, code references are listed for your convenience. Any item that was inspected that is listed on the Consumer Product Safety Commission's website and is subject to a recall by the manufacturer is included. Device Type Manufacturer ModelNumber Date Qty Items listed for Recall by Manufacturer Control Panel SimplexGrinnell 4100U 02/08/ More Information: Smoke Detector SimplexGrinnell /19/ More Information: ScanID " Location # Problem Address! Reference EC EP 02 Waterflow Switch Six-month testing of tamper switches and quarterly testing of water-flow switches st Stairwell A Failed Test 1-M1-12 NFPA 72 Table EC EP 03 boxes, and smoke detectors. Duct Detector (i) Annual testing of duct detectors, electro-mechanical releasing devices, heat detectors, manual fire alarm st Mechanical Room - Return Failed Test 1-M1-62 NFPA 72 Table Pull Station (g) st Main Entrance Damaged/Worn 1-M1-52 NFPA 72 EC EP 04 Strobe Annual test of visual and audible fire alarms, including speakers , st Bathroom Failed Test 1 NFPA 72 Table NFPA 72 Table (i) NFPA 72 Table (g)4 NFPA ,3 NFPA 72 Table (c) Code References (c) Water shall be flowed through an inspector's test connection indicating the flow of water equal to that from a single sprinkler of the smallest orifice size installed in the system for wet-type systems, or an alarm test bypass connection for dry-pipe, pre-action, or deluge systems in accordance with NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems. Air duct detectors shall be tested or inspected to ensure that the device will sample the airstream. The test shall be made in accordance with the manufacturer's instructions. System defects and malfunctions shall be corrected. If a defect or malfunction is not corrected at the conclusion of system inspection, testing, or maintenance, the system owner or the owner's designated representative shall be informed of the impairment in writing within 24 hours. Test shall be performed in accordance with the manufacturer's published instructions. Appliance locations shall be verified to be per approved layout, and it shall be confirmed that no floor plan BuildingReports Demonstration Company 4 07/22/2014

6 changes affect the approved layout. It shall be verified that the candela rating marking agrees with the approved drawing. It shall be confirmed that each appliance flashes. BuildingReports Demonstration Company 5 07/22/2014

7 Proposed Solutions Report Generated by: BuildingReports.com Building: Sample FireScan Healthcare Control Panel: 1 - SimplexGrinnell 4100U The Proposed Solution Report provides a solution for each discrepancy listed on the Discrepancy Report. Provide a check mark where indicated to approve repairs listed within the report. Items listed as T/M are available for repair on a Time and Materials basis.! ScanID " Location # Solution Model # Cost Fix EC EP 02 Six-month testing of tamper switches and quarterly testing of water-flow switches. Waterflow Switch st Stairwell A Replace VSR-1 T/M " EC EP 03 boxes, and smoke detectors. Annual testing of duct detectors, electro-mechanical releasing devices, heat detectors, manual fire alarm Duct Detector st Mechanical Room - Return T/M " Pull Station st Main Entrance T/M " EC EP 04 Annual test of visual and audible fire alarms, including speakers Strobe st Bathroom Replace WXA-3GSX T/M " BuildingReports Demonstration Company 6 07/22/2014

8 Notes & Recommendations Generated by: BuildingReports.com Building: Sample FireScan Healthcare Control Panel: 1 - SimplexGrinnell 4100U The Notes & Recommendations Report details additional inspection notes made by the Inspectors during the course of the building inspection. ScanID Not EC EP 02 e Device Type Location Comment Six-month testing of tamper switches and quarterly testing of water-flow switches Waterflow Switch 1st Stairwell A Failed Test Exceeded 90 second maximum limit. EC EP 03 boxes, and smoke detectors. Annual testing of duct detectors, electro-mechanical releasing devices, heat detectors, manual fire alarm Duct Detector 1st Mechanical Room - Return Failed Test Device did not report an alarm to the panel Pull Station 1st Main Entrance Damaged/Worn The operable part of this device has been broken and will not activate an alarm Pull Station 2nd Stair B Damaged/Worn The operable part of this device has been broken and will not activate an alarm. EC EP 05 Quarterly test of fire alarm equipment for notifying off-site fire responders Communicator 1st FACP Room Passed Confirmed signals and restored system with operator Monitoring Passed Confirmed with operator Monitoring Passed Confirmed with operator Monitoring Passed Confirmed with operator 5. BuildingReports Demonstration Company 7 07/22/2014

9 Inspection & Testing Generated by: BuildingReports.com Building: Sample FireScan Healthcare The Inspection & Testing section lists all of the items inspected in your building, which are then categorized by the applicable EC Code. The most recent inspection is listed in the far right column and is based on the Finish Date of that inspection. The latest inspection uploaded in each previous quarter appears in the four columns to the left. Passed=P, Failed=F, Other=O Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 EC EP 02 Six-month testing of tamper switches and quarterly testing of water-flow switches. Valve shall be operated and signal receipt shall be verified to be within the first two revolutions of the hand wheel or within one-fifth of the travel distance, or per the manufacturer's specifications. (NFPA 72 Table (13h.1)) Tamper Switch 1st Stairwell A M /07-P 07/08-P Tamper Switch 2nd Stairwell A M /07-P 07/08-P Tamper Switch 3rd Stairwell A M /07-P 07/08-P Tamper Switch 4th Stairwell A M /07-P 07/08-P Tamper Switch 5th Stairwell A M /07-P 07/08-P Device Total: 5 BuildingReports Demonstration Company 8 07/22/2014

10 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 EC EP 02 Six-month testing of tamper switches and quarterly testing of water-flow switches. Water shall be flowed through an inspector's test connection indicating the flow of water equal to that from a single sprinkler of the smallest orifice size installed in the system for wet-pipe systems, or an alarm test bypass connection for dry-pipe, pre-action, or deluge systems in accordance with NFPA 25. (NFPA 72 Table (13i)) Waterflow Switch 1st Stairwell A M /07-P 01/07-P 04/06-P 07/08-F 10/12-F Waterflow Switch 2nd Stairwell A M /07-P 01/07-P 04/06-P 07/08-P 10/12-P Waterflow Switch 3rd Stairwell A M /07-P 01/07-P 04/06-P 07/08-P 10/12-P Waterflow Switch 4th Stairwell A M /07-P 01/07-P 04/06-P 07/08-P 10/12-P Waterflow Switch 5th Stairwell A M /07-P 01/07-P 04/06-P 07/08-P 10/12-P Device Total: 5 BuildingReports Demonstration Company 9 07/22/2014

11 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 EC EP 03 Annual testing of duct detectors, electro-mechanical releasing devices, heat detectors, manual fire alarm boxes, and smoke detectors. Air duct detectors shall be tested or inspected to ensure that the device will sample the airstream. The test shall be made in accordance with the manufacturer's instructions. (NFPA 72 Table (13g.4)) Duct Detector 1st Mechanical Room - Supply M /07-P 10/12-P Duct Detector 1st Mechanical Room - Return M /07-P 10/12-F Duct Detector 2nd Mechanical Room - Return M /08-P Duct Detector 2nd Mechanical Room - Supply M /08-P Duct Detector 3rd Mechanical Room - Supply M /07-P Duct Detector 3rd Mechanical Room - Return M /08-P Duct Detector 4th Mechanical Room - Return M /07-P Duct Detector 4th Mechanical Room - Supply M /07-P Duct Detector 5th Mechanical Room - Supply M /06-P Duct Detector 5th Mechanical Room - Return M /06-P Duct Detector Penthouse Elevator Machine M /07-P Room Device Total: 11 BuildingReports Demonstration Company 10 07/22/2014

12 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 EC EP 03 Annual testing of duct detectors, electro-mechanical releasing devices, heat detectors, manual fire alarm boxes, and smoke detectors. Restorable: Heat test shall be performed with a heat source per the manufacturer's recommendations for response within one minute. Non-Restorable: Heat test shall not be performed. Functionality shall be tested mechanically and electrically. (NFPA 72 Table (13d)) Heat Detector 1st Telephone Room M1-57 Heat Detector 2nd Telephone Room M /08-P Heat Detector 3rd Telephone Room M /08-P Heat Detector 4th Telephone Room M /07-P Heat Detector 5th Telephone Room M /06-P Device Total: 5 BuildingReports Demonstration Company 11 07/22/2014

13 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 EC EP 03 Annual testing of duct detectors, electro-mechanical releasing devices, heat detectors, manual fire alarm boxes, and smoke detectors. Manual fire alarm boxes shall be operated per the manufacturer's instructions. Key-operated presignal and general alarm manual fire alarm boxes shall both be tested. (NFPA 72 Table (13e)) Pull Station 1st Stair A M /07-P 10/12-P Pull Station 1st Stair B M /07-P 10/12-P Pull Station 1st Emergency Room M /07-P 10/12-P Pull Station 1st Loading Dock M /07-P 10/12-P Pull Station 1st Main Entrance M /07-P 10/12-F Pull Station 1st Cafeteria Exit M /07-P 10/12-P Pull Station 2nd Stair A M /08-P Pull Station 2nd Stair B M /08-F Pull Station 3rd Stair A M /08-P Pull Station 3rd Stair B M /08-P Pull Station 4th Stair A M /07-P Pull Station 4th Stair B M /06-P Pull Station 5th Stair A M /07-P Pull Station 5th Stair B M /07-P Pull Station Penthouse Elevator Machine M /06-P Room Device Total: 15 BuildingReports Demonstration Company 12 07/22/2014

14 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 EC EP 03 Annual testing of duct detectors, electro-mechanical releasing devices, heat detectors, manual fire alarm boxes, and smoke detectors. Interface equipment connections shall be tested by operating or simulating the equipment being supervised. Signals required to be transmitted shall be verified at the control panel. (NFPA 72 Table (19)) Releasing Device 1st Main Corridor /07-P 10/12-P Releasing Device 2nd Main Corridor /07-P 10/12-P Releasing Device 3rd Main Corridor /07-P 10/12-P Releasing Device 4th Main Corridor /07-P 10/12-P Releasing Device 5th Main Corridor /07-P 10/12-P Device Total: 5 BuildingReports Demonstration Company 13 07/22/2014

15 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 EC EP 03 Annual testing of duct detectors, electro-mechanical releasing devices, heat detectors, manual fire alarm boxes, and smoke detectors. Detectors shall be tested in place to ensure smoke entry into the sensing chamber and an alarm response. (NFPA 72 Table (13g.1)) Smoke Detector 1st Electrical Room M /07-P 10/12-P Smoke Detector 1st Nurse's Station M /07-P 10/12-P Smoke Detector 1st Elevator Lobby M /06-P Smoke Detector 1st Mechanical Room M1-69 Smoke Detector 2nd Mechanical Room M /07-P 10/12-P Smoke Detector 2nd Elevator Lobby M /06-P Smoke Detector 2nd Nurse's Station M /08-P Smoke Detector 2nd Electrical Room M /08-P Smoke Detector 3rd Mechanical Room M /08-P Smoke Detector 3rd Electrical Room M /08-P Smoke Detector 3rd Nurse's Station M /08-P Smoke Detector 4th Mechanical Room M /07-P 10/12-P Smoke Detector 4th Electrical Room M /07-P 10/12-P Smoke Detector 4th Nurse's Station M /07-P 10/12-P Smoke Detector 4th Elevator Lobby M /06-P Smoke Detector 5th Mechanical Room M /07-P Smoke Detector 5th Electrical Room M /07-P Smoke Detector 5th Nurse's Station M /07-P Smoke Detector 5th Elevator Lobby M /06-P Smoke Detector Penthouse Elevator Machine M /06-P Room Device Total: 20 BuildingReports Demonstration Company 14 07/22/2014

16 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 EC EP 04 Annual test of visual and audible fire alarms, including speakers Sound pressure level shall be measured with sound level meter meeting ANSI S1.4a, Specifications for Sound Level Meters, Type 2 requirements. Levels throughout protected area shall be measured and recorded. (NFPA 72 Table (14a)) Horn/Strobe 1st Main Corridor /12-P Horn/Strobe 2nd Main Corridor /12-P Horn/Strobe 3rd Main Corridor /12-P Horn/Strobe 4th Main Corridor /12-P Horn/Strobe 5th Main Corridor /12-P Horn/Strobe Penthouse Elevator Machine /12-P Room Device Total: 6 BuildingReports Demonstration Company 15 07/22/2014

17 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 EC EP 04 Annual test of visual and audible fire alarms, including speakers Test shall be performed in accordance with the manufacturer's instuctions. (NFPA 72 Table (14c)) Strobe 1st Bathroom /12-F Strobe 2nd Bathroom /12-P Strobe 3rd Bathroom /12-P Strobe 4th Bathroom Strobe 5th Bathroom /12-P Device Total: 5 BuildingReports Demonstration Company 16 07/22/2014

18 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 EC EP 05 Quarterly test of fire alarm equipment for notifying off-site fire responders Test shall be performed on all system functions and features in accordance with the equipment manufacturer's instructions for correct operation in conformance with the applicable sections of Chapter 5. Initiating device shall be actuated. Receipt of the correct initiating device signal at the supervising station within 90 seconds shall be verified. Upon completion of the test, the system shall be restored to its functional operating condition. (NFPA 72 Table (16a)) Communicator 1st FACP Room /07-P 01/07-P 04/06-P 07/08-P 10/12-P Device Total: 1 BuildingReports Demonstration Company 17 07/22/2014

19 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 EC EP 05 Quarterly test of fire alarm equipment for notifying off-site fire responders Test shall be performed on all system functions and features in accordance with the equipment manufacturer's instructions for correct operation in conformance with the applicable sections of Chapter 5. Initiating device shall be actuated. Receipt of the correct initiating device signal at the supervising station within 90 seconds shall be verified. Upon completion of the test, the system shall be restored to its functional operating condition. (NFPA 72 Table (16a)) Monitoring /12-P Monitoring /12-P Monitoring /12-P Device Total: 3 BuildingReports Demonstration Company 18 07/22/2014

20 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 EC EP 19 Annual test of automatic smoke-detection shutdown devices for air-handling equipment Interface equipment connections shall be tested by operating or simulating the equipment being supervised. Signals required to be transmitted shall be verified at the control panel. (NFPA 72 Table (19)) Fan Shutdown 1st AHU Room Unit 1A /12-P Fan Shutdown 2nd AHU Room Unit 2A /12-P Fan Shutdown 3rd AHU Room Unit 3A /12-P Fan Shutdown 4th AHU Room Unit 4A /12-P Fan Shutdown 5th AHU Room Unit 5A /12-P Device Total: 5 BuildingReports Demonstration Company 19 07/22/2014

21 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 LS EP 02 Protected master fire alarm control panel At a minimum, control equipment shall be tested to verify correct receipt of alarm, supervisory and trouble signals (inputs), operation of evacuation signals and auxiliary functions (outputs), circuit supervision including detection of open circuits and ground faults, and power supply supervision for detection of loss of ac power and disconnection of secondary batteries. (NFPA 72 Table (1)) Control Panel 1st FACP Room /07-P 01/07-P 04/06-F 07/08-P 10/12-P Device Total: 1 BuildingReports Demonstration Company 20 07/22/2014

22 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 LS EP 03 Approved location for remote annunciator panel The correct operation and identification of annunciators shall be verified. If provided, the correct operation of annunciator under a fault condition shall be verified. (NFPA 72 Table (10)) Annunciator 1st Lobby Entrance /07-P 01/07-P 04/06-P 07/08-P 10/12-P Device Total: 1 BuildingReports Demonstration Company 21 07/22/2014

23 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 LS EP 04 All other Life Safety Code fire alarm requirements related to NFPA : 18/ With the batteries fully charged and connected to the charger, the voltage across the batteries shall be measured with a voltmeter. Under load, the battery shall perform in accordance with the battery manufacturer's specifications. (NFPA 72 Table (6d)) Battery 1st FACP Room /07-P 01/07-P 04/06-P 07/08-P 10/12-P Battery 1st FACP Room /07-P 01/07-P 04/06-P 07/08-P 10/12-P Battery 2nd Electrical Room /07-P 01/07-P 04/06-P 07/08-P 10/12-P Battery 2nd Electrical Room /07-P 01/07-P 04/06-P 07/08-P 10/12-P Battery 4th Electrical Room /07-P 01/07-P 04/06-P 07/08-P 10/12-P Battery 4th Electrical Room /07-P 01/07-P 04/06-P 07/08-P 10/12-P Device Total: 6 BuildingReports Demonstration Company 22 07/22/2014

24 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 LS EP 04 All other Life Safety Code fire alarm requirements related to NFPA : 18/ At a minimum, control equipment shall be tested to verify correct receipt of alarm, supervisory and trouble signals (inputs), operation of evacuation signals and auxiliary functions (outputs), circuit supervision including detection of open circuits and ground faults, and power supply supervision for detection of loss of ac power and disconnection of secondary batteries. (NFPA 72 Table (1)) Power Supply 2nd Electrical Room /07-P 04/06-P 07/08-P 10/12-P Power Supply 4th Electrical Room /07-P 01/07-P 04/06-F 07/08-P 10/12-P Device Total: 2 BuildingReports Demonstration Company 23 07/22/2014

25 Device Type Location ScanID Address Q4/13 Q1/14 Q2/14 Q3/14 Q4/14 LS EP 04 Elevators are fully equipped and protected Interface equipment connections shall be tested by operating or simulating the equipment being supervised. Signals required to be transmitted shall be verified at the control panel. (NFPA 72 Table (19)) Elevator 1st Elevator Lobby /12-P Elevator 2nd Elevator Lobby /12-P Device Total: 2 BuildingReports Demonstration Company 24 07/22/2014

26 Auxiliary Functions Testing Generated by: BuildingReports.com Building: Sample FireScan Healthcare Control Panel: 1 - SimplexGrinnell 4100U The Auxiliary Functions Testing section lists each of the ancillary items, systems, and emergency equipment that are controlled by the system control unit. Items are grouped by Passed or Failed/Other. The items are listed by device type, and a check box is provided to indicate if the test conducted was simulated. Type Location Comment ScanID Elevator Passed Simulate Recall Primary 1st Elevator Lobby Passed " Recall Alternate 2nd Elevator Lobby Passed " Fan Shutdown Supply 1st AHU Room Unit 1A Passed " Supply 2nd AHU Room Unit 2A Passed " Supply 3rd AHU Room Unit 3A Passed " Supply 4th AHU Room Unit 4A Passed " Supply 5th AHU Room Unit 5A Passed " Releasing Device Door Holder 1st Main Corridor Passed " Door Holder 2nd Main Corridor Passed " Door Holder 3rd Main Corridor Passed " Door Holder 4th Main Corridor Passed " Door Holder 5th Main Corridor Passed " Smoke Detector Elevator Recall 1st Elevator Lobby Passed " Elevator Recall 2nd Elevator Lobby Passed " Elevator Recall 4th Elevator Lobby Passed " Elevator Recall 5th Elevator Lobby Passed " Elevator Recall Penthouse Elevator Machine Room Passed " d BuildingReports Demonstration Company 25 07/22/2014

27 Sound and Visual Testing Generated by: BuildingReports.com Building: Sample FireScan Healthcare The Sound and Visual Testing section lists various points throughout your building where audible and visual alarm notification devices were tested. Any bar-coded audible and visual devices will appear in the Inspection and Testing section of this report. Items in this section are grouped by Passed or Failed/Other. Where specific decibel readings were recorded, they will appear under the ambient and alarm columns. The Voice column indicates whether the Sound Test Point passed the Voice Intelligibility requirements. The STI or Sound Transmission Index is shown if recorded. & Intelligibility " Location Date EC EP 04 $ Comment Passed Ambie nt% db Alarm % db Annual test of visual and audible fire alarms, including speakers Voice 1st Emergency Room 10/12/14 Passed " st Loading Dock 10/12/14 Passed " nd OR Corridor 10/12/14 Passed " nd Pre-Op 10/12/14 Passed " rd West Wing 10/12/14 Passed " rd East Wing 10/12/14 Passed " th East Wing 10/12/14 Passed " th West Wing 10/12/14 Passed " th East Wing 10/12/14 Passed " th West Wing 10/12/14 Passed " 0003 Penthouse Elevator Machine Room STI Soun d Test 10/12/14 Passed " 0001 BuildingReports Demonstration Company 26 07/22/2014

28 Sensitivity Testing Generated by: BuildingReports.com Building: Sample FireScan Healthcare Control Panel: 1 - SimplexGrinnell 4100U The Sensitivity Testing section details the sensitivity test ranges and acceptable readings for each type of device. Items are grouped by Passed or Failed/Other. Normally, Devices that perform outside the acceptable range of sensitivity are listed in Failed/Other. ScanID Location Date Smoke Detector Passed Addres s Model # Range % st Electrical Room 10/12/14 1-M st Nurse's Station 10/12/14 1-M nd Mechanical Room 10/07/13 1-M nd Nurse's Station 07/08/14 1-M nd Electrical Room 07/08/14 1-M rd Mechanical Room 07/08/14 1-M rd Electrical Room 07/08/14 1-M rd Nurse's Station 07/08/14 1-M th Nurse's Station 10/12/14 1-M th Electrical Room 10/12/14 1-M th Mechanical Room 10/12/14 1-M th Mechanical Room 01/07/14 1-M th Electrical Room 01/07/14 1-M th Nurse's Station 01/07/14 1-M Smoke Detector Untested st Elevator Lobby 12/31/69 1-M st Mechanical Room 12/31/69 1-M nd Elevator Lobby 12/31/69 1-M th Elevator Lobby 12/31/69 1-M th Elevator Lobby 12/31/69 1-M Penthouse Elevator Machine Room 12/31/69 1-M BuildingReports Demonstration Company 27 07/22/2014

29 Battery & Power Supply Testing Generated by: BuildingReports.com Building: Sample FireScan Healthcare Control Panel: 1 - SimplexGrinnell 4100U The Control & Power Testing section details the readings and measurements of batteries and power supplies used to provide power to the fire alarm and life safety systems. Items are grouped by Passed or Failed/Other. ScanID Type Location Comment Amps Volts Battery Passed Sealed Lead Acid 1st FACP Room Passed Sealed Lead Acid 1st FACP Room Passed Sealed Lead Acid 4th Electrical Room Passed Sealed Lead Acid 4th Electrical Room Passed Sealed Lead Acid 2nd Electrical Room Passed Sealed Lead Acid 2nd Electrical Room Passed Power Supply th Electrical Room Passed nd Electrical Room Passed 8 24 Pre Test Post Test BuildingReports Demonstration Company 28 07/22/2014

30 Inventory & Warranty Report Generated by: BuildingReports.com Building: Sample FireScan Healthcare Control Panel: 1 - SimplexGrinnell 4100U The Inventory & Warranty Report lists each of the devices and items that are included in your Inspection Report. A complete inventory count by device type and category is provided. Items installed within the last 90 days, within the last year, and devices installed for two years or more are grouped together for easy reference. Device or Item Category % of Inventory Quantity Pull Station Initiating 13.76% 15 Smoke Detector Initiating 18.35% 20 Duct Detector Initiating 10.09% 11 Heat Detector Initiating 4.59% 5 Tamper Switch Supervisory 4.59% 5 Strobe Indicating 4.59% 5 Waterflow Switch Initiating 4.59% 5 Control Panel Control 0.92% 1 Communicator Control 0.92% 1 Annunciator Control 0.92% 1 Elevator Auxiliary 1.83% 2 Fan Shutdown Auxiliary 4.59% 5 Releasing Device Auxiliary 4.59% 5 Horn/Strobe Indicating 5.50% 6 Power Supply Control 1.83% 2 Battery Control 5.50% 6 Monitoring Monitor 2.75% 3 Type Qty Model # Description Install Date New (under 90 days) Monitoring 1 Alarm 07/14/2014 Monitoring 1 Supervisory 07/14/2014 Monitoring 1 Trouble 07/14/2014 SimplexGrinnell In Service - 90 Days - 1 Year Smoke Detector Photoelectric 12/07/2013 Werker In Service - 2 Years to 3 Years Battery 2 WKA12-7.5F Sealed Lead Acid 08/01/2011 SimplexGrinnell In Service - 3 Years to 5 Years Pull Station Dual Action 04/07/2010 Werker Battery 1 WKA12-7.5F Sealed Lead Acid 08/01/2009 In Service - 5 Years to 10 Years Elevator 1 Recall Alternate 04/07/2005 BuildingReports Demonstration Company 29 07/22/2014

31 Elevator 1 Recall Primary 04/07/2005 Fan Shutdown 3 Supply 04/07/2005 Releasing Device 5 Door Holder 04/07/2005 Potter Electric Tamper Switch 5 OSYSU-2 04/07/2005 Waterflow Switch 5 VSR-1 04/07/2005 Silent Knight Communicator Digital Communicator 04/07/2005 SimplexGrinnell Control Panel U 04/07/2005 Duct Detector Photoelectric 04/07/2005 Heat Detector Fixed Temperature 04/07/2005 Power Supply X 04/07/2005 Pull Station Dual Action 04/07/2005 Smoke Detector Photoelectric 04/07/2005 Werker Battery 1 WKA12-7.5F Sealed Lead Acid 04/07/2005 Wheelock Horn/Strobe 5 WXA-2GSX 04/07/2005 Strobe 4 WXA-3GSX 04/07/2005 Werker In Service - 10 Years to 15 Years Battery 2 WKA12-7.5F Sealed Lead Acid 08/01/2003 In Service - 15 Years to 25 Years Fan Shutdown 2 Supply 04/07/1995 Wheelock Horn/Strobe 1 WXA-2GSX 04/07/1993 Strobe 1 WXA-3GSX 04/07/1993 SimplexGrinnell In Service - 25 Years or Older Annunciator 1 456ZZ LCD Display 01/01/1988 BuildingReports Demonstration Company 30 07/22/2014

32 Zone Address Report Generated by: BuildingReports.com Building: Sample FireScan Healthcare Control Panel: 1 - SimplexGrinnell 4100U The Zone Address Report lists all of the devices and items that have an individual address, or are grouped together under a common zone. The device type, location, and description are included for your reference. Address Device Type Location Description ScanID Zone/Circuit: M1-02 Pull Station 3rd Stair B Dual Action Zone/Circuit: M1-03 Tamper Switch 5th Stairwell A Zone/Circuit: M1-04 Waterflow Switch 5th Stairwell A Zone/Circuit: M1-05 Tamper Switch 4th Stairwell A Zone/Circuit: M1-06 Waterflow Switch 4th Stairwell A Zone/Circuit: M1-07 Tamper Switch 3rd Stairwell A Zone/Circuit: M1-08 Waterflow Switch 3rd Stairwell A Zone/Circuit: M1-09 Pull Station 1st Stair B Dual Action Zone/Circuit: M1-10 Waterflow Switch 2nd Stairwell A Zone/Circuit: M1-11 Tamper Switch 2nd Stairwell A Zone/Circuit: M1-12 Waterflow Switch 1st Stairwell A Zone/Circuit: M1-13 Tamper Switch 1st Stairwell A Zone/Circuit: M1-20 Pull Station Penthouse Elevator Machine Room Dual Action Zone/Circuit: M1-21 Smoke Detector Penthouse Elevator Machine Room Photoelectric Zone/Circuit: M1-22 Smoke Detector 5th Elevator Lobby Photoelectric Zone/Circuit: M1-23 BuildingReports Demonstration Company 31 07/22/2014

33 Smoke Detector 4th Elevator Lobby Photoelectric Zone/Circuit: M1-26 Smoke Detector 2nd Elevator Lobby Photoelectric Zone/Circuit: M1-27 Smoke Detector 1st Elevator Lobby Photoelectric Zone/Circuit: M1-28 Duct Detector Penthouse Elevator Machine Room Photoelectric Zone/Circuit: M1-29 Duct Detector 5th Mechanical Room - Supply Photoelectric Zone/Circuit: M1-30 Duct Detector 5th Mechanical Room - Return Photoelectric Zone/Circuit: M1-31 Pull Station 5th Stair A Dual Action Zone/Circuit: M1-32 Pull Station 5th Stair B Dual Action Zone/Circuit: M1-33 Heat Detector 5th Telephone Room Fixed Temperature Zone/Circuit: M1-34 Duct Detector 4th Mechanical Room - Return Photoelectric Zone/Circuit: M1-35 Duct Detector 4th Mechanical Room - Supply Photoelectric Zone/Circuit: M1-36 Duct Detector 3rd Mechanical Room - Supply Photoelectric Zone/Circuit: M1-37 Heat Detector 4th Telephone Room Fixed Temperature Zone/Circuit: M1-38 Pull Station 4th Stair B Dual Action Zone/Circuit: M1-39 Pull Station 4th Stair A Dual Action Zone/Circuit: M1-40 Pull Station 3rd Stair A Dual Action Zone/Circuit: M1-41 Smoke Detector 5th Mechanical Room Photoelectric Zone/Circuit: M1-42 Smoke Detector 5th Nurse's Station Photoelectric Zone/Circuit: M1-43 Smoke Detector 5th Electrical Room Photoelectric Zone/Circuit: M1-44 Smoke Detector 4th Nurse's Station Photoelectric Zone/Circuit: M1-45 Smoke Detector 4th Mechanical Room Photoelectric BuildingReports Demonstration Company 32 07/22/2014

34 Zone/Circuit: M1-46 Smoke Detector 4th Electrical Room Photoelectric Zone/Circuit: M1-47 Pull Station 2nd Stair B Dual Action Zone/Circuit: M1-48 Pull Station 2nd Stair A Dual Action Zone/Circuit: M1-49 Pull Station 1st Stair A Dual Action Zone/Circuit: M1-50 Pull Station 1st Emergency Room Dual Action Zone/Circuit: M1-51 Pull Station 1st Loading Dock Dual Action Zone/Circuit: M1-52 Pull Station 1st Main Entrance Dual Action Zone/Circuit: M1-53 Pull Station 1st Cafeteria Exit Dual Action Zone/Circuit: M1-55 Heat Detector 3rd Telephone Room Fixed Temperature Zone/Circuit: M1-56 Heat Detector 2nd Telephone Room Fixed Temperature Zone/Circuit: M1-57 Heat Detector 1st Telephone Room Fixed Temperature Zone/Circuit: M1-58 Duct Detector 3rd Mechanical Room - Return Photoelectric Zone/Circuit: M1-59 Duct Detector 2nd Mechanical Room - Return Photoelectric Zone/Circuit: M1-60 Duct Detector 1st Mechanical Room - Supply Photoelectric Zone/Circuit: M1-61 Duct Detector 2nd Mechanical Room - Supply Photoelectric Zone/Circuit: M1-62 Duct Detector 1st Mechanical Room - Return Photoelectric Zone/Circuit: M1-63 Smoke Detector 3rd Mechanical Room Photoelectric Zone/Circuit: M1-64 Smoke Detector 3rd Electrical Room Photoelectric Zone/Circuit: M1-65 Smoke Detector 3rd Nurse's Station Photoelectric Zone/Circuit: M1-66 Smoke Detector 2nd Nurse's Station Photoelectric BuildingReports Demonstration Company 33 07/22/2014

35 Zone/Circuit: M1-67 Smoke Detector 2nd Electrical Room Photoelectric Zone/Circuit: M1-68 Smoke Detector 2nd Mechanical Room Photoelectric Zone/Circuit: M1-69 Smoke Detector 1st Mechanical Room Photoelectric Zone/Circuit: M1-71 Smoke Detector 1st Electrical Room Photoelectric Zone/Circuit: M1-72 Smoke Detector 1st Nurse's Station Photoelectric BuildingReports Demonstration Company 34 07/22/2014