Fire Alarm and Life Safety System Inspection Certificate For City of Rock Hill 757 S. Anderson Rd Rock Hill, AC 29730 Tested to NFPA 72 Standards 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 10, 2016 Contact: Steve Walters Title: Site Manager Company: Fire & Life Safety America, Inc. - Charlotte Contact: Devon R. Haggerty Title: Inspector
Executive Summary Building Information Contact: Steve Walters Address: 757 S. Anderson Rd Phone: 803-329-7000 Address: City/State/Zip: Rock Hill, AC 29730 Country: United States of America Inspection Performed By Company: Fire & Life Safety America, Inc. - Charlotte Fax: Mobile: Email: steve.walters@cityofrockhill.com Inspector: Devon R. Haggerty Address: 812 Biscayne Drive Phone: 980-219-1490 Address: City/State/Zip: Concord, NC 28027 Fax: Mobile: Country: United States of America System Control Unit Email: drhaggerty@flsamerica.com Manufacturer: Siemens Inspection Date: 10/07/2016 IDC Style: Model Number: fire finder Install Date: 07/08/2014 SLC Style: Software Version: Version Date: 10/07/2014 NAC Style: Location: 1st Siemens panel Monitoring Current Protection: Company: Phone: Account #: Central Station Signal Verification Type: Mfg: Model #: Test Time/Date: Restore Time Fire & Life Safety America, Inc. - Charlotte 1 06/06/2017
Inspection Summary Category Total Items Serviced Passed Failed/Other Qty % Qty % Qty % Qty % Sound Test 1 1.35% 1 100.00% 0 0% 1 100.00% Initiating 52 70.27% 52 100.00% 49 94.23% 3 5.77% Control 21 28.38% 21 100.00% 21 100.00% 0 0% Totals 74 100% 74 100.00% 70 94.59% 4 5.41% Certification Company: Fire & Life Safety America, Inc. - Charlotte Inspector: Devon R. Haggerty Contact: Steve Walters Signed: Devon R. Haggerty Certification Type Signed: Number NICET Inspection and Testing of Water-Based Systems Level II 138395 North Carolina Certified Backflow Assembly Tester 1172-cm-1077 North Carolina Fire Sprinkler Inspection Technician 32866 Fire & Life Safety America, Inc. - Charlotte 2 06/06/2017
Discrepancy Report Control Panel: 1 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 No recalled items found during this inspection. ScanID Location Problem Address Reference Pull Station Initiating 32927560 car wash Failed to Report 1 NFPA 72 10.2.1.2(B) and 10.2.1.1 32927561 gas station 105 Failed to Report 1 NFPA 72 10.2.1.2(B) and 10.2.1.1 32927562 gas station 105 Failed to Report 1 NFPA 72 10.2.1.2(B) NFPA 72 10.2.1.2(B) and 10.2.1.1 Code References System defects and malfunctions shall be corrected. and 10.2.1.1 10.2.1.1 Inspection, testing, and maintenance programs shall satisfy the requirements of this Code, shall conform to the equipment manufacturer's recommendations, and shall verify correct operation of the fire alarm system. Fire & Life Safety America, Inc. - Charlotte 3 06/06/2017
Control Panel: n/a 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 No recalled items found during this inspection. Sound Test Location Problem Device Reference Sound Testing Sound Test Location Problem Device Reference Sound Test Points 0001 car wash and gas pumps see note Sound Test Fire & Life Safety America, Inc. - Charlotte 4 06/06/2017
Proposed Solutions Report Control Panel: 1 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 Pull Station Initiating 32927560 car wash Investigate T/M 32927561 gas station 105 Investigate T/M 32927562 gas station 105 Investigate T/M Fire & Life Safety America, Inc. - Charlotte 5 06/06/2017
Control Panel: n/a 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 Description Cost Fix Sound Test Sound Testing 0001 car wash and gas pumps T/M Fire & Life Safety America, Inc. - Charlotte 6 06/06/2017
Notes & Recommendations Control Panel: n/a The Notes & Recommendations Report details additional inspection notes made by the Inspectors during the course of the building inspection. Notes are grouped by Category. ScanID Note Device Type Location Comment 0001 1 Sound Test car wash and gas pumps see note Car wash and gas station did not function correctly Fire & Life Safety America, Inc. - Charlotte 7 06/06/2017
Inspection & Testing Control Panel: 1 The Inspection & Testing section lists all of the items inspected in your building. Items are grouped by Passed or Failed/Other. Items are listed by Category. Each item includes the services performed, and the time & date at which testing occurred. Device Type Location Service Time Date Control Passed Battery 1st Fire finder panel Tested 11:39:47 AM 10/07/2016 Battery 1st Fire finder panel Tested 11:39:50 AM 10/07/2016 Battery 1st Siemens panel Tested 11:39:39 AM 10/07/2016 Battery 1st Siemens panel Tested 11:39:42 AM 10/07/2016 Battery 1st Upper Cornell panel Tested 11:40:31 AM 10/07/2016 Battery 1st Upper Cornell panel Tested 11:40:33 AM 10/07/2016 Battery 1st 102 room 523 Tested 11:41:17 AM 10/07/2016 Battery 1st 102 room 523 Tested 11:41:26 AM 10/07/2016 Battery 1st 102 switch gear room Tested 11:42:27 AM 10/07/2016 Battery 1st 102 switch gear room Siemens panel Tested 11:42:34 AM 10/07/2016 Initiating Duct Detector 1st Shops 330 Tested 8:34:24 AM 10/07/2016 Duct Detector 1st Shops 330 Tested 8:34:33 AM 10/07/2016 Duct Detector 1st warehouse mezzanine Shops 330 Tested 9:49:54 AM 10/07/2016 Duct Detector 2nd mechanical 244 Tested 9:22:50 AM 10/07/2016 Duct Detector 2nd mechanical 244 Tested 9:23:19 AM 10/07/2016 Duct Detector 2nd mechanical 244 Tested 9:23:35 AM 10/07/2016 Heat Detector 2nd Computer room Tested 9:18:10 AM 10/07/2016 Heat Detector 2nd Computer room Tested 9:18:14 AM 10/07/2016 Pull Station 1st Exit door Tested 8:52:58 AM 10/07/2016 Pull Station 1st Exit door front lobby Tested 9:02:56 AM 10/07/2016 Pull Station 1st Exit door front lobby Tested 9:03:57 AM 10/07/2016 Pull Station 1st Exit door meeting room Tested 9:09:18 AM 10/07/2016 Pull Station 1st Exit door rear lobby Tested 9:12:01 AM 10/07/2016 Pull Station 1st Lower stair well Tested 8:54:11 AM 10/07/2016 Pull Station 1st Shops 330 Tested 8:35:31 AM 10/07/2016 Pull Station 1st Shops 331 Tested 8:43:46 AM 10/07/2016 Pull Station 1st Shops 341 Tested 8:42:46 AM 10/07/2016 Pull Station 1st Shops 342 Tested 8:41:10 AM 10/07/2016 Pull Station 1st Shops 342 Tested 8:41:15 AM 10/07/2016 Pull Station 1st Shops 357 Tested 8:38:58 AM 10/07/2016 Pull Station 1st Shops 361 Tested 8:48:09 AM 10/07/2016 Pull Station 1st 102 garage Tested 11:43:13 AM 10/07/2016 Pull Station 1st 102 garage Exit door Tested 9:54:11 AM 10/07/2016 Pull Station 1st 102 garage Exit door Tested 11:43:11 AM 10/07/2016 Pull Station 1st 102 garage office Exit door Tested 11:42:22 AM 10/07/2016 Pull Station 1st 102 public works fab shop Exit door front lobby Tested 11:43:00 AM 10/07/2016 Fire & Life Safety America, Inc. - Charlotte 8 06/06/2017
Device Type Location Service Time Date Passed Pull Station 1st 102 public works fab shop Exit door front Tested 11:43:03 AM 10/07/2016 lobby Pull Station 1st 102 storage Tested 9:44:30 AM 10/07/2016 Pull Station 1st 102 warehouse Tested 9:45:40 AM 10/07/2016 Pull Station 1st 102 warehouse Tested 9:46:50 AM 10/07/2016 Pull Station 1st 102 warehouse Tested 9:47:21 AM 10/07/2016 Pull Station 1st purchase area Tested 11:41:32 AM 10/07/2016 Pull Station 1st shops building near 326 Exit door Tested 8:21:43 AM 10/07/2016 Pull Station 1st shops building near facp Exit door Tested 8:19:11 AM 10/07/2016 Pull Station 1st warehouse Tested 9:40:38 AM 10/07/2016 Pull Station 1st warehouse Tested 9:41:42 AM 10/07/2016 Pull Station 1st warehouse Tested 9:42:23 AM 10/07/2016 Pull Station 1st warehouse Tested 9:43:16 AM 10/07/2016 Pull Station 2nd Top of stairwell 1 Tested 9:16:23 AM 10/07/2016 Pull Station 2nd Top of stairwell 2 Tested 9:29:05 AM 10/07/2016 Smoke Detector 1st 1 st floor evelator Tested 9:00:35 AM 10/07/2016 Smoke Detector 1st Panel smoke Tested 9:02:25 AM 10/07/2016 Smoke Detector 1st 102 room 523 Tested 11:41:23 AM 10/07/2016 Smoke Detector 1st 102 switch gear room 1 st floor evelator Tested 11:42:49 AM 10/07/2016 Smoke Detector 2nd 2nd floor evelator Tested 9:14:38 AM 10/07/2016 Device Type Location Service Time Date Failed/Other Initiating Pull Station car wash Tested 11:43:29 AM 10/07/2016 Pull Station gas station 105 Tested 11:44:06 AM 10/07/2016 Pull Station gas station 105 Tested 11:44:22 AM 10/07/2016 Fire & Life Safety America, Inc. - Charlotte 9 06/06/2017
Control Panel: 2 - Siemens fire finder The Inspection & Testing section lists all of the items inspected in your building. Items are grouped by Passed or Failed/Other. Items are listed by Category. Each item includes the services performed, and the time & date at which testing occurred. Device Type Location Service Time Date Device Type Location Service Time Date Passed Control Control Panel 1st Siemens panel Tested 11:40:28 AM 10/07/2016 Fire & Life Safety America, Inc. - Charlotte 10 06/06/2017
Control Panel: 3 The Inspection & Testing section lists all of the items inspected in your building. Items are grouped by Passed or Failed/Other. Items are listed by Category. Each item includes the services performed, and the time & date at which testing occurred. Device Type Location Service Time Date Device Type Location Service Time Date Passed Control Annunciator 1st main entrance Tested 8:19:13 AM 10/10/2016 Battery 1st electrical 361 Tested 8:17:46 AM 10/10/2016 Battery 1st electrical 361 Tested 8:18:32 AM 10/10/2016 Battery car wash Tested 8:18:42 AM 10/10/2016 Battery car wash Tested 8:19:02 AM 10/10/2016 Power Supply 1st electrical 361 Tested 8:17:18 AM 10/10/2016 Power Supply 1st Siemens panel Tested 11:40:25 AM 10/07/2016 Power Supply 1st 102 em 523 Tested 11:41:20 AM 10/07/2016 Power Supply 1st 102 switch gear room Tested 11:42:54 AM 10/07/2016 Power Supply car wash Tested 8:16:38 AM 10/10/2016 Initiating Heat Detector 1st elevator room Tested 8:20:29 AM 10/10/2016 Pull Station 1st meeting room Tested 8:20:45 AM 10/10/2016 Smoke Detector 1st elevator room Tested 8:20:02 AM 10/10/2016 Smoke Detector 1st main entrance Tested 8:19:47 AM 10/10/2016 Fire & Life Safety America, Inc. - Charlotte 11 06/06/2017
Service Summary The Service Summary section provides an overview of the services performed in this report. Device Type Service Quantity Failed/Other Pull Station Tested 3 Total 3 Passed Annunciator Tested 1 Battery Tested 14 Control Panel Tested 1 Duct Detector Tested 6 Heat Detector Tested 3 Power Supply Tested 5 Pull Station Tested 33 Smoke Detector Tested 7 Total 70 Fire & Life Safety America, Inc. - Charlotte 12 06/06/2017
Auxiliary Functions Testing Control Panel: 1 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 Simulated Duct Detector Passed Air Duct 2nd mechanical 244 Passed 32927523 Heat Detector Pre-Action System 2nd Computer room Passed 32927521 Pre-Action System 2nd Computer room Passed 32927522 Fire & Life Safety America, Inc. - Charlotte 13 06/06/2017
Sound and Visual Testing 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. Location Sound Test Points Comment Failed/Other Ambient db Alarm db Intelligibility Voice STI Sound car wash and gas pumps see note 0001 Test Fire & Life Safety America, Inc. - Charlotte 14 06/06/2017
Battery & Power Supply Testing Control Panel: 3 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. Type Location Rated Ah Rated Volts Pre Test Post Test Min Ah Tested Ah Passed Battery Sealed Lead Acid 1st electrical 361 7 12 Sealed Lead Acid 1st electrical 361 7 12 Sealed Lead Acid car wash 7 12 Sealed Lead Acid car wash 7 12 Fire & Life Safety America, Inc. - Charlotte 15 06/06/2017
Inventory & Warranty Report Control Panel: 1 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 48.65% 36 Duct Detector Initiating 8.11% 6 Smoke Detector Initiating 9.46% 7 Heat Detector Initiating 4.05% 3 Battery Control 18.92% 14 Power Supply Control 6.76% 5 Control Panel Control 1.35% 1 Annunciator Control 1.35% 1 Type Qty Model # Description Install Date In Service - 2 Years to 3 Years Battery 2 Sealed Lead Acid 10/07/2014 Heat Detector 2 Fixed Temperature 10/07/2014 Pull Station 7 10/07/2014 Power-Sonic Battery 2 Sealed Lead Acid 10/07/2014 Siemens Duct Detector 4 AD2-P 10/07/2014 Duct Detector 2 AD2-P Photoelectric 10/07/2014 Pull Station 28 HMS-D Single Action 10/07/2014 Smoke Detector 5 HMS-D 10/07/2014 Battery 6 Sealed Lead Acid 07/08/2014 Fire & Life Safety America, Inc. - Charlotte 16 06/06/2017
Control Panel: 2 - Siemens fire finder 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. Type Qty Model # Description Install Date Siemens In Service - 2 Years to 3 Years Control Panel 1 fire finder 07/08/2014 Fire & Life Safety America, Inc. - Charlotte 17 06/06/2017
Control Panel: 3 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. Type Qty Model # Description Install Date Siemens In Service - 2 Years to 3 Years Annunciator 1 07/08/2014 Battery 4 pad-3 Sealed Lead Acid 07/08/2014 Heat Detector 1 07/08/2014 Power Supply 5 pad-3 07/08/2014 Pull Station 1 Dual Action 07/08/2014 Smoke Detector 2 07/08/2014 Fire & Life Safety America, Inc. - Charlotte 18 06/06/2017