HomeMy WebLinkAboutAnnual Fire Alarm and Signaling Inspection - Inspection - 9/11/2020 e
Annual
Fire Alarm and Signaling Inspection
CINTAS FIRE PROTECTION
710 NARRAGANSETT PARK DR
PAWTCT, RI 02861
USA
02861
READY FOR THE WORKDAY TM
Inspection date: 0 1 2020 Inspector: Brett Woodford 0OF4073
:v::............. :......,...
...... ............. ......... .. ........ ........
:....::....
............:..
NA KOHL'S 535 0OF4041372
350 WINTHROP AVE
NORTH A DOVER, MA 018454289 !
Phone: Fax:
OWN.......... �,r
NAKOHL'S 535
350 WINTHROP AVE
NORTH A N D VER, MA 018454289
Phone: 9786868737 Fax:
Inspection performed in accordance with
NF A 72 National Fire Alarm and Signaling oche, 2016 edition
ALARM Page 1 of 7
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Agency name....:.............................. .. ..
DISPATCH
AN
I_.k:.:. .. ......... I PAT H
Contact
zTelephone 1-877- 99-0001
Monitoring account numberUNKNOWN
m.... .....:...:•..:....::....................'on.... :. ._.n.... ... ..
,,Type transmission ..... . .......n...
,.,..n.....................v.._..................._.................:........... ...._....................:.._....:.::..........
Phone Line
i
:Control Unit Manufacturer SILENT 1IkT
:Control Unit Model 5820 X.L.
Software Revision and date last updated UNKNOWN
:Quantity of Signaling Line Circuits connected to system
i
#Class(es)of Signaling Lire Circuits connected to system A
! S
ystem Documentation on site l
Type Total 'bested Failed
:Main Fire Alarm Control Unit 1 � D
Fire Alarm Control Unit Batteries 1 z 0
Fire Alarm Battery 2 0
t
MENNEN=
Main Fire Alarm Control Unit
` Front Entry
'Acknowledge/silence button functions properly. (Table 14.4.3.2( ) Pass ;
Batten,,( ) in place and connected properly. (Table 14.3.1 143.5) Pass
{
Correct fuses installed. (Table 14.4.3rb) Pass
Disconnect switches operating properly. {Fable 14.43, 3b Pass
Fire panel free from all grounds. (Table 14.4,3. )) Pass
Ground fault monitoring circuit operates properly. (Table 14.4.3x 3c ) Pass
Y
,,Installation documents or location of documents stared at CU. (7.7. Pass
iInterfaced equipment signals verified. (Table 14.4.3.2(2)) Pass
I
,,Lamps/LEDs function properly. (Table 14.4.3.2(2)) Pass
Dff premise alarm signal verified. (Table 14.4.3.2(2)) Pass
toff premise supervisory signal verified., (Table 14.4.3.2(2)) Pass
Off premise trouble signal verified. (Table 14.4.3■ pass
Power supply supervisor operating properly. (Table 14.4.3.2(l)) Pass
'Secondary(standby) power supply Table 14.4.3.2 2e Pass
11.1.. . .
Install Visual Batt 1 I Batt 2 Charger Discharge
Area/LocationT1 ec � �# Volta a Volta a 'Test � Test
Date p 9
Front Entry Behind FA P 1 11 017 Pass Pass 13.47 Pass 13. 7 � Pass 27.26 �.�.
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ALARM Page 2 of 7
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Type Total Tested Failed
Supervising Station Monitoring � �
Total 2
r
{ Supervising Station Monitoring
Main Stockroom Hidden T LCO Roo
-Type of communicator.. � dialer
i Name of Central Station TEY
........... 899 0001
i Contact person or phone number "87�
D ;00
'Tire test started
Alarm signal received k Yes
Alarm signal time (secs) to receive signal F 15
3
Alarm restoral time 1 1.30
jrouble signal received Yes
;Trouble signal time{secs}to receive signal 1
t
:Trouble restoral time 1 o
Supervisory signal received Yes
15
;Supervisory signal time(secs)to receive signal �
;,Supervisory restoral time 1 0
Signal was received on primary phone line with secondary line disconnected Yes
#Signal was received on secondary phone lire with primary line disconnected Yes
Supervising Station Monitoring
f Main a l raorn bidden TELCO Roo
',Type ofcommunicator haler
Name of Central Station ST1i] 1
Contact person or phone number
1-- 77-899-0001
Time test started I38:oo
Alarm signal received Yes
'Alarm signal time(secs)to receive signal i
11: 0
Warm restoral time
}Trouble signal received Yes
Trouble signal time(secs)to receive signal -
Trouble restoral time li: o
�Supervisory signal received lies
t
Supervisory signal time (secs) to receive signal
} 15
#` 'Supervisory restoral time f 10
Signal was received on primary phone line with secondary line disconnected Yes
Signal was received on secondary phone line with primary lime disconnected Yes
M page 3 of 7
ALAR
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Type Total Tested Failed
#"Pull Station- Manual 83 0
Total x 8 ..
r1::$OTC. . 'III S. :..' :.::.:.:: :.ry.::. :::.:.....:'.:...........:............. ::... ........ ........::... .......
.. .
..........
Type Area/Location Address
Visual Functional
p z Inspection Test
#I#Pull Station Manual Front Entry Pass Pass
.. .. ...
P�
;Pull Station Manual 3 Front Exit Left- Mens Dept
f Pass
Pull Station Manual Front Right Exit Womens Dept Pass Pass
Pull Station - Manual Loading Dock
_..... ................................
.ass ass
Pull Station- Manual ual Main Stockroom Rear Exit Pass Pass
...
.Pull Station-- Manual
Seasonal Stockroom Rear Exit I Pass Pass
�........ ... �
IPA Station�-Manual � Stockroom by Housewares Pass Pass
...................................... ....
Pull Station- Manual Stockroom Hallway Rear Exit Pass Pass
Type Total x Tested t Failed
{
15 15
Dud Detector �
{ Total k 15 :. 15 1
Ct
{ Visual Functional
Area Location Address
Inspection Test
Main Stockroom Hidden TELCD Roo
.. .
Fall. ass
Main Stockroom Hidden TELC Roo M34 P003 Pass Pass
Main Stockroom Hidden TELCO Roo ,
M4 P003 Pass Pass
{
i Main Stockroom Hidden TELCO Roo M34 P003 � Pass Pass
.M
Main Stockroom Hidden TELCO Roo M34 P003 Pass Pass
.......
..................v.... n.::...:..... _....................... .........,...
Main StockroomHidden TELCO Roo ................M34 P003 Pass Pass
Main Stockrooms Hidden TELCO Roo M34 P003 Pass Pass
:.............................................:.....................
.....r................ ......-.
. ........ ..
Main Stockroom Hidden TELCO Roo M34 P003 Pass. Pass...
Main Stockrooms Hidden TEL Roo M34 P003 Pass
€ Pass
. Main Stockroom Ridden TELCO Roo M34 P00.3.. . i Pass ... Pass
i
Main Stockroom Hidden TELCO Roo M34 Poi Pass Pass
Main Stockroom Hidden TELCO Roo M34 P003 Pass . Pass
Main Stockroom Hidden TELCO Roo M34 P003 Pass Pass
Main Stockroom Hidden TELCO Roo M34 P003 Pass Vass
i
i
$} Rain Stockroom Hidden T L O RooM34 P003 ` Pass Pass
SFF
E
+ +
Type Total Tested Failed
Smoke Detector 3 30
Total 3 3 0
's
is
ALARM Pale 4 of 7
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.................:::.....
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Visual isua Functional
Area/Location Inspection Test
�
Pass .... ....... ..ASS
Above FACP ...... .....#
-..
i....Rear Electrical Room €. 1..... .....Pass Pass
{ Pass Pass
Rear Emergency Generator Room � 1.
Tyke Total Vested Failed
!Horn/Strobe
Strobe 1 1
I 'I
t... Ices ......... ..... ..
................
nal
Area Location Address visualT1Q
k Type Inspection Test
,
Horn/Strobe Bo 4-20 Pass Pass
I S i Pass Pass
1 Strobe Br a r�r oo .. ..... -....,.-,...... ..
E3 Pass
'Horn/Strobe
�T Appliances..... . .. � . . ....-.
f Horn/Strobe
n/Strobe
Customer Service
s Pass
B
'Horn/Strobe By Front Ri...........ght Exit 1 or en Dept' Pass � Pass
I '
Horn/Strobe dens FittingRoom j P-ass_ ......� .. .. - .Pass
.. .. .
..................... Pass Pass
Horn Strobe Front Entry
ornStrobe Front Exit Left- ens Dept
Pa
Pass
..............
...... .......
4 Horn/StrobeG--iris 4 Pass Pass
:.:.....�...............:.......... ........
...-....... ...-. ..... ...
Pass
Girls 7-16 Fittin
Strobe 9 _... ...
..a
..
5............
P.,a s.s...
Horn/Strobe........... .... girls Dept ..... Piss
.. ...........
Horn/Strobe Housewares Rear Wall "
.. ss Pass
. .
Horn/Strobe -..._ ousevwra res Rea r waif........................_........: ............... ......-.......-.._........._-. Pass....................... ... .Piss.-........ ..
:............................. .......... ,..-,
t housewares Rear Wall
Pass Pass
Horn/Strobe Strobe
Thor Strobe Housewares Bear Wall €
Pass Pass
Horn/Strobe housewares side wall
Pass
PISS
...............
.........
Strobe 3unlors Fitting Room
Pass ass
t
Horn Strobe i Kids Shoes � � Pass �.......... Pass.. .. ..
r
,................... .....v......
1 Horn/Strobe Loading Dock Pass Pass
F Pass Pas
t Horn/Strobe Luggage Dept
Horn Strobe � Main Stockroom
Pass Pass
;_....,.. ..N.v.,. .......
............................_.................
Horn Strobe Main Stockroom Pass .P.asas.s
.........
{................:.. .............:.......,............................................ .......................-..-..........-............
fain Stockroom by Sprinkler �
Horn/Strobe Risers Pass Pass
. .... ..... ..... .........
#, Pass Pass
Horn/Strobe E`F �� Dress Shirts € r........... .....................'' ...<
} Strobe glens fitting Room Pass Pass
....-.
..:......................
_......:.......... r
;. Pa ss Pass'Strobe MENFront Storage
.
C,
r
Strobe Mensroom
i ............... ......... Pass Pass
Horn/Strobe Newborn Dept
...... ... .
<'. Pass
Horn/Strobe Offices � I...
ASS
Strobe outside Front Entry . Pass Pass......
......................................
....... ...
..
Horn/Strobe � Seasonal Stockroom � � Vass Pass ..-.
x
1.IornStrobe Shoe Dept
Pass
1.
Horn/Strobe Stockroom by
housewares .. Pass Pass
f 7
ALARM PageD
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...............
Visu
al
Area/Location Address
nett
Type Inspection Test
} Pass Pass
' Horn/Strobe Stockroom by Housewares �
Horn/Strobe Womens Accessories ........ �.... Pass............�.. ............Pass
i or trobe Womens Accessories a Vass... . . . Pass..... . ..
f... ..
Strobe Womens Clearance Pass
Horn/Strobe Womens Cosmetics Pass Pass
........._......:...........:..........:... . ..... n,... . ..............
.... .. ..I ..
Hor trabe Womens Dept Pass ass
M... ............
:................N.......... ... Pass Pass
E Horn/Strobe Womens Dept
_.................................. ......
Horn/Strobe Womens Dept Pass ^..........
Pass.............
`
Horn/Str............obe Womens Franc # Pass. ass
Strobe Womens Front Storage Pass Vass.....
...................:....................
...... ..:..... ..... ......................_............................-............-....:............� ..,........ ._ .....:..,....;...... ....Pass .. �'� Pass
Horn/Strobe Wornens Intimates
,
Womens intimates dressing room � Pass Pass
strobe ....,.-..- .� ... . ,,.., . . ....... ..............:. . .
......................
Strobe Vlomens Ps Fitting Room
Pass Pass
..... ..- .. ........
... .
Pass Pass
1 Strobe Womens Rooms .....:..,.
:.....
Horn/Strobe x... ornens Sleepwear .
Pass Pass
1
*PAR response indicated"Pass After Repair". Technician rotes a deficiency of a device,and repairs the dendenc during u7specuoa•..,,...,....
.
...............
Duct Detector
Main Stockroom}hidden TEL Roo
5.. ... es: Visual Inspection (Table 14.3.1(1
3Te hnioian Response: LED DOES NOT ACTIVATE WHEN TESTED
Y TEM SENSOR i T 4a'i
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The owner and/or designated representative acknowledges the responsibility of the operating condition of the component
parts at the time of this inspection. It is agreed that the inspection service provided by the contractor as prescribed
herein is limited to performing a visual inspection and/or routine testing, and any investigation or unscheduled testing,
modification, maintenance, repair, etc., of the component parts is not included as part of the inspection work performed.
It is further understood that all information contained herein is provided to the best of the knowledge of the party
providing such information.
i!'i'11 9/111 o
Technician: Brett Woodford 0OF4073
C.0 t..p er.:..... . ....__....: :............ .... ...... .
MA- I-000334
i I - 00000090
RI BF-1011
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ALARM Page 7 of
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