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HomeMy WebLinkAboutFire Alarm Inspection and Testing - Inspection - 94 FLAGSHIP DRIVE 9/2/2020 Form for Inspection, Testing and Maintenance of Fire Alarms and Signaling Systems RRE &SECURITY SYSTEMS Location Code: WJFDKDF Contact: Rick Steams Company: ACP Fire&Security Contact Address: Sutton Management Co Inc,P.O.Box Address: PO Box 3065 1590 Woburn,IAA 01898 Andover,MA 0 1810 Company Phone: 781 279-40 4 Phone: 978689-9994 Inspector: Tester 1 Email, k ilroy@suttoniiianag i etit.eoin Damien Pele ar 10355D Property valuated: 85 Flagship Drive Business Date of Work: 9l2l2020 85 Flagship Drive North Andover,MA 01845 Frequency: Annual Description: Fire Alarm(Fire alarm Attached Files There re are no attachments for this submission Deficiency Summary Please refer to the Def cieney Summary located on applicable Fite Alarm Supplementary Farms for additional deficiency details. General Comments One 12 volt 7 amp hour battery in communicator failed due to date ACP Firc&.Security,PO Box 3065,Woburn,MA,01888 Phone: 791 279-4 04 Page 1 of 4 AP Fire&Security PO o 3065 Woburn,MA 01888 FIRE&SECURITYSYSTEMS Phone: 7 1 279-4 04 Form for Inspection, Testing and Maintenance of "ire Alarms n i Signaling Systems Separate forms are available for inspection,testing,and maintenance 4.System Information of the rest of the fire protection system of which the fire alarms and 4.1 Control Unit: signaling systems are a part.More frequent inspection,testing,and Manufacturer: fire lite maintenance may be necessary depending on the conditions of the Model nnumber: ms 90 Dud occupancy and the water supply, number: Notes: 4.2 Software and Firmware Revision number: 1 1. All questions are to be answered Yes,No,or Not Applicable.All 4.3 System Power: "No"answers are to be explained in the Conitnents for this form. 4.3,1 Primary Main Power: . Defer to I FP -72 for specific inspection frequency requirements Nominal voltage: 24 for the different components. The work covered on this form i select ���p : 1.1 Annual Annual Location: coy .�noit...�ta.11.... ---- Date of Work 912/ 020 Overcurrent protection type: breaker ?I responses refers to the current itoork fluspection,testing and Amps: 20 maintenance)per forrrred on this date. Disconnecting means location: elee rm 1,Property Information 4. .2 Secondary Power: Owner: Type: 1 v 7ah Rick Stearns Location: panel Owner's Phone Number: Battery type(if applicable): L Lead-acid LJ Nickel- 97 89- 94 cadmium Owner's Address; Primary(dry cell) � Sealed lead acid Sutton 1lrlan t Inc,P.O.Box 1590, Andover,11r1 0 18 10 Calculated capacity of batteries to drive the system: Property Being Evaluated: 85 Fla shi Drive Business In standby made(hours): 24 Property Address: In alarm made xninutes): ................V...... 85 Fla slii Drive I rt Anda r M&0 1845 5.Notifleations Made Prior To Testing Assembly Description: Fir r n Fire alarm) ontact::::.:::.::: 'in�e: 2.Owner's Section Monitoring A.Are the fire alarms and signaling systems 'des.-.-� o organization: 'des ILIA in service? Building B.Have fire alarms and signaling systems - Yes N/A retrained in service since the last inspection? �6'des�..-. o management: C.Was the system of which the fire alarm Building occupants: Ye N/A and signaling systems are a part)free of 1 Yes S6 o Authority Having actuation of devices or alarms since the last Jurisdiction: U N/A inspection? D.The required record documents are iL Other,if required: available and include the current revisions of all fire alarm software and the revisions of 'es_1 No software of any systems with which the fire alarm software interfaces? Owner or representative MIA Signature No Signature Available Date 912/2020 3.Monitoring Information Monitoring organization: n.ando er fd Address: Phone: Fax: Email: Account number: 1761 Phone line 1. Phone line 2: Means of transmission: mb Entity to which alarms are retransmitted: Phone: FPA 72 v1.0 Page 2 of4 zkC:0MM0f9C&t;anfr0W0 A P Fire Security P0 Box 3065 Woburn,MA 01888 FIRE&SECURITY SYSTeMSPhone:(78 f)279-4004 .Testing Results 6 . Supervising Stat€Ou 1 Mvnitaring ,1 Control Unit and Related Equipment :.: .ecr�ptYon :Ti ' sec} esni : . ... Passa na aii Alarm signal nof �: �Yes I'No 10 NIA::. nspeetion::.:.: es : t Pass .1 Fail ;Alarm l Yess No l01 !a #rol unit ;... Yes:_. No i Pass`�Fail toration Yes ..No ,NIA W:Pass`.-....I Fail . rouble signal Yes�'No l0 I 1 NIA = ,Yes'_-J No 6 Yes_J o Pass Fail _ CDs . `_.�NlA W.Pass 1:-�Fail Trouble lc Yes;... No 10 I'IN/A Pass Fail restoration Fuses 141="Yes'Li No Yes No t _.... N/A -' Supervisory 1.:Pass 1—Fail Pass _..T Fail signal 1 Yes!:. No W1 NIA Trouble signals I 'i Yes= No A Yes__ No NIA __.. L Pass;�Fail Supervisory I Yes o NIA 41 Pass;�Fail Disconnect ,Yes! No Yes k No - restoration s��ri#gibes T �_....1 I1 . Ground-fault Pass L__'Fail tx.7 Public Emergency Alarm Reporting System = ;Yes 1 jNo k Yes .- __.N/A +:.:.'.'. monitoring :: ecrptiau ' sfo.:: :..: c secods R e ' �Pass 1J:-:Faii --- Ti L"Fass 1� Fail P ; Yes,�No Yes. 1 I �,�N/ Alarm signal --_� 'es :.:1 0 �,r1 TI Local Yes'Na Pass'-...:Fail L Pass 1 1Fail W1 Yes Nv 'tiy l N1 Alarm _.__1 Yes-....Na annunciator restoratiofY NIA --.�Pass L_Fa1 ���. Pass���Fail Remote 'yes;,I No Yes No ;i,N/A Trouble signal t annunciators ::I Yes 1... No NIA _..... 1 Pass�-:Fail -..-... Remote power Yes 1-- Yes No Trouble I Pais- Fail anel N/A -_l Yes _-No N! p restoration - --Pass i::::-'Fail 3 �- r.._ � �'Pass��Fail Other: `,Yes_. No Yes_..No i, NIAtpervisries�. No sial NIA t�.Pass's Fail . Secondary Power Supervisory J Yeses No W1N restoration :.Descry vn.:::: isua :::.: . - :::..ins :: .:. Vest 7.lotifications That Testing Is o�l�plete P Fail .,-- '' ...r'. - Zi Pass ". ::'....Tir�rm Battery Yes�._.�No �1"Yes -.--i No - �NIA :... condition Pass Fail Monitoring N/A Load voltage ,'Yes{�No i"Yes��No Yes IIIA organization, Discharge a test . i Pass 1 'Fail Building Yes NIA g i; 'Yes iU No Yes No - Nl management: Building occupants: Yes N f 6 Pass Fail I P Charger test Ivl'Yes a1 No Yes;No '.- NSA Authority Laving NIA MIA >; �Pass I 3urisdictiol1. Remote no#e panel V_Yes Li Igo Yes'"No — -}NIA batteries Other,if required: .3 Alarin and Supervisory Alarm initiating device ,System Restored To Normal Operation blllpl t supplementary tar device test form for all initiating devices. bate: 9l 2020 .4 notification Appliances Ti�xre: NIA Complete supplementary appliance test form for all notification 9.Comments appliances. Any"Aram answer's,test fallur•es or other problemsfound with the fire . Interface Equipment alar in system n2ust be explained using the corn ment speck f is f or each to supplementary interface component test fors for all question.Additional comments can be added hete. Complete pp interface components. Please see the summary section at the top of the form for the ir•crd[Intel a e Signaling Line tr•c�rit Interface r�-e lar-rrr Comments only.01 1111elface 10.Ilispector's Information Inspected By Tester Inspector License: Damien Pelczar 1035 D I state that the information on this form is correct at the time and plane of lily inspection,and that all equipment tested at this trine was left in operating condition upon colrrple#iolt of this ill pectto�r except s rioted f 4 Page 3 o NFPA 72 vl.0 A P Fire&Security PO Box 3065 rrxr r vc�trau s r ca-a Woburn,MA 01888 FIRE El SECURITY SYSTEMS Phone: 781 279-4004 in the Comments.This system as specified hereln has been inspected n�.._.._._._.._ and tested according to NFPA 72,2013 edition,Chapter 14. Signature of Inspector Date 912100 NFPA72 vl.O ,�.n..�...�,,.,.N....�.,t,.M �.w,.,.......,.��� �.�.�..�.��...M�..,�.�..�.�..�.,. .�x,�.�n_ .,.�..V..w...�...._.w�.,�..... .._._..� �. .�....�..Y..�.x..-�..�.......�....�.,,�.�.....�....,.....�.. ..M..�.. M.�,..m�wM,M,..��..,��.�.... .�x�..,H,.,w Page 4 of 4 Fire .alarm Supplementary Form CbmMunicadans Ccm FIRE&SECUPITY SYSTEMS Location Code: WJFD .DF Contact: Rick Stearns Company: A P Fire&Security Contact Address: Sutton Management Co Inc,P.O.Box 1590 Address: PO Box 3065 Andover,MA 0 18 10 Woburn.,MA 01888 Phone: (978)689-9994 CompanyPhone: 781 279-40 4 Email: k ilro a@suttonrnana ement.com Inspector: 'Fester 1 Property Evaluated: 85 Flagship Drive(Business) Damien Pelczar 10 55D 85 Flagship Drive Date of Work: 91J2020 North Andover,MA 0 1845 Frequency: Annual Description: Fire Alarm Supplement(Alarm Supplement) ttached.Files "here are no attachments for this submission Deficiency Summary There are no reported deficiencies for this submission General Comments One 12 volt 7 anip hour battery in communicator fails clue to date P Fire&Security,PO Box 3065,Woburn,MA,01888 Phone: 7 1 279-40 4 Page 1 of 5 ............................ .................................... ........ . . ........ ............... A P Fire&Security 3 PO Box 3065 Woburn,MA 01888 FIRE&SFECURfTY SYSTEMS Phone:(7 1)279-4004 Fire Alarm Supplementary Form The work covered on this form is(select one): Montbly Date of Work 9112D � Account Information Facility Name; Property Type: Location Code: 85 Flagship Drive Business WJFD1 DF Service Address: 85 Flagship give,forth Andover,MA,01845 Owner- Owner's Phone: Rick Stearns (978)689-9 94 Owner's Address: Sutton Management Co Inc,P.O.Box 1590, Andover,MA,01 10 �e end�:��:�:��:�.����: .. ... .. .. ... .. . ... .. . .. ... . ... . . ..... . . .. .......... .... ... . AS-Abort Station B TT-Batteries CoD-Carbon Monoxide Detector CM-Control Module DA-Damper DD-Duct Detector DH-Door Holder EL-Emergency/Exit Light E T ST-Exterior strobe FAAP-Annuciator FA.OP-Fire Alarm,Control Panel HD-Heat Detector HORN-Homs/Horn-Strobes ISO-Isolation Module L -Low Air MM-Monitor Module An ul,temp, MR-Manual Release Other PR-Phase Reversal PS-Pull Station co,etc) P S-Power Supply RM-Relay module S -Signal/Sounder Control SD-Smoke Detector SD/CO-Smoke CO combo SD-ton-Ion Smoke Detector SD-Photo-Photo Smoke Detector SP R-Speakers STROBE-Strobes TS-Tamper Switch WF-Waterflo ................ .. .:... ......:. ...... ..... ...... e:: : ::.: ........... .. P... .. Tested::::: .ot.�.::: ::: Passed..: Fabled � ............. . Tested ... .. 'P.......�..�.�.�.:�.�..�.�: .:::.:�..:.: �.�:�..�.::....:. �.:.��.:.:..;..:...�:.��.� t;aaX..:::�.�Testd.:�...-.. t:���::��.:���..�.�.:��:Pas Fa .ed:.�:�::: Tested HORN 42. 42 0 42 0 PS 16 16 0 16 0 Strobe 0 WF X 0 1 0 0 ....... ... .............. .. res aea e Add tron......... .......:::. .:.......:.... ote `ire x ene Last Tested 'Vest Results::'Comments' .. PS Garage-Common hallway by Annual 1212020 Pass FAP HORN 6 Garage-Common Hall y Annual 91212020 Pass Garage-Common F1a11a -IOR11 7 b unit F Annuall2100 Pass PS Garage- omznon hallway gear exit Annual 1212020 Pass PS 9 Unit K-Main entry-EUS 2nd Annual 91212020 Pass floor 2014 FormL.ink Systems,Inc., Fire Alarm Supplement v1.4 Page 2 of r A P Fire&Security PO Box 3065 mrrrcrrai amc4m Woburn,MA 01 888 1 RE SECI RTTYSYSTEMS Phone: 1)279-4004 :.... . ...: '. e::........:.........A ress oe tou:....:.: ..... d77 otes lire u rn l rs a ec 'F st:R6M .. Co i€ ri s HORN 110 Unit K-Main en ]Annual 91212020 Pass Strobe 11 Unit K-Warren's restroom Annual 9l212020 Pass Strobe 12 Unit K-Men's restroom Annual 912/2020 Pass HORN 13 Unit K-Office hallwa Annual 912/2020 Pass PS 14 Unit K-Rear exit Annual 91212020 Pass PS 15 Unit J-Main entry-1H1S Front Annual 9/212020 Pass entrY HORN 16 Unit J-Ments restroom Annual 9l212020 Pass HORN 17 Unit J-Private restroom Annual 912/2020 Pass HORN 18 Unit J- Vomen's restroom Annual 12/2020 Pass HORN 19 Unit J-Storage area/Garagge Annual 912/2020 Pass HORN 20 Unit J-Break room .Annual 91212020 Pass PS 21 Unit J-Left storage front area Annual 91212020 Pass exit HORN 22 Unit I-Left stoar a area Annual 91212020 Pass PS 3 Unit J-Left storage area rear Annual 91212020 Pass exit HORN 24 Unit J-Floor 2 office Annual 12l2020 Pass HORN 25 Unit J-Floor 2 office hallway Annual 91212020 Pass HORN 26 Unit J-Floor 2 office rear Annual 91212020 Pass PS 27 Unit H-Main entry Annual 91212020 Pass HORN 28 Unit H-Main entry Annual 9121020 Pass HORN 29 Unit H- omen's restroom Annual 91212020 Pass HORN 30 Unit H- en's restroom Annual 912/2020 .Pass HORN 31 Unit H-Office hallwa Annual 1212020 Pass PS 32 Unit H-Production area exit Annual 91212020 Pass HORN 33 Unit H-Production area exit Annual 91212020 Pass HORN 34 Unit H-Floor 2 hallwa Annual 91212020 Pass HORN 35 Unit H-Floor 2 men's Annual 912120 0 Pass restroom O� 6 Unit -Floor 2 women' Annual 1212020 Pass restrain PS 37 Unit G-Main entry 1 st f1 Annual 91212020 Pass bathroom HORN 38 Unit G-Main entry Annual 912/2020 .Pass HORN 39 Unit C-Front left Annual 9121 020 Pass HORN 40 Unit G-Storage area Annual 91212020 Pass BORN 41 Unit O Q-hallwa Annual 912J2020 Pass [HORN 42 Unit r 2 Rear exit Annual 91212020 Pass 2014 orrn-Link Systems,Inc., Fire Alarm Supplemcnt v1.4 Page 3 of .... ............ ............................................................ ........................................................................ ..:..................... .......................:................. .................. ACP Fire&Security PO Box 3065 Woburn,MA 01888 i r=& U RIT ' TIEM Phone:(781)279-4004 hl2e Address Location Notes.................:....................::.. .. .................. Fri uen -::,.,.Last Test d Test'Results esnits one ents PS 43 Unit -Rear exit Annual 9/2/2020 Pass HORN 44 Unit F-Floor 2 front office Annual 9/2/2020 Pass area PS 45 Unit C-Main eLtEy Annual 9/2/2 .0 Pass HORN 46 Unit C-Main eata Annual 9/2/2020 Vass HORN 47 Unit C-Office area Annual 121220 Pass HORN 48 Unit C-Res room Annual 9/2/2020 Vass HORN 49 Unit C-Garage exit Annual 9/2/2020 Pass HORN 50 Unit C-CGarage store e area Annual 9121220 Vass P 1 Unit -Exit to common hallwa Annual 9/2/2020 Pass HORN 52 Unit C-Exit to common Annual 9/2/2020 Pass hallwa HORN 53 Unit C-Floor 2 hall)y4y Annual 912/2 20 Pass HORN 54 Unit -Floor? front Annual 9/21220 Pass stairwell HORN 55 U it C-Floor 2 restroom Annual 9/2/2020 Pass PS 56 Unit E-Main.enqy.. Annual 9/2/2020 Pass HORN 57 Unit E-Garage entry.... Annual 12220 Pass PS 58 Chit E-Exit to common Annual 9/2/2020 Pass hallway HORN S9 Unit E-Exit to common hallwa annual 91212120 Vass HORN 60 Unit E-Office front Annual 9/2/2020 Pass Strobe 61 Unit E-Restroorn I Annual 91212020 Pass HORN 61 Unit E-Office gear Annual 9/2/2020 Pass Strobe 63 Unit E-Restroorn 2 Annual 91212020 Pass HORN 64 Unit E-Floor 2 kitchen area Annual 9/212020 Pass Strobe 65 Unit E-Flor 2 restroom Annual 9121200 Pass HORNY 66 Unit E-Floor,.)office gear Annual 9/212020 Pass PS 67 Garage-S rinkler Annual 91212020 Pass WF 68 Garage-Sprinkler N/A Comments Any deficiencies or other problems found with the devices must be explained using the comment specificfor each device.Additional comments can be added here. Please see the summaryscction at the W12 ofth fog for the comragnts, Inspector's Information Inspected By Tester I Inspector License: Damien elcZar 10355D 1 state that the information on this form is correct at the time and place of my inspection,and that all equipment tested at this time was left in operating condition upon completion of this inspection except as noted in the Comments. C 2014 FormLink Systems,Inc., Fire Alarm Supplement vl.4 Page 4 of 5 A Fire&Security { P fax 3065 ► � r. W bum,MA 01888 FIRE Phone: 1 Signature of Inspector Date 9/2/2020 C2014 ForinLink Systems,Inc., Fire Alarm Supplement v1.4 Page 5of5 ....................................................... . . .............................................. .......................... ........_ ......... ............................................... ................... ...........................