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
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.................................... ........ . .
........ ...............
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
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