Loading...
HomeMy WebLinkAboutElevator Inspection - North Andover High School - Inspection - 430 OSGOOD STREET 2/3/2021 IMPACT FIRE SERVICES, LLC 26 HAMPSHIRE DRIVE PACT HUdSON NH 03051 O:603.293.7531 F:603.589,2051 ADDITIONAL SERVICE WWW•GETFIREPROTECTION.COM FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#: DEVICE INSPECTION REPORT MA-20423A;NH-13117 M Page 3 of 3 WORK ORDER#: 20723379 DATE: 02/03/2021 09:00am EST CUSTOMER ID: DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL TYPE SMOKE ACADEMIC 3RD FL ELEV LOBBY N4L1S002 Q ❑ SMOKE ACADEMIC 2ND FL ELEV LOBBY N31-2S003 z ❑ SMOKE ACADEMIC 1ST FL ELEV LOBBY N3L1S006 ❑� ❑ SMOKE ACADEMIC 1ST ELEV MACHINE ROOM N3L1S003 0 ❑ ❑ ❑ SMOKE BASEMENT ELEV MACHINE ROOM N21-2S050 Q ❑ SMOKE BASEMENT ELEV LOBBY N21-2SO49 Q ❑ SMOKE KITCHEN HALL ELEV NEXT TO STAIR 9 NlLlS010 0 ❑ SMOKE KITCHEN FRONT ELEV LOBBY N1L2S024 Q ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ BILLING ADDRESS CONFIRMED CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE CUSTOMER'S PRINTED NAME IMPACT FIRE SERVICES,LLC 26 HAMPSHIRE DRIVE IMPACT HUDSON 29 ,7531 d;603,?.93,7531 F:603.589.2051 FIRE WWW GETFIREPROTECTION.COM ELEVATOR INSPECTION MASTER ELECTRICIAN#: Inspected to the state adopted version of NFPA 72 MA-20423A;NH-13117 M - ----- --- -------------------------- WORK ORDER#:20723379 DATE:02/03/2021 09:00am EST CUSTOMER ID: BILL TO: SHIP TO: — -- NORTH ANDOVER PUBLIC SCHOOLS NORTH ANDOVER HIGH SCHOOL ATTN:ACCOUNTS PAYABLE,566 MAIN STREET 430 OSGOOD ST NORTH ANDOVER MA 01845 NORTH ANDOVER MA 01845 Phone:(978)994-6673 Contact: GREG ROBERTS Email: Phone: (978)994-6673 ELEVATOR INSPECTION ARRIVAL TIME:8:15AM DEPARTURE TIME:10:OOAM PASS FAIL A. PANEL CONFIGURATION: E3 SERIES _ DETECTION CLASS: __..___. CLASS A: Ej LASS 8: QQ Q SIGNAL CIRCUIT CLASS: _.._...... _ _ CLASS A: ❑ CLASS B: A. PANEL LOCA.TION:1046 ELECTRICAL ELEVATOR OPERATION: TESTING OF ALL RECALL DEVICES B. -- - B. O O COMPANY OF RECORD:ASSOCIATED ELEVATOR NIA C. SHUNT TRIP C. ❑ �✓ Q D. LOCATION OF SHUNT:NIA ------------- E. LOCATION OF FEED TO SHUNT TRIP:N/A TYPE OF REMOTE �]MASTER BOX# n RADIO MASTER BOX#226 F' COMMUNICATION ❑DIGITAL COMMUNICATOR: ❑OTHER: F. OFF LINE TIME:8:30AM- REPORTS TO:NORTH ANDOVER G. ON LINE TIME: 10:OOAM REPORTS TO:FIRE DEPT G. O ❑ FIXED SMOKES TEST FAIL TEST FAIL QTY - 8 0 Page 1 of 3 IMPACT FIRE SERVICES,LLC 26 HAMPSHIRE DRIVE Hi0S NH 01IMrHCm 0:603.293.7531 F:603.589.2051 FIREWWW.GETFIREPROTECTION.COM MASTER ELECTRICIAN M ELEVATOR INSPECTION MA-20423A;NH-13117 M Inspected to the state adapted version of NFPA 72 WORK ORDER#: DATE: __.._. CUSTOMER ID: H. Explanation of Railed Devices: NONE I. The inspector suggests that following necessary improvements. However,these suggestions are not the result of an engineering survey. These are recommendations based on current code. NONE. J. Adjustments or corrections made: NONE. K. Inspection and suggested improvements were discussed with the undersigned Owner or Owner's Representative. © Yes ® No THIS IS NOT AN INV E 02/03/2021 ® BILLING ADDRESS CONFIRMED 02/0312021 CUSTOMER'S SIGNATURE-DATE TECH AN'S SI VTURE—DATE GREG ROBERTS CUSTOMER'S PRINTED NAME Page 2 of 3