HomeMy WebLinkAboutInspection, Testing and Maintenance of Fire Alarms and Signaling Systems - Inspection - 9/29/2021 Form for Inspection, Testing and Maintenance of cs+,rrrnunlcatrun®
Fire Alarms and Signaling Systems FIRE G SECURITY sys"rems
Location Code: IAVPBMF
Contact:"Nowww" Company: ACP Fire&Security
Contact Address: Sutton Management Cc Inc,P.O.Box Address: PO Box 3065
1590 Woburn,MA 01888
Andover,MA 01810
Company Phone: (781)279-4004
Phone: (978)689-9994
Inspector: Tester 1
Email: rstcm@Suttonmanagenient,com Steve Hutchings 5986D
Property Evaluated: The Colonnade(Residential) Date of Work: 9/29/2021
1401 Great Pond Rd.
North Andover,MA 01845 Frequency: Annual
Description. Fire Alarm(Fire alarm)
Attached Files
There are no attachments for this submission
Deficiency Summary
Please refer to the Deficiency Surnmary located on applicable Fire Alarm Supplementary Forms for additional deficiency details.
General Comments
There are no general comments for this submission
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ACP Fire&Security,PO Box 3065,Woburn,MA,01888 Phone:(781)279-4004 Page I of 4
ACP Fire&Security
PO Box 3065
AWAAW4C ®cwrss amp Woburn,MA 01888
FIRE r51.SECURITY BY TRIM Phone:(781)279-4004
Form for Inspection,Testing and Maintenance of
Fire Alarms and 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: Silent Knight
maintenance may be necessary depending on the conditions of the Model number; IFP-100
occupancy and the water supply.
Notes: 4.2 Software and Firmware Revision number: 15.1
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 Comments for this form. 4,3,1 Primary(Main)Power:
2. Refer to NFPA-72 for specific inspection frequency requirements Nominal voltage: 110
for the different components.
20
The work covered on this form is(select fps'
Annual Location: House Panel
one):
Date of Work 9/29l2021 Overcurrent protection type: Breaker
All responses refer to the current work(inspection,testing and Amps: 20
maintenance)performed on this date. Disconnecting means location: Electrical Room
1.Property Information 4.3.2 Secondary Power:
Owner: Type: Baftery Backup
John Koufas Location: Inside panel
Owner's Phone Number: Battery type(if applicable): I Lead-acid i Nickel-
68 - cadmium
Owner's Address: I✓Primary(dry cell)
Sealed lead-acid
Sutton Management Co Inc P O Box 1590. Andover.MA.01810 Calculated capacity of batteries to drive the system:
Property Being Evaluated: In standby mode(hours): 24
The Colonnade(Residential) In alarm mode(minutes): 5
Property Address:
1 Great Pond rth Andover, 01845 5.Notifications Made Prior To Testing
Assembly Description:
r AI F' rm .Contact Time;.
2.Owner's Section Monitoring Y 8:12
A.Are the fire alarms and signaling systems ✓I yes-,No organization:
in service? Building
B.Have fire alarms and signaling systems /i Yes No management: NA NA
remained in service since the last inspection?
C.Was the system(of which the fire alarm Building occupants: NA NA
and signaling systems are a part)tree of ✓i yes No Authority Having
actuation of devices or alarms since the last Jurisdiction: NA NA
inspection?
D.The required record documents are Other,if required: NA NA
available and include the current revisions of
all fire alarm software and the revisions of ✓I Yes'.'No
software of any systems with which the fire
alarm software interfaces?
Owner or Representative NA
Signature No Signature Available
Date 9/29l2021
3.Monitoring Information
Monitoring organization: Centra-Larm
Address:
Phone:
Fax:
Email:
Account number: 70005457
Phone line 1:
Phone line 2:
Means of transmission: Radio Box _
Entity to which alarms are retransmitted:
Phone:
NFPA 72 v l.0 Page 2 of 4
ACP Fire&Security
PO Box 3065
rnurdcn rxrp Woburn,MA 01888
IRE tom.SECURITY SYSTEM Phone:(781)279-4004
6.Testing Results 6.6 Supervising Station Monitoring
6.1 Control Unit and Related Equipment Description Yes/ND .. Time(sec) Results
Description Visual Functional Results Alarm signal J; J PasNfA ail
Yes i No
Inspection ..Test
JI Pass L Fail Alarm :✓i Pass' 3 Fail
Control unit Yes L... No -1
f Yes__l No ✓J Yes I_No N/A restoratton N/A
Lamps/LEDs/L V, ✓i Pass I- Fail Trouble signal V1 Yes I No �'P_a_I N/A sit
CDs Yes',...iNo ✓..IYes No N/A
Trouble W?Pass Fail
Fuses Ji Pass l_`Fail ✓.'Yes l...No
✓'Yes 1 No ✓.3 Yes I_--No , ,N/A restoration NIA
Supervisory I Pass L I Fail
Trouble signals ,",Yes ✓I Pass ',Fail i Yos I No
_ '_[No ✓h Yes I_Na _NIA signal vl NIA
Supervisory i_!Pass-'Fail
Disconnect Wu Yes`.J No J Yes I- Na ✓i Pass Fail restoration J Yes!'No �N/A
switches _N/A
Ground-fault I Pass i Fail 6.7 Public Emergency Alarm Reporting System
Yes'✓_I No Yes V No
monitoring ✓..NIA
Description Yes/No.:::. Time(seconds) Results "
Supervision ;1 Yes✓I No I Yes IJ No I Pass E Fail
JN/A Alarm signal - ?Pass i Fail
I Yes 1 'No JE NIA
Local ✓I Pass I !Fail
Yes' INo �iYesl No annunciator '-`NIA Alarm O Pass i Fail
restoration U Yes L No '✓1 N/A
Remote - 1 Pass I 'Fail
annunciators I Yes✓I No J Yes IJ No NIA Trouble signal 1__I Pass J Fail
I Yes l_No -/!NIA
Remote power - _I Pass L Fail
panels Yes'Ji No I Yes IJ No ✓;N/A Trouble J Yes No I- ]Pass Fail
restoration V11 N/A
Other: i Yes 1 No )Yes I No l Pass L_'Fail:N/A Supervisory I Yes' No t Pass'.:.I Fail
signal - V)N/A
6.2 Secondary Power
Supervisory �I Pass I Fail
_Yes I No
Description Visual Functlonal Results restoration NIA
Inspection Test 7.Notiflcations That Testing Is Complete
H attery WI Yes'..?No Jl Yes I_:No �Pass I_Fail
condition N/A Contact Tlme
Load voltage Vi Pass'.._:Fail Monitoring
Yi Yes 1 No %i Yes I_No - Y 10;27
N/A organization:
-
Discharge test N :Fail Building NA NA
I Pas
Yes'_I No ✓1 Yes l_ No
/A management;
Charger test _!yes'Ji No Yes No pass] Fail Building occupants: NA NA
NIA
Authority Having NA NA
Remote panel Yes✓J No Yes fJ No I Pass Fail Jurisdiction:
batteries ✓N/A
6.3 Alarm and Supervisory Alarm initiating Device Other,if required: NA NA
8.System Restored To Normal Operation
Complete supplementary device test form for all initiating devices. Date: 9/29/2021
6.4 Notification Appiiances
Complete supplementary appliance test form for all notification Time: ]0:27 -_
appliances,
9.Comments
6.5 Interface Equipment Any'No"answers,test fallures or other problems found with Ihefire
Complete supplementary interface component test form for sit alarm system trust be explained using the comment specie for each
P pP r3 question.Additional comments can be added here.
interface components. Please see the summary section at the top of the farm far the
Circuit Interface/Signaling Line Circuit Interface l Fire Alarm
Control Interface comments.
10,Inspector's Information
Inspected By Tester 1
Inspector License: Steve Hutchings 5986D
I 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.This system as specified herein has been inspected
NFPA 72 v1,0 Page 3 of
ACP Fire&Securtty
PO Box 3065
AdMAw '4Cwn xatcvre Woburn,MA 01888
FIFIIE&SECURITY SY 'I F—MS Phone:(781)279-4004
and tested according to NFPA 72,2013 edition,Chapter 14.
Signature of Inspector
Date 2021
NFPA 72 v1.0 Page 4 of
Fire Alarm Supplementary Formmma
FIRE&SECUq. r Y SYSTEEMS
Location Code: IA'VPBNIF
Contact John Koufas Company: ACP Fire&Security
Contact Address: Sutton Management Co Inc,P.O.Box 1590 Address: PO Box 3065
Andover,NIA 01910
Woburn,NIA 01888
Phone: (978)689-9994 Company Phone: (781)2794004
Email: rstem@Suttonmanagemeut.com Inspector: Tester 1
Property Evaluated: The Colonnade(Residential) Steve Hutchings 5986D
1401 Great Pond Rd. Date of Work: 9/29/2021
North Andover,MA 01845
Frequency: Annual
Description: Fire Alarm Supplement(Alarm Supplement)
Attached Files
There are no attachments for this submission
Deficiency Summary
There are no reported deficiencies for this submission
General Comments
I)No access to attic devices
2)No access to units,except#5
ACP Fire&Security,PO Box 3065,Woburn,MA,01898 Phone:(781)279-4004 Page I of 5
ACP Fire&Security
PO Box 3065
cox Woburn MA 01888 AW- Oc;�
FziRE&sr=cu;zrrY syS=ms Phone:(781)2794004
Fire Alarm Supplementary Form
The work covered on this form is(select one).-
Date of Work 912912021
Account Information
Facility Name: Property Type: Location Code:
The Colonnade Residential IAVPBMF
Service Address:
1401 Great Pond Rd.,North Andover,MA,01945
Owner: O
wner's Phone:
John Koufas
Owner's Address:
Sutton Management Cc Inc,P.Q.Box 1590, Andover,MA,01810
Legend
AS-Abort Station BATT-Batteries Col)-Carbon Monoxide Detector CM-ControI Module DA-Damper
DD-Duct Detector DH-Door Holder EL-Emergency/Exit Light EXT ST-Exterior strobe FAAP-Annuciator
FACP-Fire Alarm Control Panel HD-Heat Detector HORN-Horns/Hom-Strobes ISO-Isolation Module LA-Low Air
MM-Monitor Module(Ansel,temp, MR-Manual Release Other PR-Phase Reversal PS-Pull Station
CO,etc)
PWS-Power Supply RM-Relay module SC-Signal/Sounder Control SD-Smoke Detector SD/CO-Smoke CO combo
SD-Ion-Ion Smoke Detector SD-Photo-Photo Smoke Detector SPKR-Speakers STROBE-Strobes TS-Tampez Switch
WF-Waterflow
Type Total Tested'. Not Passed Failed Type Total Tested 'Not Passed Failed
Tested Tested
BATI' 1 1 0 1 0 Cental/Masterbox 1 0 1 0 0
FACP 2 2 0 2 0 HD 39 5 34 5 0
HORN 11 11 0 11 0 PS 11 10 1 10 0
SD-Photo 115 15 10 115 0
T Address Location Notes 'EE—quenry Last Tested Test Results. Comments ±
FACP I I st Floor-IRbby Silent Knight IFP-100 Annual 9/29/2021 Pass
FACP 2 IstFloor-Lobby Silent Knight IFP-100 Annual 9/29/2021 Pass
Cental/Master 3 Control-Smoke Detector- NIA
box PE-ConfirmL.ocation
]3A77 14 1 1st Floor-In FACP Annual 9/2 912 02 1 Pass
SD-Photo 5 3rd Floor-wp main stairwell JAnnal 9/29/2021 IPass
02014 FormLink Systems,Inc., Fire Alarm Supplement vIA Page 2 of 5
ACP Fire&Security
PO Box 3065
'AMAW4L corvnw�=P=Cora Woburn,MA 01888
F1qE=-&SEC€-prry!3y TE=-MSS Phone:(781)279-4004
T Address LocatYon Notes F uen Last Tested Test Results .Coinvicuts
PS 6 3rd Floor-top main stairwell Annual 9/29/2021 Pass
HORN 7 3rd Floor-top main stairwell Annual 9/29/2021 Pass
SD-Photo 8 3rd Floor-hallway Annual 9/29/2021 Pass
PS 9 3rd Floor-hallway Annual 9/29/2021 Pass
HORN 10 3rd Floor-hallway Annual 9/29/2021 Pores
SD-Photo 11 3rd Floor-r-side stairwell Annual 9/29/2021 Pass
SD-Photo 12 2nd Floor-main stairwell Annual 9/29/2021 Pass
HORN 13 2nd Floor-main stairwell Annual 9/29/2021 Pass
PS 14 2nd Floor-main stairwell Annual 9/29/2021 Pass
SD-Photo 115 2nd Floor-By unit 10 Annual 9/29/2021 Pass
SD-Photo 16 2nd Floor-R--side stairwell Annual 9/29/2021 Pass
HORN 17 2nd Floor-R--side stairwell Annual 9/29/2021 Pass
PS 18 2nd Floor-R--side stairwell Annual 9/29/2021 Pass
SD-Photo 19 1st Floor-main stairwell Annual 9/29/2021 Pass
PS 20 1st Floor-main stairwell Annual 9/29/2021 Pass
HORN 21 1st Floor-main stairwell Annual 9/29/2021 Pass
SD-Photo 22 Basement-main stairwell Annual 9/29/2021 Pass
HORN 23 Basement-main stairwell Annual. 9/29/2021 Pass
PS 24 Basement-main stairwell Annual 9/29/2021 Pass
SD-Photo 25 Basement-By bathroom Arrnual 9/29/2021 Pass
PS 26 Basement-By bathroom Annual 9/29/2021 Pass
SD-Photo 27 1st Floor-rear stairwell Annual 9/29/2021 Pass
SD-Photo 28 1st Floor-rear stairwell Annual 9/29/2021 Pass
PS 29 1st Floor-rear stairwell Annual 9/29/2021 Pass
HORN 30 1st Floor-rear stairwell Annual 9/29/2021 Pass
SD-Photo 31 2nd Floor-rear stairwell Annual 9/29/2021 Pass
PS 32 2nd Floor-rear stairwell Annual 9/24/2021 Pass
HORN 33 2nd Floor-rear stairwell Annual 9/29/2021 Pass
HD 34 3rd Floor-unit 14 Kitchen N/A
HD 35 3rd Floor-unit 14 N/A
HD 36 3rd Floor-unit 13 kitchen NIA
HD 37 Attic-common area N/A
HD 38 Attic-common area N/A
HD 39 Attic-common area N/A
HD 40 Attic-common area N/A
HD 41 3rd Floor-unit 12 N/A
HD 42 3rd Floor-unit 12 kitchen N/A
C2014 FormLink Systems,Inc., Fire Alarm Supplement vl.4 Page 3 of 5
ACP Fire&Security
PO Box 3065
SEMW
Id*=A. 4C;7 Woburn,MA 01888
MRE&SECUPF7Y SYS7ENVIS Phone:(781)279-4004
T e Address Location Nates nen Last Tested Test Results Comments
SD-Photo 43 3rd Floor-left side stairwell Annual 9/29/2021 Pass
PS 44 3rd Floor-Ieft side stairwell Annual 9/29/2021 Pass
HORN 45 3rd Floor-Ieft side stairwell Annual 9/29/2021 Pass
HD 46 2nd FIoor-unit 9 INIA
HD 47 2nd Floor-unit 10 NIA
HD 48 2nd Floor-unit 10 Idtchen NIA
HD 49 2nd Floor-unit 8 NIA
HD 50 2nd Floor-unit 8 N/A
HD 151 2nd Floor-unit 8 kitchen N/A
HD 52 1st Floor-unit 4 N/A
HD 53 I st Floor-unit 4 NIA
HD 54 1 st Floor-unit 4 kitchen N/A
HD 55 1 st Floor-unit 6 N/A
HD 56 1 st Floor-unit 6 kitchen N/A
HD 157 1st Floor-unit 5 Annual 9/2 912 02 1 Piss
HD 158 1 st Floor-unit 5 kitchen Annual 9/29/2021 Pass
HD 59 1 st Floor-unit 7 kitchen N/A
HD 60 1 st Floor-unit 7 Ns/A
HD 61 ist Floor-unit 7 N/A
HD 62 1 st Floor-unit I I kitchen N/A
HD 63 1st Floor-unit I I NIA
HD 64 1st Floor-unit I I NIA
HD 65 Ist Floor-unit 1 I N/A
PS 66 I st Floor-unit 11 N/A
HORN 67 1st Floor-unit 11 Annual 9/29/2021 Pass
HD 68 Basement-unit 2 kitchen NIA
HD 169 Basement-unit 2 NIA
SD-Photo 70 2nd Floor-left side stairwell Annual 9/29/2021 Pass
HD 71 Basement-unit 3 NIA
HD 72 Basement-unit 3 N!A
HD 73 Basement-storage N/A
HD 74 Basement-storage vaccum Annual 9/29/2021 Pass
closet
SD-Photo 75 Basement-electrical room Annual 9/29/2021 Pass
HORN 76 Basement-electrical room Annual 9/29/2021 Pass
HD 77 Basement-unit 1 N/A
HD 78 Basement-unit 1 kitchen N/A
C2014 FormUnk Systems,Inc., Fire Alarm Supplement vl.4 Page 4 of 5
ACP Fire&Security
PO Box 3065
AM-Amic Woburn,NIA 01888
RRE&.SEC;URE T Y SYSTEMS Phone_(781)279-4004
"e Address Location F#`aert Last Tested TiistRestft. Comments :
HD 79 Basement-laundry room Annual 9/29/2021 Pass
HD 80 1 sto Floor-Unit 5 tight rear Annual 9/29/2021 Pass
ro
Comments
Any deficiencies or other problems found with the devices must be explained using the comment specific for each device.Additional comments can be added here.
Please see the summary section at
Inspector's Information
Inspected By Tester L
Inspector License: Steve ft tchia 61)
I 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.
Signature of Inspector
Date 9/29/2021
02014 FormLink Systems,Inc., Fire Alarm Supplement vt_4 Page 5 of 5