C1 FIRE ALARM SYSTEM ANNUAL TEST AND INSPECTION REPORT€¦ · CAN/ULC-S537-13 Page 5 of 19 Pages A Y Y 18.00 Ah C 26.80 Vdc D 26.00 Vdc 0.36 A E 25.20 Vdc 1.30 A F 1.75 A G Y H Y

CAN/ULC-S536-13 Page 1 of 19 Pages

BUILDING NAME : Date :

Job #

Manufacturer :

Model #

A Y

B N

C Y

D Y

E Y

F N

FA-1000

Y = TESTED CORRECTLY N = DID NOT TEST CORRECTLY N/A = NOT APPLICABLE

Brampton

Signature of Primary or Supervising Technician Conducting the Test and

Inspection

Vrajesh Upadhyay Vtech Fire Safety Inc. 647-218-5258Company

CFAA # of Primary or Supervising Technician Conduction the

Test and Inspection

G

The fire alarm system documentation is on site and includes a description of the system.

The fire alarm system is fully functional.

C1 FIRE ALARM SYSTEM ANNUAL TEST AND INSPECTION REPORT( Reference: 6.1.1 )

September 1, 2017Lullaboo Nursery & Childcare Center Inc.

1450 Queen Street West

System provides single-stage operation.

System provides two-stage operation.The entire fire alarm system has been inspected and tested in accordance with CAN/ULC-S536, inspection and testing of

Fire Alarm Systems.

ADDRESS : MIRCOM

A copy of this report will be given to the following, who is the owner or owner's representative for this building:

Comments

The fire alarm system has deficiencies noted on the pages attached.

CFAA # of Primary or Supervising Technician Conduction the

Test and Inspection

Y

TelephonePrinted Name of Primary or Supervising Technician

Conducting the Test and Inspection

This is to certify that the information contained in this Fire Alarm System Annual Test and Inspection Report is correct and complete.

Signature of Technician Conducting the Test and Inspection

Vicky Patel Vtech Fire Safety Inc. 647-218-5258Printed Name of Technician Conducting the Test

and InspectionCompany Telephone

19-992490

H


A Y

B Y

C Y

D Y

E Y

F Y

G N/A

H Y

I Time: N/A Minutes N/A

J N/A

K N/A

L Time: 1 Minutes Y

M Y

N Y

O Y

P Time: Minutes N/A

Q Y

R Y

S Y

T Y

U Y

V Y

W N/A

X N/A

Y Y

Z Y

AA Y

BB Y

EE Y

Alarm signal operates.

Control unit or transponder location : SOUTH MAIN VESTIBULE

Control unit or transponder identification : FA-1000

Power 'ON' visual indicator operates.

Common visual trouble signal operates.

Alarm signal and visible signal devices, when silenced, automatically reinitiate upon subsequent alarm.

Alarm signal silence automatic cut-out timer.

Automatic transfer from alert signal to alarm signal operates.

Manual transfer from alert signal to alarm signal operates.

Automatic transfer from alert signal to alarm signal cancel (acknowledge) feature operates on a two-stage system.

Alarm signal manual silence operates.

Alarm signal silence visual indication operates.

Alarm signal silence inhibit function operates. (Required by ULC)

Input circuit to output circuit operation, including ancillary device circuits for correct program operation, as per

design and specification, or documentation as detailed in Appendix E, Description of Fire Alarm System for Inspection

and Test Procedures.

Fire alarm system reset operates.

Main power supply to emergency power supply transfer operates.

Audible and visual alarm signals programmed and operate per design and specification; or documentation as detailed

in Appendix E, Description of Fire Alarm System for Inspection and Test Procedures.

Input circuit, alarm and supervisory operation, including audible and visual indicator operates.

Input circuit supervision fault causes a trouble indication.

Output circuit alarm indicators operate.

C2 CONTROL UNIT OR TRANSPONDER TEST RECORDY = Tested Correctly N = Did NOT Test Correctly N/A = Feature or Function not Available on this Fire Alarm System

C2.1 CONTROL UNIT OR TRANSPONDER TEST( Reference: Clauses 6.1.3, 6.2.2.1 )

Common audible trouble signal operates.

Trouble signal silence switch operates.

Main power supply failure trouble signal operates.

Ground fault tested for positive and negative indication initiates trouble signal.

Alert signal operates.

Smoke detector alarm verification (status change confirmation) verified. [Refer Subsection 6.7.4.3, Smoke Detector

Alarm Verification (Status Change Confirmation)]

Output circuit supervision fault causes a trouble indication.

Visual indicator test (Lamp Test) operates.

Coded signal sequences operate not less than the required number of times and the correct alarm signal operates

thereafter.

Coded signal sequences are not interrupted by subsequent alarms.

Ancillary device by-pass results in trouble signal.


A N/A

B N/A

C N/A

D N/A

E N/A

F N/A

G N/A

H N/A

I N/A

J N/A

K N/A

L N/A

M N/A

N N/A

O N/A

P N/A

Q N/A

C2.2 VOICE COMMUNICATION TEST

Output circuits for selective voice paging, including visual indication, operates.

Output circuits for selective voice paging trouble operation, including visual indication, operates.

Microphone, including press to talk switch, operates.

Operation of voice paging does not interfere with initial inhibit time of alert signal or alarm signal.

All-call voice paging operates (on emergency power supply).

Where systems use back-up amplifiers, the automatic transfer feature operates.

( Reference: Clause 6.1.3, 6.2.3.1 )

Power 'ON' indicator operates

Common visual trouble signal operates.

Common audible trouble signal operates.

Trouble signal silence switch operates.

All-call voice paging, including visual indicator, operates.

Circuits for emergency telephone call-in operation, including audible and visual indication operates.

Circuits for emergency telephones for operation, including two-way voice communication, operates.

Circuits for emergency telephone trouble operation, including visual indication, operates.

Emergency Telephone verbal communication operates.

Emergency telephone operable or in-use tone at handset operates.

While in standby mode, voice communication busses used for paging, alert signal, alarm signal, and emergency

telephone communication circuits, an open circuit fault, or short circuit fault, or operation of an overcurrent

protective device provided for the purpose, shall result in a specific trouble indication specific to the faulty buss.


A Y

B Y

C Y

D Y

E Y

Software Version: 1 Programmer :

G Y

H Y

I Y

J Y

A Y

B Y

C N/A

FA-1000

SOUTH MAIN VESTIBULE

Plug-in cables securely in place.

Control unit and transponder is clean and free of dust and dirt.

Control unit or transponder identification : FA-1000

Input circuit designations correctly identified in relation to connected field devices.

Output circuit designations correctly identified in relation to connected field devices.

Correct designations for common control functions and indicators.

Plug-in components and modules security in place.

C2.3 CONTROL UNIT OR TRANSPONDER INSPECTION( Reference: Clauses 6.1.3, 6.2.4.1 )

Control unit or transponder location : SOUTH MAIN VESTIBULE

( Reference: Clauses 4.2.4, 5.4.1 and 5.4.2 )

FRecord the date, revision and version of firmware and software program. Date :

Firmware Version: 2.1.13

C2.4 POWER SUPPLY INSPECTION

Fuses in accordance with manufacturer's specification.

Control unit or transponder lock functional.

Termination points from wiring to field devices secure.

Control unit or transponder location :

Control unit or transponder identification :

Fused in accordance with the manufacturer's marked rating of the system.

Adequate to meet the requirements of the system.

Where power isolation modules are installed in a power distribution riser serving field devices, wiring shall be shorted

on the isolated side, annunciation of the fault confirmed, and then a device on the source side shall be operated, and

activation confirmed at the control unit or transponder.


A Y

Y

18.00 Ah

C 26.80 Vdc

D 26.00 Vdc

0.36 A

E 25.20 Vdc

1.30 A

F 1.75 A

G Y

H Y

I Y

J N/A

K N/A

L Y

M Y

N Date :

O Y

N/A

N/A

N/A

18.00 18.00

Battery 1 Battery 2

N/A

Q 9.29 Ah

R 24.00 Vdc

S Y

T N/A

U N/A

Battery voltage with main power supply 'ON'

Y(iv) A battery capacity meter test. (Refer to Appendix F3, Battery Capacity Meter Test); or

(ii) A silent test using the load resistor method may be used for full duration test ( Refer to Appendix F1, Silent Test); or

(iii) Silent accelerated test. (Refer to Appendix F2, Silent Accelerated Test).

Record calculated battery capacity. (Refer to Appendix F4.1-C) Calculated Battery Capacity =

Battery voltage not less than 85% of it's rating after the tests.

@

Battery voltage and current with main power supply 'OFF' and fire

alarm system in full load alarm condition.

Charging current on a fully charged battery. Floating Current =

Battery is free of physical damage.

Battery terminals are cleaned and lubricated.

Battery terminals are clamped tightly.

Batteries are adequately ventilated.

Record the manufacturer's date code or in-service date. SEP.8, 2016

Disconnection causes trouble signal.

Indicate type of battery tests performed on a fully charged battery:

(i) Required supervisory load for 24 hours followed by the required full load operation; or

(v) In lieu of the above battery tests, replace the battery with a new set having a current date code, amp-hour

capacity, and of a type as recommended by the manufacturer of the fire alarm system.

System Normal =

A/C Power Off - Supervisory Load =

SOUTH MAIN VESTIBULE

FA-1000

( Reference: Clauses 6.1.3, 6.3.2, 6.3.3 )

Control unit or transponder location :

Control unit or transponder identification :

Correct battery type as recommended by manufacturer.

Correct battery rating as determined by battery calculations based on full system load.B

Battery Size Installed =

C2.5 EMERGENCY POWER SUPPLY TEST AND INSPECTION

A/C Power Off - Full Alarm Load =

Battery voltage and current with main power supply 'OFF' and fire

alarm system in supervisory condition. @

Generator provides power to A/C circuits serving the fire alarm system

Trouble condition at the emergency generator results in a audible common trouble signal and visual indication at the

required annunciator.

Record battery terminal voltage after completion of tests. Battery Voltage upon Completion =

Battery electrolyte level is correct.

Battery specific gravity of the electrolyte is within manufacturer's specifications.

Battery is free from electrolyte leakage.

P


A Y

B Y

C Y

D Y

E Y

F Y

G Y

H Y

I Y

J Y

K Y

L Y

M Y

N N/A

A N/A

N/A

N/A

C N/A

D N/A

E N/A

F N/A

G N/A

H N/A

I N/A

J N/A

K N/A

L N/A

C2.6 ANNUNCIATOR, REMOTE TROUBLE SIGNALS UNIT AND DISPLAY AND CONTROL CENTRE

TEST AND INSPECTION( Reference: Clauses 6.1.4, 6.4.1 )

Power 'ON' indicator operates.

Individual alarm and supervisory input zone clearly indicated and separately designated.

Annunciator or remote trouble signal unit location:

Annunciator or remote trouble signal unit identification:

BACK NORTH VESTIBULE

MIRCOM

Displays are visible in installed location.

Operates on emergency power.

Multi-line sequential display operates as per Appendix C6.4.1 (Annunciators or Sequential Displays) where utilized.

C2.7 ANNUNCIATORS OR SEQUENTIAL DISPLAYS( Reference: Clauses 6.1.4, 6.4.2 )

Specify Method of confirmation:

Minimum of one alarm and one supervisory zone tested per annunciator or sequential display to confirm operation.

Individual alarm and supervisory input zone designation labels are properly identified.

Where active supporting field devices are utilized, device labels correspond with actual field location.

Common trouble signal operates.

Visual indicator test (Lamp Test) operates.

Input wiring from control unit or transponder is supervised.

Alarm signal silence visual indicator operates.

Switches for ancillary functions operate as per design and specification, or in accordance with documentation as

detailed in Appendix E, Description of Fire Alarm System for Inspection and Test Procedures.

Other ancillary functions visual indicators operate.

Manual activation of alarm signal and indication operates

Where active and supporting field devices are utilized, device labels correspond with actual field location.

Common trouble signal operates.

Visual indicator test (lamp test) operates.


Alarm signal silence visual indicator operates.

Switches for ancillary functions operate as per design and specification, or in accordance with documentation as

detailed in Appendix E, Description of Fire Alarm System for Inspection and Test Procedures.

Ancillary function visual indicators operate.

Manual activation of alarm signal and indication operates.

Individual alarm and supervisory zone designation labels are properly identified.

B

Exception: Operation of each individual alarm and supervisory zone indication gives the identical indication, or lights

the identical indicators at the other annunciator(s) and sequential display(s).

Displays are visible in installed location.

Annunciator or sequential display location:

Annunciator or sequential display identification:

Power 'ON' indicator operates.

Individual alarm and supervisory zone indication operates. If "N/A" (See exception)


A N/A

B N/A

C N/A

D N/A

A N/A

B N/A

C N/A

A N/A

B N/A

N/A

N/A

N/A

C2.10 OPERATION TEST FOR DATA COMMUNICATION LINK( Reference: Clauses 6.1.5, 6.6-Note )

Control unit or transponder location:

Control unit or transponder identification:

Operate as per design and specification, or in accordance with documentation as detailed in Appendix E, Description

of Fire Alarm System for Inspection and Test Procedures.

Zone of each alarm initiating device is correctly printed.

Rated voltage is present.

Audible trouble signal silence feature operates.

Remote trouble signal unit location:

Remote trouble signal unit identification:

C2.9 PRINTER TEST( Reference: Clauses 6.1.4, 6.5.1 )

C2.8 REMOTE TROUBLE SIGNAL UNIT TEST AND INSPECTION( Reference: Clauses 6.1.4, 6.4.3 )


Visual trouble signal operates.

Audible trouble signal operates.

C

(iii) transponder to transponder

Printer location:

Printer Identification:

Confirm that a trouble signal is received at the control unit or transponder under an open loop fault.

Where fault isolation modules are installed in a data communication links serving field devices, wiring shall be

shorted on the isolated side, annunciation of the fault confirmed, and then a field device on the source side shall be

operated. And activation confirmed at the control unit or transponder.

Where fault isolation in data communication links is provided between control units or transponders and between

transponders, introduce a short circuit fault and confirm annunciation of the fault and operation outside the shorted

section between each pair of:

(i) Control unit to control unit

Data communication link identification:

(ii) Control unit to transponder


A N

B Y

C Y

D Y

E N/A

F Y

G N/A

H Y

I Y

Name:

Telephone:

# Y/N

1 Y/N

An interconnection between the fire alarm control unit and a separate fire signal receiving centre transmitter is

provided.

NOTE: The tests reported on this Form do not include the actual operation test of ancillary devices.

C2.12 ANCILLARY DEVICE CIRCUIT TEST( Reference: Clause 6.2.2.1(Z) )

RECORD SPECIFIC TYPE OF ANCILLARY CIRCUITOperation of ancillary circuit confirmed

DOOR HOLDER RELEASE RELAY

JRecord the name and telephone number of the fire signal receiving

centre.

NORTHERN ALARMS

1-800-268-6870

Tested and confirmed operation of the alarm relay.

Tested and confirmed operation of the trouble relay.

Tested and confirmed operation of the supervisory relay.

Confirmed that the alarm transmission to the fire signal receiving centre is received.

Confirmed that the supervisory transmission to the fire signal receiving centre is received.

Confirmed that the trouble transmission to the fire signal receiving centre is received.

Operation of the fire signal receiving centre disconnect means results in a specific trouble indication at the control

unit or transponder and transmits a trouble signal to the fire signal receiving centre.

C2.11 INTERCONNECTION TO THE FIRE SIGNAL RECEIVING CENTRE( Reference: Clause 6.2.2.1 )

The fire signal receiving centre transmitter is integral to the fire alarm control unit.


M MANUAL STATION MIRCOM MS-401

RHT HEAT DETECTOR, RESTORABLE

C3 FIELD DEVICE RECORD( Reference: Clause 4.2.7 and Section 6 )

C3.1 FIELD DEVICE TESTING - LEGENDS AND NOTES( Reference: Clauses 6.7.4.1.3, 6.7.4.1.4, 6.7.4.1.5, 6.7.4.3.1, 6.7.4.5.1, 6.7.8.1.1, 6.7.8.2.2, 6.7.8.2.4 )

DEVICE DESCRIPTION TYPE MODEL NUMBER

RI Remote Indicator Unit

S

Manufacturer Sensitivity Range:

Sensitivity Test Method or Test Equipment:

HT HEAT DETECTOR, NON-RESTORABLE SYSTEM SENSOR 5603A

SMOKE DETECTOR

SFD Supporting Field Device (Monitor)

FS Sprinkler Flow Switch

DS Duct Smoke Detector

- Other Detector

EM Fault Isolation Module

B Bell

SS Sprinkler Supervisory Device

-Other Supervisory Devices (Low Pressure, Low Water,

Low Temperature, Power Loss, etc.)

SP Cone Type Speaker

HSP Horn Type Speaker

H Horn

V Visible Signal Device

MIRCOM FHS-340R

AD Ancillary Device

ET Emergency Telephone

SYSTEM SENSOR C2W-BA & 2151AModel/Method: MOD-R

Sensitivity Range: 1.0-2.4

RLY-B RELAY BASE OF SMOKE DETECTOR SYSTEM SENSOR B116LPA

EOL End-of-Line Resistor MIRCOM MP-300

HV HORN - STROBE


"Correctly Installed" refers to the version of CAN/ULC-S524, Standard for Installation of Fire Alarm Systems,

applicable at the time of installation of the device being tested.

NOTE 15: Test and confirm conventional field device supervision of wiring.

The following notes apply to Appendix C3.2, Individual Device Record:

NOTE 4: Duct smoke detector differential should be confirmed and recorded in the remarks column.

NOTE 10: Identify date field device changed in the remarks column.

NOTE 11: Identify correct field device operation (e.g., alarm, trouble, supervisory, annunciation indication).

NOTE 12: Identify zone, circuit number, or address.

NOTE 7: Upper and lower pressure setting of supervisory devices should be recorded in the remarks column.

NOTE 8: Low temperature setting should be recorded in the remarks column.

NOTE 9: Identify the specific ancillary device in the remarks column.

NOTE 16: Confirm field device free of damage.

NOTE 17: Confirm field device free of foreign substance.

NOTE 1: Smoke detector sensitivity confirmation or measurement should be recorded in the remarks column.

NOTE 2: Smoke detector cleaning or replacement date should also re recorded in the remarks column.

NOTE 3: Status Change, Including time delay, should be recorded in the remarks column.

CAUTION: The tests reported on this Form do not include the actual operational test of ancillary devices.

NOTE 18: Confirm field device mechanically supported independently of the wiring.

NOTE 19: Confirm field device protective dust shields or covers removed.

NOTE 13: Identify conventional field device locations.

NOTE 14: Identify active field device and supporting field device, data communication link (DCL), address and location.

NOTE 5: Time delay setting of water flow switch should be recorded in the remarks column.

NOTE 6: Sprinkler supervisory switches cause supervisory condition to the annunciated but not an alarm condition.

NOTE 20:


LOCATION DEVICE ADDRESS REMARKS COMMENTS

2ND FL - CORRIDOR SOUTH STAIR EXIT M 1 Y Y Y Y

2ND FL - CORRIDOR SOUTH S 1 Y Y Y Y 2.30

2ND FL - CORRIDOR CENTER S 1 Y Y Y Y 2.30

2ND FL - ELEVATOR LOBBY S 3 Y Y Y Y 2.30 RELAY BASE

2ND FL - CORRIDOR NORTH S 1 Y Y Y Y 2.30

2ND FL - CORRIDOR NORTH STAIR EXIT M 1 Y Y Y Y

2ND FL - CORRIDOR NORTH STAIR EXIT EOL 1 Y Y Y

2ND FL - CLASSROOM S.W PRESCHOOL 1 S 3 Y Y Y Y 2.30

2ND FL - CLASSROOM S.W + S.CNTR CLOSET S 3 Y Y Y Y 2.30

2ND FL - CLASSROOM W.CNTR PRESCH2 S 3 Y Y Y Y 2.30

2ND FL - CLASSROOM N.W PRESCHOOL3 S 3 Y Y Y Y 2.30

2ND FL - CLASSROOM N.W CLOSET PRE3 S 3 Y Y Y Y 2.30

2ND FL - CLASSROOM N.E PRESCHOOL 4 S 3 Y Y Y Y 2.30

2ND FL - CLASSROOM N.E CLOSET S 3 Y Y Y Y 2.30

2ND FL - CLASSROOM N.E CLOSET EOL 3 Y Y Y

2ND FL - CLASSROOM N.E CLOSET EOL 2 Y Y Y

2ND FL - CLASSROOM S.E PRESCHOOL 5 S 3 Y Y Y Y 2.30

2ND FL - CLASSROOM S.E CLOSET S 3 Y Y Y Y 2.30

2ND FL - UTILITY ROOM EAST S 7 Y Y Y Y 2.30

2ND FL - UTILITY ROOM EAST EOL 7 Y Y Y Y

2ND FL - UTILITY ROOM WEST INSIDE PRE2 S 6 Y Y Y Y 2.30

2ND FL - UTILITY ROOM WEST EOL 6 Y Y Y Y

REQUIRES SERVICE OR REPAIR

BUILDING NAME : Lullaboo Nursery & Childcare Center Inc.

ADDRESS : 1450 Queen Street West

: Brampton

CORRECTLY INSTALLED

ALARM CONFIRMED

ANNUNCIATION CONFIRMED

C3.2 INDIVIDUAL DEVICE RECORD( Reference: Clauses 6.7, 6.7.1.3, 6.7.4.1.5, 6.7.8.1.1, 6.7.8.2.2, 6.7.8.2.4, 6.7.11.1, 6.7.11.2, C3.1 )

OUTPUT CIRCUIT OPERATION CONFIRMED

SMOKE DETECTOR SENSITIVITY (%) or WATER FLOW (Seconds) or MAGLOCK SHUTDOWN (Y/N)


ELEVATOR TOP OF SHAFT S 2 2.30 NOT TESTED YET

TOP OF NORTH STAIR S 4 Y Y Y Y 2.30

TOP OF NORTH STAIR EOL 4 Y Y Y

TOP OF SOUTH STAIR S 5 Y Y Y Y 2.30

TOP OF SOUTH STAIR EOL 5 Y Y Y

Y Y Y Y

2ND FL - CORRIDOR SOUTH H/V SIG5 Y Y Y

2ND FL - CORRIDOR SOUTH EOL SIG5 Y Y Y

2ND FL - CORRIDOR NORTH H/V SIG6 Y Y Y

2ND FL - CORRIDOR NORTH EOL SIG6 Y Y Y

1ST FLOOR

1ST FL - CORRIDOR SOUTH STAIR EXIT M 9 Y Y Y Y

1ST FL - CORRIDOR SOUTH S 9 Y Y Y Y 2.30

1ST FL - CORRIDOR WEST AT OFFICES S 9 Y Y Y Y 2.30

1ST FL - ELEVATOR LOBBY S 13 Y Y Y Y 2.30 RELAY BASE

1ST FL - CORRIDOR NORTH S 9 Y Y Y Y 2.30

1ST FL - CORRIDOR NORTH STAIR EXIT M 9 Y Y Y Y

1ST FL - CORRIDOR NORTH STAIR EXIT EOL 9 Y Y Y

1ST FL - UTILITY ROOM IN STAFF WASHROOM S 15 Y Y Y Y 2.30

1ST FL - UTILITY ROOM IN STAFF WASHROOMEOL 15 Y Y Y

1ST FL - UTILITY ROOM WEST S 16 Y Y Y Y 2.30

1ST FL - UTILITY ROOM WEST EOL 16 Y Y Y

1ST FL - KITCHEN HT 12 Y Y Y Y

1ST FL - KITCHEN EOL 12 Y Y Y

1ST FL - CLASSROOM S.W TODDLER 3 S 13 Y Y Y Y 2.30

1ST FL - CLASSROOM N.W INFANT 1 S 13 Y Y Y Y 2.30

1ST FL - CLASSROOM N.W SLEEPING AREA S 13 Y Y Y Y 2.30

1ST FL - CLASSROOM N.CNTR INFANT 2 S 13 Y Y Y Y 2.30

1ST FL - CLASSROOM N.CNTR SLEEPING AREA S 13 Y Y Y Y 2.30


1ST FL - CLASSROOM E.CNTR TODDLER 2 S 13 Y Y Y Y 2.30

1ST FL - CLASSROOM E.CNTR + S.E CLOSET S 13 Y Y Y Y 2.30

1ST FL - CLASSROOM S.E TODDLER 1 S 13 Y Y Y Y 2.30

1ST FL - UTILITY ROOM EAST IN TODDLER1 S 11 Y Y Y Y 2.30

1ST FL - UTILITY ROOM EAST EOL 11 Y Y Y

TODDLER 3 ELECTRICAL CLOSET EOL 13 Y Y Y

1ST FL - CORRIDOR SOUTH H/V SIG3 Y Y Y

1ST FL - CORRIDOR SOUTH EOL SIG3 Y Y Y

1ST FL - CORRIDOR NORTH H/V SIG4 Y Y Y

1ST FL - CORRIDOR NORTH EOL SIG4 Y Y Y

BASEMENT

BSMNT - CORRIDOR SOUTH STAIR EXIT M 19 Y Y Y Y

BSMNT - CORRIDOR SOUTH S 19 Y Y Y Y 2.30

BSMNT - ELEVATOR LOBBY S 19 Y Y Y Y 2.30 RELAY BASE

BSMNT - CORRIDOR NORTH S 19 Y Y Y Y 2.30

BSMNT - CORRIDOR NORTH STAIR EXIT M 19 Y Y Y Y

BSMNT - CORRIDOR NORTH STAIR EXIT EOL 19 Y Y Y

BSMNT - MAIIN ELECTRICAL ROOM S 18 Y Y Y Y 2.30

BSMNT - CLASSROOM S.W SCHOOL AGE1 S 17 Y Y Y Y 2.30

BSMNT - CLASSROOM S.W CLOSET S 17 Y Y Y Y 2.30

BSMNT - STAFF KITCHEN S 17 Y Y Y Y 2.30

BSMNT - STAFF KITCHEN CLOSET S 17 Y Y Y Y 2.30

BSMNT - STAFF MEETING ROOM S 17 Y Y Y Y 2.30 BOARD ROOM

BSMNT - STAFF MEETING ROOM CLOSET S 17 Y Y Y Y 2.30 IT CLOSET

BSMNT - SUMP PUMP ROOM S 17 Y Y Y Y 2.30 INSIDE N/W WASHROOM

BSMNT - NORTH STAIR LOBBY S 17 Y Y Y Y 2.30

BSMNT - CLASSROOM N.E SCHOOL AGE2 S 17 Y Y Y Y 2.30

BSMNT - CLOSET BENEATH SOUTH STAIR S 17 Y Y Y Y 2.30

BSMNT - CLASSROOM S.E KINDERGARTEN S 17 Y Y Y Y 2.30

BSMNT - CLASSROOM S.E CLOSET MECHA. RM S 17 Y Y Y Y 2.30

BSMNT - CLASSROOM S.E CLOSET EOL 17 Y Y Y

BSMNT - ELEVATOR PIT S 21 2.30 NOT TESTED YET


BSMNT - ELEVATOR MACHINE ROOM S 20 Y Y Y Y 2.30

BSMNT - ELEVATOR MACHINE ROOM EOL 21 Y Y Y

BSMNT - ELEVATOR MACHINE ROOM EOL 20 Y Y Y

BSMNT - CORRIDOR SOUTH H/V SIG2 Y Y Y

BSMNT - CORRIDOR SOUTH EOL SIG2 Y Y Y

BSMNT - CORRIDOR CENTER H/V SIG1 Y Y Y

BSMNT - CORRIDOR NORTH STAIRWELL H/V SIG1 Y Y Y

BSMNT - CORRIDOR NORTH STAIRWELL EOL SIG1 Y Y Y


Lullaboo Nursery & Childcare Center Inc.

# ###

0

0

0

0

0

0

0

0

0

0

0

0

0

####

Description

C2.13 DEFICIENCIES( Reference: 6.1.2 and C2 )

Building Name:


# 0 Description

C2.14 RECOMMENDATIONS( Reference: 6.1.2 )


# 4

1 1

2 1

3 1

4 1

Description

Require access to test devices inside Elevator Hoistway.

Elevator Machine Room Smoke Detector is installed outside. Require to relocate insode closet. (Completed Oct.2017)

Toddler Room 3 Electrical Closet Smoke is not connected. (Completed Oct.2017)

Fire Alarm Breaker #15 is not painted red and not locked. (Completed Oct.2017)

C2.15 REMARKS( Reference: 6.1.2 )

This report is issued by:

VTech Fire Safety Inc.

4 Helman Road,

Brampton Ontario L6R 0R4.

Tel.: 647-218-5258

Project Address:

Date: September 1, 2017

Location

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1/2

Va

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REMARKS

1 GROUND FLR NORTH ABC 5LB 76707260 2016

2 GROUND FLR SOUTH ABC 5LB 76707261 2016

3 KITCHEN AK 6LTR 70238742 2016

4 BASEMENT NORTH ABC 5LB 76707302 2016

5 BASEMENT SOUTH ABC 5LB 76707289 2016

6 2ND FLR NORTH EXIT ABC 5LB 76707288 2016

7 2ND FLR SOUTH EXIT ABC 5LB 76707291 2016

8

9

10

INDIVIDUAL DEVICE RECORD

ADDRESS : 1450 Queen Street West

FIRE EXTINGUISHER HOSE STATION

Cla

ss

& S

ize

of

Ex

tin

g.

This report is issued by:

VTech Fire Safety Inc.

4 Helman Road,

Brampton Ontario L6R 0R4.

Tel.: 647-218-5258

Project Address:

On Off Pilot Chrg Qty

E.L.HeadsBatteries Remarks/Notes

QtyBulb Type/

Wattage Volt A/H Type

ADDRESS : 1450 Queen Street West Date: September 1, 2017

Unit # Location of Unit Make of Unit Model # of UnitRun Time Lamp Test

2 BASEMENT NORTH STAIRWELL BEGHELLINV12360-

25R12WQ0:30

a a 8 11 BASEMENT MECHANICAL ROOM BEGHELLINV12360-

25R12WQ0:30

1 12 3212V9W

a a 10

12 3212V9W

4 GROUND FLR SOUTH STAIRWELL BEGHELLINV12360-

25R12WQ0:30

a a 10 13 GROUND FLR NORTH STAIRWELL BEGHELLINV12360-

25R12WQ0:30

1 12 3212V9W

a a 8

12 3212V9W

6 SECOND FLR SOUTH STAIRWELL BEGHELLINV12360-

25R12WQ0:30

a a 12 15 SECOND FLR NORTH STAIRWELL BEGHELLINV12360-

25R12WQ0:30

1 12 3212V9W

a a 12

12 3212V9W

8

7

PH: - 647-218-5258

LIFE SAFETY SYSTEMS TEST & INSPECTION CERTIFICATE THIS CERTIFIES THAT THE EQUIPMENT LISTED BELOW WAS TESTED AND INSPECTED IN ACCORDANCE WITH THE CODES AND STANDARDS INDICATED BELOW AND IN ACCORDANCE WITH OWNER REQUIREMENTS AS MAY BE APPLICABLE.

Building Address: Lullaboo Nursery & Childcare Centre Inc. 1450 Queen Street West, Brampton.

EQUIPMENT CODE/STANDARD VENDOR MODEL TEST DATE RESULT

FIRE ALARM SYSTEM CAN/ULC-S536-04 MIRCOM FA-1000 Sep. 1, 2017 PASS

EMERGENCY LIGHTING OFC 2.7.3. - - Sep. 1, 2017 PASS

FIRE EXTINGUISHERS OFC 6.2.7. & NFPA 10 - - Sep. 1, 2017 PASS

CAUTION: The FIRE CODE states that fire alarms systems must be tested periodically in accordance with CAN/ULC - S536-M04 STANDARD FOR THE INSPECTION AND TESTING OF FIRE ALARM SYSTEMS within one year of the above date.

This Certificate is only valid when accompanied by the Fire Alarm Inspection Report as required by CAN/ULC - S536.

CERTIFIED

TECHNICIAN: Vrajesh Upadhyay

CFAA# 19-992490

1198-2200 DANFORTH AVENUE,

TORONTO, ONTARIO.

Documents

C1 FIRE ALARM SYSTEM ANNUAL TEST AND INSPECTION REPORT€¦ · CAN/ULC-S537-13 Page 5 of 19 Pages A Y Y 18.00 Ah C 26.80 Vdc D 26.00 Vdc 0.36 A E 25.20 Vdc 1.30 A F 1.75 A G Y H Y