<html><head><title>SURVEY FORM 20: ALARMS</title></head><body><table style="border: medium solid ;" width="100%" cellspacing="1" cellpadding="4" border="1">  <tbody>   <tr>     <td width="100%"><strong>SURVEY FORM 20: ALARMS</strong></td>    <td width="100%">       <div align="right"><strong>ADA Build it Right, Inc.</strong></div>    </td>  </tr>  </tbody> </table><br><table style="border: thin inset ;" width="100%" cellspacing="1" border="1">  <tbody>  <tr>     <td align="left" valign="top" width="45%"><strong><font size="3">Facility       Name:</font></strong>       <p>&nbsp;</p>    </td>    <td align="left" valign="top" width="55%"><small></small>       <p><small><small>Note: Emergency warning systems in medical care facilities         may be modified to suit standard health care alarm design practice. (4.1.3(14))</small></small></p>    </td>  </tr>  <tr>     <td colspan="2" align="left" valign="top"><strong>Alarm Location:<br>      </strong></td>  </tr>  </tbody></table><p>&nbsp;</p><div align="left">   <table style="border: thin inset ;" width="100%" cellspacing="1" border="1">    <tbody>    <tr>       <td valign="top" width="16%"><small><strong>Section</strong></small></td>      <td valign="top" width="16%"><small><strong>Item</strong></small></td>      <td valign="top" width="32%"><small><strong>Technical Requirements</strong></small></td>      <td valign="top" width="20%"><small><strong>Comments</strong></small></td>      <td valign="top" width="8%"><small><strong>Yes</strong></small></td>      <td valign="top" width="8%"><small><strong>No</strong></small></td>    </tr>    <tr>       <td valign="top" width="16%"><small>4.1.3(14) </small></td>      <td valign="top" width="16%"><small>Alarms:</small></td>      <td valign="top" width="32%"><small>Does the building or facility have a         fire, evacuation or emergency alarm? </small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="32%"><small>Is there a visual alarm (e.g., flashing         light) which operates at the same time as an audible alarm?</small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%"><small>4.28.1 </small></td>      <td valign="top" width="16%"><small>Visual Alarms - Areas Required: </small></td>      <td valign="top" width="32%"><small>Are there visual alarms in public and         common use restrooms? </small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="32%"><small>Are visual alarms provided in all general         use areas of the building such as meeting rooms, hallways, and lobbies?</small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%"><small>4.28.3 </small></td>      <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="32%"><small>Are the visual alarm signal appliances         integrated into the building or facility alarm system? </small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="32%"><small>If single-station audible alarms are         provided, then are single-station visual alarm signals provided?</small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="16%"><small>Photometric Requirements: </small></td>      <td valign="top" width="32%"><small>Do all required visual alarm signals         comply with the following minimum photometric requirements: </small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="32%"><small>Is the lamp a xenon strobe type or equivalent?</small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="32%"><small>Is the color clear or nominal white         (i.e., unfiltered or clear filtered white light)? </small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="32%"><small>Is the maximum pulse duration two-tenths         of one second with a maximum duty cycle of 40 percent? (The pulse duration         is defined as the time interval between initial and final points of 10         percent of maximum signal.) </small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="32%"><small>Is the intensity a minimum of 75 candela?</small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="32%"><small>Is the flash rate a minimum of 1 Hz         and a maximum of 3 Hz?</small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%"><small>4.28.3 </small></td>      <td valign="top" width="16%"><small>Location:</small></td>      <td valign="top" width="32%"><small>Is the visual signal appliance placed         80 inches above the highest floor level within the space or 6 inches below         the ceiling, whichever is lower?</small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="32%"><small>Are all portions of any room, space,         corridor or hallway that is required to have a visual signal appliance         no more than 50 feet from the signal (in the horizontal plane)? </small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="32%"><small>In large rooms and spaces exceeding         100 feet across which do not have partitions or obstructions 6 feet or         higher above the finish floor, are the visual signal appliances spaced         around the perimeter no less than 100 feet apart or are they suspended         from the ceiling?</small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%"><small>4.28.2 </small></td>      <td valign="top" width="16%"><small>Audible Alarms:</small></td>      <td valign="top" width="32%"><small>If provided, do audible alarms exceed         the prevailing equivalent sound level in the room or space by at least         15 dbA, or do audible alarms exceed by 5 dbA any maximum sound level which         has a duration of 60 seconds, whichever is louder? <br>        (In no case should sound levels for alarm signals exceed 120 dbA.)</small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%"><small>4.28.4 </small></td>      <td valign="top" width="16%"><small>Auxiliary Alarms - Sleeping Rooms:</small></td>      <td valign="top" width="32%"><small>Do accessible dwelling units and sleeping         accommodations have a visual alarm connected to the building emergency         alarm system?<br>        OR<br>        Is there a standard 110-volt electrical receptacle into which an alarm         can be connected and a means by which the building alarm system will trigger         such an alarm? </small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="16%">&nbsp;</td>      <td valign="top" width="32%"><small>When visual alarms are in place, is         the signal visible in all areas of the unit or room?</small></td>      <td valign="top" width="20%">&nbsp; </td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%"><small>4.28.4 </small></td>      <td valign="top" width="16%"><small>Instructions: </small></td>      <td valign="top" width="32%"><small>Are instructions for using the auxiliary         alarm provided?</small></td>      <td valign="top" width="20%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>      <td valign="top" width="8%">&nbsp;</td>    </tr>    </tbody>  </table></div><p align="center"><a href="/SurveySheets/SurveyForm.html"><big>Back to Accessibility   Guidelines Checklist for Building and Facilities</big></a></p><p>&nbsp;</p></body></html>
