HospitalInspections.org

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The inspector observed, while accompanied by the Head of Facilities during the hours of the inspection from 9:00 am to 2:00 pm on 5/15/2019 that there were the following issues. They were:

The business office suite has one exit through door A1018. This location needs an illuminated exit sign.

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The inspector observed, while accompanied by the Head of Facilities during the hours of the inspection from 9:00 am to 2:00 pm on 5/15/2019 that there were the following issues. They were:

Main Electrical Room: Life Safety Panel: The fire alarm breaker needs signage per the following.

"The circuit breaker at the electrical panel board for the fire alarm shall have a red marking, shall be accessible only to authorized personnel, and shall be identified as "FIRE ALARM CIRCUIT CONTROL"" - NFPA 72, 2010: 10.5.5.2.2

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Electrical Room B1001 is a 1-hour fire rated room. This room needs additional signage stating "1 Hour Fire Rating"

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The inspector observed, while accompanied by the Head of Facilities during the hours of the inspection from 9:00 am to 2:00 pm on 5/15/2019 that there were the following issues. They were:

The exterior exit located near the gift shop does not have a fire alarm pull box within 5 feet. Please add one per the following requirements.

"Initiation of the required fire alarm systems shall be by manual means in accordance with 9.6.2 and by means of any detection devices or detection systems required." - NFPA 101, 2003, 20.3.4.2. (see next)

A manual fire alarm box shall be provided in the natural exit access path near each required exit from an area, unless modified by another section of this Code. NFPA 101, 2003, 9.6.2.3.

"Manual fire alarm boxes shall be located within 1.5m (5 feet) of exit doorway opening at each exit on each floor." NFPA 72, 2004, 5.12.6

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The inspector observed, while accompanied by the Head of Facilities during the hours of the inspection from 9:00 am to 2:00 pm on 5/15/2019 that there were the following issues. They were:

ED Department: The cubicle curtains did not have "Meets NFPA 701" on their labels. Please verify that they meet this requirement or replace them with ones that do meet this rating.

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The inspector observed, while accompanied by the Head of Facilities during the hours of the inspection from 9:00 am to 2:00 pm on 5/15/2019 that there were the following issues. They were:
Most electrical room had ladders stored in them. This is not allowed per the following requirements.

No Storage Allowed Electrical Room: "Dedicated Equipment Space: All switchboards, panelboards, distribution boards, and motor control centers shall be located in dedicated spaces and protected from damage." - NFPA 70, 2012, 110.26(E)

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