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Tag No.: K0071
Based on observation and interview, the hospital failed to ensure that the linen chute system is sealed by fire a fire door assembly with a fire protection rating of one (1) hour and that the linen chute system discharges into a room that provides one hour fire protection..
Findings include:
1. During an inspection of the linen chute system on 04/15//13 at approximately 10:30 a.m., it was revealed that the chute doors had been removed . This would not allow a one (1) hour fire rating for this assembly.
2. During an interview with the Maintenance Director, on 04/15/13 at approximately 10:30 a.m., confirmed the observation.