HospitalInspections.org

Based on observation there is door closure missing on the Director of Surgical Services door
The findings were:
On July 13, 2011 at 0945 there was a door closure missing on the Director of Surgical Services door

Based on observation the fire rated door at the corridor at the Surgical Services Educator Office is not closing and latching
The findings were:
On July 13, 2011 at 0800 the fire rated door at the corridor at the Surgical Services Educator Office is not closing and latching

Based on observation the fire rated door to the kitchen at the cafeteria is not closing and latching
The findings were:
On July 13, 2011 at 0843 the fire rated door to the kitchen at the cafeteria was not closing and latching

Based on observation the fire rated double doors from waiting room to the garage on the second floor are not closing and latching.
The findings were:
On July 13, 2011 at 0933 the fire rated double doors from waiting room to the garage on the second floor was not closing and latching.

Based on observation there is fire proofing missing on beams above the ceiling in the cross hallway between rooms 416 and 417
The findings were:
On July 12, 2011 at 1051 there was fire proofing missing on beams above the ceiling in the cross hallway between rooms 416 and 417

Based on observation there is exposed Styrofoam above the ceiling at the fire rated wall in the Pharmacist Office
The findings were:
On July 12, 2011 at 0835 There was exposed Styrofoam above the ceiling at the fire rated wall in the Pharmacist Office

Based on observation there is exposed Styrofoam above the ceiling on the outside wall of the Cardiology waiting room.
The findings were:
On July 12, 2011 at 0854 there exposed Styrofoam above the ceiling at the fire rated wall on the outside of the Cardiology waiting room.

Based on observation there is fire proofing missing on beams above the ceiling at the outside wall in the Cardiology waiting room
The findings were:
On July 12, 2011 at 0855 there was fire proofing missing on beams above the ceiling at the outside wall in the Cardiology waiting room

Based on observation the access door to the mechanical shaft in Mechanical Room 5 is not self-closing and latching
The findings were:
On July 13, 2011 at 1032 the access door to the mechanical shaft in Mechanical Room 5 is not self-closing and latching

Based on obseervation the rolling fire shutter at the pharmacy does not have fusible links installed below the ceiling on both sides of the wall
The findings were:
On July 12, 2011 at 0847 the rolling fire shutter at the pharmacy does not have fusible links installed below the ceiling on both sides of the wall

Based on observation the corridor fire door is damaged at the Surgical Materials Manager ' s office.
The findings were:
On July 13, 2011 at 0827 the corridor fire door is damaged at the Surgical Materials Manager's office.

Based on observation there are penetrations of the rated wall above the ceiling in the Dialysis Room near the sink.
The findings were:
On July 12, 2011 at 1301 there were penetrations of the rated wall above the ceiling in the Dialysis Room near the sink.

Based on observation there are penetrations of the rated wall at five insulated pipes above the ceiling in the Inpatient Physical Therapy Office
The findings were:
On July 12, 2011 at 1321 there were penetrations of the rated wall at five insulated pipes above the ceiling in the Inpatient Physical Therapy Office

Based on observation there are penetrations of the rated wall above the ceiling at two conduits in the Joint Trails Coordinator Office.
The findings were:
On July 12, 2011 at 1324 there were penetrations of the rated wall above the ceiling at two conduits in the Joint Trails Coordinator Office.

Based on observation there are penetrations of the rated wall above the ceiling at conduits beside ducts in the Assistant Nurse Managers Office
The findings were:
On July 12, 2011 at 1339 there were penetrations of the rated wall above the ceiling at conduits beside ducts in the Assistant Nurse Managers Office

Based on observation there are penetrations of the rated wall above the ceiling of two conduits and a square cut out at the shaft near the double doors across from room 312
The findings were:
On July 12, 2011 at 1349 there were penetrations of the rated wall above the ceiling of two conduits and a square cut out at the shaft near the double doors across from room 312

Based on observation there is penetrations of the rated wall above the ceiling at the stairwell wall inside the double doors across from room 312.
The findings were:
On July 12, 2011 at 1350 there were penetrations of the rated wall above the ceiling at the stairwell wall inside the double doors across from room 312.

Based on observation there are penetrations of the rated wall above the ceiling at conduit in the Quality Office
The findings were:
On July 12, 2011 at 1025 there were penetrations of the rated wall above the ceiling at conduit in the Quality Office

Based on observation there is penetrations of the rated wall above the ceiling at insulated piping to the left of the cabinets in the nourishment area across from the Women ' s Pavilion Room 6 on the Elevator wall.
The findings were:
On July 12, 2011 at 1114 there were penetrations of the rated wall above the ceiling at insulated piping to the left of the cabinets in the nourishment area across from the Women ' s Pavilion Room 6 on the Elevator wall.

Based on observation there are penetrations of the rated wall above the ceiling at the fire damper above the cabinets in the Nourishment area across from room 6 in the Woman ' s Pavilion. The retaining angle is not installed on the fire damper on the elevator side.
The findings were:
On July 12, 2011 at 1116 there were penetrations of the rated wall above the ceiling at the fire damper above the cabinets in the Nourishment area across from room 6 in the Woman ' s Pavilion. The retaining angle is not installed on the fire damper on the elevator side.

Based on observation there are penetrations of the rated wall above the ceiling at LB and conduits in the office to the left of Stairwell 3 Level 5
The findings were:
On July 12, 2011 at 0826 there were penetrations of the rated wall above the ceiling at LB and conduits in the office to the left of Stairwell 3 Level 5

Based on observation there are penetrations of the rated wall above the ceiling at conduits and copper pipes in Cardiology. The wall was not properly taped and sealed.
The findings were:
On July 12, 2011 at 0843 there were penetrations of the rated wall above the ceiling at conduits and copper pipes in Cardiology. The wall was not properly taped and sealed.

Based on observation there are penetrations of the rated wall above the ceiling at two black, one gray, two tan, and two blue wires above the door from the Cardiology waiting room to the Cardiology hallway.
The findings were:
On July 12, 2011 at 0852 There were penetrations of the rated wall above the ceiling at two black, one gray, two tan, and two blue wires above the door from the Cardiology waiting room to the Cardiology hallway.

Based on observation there are penetrations of the rated wall above the ceiling at sprinkler pipe and copper piping in the Laboratory Managers Office at the elevator.
The findings were:
On July 12, 2011 at 0940 there were penetrations of the rated wall above the ceiling at sprinkler pipe and copper piping in the Laboratory Managers Office at the elevator.

Based on observation there are penetrations of the rated wall at the condensate drain at Mechanical Room 8
The findings were:
On July 12, 2011 at 1015 there were penetrations of the rated wall at the condensate drain at Mechanical Room 8

Based on observation there are penetrations of the rated wall above the ceiling at the two inch conduit in the Operating room storage room by the elevators.
The findings were:
On July 13, 2011 at 1002 there were penetrations of the rated wall above the ceiling at the two inch conduit in the Operating room storage room by the elevators.

Based on observation there are penetrations of the rated wall above the ceiling at a two inch copper pipe on the male physician ' s locker room wall
The findings were:
On July 13, 2011at 1007 there were penetrations of the rated wall above the ceiling at a two inch copper pipe on the male physician ' s locker room wall

Based on observation there are penetrations of the rated wall above the ceiling in the male physician ' s locker room at the dishwashing area wall
The findings were:
On July 13, 2011 at 1011 there are penetrations of the rated wall above the ceiling in the male physician ' s locker room at the dishwashing area wall

Based on observation there are penetrations of the rated wall at the Operating Room hallway above the door in the Mechanical Room 6 where the conduit goes through the wall and other area where the a one inch copper pipe passes through the wall to the right of the entrance door.
The findings were:
On July 13, 2011 at 1014 there were penetrations of the rated wall at the Operating Room hallway above the door in the Mechanical Room 6 where the conduit goes through the wall and other area where the a one inch copper pipe passes through the wall to the right of the entrance door.

Based on observation there are penetrations of the rated wall at a one and half inch copper pipe passes through the wall into the hallway at Mechanical Room 5.
The findings were:
On July 13, 2011 at 1020 there were penetrations of the rated wall at a one and half inch copper pipe passes through the wall into the hallway at Mechanical Room 5.

Based on observation there are penetrations of the rated wall by piping above the door in Mechanical Room 5 at the Operating Room hall.
The findings were:
On July 13, 2011 at 1024 there were penetrations of the rated wall by piping above the door in Mechanical Room 5 at the Operating Room hall.

Based on observation there is a penetration of a rated wall above the ceiling at the where computer network cables pass through in the Respiratory Care stock room.
The findings were:
On July 13, 2011 at 1355 there was a penetration of a rated wall above the ceiling at the where computer network cables pass through in the Respiratory Care stock room

Based on observation there are penetrations of the rated wall above the ceiling in the Cafe to the left of the grill.
The findings were:
On July 13, 2011 at 1421 there were penetrations of the rated wall above the ceiling in the Cafe to the left of the grill.

Based on observation there are penetrations of the rated wall above the ceiling in the waiting room near Surgical Services
The findings were:
On July 13, 2011 at 0803 there were penetrations of the rated wall above the ceiling in the waiting room near Surgical Services

Based on observation there are penetrations of the rated wall above the ceiling at conduits along the brick wall and the serving line in the cafeteria.
The findings were:
On July 13, 2011 at 0803 there were penetrations of the rated wall above the ceiling at conduits along the brick wall and the serving line in the cafeteria.

Based on observation there are penetrations of the rated wall above the ceiling at piping across from the double doors in the dishwashing room
The findings were:
On July 13, 2011 at 0945 there were penetrations of the rated wall above the ceiling at piping across from the double doors in the dishwashing room

Based on observation there are penetrations of the rated wall above the ceiling at piping in the Respiratory work room.
The findings were:
On July 13, 2011 at 1310 there were penetrations of the rated wall above the ceiling at piping in the Respiratory work room.

Based on observation there are penetrations of the rated wall above the ceiling across from the Emergency Department exit door to the hallway.
The findings were:
On July 14, 2011 at 0817 there were penetrations of the rated wall above the ceiling across from the Emergency Department exit door to the hallway.

Based on observation there are penetrations of the rated wall above the ceiling where conduit passes at the corridor door beside Stairwell No.4 on the Ground Floor
The findings were:
On July 14, 2011 at 0939 there were penetrations of the rated wall above the ceiling where conduit passes at the corridor door beside Stairwell No.4 on the Ground Floor

Based on observation there are penetrations of the rated wall above the ceiling at the dietary office.
The findings were:
On July 14, 2010 at 0910 there were penetrations of the rated wall above the ceiling at the dietary office.

Based on observation the door closure at the fire rated door in Mechanical Room 10 west wing penthouse has been disconnected.
The findings were:
On July 12, 2011 at 0812 the door closure at the fire rated door in Mechanical Room 10 west wing penthouse had been disconnected.

Based on observation the door to the Mechanical Room 6 outside the Operating Room Office is not latching.
The findings were:
On July 13, 2011 at 1103 the door to the Mechanical Room 6 outside the Operating Room Office was not latching.

Based on observation there are penetrations of the rated wall behind a junction box and conduit in the Stairwell 1 Level 3.
The findings were:
On July 12, 2011 at 1307 there were penetrations of the rated wall behind a junction box and conduit in the Stairwell 1 Level 3.

Based on observation there are penetrations of the rated wall above the ceiling at the sprinkler piping in the chapel at the Stairwell 1 Level 3 wall.
The findings were:
On July 12, 2011 at 1311 there were penetrations of the rated wall above the ceiling at the sprinkler piping in the chapel at the Stairwell 1 Level 3 wall.

Based on observation there are penetrations of the rated wall above the ceiling at conduits and an LB at Stairwell 1 Level 4 wall and on the Quality Office side.
The findings were:
On July 12, 2011 at 1036 there were penetrations of the rated wall above the ceiling at conduits and an LB at Stairwell 1 Level 4 wall and on the Quality Office side.

Based on observation there are penetrations of the rated wall above the ceiling at conduits at Stairwell 2 Level 5 in the hallway across from room 515
The findings were:
On July 12, 2011 at 0918 there were penetrations of the rated wall above the ceiling at conduits at Stairwell 2 Level 5 in the hallway across from room 515

Based on observation there are penetrations of the rated wall above the ceiling to the right of the light on the Stairwell 5 Level 5 wall in Biomedical Engineering.
The findings were:
On July 12, 2011 at 0951 there are penetrations of the rated wall above the ceiling to the right of the light on the Stairwell 5 Level 5 wall in Biomedical Engineering.

Based on observation there are penetrations of the rated wall above the ceiling at conduits in the corridor on the Stair No.4 wall
The findings were:
On July 13, 2001 at 1305 there are penetrations of the rated wall above the ceiling at conduits in the corridor on the Stair No.4 wall

Based on observation the top step is broken to the west wing elevator penthouse
The findings were:
On July 12, 2011 at 0805 the top step is broken to the west wing elevator penthouse

Based on observation the exit egress doors outside the entrance to the cafeteria from the hallway only open by use of the push pad on the wall.
The findings were:
On July 14, 2011 at 0900 the exit egress doors outside the entrance to the cafeteria from the hallway only open by use of the push pad on the wall.

Based on observation there is no sprinkler protection provided in the penthouses
The findings were:
On July 12, 2011 at 0757 there was no sprinkler protection provided in the penthouses

Based on observation the fire sprinkler control valve above the ceiling at Stairwell 2 Level 3 is not covered
The findings were:
On July 12, 2011 at 1355 the fire sprinkler control valve above the ceiling at Stairwell 2 Level 3 is not covered

Based on observation there is fire alarm wiring and two black cables attached to sprinkler piping hangers above the ceiling at the double corridor doors on the side of the Women ' s Pavilion waiting room
The findings were:
On July 12, 2011 at 1104 there was fire alarm wiring and two black cables attached to sprinkler piping hangers above the ceiling at the double corridor doors on the side of the Women's Pavilion waiting room

Based on observation there are cables attached to sprinkler piping above the ceiling at the double corridor doors on the left side entering the Laboratory and North Elevators
The findings were:
On July 12, 2011 at 0929 there are cables attached to sprinkler piping above the ceiling at the double corridor doors on the left side entering the Laboratory and North Elevators

Based on observation the sprinkler heads are less than 6 feet apart in the Cardiac and Pulmonary Rehab area.
The findings were:
On July 12, 2011 at 1103 the sprinkler heads are less than 6 feet apart in the Cardiac and Pulmonary Rehab area.

Based on observation sprinkler heads are less than 6 feet apart in the C Mechanical 5 Floor Sector B area
The findings were:
On July 12, 2011 at 1126 sprinkler heads are less than 6 feet apart in the C Mechanical 5 Floor Sector B area

Based on observation there is ceiling tile missing over the door in the room to the corridor in Pavilion 9 Sector B on the fourth floor
The findings were:
On July 12, 2011 at 1305 there was a ceiling tile missing over the door in the room to the corridor in Pavilion 9 Sector B on the fourth floor

Based on observation there is an escutcheon missing on a sprinkler head in the office of the Diabetes and Wound Care Center
The findings were:
On July 13, 2011 at 0812 there was an escutcheon missing on a sprinkler head in the office of the Diabetes and Wound Care Center

Based on observation there is a sprinkler head covered with a cap in the kitchen storeroom.
The findings were:
On July 13, 2011 at 0843 there was a sprinkler head covered with a cap in the kitchen storeroom.

Based on observation there is a ceiling tile missing in the Physicians Locker Room in the Operating Room Area.
The findings were:
On July 13, 2011 at 0933 there was a ceiling tile missing in the Physicians Locker Room in the Operating Room Area.

Based on observation there is several ceiling tile missing where the Morgue cooler was removed.
The findings were:
On July 13, 2011 at 1330 there were several ceiling tile missing where the Morgue cooler was removed.

Based on observation there are wires attached to sprinkler piping in the housekeeping break room beside the housekeeping director's office
The findings were:
On July 13, 2001 at 1338 there are wires attached to sprinkler piping in the housekeeping break room beside the housekeeping director's office

Based on observation the ceiling has been removed in the MRI Control room in Radiology
The findings were:
On July 14, 2011 at 0908 the ceiling has been removed in the MRI Control room in Radiology

Based on observation there is ceiling tile missing in the CT Control room
The findings were:
On July 14, 2011 at 0926 there was ceiling tile missing in the CT Control room

Based on observation there is ceiling tiles missing in the Exam room in Radiology
The findings include:
On July 14, 2011 at 0945 there are ceiling tiles missing in the Exam room in Radiology

Based on observation there is ceiling tiles missing in the Hot Lab in Nuclear Medicine
The findings were:
On July 14, 2011 at 0947 there were ceiling tiles missing in the Hot Lab in Nuclear Medicine

Based on observation the fire extinguisher in the west wing elevator penthouse is not mounted
The findings were:
On July 12, 2011 at 809 the fire extinguisher in the west wing elevator penthouse was not mounted

Based on observation there is wood being stored at the of the top of the stair 2 to the roof penthouses
The findings were:
On July 12, 2011 at 0815 there is wood being stored at the of the top of the stair 2 to the roof penthouses

Based on observation the power to the smoke damper is disconnected above the ceiling at the entrance door to the pharmacy
The findings were:
On July 12, 2011 at 0836 the power to the smoke damper was found to be disconnected above the ceiling at the entrance door to the pharmacy.

Based on observation there is a duct penetrating a smoke barrier above the ceiling in the Assistant Nurse Manager's Office on the third floor that does not have a smoke damper installed in the duct.
The findings were:
On July 12, 2011 at 1341 there was a duct penetrating a smoke barrier above the ceiling in the Assistant Nurse Manager's Office on the third floor that does not have a fire damper installed in the duct.

Based on observation there was open wiring at the light inside the attic access in the fifth floor boardroom
The findings were:
On July 12, 2011 at 0755 there was open wiring at the light inside the attic access in the fifth floor boardroom

Based on observation there is an unapproved extension cord in use in the pharmacy at the window.
The findings were:
On July 12th at 0912 there was an unapproved extension cord in use in the pharmacy at the window

Based on observation there is a multi-plug adapter in use by the computer in the Cardio-Pulmonary Rehab room.
The findings were:
On July 12th at 1015 there was a multi-plug adapter in use by the computer in the Cardio-Pulmonary Rehab room.

Based on observation there was an outlet cover missing in the Micro Film room in the Medical Records area.
The findings were:
On July 12, 2011 at 1025 there was an outlet cover missing in the Micro Film room in the Medical Records area.

Based on observation there are power strips connected to each other on the floor under the window in the pharmacy
The findings were:
On July 12, 2011 at 0912 there were power strips connected to each other on the floor under the window in the pharmacy

Based on observation there is a pull box that is not covered above the ceiling along at the rated wall in the Joint Trails Coordinator ' s Office.
The findings were:
On July 12, 2011 at 1326 there was a pull box that is not covered above the ceiling along at the rated wall in the Joint Trails Coordinator ' s Office.

Based on observation there is a junction box not covered above the ceiling at the rated wall in the Nourishment room across from the JCU Room 3
The findings were:
On July 12, 2011 at 1330 there was a junction box not covered above the ceiling at the rated wall in the Nourishment room across from the JCU Room 3.

Based on observation there are two yellow, containing two brown, one red and one black wire in flexible metal conduit above the ceiling at Elevator 3 that do not terminate to a box or fixture.
The findings were:
On July 12, 2011 at 1404 there were two yellow, containing two brown, one red and one black wire in flexible metal conduit above the ceiling at Elevator 3 that do not terminate to a box or fixture.

Based on observation there are two yellow and two brown, wires in flexible metal conduit above the ceiling at the corridor doors entering the North Elevators and Women ' s Pavilion that do not terminate to a box or fixture.
The findings were:
On July 12, 2011 at 1104 there were two yellow and two brown, wires in flexible metal conduit above the ceiling at the corridor doors entering the North Elevators and Women ' s Pavilion that do not terminate to a box or fixture.

Based on observation there is an open junction box above the ceiling for an exit sign in the corridor at Stairwell 3 Level 5
The findings were:
On July 12, 2011 at 0818 there was an open junction box above the ceiling for an exit sign in the corridor at Stairwell 3 Level 5

Based on observation there is an open junction box above the ceiling in the storage room to the right of Stairwell 3 Level 5
The findings were:
On July 12, 2011 at 0820 there was an open junction box above the ceiling in the storage room to the right of Stairwell 3 Level 5.

Based on observation there is an extension cord in use at Mechanical 4 off of the Assistant Nurse Manager ' s Office.
The findings were:
On July 12, 2011 at 1415 there was an extension cord in use at Mechanical 4 off of the Assistant Nurse Manager's Office.

Based on observation there is exposed wiring at the conduit on the wall at the air compressor where the wires go into the bottom of the power disconnect mounted on the wall in Mechanical Room 5 by the rear exit to the hallway
The findings were:
On July 13, 2011 1029 there was exposed wiring at the conduit on the wall at the air compressor where the wires go into the bottom of the power disconnect mounted on the wall in Mechanical Room 5 by the rear exit to the hallway

Based on observation there is an open junction box in the ceiling of the Morgue where the Morgue cooler was removed
The findings were:
On July 13, 2011 at 1330 there was an open junction box in the ceiling of the Morgue where the Morgue cooler was removed

Based on observation there is an open junction box above the ceiling in the corner of the front reception area in Respiratory Care
The findings were:
On July 13, 2011 at 1351 there was an open junction box above the ceiling in the corner of the front reception area in Respiratory Care

Based on observation there is an open junction box above the ceiling the waiting room near Surgical Services
The findings were:
On July 13, 2011 at 0805 there was an open junction box above the ceiling the waiting room near Surgical Services

Based on observation there is open wiring above the ceiling above the double doors in the corridor near the cafeteria.
The findings were:
On July 13, 2011 at 0817 there was open wiring above the ceiling above the double doors in the corridor near the cafeteria

Based on observation there are open junction boxes above the ceiling at the door from the cafeteria to the kitchen and on the wall above the sink near the door to the kitchen
The findings were:
On July 13, 2011 at 0838 there are open junction boxes above the ceiling at the door from the cafeteria to the kitchen and on the wall above the sink near the door to the kitchen

Based on observation there is an open junction box above the ceiling at the Freezer 10 in the kitchen area
The findings were:
On July 13, 2011 there was an open junction box above the ceiling at the Freezer 10 in the kitchen area

Based on observation there is an open junction box above the ceiling at the Dietary Office The findings were:
On July 13, 2011 at 0856 there was an open junction box above the ceiling at the Dietary Office

Based on observation there is an open junction box above the ceiling in the dishwashing room near the duct work through the floor below
The findings were:
On July 13, 2011 at 0942 there was an open junction box above the ceiling in the dishwashing room near the duct work through the floor below

Based on observation there is an open junction box above the ceiling in the corridor near the double doors at the three elevators on the first floor
The findings were:
On July 13, 2011 at 1329 there was an open junction box above the ceiling in the corridor near the double doors at the three elevators on the first floor

Based on observation there is open wiring above the ceiling at the waiting room behind the Cafe outside of Respiratory Care.
The findings were:
On July 14, 2011 at 0745 there was open wiring above the ceiling at the waiting room behind the Cafe outside of Respiratory Care.

Based on observation there is a multi plug adapter in use in the Radiology office at the end of the hallway in the films assembly area.
The findings were:
On July 14, 2011 at 0920 there was a multi plug adapter in use in the Radiology office at the end of the hallway in the films assembly area.

Based on observation there is an open junction box above the ceiling in the hallway at the elevator shaft wall across from the Respiratory Care workroom.
The findings were:
On July 14, 2011 at 0933 there was an open junction box above the ceiling in the hallway at the elevator shaft wall across from the Respiratory Care workroom.

Based on observation there is power strips connected to each other in the Emergency Department at the Registration Desk beside the exit doors to the lobby
The findings were:
On July 14, 2011 at 0954 there were power strips connected to each other in the Emergency Department at the Registration Desk beside the exit doors to the lobby

Based on observation there is door closure missing on the Director of Surgical Services door
The findings were:
On July 13, 2011 at 0945 there was a door closure missing on the Director of Surgical Services door

Based on observation the fire rated door at the corridor at the Surgical Services Educator Office is not closing and latching
The findings were:
On July 13, 2011 at 0800 the fire rated door at the corridor at the Surgical Services Educator Office is not closing and latching

Based on observation the fire rated door to the kitchen at the cafeteria is not closing and latching
The findings were:
On July 13, 2011 at 0843 the fire rated door to the kitchen at the cafeteria was not closing and latching

Based on observation the fire rated double doors from waiting room to the garage on the second floor are not closing and latching.
The findings were:
On July 13, 2011 at 0933 the fire rated double doors from waiting room to the garage on the second floor was not closing and latching.

Based on observation there is fire proofing missing on beams above the ceiling in the cross hallway between rooms 416 and 417
The findings were:
On July 12, 2011 at 1051 there was fire proofing missing on beams above the ceiling in the cross hallway between rooms 416 and 417

Based on observation there is exposed Styrofoam above the ceiling at the fire rated wall in the Pharmacist Office
The findings were:
On July 12, 2011 at 0835 There was exposed Styrofoam above the ceiling at the fire rated wall in the Pharmacist Office

Based on observation there is exposed Styrofoam above the ceiling on the outside wall of the Cardiology waiting room.
The findings were:
On July 12, 2011 at 0854 there exposed Styrofoam above the ceiling at the fire rated wall on the outside of the Cardiology waiting room.

Based on observation there is fire proofing missing on beams above the ceiling at the outside wall in the Cardiology waiting room
The findings were:
On July 12, 2011 at 0855 there was fire proofing missing on beams above the ceiling at the outside wall in the Cardiology waiting room

Based on observation the access door to the mechanical shaft in Mechanical Room 5 is not self-closing and latching
The findings were:
On July 13, 2011 at 1032 the access door to the mechanical shaft in Mechanical Room 5 is not self-closing and latching

Based on obseervation the rolling fire shutter at the pharmacy does not have fusible links installed below the ceiling on both sides of the wall
The findings were:
On July 12, 2011 at 0847 the rolling fire shutter at the pharmacy does not have fusible links installed below the ceiling on both sides of the wall

Based on observation the corridor fire door is damaged at the Surgical Materials Manager ' s office.
The findings were:
On July 13, 2011 at 0827 the corridor fire door is damaged at the Surgical Materials Manager's office.

Based on observation there are penetrations of the rated wall above the ceiling in the Dialysis Room near the sink.
The findings were:
On July 12, 2011 at 1301 there were penetrations of the rated wall above the ceiling in the Dialysis Room near the sink.

Based on observation there are penetrations of the rated wall at five insulated pipes above the ceiling in the Inpatient Physical Therapy Office
The findings were:
On July 12, 2011 at 1321 there were penetrations of the rated wall at five insulated pipes above the ceiling in the Inpatient Physical Therapy Office

Based on observation there are penetrations of the rated wall above the ceiling at two conduits in the Joint Trails Coordinator Office.
The findings were:
On July 12, 2011 at 1324 there were penetrations of the rated wall above the ceiling at two conduits in the Joint Trails Coordinator Office.

Based on observation there are penetrations of the rated wall above the ceiling at conduits beside ducts in the Assistant Nurse Managers Office
The findings were:
On July 12, 2011 at 1339 there were penetrations of the rated wall above the ceiling at conduits beside ducts in the Assistant Nurse Managers Office

Based on observation there are penetrations of the rated wall above the ceiling of two conduits and a square cut out at the shaft near the double doors across from room 312
The findings were:
On July 12, 2011 at 1349 there were penetrations of the rated wall above the ceiling of two conduits and a square cut out at the shaft near the double doors across from room 312

Based on observation there is penetrations of the rated wall above the ceiling at the stairwell wall inside the double doors across from room 312.
The findings were:
On July 12, 2011 at 1350 there were penetrations of the rated wall above the ceiling at the stairwell wall inside the double doors across from room 312.

Based on observation there are penetrations of the rated wall above the ceiling at conduit in the Quality Office
The findings were:
On July 12, 2011 at 1025 there were penetrations of the rated wall above the ceiling at conduit in the Quality Office

Based on observation there is penetrations of the rated wall above the ceiling at insulated piping to the left of the cabinets in the nourishment area across from the Women ' s Pavilion Room 6 on the Elevator wall.
The findings were:
On July 12, 2011 at 1114 there were penetrations of the rated wall above the ceiling at insulated piping to the left of the cabinets in the nourishment area across from the Women ' s Pavilion Room 6 on the Elevator wall.

Based on observation there are penetrations of the rated wall above the ceiling at the fire damper above the cabinets in the Nourishment area across from room 6 in the Woman ' s Pavilion. The retaining angle is not installed on the fire damper on the elevator side.
The findings were:
On July 12, 2011 at 1116 there were penetrations of the rated wall above the ceiling at the fire damper above the cabinets in the Nourishment area across from room 6 in the Woman ' s Pavilion. The retaining angle is not installed on the fire damper on the elevator side.

Based on observation there are penetrations of the rated wall above the ceiling at LB and conduits in the office to the left of Stairwell 3 Level 5
The findings were:
On July 12, 2011 at 0826 there were penetrations of the rated wall above the ceiling at LB and conduits in the office to the left of Stairwell 3 Level 5

Based on observation there are penetrations of the rated wall above the ceiling at conduits and copper pipes in Cardiology. The wall was not properly taped and sealed.
The findings were:
On July 12, 2011 at 0843 there were penetrations of the rated wall above the ceiling at conduits and copper pipes in Cardiology. The wall was not properly taped and sealed.

Based on observation there are penetrations of the rated wall above the ceiling at two black, one gray, two tan, and two blue wires above the door from the Cardiology waiting room to the Cardiology hallway.
The findings were:
On July 12, 2011 at 0852 There were penetrations of the rated wall above the ceiling at two black, one gray, two tan, and two blue wires above the door from the Cardiology waiting room to the Cardiology hallway.

Based on observation there are penetrations of the rated wall above the ceiling at sprinkler pipe and copper piping in the Laboratory Managers Office at the elevator.
The findings were:
On July 12, 2011 at 0940 there were penetrations of the rated wall above the ceiling at sprinkler pipe and copper piping in the Laboratory Managers Office at the elevator.

Based on observation there are penetrations of the rated wall at the condensate drain at Mechanical Room 8
The findings were:
On July 12, 2011 at 1015 there were penetrations of the rated wall at the condensate drain at Mechanical Room 8

Based on observation there are penetrations of the rated wall above the ceiling at the two inch conduit in the Operating room storage room by the elevators.
The findings were:
On July 13, 2011 at 1002 there were penetrations of the rated wall above the ceiling at the two inch conduit in the Operating room storage room by the elevators.

Based on observation there are penetrations of the rated wall above the ceiling at a two inch copper pipe on the male physician ' s locker room wall
The findings were:
On July 13, 2011at 1007 there were penetrations of the rated wall above the ceiling at a two inch copper pipe on the male physician ' s locker room wall

Based on observation there are penetrations of the rated wall above the ceiling in the male physician ' s locker room at the dishwashing area wall
The findings were:
On July 13, 2011 at 1011 there are penetrations of the rated wall above the ceiling in the male physician ' s locker room at the dishwashing area wall

Based on observation there are penetrations of the rated wall at the Operating Room hallway above the door in the Mechanical Room 6 where the conduit goes through the wall and other area where the a one inch copper pipe passes through the wall to the right of the entrance door.
The findings were:
On July 13, 2011 at 1014 there were penetrations of the rated wall at the Operating Room hallway above the door in the Mechanical Room 6 where the conduit goes through the wall and other area where the a one inch copper pipe passes through the wall to the right of the entrance door.

Based on observation there are penetrations of the rated wall at a one and half inch copper pipe passes through the wall into the hallway at Mechanical Room 5.
The findings were:
On July 13, 2011 at 1020 there were penetrations of the rated wall at a one and half inch copper pipe passes through the wall into the hallway at Mechanical Room 5.

Based on observation there are penetrations of the rated wall by piping above the door in Mechanical Room 5 at the Operating Room hall.
The findings were:
On July 13, 2011 at 1024 there were penetrations of the rated wall by piping above the door in Mechanical Room 5 at the Operating Room hall.

Based on observation there is a penetration of a rated wall above the ceiling at the where computer network cables pass through in the Respiratory Care stock room.
The findings were:
On July 13, 2011 at 1355 there was a penetration of a rated wall above the ceiling at the where computer network cables pass through in the Respiratory Care stock room

Based on observation there are penetrations of the rated wall above the ceiling in the Cafe to the left of the grill.
The findings were:
On July 13, 2011 at 1421 there were penetrations of the rated wall above the ceiling in the Cafe to the left of the grill.

Based on observation there are penetrations of the rated wall above the ceiling in the waiting room near Surgical Services
The findings were:
On July 13, 2011 at 0803 there were penetrations of the rated wall above the ceiling in the waiting room near Surgical Services

Based on observation there are penetrations of the rated wall above the ceiling at conduits along the brick wall and the serving line in the cafeteria.
The findings were:
On July 13, 2011 at 0803 there were penetrations of the rated wall above the ceiling at conduits along the brick wall and the serving line in the cafeteria.

Based on observation there are penetrations of the rated wall above the ceiling at piping across from the double doors in the dishwashing room
The findings were:
On July 13, 2011 at 0945 there were penetrations of the rated wall above the ceiling at piping across from the double doors in the dishwashing room

Based on observation there are penetrations of the rated wall above the ceiling at piping in the Respiratory work room.
The findings were:
On July 13, 2011 at 1310 there were penetrations of the rated wall above the ceiling at piping in the Respiratory work room.

Based on observation there are penetrations of the rated wall above the ceiling across from the Emergency Department exit door to the hallway.
The findings were:
On July 14, 2011 at 0817 there were penetrations of the rated wall above the ceiling across from the Emergency Department exit door to the hallway.

Based on observation there are penetrations of the rated wall above the ceiling where conduit passes at the corridor door beside Stairwell No.4 on the Ground Floor
The findings were:
On July 14, 2011 at 0939 there were penetrations of the rated wall above the ceiling where conduit passes at the corridor door beside Stairwell No.4 on the Ground Floor

Based on observation there are penetrations of the rated wall above the ceiling at the dietary office.
The findings were:
On July 14, 2010 at 0910 there were penetrations of the rated wall above the ceiling at the dietary office.

Based on observation the door closure at the fire rated door in Mechanical Room 10 west wing penthouse has been disconnected.
The findings were:
On July 12, 2011 at 0812 the door closure at the fire rated door in Mechanical Room 10 west wing penthouse had been disconnected.

Based on observation the door to the Mechanical Room 6 outside the Operating Room Office is not latching.
The findings were:
On July 13, 2011 at 1103 the door to the Mechanical Room 6 outside the Operating Room Office was not latching.

Based on observation there are penetrations of the rated wall behind a junction box and conduit in the Stairwell 1 Level 3.
The findings were:
On July 12, 2011 at 1307 there were penetrations of the rated wall behind a junction box and conduit in the Stairwell 1 Level 3.

Based on observation there are penetrations of the rated wall above the ceiling at the sprinkler piping in the chapel at the Stairwell 1 Level 3 wall.
The findings were:
On July 12, 2011 at 1311 there were penetrations of the rated wall above the ceiling at the sprinkler piping in the chapel at the Stairwell 1 Level 3 wall.

Based on observation there are penetrations of the rated wall above the ceiling at conduits and an LB at Stairwell 1 Level 4 wall and on the Quality Office side.
The findings were:
On July 12, 2011 at 1036 there were penetrations of the rated wall above the ceiling at conduits and an LB at Stairwell 1 Level 4 wall and on the Quality Office side.

Based on observation there are penetrations of the rated wall above the ceiling at conduits at Stairwell 2 Level 5 in the hallway across from room 515
The findings were:
On July 12, 2011 at 0918 there were penetrations of the rated wall above the ceiling at conduits at Stairwell 2 Level 5 in the hallway across from room 515

Based on observation there are penetrations of the rated wall above the ceiling to the right of the light on the Stairwell 5 Level 5 wall in Biomedical Engineering.
The findings were:
On July 12, 2011 at 0951 there are penetrations of the rated wall above the ceiling to the right of the light on the Stairwell 5 Level 5 wall in Biomedical Engineering.

Based on observation there are penetrations of the rated wall above the ceiling at conduits in the corridor on the Stair No.4 wall
The findings were:
On July 13, 2001 at 1305 there are penetrations of the rated wall above the ceiling at conduits in the corridor on the Stair No.4 wall

Based on observation the top step is broken to the west wing elevator penthouse
The findings were:
On July 12, 2011 at 0805 the top step is broken to the west wing elevator penthouse

Based on observation the exit egress doors outside the entrance to the cafeteria from the hallway only open by use of the push pad on the wall.
The findings were:
On July 14, 2011 at 0900 the exit egress doors outside the entrance to the cafeteria from the hallway only open by use of the push pad on the wall.

Based on observation there is no sprinkler protection provided in the penthouses
The findings were:
On July 12, 2011 at 0757 there was no sprinkler protection provided in the penthouses

Based on observation the fire sprinkler control valve above the ceiling at Stairwell 2 Level 3 is not covered
The findings were:
On July 12, 2011 at 1355 the fire sprinkler control valve above the ceiling at Stairwell 2 Level 3 is not covered

Based on observation there is fire alarm wiring and two black cables attached to sprinkler piping hangers above the ceiling at the double corridor doors on the side of the Women ' s Pavilion waiting room
The findings were:
On July 12, 2011 at 1104 there was fire alarm wiring and two black cables attached to sprinkler piping hangers above the ceiling at the double corridor doors on the side of the Women's Pavilion waiting room

Based on observation there are cables attached to sprinkler piping above the ceiling at the double corridor doors on the left side entering the Laboratory and North Elevators
The findings were:
On July 12, 2011 at 0929 there are cables attached to sprinkler piping above the ceiling at the double corridor doors on the left side entering the Laboratory and North Elevators

Based on observation the sprinkler heads are less than 6 feet apart in the Cardiac and Pulmonary Rehab area.
The findings were:
On July 12, 2011 at 1103 the sprinkler heads are less than 6 feet apart in the Cardiac and Pulmonary Rehab area.

Based on observation sprinkler heads are less than 6 feet apart in the C Mechanical 5 Floor Sector B area
The findings were:
On July 12, 2011 at 1126 sprinkler heads are less than 6 feet apart in the C Mechanical 5 Floor Sector B area

Based on observation there is ceiling tile missing over the door in the room to the corridor in Pavilion 9 Sector B on the fourth floor
The findings were:
On July 12, 2011 at 1305 there was a ceiling tile missing over the door in the room to the corridor in Pavilion 9 Sector B on the fourth floor

Based on observation there is an escutcheon missing on a sprinkler head in the office of the Diabetes and Wound Care Center
The findings were:
On July 13, 2011 at 0812 there was an escutcheon missing on a sprinkler head in the office of the Diabetes and Wound Care Center

Based on observation there is a sprinkler head covered with a cap in the kitchen storeroom.
The findings were:
On July 13, 2011 at 0843 there was a sprinkler head covered with a cap in the kitchen storeroom.

Based on observation there is a ceiling tile missing in the Physicians Locker Room in the Operating Room Area.
The findings were:
On July 13, 2011 at 0933 there was a ceiling tile missing in the Physicians Locker Room in the Operating Room Area.

Based on observation there is several ceiling tile missing where the Morgue cooler was removed.
The findings were:
On July 13, 2011 at 1330 there were several ceiling tile missing where the Morgue cooler was removed.

Based on observation there are wires attached to sprinkler piping in the housekeeping break room beside the housekeeping director's office
The findings were:
On July 13, 2001 at 1338 there are wires attached to sprinkler piping in the housekeeping break room beside the housekeeping director's office

Based on observation the ceiling has been removed in the MRI Control room in Radiology
The findings were:
On July 14, 2011 at 0908 the ceiling has been removed in the MRI Control room in Radiology

Based on observation there is ceiling tile missing in the CT Control room
The findings were:
On July 14, 2011 at 0926 there was ceiling tile missing in the CT Control room

Based on observation there is ceiling tiles missing in the Exam room in Radiology
The findings include:
On July 14, 2011 at 0945 there are ceiling tiles missing in the Exam room in Radiology

Based on observation there is ceiling tiles missing in the Hot Lab in Nuclear Medicine
The findings were:
On July 14, 2011 at 0947 there were ceiling tiles missing in the Hot Lab in Nuclear Medicine

Based on observation the fire extinguisher in the west wing elevator penthouse is not mounted
The findings were:
On July 12, 2011 at 809 the fire extinguisher in the west wing elevator penthouse was not mounted

Based on observation there is wood being stored at the of the top of the stair 2 to the roof penthouses
The findings were:
On July 12, 2011 at 0815 there is wood being stored at the of the top of the stair 2 to the roof penthouses

Based on observation the power to the smoke damper is disconnected above the ceiling at the entrance door to the pharmacy
The findings were:
On July 12, 2011 at 0836 the power to the smoke damper was found to be disconnected above the ceiling at the entrance door to the pharmacy.

Based on observation there is a duct penetrating a smoke barrier above the ceiling in the Assistant Nurse Manager's Office on the third floor that does not have a smoke damper installed in the duct.
The findings were:
On July 12, 2011 at 1341 there was a duct penetrating a smoke barrier above the ceiling in the Assistant Nurse Manager's Office on the third floor that does not have a fire damper installed in the duct.

Based on observation there was open wiring at the light inside the attic access in the fifth floor boardroom
The findings were:
On July 12, 2011 at 0755 there was open wiring at the light inside the attic access in the fifth floor boardroom

Based on observation there is an unapproved extension cord in use in the pharmacy at the window.
The findings were:
On July 12th at 0912 there was an unapproved extension cord in use in the pharmacy at the window

Based on observation there is a multi-plug adapter in use by the computer in the Cardio-Pulmonary Rehab room.
The findings were:
On July 12th at 1015 there was a multi-plug adapter in use by the computer in the Cardio-Pulmonary Rehab room.

Based on observation there was an outlet cover missing in the Micro Film room in the Medical Records area.
The findings were:
On July 12, 2011 at 1025 there was an outlet cover missing in the Micro Film room in the Medical Records area.

Based on observation there are power strips connected to each other on the floor under the window in the pharmacy
The findings were:
On July 12, 2011 at 0912 there were power strips connected to each other on the floor under the window in the pharmacy

Based on observation there is a pull box that is not covered above the ceiling along at the rated wall in the Joint Trails Coordinator ' s Office.
The findings were:
On July 12, 2011 at 1326 there was a pull box that is not covered above the ceiling along at the rated wall in the Joint Trails Coordinator ' s Office.

Based on observation there is a junction box not covered above the ceiling at the rated wall in the Nourishment room across from the JCU Room 3
The findings were:
On July 12, 2011 at 1330 there was a junction box not covered above the ceiling at the rated wall in the Nourishment room across from the JCU Room 3.

Based on observation there are two yellow, containing two brown, one red and one black wire in flexible metal conduit above the ceiling at Elevator 3 that do not terminate to a box or fixture.
The findings were:
On July 12, 2011 at 1404 there were two yellow, containing two brown, one red and one black wire in flexible metal conduit above the ceiling at Elevator 3 that do not terminate to a box or fixture.

Based on observation there are two yellow and two brown, wires in flexible metal conduit above the ceiling at the corridor doors entering the North Elevators and Women ' s Pavilion that do not terminate to a box or fixture.
The findings were:
On July 12, 2011 at 1104 there were two yellow and two brown, wires in flexible metal conduit above the ceiling at the corridor doors entering the North Elevators and Women ' s Pavilion that do not terminate to a box or fixture.

Based on observation there is an open junction box above the ceiling for an exit sign in the corridor at Stairwell 3 Level 5
The findings were:
On July 12, 2011 at 0818 there was an open junction box above the ceiling for an exit sign in the corridor at Stairwell 3 Level 5

Based on observation there is an open junction box above the ceiling in the storage room to the right of Stairwell 3 Level 5
The findings were:
On July 12, 2011 at 0820 there was an open junction box above the ceiling in the storage room to the right of Stairwell 3 Level 5.

Based on observation there is an extension cord in use at Mechanical 4 off of the Assistant Nurse Manager ' s Office.
The findings were:
On July 12, 2011 at 1415 there was an extension cord in use at Mechanical 4 off of the Assistant Nurse Manager's Office.

Based on observation there is exposed wiring at the conduit on the wall at the air compressor where the wires go into the bottom of the power disconnect mounted on the wall in Mechanical Room 5 by the rear exit to the hallway
The findings were:
On July 13, 2011 1029 there was exposed wiring at the conduit on the wall at the air compressor where the wires go into the bottom of the power disconnect mounted on the wall in Mechanical Room 5 by the rear exit to the hallway

Based on observation there is an open junction box in the ceiling of the Morgue where the Morgue cooler was removed
The findings were:
On July 13, 2011 at 1330 there was an open junction box in the ceiling of the Morgue where the Morgue cooler was removed

Based on observation there is an open junction box above the ceiling in the corner of the front reception area in Respiratory Care
The findings were:
On July 13, 2011 at 1351 there was an open junction box above the ceiling in the corner of the front reception area in Respiratory Care

Based on observation there is an open junction box above the ceiling the waiting room near Surgical Services
The findings were:
On July 13, 2011 at 0805 there was an open junction box above the ceiling the waiting room near Surgical Services

Based on observation there is open wiring above the ceiling above the double doors in the corridor near the cafeteria.
The findings were:
On July 13, 2011 at 0817 there was open wiring above the ceiling above the double doors in the corridor near the cafeteria

Based on observation there are open junction boxes above the ceiling at the door from the cafeteria to the kitchen and on the wall above the sink near the door to the kitchen
The findings were:
On July 13, 2011 at 0838 there are open junction boxes above the ceiling at the door from the cafeteria to the kitchen and on the wall above the sink near the door to the kitchen

Based on observation there is an open junction box above the ceiling at the Freezer 10 in the kitchen area
The findings were:
On July 13, 2011 there was an open junction box above the ceiling at the Freezer 10 in the kitchen area

Based on observation there is an open junction box above the ceiling at the Dietary Office The findings were:
On July 13, 2011 at 0856 there was an open junction box above the ceiling at the Dietary Office

Based on observation there is an open junction box above the ceiling in the dishwashing room near the duct work through the floor below
The findings were:
On July 13, 2011 at 0942 there was an open junction box above the ceiling in the dishwashing room near the duct work through the floor below

Based on observation there is an open junction box above the ceiling in the corridor near the double doors at the three elevators on the first floor
The findings were:
On July 13, 2011 at 1329 there was an open junction box above the ceiling in the corridor near the double doors at the three elevators on the first floor

Based on observation there is open wiring above the ceiling at the waiting room behind the Cafe outside of Respiratory Care.
The findings were:
On July 14, 2011 at 0745 there was open wiring above the ceiling at the waiting room behind the Cafe outside of Respiratory Care.

Based on observation there is a multi plug adapter in use in the Radiology office at the end of the hallway in the films assembly area.
The findings were:
On July 14, 2011 at 0920 there was a multi plug adapter in use in the Radiology office at the end of the hallway in the films assembly area.

Based on observation there is an open junction box above the ceiling in the hallway at the elevator shaft wall across from the Respiratory Care workroom.
The findings were:
On July 14, 2011 at 0933 there was an open junction box above the ceiling in the hallway at the elevator shaft wall across from the Respiratory Care workroom.

Based on observation there is power strips connected to each other in the Emergency Department at the Registration Desk beside the exit doors to the lobby
The findings were:
On July 14, 2011 at 0954 there were power strips connected to each other in the Emergency Department at the Registration Desk beside the exit doors to the lobby