HospitalInspections.org

Based on observation and interview it was determined the facility failed to properly maintain 2-hour fire rated common walls affecting two of four floors in this component.

Findings include:

A. Observation on July 12, 2012, between 10:31 AM and 1:31 PM, revealed the following deficiencies:

1. 10:31 AM - First floor, common wall above door 1056 is not sealed tight to the deck above, open where corrugated roof meets top of wall. Completed as of November 16, 2012, revisit.

2. 1:31 PM - Basement level, common wall around door 001 has unprotected penetrations and remaining sheet metal plate does not provide a 2-hour fire resistance rating. Not completed as of November 16, 2012, revisit.

Exit interview with maintenance representative #1, maintenance representative #2, and design professional #1 on July 13, 2012 between 11:00 AM and 11:30 AM, confirmed these 2-hour fire rated common wall deficiencies.


Interview with facilities maintenance manager during the exit interview process conducted between 10:15 a.m. and 10:30 a.m. on November 16, 2012, confirmed item number one completed as of November 16, 2012, while item number two was not completed as of November 16, 2012, revisit.

Based on observation and interview it was determined the facility failed to properly maintain building construction on four of four floors in this component.

Findings include:

A. Observation on July 11, 2012, between 12:40 PM and 1:40 PM, revealed the following deficiencies:

1. 12:40 PM - Fourth floor, typical for all floors below, flooring is comprised of wooden furring strips, wood sub floor and wood finished floor totaling some 2 inches in thickness. Not completed as of November 16, 2012, revisit. Awaiting engineering determination.

2. 1:00 PM - Fourth floor, typical for all floors below, walls are comprised of individual red bricks and mortar, covered with wooden lath and horse-hair plaster. Not completed as of November 16, 2012, revisit. Awaiting engineering determination.

3. 1:40 PM - Third floor, typical for all floors below, bathroom has unprotected structural steel within the pipe chase located at door Q314A.Completed as of November 16, 2012, revisit.

B. Observation on July 12, 2012, at 1:17 PM, revealed unprotected structural steel in the basement level first wet sprinkler riser room. Completed as of November 16, 2012, revisit.

Exit interview with maintenance representative #1, maintenance representative #2, and design professional #1 on July 13, 2012 between 11:00 AM and 11:30 AM, confirmed these building construction deficiencies.


Interview with facilities maintenance manager during the exit interview process conducted between 10:15 a.m. and 10:30 a.m. on November 16, 2012, confirmed items numbered 1 and 2 are not completed pending engineering determination, while items numbered (and lettered) 3 and 3(b)have been completed as of November 16, 2012, revisit.

Based on observation and interview it was determined the facility failed to properly maintain building construction on four of four floors within this component.

Findings include:

1. Observation of component building construction between 12:35 p.m. and 2:00 p.m. on July 11, 2012, revealed the below deficiencies:

a. Fourth floor (typical for all floors below) flooring is comprised of wooden furring strips, wooden sub-floor and wood finished floor totaling approximately two inches in thickness. 12:35 p.m. through 12:50 p.m. Awaiting engineering determination as of November 16, 2012, revisit.

b. Fourth floor (typical for all floors below) walls are comprised of individual red bricks and mortar, covered with wooden lath and horse-hair plaster. 1:06 p.m. through 1:22 p.m. Awaiting engineering determination as of November 116, 2012, revisit.

c. Third floor (typical for all floors below) bathrooms possess unprotected structural steel (both columns and floor support steel) within miscellaneous pipe chases. 1:33 p.m. through 1:44 p.m. Completed as of November 16, 2012, revisit.

d. Observation on July 11, 2012, between 1:50 p.m. and 2:00 p.m. revealed unprotected structural steel at the basement level in miscellaneous locations. Completed as of Nopvember 16, 2012, revist.

e. Observation of the basement level between 1:50 p.m. and 2:00 p.m. on July 11, 2012, revealed portions of the floor slab assembly removed in several locations. Completed as of November 16, 2012, revisit.

Exit interview with maintenance representative one, maintenance representative two and design professional one on July 13, 2012 between 11:00 a.m. and 11:30 a.m., confirmed the above building construction deficiencies.

Interview with facilities maintenance manager during the exit interview process conducted between 10:15 a.m. and 10:30 a.m. on November 16, 2012, confirmed items numbered 1a and 1b are not completed pending engineering determination, while items numbered 1c, 1d and 1e have been completed as of November 16, 2012, revisit.

Based upon observation and interview, it was determined the facility failed to maintain building construction requirements in multiple locations on three of three total floors.

Findings include:

Observation of various ceiling assemblies within this component between 10:48 a.m. and 11:59 a.m. on July 11, 2012, revealed various ceiling access panels to lack a rating commensurate with the rated ceiling assembly application. Not completed as of November 16, 2012, revist.

Exit interview with maintenance representative one, maintenance representative two and design professional one during the exit interview process conducted between 11:00 a.m. and 11:30 a.m. on July 13, 2012, confirmed the building construction deficiency stated above.

Exit interview conducted with facilities maintenance manager between 10:15 a.m. and 10:30 a.m.on November 16, 2012, confirmed the rated ceiling assembly work was not completed at the time of the revisit.

Based on observation and interview it was determined the facility failed to properly maintain fire rated vertical enclosures affecting four of four floors in this component.

Findings include:

A. Observation on July 11, 2012, between 12:38 PM and 1:37 PM, revealed the following deficiencies:

1. 12:38 PM - Attic level, numerous vertical air shafts spanning four floors, open directly into the attic space. Completed as of November 16, 2012, revisit.

2. 12:50 PM - Fourth floor, numerous vertical air shafts, spanning four floors, open directly into horizontal brick air ducts that are partially enclosed. Completed as of November 16, 2012, revisit.

3. 12:52 PM - Fourth floor, vertical pipe chase, accessed by door 4017, had unprotected penetrations, open to two floors below. Completed as of November 16, 2012, revisit.

4. 1:30 PM - Third floor, electrical closet 3159 had an unprotected vertical penetration around an electrical conduit at the floor level. Completed as of November 16, 2012, revisit.

5. 1:37 PM - Third floor, vertical pipe chase, accessed by door Q314A, had unprotected penetrations, open to two floors below. Completed as of November 16, 2012, revisit.

B. Observation on July 12, 2012, between 8:20 AM and 1:20 PM, revealed the following deficiencies:

1. 8:20 AM - Fourth floor, the second exit stair tower had exposed slate risers and tread when viewed from the 3 ? floor landing. This stair-back was not separated from the stair tower by fire rated construction. Not completed as of November 16, 2012, revisit.

2. 1:12 PM - Basement level, two personal clothes dryer, foil ducts that penetrated the basement ceiling from the first floor lack a required fire rated enclosure. Not completed as of November 16, 2012, revisit.

3. 1:20 PM - Sub-tunnel level, these service tunnels, located below the basement level, are not separated from the basement creating numerous unprotected vertical penetrations in the basement floor. Completed as of November 16, 2012, revisit.

Exit interview with maintenance representative #1, maintenance representative #2, and design professional #1 on July 13, 2012 between 11:00 AM and 11:30 AM, confirmed these unprotected vertical penetrations.


Interview with facilities maintenance manager during the exit interview process conducted between 10:15 a.m. and 10:30 a.m. on November 16, 2012, confirmed items numbered 1, 2, 3, 4, 5 and B3 are completed, while items numbered B1, B2, have not been completed as of November 16, 2012, revisit.

Based on observation and interview it was determined the facility failed to properly maintain fire rated vertical enclosures/openings affecting four of four floors in this component.

Findings include:

1. Observation between July 12, 2012, between 08:16 a.m. and 1:30 p.m. revealed the following deficiencies:

a. Numerous vertical air shafts, which span a total of four floors, (in addition to the basement) open directly into the attic spaces. 08:16 a.m. through 08:44 a.m. Completed as of November 16, 2012, revisit.

b. Numerous vertical air shafts, spanning four floors, open directly into horizontal brick air ducts which are partially enclosed. 08:45 a.m. through 08:49 a.m. Completed as of November 16, 2012, revisit.

c. The fourth floor portion of the second exit stair tower possesses exposed slate risers which negate the required two-hour fire resistive integrity of the enclosure. 08:55 a.m. Not completed as of Novemebr 16, 2012, revisit.

d. Two personal clothes dryers exhaust ducts penetrate the floor slab assembly between basement and first floor levels and lack the requisite enclosure properties. 09:23 a.m. Not completed as of November 16, 2012, revisit.

e. Service tunnels located within this component are not separated from the basement level, thereby creating numerous unprotected vertical penetrations within the basement floor assembly. 10:06 a.m. through 10:37 a.m. Completed as of November 16, 2012, revisit.

f. A sprinkler riser penetration was noted at the basement level at 12:55 p.m. on July 11, 2012 (located closest to North Block Middle.) Completed as of November 16, 2012, revisit.

g. Dumb waiter access panels lack rated door frame assemblies at all pertinent levels. 1:06 p.m. through 1:50 p.m. on July 11, 2012. Completed as of November 16, 2012, revisit.

h. Penetrations of the floor slab assembly were noted within the fourth floor 408 pipe chase at 08:33 a.m. on July 12, 2012. Completed as of November 16, 2012, revisit.

i. All bath/shower room pipe chases within this component are unenclosed at all pertinent floor slab assemblies. Completed as of November 16, 2012, revisit.


Exit interview with maintenance representative one, maintenance representative two and design professional one on July 13, 2012, between 11:00 a.m. and 11:30 a.m., confirmed these unprotected vertical penetrations.


Interview with facilities maintenance manager during the exit interview process conducted between 10:15 a.m. and 10:30 a.m. on November 16, 2012, confirmed items numbered 1a, 1b, 1e, 1f, 1g, 1h and 1i were completed as of the revisit, while items numbered 1c and 1d were not completed at the time of the November 16, 2012, revisit.

Based upon observation and interview, it was determined the facility failed to maintain five exit stair tower locations within this component.

Findings include:

1. Observation of various exit stair towers within this component between 1:16 p.m. on July 11, 2012, and 1:55 p.m. on July 12, 2012, revealed the below deficiencies:

a. The basement-level portion of the North Bank, third section stair tower enclosure lacks one-hour, fire resistive integrity (less one-hour assembly at ceiling level.) 1:16 p.m. Not completed as of November 16, 2012, revisit.
b. Ceiling height within the fourth floor portion of the North Block, first section stair tower enclosure is less than the required height. 08:22 a.m. on July 12, 2012. Awaiting engineering determination. Not completed as of November 16, 2012, revisit.
c. The fourth floor ceiling of the 343 stair tower is constructed of horse hair plaster and wooden lathe affixed to combustible roof assembly joists. 09:55 a.m. on July 12, 2012. Not completed as of November 16, 2012, revisit.
d. The basement-level portion of the 302 stair tower enclosure is open to the basement level. 1:55 p.m. on July 12, 2012. Not completed as of November 16, 2012, revisit.
e. An unprotected column was noted within the basement-level North Bank, third section stair tower enclosure wall at 1:17 p.m. on July 11, 2012. Not completed as of November 16, 2012.

Exit interview with maintenance representative one, maintenance representative two and design professional one during the exit interview process conducted between 11:00 a.m. and 11:30 a.m. on July 13, 2012, confirmed the above stair tower enclosure deficiencies.


Interview with facilities maintenance manager during the exit interview process conducted between 10:15 a.m. and 10:30 a.m. on November 16, 2012, confirmed items numbered 1a, 1c and 1d are not completed, while item number 1b is not completed pending engineering determination.

Based on observation and interview it was determined the facility failed to properly configure one of six exit stair towers in this component.

Findings include:

A. Observation on July 11, 2012, at 12:34 PM, revealed the fourth floor exit stair tower landing, located at door 4002, had reduced head room measuring 6 feet 4 inches. Not completed as of November 16, 2012, revisit. Awaiting engineering determination.

Exit interview with maintenance representative #1, maintenance representative #2, and design professional #1 on July 13, 2012 between 11:00 AM and 11:30 AM, confirmed the reduced head room on the fourth floor exit stair tower landing.


Interview with facilities maintenance manager during the exit interview process conducted between 10:15 a.m. and 10:30 a.m. on November 16, 2012, confirmed item A not completed at the time of the revisit, pending an engineering determination.

Based upon observation and interview, it was determined the facility failed to maintain exit access in one location on one of four floors.

Findings include:

Observation of the fourth floor, third section area at 10:44 a.m. on July 12, 2012, revealed the ceiling height in this area to be reduced to six feet, two inches for a distance of twelve feet, three inches. Not completed as of November 16, 2012, revisit. Awaiting engineering determination.

Exit interview with maintenance representative one, maintenance representative two and design professional one during the exit interview process conducted between 11:00 a.m. and 11:30 a.m. on July 13, 2012, confirmed the exit access deficiency.


Interview with facilities maintenance manager during the exit interview process conducted between 10:15 a.m. and 10:30 a.m. on November 16, 2012, confirmed the above item to not be completed while awaiting an engineering determination.