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SANFORD LUVERNE MEDICAL CENTER
No Description Available
Tag No.: K0052
Based upon a review of available documentation, the facility failed to maintain the building fire alarm system in accordance with NFPA 101 (00) Chapter 9, Section 9.6 and Chapter 18, Section 18.3.4. and NFPA 72 (1999 edition) Sections 7-3.2 and 7-5.2.2 and Table 7-3.1. In a fire emergency, this deficient practice could adversely affect 25 patients.
FINDINGS INCLUDE:
On 11/06/2013 at 12:50 PM, during a review of the facility's Fire Alarm Test Report dated 12/27/2012, twenty-one (21) Manual Fire Alarm Boxes were noted on the system, however, no documentation was provided identifying the locations, serial numbers, and outcomes for both visual and functional test results for each of these Alarm Initiating Devices. As such, it could not be verified that visual and functional testing of each device on the fire alarm system had been properly conducted.
This finding was confirmed with the chief building engineer.
LIFE SAFETY CODE STANDARD
Tag No.: K0052
Based upon a review of available documentation, the facility failed to maintain the building fire alarm system in accordance with NFPA 101 (00) Chapter 9, Section 9.6 and Chapter 18, Section 18.3.4. and NFPA 72 (1999 edition) Sections 7-3.2 and 7-5.2.2 and Table 7-3.1. In a fire emergency, this deficient practice could adversely affect 25 patients.
FINDINGS INCLUDE:
On 11/06/2013 at 12:50 PM, during a review of the facility's Fire Alarm Test Report dated 12/27/2012, twenty-one (21) Manual Fire Alarm Boxes were noted on the system, however, no documentation was provided identifying the locations, serial numbers, and outcomes for both visual and functional test results for each of these Alarm Initiating Devices. As such, it could not be verified that visual and functional testing of each device on the fire alarm system had been properly conducted.
This finding was confirmed with the chief building engineer.