HospitalInspections.org
Bringing transparency to federal inspections
IRAAN GENERAL HOSPITAL
Means of Egress Requirements - Other
Tag No.: K0200
Based on observation the facility failed to provide clear EXIT SIGN location. Relocate exit sign on soffit leading to emergency suite over to exterior door.
Doors with Self-Closing Devices
Tag No.: K0223
Based on observation the facility failed to provide a properly latching door at Electrical Room.
Fundamentals - Building System Categories
Tag No.: K0901
Based on observation the facility failed to provide a proper annual documentation of fire rated doors and other doors in the means of egress.
Based on observation the facility failed to provide a proper risk assessment documentation for facility gas and vacuum piped systems, electrical systems as required
Electrical Systems - Other
Tag No.: K0911
Based on observation the facility failed to provide a properly populated Life Safety Branch at Electrical Room.
4.4.2.2.2.2 "Life Safety Branch. The life safety branch of the emergency system shall supply power for the following lighting, receptacles, and equipment:
(1) Illumination of means of egress as required in NFPA 101, Life Safety Code,
(2) Exit signs and exit direction signs as required in NFPA 101, Life Safety Code,
(3) Alarm and alerting systems including the following:
(a) Fire alarm
(b) Alarms required for systems used for the piping of nonflammable medical gases as specified in Chapter 5, Gas and Vacuum Systems
(4) Hospital communication systems where used for issuing instructions during emergency conditions,
(5) Generator Set Location: Task illumination, battery charger for emergency battery-powered lighting unit(s), and selected receptacles at the generator set location and essential electrical system transfer switch locations
(6) Elevator cab lighting, control, communication, and signal systems,
(7) Automatic doors used for building egress
(8) Auxiliary functions of the fire alarm combination systems complying with NFPA 72.
No other functions than those listed in items (1) through (8) shall be connected to the life safety branch." - NFPA 99, 2002, 4.4.2.2.2.2.
Based on observation the facility failed to provide a properly updated directory for the branches of the essential system.
"Panel directories shall be labeled to legibly identify the purpose or use of each circuit." - NFPA 70, 2002: 408.4.
Based on observation the facility failed to provide a proper distance between generator and electrical transformer.
"When the emergency generator(s) and electrical transformer(s) are located within the same area, they shall be located at least 10 feet apart." - H.L.R. 133.162(d)(5)(M)(iii).