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Tag No.: K0145
Based on observation, document review and interview, the facility was not provided with a Type 1 Essential Electrical System that was divided into separate Critical Branch, Life Safety Branch and Equipment Systems Branch, in accordance with NFPA 99. This was noted in various areas of the facility.
Findings include:
Examples include, but are not limited to, the following:
a) On 05/10/16 at approximately 1:30 PM, review of the Emergency Power Panel Directory for Panel "E4B-111" on the 4th Floor Electrical Room, revealed that this Panel served all three branches of Emergency System-Life Safety Branch Loads (e.g., Receptacles in hallways,etc) and Emergency System-Critical Branch Loads (e.g., Refrig.&Nar cab 4148, Nurses station). As per a concurrent interview with the Vice President for facilities and Planning Department, it was confirmed that the hospital's emergency power was not divided into the three required branches.
b) On 05/16/16 at approximately 2:30 PM, review of the Emergency Power Panel Directory for Panel "CL-OR 3 on the 3 rd floor of the East building, revealed that this Panel served the Critical branch loads, however 17th electrical circuit breaker was labeled as serving the Equipment branch Load "Bathroom Water Heater" on the directory,
c) On 05/16/16 at approximately 2:30 PM, review of the Emergency Power Panel Directory for Panel "LSLL-6A" on 5th Floor, revealed that this Panel served both Emergency System-Life Safety Branch Loads (e.g., "Med Gas 5th Fl" and "Boiler room Dampers") and Emergency System-Equipment Branch Loads (e.g., "Chill Guard", "Hawkins Dryer").
Interview of the Vice-President for facilities and Planning on 05/16/16 at approximately 2:00 PM, revealed that the facility is aware of the lack of Type 1EES system.
Tag No.: K0145
Based on observation, document review and interview, the facility was not provided with a Type 1 Essential Electrical System that was divided into separate Critical Branch, Life Safety Branch and Equipment Systems Branch, in accordance with NFPA 99. This was noted in various areas of the facility.
Findings include:
Examples include, but are not limited to, the following:
a) On 05/10/16 at approximately 1:30 PM, review of the Emergency Power Panel Directory for Panel "E4B-111" on the 4th Floor Electrical Room, revealed that this Panel served all three branches of Emergency System-Life Safety Branch Loads (e.g., Receptacles in hallways,etc) and Emergency System-Critical Branch Loads (e.g., Refrig.&Nar cab 4148, Nurses station). As per a concurrent interview with the Vice President for facilities and Planning Department, it was confirmed that the hospital's emergency power was not divided into the three required branches.
b) On 05/16/16 at approximately 2:30 PM, review of the Emergency Power Panel Directory for Panel "CL-OR 3 on the 3 rd floor of the East building, revealed that this Panel served the Critical branch loads, however 17th electrical circuit breaker was labeled as serving the Equipment branch Load "Bathroom Water Heater" on the directory,
c) On 05/16/16 at approximately 2:30 PM, review of the Emergency Power Panel Directory for Panel "LSLL-6A" on 5th Floor, revealed that this Panel served both Emergency System-Life Safety Branch Loads (e.g., "Med Gas 5th Fl" and "Boiler room Dampers") and Emergency System-Equipment Branch Loads (e.g., "Chill Guard", "Hawkins Dryer").
Interview of the Vice-President for facilities and Planning on 05/16/16 at approximately 2:00 PM, revealed that the facility is aware of the lack of Type 1EES system.