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STONEWALL MEMORIAL HOSPITAL DISTRICT
No Description Available
Tag No.: K0051
The inspector observed, while accompanied by the Building Supervisor, during the hours of the inspection from 1:00PM to 4:00 PM on 04/02/2015 that there were the following issues:
A) The FACP breaker was not marked red.
" The circuit breaker at the electrical panel board for the fire alarm shall have a red marking, shall be accessible only to authorized personnel, and shall be identified as "FIRE ALARM CIRCUIT CONTROL" " - NFPA 72, 2002: 4.4.1.4.2.2.
No Description Available
Tag No.: K0106
The inspector observed, while accompanied by the Building Supervisor, during the hours of the inspection from 1:00PM to 4:00 PM on 04/02/2015 that there were the following issues:
A) Battery powered lighting fixture was not observed at the generator location.
" The emergency generator location shall have task illumination, battery charger for emergency battery powered lighting unit(s), and selected receptacles at the generator set location " - NFPA 99, 1999: 3-4.2.2.2.(b)5.
No Description Available
Tag No.: K0130
K0130 Medical Gas Alarm
The inspector observed, while accompanied by the Building Supervisor, during the hours of the inspection from 1:00PM to 4:00 PM on 04/02/2015 that there were the following issues:
A) No medical gas alarm was observed on the facility.
" The master alarm system shall consist of two or more alarm panels located in at least two separate locations: (1) One master alarm panel shall be located in the office or work space of the individual responsible for the maintenance of the medical gas and vacuum piping systems. (2) In order to assure continuous surveillance of the medical gas and vacuum systems while the facility is in operation the second master alarm panel shall be located in an area of continuous observation (e.g., the telephone switchboard, security office, or other continuously staffed location.) " - NFPA 99, 2002, 5.1.9.2.1.
K0130 Disaster Drills Hospitals
The inspector observed, while accompanied by the Building Supervisor, during the hours of the inspection from 1:00PM to 4:00 PM on 04/02/2015 that there were the following issues:
A) Based on observation the facility failed to provide acceptable semi-annual disaster drills and needed improvement in the disaster plan. Also the minimal one annual " after action report " was not observed.
" Each organizational entity shall implement one or more specific responses of the emergency preparedness plan at least semi-annually. At least on semi-annual drill shall rehearse mass casualty response for health care facilities with emergency services, disaster receiving stations, or both. " - NFPA 99, 1999, 11-5.3.9.
LIFE SAFETY CODE STANDARD
Tag No.: K0051
The inspector observed, while accompanied by the Building Supervisor, during the hours of the inspection from 1:00PM to 4:00 PM on 04/02/2015 that there were the following issues:
A) The FACP breaker was not marked red.
" The circuit breaker at the electrical panel board for the fire alarm shall have a red marking, shall be accessible only to authorized personnel, and shall be identified as "FIRE ALARM CIRCUIT CONTROL" " - NFPA 72, 2002: 4.4.1.4.2.2.
LIFE SAFETY CODE STANDARD
Tag No.: K0106
The inspector observed, while accompanied by the Building Supervisor, during the hours of the inspection from 1:00PM to 4:00 PM on 04/02/2015 that there were the following issues:
A) Battery powered lighting fixture was not observed at the generator location.
" The emergency generator location shall have task illumination, battery charger for emergency battery powered lighting unit(s), and selected receptacles at the generator set location " - NFPA 99, 1999: 3-4.2.2.2.(b)5.
LIFE SAFETY CODE STANDARD
Tag No.: K0130
K0130 Medical Gas Alarm
The inspector observed, while accompanied by the Building Supervisor, during the hours of the inspection from 1:00PM to 4:00 PM on 04/02/2015 that there were the following issues:
A) No medical gas alarm was observed on the facility.
" The master alarm system shall consist of two or more alarm panels located in at least two separate locations: (1) One master alarm panel shall be located in the office or work space of the individual responsible for the maintenance of the medical gas and vacuum piping systems. (2) In order to assure continuous surveillance of the medical gas and vacuum systems while the facility is in operation the second master alarm panel shall be located in an area of continuous observation (e.g., the telephone switchboard, security office, or other continuously staffed location.) " - NFPA 99, 2002, 5.1.9.2.1.
K0130 Disaster Drills Hospitals
The inspector observed, while accompanied by the Building Supervisor, during the hours of the inspection from 1:00PM to 4:00 PM on 04/02/2015 that there were the following issues:
A) Based on observation the facility failed to provide acceptable semi-annual disaster drills and needed improvement in the disaster plan. Also the minimal one annual " after action report " was not observed.
" Each organizational entity shall implement one or more specific responses of the emergency preparedness plan at least semi-annually. At least on semi-annual drill shall rehearse mass casualty response for health care facilities with emergency services, disaster receiving stations, or both. " - NFPA 99, 1999, 11-5.3.9.