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Tag No.: K0076
Based on observation, it was determined that the facility failed to protect gas in storage in accordance with NFPA 99 4-3.1.1.1.
Findings include:
1. On 4/30/12 at 10:50 AM, in the presence of Staff #16, it was observed in the basement mechanical room that 4 tanks of gas were not secured. NFPA 99 4-3.1.1.1 states cylinders in service and in storage shall be secured and located to prevent falling or being knocked over.
Tag No.: K0135
Based on observation, it was determined that the facility failed to ensure flammable liquids are stored in approved containers.
Findings include:
1. On 4/30/12 at 10:10 AM, in the presence of Staff #16, it was observed in the histology lab that the hazardous storage cabinet could not latch.
Tag No.: K0211
Based on observation, it was determined that the facility failed to ensure Alcohol Based Hand Rub dispensers (ABHR) are not installed above ignition sources.
Findings include:
1. On 4/30/12 at 11:10 AM, in the presence of Staff #16, it was observed in the MRI corridor that an ABHR was installed above an electrical outlet.
2. On 4/30/12 at 2:00 PM, in the presence of Staff #16, it was observed in EEG Room #350 that an ABHR was installed above an electrical switch.
Tag No.: K0211
Based on observation, it was determined that the facility failed to ensure Alcohol Based Hand Rub dispensers (ABHR) are not installed above ignition sources.
Findings include:
1. On 5/1/12 at 11:10 AM, in the presence of Staff #16, it was observed in Post Partum Room #350 that an ABHR was installed above an electrical outlet.
Tag No.: K0211
Based on observation, it was determined that the facility failed to ensure Alcohol Based Hand Rub dispensers (ABHR) are not installed above ignition sources.
Findings include:
1. On 5/1/12 at 2:15 AM, in the presence of Staff #16, it was observed in the CT Room that an ABHR was installed above an electrical switch.
2. On 5/1/12 at 2:30 PM, in the presence of Staff #16, it was observed in Mammo Room #A that an ABHR was installed above an electrical switch.
Tag No.: K0076
Based on observation, it was determined that the facility failed to protect gas in storage in accordance with NFPA 99 4-3.1.1.1.
Findings include:
1. On 4/30/12 at 10:50 AM, in the presence of Staff #16, it was observed in the basement mechanical room that 4 tanks of gas were not secured. NFPA 99 4-3.1.1.1 states cylinders in service and in storage shall be secured and located to prevent falling or being knocked over.
Tag No.: K0135
Based on observation, it was determined that the facility failed to ensure flammable liquids are stored in approved containers.
Findings include:
1. On 4/30/12 at 10:10 AM, in the presence of Staff #16, it was observed in the histology lab that the hazardous storage cabinet could not latch.