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ED FRASER MEMORIAL HOSPITAL
No Description Available
Tag No.: K0072
Based on observations and interview, the facility failed to maintain safe and reliable exit egress. All exit doors must be maintained in proper operational condition. Reliable egress is essential to the safety of all persons within the facility in an emergency situation.
The findings include:
During the facility tour with the Director of Maintenance at 1:00 AM on 4/19/2016, it was found that the front entrance/exit horizontal sliding doors were not being maintained. These doors required an excessive amount of force and were still not able to operate the break-away feature.
During the interview with the Director of Maintenance at 1:00 AM on 4/19/2016, it was stated that he acknowledged the requirement and the deficiency present. It was also stated that repairs would be made immediately.
NFPA 101 7.2.1.9
No Description Available
Tag No.: K0147
Based on document review and interview with the Director of Maintenance, it was noted that the facility failed to maintain documentation on the annual testing of receptacles. Not testing receptacles could lead to faulty outlets and a possible fire hazard.
The findings include:
During document review with the Director of Maintenance at 11:10 am on 4/19/2016, it was found that the proper documentation for maintenance and testing was not being kept per NFPA 101, for the testing of receptacles on an annual basis.
During interview with the Director of Maintenance at 11:10 am, it was stated that they were running behind schedule for receptacle testing and that it would be addressed immediately. NFPA 101 (2000 ed.) chapter 19; NFPA 99 4.3.3.2
LIFE SAFETY CODE STANDARD
Tag No.: K0072
Based on observations and interview, the facility failed to maintain safe and reliable exit egress. All exit doors must be maintained in proper operational condition. Reliable egress is essential to the safety of all persons within the facility in an emergency situation.
The findings include:
During the facility tour with the Director of Maintenance at 1:00 AM on 4/19/2016, it was found that the front entrance/exit horizontal sliding doors were not being maintained. These doors required an excessive amount of force and were still not able to operate the break-away feature.
During the interview with the Director of Maintenance at 1:00 AM on 4/19/2016, it was stated that he acknowledged the requirement and the deficiency present. It was also stated that repairs would be made immediately.
NFPA 101 7.2.1.9
LIFE SAFETY CODE STANDARD
Tag No.: K0147
Based on document review and interview with the Director of Maintenance, it was noted that the facility failed to maintain documentation on the annual testing of receptacles. Not testing receptacles could lead to faulty outlets and a possible fire hazard.
The findings include:
During document review with the Director of Maintenance at 11:10 am on 4/19/2016, it was found that the proper documentation for maintenance and testing was not being kept per NFPA 101, for the testing of receptacles on an annual basis.
During interview with the Director of Maintenance at 11:10 am, it was stated that they were running behind schedule for receptacle testing and that it would be addressed immediately. NFPA 101 (2000 ed.) chapter 19; NFPA 99 4.3.3.2