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Tag No.: K0300
The inspector observed, while accompanied by the CEO during the hours of the inspection from 1:00 pm to 4:00 pm on 2/26/2020 that there were the following issues. They were: Hallway to construction zone: The firewall above ceiling, above the double doors had some penetrations that needed to be sealed per the following requirements.
"Penetrations for cables, cable trays, conduits, pipes, tubes, combustion vents and exhaust vents, wires, and similar items to accommodate electrical, mechanical, plumbing, and communications systems that pass through a wall, floor, or floor/ceiling assembly constructed as a fire barrier shall be protected by a firestop system or device." - NFPA 101, 2012, 8.3.5.1.
Tag No.: K0918
The inspector observed, while accompanied by the CEO during the hours of the inspection from 1:00 pm to 4:00 pm on 2/26/2020 that there were the following issues. They were: Generator logs showing that 36-month load bank tests for 4 continuous hours were being performed.
Tag No.: K0933
The inspector observed, while accompanied by the CEO during the hours of the inspection from 1:00 pm to 4:00 pm on 2/26/2020 that there were the following issues. They were: Documents showing that "Features of Fire Protection - Fire Loss Prevention in Operating Rooms" were not available for review.