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ESSENTIA HEALTH HOLY TRINITY HOSPITAL
No Description Available
Tag No.: K0056
Based on observations, the automatic sprinkler system is not installed and maintained in accordance with NFPA 13 the Standard for the Installation of Sprinkler Systems (99). The failure to maintain the sprinkler system in compliance with NFPA 13 (99) could allow fire development that would reduce the egress conditions affecting all residents, staff and visitors of the facility.
Findings include:
On facility tour between 11:00 AM and 2:00 PM on 9/27/10, it was observed that the Maintenacne Supervisors office was not protected by the facility's Automatic Fire sprinkler system. Fire sprinkler coverage is required in this area for the facility to be considered to be a fully fire sprinkler protected building.
This was confirmed by Maintenance Supervisor (TM).
No Description Available
Tag No.: K0067
Based on documentation review, the fire/smoke damper system has not been maintained in accordance with the requirements of NFPA 90(99) section 3-4.7. This deficient practice does not ensure the proper operation of the fire/smoke dampers and could allow smoke migration to negatively affect all patients, staff and visitors in the event of a fire.
Findings include:
On facility tour between 11:00 AM and 2:00 PM on 9/27/10, it was revealed during the review of facility fire and smoke damper test and inspection documentation and confirmed by interview with the Maintenance Supervisor (TM), that the facility failed to provide documentation that the fire and smoke dampers had been tested/inspected within the last 6 years in accordance with NFPA 90(99) section 3-4.7.
This was confirmed by the Maintenance Supervisor (TM).
LIFE SAFETY CODE STANDARD
Tag No.: K0056
Based on observations, the automatic sprinkler system is not installed and maintained in accordance with NFPA 13 the Standard for the Installation of Sprinkler Systems (99). The failure to maintain the sprinkler system in compliance with NFPA 13 (99) could allow fire development that would reduce the egress conditions affecting all residents, staff and visitors of the facility.
Findings include:
On facility tour between 11:00 AM and 2:00 PM on 9/27/10, it was observed that the Maintenacne Supervisors office was not protected by the facility's Automatic Fire sprinkler system. Fire sprinkler coverage is required in this area for the facility to be considered to be a fully fire sprinkler protected building.
This was confirmed by Maintenance Supervisor (TM).
LIFE SAFETY CODE STANDARD
Tag No.: K0067
Based on documentation review, the fire/smoke damper system has not been maintained in accordance with the requirements of NFPA 90(99) section 3-4.7. This deficient practice does not ensure the proper operation of the fire/smoke dampers and could allow smoke migration to negatively affect all patients, staff and visitors in the event of a fire.
Findings include:
On facility tour between 11:00 AM and 2:00 PM on 9/27/10, it was revealed during the review of facility fire and smoke damper test and inspection documentation and confirmed by interview with the Maintenance Supervisor (TM), that the facility failed to provide documentation that the fire and smoke dampers had been tested/inspected within the last 6 years in accordance with NFPA 90(99) section 3-4.7.
This was confirmed by the Maintenance Supervisor (TM).