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Tag No.: K0029
Based on observation, it was determined that the facility failed to ensure doors of hazardous areas are self closing.
Findings include:
On 1/17/13 at 1:30 PM, in the presence of Staff #32, the door to the medical records room in the Cancer Building was held open with a wood block.
Tag No.: K0076
Based on observation, it was determined that the facility failed to ensure that gas in storage is protected in accordance with NFPA 99 4-3.1.1.1.
Findings include:
On 1/17/13 at 10:40 AM, in the presence of Staff #32, it was observed that in the main tank room, five (5) 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 that flammable liquids are stored in approved containers.
Findings include:
On 1/17/13 at 10:45 AM, in the presence of Staff #32, it was observed that sixteen (16) cans of flammable liquids were not stored in approved containers in the paint room.
Tag No.: K0211
Based on observation, it was determined that the facility failed to ensure that Alcohol Based Hand Rubs (ABHR) are not installed above ignition sources.
Findings include:
On 1/17/13 at 2:30 PM, in the presence of Staff #1, it was observed that in the Operating Room entry corridor, an ABHR was installed above an electric outlet.