HospitalInspections.org

Based on observation and interview fireproofing material on steel was not maintained in the several areas.

The findings include:
On August 29, 2012 accompanied by the Maintenance Director, Fire resistant fiber protecting structure membranes are not be maintained as required in the following areas:

At 10:09, observed during walk thru inspection ceiling deck of shop mezzanine.
At 10:27, observed during walk thru inspection ceiling deck of outside boiler room.
At 10:29, observed during walk thru inspection ceiling deck of outside electrical room.
At 10:30, observed during walk thru inspection ceiling deck of outside emergency electrical room.
At 11:30, observed during walk thru inspection ceiling deck of electrical closet at admissions.
At 13:16, observed during walk thru inspection ceiling deck of electrical closet in nurses locker room - lounge.

Based on an observation and interview smoke dampers were not installed in rated walls in the Support Storage room.

The findings include:
On September 7, 2012 at 0920 accompanied by the Maintenance Director, there was an opening in the wall that did not have a smoke damper installed.

Based on an observation and interview smoke dampers were not installed in rated walls in the Clean Linen room.

The findings include:
On September 7, 2012 at 0905 accompanied by the Maintenance Director, smoke damper was not installed in the Clean Linen room in the Support Storage Area.

Based on observation and interview the fire alarm system is not being maintained.

The findings include:
On August 29, 2012 accompanied by the Maintenance Director the Fire Alarm system is not being maintained as required:

At 10:32, observed during inspection walk thru sprinkler system riser is incorrectly installed and mounted to where it is blocking pull station by restricting view and access to activate in outside dirty linen room.

At 11:15, observed during inspection walk thru pull station is incorrectly installed and mounted greater than 5 feet from outside exit door of MRI unit.

Based on observation and interview the fire sprinkler system is not being maintained.

The findings include:
On August 29, 2012 accompanied by the Maintenance Director the Fire Sprinkler system is not being maintained as required

Sprinkler system is not being maintained as required:

At 10:31, observed during inspection walk thru all loading dock sprinkler heads are badly corroded and shall have to be replaced.

Based on observation and interview the power strips in two operating rooms where not medical grade.

The findings include:
On August 29, 2012 at 1140 accompanied by the Maintenance Director power strips were found in use in the operating rooms one and two that were not medical grade.

Based on observation and interview fireproofing material on steel was not maintained in the several areas.

The findings include:
On August 29, 2012 accompanied by the Maintenance Director, Fire resistant fiber protecting structure membranes are not be maintained as required in the following areas:

At 10:09, observed during walk thru inspection ceiling deck of shop mezzanine.
At 10:27, observed during walk thru inspection ceiling deck of outside boiler room.
At 10:29, observed during walk thru inspection ceiling deck of outside electrical room.
At 10:30, observed during walk thru inspection ceiling deck of outside emergency electrical room.
At 11:30, observed during walk thru inspection ceiling deck of electrical closet at admissions.
At 13:16, observed during walk thru inspection ceiling deck of electrical closet in nurses locker room - lounge.

Based on an observation and interview smoke dampers were not installed in rated walls in the Support Storage room.

The findings include:
On September 7, 2012 at 0920 accompanied by the Maintenance Director, there was an opening in the wall that did not have a smoke damper installed.

Based on an observation and interview smoke dampers were not installed in rated walls in the Clean Linen room.

The findings include:
On September 7, 2012 at 0905 accompanied by the Maintenance Director, smoke damper was not installed in the Clean Linen room in the Support Storage Area.

Based on observation and interview the fire alarm system is not being maintained.

The findings include:
On August 29, 2012 accompanied by the Maintenance Director the Fire Alarm system is not being maintained as required:

At 10:32, observed during inspection walk thru sprinkler system riser is incorrectly installed and mounted to where it is blocking pull station by restricting view and access to activate in outside dirty linen room.

At 11:15, observed during inspection walk thru pull station is incorrectly installed and mounted greater than 5 feet from outside exit door of MRI unit.

Based on observation and interview the fire sprinkler system is not being maintained.

The findings include:
On August 29, 2012 accompanied by the Maintenance Director the Fire Sprinkler system is not being maintained as required

Sprinkler system is not being maintained as required:

At 10:31, observed during inspection walk thru all loading dock sprinkler heads are badly corroded and shall have to be replaced.

Based on observation and interview the power strips in two operating rooms where not medical grade.

The findings include:
On August 29, 2012 at 1140 accompanied by the Maintenance Director power strips were found in use in the operating rooms one and two that were not medical grade.