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Tag No.: K0052
* Uncorrected Deficiency, Waiver Pending
The facility failed to maintain the fire alarm system in proper working order. Findings include:
The Elevator Recall failed to operate as observed on the South Tower while testing the fire alarm.
NFPA 72 National Fire Alarm Code, 1999 Edition 3-9.3.2 Each elevator lobby, elevator hoistway, and Elevator Machine Room smoke detector or other automatic fire detection as permitted by 3-9.3.5 shall be capable of initiating elevator recall when all other devices on the same initiating device circuit have been manually or automatically placed in the alarm condition.
Tag No.: K0078
* Uncorrected Deficiency, Waiver Pending
The facility failed to provide smoke venting per code. Findings include:
During the survey, none of the twenty windowless O.R.s could be verified having a smoke venting system.
2000 NFPA 101, 19.3.2.3 Anesthetizing locations shall be protected in accordance with NFPA 99, Standard for Health Care Facilities.
1999 NFPA 99, 5-4.1.2 Supply and exhaust systems for windowless anesthetizing locations shall be arranged to automatically vent smoke and products of combustion.
1999 NFPA 99, 5-4.1.3 Ventilating systems for anesthetizing locations shall be provided that automatically (a) prevent recirculation of smoke originating within the surgical suite and (b) prevent the circulation of smoke entering the system intake, without in either case interfering with the exhaust function of the system.
1999 NFPA 99, 5-4.1.4 The electric supply to the ventilating system shall be served by the equipment system of the essential electrical system specified in Chapter 3, "Electrical Systems."
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