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COMMUNITY BEHAVIORAL HEALTH HOSPITAL ROCHESTER
No Description Available
Tag No.: K0154
Where a required automatic sprinkler system is out of service for more than 4 hours in a 24-hour period, the authority having jurisdiction is notified, and the building is evacuated or an approved fire watch system is provided for all parties left unprotected by the shutdown until the sprinkler system has been returned to service. 9.7.6.1
On facility tour between 09:00 AM and 12:30 PM on 01/25/2016, observation and documentation reviewed revealed that there was not a single plan for the out of service plan for the fire sprinkler system.
This deficient practice was confirmed by the Facility Maintenance Director at the time of discovery.
No Description Available
Tag No.: K0155
Where a required fire alarm system is out of service for more than 4 hours in a 24-hour period, the authority having jurisdiction is notified, and the building is evacuated or an approved fire watch is provided for all parties left unprotected by the shutdown until the fire alarm system has been returned to service. 9.6.1.8
On facility tour between 09:00 AM and 12:30 PM on 01/25/2016, observation and documentation reviewed revealed that there was not a single plan for the out of service plan for the fire alarm system.
This deficient practice was confirmed by the Facility Maintenance Director at the time of discovery.
LIFE SAFETY CODE STANDARD
Tag No.: K0154
Where a required automatic sprinkler system is out of service for more than 4 hours in a 24-hour period, the authority having jurisdiction is notified, and the building is evacuated or an approved fire watch system is provided for all parties left unprotected by the shutdown until the sprinkler system has been returned to service. 9.7.6.1
On facility tour between 09:00 AM and 12:30 PM on 01/25/2016, observation and documentation reviewed revealed that there was not a single plan for the out of service plan for the fire sprinkler system.
This deficient practice was confirmed by the Facility Maintenance Director at the time of discovery.
LIFE SAFETY CODE STANDARD
Tag No.: K0155
Where a required fire alarm system is out of service for more than 4 hours in a 24-hour period, the authority having jurisdiction is notified, and the building is evacuated or an approved fire watch is provided for all parties left unprotected by the shutdown until the fire alarm system has been returned to service. 9.6.1.8
On facility tour between 09:00 AM and 12:30 PM on 01/25/2016, observation and documentation reviewed revealed that there was not a single plan for the out of service plan for the fire alarm system.
This deficient practice was confirmed by the Facility Maintenance Director at the time of discovery.