|Sprinkler System - Maintenance and Testing|
Automatic sprinkler and standpipe systems are inspected, tested, and maintained in accordance with NFPA 25, Standard for the Inspection, Testing, and Maintaining of Water-based Fire Protection Systems. Records of system design, maintenance, inspection and testing are maintained in a secure location and readily available.
a) Date sprinkler system last checked _____________________
b) Who provided system test ____________________________
c) Water system supply source __________________________
Provide in REMARKS information on coverage for any non-required or partial automatic sprinkler system.
9.7.5, 9.7.7, 9.7.8, and NFPA 25
Name: NEW BUILDING - Component: 03 - Tag: 0353
Based on documentation review and interview, it was determined the facility failed to maintain the automatic sprinkler system in one instance, in over 100 sprinkler heads inspected.
1. Observation on January 31, 2019, at 10:27 a.m., revealed a sprinkler head loaded with dust in the private dining room, in the 400 wing .
Interview with the Administrator, Maintenance Director, and Administrator in training on January 31, 2019, at 1:00 p.m., confirmed the automatic sprinkler system deficiency.
| ||Plan of Correction - To be completed: 02/04/2019|
The sprinkler head located in the 300 hall dining area has been cleaned. There is no longer dust or debris present on the fixture.
In order to prevent future instances, the Director of Maintenance and Director of Environmental Services will monitor to ensure that all sprinkler heads in the dining areas are free from dust and/or debris.
The plan of correction is complete as of 2/4/2019