|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: MAIN BUILDING 01 - Component: 01 - Tag: 0353
Based on observation and interview, it was determined the facility failed to maintain automatic sprinkler system in seven instances, affecting five of ten smoke compartments.
1. Observation on May 13, 2019, revealed the following:
a) 9:46 a.m., m.c. cable being supported by sprinkler pipe above the ceiling, near the elevator on the first floor, above the ceiling;
b) 10:08 a.m., ceiling tile missing, 1st floor, janitor closet in the laundry room;
c) 10:15 a.m., a sprinkler head loaded with lint and dust in the central bath on the second floor;
d) 10:20 a.m., ceiling tile missing and large opening around data cables in the 2nd floor, janitor closet, in wing 324 - 333;
e) 10:36 a.m., a sprinkler head loaded with lint and dust in the 2nd floor laundry, above washer number two;
f) 10:56 a.m., m.c. cable being supported by sprinkler pipe, 2nd floor, above ceiling near the personal care office;
g) 11:03 a.m., m.c. cable being supported by sprinkler pipe, 2nd floor, above ceiling near room 222.
Interview with Facility Administrator and Maintenance Staff on May 13, 2019, at 1:00 p.m.,
confirmed the automatic sprinkler deficiencies.
| ||Plan of Correction - To be completed: 06/18/2019|
The facility has addressed the areas of concern. This includes:
a). The m.c. cable that was supported by the sprinkler pipe above the ceiling near the elevator on the first floor was relocated.
b). The ceiling tile that was missing on the 1st floor, janitor closet in the laundry room was immediately replaced.
c). The sprinkler head that had lint present in the central bath on the second floor was immediately cleaned.
d). The ceiling tile missing and the large opening around the data cables in the second floor, janitor closes on the West wing was replaced and the opening was sealed.
e). The sprinkler head with lint and dust on the second floor laundry above washer number two was immediately cleaned.
f). The m.c. cable that was supported by the sprinkler pipe on the second floor above the ceiling near the personal care office was also relocated.
g). The m.c. cable that was also supported on the second floor sprinkler pipe near room 222 was also relocated.
A whole house audit of the sprinkler pipe was performed to ensure no other cable were supported by the sprinkler pipe.