Rubbish Chutes, Incinerators, and Laundry Chutes 2012 EXISTING (1) Any existing linen and trash chute, including pneumatic rubbish and linen systems, that opens directly onto any corridor shall be sealed by fire resistive construction to prevent further use or shall be provided with a fire door assembly having a fire protection rating of 1-hour. All new chutes shall comply with 9.5. (2) Any rubbish chute or linen chute, including pneumatic rubbish and linen systems, shall be provided with automatic extinguishing protection in accordance with 9.7. (3) Any trash chute shall discharge into a trash collection room used for no other purpose and protected in accordance with 8.4. (Existing laundry chutes permitted to discharge into same room are protected by automatic sprinklers in accordance with 19.3.5.9 or 19.3.5.7.) (4) Existing fuel-fed incinerators shall be sealed by fire resistive construction to prevent further use. 19.5.4, 9.5, 8.4, NFPA 82
|
Observations: Name: BUILDING 02 (1966 BUILDING) - Component: 02 - Tag: 0541
Based on observation and interview, it was determined the facility failed to maintain the fire resistance of rubbish chutes, affecting one of four levels in the component.
Findings include:
Observation on December 28, 2023, at 10:01 a.m., revealed, in the Basement, the rubbish chute door lacked a fusible link.
Exit Interview with the Administrator and the Director of Maintenance, on December 28, 2023 at 11:00 a.m., confirmed the lack of fusible link.
******************************* Based on an Onsite Revisit conducted on February 20, 2024, between 9:00 a.m. and 10:30 a.m., it was determined the facility failed to maintain the following:
Not Completed. The Basement rubbish chute door lacked a fusible link.
Exit Interview with the the Director of Maintenance on February 20, 2024, at 10:30 a.m., confirmed the lack of a fusible link.
| | Plan of Correction - To be completed: 02/28/2024
The fusible link for basement chute door was repaired.
Maintenance team to be educated on the Rubbish Chutes requirements & will be monitored monthly for 2 months. Findings will be brought to the QAPI committee.
Administrator to monitor.
|
|