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
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Observations: Name: BLDG. 8 - Component: 05 - Tag: 0353
Based on observation and interview, it was determined the facility failed to maintain sprinkler system components, affecting three of fifteen levels.
Findings include:
1. Observation made on April 12, 2022, between 9:05 am and 9:52 a.m., revealed the following deficiencies:
a. at 9:05 a.m., the sprinkler head in Garbage chute room was starting to show signs of corrosion;
b. at 9:13 a.m., the sprinkler head in the linen chute room was covered in dust and lint; c. at 9:15 a.m., on the 13th floor near the phone block, a concealed sprinkler was not mounted tight to the ceiling;
d. at 9:52 a.m., the escutcheon plate was missing from the sprinkler head in the main conference room.
Interview at the exit conference with the Administrator and the Acting Director of Facilities on April 12, 2022, at 1:35 PM, confirmed the above named sprinkler deficiencies.
| | Plan of Correction - To be completed: 06/07/2022
0353 Preparation and submission of this POC is required by State and Federal law. This POC does not constitute an admission for purposes of general liability, professional malpractice, or any other court proceedings.
a. Building 8, Ground Floor – the sprinkler head in the Garbage Chute Room was starting to show signs of corrosion. Outside Contractor was contacted to inspect/repair/replace, as necessary.
b. Building 8, Linen Chute Room – Dust and lint debris revealed on the sprinkler which could delay the activation of the sprinkler will be removed so that there will be no delay of the sprinkler activation in the event of a fire. A Maintenance Department designee will conduct an audit of these sprinklers to ensure that this condition does not replicate each month for a quarter.
c. Building 8, 13th Floor – near the phone block, a concealed sprinkler was not mounted tight enough to the ceiling. Outside Contractor was contacted to inspect/repair/replace, as necessary.
d. Building 8, Main Conference Room - The escutcheon plate was missing from the sprinkler head which could delay the activation of the sprinkler will be reattached to the sprinkler housing. The escutcheon plate was replaced. A Facilities Management designee will perform a monthly preventative maintenance check for one quarter to ensure a duplication of this problem does not reoccur.
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