|Subdivision of Building Spaces - Smoke Barrier Construction|
Smoke barriers shall be constructed to a 1/2-hour fire resistance rating per 8.5. Smoke barriers shall be permitted to terminate at an atrium wall. Smoke dampers are not required in duct penetrations in fully ducted HVAC systems where an approved sprinkler system is installed for smoke compartments adjacent to the smoke barrier.
Describe any mechanical smoke control system in REMARKS.
Name: MAIN BUILDING - Component: 01 - Tag: 0372
Based on observation and interview, it was determined the facility failed to maintain smoke barrier walls were free of unsealed penetrations and openings, affecting three of six floors.
1. Observation on March 19, 2021, between 10:30 a.m. and 12:05 p.m., revealed unsealed penetrations and openings in smoke barrier walls, in the following locations:
a. 10:30 a.m., Sixth Floor, open penetration, by data wires, above smoke doors, near Laundry Rm. 655;
b. 10:34 a.m., Sixth Floor, opening above duct above smoke doors, near Linen Chute;
c. 10:40 a.m., Sixth Floor, Dining Room, around data wires;
d. 10:52 a.m., Fifth Floor, open penetration, by a sprinkler pipe, above the South Wing doors, near the elevators;
e. 11:45 a.m., Third Floor, above South Wing doors, near the elevators.
f. 12:05 p.m., Third Floor, smoke barrier incomplete, above the ceiling inside Rm. 328.
Exit Interview with the Administrator and Maintenance Director on March 19, 2021, at 12:30 p.m., confirmed the above deficiencies.
| ||Plan of Correction - To be completed: 05/17/2021|
On 5/17/21 Smoke barrier walls were corrected and sealed with 3M UL approved WL-2002 through wall sealant.
Maintenance staff was educated on maintaining free and unsealed smoke barrier walls
Monthly audits will be done by Maintenance Director or designee
Results of these audit will be reviewed/reported to QAPI Committee to determine compliance. QAPI Committee will determine the need for continued audits.
A. 6TH Floor open penetration, by data wires above smoke doors, near laundry room#655.
B. 6th floor opening above duct above smoke door near linen chute.
C. 6th floor dining room around data wires.
D. 5th floor open penetration, by a sprinkler pipe, above the south side doors, near elevators.
E. 3rd floor above south side doors near elevator.
F. 3rd floor smoke barrier incomplete above ceiling inside ceiling in room# 328