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: CLASS C ASF - Component: 01 - Tag: 0353
Based on observation, document review and interview, it was determined the facility failed to maintain automatic sprinkler system components, affecting one of four quarters.
Findings include:
1. Document review on October 23, 2023, at 9:45 am, revealed the facility could not produce documentation showing quarterly sprinkler inspection had been performed- 4th quarter, 2022.
Exit Interview with the Administrator on October 23, 2023, at 11:10 am, confirmed the missing documentation.
| | Plan of Correction - To be completed: 10/24/2023
1. On a quarterly basis the Administrator will utilize the inspection check list/log to make sure that the sprinkler inspection is performed on a timely manner and a report is provided by the inspecting company to verify inspection.
2. The Administrator will utilize the inspection check list/log to insure that inspections are performed timely.
3. Inspection check list/log will be presented to the Safety Committee in December 2023.
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