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: MAIN BUILDING 01 - Component: 01 - Tag: 0353
Based on observation and interview, it was determined the facility failed to maintain the automatic sprinkler system in one location, affecting one of four floors.
Findings include:
1. Observation on May 29, 2025, at 11:03 a.m., revealed an "egg crate-style" ceiling tile, located within the third floor, Kitchenette.
Exit interview on May 29, 2025, between 12:30 p.m., and 12:35 p.m., with the Facility Administrator and the Facilities Manager, confirmed the automatic sprinkler deficiency.
| | Plan of Correction - To be completed: 07/08/2025
1. The egg crate style ceiling tile was removed immediately and replaced with a 5/8" Armstrong Fine Fissured fire rated ceiling tile. 2. All maintenance staff will be educated on the importance of installing and maintaining the proper ceiling tile in accordance with NFPA 101 Sprinkler Systems 3. Weekly Audits for 4 weeks will be conducted by the facilities Director to ensure compliance.
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