|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.
18.104.22.168, 22.214.171.124, 8.5
Name: CLASS C ASF - Component: 01 - Tag: 0372
Based on observation and interview, it was determined the facility failed to ensure smoke barrier walls were free of unsealed penetrations, affecting 2 of 2 smoke zones within the component.
1. Observation made on February 13, 2019, at 9:12 am, revealed on the 4th floor near recovery room #27, above the suspended ceiling at the sink area, there was an unsealed penetration in the smoke barrier wall around an electrical cable.
Interview at the exit conference with the Administrator on February 13, 2019, at 10:05 am, confirmed the unsealed penetration in the smoke barrier wall.
| ||Plan of Correction - To be completed: 02/13/2019|
The Administrator is responsible to assure corrective actions are completed, monitored and sustained. The smoke barrier wall unsealed penetration near recovery room #27 above the suspended ceiling at the sink area was repaired at 1pm on 2/13/19. The fire system utilized to complete this repair was system # W-L-1054. Safety inspections will be completed when any installations or repairs occur in any fire or smoke barrier walls to ensure that any penetrations are repaired with an appropriate fire rated system. The Director of Facilities will report aggregate results of these inspections at quarterly Safety Meetings