Subdivision of Building Spaces - Smoke Barrier Construction
2012 NEW
Smoke barriers shall be constructed to provide at least a 1 hour fire resistance rating and constructed in accordance with 8.5. Smoke barriers shall be permitted to terminate at an atrium wall. Smoke dampers are not required in duct penetrations of fully ducted HVAC systems.
20.3.7.5, 20.3.7.6, 8.5
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Observations:
Name: CLASS C ASF - Component: 01 - Tag: 0372
Based on observation and interview, it was determined the facility failed to maintain the fire resistance rating of the smoke barrier walls, affecting 2 of two smoke compartments.
Findings include:
1. Observations on April 17, 2024, between 9:48 a.m. and 10:04 a.m., revealed the use of an unknown expansion foam, in the following locations:
a. 9:48 a.m., corridor wall across from OR# 4.;
b. 10:04 a.m., within the Pre-Operation corridor. In addition, there was an unsealed penetration by a data line above the ceiling of the smoke barrier wall.
Exit Interview with the Administrator and Landlord representitive on April 17, 2024, at 10:50 a.m., confirmed the openings in the above named locations.
| | Plan of Correction - To be completed: 05/16/2024
On 5/15/2024 @8:10Am Melrose Enterprise, LTD,130 Dickerson Rd, North Wales, Pa 19454 came to King of Prussia Surgery Center to determine scope of work to correct deficiencies in Fire wall. They were able to identify several areas where non-compliant foam material was used. On 5/15/2024 all foam that was used to fill in penetrations was removed and then sealed again with Elastomeric Firestop Sealant. Report from Melrose to follow. Before and After photos were taken and are available for review. All future projects requiring spray foam insulation will be using UL classified firestop material
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