Building Construction Type and Height 2012 EXISTING Building construction type and stories meets Table 19.1.6.1, unless otherwise permitted by 19.1.6.2 through 19.1.6.7 19.1.6.4, 19.1.6.5
Construction Type 1 I (442), I (332), II (222) Any number of stories non-sprinklered and sprinklered 2 II (111) One story non-sprinklered Maximum 3 stories sprinklered 3 II (000) Not allowed non-sprinklered 4 III (211) Maximum 2 stories sprinklered 5 IV (2HH) 6 V (111) 7 III (200) Not allowed non-sprinklered 8 V (000) Maximum 1 story sprinklered Sprinklered stories must be sprinklered throughout by an approved, supervised automatic system in accordance with section 9.7. (See 19.3.5) Give a brief description, in REMARKS, of the construction, the number of stories, including basements, floors on which patients are located, location of smoke or fire barriers and dates of approval. Complete sketch or attach small floor plan of the building as appropriate.
|
Observations: Name: MAIN BUILDING - Component: 01 - Tag: 0161
Based on observation and interview, it was determined the facility failed to maintain building construction requirements in multiple locations, affecting two of four floors.
Findings include:
1. Observation on January 29, 2024, between 12:20 p.m., and 12:50 p.m., revealed the following:
a. 12:20 p.m.,-12:40 p.m., unprotected structural steel and combustible 2 x 4 s, located within second floor "pod" restrooms. b. 12:40 p.m.,-12:50 p.m., combustible, paper-backed, insulating materials and combustible 2 x 4 s, located within third floor, "pod" restrooms.
Exit interview on January 29, 2024, between 2:15 p.m., and 2:30 p.m., with the Facilities Manager, confirmed the building construction deficiencies.
| | Plan of Correction - To be completed: 02/16/2024
a) Evangelical Community Hospital (ECH) will employ an engineering and design company to investigate, design, and submit drawings to the Department of Health plan review for approval to address the unprotected structural steel, combustible 2"x4" s, and paperbacked insulation. Upon receipt of the approved plans and project number, ECH will obtain bids from contractors, select a contractor, order required materials, and complete the work per the approved drawings.
b) Corrections will be completed by December 31, 2024.
c) Corrections will be tracked via a construction log and photos.
d) Evangelical Community Hospital (ECH) has a Life Safety Committee that inspects the hospital departments on a 12-month rotational basis and looks for life safety violations such as this one. A random survey is conducted in each department within the 12-month period. Results from the inspections are documented. Deficiencies are converted to work orders and remediated using approved methods by the Plant Engineering Department or outside contractors. The findings are presented to the Safety Committee and the affected department heads.
|
|