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
|
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 two instances, affecting two of three smoke compartments.
Findings include:
1. Observation on March 9, 2026, revealed sprinkler escutcheons hanging low, creating ceiling penetrations which could affect the operation of the automatic sprinkler system, at the following locations:
a) 9:49 a.m., in the Janitor Closet;
b) 9:50 a.m., in the Dining Room.
Interview with the Facility Administrator and Maintenance Director on March 9, 2026, at 1:00 p.m., confirmed the listed automatic sprinkler system deficiency.
| | Plan of Correction - To be completed: 04/07/2026
1. The penetrations in the janitor closet and in the dining room were sealed using an appropriate fire rated caulking. Audits will be conducted weekly times 4 weeks to ensure the absence of other penetrations.
2. Results of audits will be reported to the next Quality Assurance Performance Improvement meeting. Date of corrective action is April 7, 2026.
|
|
