Subdivision of Building Spaces - Smoke Barrier Doors 2012 EXISTING Doors in smoke barriers are 1-3/4-inch thick solid bonded wood-core doors or of construction that resists fire for 20 minutes. Nonrated protective plates of unlimited height are permitted. Doors are permitted to have fixed fire window assemblies per 8.5. Doors are self-closing or automatic-closing, do not require latching, and are not required to swing in the direction of egress travel. Door opening provides a minimum clear width of 32 inches for swinging or horizontal doors. 19.3.7.6, 19.3.7.8, 19.3.7.9
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Observations: Name: MAIN BUILDING 01 - Component: 01 - Tag: 0374
Based on observation and interview, it was determined the facility failed to maintain smoke barrier doors in one instance, affecting two of eleven smoke compartments.
Findings include:
1. Observation on May 7, 2025, at 10:30 a.m., revealed the smoke barrier in the Medbridge B hallway, had an gap exceeding 1/8 " between the meeting edges of the doors, which would not resist the passage of smoke.
Interview with the Facility Administrator and Maintenance Director on May 7, 2025, at 1:00 p.m., confirmed the smoke barrier doors had an excessive gap that would not resist the passage of smoke.
| | Plan of Correction - To be completed: 06/03/2025
A compliant smoke-rated strip will be installed on the smoke barrier doors in the Medbridge B hallway on June 3, 2025, to eliminate the gap exceeding 1/8 inch between the meeting edges. This correction will ensure the doors resist the passage of smoke in accordance with NFPA 101. The Maintenance Director is responsible for overseeing the installation. To prevent recurrence, the Maintenance Department will conduct and document monthly inspections of all smoke barrier doors. Any identified gaps or deficiencies will be promptly corrected to maintain life safety compliance.
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