Form Cms-2786u - Fire Safety Survey Report - Asc & Esrd 2012 Life Safety Code Page 12
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39Name of Facility
2012 LIFE SAFETY CODE
ID
NOT
MET
N/A
REMARKS
PREFIX
MET
Anesthetizing Locations
K323
Areas designated for administration of general anesthesia (i.e., inhalation
anesthetics) are in accordance with 8.7 and NFPA 99.
Zone valves are located immediately outside each anesthetizing location for
medical gas or vacuum; readily accessible in an emergency; and arranged
so shutting off any one anesthetizing location will not affect others.
Area alarm panels are provided to monitor all medical gas, medical-surgical
vacuum, and piped WAGD systems. Panels are at locations that provide for
surveillance, indicate medical gas pressure decreases of 20 percent and
vacuum decreases of 12 inch gauge HgV, and provide visual and audible
indication. Alarm sensors are installed either on the source side of
individual room zone valve box assemblies or on the patient/use side of
each of the individual zone box valve assemblies.
The EES critical branch supplies power for task illumination, fixed
equipment, select receptacles, and select power circuits, and EES
equipment system supplies power to ventilation system.
Heating, cooling, and ventilation are in accordance with ASHRAE 170.
Medical supply and equipment manufacturer’s instructions for use are
considered before reducing humidity levels to those allowed by ASHRAE,
per S&C 13-58.
20.3.2.3, 21.3.2.3, NFPA 99 5.1.4.8.7, 5.1.4.8.7.2, 5.1.9.3.4, 6.4.2.2.4.2
Cooking Facilities
K324
Commercial cooking equipment shall be installed per
NFPA 96 unless used
for food warming or limited cooking.
20.3.2.4, 20.3.2.5, 21.3.2.4, 21.3.2.5, 9.2.3
Form CMS-2786U (10/2016)
Page 12
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