Form Cms-2786u - Fire Safety Survey Report - Asc & Esrd 2012 Life Safety Code Page 13

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Name of Facility
2012 LIFE SAFETY CODE
ID
NOT
MET
N/A
REMARKS
PREFIX
MET
Alcohol Based Hand Rub Dispenser (ABHR)
K325
ABHRs are protected in accordance with 8.7.3.1, unless all conditions are
met:
Corridor is at least 6 feet wide.
Maximum individual dispenser capacity is 0.32 gallons (0.53 gallons in
suites) of fluid and 18 ounces of Level 1 aerosols.
Dispensers shall have a minimum of 4-foot horizontal spacing.
Not more than an aggregate of 10 gallons of fluid or 1135 ounces of
aerosol are used in a single smoke compartment outside a storage
cabinet, excluding one individual dispenser per room.
Storage in a single smoke compartment greater than 5 gallons complies
with NFPA 30.
Dispensers are not installed within 1 inch of an ignition source.
If floor is carpeted, the building is fully sprinkler protected.
ABHR does not exceed 95% alcohol.
Operation of the dispenser shall comply with Section 18.3.2.6(11) or
19.3.2.6(11).
ABHR is protected against inappropriate access.
20.3.2.6, 21.3.2.6, 8.7.3.1, CFR 416.44
Interior Wall and Ceiling Finish
K331
Interior wall and ceiling finishes in exits and exit access corridors shall have
a flame spread rating of Class A or Class B. The reduction in class of
interior finish for a sprinkler system as prescribed in 10.2.8.1 is permitted.
All other areas may be class C rated material.
Indicate flame spread rating(s) walls. _____________________
20.3.3, 21.3.3, 38.3.3, 39.3.3, 10.2
Interior Floor Finish
K332
2012 NEW (Indicate N/A for 2012 EXISTING)
Interior floor finish in exit enclosures must meet 10.2 and be Class I or
Class II. All other areas must meet 10.2.7.1 or 10.2.7.2.
Indicate rating(s) for floors_____________________
20.3.3, 21.3.3, 38.3.3, 39.3.3, 10.2
Form CMS-2786U (10/2016)
Page 13

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Parent category: Medical