Form Cms-2786u - Fire Safety Survey Report - Asc & Esrd 2012 Life Safety Code Page 16
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39Name of Facility
2012 LIFE SAFETY CODE
ID
NOT
MET
N/A
REMARKS
PREFIX
MET
Sprinkler System – Out of Service
K354
Where the sprinkler system is impaired, the extent and duration of the
impairment has been determined, areas or buildings involved are inspected
and risks are determined, recommendations are submitted to management
or designated representative, and the fire department and other authorities
having jurisdiction have been notified. Where the sprinkler system is out of
service for more than 10 hours in a 24 hour period, the building or portion of
the building affected are evacuated or an approved fire watch is provided
until the sprinkler system has been returned to service.
9.7.5, 15.5.2 (NFPA 25)
Portable Fire Extinguishers
K355
Portable fire extinguishers are selected, installed, inspected, and
maintained in accordance with NFPA 10, Standard for Portable Fire
Extinguishers.
20.3.5.3, 21.3.5.3, 9.7.4.1, NFPA 10
Corridors – Construction of Corridor Walls
K362
2012 NEW (Indicate N/A for 2013 EXISTING)
Where access to exits is provided by corridors, such corridors shall be
separated from use areas by a minimum 1 hour fire barrier constructed per
section 8.3, unless one of the following exists:
1. Where exits are available from an open floor area
2. Where the entire space is a single tenant
3. Where the building is protected throughout by an approved automatic
sprinkler system installed per 9.7.1.1(1)
If the walls have a fire resistance rating, give the rating. _____________
20.3.6.1, 38.3.6.1, 38.3.6.2
Form CMS-2786U (10/2016)
Page 16
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