Form Cms-2786u - Fire Safety Survey Report - Asc & Esrd 2012 Life Safety Code Page 19
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39Name of Facility
2012 LIFE SAFETY CODE
ID
NOT
MET
N/A
REMARKS
PREFIX
MET
Smoke Barrier Door Glazing
K379
2012 NEW (Indicate N/A for 2012 EXISTING)
Cross-corridor swinging doors or cross corridor horizontal-sliding doors,
contain a vision panel consisting of fire-rated glazing in approved frames in
each door.
Vision panels in any other door in the smoke barrier, if provided, shall be
fire-rated glazing in approved frames.
20.3.7.11, 20.3.7.12, 21.3.7.7, 8.3
SECTION 4 – SPECIAL PROVISIONS
Special Provisions – Other
K400
List in the REMARKS section any LSC Section 20.4 and 21.4 Special
Provisions requirements that are not addressed by the provided K-tags, but
are deficient. This information, along with the applicable Life Safety Code or
NFPA standard citation, should be included on Form CMS-2567.
High-Rise Buildings
K421
2012 EXISTING
High-rise buildings are protected throughout by an approved, supervised
automatic sprinkler system in accordance with Section 9.7.1.1(1), or an
engineered life safety system complying with 39.4.2.1(2).
21.4, 39.4.2
2012 NEW
High-rise buildings
comply with section 11.8.
20.4, 38.4.2
SECTION 5 – BUILDING SERVICES
Building Services – Other
K500
List in the REMARKS section any LSC Section 20.5 and 21.5 Building
Services requirements that are not addressed by the provided K-tags, but
are deficient. This information, along with the applicable Life Safety Code or
NFPA standard citation, should be included on Form CMS-2567.
Utilities – Gas and Electric
K511
Equipment using gas or related gas piping complies with NFPA 54, National
Fuel Gas Code, electrical wiring and equipment complies with NFPA 70,
National Electric Code. Existing installations can continue in service
provided no hazard to life.
20.5.1, 21.5.1, 21.5.1.2, 9.1.1, 9.1.2
Form CMS-2786U (10/2016)
Page 19
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