Form Cms-2786u - Fire Safety Survey Report - Asc & Esrd 2012 Life Safety Code Page 20

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Name of Facility
2012 LIFE SAFETY CODE
ID
NOT
MET
N/A
REMARKS
PREFIX
MET
HVAC
K521
Heating, ventilation, and air conditioni
ng shall comply with 9.2 and shall be
installed in accordance with the manu
facturer’s specifications.
20.5.2.1, 21.5.2.1, 9.2
HVAC – Any Heating Device
K522
Any heating device, other than a central heating plant, is designed and
installed so combustible materials cannot be ignited by device, and has a
safety features to stop fuel and shut down equipment if there is excessive
temperature or ignition failure. If fuel fired, the device also:
is chimney or vent connected.
takes air for combustion from outside.
provides for a combustion system separate from occupied area
atmosphere.
20.5.2.2, 20.5.2.2.1, 21.5.2.2, 21.5.2.2.1
HVAC – Suspended Unit Heaters
K523
Suspended unit heaters are permitted provided the following are met:
Not located in means of egress or in patient rooms.
Located high enough to be out of reach of people in the area.
Has the safety features to stop fuel and shut down equipment if there is
excessive temperature or ignition failure.
20.5.2.2.2, 21.5.2.2.2
Elevators
K531
2012 EXISTING
Elevators comply with the provision of 9.4. Elevators are inspected and
tested as specified in ASME A17.1, Safety Code for Elevators and
Escalators. Firefighter’s Service is operated monthly with a written record.
Existing elevators conform to ASME/ANSI A17.3, Safety Code for Existing
Elevators and Escalators. All existing elevators, having a travel distance of
25 feet or more above or below the level that best serves the needs of
emergency personnel for firefighting purposes, conform with Firefighter’s
Service Requirements of ASME/ANSI A17.3. (Includes firefighter’s service
Phase I key recall and smoke detector automatic recall, firefighter’s service
Phase II emergency in-car key operation, machine room smoke detectors,
and elevator lobby smoke detectors.)
21.5.3, 9.4.2, 9.4.3
Form CMS-2786U (10/2016)
Page 20

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Parent category: Medical