Form Cms-2786u - Fire Safety Survey Report - Asc & Esrd 2012 Life Safety Code Page 34
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39Name of Facility
2012 LIFE SAFETY CODE
ID
NOT
MET
N/A
REMARKS
PREFIX
MET
Gas Equipment – Cylinder and Container Storage
K923
Greater than or equal to 3,000 cubic feet
Storage locations are designed, constructed, and ventilated in accordance
with 5.1.3.3.2 and 5.1.3.3.3.
Greater than 300 but less than 3,000 cubic feet
Storage locations are outdoors in an enclosure or within an enclosed
interior space of non- or limited- combustible construction, with door (or
gates outdoors) that can be secured. Oxidizing gases are not stored with
flammables, and are separated from combustibles by 20 feet (5 feet if
sprinklered) or enclosed in a cabinet of noncombustible construction having
a minimum 1/2 hr. fire protection rating.
Less than or equal to 300 cubic feet
In a single smoke compartment, individual cylinders available for immediate
use in patient care areas with an aggregate volume of ≤ 300 cubic feet are
not required to be stored in an enclosure. Cylinders must be handled with
precautions as specified in 11.6.2.
A precautionary sign readable from 5 feet is on each door or gate of a
cylinder storage room, where the sign includes the wording as a minimum
"CAUTION: OXIDIZING GAS(ES) STORED WITHIN NO SMOKING."
Storage is planned so cylinders are used in order of which they are received
from the supplier. Empty cylinders are segregated from full cylinders.
When facility employs cylinders with integral pressure gauge, a threshold
pressure considered empty is established. Empty cylinders are marked to
avoid confusion. Cylinders stored in the open are protected from weather.
11.3.1, 11.3.2, 11.3.3, 11.3.4, 11.6.5 (NFPA 99)
Gas Equipment – Testing and Maintenance Requirements
K924
Anesthesia apparatus are tested at the final path to patient after any
adjustment, modification or repair. Before the apparatus is returned to
service, each connection is checked to verify proper gas and an oxygen
analyzer is used to verify oxygen concentration. Defective equipment is
immediately removed from service. Areas designated for servicing of
oxygen equipment are clean and free of oil, grease, or other flammables.
Manufacturer service manuals are used to maintain equipment and a
scheduled maintenance program is followed.
11.4.1.3, 11.5.1.3, 11.6.2.5, 11.6.2.6 (NFPA 99)
Form CMS-2786U (10/2016)
Page 34
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