Form Cms-2786r - Fire Safety Survey Report - Health Care 2012 Life Safety Code Page 16
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50Name of Facility
2012 LIFE SAFETY CODE
ID
NOT
MET
N/A
REMARKS
PREFIX
MET
K321
2012 NEW
Hazardous areas are protected in accordance with 18.3.2.1. The areas
shall be enclosed with a 1-hour fire-rated barrier, with a ¾ hour fire-rated
door without windows (in accordance with 8.7.1.1). Doors shall be self-
closing or automatic-closing in accordance with 7.2.1.8. Hazardous areas
are protected by a sprinkler system in accordance with 9.7, 18.3.2.1, and
8.4.
Describe the floor and zone locations of hazardous areas that are deficient
in REMARKS.
18.3.2.1, 7.2.1.8, 8.4, 8.7, 9.7
Area
Automatic Sprinkler
Separation
N/A
a. Boiler and Fuel-Fired Heater Rooms
b. Laundries (larger than 100 sq. ft.)
c. Repair, Maintenance, and Paint Shops
d. Soiled Linen Rooms
(exceeding 64 gal.)
e.
Trash Collection Rooms
(exceeding 64 gal.)
f. Combustible Storage Rooms/Spaces
(over 50 and less than 100 sq. ft.)
g. Combustible Storage Rooms/Spaces
(over 100 sq. ft.)
h. Laboratories (if classified as Severe
Hazard - see K322)
Form CMS-2786R (10/2016)
Page 16
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