Form Cms-2786r - Fire Safety Survey Report - Health Care 2012 Life Safety Code Page 29
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50Name of Facility
2012 LIFE SAFETY CODE
ID
NOT
MET
N/A
REMARKS
PREFIX
MET
K374
2012 NEW
Doors in smoke barriers have at least a 20-minute fire protection rating or
are at least 1¾-inch thick solid bonded core wood.
Required clear widths are provided per 18.3.7.6(4) and (5).
Nonrated protective plates of unlimited height are permitted. Horizontal-
sliding doors comply with 7.2.1.14. Swinging doors shall be arranged so
that each door swings in an opposite direction.
Doors shall be self-closing and rabbets, bevels, or astragals are required at
the meeting edges. Positive latching is not required.
18.3.7.6, 18.3.7.7, 18.3.7.8
K379
Smoke Barrier Door Glazing
2012 EXISTING
Openings in smoke barrier doors shall be fire-rated glazing or wired glass
panels in steel frames.
19.3.7.6, 19.3.7.6.2, 8.5
2012 NEW
Windows in smoke barrier doors shall be installed in each cross corridor
swinging or horizontal-sliding door protected by fire-rated glazing or by
wired glass panels in approved frames.
18.3.7.9
Sleeping Room Outside Windows and Doors
K381
Every patient sleeping room has an outside window or outside door. In new
occupancies, sill height does not exceed 36 inches above the
floor. Windows in atrium walls are considered outside windows. Newborn
nurseries and rooms intended for occupancy less than 24 hours have no
outside window or door requirements. Window sills in special nursing care
areas (e.g., ICU, CCU, hemodialysis, neonatal) do not exceed 60 inches
above the floor.
42 CFR 403, 418, 460, 482, 483, and 485
SECTION 4 – SPECIAL PROVISIONS
Special Provisions – Other
K400
List in the REMARKS section any LSC Section 18.4 and 19.4 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.
Form CMS-2786R (10/2016)
Page 29
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