Form Cms-2786r - Fire Safety Survey Report - Health Care 2012 Life Safety Code Page 31
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50Name of Facility
2012 LIFE SAFETY CODE
ID
NOT
MET
N/A
REMARKS
PREFIX
MET
K523
HVAC – Suspended Unit Heaters
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 a safety feature to stop fuel and shut down equipment if there is
excessive temperature or ignition failure.
18.5.2.3(1), 19.5.2.3(1)
K524
HVAC – Direct-Vent Gas Fireplaces
Direct-vent gas fireplaces, as defined in NFPA 54, inside of all smoke
compartments containing patient sleeping areas comply with the
requirements of 18.5.2.3(2), 19.5.2.3(2).
18.5.2.3(2), 19.5.2.3(2), NFPA 54
K525
HVAC – Solid Fuel-Burning Fireplaces
Solid fuel-burning fireplaces are permitted in other than patient sleeping
areas provided:
Areas are separated by 1-hour fire resistance construction.
Fireplace complies with 9.2.2.
Fireplace enclosure resists breakage up to 650°F and has heat-
tempered glass.
Room has supervised CO detection per 9.8.
18.5.2.3(3) and 19.5.2.3(3)
K531
Elevators
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.)
19.5.3, 9.4.2, 9.4.3
Form CMS-2786R (10/2016)
Page 31
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