Non-compliance with Sprinkler System Standards
Summary
The automatic sprinkler system in the facility was not installed and maintained according to the National Fire Protection Association (NFPA) 13 Standard for the Installation of Sprinkler Systems 2010 Edition section 8.3.3.4. During observations, it was found that in compartmented spaces, such as the Pediatric Unit shower room and the [MEDICAL CONDITION] Unit shower room, there was a mix of quick response and standard response sprinkler heads. This is contrary to the requirement that all sprinkler heads in such spaces should be quick response. The deficiency was identified during a Standard Life Safety Code Survey, and it was confirmed through interviews with the Environmental Services Director, who acknowledged the presence of standard response sprinkler heads in these areas.
Penalty
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