Improper Storage of Gas Cylinders
Penalty
Summary
The facility failed to properly store gas cylinders, as evidenced by an observation on December 17, 2024. During the inspection, a gas cylinder was found unsecured in a storage room on the first floor, specifically in room 1213. This observation was made at 11:10 a.m. and was confirmed through an interview with the Unit Director of TCU, Facility Staff, and the Safety Manager later that day at 1:00 p.m. The deficiency affected one of the 27 smoke compartments in the facility. The report highlights that the facility did not adhere to the requirements for gas cylinder storage as outlined in NFPA 101, which mandates that cylinders must be secured to prevent accidents and ensure safety. The unsecured cylinder represents a failure to comply with these safety standards, posing potential risks to the facility's safety protocols.
Plan Of Correction
The cylinder will be secured in room 1213. This will be reported to the hospital safety committee and included in the hospital quality assurance program. Gas cylinders are monitored and will continue to be monitored during hazard surveillance rounds by a multi-disciplinary team including representatives from safety, infection control, facilities and environmental services.