Hazardous Area Enclosure Deficiency in Storage Room
Penalty
Summary
The facility failed to maintain a hazardous area enclosure on the 400 Hall, specifically in the storage room near Resident Room 406. During an observation, it was noted that the storage room door did not latch into the frame when tested, and there was an unsealed penetration around the latching hardware of the door. These deficiencies were confirmed during an exit interview with the Facility Administrator and the Facilities Manager.
Plan Of Correction
Door cannot be fixed. New purchase of door was approved and ordered to replace old door. Other storage doors will be checked for latching and any penetrations. The Maintenance Director/designee will continue to monitor supply doors on daily rounds. The Maintenance Director will add doors on preventive schedule to assure doors fully close into frame.