Failure to Maintain and Inspect Portable Fire Extinguishers
Penalty
Summary
The facility failed to maintain and inspect portable fire extinguishers in accordance with NFPA 10 standards, affecting the entire facility. During a document review, it was discovered that the facility could not provide a certificate for the technician responsible for conducting the annual fire extinguisher inspections. This deficiency was confirmed during an exit interview with the Executive Director of Construction and Ancillary Services, who acknowledged the missing documentation.
Plan Of Correction
- ED of construction to Inservice supervisor of Plant Operations on policy and procedure for portable fire extinguishers. Document was received after surveyor exited. - Supervisor of Plant Operations or delegate to complete audits 3x per week x 4 weeks to ensure compliance. Audit findings will be submitted to QAPI committee monthly for further review.