Unsealed Penetrations in Smoke Barrier Walls
Penalty
Summary
The facility failed to maintain smoke barrier walls free of unsealed penetrations, which is a requirement for ensuring a 1/2-hour fire resistance rating. During an observation on January 21, 2025, at 10:55 a.m., it was noted that in the basement, next to the upper garage elevator, there were penetrations around data wires and a sprinkler pipe. This deficiency was confirmed during an exit interview with the Executive Director of Construction and Ancillary Services on the same day at 1:15 p.m.
Plan Of Correction
- ED of construction to Inservice supervisor of Plant Operations on policy and procedure for maintaining smoke barrier walls. - Penetration filled using 3M fire barrier sealant FD 150 + Red color and CP 25 WB+. - Supervisor of Plant Operations or delegate to complete audits 3x per week x 4 weeks to compliance with policy and procedure. - Audit findings will be submitted to QAPI committee monthly for review and recommendations as needed.
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