Unsealed MC Wire Penetration in Smoke Barrier
Penalty
Summary
The facility failed to maintain smoke barrier walls, which is a requirement for ensuring fire safety. During an observation on March 12, 2025, at 3:00 p.m., it was noted that on the first floor, above the smoke barrier doors next to the Great Room, there was an unsealed MC wire penetration. This deficiency was confirmed during an exit interview with the Administrator, Director of Maintenance, and Assistant at 3:15 p.m. on the same day. The unsealed penetration in the rated smoke wall compromises the smoke barrier's integrity, which is essential for maintaining a 1/2-hour fire resistance rating as per NFPA 101 standards.
Plan Of Correction
1. Unsealed wire penetration was corrected and sealed using an UL approved stop gap penetration system for sealing the penetration. 2. 3/13/25 3. The maintenance director will be educated on unsealed penetrations. 4. Audits will be conducted monthly random checks behind ceiling tiles to ensure any unsealed penetrations are not found. If found, they will be corrected at that time.