Failure to Maintain Smoke Barrier Doors
Penalty
Summary
The facility failed to maintain one set of smoke barrier doors, which affected two of the eight smoke compartments. During an observation on March 19, 2025, at 11:05 a.m., it was noted that the smoke barrier doors leading from 300 Hall into 500 Hall required adjustment to positively latch into the corresponding frame, specifically the left leaf of the doors. This deficiency was confirmed during an exit interview with the Facility Administrator and Facility Maintenance on the same day at 11:45 a.m., where it was acknowledged that the doors failed to latch into the frame.
Plan Of Correction
The Maintenance Director promptly modified the fire barrier door situated between the 300 and 500 areas to guarantee it latches correctly. The Maintenance Director received education from the facility administrator regarding the inspection of all smoke barrier doors to confirm their proper latching. The Maintenance Director will conduct weekly random audits of the smoke barrier doors for a duration of four weeks, followed by monthly audits for three months, and will present the findings at the monthly Quality Assurance meeting for evaluation.