Failure to Conduct Required Fire Drills
Penalty
Summary
The facility failed to conduct the required number of fire drills, as evidenced by a lack of documentation for ten out of the twelve mandated drills over the past year. Specifically, there was no documentation for a fire drill on the third shift during the first quarter, and no drills were documented for the first, second, and third shifts in the second, third, and fourth quarters. This deficiency was confirmed through a review of documentation and an interview with the Interim Facility Administrator and Plant Operations Manager, who acknowledged the absence of records for these fire drills.
Plan Of Correction
The facility cannot retroactively complete the fire drills that were not conducted. An annual calendar will be developed outlining when fire drills will be conducted to ensure one fire drill will be conducted on all three shifts each quarter.