Fire Extinguisher Annual Inspection Deficiency
Penalty
Summary
The facility failed to maintain compliance with NFPA 101 standards regarding portable fire extinguishers. During an observation on April 14, 2025, it was noted that the inspection tag on the fire extinguisher located in the 2 core staff break room did not have the required annual inspection. This deficiency was confirmed through an interview with the Facility Administrator and Maintenance Director on April 15, 2025, who acknowledged that the portable fire extinguisher had not undergone the necessary annual inspection as mandated by NFPA 10 standards.
Plan Of Correction
Inspection tag on the fire extinguisher in the 2 core breakroom did not have the annual inspection. Maintenance has ordered new fire extinguishers through Johnson Controls to be delivered. Maintenance conducted an audit of all fire extinguishers in the facility with no other issues found. Maintenance to be educated on compliance for all fire extinguishers. Audits will be completed by maintenance to ensure all fire extinguishers are within compliance, Weekly X4 weeks and monthly X 2. All audits will be reported to QAPI.