Peter M. Jaroscak, Life Safety Code Specialist
Surveyor Program(s): Hospital, Critical Access Hospital
Surveyor Tenure: x 2004
Lives: Minnesota
TJC Bio:
- 23 years as Safety and Security Director at North Memorial Medical Center, Robbinsdale, MN (500+ beds)
- Trained at the National Fire Academy in Maryland and is certified as a Firefighter II, Fire Inspector III and Fire Instructor III
- Retired from Robbinsdale Fire Department after 24 years
- Served as Fire Marshal for the 2002 Winter Olympics in Salt Lake City
Other Background:
Comments & Recommendations
- The engineer was very interested in (management) plans and the process for the life safety plans and process. He seemed disinterested with surface issues but, incredibly, identified very hard to find issues i.e. we had some dampers that hadn’t worked in years and were very difficult to see or even find and he found them.
- xxxxx
Relevant Surveying History:
• Lincoln Regional Center 01/14/2011 | • University Hospitals and Clinic, Columbia, OH 10/17/10 |
102
** Sample Survey Citations (Premier Level)**
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Sample Citations:
2011
- EC.02.03.05/EP 3/ Identified on the annual fire alarm testing report was a pull station that did not function as required. There was no documentation of any follow-up to repair the device. A new smoke detector was installed, but was not included in the inventory of the fire alarm system. There must be follow-up with the fire alarm test to assure. The facility did not provide documentation that 100% of the smoke detectors and duct detectors were tested in 2010. 75 of 110 smoke detectors and 2 of 4 duct detectors were documented as tested.
- EC.02.03.05/EP 13/ A fire damper was listed on the test reports as not tested, because there was no access. This damper was not tested and no PFI was written.
- EC.02.05.07/EP 6/ Observed in Document Review: The facility did not provide documentation that each automatic transfer switch for the generators were exercised monthly.
- LS.02.01.10/EP 4/ Observed in Building Tour : Building #:The 2nd floor center stairway door does not have attached a fire rating label. Building #: The kitchen door is required to be labeled for the fire protection rating. The label on the door is not legible because it has been painted over.
- LS.02.01.10/EP 5/ Observed in Building Tour: Building #: The rated door, on the 1st floor storage room, is required to be self-closing. There is no device on this door to assure it is self-closing. Building #: The rated door, in Section #, west stairway, did not positively latch upon closure.
- LS.02.01.20/EP 30/ Observed in Building Tour: Building #: The south stairway, located on the first floor, could be mistaken for an exit. This stairway leads to the basement. There is a gate across the stairs, however, NFPA 101, 2000 Edition; 7.10.8.1 requires a sign to read “NO EXIT”. Building #: The 1st floor West stairway could be mistaken for an exit out of the building. A” NO EXIT” sign needs to be placed on the wall to assure occupants do not exit down. (Reference NFPA 101, 2000 Edition, 7.10.8.1). Building #: The1st floor East stairway, going to the lower level, could be mistaken for an exit. A sign needs to be placed on the stairway wall indicating
2010
- EC.02.01.01/EP 3/ The Portable fire extinguisher was placed on the floor and not mounted on the wall as required by NFPA 10.
- EC.02.03.01/EP 1/ The alcohol-based hand wash dispenser was mounted within 6 inches of an electrical switch plate.
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