TJC Survey Findings Seen in 2017

by dawnconrey

TJC Survey Findings Seen in 2017

by dawnconrey

by dawnconrey

Installing Manual Stop Station on Generator

Another new requirement established as a result of adopting the 2012 LSC is in EC.02.05.03, EP 10. This requires installing a manual stop station on the emergency generator to prevent unintentional operation. There was not much time to install this device after publication of the new requirement and prior to the beginning of 2017, but it’s a new “gotcha” in that it has been missed by many organizations.

Other EC/LS Frequent Hits
There are also some miscellaneous issues popping up in EC/LS that are not necessarily new, but are appearing at a frequency which is concerning. The height of fire extinguishers is one. These are supposed to be hung on the wall at a height of less than 5 feet. Well, surveyors appear to be measuring this and some are just above 5 feet high and need to be moved. Misidentified breakers are showing up this year along with unlabeled breakers found in the “on” position, meaning they are in use, but unlabeled. Another new one is the need to protect medical gas cylinders from direct exposure to the sun. There should be an awning or roof over your outdoor tank farm to protect from direct sunlight. Another medical gas issue that is being seen is the failure to remove the plastic mesh many vendors use to prevent the tanks from rattling around against each other. Apparently NFPA 99 Sec 5.1.3.2.5 views this as hazardous and wants that plastic mesh removed once tanks are stored in the hospital. There also seems to be a re-emphasis on eyewash stations again this year, searching for chemicals that might be corrosive to the eyes. Hospitals should explore chemicals in use in all areas and study whether there is a need to install an ANSI compliant plumbed eyewash to serve an area, and then establish mechanisms to prevent departments and clinics from purchasing new corrosives that do not have an eyewash available where they will be used.

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