S06 468301-VA Boston Healthcare System Inspection Report v1 February 2022.pdf
PDF 11 MB Posted
- Attached to
- Z2DA--523-24-004 Fire Door and Damper Repairs
- Solicitation number
- 36C24124B0013
About this file
This document provides details on a federal solicitation for fire door and damper repair services. The solicitation was issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1 seeking bids for contract number 36C24124B0013 to perform fire door and damper repairs at the VA Boston Healthcare System. Responses are due by February 28th, 2022. The solicitation seeks bids to repair or replace fire doors and fire dampers as needed to ensure they meet all fire code and safety requirements. The contract will be a one-year base period with four one-year options to extend. Pricing should be submitted as fixed hourly rates for labor along with fixed prices for any necessary parts or materials.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| S06 Bldg 1 Fire Doors.zip | ZIP file | |
| 36C24124B0013 0003.docx | DOCX document | |
| RFI Questions and Answers 523-24-004 Fire Door and Damper Repairs Amendment 0003.docx | DOCX document | |
| S06 Bldg 1 Life Safety Compilation.pdf | ||
| S06 Site Visit Sign In Sheet.pdf | ||
| 36C24124B0013 0002.docx | DOCX document | |
| S06 Bid Opening Conference Line 36C24124B0013.docx | DOCX document | |
| S06 WD MA20230001 12.08.2023.pdf | ||
| S06 RFI Questions and Answers 523-24-004 Fire Door and Damper Repairs.docx | DOCX document | |
| S06 2022 VA_Jamaica_Plain_Fire_and_Smoke_Damper_Total_Inventory._-_Feb_11_2022 (2).pdf | ||
| 36C24124B0013 0001.docx | DOCX document | |
| 36C24124B0013_1.docx | DOCX document | |
| S02 PCRA 523-24-004 NOV 03 2023.pdf | ||
| S02 SOW 523-24-004.docx | DOCX document | |
| S02 Fire Door List 523-24-004.xlsx | XLSX spreadsheet | |
| S02 WD MA20230001 10.20.2023 .pdf | ||
| S02 Damper List 523-24-004.pdf |
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Text version
Annual Fire Door Inspection Report
VA Boston Healthcare System Jamaica Plain, MA
Inspection Dates:
2/1/2022 - 2/3/2022
Page 1 of 81 2/9/2022 Version 1
ScottMurphy Snapshot
NFPA Code Reference
The hospital has annual inspection and testing of fire door assemblies by individuals who can demonstrate knowledge and understanding of the operating components of the door being tested. Testing begins with a pre-test visual inspection; testing includes both sides of the opening.
Note 1: Nonrated doors, including corridor doors to patient care rooms and smoke barrier doors, are not subject to the annual inspection and testing requirements of either NFPA 80 or NFPA 105.
Note 2: For hospitals that use Joint Commission accreditation for deemed status purposes: Nonrated doors should be routinely inspected and maintained in accordance with the facility maintenance program.
Note 3: For additional guidance on testing door assemblies see:
NFPA 101-2012: 7.2.1.5.10.1; 7.2.1.5.11; 7.2.1.15
NFPA 80-2010: 4.8.4; 5.2.1; 5.2.3; 5.2.4; 5.2.6; 5.2.7; 6.3.1.7
NFPA 105-2010: 5.2.1; EC.02.03.05 EP 25
Page 2 of 81 2/9/2022 Version 1
Fire Door Report Summary
Inspection Details Total number of doors 216
Passed Doors 59 Failed Doors 157
Page 3 of 81 2/9/2022 Version 1
10625906 PASS
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase in engineering Door Ra ng: 90 Minute
Floor: Basement Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625933 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Corridor to ACA Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: 90 Minute
Deficiency Detail
Missing /damaged latchset - NFPA 80-2010 5.2.4.2 (4); NFPA 101-2012 18.3.6.3.5, 18.3.6.3.7, 19.3.6.3.5
10625934 PASS
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Corridor to AcA Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625935 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Corridor to aca Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: 90 Minute
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Page 4 of 81 2/9/2022 Version 1
10625936 PASS
Inspec on Date: 2/3/2022 Loca on: Corridor to ACA Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625937 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Fire exit Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625938 PASS
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 2 Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625939 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: ER entrance Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: 90 Minute
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Page 5 of 81 2/9/2022 Version 1
10625940 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: ER corridor Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: 90 Minute
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
10625941 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: Corridor to Ambulance bay Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625942 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: Ambulance bay corridor Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
Page 6 of 81 2/9/2022 Version 1
10625943 FAIL
Inspec on Date: 2/3/2022 Loca on: Fire exit Door Ra ng: 20 Minute
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Door ra ng insufficient per wall ra ng requirements - NFPA 101-2012 8.3.4.2
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625944 PASS
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 1 Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625945 PASS
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: Fire con Door Ra ng: 45 Minute
Floor: 1 Frame Ra ng: 45 Minute
Deficiency Detail
Door passed inspec on
Page 7 of 81 2/9/2022 Version 1
10625946 FAIL
Inspec on Date: 2/3/2022 Loca on: Triage Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door does not latch - rubbing issue - NFPA 80-2010 5.2.13, 5.1.3.1
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625947 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: Triage Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
Page 8 of 81 2/9/2022 Version 1
10625948 FAIL
Inspec on Date: 2/3/2022 Loca on: Triage Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625976 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Exit staircase Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Door missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Page 9 of 81 2/9/2022 Version 1
10625977 FAIL
Inspec on Date: 2/3/2022 Loca on: Exit staircase outside Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625978 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Emergency electric Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625950 PASS
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 4 Door Ra ng: 90 Minute
Floor: 2 Frame Ra ng: 90 Minute
Deficiency Detail
Page 10 of 81 2/9/2022 Version 1
10625951 FAIL
Inspec on Date: 2/3/2022 Loca on: Staircase 3 Door Ra ng: 90 Minute
Floor: 2 Frame Ra ng: Frame Label Missing
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625952 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 1 Door Ra ng: Door Label Missing
Floor: 2 Frame Ra ng: 90 Minute
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625955 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Pipe closest Door Ra ng: 90 Minute
Floor: 2 Frame Ra ng: 90 Minute
Deficiency Detail
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Page 11 of 81 2/9/2022 Version 1
10625956 PASS
Inspec on Date: 2/3/2022 Loca on: Electrical closest Door Ra ng: 90 Minute
Floor: 2 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625972 PASS
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Corridor to aca Door Ra ng: 90 Minute
Floor: 2 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625973 PASS
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Corridor to ACA Door Ra ng: 90 Minute
Floor: 2 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625974 PASS
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 2 Door Ra ng: 90 Minute
Floor: 2 Frame Ra ng: 90 Minute
Deficiency Detail
Page 12 of 81 2/9/2022 Version 1
10625975 PASS
Inspec on Date: 2/3/2022 Loca on: Staircase 1 Door Ra ng: 90 Minute
Floor: 2 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625969 PASS
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Corridor exit OR Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625970 PASS
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Pipe room Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Door passed inspec on
10625971 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Pipe room Door Ra ng: Door Label Missing
Floor: 3 Frame Ra ng: 90 Minute
Deficiency Detail
Page 13 of 81 2/9/2022 Version 1
10625877 PASS
Inspec on Date: 2/2/2022 Loca on: Staircase Door Ra ng: 90 Minute
Floor: 4 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625878 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Roof top Door Ra ng: Door Label Missing
Floor: 4 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625879 FAIL
Inspector: Carlos Lopez Building: ACA Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Elevator room Door Ra ng: Door Label Missing
Floor: 4 Frame Ra ng: 90 Minute
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Page 14 of 81 2/9/2022 Version 1
10625880 FAIL
Inspec on Date: 2/2/2022 Loca on: Hydrogen storage room Door Ra ng: 90 Minute
Floor: 4 Frame Ra ng: 90 Minute
Deficiency Detail
Closer leaking fluid - NFPA 80-2010 5.2.4.2 (4)
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7 Top
10625893 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase A Door Ra ng: 90 Minute
Floor: Sub Basement Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625894 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 5 Door Ra ng: 90 Minute
Floor: Sub Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Page 15 of 81 2/9/2022 Version 1
10625895 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Elevator machine room Door Ra ng: Door Label Missing
Floor: Sub Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625896 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Fire pump room Door Ra ng: 90 Minute
Floor: Sub Basement Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Door does not latch - NFPA 80-2010 5.2.4.2 (8); NFPA 101-2012 18.3.6.3.5, 19.3.6.3.5 (1)
10625897 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Fire pump room Door Ra ng: 90 Minute
Floor: Sub Basement Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7 Frame side and top
Page 16 of 81 2/9/2022 Version 1
10625898 PASS
Inspec on Date: 2/3/2022 Loca on: Fire pump room 2 Door Ra ng: 90 Minute
Floor: Sub Basement Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Door passed inspec on
10625899 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Fire pump room Door Ra ng: 90 Minute
Floor: Sub Basement Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Door passed inspec on
10625900 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase near sub pump Door Ra ng: 90 Minute
Floor: Sub Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Door does not latch - rubbing issue - NFPA 80-2010 5.2.13, 5.1.3.1
Door has rust-through damage - NFPA 80-2010 5.2.4.2 (1)
Frame has rust-through damage - NFPA 80-2010 5.2.4.2 (1)
Page 17 of 81 2/9/2022 Version 1
10625901 FAIL
Inspec on Date: 2/3/2022 Loca on: Elevator pit room Door Ra ng: 90 Minute
Floor: Sub Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625902 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Elevator pit Door Ra ng: 90 Minute
Floor: Sub Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Closer leaking fluid - NFPA 80-2010 5.2.4.2 (4)
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625903 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 3 Door Ra ng: 90 Minute
Floor: Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Page 18 of 81 2/9/2022 Version 1
10625904 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase D Door Ra ng: 90 Minute
Floor: Basement Frame Ra ng: 90 Minute
Deficiency Detail
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625905 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Fire ex nguisher closest Door Ra ng: Door Label Missing
Floor: Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625907 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 5 Door Ra ng: 90 Minute
Floor: Basement Frame Ra ng: 90 Minute
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
7500 W 160th St., S lwell, KS 66085 ● (855) 714- FIRE (3473) ● www.firedoorsolu ons.com
Page 19 of 81 2/9/2022 Version 1
10625908 FAIL
Inspec on Date: 2/3/2022 Loca on: Pipe door Door Ra ng: Door Label Missing
Floor: Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Door missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7 Strike side
Excessive undercut - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4
Frame missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Incorrect type of hinge(s) / missing hinge(s) / damaged hinge(s) - NFPA 80-2010 6.4.3.1.2
Page 20 of 81 2/9/2022 Version 1
10625909 FAIL
Inspec on Date: 2/3/2022 Loca on: EMS trash room Door Ra ng: 90 Minute
Floor: Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Door does not latch - NFPA 80-2010 5.2.4.2 (8); NFPA 101-2012 18.3.6.3.5, 19.3.6.3.5 (1)
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625910 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: EMS trash room Door Ra ng: 90 Minute
Floor: Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Door does not latch - NFPA 80-2010 5.2.4.2 (8); NFPA 101-2012 18.3.6.3.5, 19.3.6.3.5 (1)
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Page 21 of 81 2/9/2022 Version 1
10625911 PASS
Inspec on Date: 2/3/2022 Loca on: Corridor F Wing Door Ra ng: 90 Minute
Floor: Basement Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625912 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Corridor to F wing Door Ra ng: 90 Minute
Floor: Basement Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625913 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Corridor F wing Door Ra ng: 90 Minute
Floor: Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Page 22 of 81 2/9/2022 Version 1
10625914 FAIL
Inspec on Date: 2/3/2022 Loca on: Corridor to F wing Door Ra ng: Label illegible; legibility required per wall ra ng
Floor: Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Door does not latch - rubbing issue - NFPA 80-2010 5.2.13, 5.1.3.1 Top frame
Door label is illegible - NFPA 80-2010 4.2.2; NFPA 101-2012 8.3.3.2.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625915 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 1 Door Ra ng: 90 Minute
Floor: Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625916 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase DB44 Door Ra ng: 90 Minute
Floor: Basement Frame Ra ng: Frame Label Missing
Deficiency Detail
Page 23 of 81 2/9/2022 Version 1
10625917 FAIL
Inspec on Date: 2/3/2022 Loca on: Exit door Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Door missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Frame missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Page 24 of 81 2/9/2022 Version 1
10625918 FAIL
Inspec on Date: 2/3/2022 Loca on: Fire exit door Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: Label illegible; legibility required per wall ra ng
Deficiency Detail
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is illegible - NFPA 80-2010 4.2.2; NFPA 101-2012 8.3.3.2.3
10625919 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 4 Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: 90 Minute
Deficiency Detail
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Frame missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)
Page 25 of 81 2/9/2022 Version 1
10625920 PASS
Inspec on Date: 2/3/2022 Loca on: Bio Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door passed inspec on
10625921 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: Pipe closest Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625922 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 8 Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: 90 Minute
Deficiency Detail
Page 26 of 81 2/9/2022 Version 1
10625923 FAIL
Inspec on Date: 2/3/2022 Loca on: Corridor to 1A Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: 90 Minute
Deficiency Detail
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
10625924 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Corridor to 1A Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Page 27 of 81 2/9/2022 Version 1
10625925 FAIL
Inspec on Date: 2/3/2022 Loca on: Staircase 3 Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Door missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Frame missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625926 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 1 Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625927 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Fire exit door Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: 90 Minute
Deficiency Detail
Page 28 of 81 2/9/2022 Version 1
10625928 FAIL
Inspec on Date: 2/3/2022 Loca on: Staircase 5 Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Excessive undercut - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625929 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Pipe closest Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Page 29 of 81 2/9/2022 Version 1
10625930 FAIL
Inspec on Date: 2/3/2022 Loca on: Staircase 2 Door Ra ng: 90 Minute
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Page 30 of 81 2/9/2022 Version 1
10625931 FAIL
Inspec on Date: 2/3/2022 Loca on: Fire exit door Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Door missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Frame missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625932 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Fire exit Door Ra ng: Door Label Missing
Floor: 1 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Page 31 of 81 2/9/2022 Version 1
10625949 FAIL
Inspec on Date: 2/3/2022 Loca on: Wing D Door Ra ng: Label illegible; legibility required per wall ra ng
Floor: 2 Frame Ra ng: Label illegible; legibility required per wall ra ng
Deficiency Detail
Door label is illegible - NFPA 80-2010 4.2.2; NFPA 101-2012 8.3.3.2.3
Required frame label is illegible - NFPA 80-2010 4.2.2; NFPA 101-2012 8.3.3.2.3
10625953 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 2 Door Ra ng: 90 Minute
Floor: 2 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625954 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Pipe closest Door Ra ng: Door Label Missing
Floor: 2 Frame Ra ng: 90 Minute
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
Page 32 of 81 2/9/2022 Version 1
10625957 PASS
Inspec on Date: 2/3/2022 Loca on: Staircase 5 Door Ra ng: 90 Minute
Floor: 2 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625958 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Chase door Door Ra ng: Door Label Missing
Floor: 2 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625881 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Corridor by elevator Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: 90 Minute
Deficiency Detail
Page 33 of 81 2/9/2022 Version 1
10625882 PASS
Inspec on Date: 2/3/2022 Loca on: Corridor by elevator Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625883 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 4 Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625884 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 3 Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: Label illegible; legibility required per wall ra ng
Deficiency Detail
Door does not latch - rubbing issue - NFPA 80-2010 5.2.13, 5.1.3.1 Rubs on frame
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is illegible - NFPA 80-2010 4.2.2; NFPA 101-2012 8.3.3.2.3
Page 34 of 81 2/9/2022 Version 1
10625885 FAIL
Inspec on Date: 2/3/2022 Loca on: Staircase 1 Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: Frame Label Missing
Deficiency Detail
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625886 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 5 Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: 90 Minute
Deficiency Detail
Page 35 of 81 2/9/2022 Version 1
10625887 FAIL
Inspec on Date: 2/3/2022 Loca on: Trash chute Door Ra ng: 60 Minute
Floor: 3 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door ra ng insufficient per wall ra ng requirements - NFPA 101-2012 8.3.4.2
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7 Strike side of door
Major damage / exposed mineral core - NFPA 80-2010 5.2.4.2 (3); NFPA 105-2010 5.1.4
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625888 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 1 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase in store Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: Frame Label Missing
Deficiency Detail
Page 36 of 81 2/9/2022 Version 1
10625889 FAIL
Inspec on Date: 2/3/2022 Loca on: Storage Door Ra ng: Door Label Missing
Floor: 3 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door does not latch - NFPA 80-2010 5.2.4.2 (8); NFPA 101-2012 18.3.6.3.5, 19.3.6.3.5 (1)
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625890 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Staircase 2 Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: 90 Minute
Deficiency Detail
Page 37 of 81 2/9/2022 Version 1
10625891 FAIL
Inspec on Date: 2/3/2022 Loca on: Fire ex nguisher closest Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: Frame Label Missing
Deficiency Detail
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625892 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/3/2022 Loca on: Soiled linen Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: Frame Label Missing
Deficiency Detail
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
Page 38 of 81 2/9/2022 Version 1
10625961 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/3/2022 Loca on: Storage Door Ra ng: 45 Minute
Floor: 3 Frame Ra ng: Frame Label Missing
Deficiency Detail
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625962 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/3/2022 Loca on: Housekeeping Door Ra ng: 45 Minute
Floor: 3 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625963 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/3/2022 Loca on: Control center corridor Door Ra ng: Door Label Missing
Floor: 3 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Page 39 of 81 2/9/2022 Version 1
10625964 FAIL
Inspec on Date: 2/3/2022 Loca on: Control center corridor Door Ra ng: Door Label Missing
Floor: 3 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625965 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/3/2022 Loca on: Nurse sta on Door Ra ng: Door Label Missing
Floor: 3 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625966 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/3/2022 Loca on: Corridor exit OR Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: Frame Label Missing
Deficiency Detail
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625967 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/3/2022 Loca on: Exit door OR Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: Frame Label Missing
Deficiency Detail
Page 40 of 81 2/9/2022 Version 1
10625968 PASS
Inspec on Date: 2/3/2022 Loca on: Corridor exit Door Ra ng: 90 Minute
Floor: 3 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625870 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 3 Door Ra ng: 90 Minute
Floor: 4 Frame Ra ng: 90 Minute
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625871 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 4 Door Ra ng: 90 Minute
Floor: 4 Frame Ra ng: 90 Minute
Deficiency Detail
Page 41 of 81 2/9/2022 Version 1
10625872 FAIL
Inspec on Date: 2/2/2022 Loca on: Staircase 5 Door Ra ng: Label illegible; legibility required per wall ra ng
Floor: 4 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is illegible - NFPA 80-2010 4.2.2; NFPA 101-2012 8.3.3.2.3
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625873 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Pipe room Door Ra ng: Door Label Missing
Floor: 4 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7 Latch side
Page 42 of 81 2/9/2022 Version 1
10625874 FAIL
Inspec on Date: 2/2/2022 Loca on: Staircase Door Ra ng: 90 Minute
Floor: 4 Frame Ra ng: 90 Minute
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625875 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Soiled linen Door Ra ng: 90 Minute
Floor: 4 Frame Ra ng: Frame Label Missing
Deficiency Detail
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625876 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 1 Door Ra ng: 90 Minute
Floor: 4 Frame Ra ng: Frame Label Missing
Deficiency Detail
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625843 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 4 Door Ra ng: 90 Minute
Floor: 5 Frame Ra ng: Frame Label Missing
Deficiency Detail
Page 43 of 81 2/9/2022 Version 1
10625844 FAIL
Inspec on Date: 2/2/2022 Loca on: Fire ex nguisher closest Door Ra ng: Door Label Missing
Floor: 5 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625845 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Corridor to endoscopy Door Ra ng: 90 Minute
Floor: 5 Frame Ra ng: No label present / not required per wall ra ng
Deficiency Detail
Door passed inspec on
10625846 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Endoscopy Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: No label present / not required per wall ra ng
Deficiency Detail
Page 44 of 81 2/9/2022 Version 1
10625847 PASS
Inspec on Date: 2/2/2022 Loca on: Endoscopy nurse sta on Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: No label present / not required per wall ra ng
Deficiency Detail
Door passed inspec on
10625848 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 3 Door Ra ng: 90 Minute
Floor: 5 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625849 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Soiled linen Door Ra ng: 90 Minute
Floor: 5 Frame Ra ng: Frame Label Missing
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Page 45 of 81 2/9/2022 Version 1
10625850 FAIL
Inspec on Date: 2/2/2022 Loca on: Pipe closest Door Ra ng: 90 Minute
Floor: 5 Frame Ra ng: 3 Hour
Deficiency Detail
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7 Top
10625851 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour Fire/Smoke
Inspec on Date: 2/2/2022 Loca on: Staircase 1 Door Ra ng: 90 Minute
Floor: 5 Frame Ra ng: 90 Minute
Deficiency Detail
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625852 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Corridor by elevator Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Door does not latch - rubbing issue - NFPA 80-2010 5.2.13, 5.1.3.1
Page 46 of 81 2/9/2022 Version 1
10625853 PASS
Inspec on Date: 2/2/2022 Loca on: Corridor by elevator Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Door passed inspec on
10625854 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: staircase 5 Door Ra ng: 90 Minute
Floor: 5 Frame Ra ng: Label illegible; legibility required per wall ra ng
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is illegible - NFPA 80-2010 4.2.2; NFPA 101-2012 8.3.3.2.3
10625857 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Pipe room Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: No label present / not required per wall ra ng
Deficiency Detail
Excessive undercut - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4
Page 47 of 81 2/9/2022 Version 1
10625858 FAIL
Inspec on Date: 2/2/2022 Loca on: Pipe room Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: No label present / not required per wall ra ng
Deficiency Detail
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Excessive undercut - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4
10625859 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Exam room 1 Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: No label present / not required per wall ra ng
Deficiency Detail
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
10625860 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Exam room 2 Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: No label present / not required per wall ra ng
Deficiency Detail
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Page 48 of 81 2/9/2022 Version 1
10625861 FAIL
Inspec on Date: 2/2/2022 Loca on: Pipe room Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: No label present / not required per wall ra ng
Deficiency Detail
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7 Latch side
Excessive undercut - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4
10625862 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Exam room 3 Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: No label present / not required per wall ra ng
Deficiency Detail
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
10625863 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Exam room 4 Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: No label present / not required per wall ra ng
Deficiency Detail
Page 49 of 81 2/9/2022 Version 1
10625864 FAIL
Inspec on Date: 2/2/2022 Loca on: Staircase 2 Door Ra ng: 90 Minute
Floor: 5 Frame Ra ng: Frame Label Missing
Deficiency Detail
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625865 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Soiled linen Door Ra ng: 90 Minute
Floor: 5 Frame Ra ng: Frame Label Missing
Deficiency Detail
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625866 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Corridor to c unit Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Page 50 of 81 2/9/2022 Version 1
10625867 FAIL
Inspec on Date: 2/2/2022 Loca on: Corridor to c unit Door Ra ng: No label present / not required per wall ra ng
Floor: 5 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625868 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Pipe room Door Ra ng: Door Label Missing
Floor: 5 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Door label is missing - NFPA 80-2010 4.3.1; NFPA 101-2012 8.3.3.2.2
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625869 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Mechanical room Door Ra ng: 90 Minute
Floor: 5 Frame Ra ng: 90 Minute
Deficiency Detail
Door does not latch - rubbing issue - NFPA 80-2010 5.2.13, 5.1.3.1 Rubs on frame
Page 51 of 81 2/9/2022 Version 1
10625835 PASS
Inspec on Date: 2/2/2022 Loca on: Staircase 4 Door Ra ng: 90 Minute
Floor: 6 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625836 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Soiled linen Door Ra ng: 90 Minute
Floor: 6 Frame Ra ng: Frame Label Missing
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625837 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 3 Door Ra ng: 90 Minute
Floor: 6 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625838 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 1 Door Ra ng: 90 Minute
Floor: 6 Frame Ra ng: 90 Minute
Deficiency Detail
Page 52 of 81 2/9/2022 Version 1
10625839 PASS
Inspec on Date: 2/2/2022 Loca on: Staircase 2 Door Ra ng: 90 Minute
Floor: 6 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625840 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Soiled linen Door Ra ng: 90 Minute
Floor: 6 Frame Ra ng: Frame Label Missing
Deficiency Detail
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625841 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 5 Door Ra ng: 90 Minute
Floor: 6 Frame Ra ng: Frame Label Missing
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Page 53 of 81 2/9/2022 Version 1
10625842 FAIL
Inspec on Date: 2/2/2022 Loca on: Elevator closest Door Ra ng: 90 Minute
Floor: 6 Frame Ra ng: 3 Hour
Deficiency Detail
Door does not latch - rubbing issue - NFPA 80-2010 5.2.13, 5.1.3.1 Frame
10625823 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour Fire/Smoke
Inspec on Date: 2/2/2022 Loca on: Staircase 4 Door Ra ng: 90 Minute
Floor: 7 Frame Ra ng: 90 Minute
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625824 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Soiled linen Door Ra ng: 90 Minute
Floor: 7 Frame Ra ng: Frame Label Missing
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Page 54 of 81 2/9/2022 Version 1
10625825 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour Fire/Smoke
Inspec on Date: 2/2/2022 Loca on: Staircase 3 Door Ra ng: 90 Minute
Floor: 7 Frame Ra ng: 90 Minute
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625826 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Corridor by elevator Door Ra ng: 90 Minute
Floor: 7 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Door passed inspec on
10625827 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Corridor by elevator Door Ra ng: 90 Minute
Floor: 7 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Door passed inspec on
10625828 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 5 Door Ra ng: 90 Minute
Floor: 7 Frame Ra ng: 90 Minute
Deficiency Detail
Page 55 of 81 2/9/2022 Version 1
10625829 FAIL
Inspec on Date: 2/2/2022 Loca on: Office Door Ra ng: No label present / not required per wall ra ng
Floor: 7 Frame Ra ng: No label present / not required per wall ra ng
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Missing / damaged door closer - NFPA 80-2010 5.2.4.2 (4)
10625830 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Elevator closest Door Ra ng: 90 Minute
Floor: 7 Frame Ra ng: 90 Minute
Deficiency Detail
Door passed inspec on
10625831 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 2 Door Ra ng: 90 Minute
Floor: 7 Frame Ra ng: Label illegible; legibility required per wall ra ng
Deficiency Detail
Required frame label is illegible - NFPA 80-2010 4.2.2; NFPA 101-2012 8.3.3.2.3
Page 56 of 81 2/9/2022 Version 1
10625832 FAIL
Inspec on Date: 2/2/2022 Loca on: Soiled linen Door Ra ng: 90 Minute
Floor: 7 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625833 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Corridor by restroom Door Ra ng: 45 Minute
Floor: 7 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Door passed inspec on
10625834 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: Smoke Barrier
Inspec on Date: 2/2/2022 Loca on: Corridor by restroom Door Ra ng: 45 Minute
Floor: 7 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Page 57 of 81 2/9/2022 Version 1
10625815 FAIL
Inspec on Date: 2/2/2022 Loca on: Staircase 4 Door Ra ng: 90 Minute
Floor: 8 Frame Ra ng: 90 Minute
Deficiency Detail
Excessive clearance - NFPA 80-2010 5.2.4.2 (5), NFPA 80-2010 6.3.1.7
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625816 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 1 Door Ra ng: 90 Minute
Floor: 8 Frame Ra ng: 90 Minute
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625817 PASS
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 2 Door Ra ng: 90 Minute
Floor: 8 Frame Ra ng: Label present; no ra ng specified
Deficiency Detail
Page 58 of 81 2/9/2022 Version 1
10625818 FAIL
Inspec on Date: 2/2/2022 Loca on: Soiled linen Door Ra ng: 90 Minute
Floor: 8 Frame Ra ng: Frame Label Missing
Deficiency Detail
Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
Required frame label is missing - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3
10625819 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Staircase 5 Door Ra ng: 90 Minute
Floor: 8 Frame Ra ng: 90 Minute
Deficiency Detail
Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3
10625820 FAIL
Inspector: Carlos Lopez Building: Main building Wall Ra ng: 2 Hour
Inspec on Date: 2/2/2022 Loca on: Elevator closest Door Ra ng: 90 Minute
Floor: 8 Frame Ra ng: 3 Hour
Deficiency Detail
Page 59 of 81 2/9/2022 Version 1
10625821 PASS
Inspec on Date: 2/2/2022 Loca on: Elevator closest Door Ra ng: 90 Minute
Floo…
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