DC Fire Door 5.10_Rpt_2019_Door_Insp_30408.pdf

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Attached to
N036--FIRE DOOR REPAIR Federal contract opportunity
Solicitation number
36C24521Q0736
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 5

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PO Box 337, Perkasie, PA 18944

PHONE: (215) 258-3910

www.eocsolutions.com

PREPARED BY:

Washington DC VA Medical Center

50 Irving Street NW Washington, D.C. 20422

Inspection Dates November 11 -14, 2019

Annual Fire Door Inspection Report

Report for

PO #688C90272

EC 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

Page 2 of 181 11/15/2019 Version 1

Inspection Details Total number of doors 445

Compliant doors 94 Non-compliant doors 351

Fire Door Report Summary

Page 3 of 181 11/15/2019 Version 1

FAIL013001Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Stairwell to Penthouse Door Ra ng: 90 minute

Floor: Penthouse 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

Excessive clearance - NFPA 80-2010 6.3.1.7

Excessive undercut - 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

Hinge(s) not securely fastened / missing fasteners - NFPA 80-2010 6.4.3.2.1

Signage exceeds 5% of door surface - NFPA 80-2010 4.1.4.1

Page 4 of 181 11/15/2019 Version 1

FAIL013002Z

Inspec on Date: 11/11/2019 Loca on: Double Doors to Workroom Door Ra ng: 90 minute

Floor: Penthouse Frame Ra ng: 90 minute

Deficiency Detail

Door closer not securely fastened / missing fasteners - NFPA 80-2010 6.4.1.3, NFPA 80-2010 6.5.3

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

Missing coordinator - NFPA 80-2010 6.4.1.2.1

Missing/damaged closer arm - NFPA 80-2010 5.2.4.2 (4)

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

Page 5 of 181 11/15/2019 Version 1

FAIL013003Z

Inspec on Date: 11/11/2019 Loca on: Double Doors to Workroom Door Ra ng: 90 minute

Floor: Penthouse Frame Ra ng: 90 minute

Deficiency Detail

Excessive clearance - NFPA 80-2010 6.3.1.7

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013004Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Electrical Equipment Room Door Ra ng: 90 minute

Floor: Penthouse Frame Ra ng: 90 minute

Deficiency Detail

Door closer not securely fastened / missing fasteners - NFPA 80-2010 6.4.1.3, NFPA 80-2010 6.5.3

Page 6 of 181 11/15/2019 Version 1

FAIL013005Z

Inspec on Date: 11/11/2019 Loca on: Elevator Equipment Room Door Ra ng: 90 minute

Floor: Penthouse Frame Ra ng: 90 minute

Deficiency Detail

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013006Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Electrical Room Door Ra ng: 3 hour

Floor: Penthouse Frame Ra ng: Frame Label Missing

Deficiency Detail

Door missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

Page 7 of 181 11/15/2019 Version 1

FAIL013007Z

Inspec on Date: 11/11/2019 Loca on: Elevator Equipment Room Door Ra ng: 45 minute

Floor: Penthouse Frame Ra ng: Frame Label Missing

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013008Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Stairwell S-6 Door Ra ng: 90 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Page 8 of 181 11/15/2019 Version 1

PASS013009Z

Inspec on Date: 11/11/2019 Loca on: Mech Sha Door Ra ng: 90 minute

Floor: 4 Frame Ra ng: Label present, no ra ng specified

Deficiency Detail

Door passed inspec on

PASS013010Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour fire/smoke

Inspec on Date: 11/11/2019 Loca on: Hematology Sec on Door Ra ng: 3 hour

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door passed inspec on

FAIL013011Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour fire/smoke

Inspec on Date: 11/11/2019 Loca on: Office 4D-116 Door Ra ng: 3 hour

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Hinge(s) not securely fastened / missing fasteners - NFPA 80-2010 6.4.3.2.1

Missing/damaged door closer - NFPA 80-2010 5.2.4.2 (4)

Page 9 of 181 11/15/2019 Version 1

FAIL013012Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour fire/smoke

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by 4D- 208 Door Ra ng: 3 hour

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

Missing / damaged strike - NFPA 80-2010 5.2.4.2 (4)

Missing/damaged exit hardware - NFPA 80-2010 5.2.4.2 (4)

FAIL013013Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour fire/smoke

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by 4D- 207 Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Major damage / exposed mineral core - NFPA 80-2010 5.2.4.2 (3); NFPA 105-2010 5.1.4

Missing / damaged strike - NFPA 80-2010 5.2.4.2 (4)

Missing/damaged exit hardware - NFPA 80-2010 5.2.4.2 (4)

Page 10 of 181 11/15/2019 Version 1

FAIL013014Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Housekeeping 4D-128B Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013015Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Storage Room Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

Page 11 of 181 11/15/2019 Version 1

FAIL013016Z

Inspec on Date: 11/11/2019 Loca on: Stairwell 8 Door Door Ra ng: 90 minute

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Hinge(s) not securely fastened / missing fasteners - NFPA 80-2010 6.4.3.2.1

FAIL013017Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: 4D-148B Door Ra ng: Could not open door to verify label

Floor: 4 Frame Ra ng: Could not open door to verify label

Deficiency Detail

Door swing impaired - NFPA 80-2010 5.1.3.1, 5.2.13; NFPA 101-2012 7.2.1.15.7

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

FAIL013018Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Stairwell 7 Door Door Ra ng: 90 minute

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Page 12 of 181 11/15/2019 Version 1

FAIL013019Z

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors to 4C Door Ra ng: 90 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Damaged / missing smoke seal - NFPA 80-2010 6.4.8

Latch does not engage strike - NFPA 80-2010 5.2.4.2 (8)

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013020Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour fire/smoke

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors to 4C Door Ra ng: 90 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Latch does not engage strike - NFPA 80-2010 5.2.4.2 (8)

Page 13 of 181 11/15/2019 Version 1

FAIL013021Z

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Room 4C-212 Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

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

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013022Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Room 4C-212 Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

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

Page 14 of 181 11/15/2019 Version 1

FAIL013023Z

Inspec on Date: 11/11/2019 Loca on: Family Lounge Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Glazing insufficiently rated - NFPA 80-2010 4.4.1

FAIL013024Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Nurses Sta on Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Page 15 of 181 11/15/2019 Version 1

FAIL013025Z

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Nurses Sta on Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013026Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Soiled U lity Door Ra ng: 60 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

Page 16 of 181 11/15/2019 Version 1

FAIL013027Z

Inspec on Date: 11/11/2019 Loca on: Clean U lity Door Ra ng: 45 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Excessive undercut - 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

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013028Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Stairwell Door Door Ra ng: 3 hour

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

PASS013029Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Mechanical Room Door Ra ng: 45 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door passed inspec on

Page 17 of 181 11/15/2019 Version 1

FAIL013030Z

Inspec on Date: 11/11/2019 Loca on: Med Room Door Ra ng: 45 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013031Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Med Room Door Ra ng: 45 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Page 18 of 181 11/15/2019 Version 1

FAIL013032Z

Inspec on Date: 11/11/2019 Loca on: Oxygen Storage Room Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013033Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Stairwell Door Door Ra ng: 3 hour

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

FAIL013034Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Equipment Storage Door Ra ng: 45 minute

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

Page 19 of 181 11/15/2019 Version 1

FAIL013035Z

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Nurses Sta on Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

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

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013036Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Nurses Sta on Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Page 20 of 181 11/15/2019 Version 1

FAIL013037Z

Inspec on Date: 11/11/2019 Loca on: Family Lounge Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013038Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Family Lounge Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Page 21 of 181 11/15/2019 Version 1

FAIL013039Z

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Family Lounge Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

PASS013040Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Electrical Room Door Ra ng: 45 minute

Floor: 4 Frame Ra ng: 3 hour

Deficiency Detail

Door passed inspec on

FAIL013041Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Double Doors to Freedom Auditorium Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Page 22 of 181 11/15/2019 Version 1

FAIL013042Z

Inspec on Date: 11/11/2019 Loca on: Double Doors to Freedom Auditorium Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013043Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Mul -Purpose Room Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Page 23 of 181 11/15/2019 Version 1

FAIL013044Z

Inspec on Date: 11/11/2019 Loca on: Freedom Auditorium Side Exit Door Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013045Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Backstage Side Door Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: Label present, no ra ng specified

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

FAIL013046Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Backstage Side Door Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Label present, no ra ng specified

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Page 24 of 181 11/15/2019 Version 1

FAIL013047Z

Inspec on Date: 11/11/2019 Loca on: Freedom Auditorium Side Door Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Exit hardware missing label - NFPA 80-2010 6.4.4.1, 6.4.4.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013048Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Mul -Purpose Room Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013049Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Double Doors to Freedom Auditorium Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Page 25 of 181 11/15/2019 Version 1

FAIL013050Z

Inspec on Date: 11/11/2019 Loca on: Double Doors to Freedom Auditorium Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

FAIL013051Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Door by Freedom Auditorium Double Doors Door Ra ng: 90 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Excessive clearance - NFPA 80-2010 6.3.1.7

Page 26 of 181 11/15/2019 Version 1

FAIL013052Z

Inspec on Date: 11/11/2019 Loca on: Double Doors to Conference Room Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Frame missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)

FAIL013053Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Double Doors to Conference Room Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Missing coordinator - NFPA 80-2010 6.4.1.2.1

Page 27 of 181 11/15/2019 Version 1

FAIL013054Z

Inspec on Date: 11/11/2019 Loca on: Housekeeping Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Missing/damaged door closer - NFPA 80-2010 5.2.4.2 (4)

FAIL013055Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Respiratory Care Storage Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Hinge(s) not securely fastened / missing fasteners - NFPA 80-2010 6.4.3.2.1

Page 28 of 181 11/15/2019 Version 1

FAIL013056Z

Inspec on Date: 11/11/2019 Loca on: Clean U lity Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Signage exceeds 5% of door surface - NFPA 80-2010 4.1.4.1

FAIL013057Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Respiratory Equipment Room Door Ra ng: Could not open door to verify label

Floor: 4 Frame Ra ng: Could not open door to verify label

Deficiency Detail

Door swing impaired - NFPA 80-2010 5.1.3.1, 5.2.13; NFPA 101-2012 7.2.1.15.7

Page 29 of 181 11/15/2019 Version 1

FAIL013058Z

Inspec on Date: 11/11/2019 Loca on: Respiratory Equipment Room Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

Signage exceeds 5% of door surface - NFPA 80-2010 4.1.4.1

FAIL013059Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Housekeeping Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Page 30 of 181 11/15/2019 Version 1

FAIL013060Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1/2 hour smoke

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Room 4B-200 Door Ra ng: 30 minute

Floor: 4 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

PASS013061Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1/2 hour smoke

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Room 4B-200 Door Ra ng: 30 minute

Floor: 4 Frame Ra ng: No label present, not required per wall ra ng

Deficiency Detail

Door passed inspec on

FAIL013062Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Dialysis Machine Room Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Page 31 of 181 11/15/2019 Version 1

FAIL013063Z

Inspec on Date: 11/11/2019 Loca on: Soiled U lity Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: 90 minute

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Door missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)

FAIL013064Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Housekeeping Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Page 32 of 181 11/15/2019 Version 1

FAIL013065Z

Inspec on Date: 11/11/2019 Loca on: Stairwell 3 Door Door Ra ng: 90 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013066Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Med Storage Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Signage exceeds 5% of door surface - NFPA 80-2010 4.1.4.1

FAIL013067Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Dirty U lity Door Ra ng: 45 minute

Floor: 4 Frame Ra ng: 90 minute

Deficiency Detail

Excessive clearance - NFPA 80-2010 6.3.1.7

Page 33 of 181 11/15/2019 Version 1

FAIL013068Z

Inspec on Date: 11/11/2019 Loca on: Stairwell 2 Door Door Ra ng: 90 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013069Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Clean Equipment Storage Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

Page 34 of 181 11/15/2019 Version 1

FAIL013070Z

Inspec on Date: 11/11/2019 Loca on: Storage Room Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013071Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Room 4B-117 Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Page 35 of 181 11/15/2019 Version 1

FAIL013072Z

Inspec on Date: 11/11/2019 Loca on: Housekeeping Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

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)

FAIL013073Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Soiled U lity Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: 90 minute

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Door missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)

Page 36 of 181 11/15/2019 Version 1

FAIL013074Z

Inspec on Date: 11/11/2019 Loca on: Room 4B-110 Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

FAIL013075Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Cardiac Cath Storage Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Non-rated/non-compliant louver on door - NFPA 80-2010 6.4.6; NFPA 105-2010 4.5.7; NFPA 101- 2012 8.4.3.3, 18.3.6.4.1, 19.3.6.4.1

Page 37 of 181 11/15/2019 Version 1

FAIL013076Z

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Room 4B-101A Door Ra ng: 20 minute

Floor: 4 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

FAIL013077Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1/2 hour smoke

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Room 4B-101A Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: 90 minute

Deficiency Detail

Hinge(s) not securely fastened / missing fasteners - NFPA 80-2010 6.4.3.2.1

FAIL013078Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Stairwell 1 Door Door Ra ng: 90 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Excessive clearance - NFPA 80-2010 6.3.1.7

Page 38 of 181 11/15/2019 Version 1

PASS013079Z

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Stairwell 1 Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: Label present, no ra ng specified

Deficiency Detail

Door passed inspec on

FAIL013080Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1/2 hour smoke

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Stairwell 1 Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: Label present, no ra ng specified

Deficiency Detail

Hinge(s) not securely fastened / missing fasteners - NFPA 80-2010 6.4.3.2.1

FAIL013081Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Soiled Linen Door Ra ng: 90 minute

Floor: 4 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 39 of 181 11/15/2019 Version 1

FAIL013082Z

Inspec on Date: 11/11/2019 Loca on: Supply Closet Door Ra ng: 60 minute

Floor: 4 Frame Ra ng: 90 minute

Deficiency Detail

Door missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)

Frame missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)

Signage exceeds 5% of door surface - NFPA 80-2010 4.1.4.1

FAIL013083Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Stairwell 10 Door Door Ra ng: 90 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Page 40 of 181 11/15/2019 Version 1

FAIL013084Z

Inspec on Date: 11/11/2019 Loca on: Housekeeping Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Missing/damaged door closer - NFPA 80-2010 5.2.4.2 (4)

FAIL013085Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Room 4E-139 Door Ra ng: Door Label Missing

Floor: 4 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Page 41 of 181 11/15/2019 Version 1

FAIL013086Z

Inspec on Date: 11/11/2019 Loca on: Stairwell 9 Door Door Ra ng: 90 minute

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

FAIL013087Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Clean Linen Door Ra ng: 60 minute

Floor: 4 Frame Ra ng: 90 minute

Deficiency Detail

Door missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)

Frame missing filler plate(s) - NFPA 80-2010 5.2.4.2 (1)

Page 42 of 181 11/15/2019 Version 1

FAIL013088Z

Inspec on Date: 11/11/2019 Loca on: Mech Sha Door Ra ng: Label present, ra ng illegible

Floor: 4 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Missing/damaged door closer - NFPA 80-2010 5.2.4.2 (4)

FAIL013089Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Soiled Linen Door Ra ng: 60 minute

Floor: 4 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 43 of 181 11/15/2019 Version 1

PASS013090Z

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Room 4E-100 Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: No label present, not required per wall ra ng

Deficiency Detail

Door passed inspec on

PASS013091Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1/2 hour fire

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by Room 4E-100 Door Ra ng: 20 minute

Floor: 4 Frame Ra ng: No label present, not required per wall ra ng

Deficiency Detail

Page 44 of 181 11/15/2019 Version 1

FAIL013092Z

Inspec on Date: 11/11/2019 Loca on: Housekeeping Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Door penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Missing/damaged door closer - NFPA 80-2010 5.2.4.2 (4)

Non-rated/non-compliant louver on door - NFPA 80-2010 6.4.6; NFPA 105-2010 4.5.7; NFPA 101- 2012 8.4.3.3, 18.3.6.4.1, 19.3.6.4.1

Signage exceeds 5% of door surface - NFPA 80-2010 4.1.4.1

FAIL013093Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1/2 hour smoke

Inspec on Date: 11/11/2019 Loca on: Door to 3D West Door Ra ng: 20 minute

Floor: 3 Frame Ra ng: No label present, not required per wall ra ng

Deficiency Detail

Page 45 of 181 11/15/2019 Version 1

FAIL013094Z

Inspec on Date: 11/11/2019 Loca on: Storage Room Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

FAIL013096Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Bio Hazard Room Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Page 46 of 181 11/15/2019 Version 1

FAIL013097Z

Inspec on Date: 11/11/2019 Loca on: Room 3D-218 Door Ra ng: Could not open door to verify label

Floor: 3 Frame Ra ng: Could not open door to verify label

Deficiency Detail

Door swing impaired - NFPA 80-2010 5.1.3.1, 5.2.13; NFPA 101-2012 7.2.1.15.7

Signage exceeds 5% of door surface - NFPA 80-2010 4.1.4.1

FAIL013098Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Supply Room Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013099Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Room 3D-221 Door Ra ng: Could not open door to verify label

Floor: 3 Frame Ra ng: Could not open door to verify label

Deficiency Detail

Door swing impaired - NFPA 80-2010 5.1.3.1, 5.2.13; NFPA 101-2012 7.2.1.15.7

Page 47 of 181 11/15/2019 Version 1

FAIL013100Z

Inspec on Date: 11/11/2019 Loca on: Stairwell 8 Door Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013101Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Supply Room Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

Page 48 of 181 11/15/2019 Version 1

FAIL013102Z

Inspec on Date: 11/11/2019 Loca on: Stairwell 7 Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013103Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Soiled U lity Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013104Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1/2 hour smoke

Inspec on Date: 11/11/2019 Loca on: Restroom Door Ra ng: No label present, not required per wall ra ng

Floor: 3 Frame Ra ng: No label present, not required per wall ra ng

Deficiency Detail

Page 49 of 181 11/15/2019 Version 1

PASS013105Z

Inspec on Date: 11/11/2019 Loca on: Door to 3D East Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: No label present, not required per wall ra ng

Deficiency Detail

Door passed inspec on

FAIL013106Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Stairwell 6 Door Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

FAIL013107Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour fire/smoke

Inspec on Date: 11/11/2019 Loca on: Door to 3C South Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Label present, no ra ng specified

Deficiency Detail

Damaged / missing smoke seal - NFPA 80-2010 6.4.8

Excessive clearance - NFPA 80-2010 6.3.1.7

Page 50 of 181 11/15/2019 Version 1

FAIL013108Z

Inspec on Date: 11/11/2019 Loca on: Housekeeping Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013109Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Stairwell 5 Door Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013110Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour fire/smoke

Inspec on Date: 11/11/2019 Loca on: Room 3A-134 Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Page 51 of 181 11/15/2019 Version 1

FAIL013111Z

Inspec on Date: 11/11/2019 Loca on: Storage Room Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Non-rated/non-compliant louver on door - NFPA 80-2010 6.4.6; NFPA 105-2010 4.5.7; NFPA 101- 2012 8.4.3.3, 18.3.6.4.1, 19.3.6.4.1

FAIL013112Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Stairwell 4 Door Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door swing impaired - NFPA 80-2010 5.1.3.1, 5.2.13; NFPA 101-2012 7.2.1.15.7

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

Page 52 of 181 11/15/2019 Version 1

PASS013113Z

Inspec on Date: 11/11/2019 Loca on: Door to 3C-North Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Label present, no ra ng specified

Deficiency Detail

Door passed inspec on

FAIL013114Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour fire/smoke

Inspec on Date: 11/11/2019 Loca on: Elevator Pit Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: 90 minute

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Page 53 of 181 11/15/2019 Version 1

FAIL013115Z

Inspec on Date: 11/11/2019 Loca on: Chapel Back Door Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

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

Non-compliant plant-on - NFPA 101-2012 8.3.3.2, 8.3.3.2.2

FAIL013116Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Double Doors to Chapel Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Page 54 of 181 11/15/2019 Version 1

PASS013117Z

Inspec on Date: 11/11/2019 Loca on: Double Doors to Chapel Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door passed inspec on

FAIL013118Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Double Doors to Chapel Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013119Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Double Doors to Chapel Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Page 55 of 181 11/15/2019 Version 1

FAIL013120Z

Inspec on Date: 11/11/2019 Loca on: Door to 3B-East Door Ra ng: 20 minute

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

FAIL013121Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour fire/smoke

Inspec on Date: 11/11/2019 Loca on: Neurology Clinic Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Page 56 of 181 11/15/2019 Version 1

FAIL013122Z

Inspec on Date: 11/11/2019 Loca on: Housekeeping Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Missing/damaged door closer - NFPA 80-2010 5.2.4.2 (4)

Protec on plate over 16" without proper label - NFPA 80-2010 6.4.5

Page 57 of 181 11/15/2019 Version 1

FAIL013123Z

Inspec on Date: 11/11/2019 Loca on: Room 3B-207 Door Ra ng: Label present, ra ng illegible

Floor: 3 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

FAIL013124Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Exam Room Door Ra ng: Label present, ra ng illegible

Floor: 3 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Page 58 of 181 11/15/2019 Version 1

FAIL013125Z

Inspec on Date: 11/11/2019 Loca on: Room 3B-112 Door Ra ng: 90 minute

Floor: 3 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

Missing / damaged strike - NFPA 80-2010 5.2.4.2 (4)

Missing/damaged door closer - NFPA 80-2010 5.2.4.2 (4)

FAIL013126Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Stairwell 3 Door Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

FAIL013127Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour

Inspec on Date: 11/11/2019 Loca on: Stairwell 2 Door Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Page 59 of 181 11/15/2019 Version 1

FAIL013128Z

Inspec on Date: 11/11/2019 Loca on: Room 3B-118 Door Ra ng: 20 minute

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Excessive clearance - NFPA 80-2010 6.3.1.7

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Frame penetra ons / unused fastener holes - NFPA 80-2010 5.2.4.2 (1); NFPA 105-2010 5.1.4.3

Page 60 of 181 11/15/2019 Version 1

FAIL013129Z

Inspec on Date: 11/11/2019 Loca on: Housekeeping Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Signage exceeds 5% of door surface - NFPA 80-2010 4.1.4.1

FAIL013130Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Room 3B-112 Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Page 61 of 181 11/15/2019 Version 1

FAIL013131Z

Inspec on Date: 11/11/2019 Loca on: Room 3B-108A Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Label present, ra ng illegible

Deficiency Detail

Excessive undercut - NFPA 80-2010 4.8.4; NFPA 101-2012 18.3.6.3 (2), 19.3.6.3.4

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Missing/damaged door closer - NFPA 80-2010 5.2.4.2 (4)

FAIL013132Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 1 hour

Inspec on Date: 11/11/2019 Loca on: Soiled U lity Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: 90 minute

Deficiency Detail

Page 62 of 181 11/15/2019 Version 1

FAIL013133Z

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by 3B- 105 Door Ra ng: 20 minute

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Bo om latching hardware / fire pin missing - NFPA 80-2010 5.2.4.2 (4), 6.4.4.5

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Exit hardware not securely fastened / missing fasteners - NFPA 80-2010 5.2.4.2 (4), 6.5.3

Panic hardware applied to fire door assembly - NFPA 101-2012 7.2.1.7.2; NFPA 80-2010 6.4.4.2.3

Page 63 of 181 11/15/2019 Version 1

FAIL013134Z

Inspec on Date: 11/11/2019 Loca on: Cross Corridor Doors by 3B- 105 Door Ra ng: 20 minute

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Bo om latching hardware / fire pin missing - NFPA 80-2010 5.2.4.2 (4), 6.4.4.5

Door ra ng < 75% of wall ra ng on LSP's - NFPA 101-2012 8.3.4.2

Exit hardware not securely fastened / missing fasteners - NFPA 80-2010 5.2.4.2 (4), 6.5.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Panic hardware applied to fire door assembly - NFPA 101-2012 7.2.1.7.2; NFPA 80-2010 6.4.4.2.3

Page 64 of 181 11/15/2019 Version 1

FAIL013135Z

Inspec on Date: 11/11/2019 Loca on: Office Door Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Excessive clearance - NFPA 80-2010 6.3.1.7

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Missing/damaged door closer - NFPA 80-2010 5.2.4.2 (4)

FAIL013136Z

Inspector: Joshua Keene Building: VA Medical Center Wall Ra ng: 2 hour fire/smoke

Inspec on Date: 11/11/2019 Loca on: Office Door Door Ra ng: Door Label Missing

Floor: 3 Frame Ra ng: Frame Label Missing

Deficiency Detail

Door label is missing or illegible - NFPA 101-2012 8.3.3.2.3

Frame label is missing or illegible - NFPA 80-2010 6.3.1.1; NFPA 101-2012 8.3.3.2.3

Page 65 of 181 11/15/2019 Version 1

FAIL013137Z

Inspec on Date: 11/12/2019 Loca on: Stairwell 1 Door Door Ra ng: 90 minute

Floor: 3 Frame Ra ng: Label…

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