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Quarterly Fire Extinguishing System Check Form |
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Manual: Life Safety and Interim Life Safety Management Manual (Ver 4) External Reference: (JCAHO EC.5.10, EC.5.40)
As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Life Safety and Interim Life Safety Management Manual includes this customizable template, Quarterly Fire Extinguishing System Check Form. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more. Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards. Here is some sample content from Quarterly Fire Extinguishing System Check Form:
| | QUARTERLY FIRE EXTINGUISHING SYSTEM CHECK
Area #
Date
Inspected By
Sprinkler Valves
Open end of the line drain valves
Valves open
Test control and flow valves
Visible inspection of heads
Proper clearance
Damage, paint or dust
Halon
CO2
Dry chemical
Fire control valves
Fire post indicator valves
Fire Hose
Untrack and check for wetness or deterioration
Inspect all hardware for damage or wear
Fire Department Hose Connections
Check valves
Remove cap from hose connection
Check valves
Crack valve, check for leaks, close
Note: Does Not Include Discharge of System
Reference #1035 Life... |
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Note: Does Not Include Discharge of System
Reference #1035 Life... |
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Back to Life Safety and Interim Life Safety Management Manual (Ver 4) |
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