Joint Commission Flashcards

1
Q

EC.02.03.05, EP1

A

Annual (Supervisory Signal Devices)

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2
Q

What is a Superisory Signal Device?

A

A device that sends a signal back to the main fire alarm panel

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3
Q

Examples of a Supervisory Signal Device

A

‒ Sprinkler system pressure
‒ Pressure tank
‒ Dry pipe pressure (High & Low)
‒ Steam pressure
‒ Water level
‒ Water temperature
‒ Room temperature
‒ Wired, powered, or controlled by FA panel

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4
Q

EC.02.03.05, EP 2

A

Semi-annual (Water Flow & Valve Tamper Switches)

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5
Q

What is a water flow switch?

A

‒ These devices alarm when the flow of water is detected in the sprinkler system (i.e., possibly a sprinkler head activated)
‒ Vane and pressure type only
‒ Water gongs are included if they are present

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6
Q

What are Tamper Switches

A

‒ Monitor sprinkler zone valves; a signal is sent to main fire alarm panel if attempt to close
‒ Must be tested semi-annually
‒ Some AHJs also require the valve to be locked in the open position

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7
Q

Tamper Switches

A

‒ Monitor sprinkler zone valves; a signal is sent to main fire alarm panel if attempt to close
‒ Must be tested semi-annually
‒ Some AHJs also require the valve to be locked in the open position

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8
Q

EC.02.03.05, EP 3

A

Annual (Detectors and Door Release Devices)

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9
Q

What are Duct Detectors?

A

The hospital tests duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors on the inventory.

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10
Q

EC.02.03.05, EP 4

A

Annual (Fire Alarm Audio/Video Devices, Speakers, and Door Releases)

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11
Q

EC.02.03.05, EP 5

A

Every 12 months, (Off-Site Transmission)
-The hospital tests fire alarm equipment on the inventory for notifying off-site fire responders.
- The results and completion dates are documented.

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12
Q

EC.02.03.05, EP 6

A

Monthly (FIre Pump No Flow), For automatic sprinkler systems:
- The hospital tests electric motor–driven fire pumps monthly and diesel engine–driven fire pumps every week under no-flow conditions.
- The results and completion dates are documented.

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13
Q

Fire Pump Testing (Churn Test) EP6

A

‒ Purpose of test is to verify pump is in operating condition
‒ Water flow is not required
‒ Electric – monthly, 10 min.
‒ Diesel – weekly, 30 min.
‒ Pump System
‒ Pump starting pressure
‒ Suction and discharge pressure gauge readings
‒ Electrical System
‒ Time controller is on first step (for reduced voltage or reduced current
starting)
‒ Amount of time to ramp to full speed
‒ Time pump runs after starting (for automatic stop controllers)

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14
Q

EC.02.03.05, EP 7

A

(Removed July 1, 2022) For automatic sprinkler systems: Every six months, the hospital tests water-storage tank high- and low-water level alarms. The
results and completion dates are documented.

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15
Q

EC.02.03.05, EP 8

A

(Removed July 1, 2022)
For automatic sprinkler systems: Every month during cold weather, the hospital tests water-storage tank temperature alarms. The results and completion dates are documented.

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16
Q

EC.02.03.05, EP 9

A

Annual (Main Drain Test),
- The hospital tests main drains at system low point or at all system risers.
-The results and completion dates are documented.

17
Q

Main Drain Test

A

‒ Conducted to determine a change in the condition of water supply piping or control valves
‒ Will reveal if there has been any deterioration of the water supply by comparing test results to previous test results
‒ Document both static and residual pressures
‒ When there is a 10% or more reduction in flow from previous test, the cause shall be identified and corrected per NFPA 25.

18
Q

EC.02.03.05, EP 10

A

Quarterly (Fire Department Connections), For automatic sprinkler systems: – Every quarter, the hospital inspects all fire department water supply connections.
- The results and completion dates are documented.

19
Q

Fire Department Connections

A

‒ These are connections through which the fire department can pump supplemental water into the building sprinkler system or standpipe system
‒ Visible and Accessible
‒ Caps in place
‒ Must be inspected quarterly

20
Q

EC.02.03.05, EP 11

A

Annual (Fire Pump Under Flow), For automatic sprinkler systems:
- Every 12 months, the hospital tests fire pumps under flow.
-Fire pump supervisory signals for “pump running” and “pump power loss” are tested annually.
-The results and completion dates are documented.

21
Q

Fire Annual Flow Test, EP11

A

‒ Purpose of test is to verify that pump can provide the needed amount of water
‒ Length of pump test time is based upon pump’s rating
‒ Evaluate against previous test and design flow
‒ For installations having an automatic transfer switch , simulate a power failure condition while the pump is operating at peak load
‒ Alarm conditions shall be simulated by activating alarm circuits at alarm sensor locations, and all such local or remote alarm indicating devices (visual and audible) shall be observed for operation
‒ Test results are not less than 95% of either the pressure at rated speed and flow of the initial field acceptance test or the performance on the nameplate
‒ Degradation of more than 5% is investigated and corrected
‒ Test data Volts x Amps is not greater than the rated Volts x rated Amps x permitted motor service (power) factor
‒ Test data voltage is within 5% below and 10% above the rated voltage

22
Q

Pump Room Tour (Part of EP11)

A

‒ Controller in auto
‒ ATS in auto
‒ Make sure all service valves are open and labeled
‒ Record (take a picture) pump data pressure and flow at:
‒ Churn
‒ 100%
‒ 150%
‒ Packing dripping
‒ 1 drop per second
‒ Make sure equipment isaccessible

23
Q

EC.02.03.05, EP 12

A

5 years (Standpipe Water Flow)
- The hospital conducts hydrostatic and water-flow
tests for standpipe systems.
- The results and completion dates
are documented.

24
Q

5-Year Standpipe Test (EP12)

A

‒ Purpose of flow test is to verify the water supply provides design pressure at the required flow
‒ Hydrostatic test required on dry standpipes for two hours
‒ Document gallons per minute flow data

25
Q

EC.02.03.05, EP 13

A

Semi-annual (Kitchen Automatic Extinguishment)
- Every 6 months, the hospital inspects any automatic fireextinguishing
system in a kitchen.
- The results and completion dates are documented.
Note 1: Discharge of the fire-extinguishing systems is not
required.

26
Q

Kitchen Automatic Extinguishment (EP13)

A

‒ Shuts off fuel source automatically
‒ Connected to fire alarm panel
‒ Must be inspected every 6 months
‒ Actual discharge is not required
‒ NFPA 96 -2011:
‒ 10.4.1 Upon activation of any fire-extinguishing system for a
cooking operation, all sources of fuel and electrical power that
produce heat to all equipment requiring protection by that
system shall automatically shut off.

27
Q

EC.02.03.05, EP 14

A

Annual (Gaseous Automatic Extinguishment System)
The hospital tests automatic fire-extinguishing systems as follows:
- Carbon dioxide systems every 12 months
- Halon systems every 6 months
- Other special systems per National Fire Protection Association standards and manufacturers’ recommendations.
- The results and completion dates are documented.

Note 1: Discharge of the fire-extinguishing systems is not required.
Note 2: For full text, refer to NFPA 12-2011: 4.8.3.2 (for carbon dioxide
systems) and NFPA 12A-2009: 6.1 (for halon systems).
Note 3: For full text, refer to NFPA 11-2010; NFPA 16-2011; NFPA 17-2009;
NFPA 17A-2009 for other extinguishing systems.

28
Q

Carbon Dioxide & Other Gaseous Systems (EP14)

A

‒ Must be inspected annually
‒ Actual discharge is not required

29
Q

EC.02.03.05, EP 15

A

Monthly (Portable Fire Extinguishers)
- At least monthly, the hospital inspects portable fire extinguishers.
- The results and completion dates are documented.

Note 1: There are many ways to document the inspections, such as using bar-coding equipment, using check marks on a tag, or using an inventory.
Note 2: Inspections involve a visual check to determine correct type of and clear and unobstructed access to a fire extinguisher, in addition to a check for broken parts and full charge.
Note 3: For additional guidance on inspection of fire extinguishers, see NFPA 10-2010: 7.2.2; 7.2.4.

30
Q

EC.02.03.05, EP 16

A

Annual (Portable Fire Extinguishers)
- Every 12 months, the hospital performs maintenance on portable fire extinguishers, including recharging. Individuals performing annual maintenance on extinguishers are certified.
- The results and completion dates are documented.

Note 1: There are many ways to document the maintenance, such as using bar-coding equipment, using check marks on a tag, or using an inventory.
Note 2: For additional guidance on maintaining fire extinguishers, see NFPA 10-2010: 7.1.2; 7.2.2; 7.2.4; 7.3.1.

31
Q

Portable Fire Extinguishers (EP 15 & EP16)

A

‒ Monthly visual inspection
‒ Accessible
‒ Fully charged
‒ Any parts broken
‒ Correct type
‒ Annual maintenance by a licensed fire protection service
company

32
Q

Portable Fire Extinguisher Inspections

A

‒ Month, day and year of inspection per NFPA 10-2010:
‒ 7.2.4.1 Personnel making inspections shall keep records of all fire extinguishers inspected, including those found to require corrective action
‒ 7.2.4.3 Where at least monthly manual inspections are conducted, the date the manual inspection was performed and the initials of the person performing the inspection shall be recorded
‒ 7.2.4.4 Where manual inspections are conducted, records for manual inspections shall be kept on a tag or label attached to the fire extinguisher, on an inspection checklist maintained on file, or by an electronic method
‒ 7.2.4.5 Records shall be kept to determine that at least the last 12 monthly inspection have been performed