CMS FORM 2786U
FIRE SAFETY SURVEY REPORT – AMBULATORY SURGICAL CENTERS (ASC) & END-STAGE RENAL DISEASE (ESRD)
Page 1
Added additional name “ESRD” to form name
Page 1
Added “Number of Stations in ESRD”
Page 2
Tag K-32 Added reference 7.5.1.4
Page 4
Tag K-29 Added “Chemical Storage Room” to chart
Page 6
Tag K-106 Added “Required emergency shall be tested and maintained in accordance with NFPA 110, Standard for Emergency and Standby power supplies”.
Page 8
Tag K-117 Deleted “Required emergency generators shall be tested and maintain in accordance with NFPA 110, Standard for Emergency and Standby Power Suppliers”. Added 20.5.1, 21.5.1, 9.1 and Added “see also “K147”.
Page 9
Tag K-75 Deleted existing language and replace with:
“Soiled linen or trash collection receptacles shall not exceed 32 gal (121 L) in capacity. The average density of container capacity in a room or space shall not exceed 0.5 gal/ft² (20.4 L/m²). A capacity of 32 gal (121 L) shall not be exceeded with any 64-ft²(5.9m²) area. Mobile soiled linen or trash collection receptacles with capacities greater than 32 gal (121 L) shall be located in a room protected as a hazardous area when not attended.” 20.7.5.3, 21.7.5.3
Page 11
Crucial Data Extract Form Added “ESRD”
| File Type | application/msword |
| File Title | CMS FORM 2786U |
| Author | CMS |
| Last Modified By | ht80 |
| File Modified | 2009-02-25 |
| File Created | 2009-02-25 |