YES NO N/A PLAN OF CORRECTIVE ACTION - RESPONSE

cc: / Nashville (e-mail)
Director of Schools (e-mail)
Principal (e-mail)
/

STATE OF TENNESSEE

DEPARTMENT OF COMMERCE AND INSURANCE

Division of Fire Prevention
Codes Enforcement Section
500 James Robertson Parkway
3rd Floor, Davy Crockett Tower

Nashville, TN. 37243-1162

615-741-7190 Fax 615-253-3267 /

ANNUAL SCHOOL SAFETY SURVEY REPORT

2003 Edition of NFPA 101 Life Safety Code, Chapter 15
July 1, 2007 – June 30, 2008
TFM
/ 11857 / Public / Private
Date / November 26, 2007 /
Deputy State Fire Marshal
/
School / Pikeville Elementary School /
Previously
/ Same
Street Address / Route 6 Box 3 /
Telephone
/
423-447-2914
/
ZIP Code
/ 37367
City / Pikeville /
County
/ Bledsoe
Principal / Mr. James R. Ellis /
e-mail Address
/
Director of Schools / Mr. Clettis McDaniel /
e-mail Address
/ N/A
Date Facility Built / 2003 / Dates of Additions/Renovations / N/A
BUILDING CONSTRUCTION / Type I / Type II / Type III / Type IV / Type V / Type VI / Mixed Type
NUMBER OF STORIES EXCLUDING NON-OCCUPIED BASEMENT / 1
SPRINKLERED PER NFPA 13 / Yes / No / Partially
On the above date an annual safety survey was conducted at this facility. The following deficiencies, as shown by “NO” responses are noted by
classification according to their severity. The classifications are listed in parentheses prior to each deficiency.
(A) Requires immediate corrective action.
(B) Requires corrective action within 120 days.
(C) Requires corrective action within one (1) year.
Provide a Plan of Corrective Action (POCA) within 60 days of receipt of this report, showing how and when each noted deficiency will be corrected.
Send POCAs to: George Smith, Deputy State Fire Marshal, Tennessee State Fire Marshal’s Office, 500 James Robertson Pkwy,
3rd Floor, Davy Crockett Bldg, Nashville, TN 37243-1162
MEANS OF EGRESS
1. / (A) / Are all exit doors arranged to be opened readily from the egress side whenever the building is occupied?
[LSC 101 15.2 and 7.2.1.5.1]
2. / (A) / Are all locks/latches on exit doors of the approved type? [LCS 101 15.2 and 7.2.1.5.2]
3. / (A) / Are exit access and exit doors free and clear of any obstructions? [LSC 101 15.2 and 7.5.2.2]
4. / (A) / Is exit access and exit doors designed and arranged to be clearly recognizable? [LSC 101 15.2 and 7.5.2.2]
5. / (A) / Panic or fire exit hardware installed and operable on all exit doors subject to use by 100 or more persons.
[LSC 101 15.2.2.2.2]
6. / (A) / Are all spaces normally occupied by pre-school, kindergarten, or first grade students located on the level of exit discharge? [LSC 101 15.2.1.2]
7. / (A) / Are all spaces, normally occupied by second grade students located not more than one story above the level of exit discharge? [LSC 101 15.2.1.3]
8. / (A) / Does every student occupied area greater than 250 sq. ft. have at least one (1) escape window (proper dimension), or door directly to the outside? (N/A if sprinklered) [LSC 101 15.2.11.1]
9. / (A) / Are corridors free and clear of any storage?
[LSC 101 15.2.3.2]
10. / (B) / Do corridor doors have positive latching (N/A if sprinklered or doors to outside)?
[LSC 101 15.3.6 and 7.1.3.2.1]
11. / (B) / Are all required exits properly marked and operational with approved exit signs? [LSC 101 15.2.10]
12. / (B) / Emergency lighting provided in the following areas? [LSC 101 15.2.9]
a. / Interior stairs and corridors?
b. / Assembly spaces?
c. / Flexible and open plan buildings?
d. / Interior or windowless portions?
e. / Shops and laboratories?
f. / Does emergency lighting function properly? No Documentation Available for Monthly Test.[Same As 2006 Report]
DETECTION, ALARM, AND COMMUNICATION SYSTEMS
13. / (A) / Does facility have an approved fire alarm system?
[LSC 101 15.3.4.1]
a. / Is system operable?
b. / If NO, is a documented fire watch in place?
c. / Fire department notification (N/A if not sprinklered)?
d. / Has fire alarm been properly maintained?
e. / Is fire alarm panel located in supervised area?
f. / Is annunciator panel protected with smoke detection?
g. / Has fire alarm been serviced within the last 12 months?
h. / Are all smoke/fire doors provided with smoke detection devices within five feet?
FIRE PROTECTION SYSTEMS
14. / (A) / Is sprinkler system operational? [NFPA 13]
15. / (A) / Are storage and other objects over 18 inches from sprinkler deflector? [NFPA 13 8.5.6.1] Several storage area's Over limit.
16. / (A) / Are all control valves protected by tamper alarms (or locked open in pit)? [NFPA 13]
17. / (B) / Is sprinkler system properly maintained?
[NFPA 25 Table 5-1]
18. / (B) / Has sprinkler system been serviced in the past twelve months? [NFPA 25 Table 5-1]
19. / (B) / Is fire alarm monitored?
[NFPA 101 15.3.4.1 and 9.6 and NFPA 72]
20. / (C) / Is an NFPA 96 approved commercial kitchen equipment hood and duct system installed?
[LSC 101 15.5.2.1 and 9.2 and NFPA 96]
a. / Adequate suppression coverage?
b. / Interconnected to fire alarm system?
c. / System properly maintained (serviced every six months)?
d. / Proper energy shutdowns operational?
BUILDING SERVICES
21. / (A) / Facility free from unvented fuel-fired heating equipment? [LSC 101 15.5.2.2]
22. / (A) / Is facility free from improper storage of combustible or flammable liquids? [NFPA 30]
23. / (A) / Are combustible or flammable liquids located in proper storage areas or containers? [NFPA 30]
24. / (A) / Are required fire drills documented?
[TCA 68-120-137]
25 / (A) / Artwork and teaching material does not exceed 20% of the wall area? (50% Sprinkled) [LSC 101 15.7.4.3(1)]
26. / (B) / Draperies, curtains and other similar furnishings and decorations in compliance with LSC 101 10.3.1?
[LSC 101 15.7.4.1]
27. / (C) / Are corridors properly rated? (LSC 101 15.3.6)
28. / (C) / Are hazardous areas properly rated?
(LSC 101 15.3.2)
OBSERVATIONS
29. / Is the facility handicapped accessible? (The State Fire Marshal’s Office does not enforce the Federal Americans With Disabilities Act – only State law.) [TCA 68-18-201] (Applies to Public Schools built or renovated after July 1, 1970.)
MISCELLANEOUS FINDINGS
30. / A
C / 4th-5th Hall doors-Magnetic Hold Device Damaged.
Cafeteria Entrance door-Door Closing Device Needs Adjusted.

DOE PROGRAM(s) INCLUDED IN THIS INSPECTION PRESCHOOL SCHOOL AGE

31. / Is this program recommended for approval?
32. / If there is more than one DOE program at this facility are all programs recommended for approval?

AN EXIT INTERVIEW WAS CONDUCTED WITH A REPRESENTATIVE Of THIS FACILITY ON THIS DATE.

THE REPRESENTATIVE INDICATED THERE WERE NO QUESTIONS IN REFERENCE TO THIS REPORT.

5 11/26/2007