Focus: Fire-Life Safety / Column


Regulations, Codes & Standards Q&A: Documentation of life safety assessment

By Brad Keyes / Special to Healthcare Facilities Today
March 11, 2020

Q: Do you have any suggestions for satisfying the accreditation documentation requirements to prove we conducted a building assessment for compliance with the Life Safety Code? I had thought about an FSES but realized I may be barking up the wrong tree.

A: Yes… you are barking up the wrong tree. Do NOT use an FSES worksheet as evidence of a building assessment to determine compliance with the Life Safety Code. 

In the past, some hospitals utilize the old Part 3 Life Safety Assessment from the Statement of Conditions which is no longer a requirement to be completed. But it can act as a guide in what to look for when conducting a building assessment. Or, you can contract with a consultant to provide a mock survey which is an assessment to determine compliance with the Life Safety Code. 

Ask your accreditation organization for a document assessment tool that they would recommend.

Brad Keyes, CHSP, is the owner of KEYES Life Safety Compliance, and his expertise is in the management of the Life Safety Program, including the Environment of Care and Emergency Management programs.

See the latest posts on our homepage


Share

Topic Area: Regulations, Codes & Standards


Recent Posts
Recent Posts

Penn Medicine’s New Pavilion Focuses on HVAC Efficiency and Sustainability


New 1.5 million-square-foot Philadelphia hospital set to open in fall of 2021

6/16/2021

Groups To Foster Sustainability in Safety-Net Hospitals


Topics to include strategic energy management planning, new technologies and innovative funding mechanisms

6/16/2021

New Hospital’s Design Process Embraces Real Life


Architects, nurses and physicians collaborate to refine design of critical rooms at Cedars-Sinai Marina del Rey Hospital

6/16/2021

Prevent Infections Rather Than Have To Cure Them


Hospitals need to give greater attention and budget to preventing healthcare acquired infections

6/15/2021

Hospital’s Construction Delayed Over COVID-19


Plans for new $240 million facility have been delayed again

6/15/2021





Post Comment




FREE
NEWSLETTER

News & Updates • Webcast Alerts • Building Technologies

All fields are required.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.