Life Safety Code

Life Safety Code

Life Safety Code review is based on meeting the requirements applicable to the National Fire Protection Association (NFPA) codes and standards. This includes Building Safety, Emergency Equipment, Doors to hazardous areas and Safety from fire.

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Life Safety Code
  • Emergency Lights Testing Requirement

    The ASC must perform a functional test of battery powered lights. Test must be documented. Battery powered "Emergency Lights" are tested on a monthly basis for 30 seconds and annually for 1 1/2 hours.

  • Door Stoppers Keep All Doors In The ASC Closed

    You must remove all door stoppers. You must keep all doors closed.

  • Keep Corridors Clear Of Clutter

    Ensure that all corridors are clear of clutter, i.e. boxes, equipment and any other items that will obstruct exit routes.

  • Fuel Power Generator Annunciator Panel

    You must have an annunciator panel in order to monitor your fuel powered generator. A remote annunciator is provided away from the generator set location at a position readily observed by ASC personnel at a regular workstation. The annunciator monitors and indicates alarm conditions of the emer...

  • GFCI At Wet Locations

    GFCI receptacles are within 6 feet of every wet location. In the ASC setting they are in Operating Rooms, Clean and Soiled rooms, Janitors closet, Bathroom and any other area where there is a sink within 6 feet. In operating rooms if you are performing what is considered a wet procedure you mus...

  • Medical Gas Closet Storage Area

    Medical Gas is installed according to NFPA 99.

  • Testing Of The Emergency Power System UPS System

    Ensure that you have the 2 copies of the manufacturers instructions at the site of the UPS. Test the UPS according to manufacturers instructions and test to the requirements of the accrediting organization.

  • Receptacle Outlet Testing

    The continuity of the grounding circuit for each receptacle is verified. The correct polarity of hot and neutral connections for each receptacle is verified. The retention force of the grounding blade of each receptacle is tested and verified. Test GFCI receptacle for sensitivity.

  • Entry and Exit

    Not less than 2 exits are provided and are remotely located for each fire section or patient care area of the building and are accessible from each smoke compartment.

  • Emergency Power Storage Area Needs Fire Extinguisher and Emergency Light

    You must have installed at your emergency power source a Fire Extinguisher and a Emergency Light regardless if you have a fuel powered generator or UPS.

  • RestRoom Pull Cord Nurse Call Button Bathroom

    Emergency pull cord must be easily accessible to patients and will be fully functional.

  • Make Sure All Equipment Is Functioning

    Each day it is important to check all of you patient care equipment. This is mandatory. During the inspection process a surveyor will turn on equipment to ensure that it is functioning.

  • Warming Cabinet

    You must ensure that you are storing supplies and products accordingly to written manufacturers storage instructions. Document daily the temperature of the warming cabinet. Forced air warmers are used to maintain the patients temperature.

  • Bair Hugger

    This patient warming system is used to keep patients warm before, during and after surgery.

  • Discharge Exit

    You must exit out of (discharge) a different door then you entered into the facility.

  • Type 1 Essential Electrical System

    ASCs are to comply with the National Fire Protection Life Safety Code 2000 edition. This edition references the National Fire Protection Association Standard for Health Care Facilities which require emergency power to be provided for a Type I Essential Electrical System in all locations using ge...

  • The ASC is a complete and separate entity

    The ASC is a "distinct" entity which is wholly separate and clearly distinguishable from any other healthcare facility or office based physician practice.