Entries by BKeyes

Compliance One Presents Keyes Life Safety Boot Camp – February 7 & 8, 2019

Understand practical applications of the NFPA 101 Life Safety Code®! Learn from a Life Safety surveyor on what to prepare for during surveys! A 2-day Boot Camp on the comprehensive examination of the NFPA 101 Life Safety Code®, as it applies to healthcare organizations; presented by Keyes Life Safety Compliance, LLC and Compliance One. Date: more »

Offsite Locations

Q: For clinics that are in a facility classified as business occupancy, is an ICRA required? A: For Joint Commission accredited organizations, their hospital standards apply to all offsite locations that are considered hospital departments even if it is not classified as healthcare occupancy. For example, if a hospital has an offsite therapy unit in more »

Smoke Dampers in Corridor Walls?

Q: In regards to suite separations, section 18.2.5.7.1.2 of 2012 LSC requires walls separating suites to meet requirements for corridor walls, which have to be constructed to limit transfer of smoke. There don’t seem to be any requirements for smoke dampers in air transfer openings or duct penetrations through corridor walls – is this correct? more »

Strange Observations – Ceiling Gaps

Continuing in a series of strange things that I have seen while consulting at hospitals… Ceilings that contain smoke detectors and/or sprinkler heads have to resist the passage of smoke. For ceilings that are constructed with acoustical tile and grid assembly, this can be challenging in electrical rooms, or IT rooms where there are a more »

Equivalencies for Exit Enclosures

Q: We have a hospital with a number of exit enclosures. These passageways have a large number of unrelated utilities running above the ceiling. Modification will not only be very expensive, but very difficult. Can we use NFPA 101A FSES equivalencies for alternate compliance? A: Section 7.1.3.2.1 (10)(h) of the 2012 LSC does say “Existing more »

Compliance One Presents Keyes Life Safety Boot Camp – February 7 & 8, 2019

Understand practical applications of the NFPA 101 Life Safety Code®! Learn from a Life Safety surveyor on what to prepare for during surveys! A 2-day Boot Camp on the comprehensive examination of the NFPA 101 Life Safety Code®, as it applies to healthcare organizations; presented by Keyes Life Safety Compliance, LLC and Compliance One. Date: more »

Life Safety Drawings

Q: I just got done with a triennial accreditation survey at one of my facilities and the engineer surveyor requested LSC drawings for all buildings that support patients, not just the in-patient buildings. The support buildings are business occupancy and patients do not sleep in these areas, they only go to these building for program. more »

Season’s Greetings!

 Click on this link for a special Season’s Greetings video from Keyes Life Safety…  http://keyeslifesafety.com/wp-content/uploads/2018/10/Seasons_Greetings.mp4  

Tamper-Proof Screws in Psychiatric Unit

Q: Do all of the screw heads in a psych ward need to be tamper proof? A: There is no specific code or standard that addresses screw heads in a psych unit, but CMS and the accreditation organizations have a standard that requires you to provide a safe environment for your patients and staff. Therefore, more »

Strange Observations – Signs on Fire-Rated Doors

Continuing in a series of strange things that I have seen while consulting at hospitals… Doors to medical gas storage rooms are required to be fire-rated. Fire-rated doors cannot have signs applied that cover more than 5% of the total surface of the door. A sign that does not exceed 5% surface of the fire-rated more »