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Taylor Hatten 6/14/21 Taylor Hatten 6/14/21

Batteries Removed from EXIT Signs

That seems to be a surveyor’s preference and would violate the manufacturer’s recommendations.

Taylor Hatten 6/11/21 Taylor Hatten 6/11/21

Door Wedges

Section 19.3.6.3.10 of the 2012 Life Safety Code says corridor doors shall not be held open by devices other than those that release when the door is pushed or pulled.

Taylor Hatten 6/9/21 Taylor Hatten 6/9/21

Sprinklers in a Covered Walkway

There is a code that addresses sprinklers underneath canopies, which is NFPA 13-2010.

Taylor Hatten 6/8/21 Taylor Hatten 6/8/21

MRI Trailer

Take a look at section 19.1.3.4.2 of the 2012 Life Safety Code.

Taylor Hatten 6/7/21 Taylor Hatten 6/7/21

Oxygen Cylinder Storage

The requirement for the room that stores compressed medical gas cylinders comes from NFPA 99-2012, section 11.3.2 for quantities between 300 and 3,000 cubic feet of gas, and section 11.3.1 for quantities over 3,000 cubic feet of gas.

Taylor Hatten 6/4/21 Taylor Hatten 6/4/21

Smoke Alarms in Sleeping Rooms

If you are a hospital, then there is no requirement to have smoke detectors (or smoke alarms) in patient sleeping rooms.

Taylor Hatten 6/3/21 Taylor Hatten 6/3/21

1135 Waivers

The use of the 1135 waivers is dependent upon the healthcare occupancy declaring an emergency and invoking the 1135 waiver (in writing).

Taylor Hatten 6/2/21 Taylor Hatten 6/2/21

Fire Extinguisher Placement

Fire extinguishers shall be conspicuously located where they are readily accessible and immediately available in the event of fire.

Taylor Hatten 5/31/21 Taylor Hatten 5/31/21

Fire Damper Testing

Dampers must be documented that they closed properly upon installation, then 1 year after installation, then every 6 years thereafter for a hospital (every 4 years thereafter for non-hospitals).

Taylor Hatten 5/28/21 Taylor Hatten 5/28/21

Corrective Maintenance Work

The expectation is the organization will take appropriate and immediate action to resolve all deficiencies, and when they cannot be resolved the same day they are discovered then an ILSM assessment must be conducted.

Taylor Hatten 5/26/21 Taylor Hatten 5/26/21

PT Activity in Stairwells

You cannot use an exit enclosure (i.e. stairwell) for any purpose that has the potential to interfere with its use as an exit.

Taylor Hatten 5/24/21 Taylor Hatten 5/24/21

Red Bag Waste Containers

Federal OSHA BBP standard requires a biohazard label on all containers for biohazard waste.

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