Missing Ceiling Tiles

Q: Do missing ceiling tiles in a suspended ceiling create a Life Safety Code deficiency in an existing business occupancy? Should section 4.6.12.2 of the 2012 Life Safety Code apply to require the maintenance of broken or missing ceiling tiles in a business occupancy?

A: The complete membrane that the ceiling forms is required if sprinklers or smoke (or heat) detectors are installed in the room or area served by the ceiling. The ceiling acts to trap the heat and smoke and allows the sprinklers or detectors to operate. Otherwise, if a ceiling tile is missing, or has excessive gaps around penetrations, or the ceiling tiles have holes, then heat and smoke can continue up into the interstitial space above and the operation of the sprinklers and/or detectors would be delayed, thus causing an impairment.

If there are no sprinklers or smoke (or heat) detectors in the room or area, then there may not be any Life Safety Code reason for the ceiling system, unless it serves as part of the fire-rated floor/ceiling system, such as UL-G227 or UL-G235. Section 4.6.12.2 would not apply if the ceiling is not serving a purpose of life safety. Now, the suspended grid and tile ceiling may serve an Infection Control purpose, and you would have to maintain it for that reason, but that is not a Life Safety Code purpose.

Yes… this would apply to business occupancies. It is not dependent on any particular occupancy.

Brad Keyes
Brad Keyes, CHSP

Brad is a former advisor to Healthcare Facilities Accreditation Program (HFAP) and former Joint Commission LS surveyor. He guides clients through  organizational assessment; management training; ongoing coaching of task groups; and extensive one-on-one coaching of facility leaders. He analyzes and develops leadership effectiveness and efficiency in work processes, focusing on assessing an organization’s preparedness for a survey, evaluating processes in achieving preparedness, and guiding organizations toward compliance. 

As a presenter at national seminars, regional conferences, and audio conferences, Brad teaches the Keyes Life Safety Boot Camp series to various groups and organizations. He is the author or co-author of many HCPro books, including the best-selling  Analyzing the Hospital Life Safety Survey, now in its 3rd edition. Brad has also authored a variety of articles in numerous publications addressing features of life safety and fire protection, as well as white papers and articles on the Building Maintenance Program. Currently serving as the contributing editor of the monthly HCPro newsletter Healthcare Life Safety Compliance  gives Brad further insight into the industry’s trends and best practices.