The Joint Commission and HFAP Start Surveying to The 2012 Life Safety Code®

As of November 1, CMS, The Joint Commission, and HFAP will be surveying hospitals to the 2012 Life Safety Code® (LSC). The LSC was adopted by CMS in June, with some of the big changes required under the final rule including:

  • Facilities located in buildings taller than 75 feet are required to install automatic sprinkler systems within 12 years after the rule’s effective date.
  • Facilities are required to have a fire watch or building evacuation if their sprinkler systems is out of service for more than 10 hours.
  • Greater flexibility for long-term care (LTC) facilities in what they can place in corridors. LTC facilities will be able to include more home-like items such as fixed seating in the corridor for resting and certain decorations in patient rooms.
  • Fireplaces will be permitted in smoke compartments without a one-hour fire wall rating, which makes a facility more home-like for residents.
  • For ambulatory surgical centers, alcohol-based hand rub dispensers now may be placed in corridors to allow for easier access.
  • Fire watches must be continuous, “constantly circulating” through impaired
  • All side-hinged swinging fire doors must be tested annually.
  • Once every five years, an internal inspection of sprinkler pipe is required.
  • Fire hose valves must be inspected quarterly and tested annually/every three years, depending on size.
  • 1-hour fire-rated barriers are required between non-sprinklered construction areas and occupied egress areas.

Visit the Federal Register to see the full list of changes.

Click here to learn more about the updated standards and policies The Joint Commission and HFAP have made.