Life safety drawings are an important piece of the Joint Commission—as well as other accrediting organizations such as the Accreditation Association for Ambulatory Health Care (AAAHC), DVN GL, and Healthcare Facilities Accreditation Program (HFAP)—survey which determines a facility’s compliance with the Life Safety Code NFPA 101. It is important that the drawings clearly and accurate depict any changes to the facility (i.e., additions, department changes, renovations, etc.) and identify suite boundaries, hazard areas (per NFPA), smoke barriers and compartments, linen trash chutes, and all rated barriers.
“Accurate and complete life safety floor plans are required to be available at the time of any survey conducted by The Joint Commission in order for the organization’s facilities to be effectively evaluated. The concept is to have a comprehensive document that consolidates all construction phases of the facility over its history, to allow for LSC compliance through maintenance strategies, identification of deficiencies, inspection and training.” —The Joint Commission (a non-profit organization that ensures that all required safety measures of health care facilities are met)
The advantages of accurate LS drawings include a possible reduction of fire dampers requiring inspections, barrier management, and fire door testing/repairs thus saving your facility time and money. Inaccurate or out-of-date drawings, however, may result in a survey finding under LS.01.01.01 statement of conditions and cause unnecessary work, result in an unsafe facility, or cause a failure to maintain required elements all of which could result in fines and fees in addition to addressing the findings.
Are you prepared for your next survey? Do you have findings from a recent survey that need to be addressed? Give Curt Penny a call or drop him an email to find out how we can help.
Some of our life safety projects include: