Life Safety and Interim Life Safety Management Manual

Life Safety and Interim Life Safety Management Manual

About this Manual

Life Safety and Interim Life Safety Management Manual is a manual containing many of our policy and procedure templates for the medical office, hospital, and other healthcare organizations. The policies cover: Joint Commission (JCAHO or TJC) • CMS • HIPAA • CDC • AAAHC and more.
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ChangesTable of Contents - TJC StandardsTable of Contents - NIAHO StandardsCopyrightDisclaimerApproval/Signature SheetIntroduction
SECTION 01
1001 - Life Safety Management Plan1002 - Life Safety Summaries1003 - Sample Fire Safety Organizational Chart1004 - Fire Safety Chain of Command - Key Personnel1005 - Fire Safety - Responsibilities of Department Managers and Supervisors1006 - Fire Safety - Staff Responsibilities for General Fire Prevention1007 - Evacuation1008 - Fire Safety - Hazards1009 - Alcohol-Based Hand Rub (ABHR) - Gel (Placement and Permissible Volumes)1010 - Materials or Equipment Purchases1011 - Fire Safety - Smoking Policy1012 - FDA Safety Tips for Clinical Staff for the Prevention of Fires Caused by Hospital Beds1013 - FDA Safety Tips for Equipment Maintenance Staff (Plant Services/ Biomedical Equipment) for the Prevention of Fires Caused by Hospital Beds1013A - Corridor Wall Mounted Technologies and Other Items1014 - Types of Fire Extinguishers1015 - Use of a Fire Extinguisher1016 - Fire Safety - General Instructions1017 - Fire Safety - Business Office1018 - Fire Safety - Cardiopulmonary Department, Cardiac Rehab and Cardiology1019 - Fire Safety - Central Service1020 - Fire Safety - Clinical Laboratory Services1021 - Fire Safety - Emergency Department1022 - Fire Safety - Engineering Department1023 - Fire Safety - Environmental Services1024 - Fire Safety - Imaging Services1025 - Fire Safety - Materials Management1026 - Fire Safety - Health Information Management1027 - Fire Safety - Nursing Department/Service1028 - Fire Safety - Nutritional Services1029 - Fire Safety - Obstetrics, Delivery Rooms and Nursery1030 - Fire Safety - Pharmacy Department1031 - Fire Safety - Physical Therapy Services1032 - Fire Safety - Special Care Units1033 - Fire Safety - Anesthetizing Locations1034 - Fire Safety in an Oxygen Rich Environment - Operating Room1035 - Operating Room Risk Assessment and Preventive Measures Checklist1036 - Fire Safety - Switchboard1037 - Fire Safety - Volunteers, Students, Non-Staff Personnel1038 - Fire Drill Policy1039 - Fire Drill Evaluation Form1040 - Summary of Fire Drills1041 - Fire Protection Systems - Inspecting, Testing and Maintaining Guidelines1042 - Fire Alarm System Testing and Inspection1043 - Fire Alarm System Check Form1044 - Smoke Detector - Inspection Procedures1045 - Smoke Detector Test Form1046 - Location of Fire Safety Smoke Detectors1047 - Fire Alarm Pull Station Test1048 - Pull Station Test Form1049 - Fire Alarm System - Monitoring and Testing1050 - Fire Alarm Monitor Test Form1051 - Fire Door Inspection1052 - Fire Door Inspection Form1053 - Door Latch Inspection Form1054 - Fire Extinguishing System Check Form1055 - Sprinkler Drop Test1056 - Sprinkler Drop Test Form1057 - Fire Control Valves1058 - Fire Sprinkler System Repair1059 - Fire Hydrant Inspection1060 - Fire Extinguisher Check1061 - Fire Extinguisher Log1062 - Fire and Smoke Dampers Inspection1063 - Testing of Main Drains1064 - Testing of Fire Pumps1065 - Emergency Lighting and Power - Annual Inspections1066 - Evaluation Form - Emergency Lighting and Power Systems1067 - Testing of Emergency Generators1068 - Emergency Power Supply System and Stored Emergency Power Supply Systems1069 - Piped Medical Gas System Testing1070 - Safety/EOC Committee - Life Safety - PI Monitoring and Evaluation Plan1071 - Safety/EOC Committee - Life Safety - PI Trending Sheet1072 - Safety/EOC Committee - Life Safety - PI Outcome Evaluation1073 - Safety/EOC Committee - Life Safety - PI Volume Measures/Statistics1074 - Annual Evaluation of the Effectiveness of the Life Safety/Fire Safety Program1075 - Life Safety Code Compliance1076 - Interim Life Safety Measures (ILSMs)1077 - Risk Assessment Program1078 - Risk Assessment - Hazard Analysis Worksheet for Construction/ Renovation1079 - Life Safety - New Construction1080 - Life Safety - Construction Suitability1081 - Building and Fire Protection Features1082 - Corridor Door Gaps1083 - Maintaining the Means of Egress1084 - Required Fire Protection of Hazardous Areas Form1085 - Provision and Maintenance of Building Features1086 - Transmission of Fire Alarms1086A - Antifreeze in Sprinkler Systems1087 - Automatic Sprinkler Systems - General Inspection Form1088 - Sprinkler Heads1089 - Limited Area Sprinkler Systems1090 - Location of Fire Extinguishers1091 - Fire Extinguishers - Kitchen1092 - Kitchen Hood Automatic Fire Extinguishing System1093 - Special Building Features1094 - Fireplaces1095 - New Elevators1096 - Linen and Waste Chutes - General Inspection Form1097 - Holiday Decorations1098 - Linen and Trash Receptacles1099 - Portable Space Heaters1100 - Building and Fire Protection Features (Anesthesia and Outpatient Services)1101 - Maintaining Means of Egress (Anesthesia and Outpatient Services)1102 - Retractable Computer Desks (Anesthesia and Outpatient Services)1103 - Maintaining Building Features - Protection from the Hazard of Fire and Smoke (Anesthesia and Outpatient Services)1104 - Fire Alarm System (Anesthesia and Outpatient Services)1105 - Automatic Sprinkler Systems (Anesthesia and Outpatient Services) - General Inspection Form1106 - Limited Area Sprinkler Systems (Anesthesia and Outpatient Services)1107 - Location of Fire Extinguishers (Anesthesia and Outpatient Services)1108 - Special Building Features (Anesthesia and Outpatient Services)1109 - New Elevators (Anesthesia and Outpatient Services)1110 - Portable Space Heaters (Anesthesia and Outpatient Services)1111 - Heating Appliances (Anesthesia and Outpatient Services)