Maintaining Compliance with NFPA 101-1997 and the Joint Commission's Statement of Conditions™ -- A Building Maintenance Program Approach
Date: Winter 1998
Prepared by:
George Mills, SASHE,
Director, Engineering &
Compliance, ASHE
Douglas Erickson, FASHE,
Codes & Standards,
Consultant, ASHE
John Fishbeck, RA,
Associate Director,
JCAHO
Summary
Maintaining high-quality healthcare facilities is an ongoing endeavor
that needs to be addressed in a management process, including the area
of fire safety in the physical environment. The Joint Commission’s
Environment of Care Standards™ (EC.1.7) already requires a life safety
management plan. This technical document presents an approach for
implementing a maintenance program for Life Safety Code® (LSC)
compliance as a natural extension of this existing standard.
Organizations may develop a building maintenance program for the
physical environment similar to those programs for major components
needing review; establishing frequencies of inspection, testing and
adjustment; collecting historical data; and evaluating the data and
making any changes to the program based on the data collection. Next,
adjustments to the Building Maintenance Program and annual review for
effectiveness would occur, ensuring compliance with the NFPA’s 101-
1997, Life Safety Code®.
Click here for a PDF of the entire document.