This website provides articles, monographs, and tools to help members understand the new Centers for Medicare & Medicaid Services (CMS) Conditions of Participation now that CMS has adopted the 2012 edition of NFPA 101: Life Safety Code.
This checklist can help health care facilities inspect fire doors to ensure compliance with Joint Commission standard LS.02.01.10.
This sample policy and procedure, a Word document that you can amend for use in your facility, covers the above-the-ceiling permitting to comply with Joint Commission standard LS.02.01.10.
This Word document, which you can customize for use in your facility, is a sample above ceiling permit to help health care facilities comply with Joint Commission standard LS.02.01.10.
This document explains how to create a complete inventory and comply with Joint Commission standard EC.02.03.05.
This document provides a checklist for hospitals to document the inspection, testing, and maintenance of fire safety equipment and fire safety building systems under Joint Commission standard EC.02.03.05.
This document for ambulatory facilities can be used to document inspection, testing, and maintenance of fire safety equipment and fire safety building systems under Joint Commission standard EC.02.03.05.
This sample policy and procedure, a Word document you can download and amend to use in your facility, covers medical gas cylinder storage in patient care areas.
This excel tool can be used to help prevent obstructions in the means of egress and comply with LS.02.01.20.
This document provides instructions on how to use ASHE's Adopt-a-Floor work order tool.
This Excel tool provides a checklist for environmental tours, including items related to fire safety, safety management, utilities, infection control, hazardous material, security, medical equipment, emergency management, and staff knowledge.
This Excel tool provides a handy checklist of life safety standards and the frequency with which they must be checked.
This downloadable Word document is a sample monthly log for maintaining special ventilation rooms.
This downloadable Word document is a sample pressure relationship policy you can customize to fit the needs of your facility.
This downloadable Word document is a sample policy for labeling electrical panels and utilities for shut downs.
This downloadable Word document is a policy on maintaining utility system drawings and documents to aid in the shutdown process during emergencies.
This downloadable inspection log can help your facility maintain battery powered lights for use in emergencies.
This tool can be used to help execute a Fire Safety Evaluation System (FSES) submission under NFPA 101A methodology.
ASHE members can use this downloadable template to help document waivers offered by the Centers for Medicare & Medicaid Services (CMS) a facility chooses to use. The document can be tailored to the needs of each facility.
This document highlights the differences between relocatable power taps (RPTs), or power strips, with special purpose RPTs (SPRPTs).
This document compares relocatable power tap (RPT) waiver requirements from the Centers for Medicare & Medicaid Services (CMS) with previous guidance from the National Fire Protection Association Health Care Interpretations Task Force and ASHE.
This sample power strip policy document created by ASHE can be adjusted to fit your facility’s needs. It discusses the use of relocatable power taps (RPTs).
This document is a comprehensive list of categorical waivers offered by CMS. It also includes instructions on using the waivers.
ASHE developed this risk assessment tool to help health care facility professionals comply with the risk-based, patient-focused approach required by NFPA 99: Health Care Facilities Codes... read more
This tool was developed by ASHE member James Kari, who began with the HVA tool originally published by Kaiser and made widely available. Kari adapted... read more
This improved version of the hazard vulnerability assessment (HVA) that many health care institutions are currently using is intended to help health care facility... read more
This CMS fire safety survey form is used to rate a resident on risk factors during a fire. Rate the resident for each risk factor in the checklist.
CMS worksheet for use with NFPA 101-2000: Life Safety Code. COMPLETE THIS WORKSHEET FOR EACH FIRE/SMOKE ZONE. WHERE CONDITIONS ARE THE SAME IN SEVERAL ZONES, ONE WORKSHEET CAN BE USED FOR THOSE ZONES.
Tools for emergency preparedness in health care facilities: hazard vulnerability analysis tools, disaster recovery checklist, emergency readiness assessment tools, medical-surgical supply formulary for disaster planning
Facility management tools provided by ASHE
This CMS checklist based on the 2000 edition of NFPA 101: Life Safety Code is used to record the results of a fire and life safety survey of an ambulatory surgery center. At the end is a waiver recommendation page.
The provided PowerPoint template can be used to create manual or electronic documentation for sprinkler system information, including valve locations and functions and areas served.... read more
This CMS checklist based on the 2000 edition of NFPA 101: Life Safety Code is used to record the results of a fire and life safety survey of a health care facility. At the end is a waiver recommendation page.
SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY SHOULD BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)