Cms Fire Door Inspection Checklist
If the inspection indicates problems that may create a fire hazard hospitals are required to resolve the issue.
Cms fire door inspection checklist. Proper inspection and maintenance of fire doors is key to ensuring the reliability of life safety barriers. E fire door assembly inspection checklist beginning with the 2007 edition and continuing with subsequent editions nfpa 80 standard for fire doors and other opening protectives section 5 2 inspection and testing requires all fire door assemblies to be inspected not less than annually. This page provides basic information about medicare and or medicaid provider compliance with national fire protection association nfpa 101 life safety code lsc and nfpa 99 health care facilities code hcfc requirements and includes links to applicable laws regulations and compliance information. Fire door inspection resources ashe is developing resources to help members comply with new conditions of participation from the centers for medicare medicaid services cms which requires routine inspections of fire doors performed by qualified persons.
Life safety code lsc deficiencies associated with the annual inspection and testing of fire doors should be cited under k211 means of egress general. Within the national fire protection association s nfpa 2012 life safety code lsc which cms adopted last year there is a requirement that fire doors and smoke barrier doors be tested annually. Standards and handbooks nfpa80 standard for fire doors and other opening protectives 2010 edition nfpa80 standard for fire doors and other opening protectives handbook cms health care life safety and fire protection codes set includes. Upon inspection these doors often don t meet nfpa 80 standard requirements.
Nfpa 80 inspection testing and maintenance requirements for swinging fire doors 2016 on site training. Officials with cms had taken the position that the new requirement applies to healthcare occupancies. Nfpa 80 2016 balancing safety and security with fire doors dampers and door locking. Full compliance with the annual fire door assembly inspection and testing in accordance with 2010 nfpa 80 is required by january 1 2018.
2018 as the date for full compliance with the annual fire door assembly inspection and testing. Nfpa can provide an expert instructor along with a customized training program at your facility for the 2012 editions of nfpa 101 and nfpa 99. Image courtesy of ashe approximately one year after the implementation of centers for medicare medicaid services cms requirements for annual door inspections in health care facilities an interesting phenomenon has developed. Based on recommendations from the door security safety foundation and many years of bringing buildings back into compliance here are 14 tips to help get fire doors within code compliance before an annual inspection.