Cms Fire Door Inspection Checklist

Full compliance with the annual fire door assembly inspection and testing in accordance with 2010 nfpa 80 is required by january 1 2018.

Cms fire door inspection checklist.

Nfpa 80 inspection testing and maintenance requirements for swinging fire doors 2016 on site training. If the inspection indicates problems that may create a fire hazard hospitals are required to resolve the issue. Under the prior cms standard it took eight hours to conduct a visual and physical inspection of the doors and barriers says kaiser. Proper inspection and maintenance of fire doors is key to ensuring the reliability of life safety barriers.

Check door leaf and frames for fire door labels. Life safety code lsc deficiencies associated with the annual inspection and testing of fire doors should be cited under k211 means of egress general. 2018 as the date for full compliance with the annual fire door assembly inspection and testing. 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. Officials with cms had taken the position that the new requirement applies to healthcare occupancies. Upon inspection these doors often don t meet nfpa 80 standard requirements. 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.

That position however was met with pushback. 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. 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. 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.