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EOC Documentation

Start with having a management plan for each respective Environment of Care subject.

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Protective Plates on Fire Doors

According to NFPA 80-2010, section 6.4.5, factory-installed protection plates shall be installed in accordance with the listing of the door.

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Automatic Operated Door Unlatched

Section 7.2.1.9.2 of the 2012 LSC does permit what you describe, upon activation of a smoke detector in close proximity to the door.

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Testing & Inspection Frequencies

In an unofficial communication between the Baltimore CMS home office and certain accreditors, CMS has stated they do not want inspections, testing, and maintenance (ITM) activities to go beyond what is required, or what NFPA allows.

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Medical Gases in an ER

You may leave inactive piping for a medical gas system in a building, but if the ER is located in a healthcare occupancy, you cannot have outlets (or inlets) in an exit access corridor.

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Wall Decals

With the adoption of the 2012 Life Safety Code in 2016, changes have been made to allow more combustible decorations on the surface of the walls in healthcare occupancies.

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Smoke Detector Near Door

Section 17.7.5.6.5.1 of NFPA 72-2010 says you need to have smoke detection within 5 feet of the door.

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Fire-Rated Caulk

The color of the caulk does not matter as long as you can show it was installed in accordance with its respective UL listing.

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Smoke Barrier Construction

You may combine a 1-hour smoke barrier with another barrier, such as a 1-hour fire-rated wall for a hazardous room.

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NFPA 99 Risk Assessment

Looking at Chapter 4 of NFPA 90-2012, it says systems in healthcare buildings shall be designed to meet Category 1 through Category 4 requirements of NFPA 99-2012.

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