Manual: Life Safety and Interim Life Safety Management Manual (Ver 4) Department: ENGINEERING External Reference: (JCAHO EC.5.10, EC.5.40)
As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Life Safety and Interim Life Safety Management Manual includes this customizable template, Fire Alarm System Testing and Inspection. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more. MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors. Here is some sample content from Fire Alarm System Testing and Inspection:
| | POLICY:
The fire alarm system will be inspected in accordance with the following procedures and NFPA standards.
PROCEDURES:
Manual Fire Alarm Boxes are Tested at Least Annually:
The work required by this procedure may cause the activation of an alarm. Notify the fire department prior to test.
Examine box for damage and legible box number.
Check external tamper devices.
When practical, remove break glass and follow instructions for activating alarm.
Confirm the proper signal coded or uncoded is transmitted to receiving station Central Control Station, Fire Department, Police Department,... |
| Second excerpt: |
| | ...drain test.
Rate of discharge may exceed capacity of floor drain.
On preaction and deluge valves, the associated fire detection system must also be serviced.
Whenever possible, the operation of the preaction or deluge valves shall be tested by the initiation of the fire detection system using the appropriate simulated fire condition, i.e., heat or smoke.
Preventive maintenance shall be performed on the control valve main supply at this time since its functional purpose can be tested,... |
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