Compliance Tips

Every week, ASHE will publish a new health care facility compliance tip. The tips are shared in randomized order– be sure to collect them all!
Have a compliance tip you want to share?
We’d love to hear from you. Contact Chad Beebe at cbeebe@aha.org.
6.1.3.8.1 Fire extinguishers having a gross weight not exceeding 40 lb (18.14 kg) shall be installed so that the top of the fire extinguisher is not more than 5 ft (1.53 m) above the floor #ASHEComplianceTi
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NFPA 99-2012; 6.3.4.1.3 Electrical receptacles that are not hospital grade in patient bed locations and locations where general anesthesia is performed must be tested at intervals not exceeding twelve months. #ASHEComplianceTip
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7.2.4.5 Records shall be kept to demonstrate that at least the last 12 monthly inspections have been performed. #ASHEComplianceTip
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NFPA 70-2011: 408.4 (A) Every electrical circuit must be identified as to its clear, evident, and specific purpose or use. For panelboards, a circuit directory is located on the face or inside of the panel door, and for switchboards, each switch or circuit breaker is identified. #ASHEComplianceTi
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NFPA 101 – 2012  Healthcare Occupancies 18/19.3.2.1, Ambulatory Healthcare Occupancies 20/21.3.2.1, Business Occupancies 38/39.3.2.1 Most storage areas in a health care occupancy are classified as hazardous areas. Be sure that hazardous areas meet the requirements for the occupancy type. #ASHEComplianceTip
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Protection of penetrations through fire-rated barriers must be protected by a fire-stop system or device that is tested for that particular application. #ASHEComplianceTip
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6.2.9.6* One sprinkler wrench as specified by the sprinkler manufacturer shall be provided in the cabinet for each type of sprinkler installed to be used for the removal and installation of sprinklers in the system. #ASHEComplianceTip
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If your kitchen is equipped with an automatic fire protection system be sure your staff is trained to activate the system before using the Type K fire extinguisher.  #ASHEComplianceTip
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A minimum of six spare sprinklers corresponding to the types and temperature ratings installed in the building are required to be kept on site, stored in a cabinet where the temperature will not exceed 100 degrees F. A wrench for each type of sprinkler is also kept on site. The requirements for the minimum number of spare sprinklers increase with system size. #ASHEComplianceTip
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When an emergency oxygen connection is required on the outside of the building, such as where the bulk cryogenic liquid central supply system is outside of and remote from the building, the emergency oxygen supply connection must be accessible and have a minimum of 3 ft. (1 m) of clearance around it. #ASHEComplianceTip
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