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TJC Life Safety

Accreditation Sustainment 2020
Across
Any door required to be self-closing, including those in an exit stair enclosure, may be held open provided there is an _____ release device that closes the door in response to the manual fire alarm system, loss of power, and smoke detectors. LS.03.01.20 EP2
The ceiling membrane is installed and maintained in a manner that permits _______ of the smoke detection system. LS.02.01.34 EP9
The travel distance from any point to the nearest portable fire ______ is 75 feet or less. LS.03.01.35 EP7
Heating, ventilation, and air conditioning comply with NFPA 101-2012: 9.2 and are installed in accordance with _____________ specifications. LS.02.01.50 EP1
The space around pipes, conduits, bus ducts, cables, wires, air ducts, or pneumatic tubes penetrating the walls or floors are ______ with an approved fire-rated material. LS.02.01.10 EP14
Doors in a means of egress are not equipped with a ____ or lock that requires the use of a tool or key from the egress side, unless a compliant locking configuration is used, such as a delayed-egress locking system. LS.02.01.20 EP1
All heating appliances are provided with safety features to stop the flow of fuel and turn off the ________ during times of excessive temperatures or ignition failure. LS.03.01.50 EP8
Draperies, curtains (including cubicle curtains) and loosely hanging ________ comply with NFPA 101-2012: 10.3.1. LS.03.01.70 EP3
Fire barriers are continuous from outside wall to outside wall or from one fire barrier to another, or a combination thereof, including continuity through all _______ spaces, such as those found above a ceiling, including interstitial spaces. LS.03.01.10 EP5
Down
A fire alarm system is installed with systems and components to provide effective ______ of fire in any part of the building. LS.03.01.34 EP1
When the hospital plans to resolve a deficiency through a Survey-Related Plan for Improvement (SPFI), the hospital meets the ____ day time frame. LS.01.01.01 EP4
Smoke barriers extend from the floor slab to the upper floor or roof slab above, through any concealed spaces (such as those above suspended ceilings and interstitial spaces), ________ from exterior wall to exterior wall. LS.03.01.30 EP13
There are ________ inches or more of open space maintained below the sprinkler to the top of storage. LS.02.01.35 EP6
Every patient _______ room has an outside window or outside door except newborn nurseries or rooms intended for less than 24-hour stays. LS.02.01.30 EP24
Soiled linen and trash receptacles larger than 32 gallons are stored in a room protected as a _______ area. LS.02.01.70 EP6
When the hospital identifies Life Safety Code deficiencies that cannot be immediately corrected or during periods of construction, the hospital evacuates the building or notifies the fire department and initiates a fire watch when a fire alarm system is out of service more than ____ hours out of 24 hours or a sprinkler system is out of service more than ten hours in a 24-hour period in an occupied building. LS.01.02.01 EP2