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Keyes Life Safety

Our Life Safety educational resource hub is full of healthcare knowledge to help you be better informed of the changing world around you. 

Rather than sit back and act on decisions made by others, we are leading the charge as it relates to identifying best practices for Life Safety Code® and compliance. We have real people that give our clients real information that can be put into practice.

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Q: If a building changes ownership, do waivers stay active with their 1-year window or do the new owners have to resubmit if the building is cited the same deficiency? …

Brad Keyes, CHSP | Oct 31, 2017
Q&AHazardous Areas

Q: Is it okay to store latex paint in a mechanical/air handler room? The mechanical room is located in the hospital and is in a 2 hour fire rated wall …

Brad Keyes, CHSP | Oct 30, 2017
Q&AOxygen Cylinders

Q: Our Respiratory Therapist has brought this question to me and I wanted your input. We have the new ‘E’ size oxygen cylinders that are called Oxytote. They are the …

Brad Keyes, CHSP | Oct 27, 2017
Q&AFire Doors

Q: Other than the annual fire door inspection that is required in the 2012 Life Safety Code, are there other inspections required? Fire doors that are included are also single …

Brad Keyes, CHSP | Oct 26, 2017

Q: Do hospitals and nursing homes need to have a Laundry Policy? If so, what should the policy cover and what specific information should the policy contain? A: From a …

Brad Keyes, CHSP | Oct 25, 2017
Q&AFire DoorsTesting (Life Safety Code)LSC

Q: Now that we have some clarification from CMS on annual door inspection [See CMS S&C memo 17-38, dated July 28, 2017], I wanted to see if there was any …

Brad Keyes, CHSP | Oct 24, 2017

Q: We have a double egress, cross-corridor door which will enter a suite under a renovation project. The suite wall is also an existing smoke barrier wall, separating smoke compartments …

Brad Keyes, CHSP | Oct 23, 2017
Q&ABusiness OccupanciesFire Drills

Q: Our hospital has several "out buildings" or offsite Doctor's offices. Are we required to do fire drills at these offices? Three of our buildings have fire alarm systems that …

Brad Keyes, CHSP | Oct 20, 2017
Q&ADoor Locks

Q: Is it legal for a deadbolt lock to have a thumb turn on the inside where the user needs to "push and turn" to open rather than just turn …

Brad Keyes, CHSP | Oct 19, 2017

Q: We have an isolation room next to a nurse station in the Emergency room. The corridor door to the Anteroom has a door closer on it. My question: does …

Brad Keyes, CHSP | Oct 18, 2017
Q&AInfection Control

A 'Conversation' Regarding Environmental Services Closets Q #1: Are housekeeping closets considered clean or dirty rooms and what type of supplies can you store in them? EVS is being advised by …

Brad Keyes, CHSP | Oct 17, 2017
Storage (Life Safety Code)Q&ASprinklers

Q: We have a surveyor that says if we have portable storage racks against the perimeter walls and have items stored closer than 18 inches of the ceiling but the …

Brad Keyes, CHSP | Oct 16, 2017
Storage (Life Safety Code)Q&ACorridors

Q: If I had a hallway (breezeway which connects two healthcare occupancies) which is greater than 8 feet wide (approximately 12ft) and beds and other equipment (usually broken chairs) are …

Brad Keyes, CHSP | Oct 13, 2017
Q&AFire AlarmAEM Program (Accreditation/Certification)Sprinklers

Q: Are sprinklers, smoke detectors, etc. considered to be operating components of the utility systems? If so, our inspections are based on the pertinent NFPA references. I think that the …

Brad Keyes, CHSP | Oct 12, 2017

Q: Are gas-fired ventless fire places permitted in nursing homes? A: I would say they are not permitted, but it has a lot to do whether or not the gas …

Brad Keyes, CHSP | Oct 11, 2017
Q&APower StripsCMS

Q: There is so much discussion on the proper use of power strips that it can cause confusion amongst even the seasoned facility managers. There is absolutely no guarantee that …

Brad Keyes, CHSP | Oct 10, 2017

Q: Where in the ambulatory health care occupancy chapter of the Life Safety Code does it permit to have a means of egress from an ASC or a suite within …

Brad Keyes, CHSP | Oct 9, 2017
Survey FindingsArticle

In preparation for a survey hospitals frequently train their staff to only answer the questions of the surveyors without providing any more information. This has proven to be good advice …

Brad Keyes, CHSP | Oct 6, 2017
Q&ATrailerOperating Room

Q: A hospital is building a small addition that will serve as a corridor to a mobile OR unit. ICC construction type of addition is I-B. The mobile OR will …

Brad Keyes, CHSP | Oct 5, 2017
Q&AFire Safety Plan

Q: Can testing and inspections of features of life safety be completed in-house or does a third party need to complete them? I would like to know which areas need …

Brad Keyes, CHSP | Oct 4, 2017

Hello readers... If you are not already aware of this, I am a one-person organization. I do have a partner (Alise Howlett, of Codenity) when I do boot camps, but …

Brad Keyes, CHSP | Oct 3, 2017
Q&AOperating RoomFire Drills

Q: What are the requirement for operating room fire drills per Joint Commission, CMS, and AORN? Are operating room fire drills required to evacuate patients? A: I cannot speak to …

Brad Keyes, CHSP | Oct 2, 2017

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