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Smoke BarrierAmbulatory Care OccupancyBusiness OccupanciesSmoke Compartment

Q: In a single-story facility that has both Ambulatory Healthcare and Business occupancies, is there a requirement for a smoke barrier in this same separation? I am aware of the …

Brad Keyes, CHSP | Sep 28, 2020
Ambulatory Care OccupancyHazardous Areas

Q: Do soiled utility rooms in business occupancies (non-sprinklered) require self-closing doors and 1-hour fire rated construction? A: Yes, but not because it is a soiled utility room (like a …

Brad Keyes, CHSP | Aug 31, 2020
Ambulatory Care OccupancyFire/Smoke DampersFire & Smoke Dampers

Q: We are looking for some clarification on fire damper testing requirements as we recently had inspections done at our surgery center. One contractor says dampers with fusible links require …

Brad Keyes, CHSP | Aug 24, 2020
SuitesAmbulatory Care Occupancy

Q: Am I allowed to have a suite inside an area designated as an Ambulatory Occupancy? And for clarification, do suite boundary walls need to be one-hour fire rated? A: …

Brad Keyes, CHSP | Feb 28, 2020
Ambulatory Care OccupancySmoke Detectors

Q: We are a service contractor that is attempting to obtain a contract with a new client that is an Ambulatory Surgery Center. The ASC told us they never had …

Brad Keyes, CHSP | Feb 21, 2020
Ambulatory Care OccupancyEmergency Lights (Electrical)

Q: We have out-patient clinics classified as business occupancies. Are we required to have emergency egress lighting? If so what section of the 2012 or 2015 NFPA Life Safety Code …

Brad Keyes, CHSP | Feb 19, 2020
Ambulatory Care OccupancySoiled Utility Room

Q: How does one handle a "Soiled Utility" room in an Ambulatory Healthcare Occupancy? If it is a small storage room without large volumes of flammable liquids, but perhaps containing …

Brad Keyes, CHSP | Feb 13, 2020
Ambulatory Care OccupancyLife Safety CodeFire Drills

Q: We have 13 off-site Ambulatory Surgery Centers and some are in stand-alone buildings where they are the only occupant and some are in high rise Medical Office Buildings (MOB) …

Brad Keyes, CHSP | Dec 13, 2019
SuitesAmbulatory Care OccupancyAccreditation

Q: We recently had a surveyor tell us that suites are not allowed in ambulatory healthcare occupancies. Can you help explain this and any code references that support your opinion? …

Brad Keyes, CHSP | Aug 26, 2019
Ambulatory Care Occupancy

Q: We have a building that is next to our hospital that is an imaging center, that is not a healthcare occupancy. Are we allowed to take patients from the …

Brad Keyes, CHSP | Feb 25, 2019
Ambulatory Care OccupancyFire Drills

Q: My question is with an ambulatory healthcare occupancy classification. Do you need just one fire drill per quarter or do you need one fire drill per shift per quarter? …

Brad Keyes, CHSP | Feb 6, 2019
Ambulatory Care OccupancyFire Extinguishers

Q: We have a 1400 square foot ambulatory surgical center (ASC). In the plans there are only 5 Fire Extinguishers throughout the facility. I looked at 2012 Life Safety Code …

Brad Keyes, CHSP | Jan 25, 2019
Ambulatory Care OccupancyBusiness OccupanciesHealthcare Occupancy

Q: If an inpatient in a hospital (healthcare occupancy) is taken into a building that is not a healthcare occupancy for say CT or MRI, does this building have to …

Brad Keyes, CHSP | Jan 21, 2019
Ambulatory Care OccupancyEmergency DepartmentArticleHealthcare OccupancyCMS

Q: In a hospital emergency department, can the corridors be 6 feet wide? Can the hospital install an 18-inch deep lockable computer cabinet in the 8 foot ED corridor? A: …

Brad Keyes, CHSP | Jan 8, 2018
Mechanical RoomsStorage (Life Safety Code)Q&AAmbulatory Care Occupancy

Q: I'm trying to find out particular rules regarding storage and what is allowed to be done in a penthouse. We have a new-construction Ambulatory Care occupancy. The question is …

Brad Keyes, CHSP | Dec 22, 2017
Q&AAmbulatory Care OccupancyHealthcare Occupancy

Q: A surgery suite (5 ORs), PACU (8 bays), and ASU (17 rooms), newly built on the 3rd floor of a business occupancy building. A 2 hour box was constructed …

Brad Keyes, CHSP | Jun 19, 2017
Q&AAmbulatory Care OccupancyFire Barrier

Q: Our ambulatory healthcare occupancy was constructed without a fire barrier separating the other business in the building. Now I have been asked to find out if we have to …

Brad Keyes, CHSP | Jun 6, 2016
Q&AAmbulatory Care OccupancyFire Barrier

Q: We have built a new Wellness Center with physician offices, diagnostic areas, cafe, etc. and included in the facility is an Ambulatory Endoscopy Center. A question has been raised …

Brad Keyes, CHSP | May 30, 2016
Q&AAmbulatory Care OccupancyFire AlarmTesting (Fire Detection Systems)

Q: What section of NFPA 72 (the National Fire Alarm Code) requires ambulatory surgery centers to perform testing of their fire alarm system on a quarterly basis? Do devices that …

Brad Keyes, CHSP | May 23, 2016
Q&AAmbulatory Care Occupancy

Q: How do I determine if our outpatient facility is an ambulatory healthcare occupancy? A: Based on what the 2000 Life Safety Code says, an ambulatory healthcare occupancy is a …

Brad Keyes, CHSP | Jul 27, 2015
Ambulatory Care OccupancyLife Safety CodeArticleFire Drills

I spoke at an Infection Control conference last week in St Louis, sponsored by the Excellentia Advisory Group. There were 13 different presentations made but mine was the only one …

Brad Keyes, CHSP | Apr 30, 2015
Ambulatory Care OccupancyLife Safety CodeArticle

A reader asked me recently what the Life Safety Code differences were between a new construction ambulatory healthcare occupancy, and an existing construction ambulatory healthcare occupancy. I did not immediately …

Brad Keyes, CHSP | Apr 2, 2015
Q&AAmbulatory Care OccupancyBusiness OccupanciesClinics

Q: We have multiple outpatient centers and clinics, and I would like to know how the Life Safety Code classifies them. Are they all treated as business? A: The Life …

Brad Keyes, CHSP | Jan 12, 2015
Q&AAmbulatory Care OccupancyWaiting Areas

Q: Can an Ambulatory Surgical Center (ASC) have a waiting room that is shared with another physician’s practice that is not associated with the ASC, but is located in the …

Brad Keyes, CHSP | Dec 8, 2014
Q&AAmbulatory Care OccupancyOccupancies

Q: We have an Ambulatory Surgical Center (ASC) located in a one story nonsprinklered building, and is separated from a physician’s office. The exit access from the ASC leads into …

Brad Keyes, CHSP | Oct 13, 2014
Q&AAmbulatory Care OccupancyOxygen Cylinders

Q: Since the Life Safety Code addresses ambulatory surgery centers in chapters 20-21, which does not reference oxygen storage requirements, do they have to abide by NFPA 99 concerning storage …

Brad Keyes, CHSP | Aug 25, 2014
Q&AAmbulatory Care OccupancyFire & Smoke Dampers

Q: Our facility is a freestanding ambulatory surgical center and we only perform gastrointestinal (GI) procedures, not surgery. We lease a suite on the ground level in a 3 story …

Brad Keyes, CHSP | Apr 21, 2014
Q&AAmbulatory Care OccupancySmoke Compartment

Q: We are a freestanding ambulatory surgical center (ASC) and we only perform gastrointestinal (GI) procedures, not surgery. We lease a suite on the ground level in a 3 story …

Brad Keyes, CHSP | Apr 7, 2014
Ambulatory Care OccupancyDoor LocksArticle

A friend of mine was working on a project involving ambulatory health care occupancy, and they wanted to use a delayed egress lock on an interior door. The 2000 Life Safety …

Brad Keyes, CHSP | Feb 27, 2014
Q&AAmbulatory Care OccupancyWallsOccupancies

Q: Do different occupancies have to be separated by fire-rated barriers both horizontally as well as vertically? We are considering installing a dialysis unit on the second floor of a …

Brad Keyes, CHSP | Dec 23, 2013
Q&AAmbulatory Care OccupancySprinklers

Q: We are in the process of renovating an existing two story office building where a dialysis unit will be located on the lower level. According to our state requirements, …

Brad Keyes, CHSP | May 13, 2013
Q&AAmbulatory Care OccupancyBusiness OccupanciesOccupancies

Q: We discovered our offsite free standing Dialysis center is in a building that is classified as Business Occupancy, but we were recently told by a consultant that the building …

Brad Keyes, CHSP | Apr 15, 2013
Storage (Life Safety Code)Q&AAmbulatory Care Occupancy

Q: We have an ambulatory healthcare occupancy which has clean supply and soiled linen rooms. Since these rooms are considered storage with combustibles, the Life Safety Code (LSC) views them …

Brad Keyes, CHSP | Jan 28, 2013

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