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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.

Interested in reading our experts' take on Life Safety? Then subscribe to our free blog below! We discuss readers' questions, share interesting observations from the field, and more.

Fire Doors

Q: The vendor that did our annual fire door inspection cited a deficiency that the viewer/window in our existing fire doors did not have a label. Are viewers/windows in existing …

Brad Keyes, CHSP | Jun 24, 2020
Fire DoorsFire BarrierDoors

Q: Is there a standard ratio from the firewall to the fire door (Ex. 2-hour firewall should have a XX min fire door)? A: Well, yes and no. Table 8342 …

Brad Keyes, CHSP | May 13, 2020
Fire Doors

Q: Do I have to use auto flush bolts and coordinators on a pair of double doors that are fire-rated (one active leaf and one inactive leaf) to a mechanical …

Brad Keyes, CHSP | May 11, 2020
Inspection & Maintenance (Life Safety Code)Fire Doors

Q: We are a service company and we are doing door inspections at a hospital where a lot of the doors have fire labels that are in smoke partitions or …

Brad Keyes, CHSP | May 4, 2020
Fire Doors

Q: I work in an old hospital and we have quite a few fire rated openings that are missing labels, I'm having a company come in and rate the frames for …

Brad Keyes, CHSP | Apr 29, 2020
Fire DoorsHazardous Areas

Q: I believe you may have answered aspects of this question before but I was having trouble locating it again. I understand the difference between hazardous areas when considering new …

Brad Keyes, CHSP | Apr 10, 2020
Smoke BarrierFire DoorsAccreditationCMS

Q: The Joint Commission standard for annual door testing states "The hospital has written documentation of annual inspection and testing of door assemblies by individuals who can demonstrate knowledge and understanding of …

Brad Keyes, CHSP | Aug 14, 2019
Fire DoorsDoors

Q: My boss has hired an outside company that has advised him to rip fire rating labels off of doors and frames that we have maintained properly for decades. We …

Brad Keyes, CHSP | Jul 26, 2019
Fire Doors

Q: I had a company put in the fire plugs on the doors to replace the lower bottom rods. Was this okay? They say that the plugs have a thermal-pin …

Brad Keyes, CHSP | May 8, 2019
Fire DoorsCorridorsDoors

Q: We have an engineer who is telling us that the 2012 Life Safety Code requires our corridor doors to be fire-rated. He is referencing Table 8.3.4.2 which says exit-access …

Brad Keyes, CHSP | Feb 22, 2019
Fire DoorsFire BarrierDoors

Q: If the health care facility is fully sprinklered do doors in a corridor, where the walls are fire rated, do the doors have to be fire rated? I read …

Brad Keyes, CHSP | Feb 1, 2019
Fire DoorsArticleSmoke Compartment

Q: We are reviewing fire policy, and are wondering if it is a Life Safety Code requirement to have fire and smoke barrier doors labeled as such? By this I …

Brad Keyes, CHSP | Dec 12, 2018
Fire DoorsArticle

Continuing in a series of strange things that I have seen while consulting at hospitals... Doors to medical gas storage rooms are required to be fire-rated. Fire-rated doors cannot have …

Brad Keyes, CHSP | Nov 29, 2018
Fire DoorsArticle

Q: We have metal "bumpers" (for lack of a better term) that were fabricated onsite at our hospital, that are used to keep carts and beds for damaging the doors …

Brad Keyes, CHSP | Nov 28, 2018
Fire DoorsArticle

Q: I have a concern regarding the use of fire pins in fire rated door leaves: Since the latching feature of these devices is not testable (that I'm aware of, …

Brad Keyes, CHSP | Oct 29, 2018
Fire DoorsArticle

Q: We used our recently updated Life Safety drawings to have our fire doors inspected. The inspector cited us for aluminum astragals on 13 doors. His report stated that they …

Brad Keyes, CHSP | Oct 22, 2018
Fire DoorsArticle

Q: If I replace a smoke barrier door with a fire door, does the wall now have to be brought up to fire-rated wall code or will it still be …

Brad Keyes, CHSP | Oct 3, 2018
Fire DoorsArticle

Q: Do fire door inspection records need to be maintained for 3 years? A: I would say at least 3-years, and longer as needed. NFPA 80-2010 section 5.2.1 says fire …

Brad Keyes, CHSP | Sep 12, 2018
Fire DoorsFire AlarmArticle

Q: My accreditation organization has a standard that says "testing and inspection of fire door assemblies needs to be conducted by a qualified person." By what specifically do they mean …

Brad Keyes, CHSP | Jul 11, 2018
Fire DoorsArticleGas CylindersStorage Room

Q: I have an oxygen/med gas storage room that is attached to the hospital, and can only gain access to the room by way of the exterior of building. Does …

Brad Keyes, CHSP | May 28, 2018
Fire DoorsArticleDoors

Q: You have stated in previous Q&As that all fire-rated door assemblies must be tested and inspected. I don’t think that is true on fire-rated door assemblies that are not …

Brad Keyes, CHSP | May 7, 2018
Fire DoorsArticle

Q: My hospital is a behavioral health hospital converted from an acute hospital. The doors on patient rooms and mostly all doors in this building are solid core doors....which are …

Brad Keyes, CHSP | Feb 26, 2018
Q&AFire DoorsDecorationsDoors

Q: Staff members at our behavioral healthcare facility enjoy decorating their corridor office doors (business occupancy, 20-minute fire-rated doors, multiple floors) with wrapping paper, bows, etc. affixed with scotch tape …

Brad Keyes, CHSP | Dec 12, 2017
Q&AFire Doors

Q: We are planning to install double egress doors within the corridor for the purpose of separating the clean OR area from the dirty side. The doors and frame that …

Brad Keyes, CHSP | Nov 23, 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&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&AFire DoorsTesting (Fire Detection Systems)

Q: With regards to the 2012 edition of the Life Safety Code and the requirement to perform annual inspections of smoke/fire doors, would it be safe to assume that annual …

Brad Keyes, CHSP | Sep 28, 2017
Q&AFire DoorsTesting (Life Safety Code)

Q: I'd like some clarification concerning the new requirement for annual fire door inspections: NFPA 101 2012, Chapter 7.2.1.15 States "Where required by Chapters 11 through 43, the following door …

Brad Keyes, CHSP | Sep 20, 2017
Q&AFire DoorsTesting (Accreditation/Certification)

Q: Does the authority having jurisdiction have the final say whether or not an individual has the ‘knowledge and understanding’ required to perform fire door inspections? A: Yes they do …

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

Q: If a fire door is in a wall that is not a fire-rated wall, will the wall need to be brought to be a fire-rated wall? A: No… not …

Brad Keyes, CHSP | Jul 26, 2017
Q&AFire DoorsTesting (Life Safety Code)

Q: In regards to fire door inspections, what are the qualifications of the person to perform the inspection? A: NFPA 80-2010, section 5.2.3.1 says fire doors must be tested by …

Brad Keyes, CHSP | Jul 20, 2017
Q&AFire DoorsDoors

Q: What is the maximum you can have between the bottom of door and the thresholds for a fire-rated door assembly? I have some stairwell doors with 1 inch to …

Brad Keyes, CHSP | Jul 12, 2017
Q&AFire DoorsDoors

Q: It has been our practice to not allow door hold open wedges on any door within the hospital. As far as code requirements go is it rated doors only, …

Brad Keyes, CHSP | Jul 5, 2017
Q&AFire DoorsTesting (Life Safety Code)

Q: In regards to the new annual fire rated door assembly inspection, are we to inspect every door that has a fire rating or the doors that are located in …

Brad Keyes, CHSP | Jun 14, 2017
Q&AFire DoorsDoorsWalls

Q: Is it permissible to completely cover a fire rated door in a hospital with a polyvinyl picture/mural? Also, is it permissible to cover a fire rated wall, from floor …

Brad Keyes, CHSP | Jun 5, 2017
Q&AFire DoorsFire AlarmSmoke Detectors

Q: I have a life safety consultant doing our annual inspection, and he keeps saying that I need to have individual smoke detectors for my corridor fire rated doors. The …

Brad Keyes, CHSP | Mar 31, 2017
Q&AFire Doors

Q: I recently attended a conference where the speaker in the Life Safety session talked about the fire rating of the doors. She spoke of having the fire information labels …

Brad Keyes, CHSP | Jan 26, 2017
Q&AFire Doors

Q: If a door is a fire-rated door is it required to be maintained as a rated door in compliance with NFPA 80, regardless if its location doesn't require a …

Brad Keyes, CHSP | Jan 18, 2017
Fire DoorsLife Safety Code

Q: We have a mechanical room door that is ¾-hour rated. The mechanical room is a 10 foot x 10 foot room with two electrical panels and a small gas …

Brad Keyes, CHSP | Jan 13, 2017
Fire DoorsLife Safety CodeArticleSmoke CompartmentCMS

I just found out yesterday that CMS is teaching their state agency LS surveyors that smoke barrier doors need to be tested in healthcare occupancies. This interpretation of the 2012 …

Brad Keyes, CHSP | Dec 9, 2016
Fire DoorsArticle

When the new 2012 Life Safety Code becomes effective July 5, 2016, CMS will expect all healthcare organizations to be compliant with the requirements of the new 2012 Life Safety …

Brad Keyes, CHSP | Jun 1, 2016
Fire DoorsArticle

Q: I have a question concerning clearances on fire rated doors and smoke compartment barrier doors. The way I read the 1999 Edition of NFPA 80 and the information in …

Brad Keyes, CHSP | Apr 8, 2016
Q&AFire DoorsDoorsSigns (Life Safety Code)

Q: Are hand-made temporary directional signs permitted to be taped to fire doors? We had a surveyor tell us that nothing can be taped to a fire door. A: Yes, …

Brad Keyes, CHSP | Mar 30, 2015
Q&AFire DoorsDoors

Q: What is the permitted force to open a fire door? What kind of means can be used to test this onsite? A: The answer to your question is found …

Brad Keyes, CHSP | Feb 16, 2015
Fire DoorsArticleDoors

During the building tour a surveyor observed a label on a frame for a fire rated door assembly that read "Fire Resistant Frame - This frame is identical in construction …

Brad Keyes, CHSP | Jan 29, 2015
Fire DoorsArticleSmoke CompartmentFire Drills

I was recently asked if the Life Safety Code addresses the use of smoke and fire doors during a fire drill. Here is what I responded with: The Life Safety …

Brad Keyes, CHSP | Nov 13, 2014
Fire DoorsArticle

Free Webinar: NFPA 80, Inspection, Testing, and Maintenance of Swinging Fire Doors Sponsored by DHI, FDAI, Door Security & Safety Foundation, & Intertek August 28, 12:30 – 2:00 pm EST …

Brad Keyes, CHSP | Aug 24, 2012
Fire DoorsArticle

I ran across a vendor called Fire Door Solutions, Inc. (www.firedoorsolutions.com) who has come up with a unique solution for those pesky penetrations in fire rated doors. On older fire …

Brad Keyes, CHSP | Aug 2, 2012
Fire DoorsArticle

Here's another interesting compliance issue that hospital facility managers will soon have to deal with.... door closing speed on doors mounted with automatic closing devices (doors closures). Currently, the 2000 …

Brad Keyes, CHSP | Jan 15, 2012
Fire DoorsLife Safety Code

When the 2012 edition of the LSC is finally adopted (sometime in 2013, presumably) one of the more striking changes that facility managers will have to adjust to, is the …

Brad Keyes, CHSP | Jan 13, 2012

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