Form Cms-2786r - Fire Safety Survey Report - Health Care 2012 Life Safety Code Page 7

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Name of Facility
2012 LIFE SAFETY CODE
ID
NOT
MET
N/A
REMARKS
PREFIX
MET
K221
Patient Sleeping Room Doors
Locks on patient sleeping room doors are not permitted unless the key-
locking device that restricts access from the corridor does not restrict
egress from the patient room, or the locking arrangement is permitted for
patient clinical, security or safety needs in accordance with 18.2.2.2.5 or
19.2.2.2.5.
18.2.2.2, 19.2.2.2, TIA 12-4
K222
Egress Doors
Doors in a required means of egress shall not be equipped with a latch or a
lock that requires the use of a tool or key from the egress side unless using
one of the following special locking arrangements:
☐ CLINICAL NEEDS OR SECURITY THREAT LOCKING
Where special locking arrangements for the clinical security needs of the
patient are used, only one locking device shall be permitted on each door
and provisions shall be made for the rapid removal of occupants by: remote
control of locks; keying of all locks or keys carried by staff at all times; or
other such reliable means available to the staff at all times.
18.2.2.2.5.1, 18.2.2.2.6, 19.2.2.2.5.1, 19.2.2.2.6
☐ SPECIAL NEEDS LOCKING ARRANGEMENTS
Where special locking arrangements for the safety needs of the patient are
used, all of the Clinical or Security Locking requirements are being met. In
addition, the locks must be electrical locks that fail safely so as to release
upon loss of power to the device; the building is protected by a supervised
automatic sprinkler system and the locked space is protected by a complete
smoke detection system (or is constantly monitored at an attended location
within the locked space); and both the sprinkler and detection systems are
arranged to unlock the doors upon activation.
18.2.2.2.5.2, 19.2.2.2.5.2, TIA 12-4
Form CMS-2786R (10/2016)
Page 7

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Parent category: Medical