Life Safety Compliance

Safety First / Care Always

We provide expert guidance to help facilities implement, manage, and sustain every aspect of Life Safety Code compliance. Our approach ensures your organization not only meets regulatory requirements but also builds a proactive culture of safety.

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Our services include:

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• Program Development & Implementation:  Create or update Life Safety policies, procedures, and inspection schedules tailored to your facility’s needs.

• Code Interpretation Assistance:  Clarify and apply NFPA 101 Life Safety Code requirements in healthcare, multifamily, and commercial environments.

• Facility Risk Assessments:  Conduct life safety gap analysis to identify potential deficiencies and create corrective action plans. 

• Ongoing Compliance Management:  Conduct routine inspections of life safety compliance, documentation, and provide recommendations on corrective measures to ensure continuous readiness for surveys and audits.  These can be annual, semi-annual or even quarterly.  

• Staff Training & Education:  Equip your teams with the knowledge and skills to maintain compliance, respond to deficiencies, and prevent repeat violations.

• Survey Preparation & Support:  Provide hands-on support before, during, and after regulatory surveys to ensure smooth outcomes.

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With leadership experience from both healthcare safety administration and facilities management, we understand that life safety compliance is not just about passing inspections—it’s about protecting people, property, and operations every single day.​​

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Life Safety Training & Education Programs

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Focused instruction on Life Safety Code fundamentals, testing and compliance responsibilities.

 

Facility Safety Systems

• Facility Layout:  Understanding the placement of alarms, sprinklers, and life-safety systems.

• Documentation of Waivers:  Proper recording and compliance with approved waivers.

• Specification Sheets / Cut Sheets:  Interpreting and applying technical documentation.

• Fire Drills:  Best practices for facilitating and documenting drills to meet regulatory requirements.​

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Fire Protection Systems

• Fire Alarm Systems:  Equipment identification, service requirements, and testing requirements.

• Fire Sprinkler Systems:  Equipment identification, basic servicing, and testing requirements.

• Fire extinguisher:  Placement requirements and inspection protocols.

• Fire Doors:  Operation, testing, and compliance standards.

• Fire & Smoke Damper:  Identification and inspection requirements.

• Range Hoods:  Identification, inspection and servicing standards.

• Range Suppression Systems:  Identification, Inspection and servicing requirements.

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Emergency Power & Equipment

• Emergency Generators:  Equipment identification, visual inspections, monthly load testing, load calculations, transfer switch operation, annual maintenance, and fuel sampling (including 3-year and 5-year requirement cycles).

• Emergency Lighting:  Testing, maintenance, and regulatory compliance.

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Electrical Safety

• Outlet Testing:  Ensuring reliability and compliance.

• Electrical Safety: Lockout/Tagout (LOTO) procedures and safe equipment servicing

• Breaker Exercise:   Testing procedures.  Annual and 3-year testing requirements

• PCREE & Non-PCREE Systems:  Understanding compliance requirements for patient care-related electrical equipment.

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Water & Facility Management

• Water Management:  Developing and maintaining compliance-driven water management programs.  Water diagrams development, testing protocols, room flushing protocols and proper documentation.  

• Boilers:  Safety and compliance inspections.

• Wander Management Systems:  Ensuring safe monitoring of residents in healthcare environments.

• Door Access Management:  Proper operation and compliance of access-control systems and security.  

• Emergency Exits:   Inspection, testing, and compliance with egress standards.

• CO₂ Storage Safety:  Requirements and inspection protocols.

• Elevators: Life-safety integration, inspections, and documentation.

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