Page 10 - SOUTH FLORIDA HOPSITAL NEWS APRIL 2022

Annual Fire Door Inspections

AHCA, CMS and the State Fire Code all require building).
annual fire door inspections because it only takes When AHCA or other AHJ (Authorities
one defective or non-compliant fire door to enable Having Juris diction) shows up to do a life safety
a small fire to turn into a deadly inferno. survey, one of the records facilities must keep
The purpose of these agencies is to increase pub- available is a Fire Door-ITM workbook or
lic safety by ensuring Medicare-funded healthcare report. (ITM stands for – Inspection, Testing
facilities are complying with all fire and life safety and Maintenance.) This report is a permanent
codes and concerns. record of the ITM for each door and must be
Next to sprinkler systems, Code Compliant, Fire, available upon demand.
Smoke and Egress doors are a facility's most crucial An annual inspection of ALL fire, smoke and
fire prevention device. Most fires usually start egress doors is require and a report for EACH
small and can be limited to the original area - pro- door must be made available to AHJ upon
viding that any fire door leading from the room is BY DAN ARCE request. In addition, your facility can be cited
fire-code compliant. In addition, it is a fact that for failing to comply with the Annual Fire Door
very few people are hurt or die from flames; it's Inspection (AFDI) Mandate requirements.
smoke and fumes that injure and cause death. Therefore, fire Never forget, it's facilities management who is held responsible
doors blocking the spread of fire, smoke, etc., are essential. In for required safety inspections.
addition, a fire door can cut off additional oxygen from enter- You may ask who is authorized to do the AFDI. The NFPA
ing the fire zone and fueling the blaze, proving it is fully com- code states that anyone who possesses the proven knowledge
pliant with the fire code. of Fire Safety Door Assemblies and Fire Code compliance
"Fire Safety" doors have the most potential for failure due to experience is eligible as an inspector, providing that they are
the high frequency of use and sometimes simply the lack of acceptable to the AHJ. Most facilities utilize the services of pro-
regular maintenance. Because of this reason, a need for strict fessional companies such as National FireDoor, LLC (NFD),
regulatory compliance has been established by (a) National one of the fastest-growing companies in the Fire Door inspec-
Fire Protection Association (NFPA), (b) International Code tion field.
Council (ICC), and (c) Joint Commission, AHCA, and CMS National FireDoor offers several programs that run from full
[Healthcare], fire codes which all require the inspection of fire service (including everything necessary for compliance with
doors at least annually. the directives required for Annual Fire Door Inspections) to
A complete fire door inspection requires several things. First supervision of an in-house program.
– you need a completed door schedule listing every fire,
smoke, and egress door. Each door must be listed individually NFD can ensure your buildings conform to the inspection
and its exact location and other information must be noted. requirements for your facility. For a no-obligation consultation,
(National FireDoor (NFD) attaches a QR-coded permanent ID contact NFD at (305) 233-1477 or info@Nationalfiredoor.com.
label to each door's hinge edge.) Facilities’ floor plans are usu- We can make your buildings compliant now and in the future.
ally beneficial (some use the Fire "Life Safety Plan's" for the

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10 April 2022 southfloridahospitalnews.com South Florida Hospital News