![]() ![]() Clear disclosure of any and all deficiencies assures the surveyor that you’re not hiding anything.įor day-to-day use by the healthcare organization, the A/E firm should also prepare a “clean set” of drawings that do not note the deficiencies for the Joint Commission. ![]() Up-to-date, accurate drawings make it easier for the surveyor to proceed with the inspection. But since they are not required for SOC drawings, they should be omitted in the interest of clarity.Ĭommissioning new SOC drawings for each survey is essential to making your Joint Commission survey go smoothly and efficiently. If desired, the A/E firm can also prepare an additional, separate set of drawings for the facility that notes the locations of these features. These items are memorialized in field notes, which should be scanned and provided to the healthcare organization. Items that should be part of the on-site review but that are not required to be noted on SOC drawings include smoke detectors, fire pull-stations, fire extinguishers/cabinets, exit signs, and travel distances. Not all fire protection features and devices will be included on SOC drawings. Your A/E firm should prepare a Plan for Improvement to submit to the Joint Commission, setting forth a method for mitigating each deficiency. To comply with Joint Commission Guidelines, a unique identifier will be assigned to each deficiency. Statement of Conditions (SOC) drawings, which will be examined by the Joint Commission surveyor, should note any and all deficiencies that need to be corrected for Code compliance. The use of linework with bold colors and clear labels makes the documents useful and easy to consult during daily operations as well as during official surveys. Both sets of graphics should be easy to read and clear in terms of both design and content. ![]() It’s advisable as part of the Life Safety Assessment process to have the A/E firm prepare two deliverables: (1) Statement of Conditions (SOC) drawings, which the Joint Commission surveyor will review as part of the field inspection, and (2) a separate, “clean set” of Life Safety drawings for the healthcare organization’s day-to-day use. ![]() As part of the process, the A/E firm will gather building information from previously prepared Life Safety plans, owner’s record drawings, field assessments, Joint Commission surveys, and consult applicable building codes as determined by the facility’s year of construction. The A/E firm should also hold frequent review meetings with your organization’s facility manager and safety officer, both before and after the on-site assessment. Your A/E firm should designate a primary client contact to maintain regular and consistent communication with the healthcare organization throughout the entire process, from planning the visit to completing the final drawings that will be reviewed by the Joint Commission official during the survey inspection. This includes examining egress paths, doors, stairways, and above-the-ceiling areas noting the presence of smoke and fire dampers, smoke detectors, fire extinguishers, exit signs, and egress illumination devices and reviewing fire-resistance ratings of doors and partitions. The life safety assessment: Process and deliverablesĭuring a Life Safety Assessment, the A/E firm will conduct a thorough on-site review of the facility and assess compliance with the Life Safety Code. ![]()
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