Joint Commission Clarifies Requirements for Fire Drills

PUBLISHED: May 26, 2017
Relevant to: Ambulatory Care, Hospitals, Long Term Care, Medical Office/Clinic

The Joint Commission (TJC) recently issued a series of clarifications to assist organizations with certain Life Safety Code requirements. Today’s notice reviews fire drills and requirements for varying times for conducting fire drills.

TJC outlines requirements for conducting fire drills under EC.02.03.03. Element of Performance 3 further requires that the fire drills be held at unexpected times and under varying conditions.

In their clarification, The Joint Commission states that “…fire drills conducted no closer than one hour apart would be acceptable…” However, TJC further explains that, because of the requirement that fire drills be conducted under varying conditions, organizations should be careful that they do not establish a pattern of drills being conducted one hour apart.

These requirements are also addressed under NFPA 101-2012: 18/19: 7.1.7; 7.1; 7.2; 7.3 and Centers for Medicare and Medicaid Services (CMS) Conditions of Participation 482.41(b)(1)(i).

Included with today’s notice are example polices related to TJC requirements related to fire drills.

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