Revisions to Joint Commission's Life Safety Chapter

PUBLISHED: Mar 7, 2017

The Joint Commission recently announced revisions to requirements in Environment of Care (EC) and Life Safety (LS) chapters of the Comprehensive Accreditation Manuals. The revisions, effective July 1, 2017, were made to ensure standard alignment with the 2012 editions of the National Fire Protection Association (NFPA) 101: Life Safety Code® and NFPA 99: Health Care Facilities Code.

Today’s notice reviews revisions to TJC’s Life Safety Chapter for hospitals. Key revisions to the Life Safety Chapter include:

  • Clarifying that hospitals using TJC accreditation for deemed status must comply with the 2012 Life Safety Code.
  • Directing hospitals seeking information on waiver and equivalency requests to a TJC resources page: (
  • Clarifying that hospitals need to have an interim life safety measure policy that addresses Life Safety Code Requirements for Improvement that are not corrected immediately during a survey
  • Added notes to several standards stating that hospitals using TJC accreditation for deemed status must meet applicable provisions of the Life Safety Code Tentative Interim Amendment (TIA)

Included with today’s notice is a link to TJC’s prepublication standards detailing their revisions to the Life Safety Chapter and several example policies related to the revised standards.

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