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LIFE SAFETY CODE DOCUMENTATION REVIEW CHECKLIST

life SAFETY code DOCUMENTATION REVIEW CHECKLIST Hospitals and Nursing Homes New Mexico - LSC 101, 2012 Edition Date of Survey: _____ Surveyor ID: _____ Facility Name: _____ Provider #: _____ Type of Facility: Hospital Nursing Home Type of Survey: Recertification Validation Complaint 1. Ask for a copy of the current Census List/Report 2. Ask for a copy of the life SAFETY Floor plan of the building(s) 3. Fire Alarm System: (NFPA 72) Visual inspections, table Test Frequency, table Test Methods, table *Records shall be retained until the next test and for 1 year thereafter.

2. Ask for a copy of the Life Safety Floor Plan of the building(s) 3. Fire Alarm System: (NFPA 72) Visual inspections, table 14.3.1. Test Frequency, table 14.4.5. Test Methods, table 14.4.2.2 *Records shall be retained until the next test and for 1 year thereafter. a. …

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  Code, Tests, Review, Checklist, Safety, Life, Plan, Documentation, Life safety code documentation review checklist

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