Analyzing the Hospital Life Safety Survey, Second Edition

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Analyzing the Hospital Life Safety Survey, Second Edition

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Analyzing the Hospital Life Safety Survey, Second Edition

Brad Keyes, CHSP

Are you prepared for the pending launch of the hospital life safety surveys?

When life safety surveyors—whether they come from The Joint Commission, CMS, or another accrediting organization—arrive on site, they will explore your facility top to bottom for life safety compliance. Beat them to the punch by doing your own in-depth analysis of your organization. Formerly of The Joint Commission, current HFAP Engineering Advisor and independent consultant Brad Keyes, CHSP, provides a practical, strategic approach to the life safety survey process. He walks you through a room-by-room, floor-by-floor analysis of the life safety measures you need to have in place to avoid costly citations. He also simplifies confusing Joint Commission standards and CMS requirements and reveals what you should be focusing on to pass your next life safety survey.


  • A floor-by-floor analysis to help staff of all kinds better prepare for a life safety survey
  • Expert analysis by a life safety expert with experience in multiple accrediting organizations as well as CMS
  • Photos illustrating where citations can happen to help you better understand potential trouble spots during survey
  • Tools and tips for more efficient survey preparation

View the Table of Contents:

Chapter 1: Managing Life Safety Deficiencies

Chapter 2: Interim Life Safety Measures

Chapter 3: Life Safety Drawings

Chapter 4: The Roof and Penthouse Equipment Rooms

Chapter 5: The Nursing Care Units

Chapter 6: The Behavioral Health and Nursery Units

Chapter 7: The Intensive Care, Surgery, and ER Units

Chapter 8: The Laboratory, Pharmacy, and Medical Records

Chapter 9: Central Supply, Kitchen, and Receiving

Chapter 10: Maintenance Repair Shops, Boiler Rooms, Gas Manifolds, and Generators

Chapter 11: Fire Alarm Test Reports

Chapter 12: Fire Pump, Sprinklers, and Standpipe Systems

Chapter 13: Fire Extinguishers, Fire Dampers, Generators, and Med Gas Systems

Chapter 14: General Life Safety Code® Compliance

Chapter 15: The Fire Safety Document Review Session

Chapter 16: Survey Etiquette and the Clarification

About the Author:

Brad Keyes, CHSP, is the owner and senior consultant for Keyes Life Safety Compliance and the engineering advisor to the Healthcare Facilities Accreditation Program (HFAP), where he is responsible for supervising the Life Safety surveyors.

Keyes presents at national seminars, regional conferences, and audio conferences and teaches the Life Safety Boot Campseries to various groups and organizations. He is the author or coauthor of the following HCPro books: Analyzing the Life Safety Survey(2011); Chapter Leader’s Guide to Life Safety (2011); Physical Environment Online: A Guide to The Joint Commission’s Safety Standards(2010); The Joint Commission Survey Coordinator’s Handbook, Tenth Edition (2009); and Life Safety Compliance Manual: A Guide to the Joint Commission Standards(2008).

Keyes has also authored a variety of articles addressing features of life safety and fire protection, as well as white papers and articles on the Building Maintenance Program. Keyes is currently the senior editor of the monthly newsletter Healthcare Life Safety Compliance and is certified as a Healthcare Safety Professional by the Board of Certified Healthcare Safety Management.Prior to creating Keyes Life Safety Compliance and joining HFAP, Keyes worked in the healthcare field for more than 30 years, most recently as safety officer at a large Midwest hospital. He also was one of the original Life Safety Code® specialist surveyors for The Joint Commission and has been a life safety consultant for The Greeley Company.

Continuing Education:

If you would like to find out about the availability of nursing contact hours on this or any other HCPro nursing book, please visit our Continuing Education information page, here.

Published: August 2013