Life Safety Code and Emergency Preparedness Deficiencies
The Department of Health (DOH) has shared the Top Deficiencies cited for the Life Safety Code and Emergency Preparedness surveys. Members should find this information helpful in preparation for their survey.
Top 20 Life Safety Code Tags
11/1/2016 – 7/11/2018
K351 – Sprinkler system installation – 229
Mixed sprinkler head ratings, lack of sprinkler heads, obstructed sprinkler heads, items stored less than 18 inches from sprinkler head…
K353 – Sprinkler system maintenance and testing – 206
K920 – Electrical Equipment – power cords and extension cords – 169
K921 – Electrical Equipment – testing and maintenance – 130
K372 – Smoke barrier construction – 129
K321 – Hazardous areas – enclosures – 126
K311 – Vertical Openings – enclosure – 117
K211 – Means of egress – general – 102
Projections into corridor, obstructions, impaired exit access, lack of door inspections…
K923 – Gas Equipment – cylinder and container storage – 99
Unsecured tanks, full and empty tanks comingled, no signage, stored with combustibles…
K225 – Stairways and Smokeproof Enclosures – 83
Doors not self-closing or not latching, gaps under door, storage in stairwell, improper fire resistance rating of enclosure…
K363 – Corridor – Doors – 82
K271 – Discharge from Exits – 81
K712 – Fire Drills – 79
K916 – Electrical Systems – essential electric system alarm annunciator – 67
K281 – Illumination of Means of Egress – 66
K324 – Cooking facilities – 55
K161 – Building Construction Type and Height – 55
K374 – Smoke Barrier Doors – 52
K345 – Fire Alarm System – Testing and Maintenance – 43
K911 – Electrical Systems – Other – 41
Top 10 Emergency Preparedness Tags
11/15/17 – 7/10/18
1 – E0026 Roles under a Waiver Declared by Secretary – 45
2 – E0024 Policies and Procedures for Volunteers – 30
3 – E0035 LTC Family Notifications – 27
4 – E0037 Emergency Prep Training Program – 21
5 – E0039 Emergency Prep Testing Requirements – 18
6 – E0015 Subsistence Needs for Staff and Residents – 18
7 – E0007 EP Program Patient Population – 16
8 – E0029 Development of Communication Plan – 12
9 – E0006 Maintain and Annual EP Updates – 12
10 – E0013 Development of EP Policies and Procedures – 11
10 – E0022 Policies and Procedures for Sheltering – 11
Contact: Elliott Frost, efrost@leadingageny.org, 518-867-8832