Healthcare & Hospitals
Fire Suppression

TJC requires written inspection, testing, and maintenance records for all fire suppression systems, typically going back at least three years. Records must include the date, the technician's name and license number, the findings, and any deficiencies with correction status. Missing or incomplete records are among the most common TJC fire safety citations.

Yes, but only under a formal impairment program per NFPA 25. This requires prior notification to the AHJ, implementation of fire watch or equivalent alternative protection, and immediate notification to the monitoring station. The hospital's fire safety plan must address impairments, and the duration should be minimized.

Yes. Operating rooms typically require concealed or institutional-style sprinkler heads to facilitate cleaning. MRI suites present unique challenges because ferromagnetic tools cannot be used — contractors must use non-ferrous materials in these areas. Pre-action or double-interlock systems are often specified for MRI rooms to prevent accidental water discharge.

Ensure all ITM records are current, complete, and organized by system and inspection date. Verify that all identified deficiencies from prior inspections have been corrected and documented. Check that escutcheon plates are intact, penetrations are sealed, and all access panels to suppression equipment are labeled and accessible. Your contractor should be able to provide a pre-survey compliance review.