N.H. Admin. Code § He-P 802.28

Current through Register No. 45, November 7, 2024

Section He-P 802.28 - Life Safety and Fire Safety Procedures

(a) The administrator or designee shall appoint a safety committee which shall include representatives from administration, clinical services, and support services.

(b) The safety committee shall:

(1) Appoint a safety officer who shall:

a. Inspect the premises at least semi-annually to assure that all safety precautions are met; and

b. Report to the safety committee any findings noted during the inspections;

(2) Develop or approve written policies and procedures covering all matters of safety and fire protection and an emergency response plan, including:

a. The emergency procedures required by the emergency response plan shall include, but not be limited to, evacuation routes, emergency notification numbers, and emergency instructions and shall be available in locations accessible to personnel and visitors;

b. The fire safety plan shall provide for the following:

1. Use of alarms;

2. Transmission of alarm to fire department;

3. Emergency phone call to fire department;

4. Response to alarms;

5. Isolation of fire;

6. Evacuation of immediate area;

7. Evacuation of smoke compartment;

8. Preparation of floors and building for evacuation; and

9. Extinguishment of the fire;

c. Ensuring that the fire safety and evacuation plans are available to all supervisory personnel;

d. Ensuring that all employees receive in-service biennial training to clarify their responsibilities in carrying out the emergency plan; and

e. The required plan shall be readily available at all times in the telephone operator's location or at the security center; and

(3) Conduct fire drills, including the transmission of a fire alarm signal and simulation of emergency fire situation, as follows:

a. Infirm or bedridden patients shall not be required to be moved during drills to safety areas or to the exterior of the building;

b. Drills shall be conducted quarterly on each shift to familiarize hospital personnel with the signals and emergency action required under varied conditions; and

c. When drills are conducted between 9:00 p.m./2100 hours and 6:00 A.M./0600 hours, a coded or plain language announcement may be used instead of audible alarms.

N.H. Admin. Code § He-P 802.28

#9580, eff 10-24-09

Amended by Volume XXXVII Number 45, Filed November 09, 2017, Proposed by #12407, Effective 10/24/2017, Expires 4/22/2018.

Amended by Volume XLI Number 6, Filed February 11, 2021, Proposed by #13166, Effective 1/28/2021, Expires 1/28/2031.