Facility for ILSM
Please Select
Fort Washington Medical Center
Germantown Emergency Center
Rehab - Rockville
Rehab - White Oak
Shady Grove Medical Center
White Oak Medical Center
Date
/
Month
/
Day
Year
Date
Existing Exiting Requirements
Blocking off an approved exit or obstruct access
Changing location of exits or relocating exit access corridors
Fire exit stairs discharge improperly
Fire Smoke Doors do not comply with the standard for the hazard location
Detection & Suppression Systems
Taking a fire detection system OOS
Taking a fire suppression system OOS
Disconnecting alarm devices
Significantly lacking or modifying smoke or fire barrier walls
Door requiring positive latching not operating properly
Fire alarm/alerting system/device required
Fire dampers inaccessible, inoperable, OOS
Large/multiple penetrations in the fire barrier
Increased Fire Hazards
Storage of combustible materials which causes an increased fire threat
Preventing or re-routing Emergency Forces access
Hazardous areas not properly protected
Utility Management - Priority Incident
Emergency Generator Use
ATS - Testing/Malfunction/PM
Other utility systems Testing/Malfunction/PM
Construction Risks
Increased Volume
Increased Vibration
Infection Control/Prevention
Air Quality Concerns
Utilities Requirements
Interim Life Safety Measures to Implement
A. Posts signage identifying the location of alternative exits to everyone affected
B. Inspect Exits in Affected Area on Daily Basis
C. Ensure fire alarm, detection, and suppression systems are in good working order. A temporary but equivalent system shall be provided when any fire system is impaired.
D. Inspect and test temporary systems monthly, and document tests
E. Use temporary construction partitions that are smoke tight and built of noncombustible or limited combustible materials that will not contribute to the development or spread of fire.
F. Provide additional fire- fighting equipment and train personnel in its use.
G. Prohibit smoking in all construction areas.
H. Develop and enforce storage, housekeeping, and debris removal practices that reduce the building's flammable and combustible fire load to the lowest feasible level.
I. Conduct Additional Training with Staff on use of firefighting equipment
J. Conduct one additional fire drill per shift, per quarter.
K. Increase hazard surveillance of buildings, grounds, and equipment, with special attention to evacuations, construction areas, construction storage, and field offices.
L. Train personnel on building deficiencies, construction hazards, and temporary measures implemented to maintain fire safety
M. Train those who work in the hospital to compensate for impaired structural or compartmental fire features.
N. Allow for use of other ILSMS not addressed in Sections
O. Provide additional training on patient evacuation procedures
P. Assure critical portable medical equipment is charged and available
Q. Prohibit use of a specific area as noted.
R. Install additional alarm devices to comply with local AHJ codes
S. Red Plugs - Assure that only critical medical equipment is plugged into RED PLUGS
T. Install/Change door to comply with standard and/or AHJ Code
ILSM Status
Please Select
Open
Closed
Email - Required to receive copy of ILSM
*
example@example.com
Start Date
/
Month
/
Day
Year
Date
Location
End Date
/
Month
/
Day
Year
Date
ILSM Team
Details & Reason for ILSM
Preview PDF
Submit
Should be Empty: