Effective Jan. 1, 2021: Revision to LS.02.01.35, EP 7
Effective Jan. 1, 2021, The Joint Commission has revised its Life Safety (LS) Standard LS.02.01.35, element of performance (EP) 7 for hospitals, critical access hospitals and behavioral health care organizations.
The change was made to address the National Fire Protection Association (NFPA) requirement that spare sprinkler heads of each type installed in the organization need to be available.
The LS.02.01.35 standard requires that organizations provide and maintain systems for extinguishing fires, while EP 7 requires that at least six spare sprinkler heads of each type and temperature rating installed in the facility are readily available along with the associated wrench or tool to replace the sprinkler head. The spare sprinkler heads and wrench or tool are stored in a cabinet location that does not exceed 100 degrees Fahrenheit.