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Testing Requirements - Business Occupancy / Lease Facility

What are the fire safety system testing requirements in business and leased facilities?

Any examples are for illustrative purposes only.

The Environment of Care chapter applies to all facilities where the organization's patients are seen or treated. This includes leased facilities and business occupancies. 

In leased facilities, the lease agreement should include a requirement for the availability of documentation associated with all applicable elements of the EC chapter. There should also be a process for regular compliance reporting by the host organization to the leasing organization. 

Fire safety system maintenance requirements are found in EC.02.03.05. This standard does not require organizations to have the types of fire safety equipment and building features described by the elements of performance, however if these types of equipment or features exist within the building, then maintenance, testing, and inspection is be conducted and documented.

Reference EC.02.03.05
Manual: Behavioral Health
Chapter: Environment of Care EC
First published date: April 11, 2016 This Standards FAQ was first published on this date.
This page was last updated on October 28, 2021
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