to main content Fire Extinguishment Systems - Testing and Cleaning | Critical Access Hospital | Environment of Care EC | The Joint Commission
Fire Extinguishment Systems - Testing and Cleaning

What is the requirement for testing kitchen automatic fire extinguishing systems and cleaning requirements?

Any examples are for illustrative purposes only.

The Joint Commission references the 2011 edition of NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial Cooking Operations, where all actuation components, including remote manual pull stations, mechanical or electrical devices, detectors, actuators, and fire-actuated dampers, shall be checked for proper operation during the inspection in accordance with the manufacturer's listed procedures. This includes annual replacement of the fusible link.

The Joint Commission is not prescriptive for the procedures to be used to clean and maintaining kitchen extinguishing systems. The organization is expected to have a plan in place for cleaning based upon the manufacturer's instructions for use.

The organization must also be able to demonstrate on-going compliance with required system design components described in LS.02.01.35 that include:
  • portable fire extinguishers in the vicinity
  • grease removal devices
  • fire alarm system activation
  • deactivation of the cooking fuel source
  • proper operation of the exhaust system
Manual: Critical Access Hospital
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

If no, please comment on how we could improve this response.

If you have additional standards-related questions regarding this topic, please use the Standards Online Submission Form