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ILSM - Policy Scope

What must an Interim Life Safety Measure policy contain?

Any examples are for illustrative purposes only.  

In order to evaluate and implement an effective plan for Life Safety code deficiency mitigation, an Interim Life Safety Measure (ILSM) policy must consist of the following:  
  • State that the process is applicable to construction related situations and situations of non-compliance with the Life Safety Code.  
  • State circumstances that would require ILSM assessment, to include a statement that at all Statement of Condition, Plans for Improvement (PFIs) are to be assessed for ILSM.  
  • Describe how the organization will respond to situations described in LS.01.02.01.  
  • Describe how occupants are to be protected by using the available menu of interim life safety measures described in LS.01.02.01, as applicable to the situation.  
  • Describe the ILSM assessment process, to include an assessment tool to document which measure(s) will be implemented, or no ILSM needed if that is the assessment result.  
  • Describe the ILSM implementation process, to be effective throughout the duration of the deficiency(s), and to include an implementation tool to document each implemented ILSM for the duration of its application.  
Reference LS.01.02.01
Last updated on March 29, 2021
Manual: Critical Access Hospital
Chapter: Life Safety LS

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