ILSM - Policy Timeframes
In terms of correcting a Life Safety Code deficiency, what is the definition of "immediate?"
The context of "immediate" is to allow for a fire-safe facility, either by correction of the identified Life Safety Code deficiency, or by implementing mitigating activities to compensate for the deficiency. The Joint Commission allows the organization to use their professional judgement and their knowledge of their facility's unique circumstances to determine the timeline associated with "immediate." That judgement would determine the timeline on "immediate" based upon the criticality and severity of the identified deficiency.
Last updated on February 22, 2018
Manual: Hospital and Hospital Clinics
Chapter: Life Safety LS