Regulation detail

K-Tag K322

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Laboratories

Jurisdiction: CM Agency: Centers for Medicare & Medicaid Services
PSYCH_FACILITY (60%) SNF (100%)
Plain-English summary

This regulation establishes fire safety and life safety requirements for laboratories within healthcare facilities, including fire-resistance-rated separation, automatic sprinkler protection, and compliance with NFPA 45, NFPA 54, and NFPA 99 standards. It is a CMS Life Safety Code survey tag (K322) applied during inspections of inpatient healthcare facilities. Facility operators must ensure laboratories with severe hazardous materials are properly separated and sprinklered, and that gas appliances and medical oxygen systems meet applicable NFPA standards.

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Regulation text
K322 Laboratories 
Laboratories employing quantities of flammable, combustible, or 
hazardous materials that are considered a severe hazard are protected by 
1-hour fire resistance-rated separation, automatic sprinkler system, and
are in accordance with 8.7 and with NFPA 99.
Laboratories not considered a severe hazard are protected as hazardous 
areas (see K321). 
Laboratories using chemicals are in accordance with NFPA 45, Standard 
on Fire Protection for Laboratories Using Chemicals.
Gas appliances are of appropriate design and installed in accordance with 
NFPA 54. Shutoff valves are marked to identify material they control. 
Devices requiring medical grade oxygen from the piped distribution system 
meet the requirements under 11.4.2.2 (NFPA 99). 
18.3.2.2, 19.3.2.2, 8.7, 8.7.4.1 (LSC) 
9.3.1.2, 11.4.3.2, 15.4 (NFPA 99) 
Form CMS-2786R (07/2018) 
Page 17 

Name of Facility 2012 LIFE SAFETY CODE
ID 
PREFIX MET NOT 
MET N/A REMARKS