This regulation requires that fire door assemblies in healthcare facilities be inspected and tested annually per NFPA 80, with routine maintenance inspections for non-required fire barrier doors such as corridor and smoke barrier doors. Inspections must be performed by individuals knowledgeable about door operating components, and written records must be maintained and available for review. This is a Life Safety Code (LSC) physical plant/fire safety requirement applicable to inpatient healthcare facilities.
View official sourceK761 Maintenance, Inspection & Testing - Doors Fire doors assemblies are inspected and tested annually in accordance with NFPA 80 Standard for Fire Doors and Other Opening Protectives. Fire doors that are not located in required fire barriers, including corridor doors to patient rooms and smoke barrier doors, are routinely inspected as part of the facility maintenance program. Individuals performing the door inspection and testing have an understanding of the operating components of the doors. Written records of inspection and testing are maintained and are available for review. 18.7.6, 19.7.6, 8.3.3.1 (LSC), 5.2, 5.2.3 (NFPA 80) Name of Facility 2012 LIFE SAFETY CODE ID PREFIX MET NOT MET N/A REMARKS