About the Life Safety Code (LSC) Program
The Consumer Services and Healthcare Regulation (CSHCR) Commission at the Indiana Department of Health (IDOH) promotes healthcare quality by coordinating the licensure and certification of health facilities, clinics, centers, and providers; supporting quality initiatives of patient care; ensuring radiation safety among clinical staff; and confirming state standards for weights, measures, and metrology.
Life Safety Code (LSC) is a set of fire protection requirements designed to provide a reasonable degree of safety from fire. LSC covers construction, protection, and operational features designed to provide safety from fire, smoke, and panic. The National Fire Protection Association (NFPA) 99 Healthcare Facilities Code (HCFC) is a set of requirements intended to provide minimum requirements for the installation, inspection, testing, maintenance, performance, and safe practices for facilities, material, equipment, and appliances.
The LSC and HCFC, which are revised periodically, are publications of the NFPA, which was founded in 1896 to promote the science and improve the methods of fire protection. The basic life safety from fire requirement for facilities participating in the Medicare and Medicaid programs is compliant with the 2012 edition of the NFPA LSC and HCFC. The Centers for Medicare and Medicaid Services (CMS) partners with state agencies to assess facilities for compliance with LSC requirements.
Manuals
Access | Resource/Topic Title |
|---|---|
Emergency Evacuation Planning Guide for People with Disabilities | |
National Fire Protection Association, Glossary of Terms | |
State Operations Manual, Appendix I - Life Safety Code |
Forms
Templates
Access | Resource/Topic Title |
|---|---|
Battery-Operated Smoke Detector Maintenance Log/Record | |
Battery-Operated Emergency Light Test Log/Record | |
Fire/Smoke Damper Maintenance Log/Record | |
Fire Watch Log/Record | |
Weekly Emergency Generator Inspection Log/Record | |
Monthly Emergency Generator Test Log/Record |
Checklists
Access | Resource/Topic Title |
|---|---|
Ambulatory Surgery Center (ASC) and End-Stage Renewal Disease (ESRD) Entrance Conference Documentation Checklist | |
Hospital/Critical Access Hospital (CAH) Entrance Conference Checklist | |
Intermediate Care Facilities for Individuals with Intellectual Disabilities Entrance Conference Checklist | |
Long-Term Care (LTC) Entrance Conference Checklist |
Reports
Access | Resource/Topic Title |
|---|---|
Fire Drill Report Template | |
Nursing Home Smoke Detector Status Report (State Form 55004) | |
Receptacle Testing Report Template | |
Receptacle Testing Report Template (Annual) | |
Receptacle Testing Report Template (Annual) | |
Life Safety Code (LSC) Waiver Request (State Form 54147) | |
Life Safety Code (LSC)/Emergency Preparedness/Initial/Recertification/Post-Survey Revisit (PSR)/Walk-Through Survey Exit Conference (State Form 55060) |
Centers for Medicare and Medicaid Services (CMS) Forms
Access | Resource/Topic Title |
|---|---|
Determining Evacuation Capability: Intermediate Care Facilities for Individuals with Intellectual Disabilities | |
Fire Safety Survey Report, 2012: Healthcare | |
Fire Safety Survey Report, 2012: Ambulatory Surgical Centers (ASCs) and End Stage Renal Disease (ESRD) | |
Fire Safety Survey Report, 2012: Intermediate Care Facilities for Individuals with Intellectual Disabilities, Small Facilities | |
Fire Safety Survey Report, 2012: Intermediate Care Facilities for Individuals with Intellectual Disabilities, Large Facilities |
Letters
Access | Resource/Topic Title |
|---|---|
Natural Gas Five Criteria Template Letter | |
Safety Alert Regarding Antifreeze in Residential Sprinklers, National Fire Protection Association | |
Use of Alcohol-Based Skin Preparations in Anesthetizing Locations |
Emergency Preparedness Resources
Access | Resource/Topic Title |
|---|---|
Emergency Preparedness Resource Center | |
State Operations Manual, Appendix Z |
Contact | |
|---|---|
Indiana Department of Health | Program Supervisor |
Main Switchboard | Commission Switchboard |
Last Updated: Mar. 23, 2026
