Life Safety Code Program
The Life Safety Code Program page provides information about provider compliance with Life Safety Code (LSC) requirements and includes links to applicable laws, regulations, and compliance information.
Contact
Indiana Department of Health Division of Long Term Care 2 North Meridian Street, 4B Indianapolis, IN 46204 | Program Supervisor Amy Kelley amkelley@health.IN.gov |
Long Term Care Receptionist: 317-233-7442 IDOH Main Switchboard: 317-233-1325 |
317-234-8502 Fax: 317-233-7322 |
Information and Policies
- Emergency Preparedness Information
- Forms
Battery Operated Smoke Detector Maintenance Log
Battery Operated Emergency Lights Test Log
CMS-2786R Fire Safety Survey Report 2012 Code - Health Care Medicare-Medicaid
Fire or Smoke Damper Maintenance Log
Hospital Entrance Conference Checklist
ICF/DD Life Safety Code (LSC) Entrance Conference Documentation Checklist
Life Safety Code Initial / Recertification / PSR / Walk - Thru Survey Exit Conference
Life Safety Code Waiver Request
Monthly Generator Load Test Log
Nursing Home Life Safety Code Entrance Conference Documentation Checklist
- Letters
Evacuation Drills for Intermediate Care Facilities for the Mentally Retarded
Generators in Ambulatory Surgical Centers (ASCs)
Life Safety Code (LSC) Surveyor Reference Materials
Life Safety Code – Exit Discharge Requirements and the Fire Safety Evaluation System (FSES)
Natural Gas Five Criteria Template Letter
NFPA Safety Alert Regarding Antifreeze in Residential Sprinklers
Use of Alcohol-based Skin Preparations in Anesthetizing Locations
- Links
- Manuals