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This is an excerpt from a member-only article. To read the article in its entirety, please login or subscribe.

TJC changes EP on spare sprinkler heads again, to minimum six

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January 14, 2021

by A.J. Plunkett (aplunkett@decisionhealth.com)

Review your hospital’s inventory of different types of sprinkler heads, and then ensure you have at least six spare sprinkler heads for each type and temperature rating of those installed in your facility.

Those spare sprinkler heads will need to be readily available and stored in a cabinet along with any associated wrench or tool needed to switch them out. And the location of that cabinet must be in an area that does not exceed 100°F.

As of January 1, 2021, that is the requirement for hospitals accredited by The Joint Commission (TJC) in the newly updated Life Safety standard LS.02.01.35, EP 7.

Those spare sprinkler heads will need to be readily available and stored in a cabinet along with any associated wrench or tool needed to switch them out. And the location of that cabinet must be in an area that does not exceed 100°F.



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