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CERTIFIED LIFE SAFETY SPECIALIST (CLSS-HS)
FOR HEALTH CARE FACILITY MANAGERS EXAM
QUESTIONS WITH VERIFIED ANSWERS LATEST
UPDATED
Fire Safety and Prevention
1. Question: What NFPA code specifically addresses fire safety in healthcare facilities? Answer: NFPA 101 Life Safety Code, specifically Chapters 18 and 19 which address new and existing healthcare occupancies. 2. Question: How frequently must fire drills be conducted in healthcare facilities? Answer: Quarterly on each shift (at least 12 per year, with quarterly drills conducted for each shift). 3. Question: What is the minimum fire resistance rating required for corridor walls in existing healthcare occupancies? Answer: 30 minutes (1/2 hour). 4. Question: What is the minimum fire resistance rating required for corridor walls in new healthcare occupancies? Answer: 1 hour. 5. Question: When must a facility's fire alarm system be tested? Answer: Quarterly for supervisory signal devices, annually for initiating devices and control equipment, and semiannually for notification appliances. 6. Question: What is compartmentation in healthcare facilities? Answer: The practice of dividing a building into smoke compartments to contain fire and smoke and facilitate horizontal evacuation. 7. Question: What is the maximum travel distance to an exit in an existing sprinklered healthcare facility? Answer: 200 feet. 8. Question: What is the maximum size of a smoke compartment in a new healthcare facility? Answer: 22,500 square feet. 9. Question: What is the minimum fire resistance rating for smoke barriers? Answer: 1 hour.
10. Question: How much clear width is required for a corridor in a healthcare facility? Answer: 8 feet (96 inches) in areas where beds, stretchers, or gurneys are used; 44 inches in areas not serving as a means of egress from sleeping or treatment rooms. **Means of Egress
- Question:** What is the minimum door width required for patient room doors in healthcare facilities? Answer: 41.5 inches (to accommodate 36-inch clear width plus door and frame). 12. Question: How many exits are required from each smoke compartment? Answer: At least 2 exits. 13. Question: What is the maximum travel distance to a smoke barrier from any point within a smoke compartment? Answer: 200 feet. 14. Question: What is the maximum travel distance to an exit in a non- sprinklered healthcare facility? Answer: 150 feet. 15. Question: What is the minimum clear width for exit stairs in healthcare facilities? Answer: 44 inches. 16. Question: In what direction must doors in the means of egress swing? Answer: In the direction of egress travel. 17. Question: What is the maximum force allowed to open a door in the means of egress? Answer: 5 pounds of force for interior doors, 15 pounds to release the latch, 30 pounds to set the door in motion. 18. Question: What is the minimum headroom required in means of egress? Answer: 7 feet 6 inches (90 inches). 19. Question: What type of locks are permitted on egress doors in the path of egress from a smoke compartment? Answer: Locks that can be unlocked from the egress side without a key, tool, or special knowledge. 20. Question: Under what conditions can a facility have delayed-egress locks? Answer: When the facility has an approved automatic sprinkler system or approved automatic fire detection system, and the locks release upon activation of the sprinkler/detection system, loss of power, or application of force to the door for no more than 15 seconds. Emergency Power and Lighting
valve supervisory signals, and control valves; annually for main drain tests and sprinklers.
35. Question: What is the minimum water supply duration required for a sprinkler system? Answer: 30 minutes. 36. Question: How often should fire dampers be tested? Answer: 1 year after installation, then every 6 years thereafter. 37. Question: How often should smoke dampers be tested? Answer: 1 year after installation, then every 6 years thereafter. 38. Question: What is the required temperature rating for sprinklers in patient rooms? Answer: Ordinary temperature classification (135°F-170°F). 39. Question: What is a Class III standpipe system? Answer: A system that provides 1½-inch hose stations for use by trained personnel and 2½-inch hose connections for fire department use. 40. Question: What NFPA standard governs the inspection, testing, and maintenance of fire alarm systems? Answer: NFPA 72 - National Fire Alarm and Signaling Code. **Hazardous Materials and Areas
- Question:** What is the maximum quantity of flammable liquids permitted in a storage room outside of an approved flammable storage cabinet? Answer: 10 gallons. 42. Question: What fire resistance rating is required for hazardous storage room walls? Answer: 1 hour. 43. Question: What is the required fire protection rating for doors to hazardous rooms? Answer: 45 minutes (¾ hour). 44. Question: What areas in healthcare facilities are typically considered hazardous areas? Answer: Boiler rooms, storage rooms over 50 square feet, repair shops, soiled linen rooms, and trash collection rooms. 45. Question: What type of containment is required for oxygen storage rooms with more than 3,000 cubic feet of gas? Answer: 1 - hour fire-rated construction. 46. Question: How should medical gas cylinders be stored? Answer: Secured in an upright position, separated by type, and away from combustible materials.
47. Question: What is the maximum allowable quantity of alcohol-based hand rub solution in a single dispenser in a healthcare facility? Answer: 1.2 liters (40.58 ounces). 48. Question: What is the minimum separation distance required between alcohol-based hand rub dispensers? Answer: 48 inches horizontally. 49. Question: What special protections are required for trash and linen chutes? Answer: Sprinkler protection at the top and discharge, 1-hour fire-rated construction, and self-closing rated doors. 50. Question: What is the minimum fire resistance rating required for a room housing medical gas supply systems? Answer: 1 hour. **Building Construction and Features
- Question:** What is the minimum width required for doors in the means of egress that are used for the movement of beds? Answer: 41.5 inches. 52. Question: What is the maximum projection into corridor width permitted for items such as handrails? Answer: 3½ inches on each side. 53. Question: What is the minimum ceiling height required in means of egress? Answer: 7 feet 6 inches (90 inches). 54. Question: What is the minimum fire resistance rating required for shaft enclosures penetrating four or more stories? Answer: 2 hours. 55. Question: What is the minimum fire resistance rating required for floors in Type I construction? Answer: 2 hours. 56. Question: What is a smoke compartment? Answer: A space within a building enclosed by smoke barriers on all sides, including the top and bottom. 57. Question: What is the minimum fire resistance rating for a fire door in a 2- hour rated wall? Answer: 90 minutes (1½ hours). 58. Question: What is the required fire resistance rating for exit stair enclosures in buildings four stories or higher? Answer: 2 hours. 59. Question: What is the required fire resistance rating for corridor walls in a new ambulatory healthcare occupancy? Answer: 1 hour. 60. Question: What is the required fire resistance rating for an exit passageway? Answer: Same as the exit it serves (typically 1 or 2 hours).
72. Question: What does the acronym RACE stand for in fire response procedures? Answer: Rescue, Alarm, Confine, Extinguish/Evacuate. 73. Question: What does the acronym PASS stand for in fire extinguisher use? Answer: Pull, Aim, Squeeze, Sweep. 74. Question: What is the primary purpose of a Fire Watch? Answer: To detect fires and notify occupants when a fire protection system is out of service. 75. Question: How frequently must a facility's emergency action plan be reviewed? Answer: Annually. 76. Question: What are the requirements for a facility's Incident Command System (ICS)? Answer: Must be consistent with National Incident Management System (NIMS) and include chain of command, communications, resource management, and coordination with external agencies. 77. Question: What should be included in facility evacuation plans? Answer: Procedures for horizontal and vertical evacuation, staff responsibilities, evacuation routes and assembly points, and procedures for accounting for patients, staff, and visitors. 78. Question: What is the required training frequency for staff on fire emergency procedures? Answer: Upon hire and annually thereafter. 79. Question: What information must be included in a facility's fire safety management plan? Answer: Fire prevention, fire protection, response procedures, evacuation procedures, and staff training. 80. Question: Who is responsible for determining when to evacuate patients during a fire emergency? Answer: The Incident Commander or designee, typically in consultation with the Fire Department. **Inspection, Testing, and Maintenance
- Question:** How frequently must fire doors be inspected? Answer: Annually. 82. Question: How frequently must a healthcare facility test smoke detectors? Answer: Annually. 83. Question: What documentation must be maintained for fire drills? Answer: Date, time, shift, locations, scenario, participants, evacuation time, and evaluation of effectiveness.
84. Question: How often must portable fire extinguishers undergo maintenance? Answer: Annual maintenance inspection and every 6 years for stored pressure extinguishers (internal examination). 85. Question: How often must smoke barrier doors be tested to confirm they self-close and latch? Answer: Annually. 86. Question: How frequently must battery-powered emergency lights be tested? Answer: Monthly for 30 seconds and annually for 90 minutes. 87. Question: What inspection is required for exit signs? Answer: Monthly visual inspection and annual functional testing if they have battery backup. 88. Question: How often must fire alarm system monitoring service be tested? Answer: Quarterly. 89. Question: How often must fire pump testing be conducted? Answer: Weekly churn test, monthly under flow conditions, and annually for full flow testing. 90. Question: What documentation must be maintained for inspection, testing, and maintenance of fire protection systems? Answer: Records of all inspections, tests, maintenance, and activations including date, name of inspector/tester, and results of activity. **Regulatory Compliance
- Question:** What agency enforces the Life Safety Code in healthcare facilities certified for Medicare/Medicaid? Answer: Centers for Medicare & Medicaid Services (CMS) through state survey agencies. 92. Question: What document must be submitted to CMS when a healthcare facility cannot meet specific requirements of the Life Safety Code? Answer: Request for waiver or equivalency. 93. Question: What is the Statement of Conditions (SOC)? Answer: A document used by The Joint Commission to track Life Safety Code compliance and Plan for Improvement (PFI) items. 94. Question: What must be done before a Life Safety Code deficiency can be added to a Plan for Improvement? Answer: A risk assessment must be conducted to ensure patient safety is not compromised.
106. Question: What temperature range is required in operating rooms? Answer: 68 - 75°F (20-24°C). 107. Question: What humidity range is required in operating rooms? Answer: 20 - 60% relative humidity. 108. Question: What is required for emergency access to rooms where patients are at risk for harming themselves? Answer: Hardware that allows staff emergency access from outside the room. 109. Question: What is the minimum clear floor space required in a patient toilet room? Answer: 30 inches by 48 inches. 110. Question: What are the requirements for patient bathing facilities in healthcare occupancies? Answer: Non-slip surfaces, grab bars, call system, and privacy. **Construction and Renovation
- Question:** What document guides safety during healthcare construction projects? Answer: Infection Control Risk Assessment (ICRA) and construction risk assessment. 112. Question: What must be done before beginning demolition or construction in a healthcare facility? Answer: Complete an Infection Control Risk Assessment (ICRA) and Interim Life Safety Measures (ILSM) assessment. 113. Question: What standard provides guidance on dust control during construction? Answer: ANSI/ASHRAE/ASHE Standard 170. 114. Question: What is the purpose of an ILSM assessment during construction? Answer: To identify and implement measures to maintain life safety when building systems are compromised during construction. 115. Question: What type of barriers are required for Class IV construction areas with the highest infection control risk? Answer: Impermeable barriers from floor to ceiling with negative air pressure and HEPA filtration. 116. Question: What special requirements apply when construction impacts a means of egress? Answer: Alternative routes must be provided, clearly marked, and maintained at all times. 117. Question: When must a construction site be inspected for infection control compliance? Answer: Daily by designated personnel.
118. Question: What documentation must be maintained regarding construction projects affecting life safety? Answer: Plans showing temporary measures, daily inspection reports, ICRA documentation, and ILSM implementation records. 119. Question: What is the purpose of commissioning after construction? Answer: To verify and document that the facility and systems function according to design intent and owner requirements. 120. Question: What is required when construction will interrupt fire alarm or sprinkler protection? Answer: ILSM implementation including fire watch, additional training, daily hazard surveillance, and potentially additional fire protection equipment. **Special Hazards and Considerations
- Question:** What special protection is required for MRI rooms? Answer: Non-ferrous fire extinguishers, ferromagnetic detection systems, and access control to prevent dangerous items from entering the magnetic field. 122. Question: What special considerations apply to radiation therapy rooms? Answer: Lead-lined walls, doors, and windows with appropriate fire ratings and seals. 123. Question: What is required for electrical systems in operating rooms? Answer: Isolated power systems with line isolation monitors. 124. Question: What special considerations apply to emergency power supply systems (EPSS)? Answer: Appropriate fire-rated enclosures, ventilation, fuel supply, and regular testing. 125. Question: What type of automatic extinguishing system is typically used for kitchen hood protection? Answer: Wet chemical extinguishing system meeting UL 300 standards. 126. Question: What are the special requirements for behavioral health units regarding life safety features? Answer: Anti-ligature fixtures, institutional- grade hardware, tamper-resistant fasteners, and specialized door hardware. 127. Question: What special requirements apply to hyperbaric chambers? Answer: 100% non-combustible construction, dedicated ventilation, specialized electrical systems, and emergency shutdown capabilities.
138. Question: What must be included in staff training documentation? Answer: Training content, date, attendees, instructor, and competency verification. 139. Question: What documentation must be maintained for emergency generators? Answer: Maintenance records, test results, fuel quality tests, and repair history. 140. Question: What must be included in an annual evaluation of the Life Safety Management Plan? Answer: Effectiveness of the program, deficiencies identified, corrective actions taken, and opportunities for improvement. **Miscellaneous Requirements
- Question:** What is the minimum mounting height for fire extinguishers? Answer: Not more than 5 feet above the floor for extinguishers weighing 40 pounds or less. 142. Question: What is the maximum distance between smoke detectors on a ceiling? Answer: 30 feet. 143. Question: What is the minimum requirement for identification of fire- rated walls above ceilings? Answer: Stenciling or labeling indicating the hourly rating at intervals not exceeding 10 feet. 144. Question: What is required for corridor doors in healthcare occupancies? Answer: Positive latching hardware, no more than 1-inch undercut, and self- closing or automatic-closing mechanisms. 145. Question: How many occupants should be calculated per patient bed in a healthcare facility for egress purposes? Answer: 2 persons per patient bed. 146. Question: What is the minimum width required for corridors in areas not serving patient sleeping rooms? Answer: 44 inches. 147. Question: What is the maximum height above the floor for manual fire alarm pull stations? Answer: 48 inches. 148. Question: What is required for areas of refuge in a healthcare facility? Answer: Two-way communication, signage, wheelchair space (30 inches by 48 inches per wheelchair), and direct access to an exit stairway.
149. Question: What are the requirements for marking egress paths? Answer: Clearly visible exit signs, directional signage where the exit path is not obvious, and illumination of the means of egress at all times. 150. Question: What are the requirements for staff training regarding hazard communication? Answer: Initial training upon hire, whenever new hazards are introduced, documentation of training, and availability of Safety Data Sheets (SDS).
