Compliance Tools

Developed by a group of experts, this Excel file can be used by health care organizations to assess their vulnerabilities and help manage their emergency preparedness programs. ASHE members are permitted to adapt this Excel tool for use at their facilities. Below is the Excel file and a PDF showing…
This checklist can help health care facilities inspect fire doors to ensure compliance with Joint Commission standard LS.02.01.10.
The emergency power supply system (EPSS) is a critical hospital system, and its failure to function in a power outage can have tragic results. Not all authorities having jurisdiction (AHJs) look at documentation of weekly inspections. Nonetheless, a weekly visual inspection is highly…
A sprinkler system can be complex with many different zones and valves. Some of those valves may be easily to locate. Others may be in more obscure locations. If there is a inadvertent sprinkler activation, or when maintenance or system modifications are being performed, it is imperative that…
This document provides a checklist for hospitals to document the inspection, testing, and maintenance of fire safety equipment and fire safety building systems.DOWNLOAD TOOL  
Tool for Assessing Compliance with Joint Commission Life Safety Specialist Areas of EmphasisThis checklist can be used to help evaluate a facility's compliance with certain elements of the 2010 Joint Commission Environment of Care and Life Safety standards that might be reviewed by a Life Safety…
ILSM-ICRA precautions daily monitoring checklistA checklist for monitoring compliance with infection control risk assessment (ICRA) precautions used as interim life safety measures. Intended to be used daily. Download Tool  word 
The ASHE CMS State Operations Manual Appendix A Crosswalk provides A-Tag information along with the related codes and standards applicable to the requirements for each A-Tag. To ensure that the tool is relevant to health care facility professionals, it focuses specifically on A-Tag requirements…