Crosswalk of Standards against 2014 Standards 11.00.01 482.41 Environment 11.00.01 11.00.02 Required Plans & Performance Standards 11.00.02 11.01.01 Building Security 11.02.01 11.01.02 11.01.03 11.02.01 Security Management Local Security Support Periodic Monitoring for Safety Issues 11.02.02 11.02.03 11.01.01 11.02.02 482.41(a) Building Safety 11.01.02 11.02.03 Safety / Committee 11.01.03 11.02.04 Safety Team/ Committee Facilitator 11.01.04 11.02.05 Safety Officer 11.01.05 11.02.06 Teams Appointed for Specific Safety Areas 11.01.06 11.02.07 Safety Team/ Committee Functions 11.01.07 11.02.08 Review of Safety Policies/ Procedures 11.01.08 11.02.09 Patient Call System 11.05.03 11.03.01 482.41(a)(1) & Lighting 11.06.01 Chapter 11 Physical Environment Page 1
Crosswalk of Standards against 2014 Standards 11.03.02 Electrical System 11.06.02 11.03.03 Generator Inspections 11.06.03 11.03.04 System 11.06.02 11.03.05 Life Safety Branch 11.03.06 Critical Branch 11.03.07 Equipment System 11.03.08 Electrical Wiring & Equipment 11.03.09 System Testing 11.03.10 Uses for Essential Electrical System 11.03.11 Capacity & Rating 11.03.12 Load Pickup 11.03.13 of Temperature 11.03.14 Ventilating Air 11.03.15 System - & Testing 11.03.16 Test Criteria 11.06.04 Chapter 11 Physical Environment Page 2
Crosswalk of Standards against 2014 Standards 11.03.17 Test Conditions 11.06.04 11.03.18 Test Personnel 11.06.04 11.03.19 of Batteries 11.06.03 11.03.20 Record-Keeping 11.06.04 11.03.21 System-Fuel 09.01.03 11.03.22 482.41(a)(2) Emergency Gas & Water 09.01.03 11.03.23 Potable Water 11.06.07 11.03.24 Electrical Systems Labeling 11.03.25 Medical Gas Systems Labeling 11.06.09 11.03.26 Utility Equipment & Controls - Labeling 11.06.08 11.04.01 Smoking/ Tobacco Products Policy 11.01.09 11.04.02 482.41(b)(1)(i); 482.41(b)(1)(ii) Life Safety from Fire 13.00.01 11.04.03 For Future Use 11.04.04 Fire & Smoke Separations 13.04.01; 13.04.02 11.04.05 Smoke Detection & Fire Alarm System 13.02.01; 13.02.02 Chapter 11 Physical Environment Page 3
Crosswalk of Standards against 2014 Standards 11.04.06 Fire Extinguishing System 13.03.01 11.04.07 Means of Egress 13.01.03 11.04.08 11.04.09 482.41(b)(1)(ii) 11.04.10 Corridor Door Latching Elimination of Roller Latches LSC During Construction 13.01.01 13.00.01 13.00.02 11.04.11 LSC Assessment for Deficiencies 13.00.05 11.04.12 LSC Corrective Action Plan 13.00.05 11.04.13 482.41(b)(2) CMS Waiver of Life Safety Code 13.07.01 11.04.14 For Future Use 11.04.15 482.41(b)(3) CMS Recognition of State Fire & Safety Code in Lieu of NFPA 101 LSC Edition 2000 13.00.01 11.04.16 For Future Use 11.04.17 482.41(b)(5) Roller Latch Exception 13.00.01 11.05.01 482.41(b)(6) 11.05.02 Storage & Disposal of Trash Hazardous Maaterials & Waste Program 11.03.01 11.03.01 Chapter 11 Physical Environment Page 4
Crosswalk of Standards against 2014 Standards 11.05.03 Program Minimizes Exposure 11.03.03; 09.01.04 11.05.04 Labels & MSDS 11.03.04 11.05.05 Personal Protective Equipment 11.03.05 11.05.06 11.06.01 482.41(b)(7) Hazardous Maaterials - Routine Monitoring Written Fire Control Plans 11.03.06 11.04.01 11.06.02 11.06.03 Fire Response - Staff Training Fire Drills - Quarterly 11.08.01 11.04.02 11.06.04 Fire Drill - Critique 11.04.03 11.06.05 482.41(b)(8) Approval by State & Local Fire Agencies 11.04.04 11.07.01 Disaster Plans 09.00.01; 09.01.02 11.07.02 External Disaster Plan - Victim Triage 09.01.09 11.07.03 Disaster Drills & Staff Training 09.02.01 11.07.04 Disaster Plan - Staff Call Tree 09.01.07 Semi-annual Update 11.07.05 Weapons of Mass Destruction Response Plan Chapter 11 Physical Environment Page 5
Crosswalk of Standards against 2014 Standards 11.07.06 Disaster Response Plan 11.07.07 Education of Staff 09.02.02 11.07.08 Integrated Education Program 11.07.09 Weapons of Mass Destruction Drills 11.08.01 482.41(c) Adequate Facilities 11.07.01 11.08.02 482.41(c)(1) 11.08.03 482.41(c)(2) Facilities Located for Safety of Patients Ensures Safety & Quality 11.07.02 11.07.01 11.08.04 Electrical Equipment 11.08.05 11.08.06 11.08.07 Nonmedical Equipment & Systems - Medical Equipment & Systems - (Biomedical) Medical Gas Systems - (Oxygen, Compressed Air, & Vacuum Systems) 11.06.09 11.05.01 11.06.11 Chapter 11 Physical Environment Page 6
Crosswalk of Standards against 2014 Standards 11.08.08 Labeling of Utility Lines, Chases, & Controls 11.09.01 482.41(c)(3) 11.09.02 482.41(c)(4) 11.09.03 11.10.01 11.11.01 Facilities are Adequate to Support the Services Offered Ventilation, Light, & Temperature Controls Water Temperature Control Americans with Disabilities Act (ADA) Occupational Safety & Health Act (OSHA) 11.07.01 11.07.03 11.06.12 11.07.04 11.07.05 11.12.01 Safe Medical Device Act (SMDA) 11.05.04 11.13.01 482.41(b)(9); 482.41(b)(9)(i); 482.41(b)(9)(ii); 482.41(b)(9)(iii); 482.41(b)(9)(iv); 482.41(b)(9)(v) Alcohol-Based Hand Rub (ABHR) Dispensers- Installation 13.06.05 11.13.02 482.41(b)(9); 482.41(b)(9)(a); 482.41(b)(9)(b); 482.41(b)(9)(c) Alcohol-Based Hand Rub (ABHR) Dispensers- Solution Storage 13.06.05 11.13.03 482.41(b)(9) Alcohol-Based Hand Rub (ABHR) Dispensers- 13.06.05 Chapter 11 Physical Environment Page 7
Crosswalk of Standards against 2014 Standards Chapter 11 Physical Environment Page 8