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TSIG Overview and Inspections - Hilti

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Option #3<br />

• What is ILSM? LS.01.02.01 EP 1-14<br />

• Administrative controls to create a fire-safe<br />

balance for the current deficiencies defined<br />

• Must have written Policy & Procedure<br />

*The policy includes criteria for evaluating when <strong>and</strong> to what extent the hospital follows special<br />

measures to compensate for increased life safety risk<br />

• Must have completed assessment<br />

documentation, indicating measures deemed<br />

necessary.<br />

• ILSM is an ongoing assessment process (things<br />

change)<br />

2011 NYC Healthcare Symposium<br />

10/27/2011<br />

28

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