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The Life Safety Code Program page provides information about provider compliance with Life Safety Code (LSC) requirements and includes links to applicable laws, regulations, and compliance information.
Indiana State Department of Health
Division of Long Term Care
2 North Meridian Street, 4B
Indianapolis, IN 46204
(317) 233-7442 (Long Term Care Receptionist)
(317) 233-1325 (ISDH Main Switchboard)
Map
Program Manager
Dennis Austill
daustill@isdh.in.gov
Phone: (317) 233-7471
Fax: (317) 233-7322
Battery Operated Smoke Detector Maintenance Log
Battery Operated Emergency Lights Test Log
Fire or Smoke Damper Maintenance Log
Fire Safety Survey - 2000 Life Safety Code (Worksheet for Rating Residents)
Fire Safety Survey Report - 2000 Life Safety Code
Fire Safety Survey Report 2000 Code - Health Care (Medicare – Medicaid)
ICF/DD Life Safety Code (LSC) Entrance Conference Documentation Checklist
Life Safety Code Initial / Recertification / PSR / Walk - Thru Survey Exit Conference
Life Safety Code Waiver Request
Monthly Generator Load Test Log
Nursing Home Life Safety Code Entrance Conference Documentation Checklist
Nursing Home Smoke Detector Status Report
Sample Weekly Generator Test Log
Evacuation Drills for Intermediate Care Facilities for the Mentally Retarded
Generators in Ambulatory Surgical Centers (ASCs)
Life Safety Code (LSC) Surveyor Reference Materials
Life Safety Code – Exit Discharge Requirements and the Fire Safety Evaluation System (FSES)
Natural Gas Five Criteria Template Letter
NFPA Safety Alert Regarding Antifreeze in Residential Sprinklers
Use of Alcohol-based Skin Preparations in Anesthetizing Locations
Emergency Evacuation Planning Guide for People with Disabilities
State Operations Manual, Appendix I - Life Safety Code
An inside look into Life Safety Code Form CMS-2786R