Healthcare
Joint Commission Fire Door Compliance
Life Safety (LS) chapter findings are one of the most common reasons hospitals receive Requirements for Improvement. Fire door assemblies — LS.02.01.10 — sit at the center of that scrutiny. We help health systems pass on the first survey.
01
What surveyors actually look for
Surveyors verify that fire and smoke door assemblies are inspected annually, that records are on file, and that deficiencies are being corrected. Missing labels, excessive clearances, field modifications, and inoperative self-closers are the most common citations.
02
LS.02.01.10 documentation
Records must show inspector qualifications, inspection date, opening-level findings, and corrective action. Our reports are formatted to drop directly into your eSOC or Statement of Conditions binder.
03
Corrective repair without re-discovery
Findings feed directly into a prioritized repair plan with photos, locations, and scope. When work is completed, closeout documentation is tied back to the original finding so nothing has to be re-investigated mid-survey.
04
Health system rollouts
We support multi-hospital and IDN portfolios on rolling annual calendars with consolidated roll-up reporting at the system level — so compliance leadership has one view across every site.
What's included
Scope highlights
- LS.02.01.10-aligned inspections
- eSOC / SOC-ready documentation
- Door-level findings with photos
- Corrective repair coordination
- Closeout tied to original finding
- Multi-hospital rollouts
- System-level roll-up reporting
- Pre-survey readiness reviews
Faster scoping
Have a Door Count, Prior Report, Photos, or Floor Plan?
Upload what you have and we can review the scope faster. Even if the information is incomplete, it helps us understand your facility and respond with better next steps.
For your internal team
Need Internal Approval?
We can provide a clear written scope, deliverables summary, and next-step explanation your team can review internally before any commitment.
Get started
Talk to a compliance specialist about your facility.
Tell us about your buildings and goals. We'll respond with scope, pricing, and a realistic timeline.