
Date
of Last Review 4/26/07
SME: Safety Compliance Coordinator
Proposed acquisitions for UTHCPC must meet specific fire safety requirements
for the protection of the patient population as well as staff, and to comply
with regulatory guidelines.
Department managers are responsible for obtaining a safety review of proposed acquisitions.
Purpose: So that UTHCPC meets NFPA 101, The Life Safety Code (LSC), JCAHO standards, and any City or State fire codes that apply.
The Safety Office & Facilities Management must review the following items to identify issues related to fire safety:
![]() | Bedding |
![]() | Window drapes or other curtains |
![]() | Furnishings |
![]() | Decorations |
![]() | Wastebaskets |
![]() | Other equipment |
Note: When required, the review evaluates each item's flame-resistant capability.
The Safety Office must review items as follows:
![]() | Heat-generating combustible materials |
![]() | Placement of equipment close to heat sources |
![]() | Flame-resistant coatings and coverings |
Failure to obtain safety review and approval will result in the items being returned to the vendor. The department must pay any restocking fee or other charges for returned merchandise.

If you have questions regarding the contents of this site please contact the
Policies and Procedures Committee.
If you experience any technical problems please contact the MIS Department..