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Life Safety Surveys
Life safety surveys are a critical component of regulatory oversight for ambulatory surgery centers (ASCs), ensuring that facilities meet established fire protection, building safety, and emergency preparedness standards designed to protect patients, staff, and visitors. These surveys evaluate compliance with applicable life safety codes and healthcare facility regulations, focusing on areas such as fire alarm systems, sprinkler systems, means of egress, smoke compartments, medical gas systems, and emergency procedures.
Because ASCs serve patients who may have limited mobility or be under anesthesia, life safety compliance is especially important. Regular inspections help verify that facilities maintain safe environments, properly maintain life safety systems, and follow protocols that reduce risk during emergencies.
This resource page provides information and tools to help Minnesota ASCs understand life safety survey expectations, maintain compliance, and prepare for inspections. A special thanks to Rick Huston, Deputy Minnesota State Fire Marshal with the Healthcare Division of the Minnesota Department of Public Safety for sharing his expertise and resources.
Above ceiling inspection form
Door inspection report
Electrical receptacle testing form
Emergency generator monthly test log
Fire drill schedule
Life Safety documentation guide 2026
MDH LSC testing requirements
NFPA risk assessment
Oxygen storage
PCREE testing information
RPT CMS guidance
Safety documentation index
Smoke detector sensitivity testing
Survey and cert letter 14-16 power strips
Online Training Series, NFPA 80, Inspection, Testing and Maintenace of Swinging Fire Doors
Review the Education Session presentation held on March 13, 2026.
WATCH the Education Session recording held on March 13, 2026 with passcode: Passcode: A2671@&m
Additional resources can be found within external websites:
Minnesota Department of Public Safety - State Fire Marshal - Health Care Facilities
Minnesota Department of Health - Fire/Life Safety Code Documentation
Questions?
For more information, or to submit a question, please contact Vicki Stute, MNASCA Executive Director.
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