TX HHS Form 5405. Life Safety Code Facility Observation Program

The TX HHS Form 5405, Life Safety Code Facility Observation Program, is a comprehensive checklist designed to help newly hired Regulatory Services surveyors conduct thorough observations of long-term care facilities. This form provides a framework for identifying potential areas of concern and ensuring compliance with life safety codes.

This checklist is particularly useful during the initial facility observation process, where it helps new surveyors focus on key aspects of facility operations. The form covers various topics, including fire alarm and sprinkler system maintenance, emergency procedures, smoking policies, and staff knowledge on using portable extinguishers. Additionally, it includes sections for reviewing systems, observing facilities, and documenting findings.

Key features of this form include:

• A structured format for conducting facility observations
• A guide for newly hired Regulatory Services surveyors to ensure thoroughness and consistency in their assessments
• A tool for identifying potential areas of concern and ensuring compliance with life safety codes