Fire & Life Safety Compliance Officer (Hospital)

Trinity Health•Fort Lauderdale, FL

3d•Onsite

About The Position

This role is responsible for maintaining continuous survey readiness by ensuring compliance with regulations from various agencies including The Joint Commission (TJC), OSHA, EPA, NFPA, and industry best practices. The officer will serve as a Subject Matter Expert for fire and life safety codes, validate regulatory findings, and collaborate with local and state fire officials, Facilities Managers, and Construction/Real Estate teams on code impacts. The position also involves coordinating and monitoring fire and life safety program elements, managing the Interim Life Safety Management (ILSM) program, conducting Pre-Construction Risk Assessments, and participating in the testing and inspection of Life Safety Systems. Additionally, the role includes coordinating and conducting fire drills, providing employee training on fire/life safety response, collecting deficiency information, assisting with Life Safety drawings, maintaining the Statement of Conditions, and participating in regulatory survey reviews.

Requirements

Bachelor’s degree in a related healthcare field is preferred

Responsibilities

Maintains continuous survey readiness through compliance with regulations from TJC, OSHA, EPA, NFPA, and industry best practices.
Serves as Co-Safety Officer with direct oversight of Life Safety/Fire Safety Program.
Serves as the primary fire / life safety code Subject Matter Expert for Holy Cross Health.
Validates regulatory findings before investing in changes or corrective actions.
Collaborates with local and State fire officials, Facilities Managers and Construction / Real Estate team members to evaluate new codes / code changes that will impact Holy Cross Health facilities.
Coordinates and monitors Fire and Life Safety program elements in compliance with Federal, State and Local regulations including, but limited to safety inspections for new construction, remediation and repair, and renovations projects.
Manages the Interim Life Safety Management (ILSM) program and all pertinent documentation for all Holy Cross Health facilities.
Conducts Pre-Construction Risk Assessments to evaluate for life safety deficiencies during construction and renovation projects.
Collaborates with contractors and other team members in assessment, mitigation development, and education related to Life Safety risk and oversight of implementation of Interim Life Safety Measures (ILSM).
Participates in the testing, inspection and repair activities of the Life Safety Systems with facilities/vendors and serves as the Fire/Life Safety evaluator for the inspection process.
Coordinates and conducts all Fire drills across the system, including development of scenarios, scheduling, implementation, and documentation.
Monitors and reports compliance to operational leaders.
Prepares and presents effective employee training on proper fire / life safety response procedures, evacuation plans, and tests on horizontal and vertical evacuation.
Collects deficiency information for Life Safety and disseminates summaries of countermeasures and results to the Environment of Care and Safety (EOC) committee.
Assists Facilities/Construction/Vendor personnel with the evaluation of Life Safety drawings to assure accuracy and provides recommendations for revision frequency.
Maintain Joint Commission required Statement of Conditions.
Participate in Life Safety and Environment of Care regulatory survey reviews with The Joint Commission, State/City Fire Marshals, State/CMS surveyors and/or any other regulatory body.