The devastating fire at the Andheri hospital of the Employees State Insurance Corporation in Mumbai that killed at least eight people is a shocking reminder of the low priority fire safety gets in India. That a blaze could break out in a relatively new building with such deadly consequences calls into question the precautions taken by the authorities. The Maharashtra government should conduct a thorough probe and examine the claim made by the Fire Department that the hospital had failed an inspection recently and was served a notice. It would be shockingly negligent if the hospital continued to function without adhering to fire safety standards in spite of an adverse report from the statutory authority. Ironically, ESIC is a welfare organisation working to protect the health and well-being of the labour sector, and is expected to set an example through the quality of its facilities. The Andheri horror evokes memories of the AMRI hospital blaze in Kolkata seven years ago, in which 92 people died. It led to an assessment of hospital safety in all States, but evidently the impact has been patchy at best. In fact, the Justice Tapan Mukherjee Commission appointed by the West Bengal government held the directors of AMRI hospital responsible, since they actively reviewed the institution’s administrative measures. This year, critically ill patients had to be carried outside by relatives during a fire at the Calcutta Medical College and Hospital. A strong building code with features for reduction of fire hazards is important for all structures, but it is more so for hospitals since they host people who are incapacitated and cannot be evacuated quickly. The National Accreditation Board for Hospitals and Healthcare Providers (NABH) goes by the National Building Code and its specific norms for hospitals, which include minimum requirements for multi-storeyed structures, such as alarms, sprinkler systems, specified-width staircases, smoke barrier enclosures and checks against storage of combustible materials in areas where patients are kept. Going forward, all State governments should require mandatory compliance with such safety features for any institution handling patients or giving care. Certification of facilities through third-party audit should be made compulsory to eliminate conflicts of interest involving official agencies. The institutions should also be insured for the highest levels of public liability. At a broader level, governments must shed their indifference and work to make all spaces safe. The situation today is depressing. In private, public or commercial buildings, official agencies tend to favour tokenism rather than high standards for the safety of occupants and visitors. They are ever-willing to “regularise” deviations in construction over time. It is time to fix responsibility for deadly accidents on a single official agency.