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Overall, physical safeguards comprise 24% of the Security Rule, but the requirements are pretty vague. Regarding physical access controls, the rule has an addressable implementation specification that states, "Implement procedures to control and validate a person's access to facilities based on their role or function, including visitor control and control of access to software programs for testing and revision." I would recommend you read the entire physical controls section on page 46 of the Security Rule here.
For more info on this topic, please visit these SearchSecurity.com resources:
Security Policies Tip: Policy for the real world -- Physical security
Infosec Bookshelf: Securing the Enterprise
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