NFPA CODE TESTING & INSPECTION. Requirements & Recommendations for. Licensed Florida Hospitals, Ambulatory Surgery Centers,
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1 NFPA CODE TESTING & INSPECTION Requirements & Recommendations for Licensed Florida Hospitals, Ambulatory Surgery Centers, ICF/IID Healthcare, & In-patient Hospice Facilities per NFPA Life Safety Code 101 (2012) Edition Required Tests & Inspections Frequency NFPA Reference I. Fire Alarm System: A. System operational test & 72 (2010) central station notification B. All manual pull stations 72 (2010) C. All indicating smoke detectors 72 (2010) operational test D. All smoke detectors Within 1 year of install & then 72 (2010) sensitivity test every other year thereafter E. Restorable Heat Detectors 20% or 100% in 5 years 72 (2010) (2010) F. Non-restorable Heat Detectors After 15 years test 2 for every 100 or replace all 72 (2010) , Table (14)(2-3) G. Remote Annunciators 72 (2010) , Table (14) H. Fire Panel inspection, 72 (2010) , Table (1) certification & tag I. Alarm Supervisory & Trouble 72 (2010) , Table (9) Signals II. Ventilating System Dampers & Detectors A. Fire Damper maintenance remove thermal links, operate damper to verify closure & lubricate 1 year after install Every 4 years Hospitals-every 6 years 80 (2010) B. Fire/Smoke & Ceiling Dampers 1 year after install Every 4 years Hospitals-every 6 years 105 (2010) III. Automatic Fire Sprinkler Systems A. Mechanical water-flow switches (fire alarm in 90 seconds per NFPA 72 (2010) ) B. Vane-type/Pressure switchtype water-flow switches (fire alarm in 90 seconds per NFPA 72 (2010) ) Quarterly 25 (2011) Semi-annually 25 (2011) Updated 9/12/2014 Page 1
2 C. Sprinkler system inspection 25 (2011) (not test) D. Fire Pump flow capacity test Weekly 25 (2011) run (no flow) E. Fire Pump flow capacity test 25 (2011) (flow) F. Calibrate pressure gauges Every 5 years or replace 25 (2011) G. Solder-type extra high Every 5 years 25 (2011) (325*F) or greater-sample testing H. System Obstruction & Every 5 years 25 (2011) Investigation (not required for non-metal pipe) I. Post Indicator & Control Monthly 25 (2011) Valves-inspection J. Post Indicator & Control Valves-testing -position & operation Semi-annually-supervisory 25 (2011) (2011) K. Water storage tanks, temp & water level switch alarmsupervised Monthly-temp Quarterly-level alarm 25 (2011) (2011) L. Water storage tanks, temp & water level switch alarm- not supervised Weekly-temp Monthly-level alarm 25 (2011) (2011) M. Dry Pipe - valve trip test 25 (2011) N. Dry Pipe - Full valve trip test Every 3 years 25 (2011) O. Dry Pipe - Quick Opening Quarterly 25 (2011) devices P. Fire Hose (occupant use) inspect & re-rack 25 (2011) 6.2.1, Table (2008) Q. Fire Hose (occupant use) pressure testing 5 years from date of manufacture/ every 3 years 25 (2011) 6.2.1, Table (2008) R. Fire Hydrant (private) functional test S. Fire Hydrant (private) piping flow test T. Sprinklers fast response At 20 years from manufacture/every 10 years thereafter till 75 year U. Sprinklers testing 50 year At 50 years from manufacture/every 10 years thereafter till 75 year V. Sprinklers testing 75 year At 75 years from manufacture/every 5 years thereafter W. Sprinklers-Dry (including Walk-ins) thereafter 25 (2011) Every 5 years 25 (2011) At 10 years from manufacture/every ten years 25 (2011) (2011) , (2011) (2011) X. Sprinklers Prior to 1920 Shall be replaced 25 (2011) Y. Sprinklers in corrosive or Every 5 years 25 (2011) harsh environments Updated 9/12/2014 Page 2
3 Z. Backflow Preventers Inspection & Testing IV. Other Fire Suppression Systems & Equipment: (does not include all types-just most common) A. Portable Fire Extinguishers in-house inspection B. Portable Fire Extinguishers (tagging) maintenance C. Portable Fire Extinguishers refill D. Portable Fire Extinguishers hydrostatic testing E. Portable Fire Extinguishers (Halon) inspect, test, disposal F. Kitchen Hood Extinguishing Systems tag & service G. Kitchen Hood Extinguishing Systems replace fusible links H. Kitchen Hood Extinguishing Systems In-house Quick Check Wet Chemical System I. Water Spray Systems flow test & flush J. Clean Agent Systems tag & service K. Clean Agent Systems quantity & pressure L. Clean Agent Systems Hose inspect & test M. Clean Agent Systems Room Enclosure Protection V. Essential Electrical Systems: A. Emergency Power Supply System inspection B. Emergency Power Supply System run under load C. Emergency Power Supply System Automatic Transfer Switches - manually test Monthly Inspection - Testing 25 (2011) , (2011) Monthly 10 (2010) (2010) Every 6 years 10 (2010) Every 5 years-stored pressure water, wetting agent, AFFF, FFFP, Dry Chem w/stainless steel, CO, & Wet Chem. Every 12 years-dry Chem, Halogenated Agents, & Dry Powder Monthly-inspect 6 year-disposal by manufacturer or approved vendor -AFSS protected Wet Chemical-Semi-annually 10 (2010) 8.3.1, T (2010) (2010) , , , (2011) (1-4) AFSS 13 (2010) A (2009) Semi-annually 96 (2011) (4) 17A (2009) Monthly 96 (2011) (4) 17A (2009) 7.2.2(1-8), (2011) (2) 15 (2012) (2011) (2012) Semi-annually 2001 (2012) inspect 2001 (2012) years-test 2001 (2012) (2012) 7.4 Weekly 110 (2010) Diesel-Monthly 110 (2010)8.4.1, 8.4.2(1-2) Spark-ignited-Monthly 110 (2010) 8.4.1, Monthly 110 (2010) 8.4.6, Updated 9/12/2014 Page 3
4 D. Emergency Power Supply System Load Bank Testing (if unable to meet 30% or greater monthly) E. Emergency Power Supply System Batteries inspect & test electrolyte levels & voltage F. Main & Feeder circuit breakers inspect & exercise G. Emergency Power Supply System Breakers in excess Of 600 volts exercise & overload test H. Emergency Power Supply System Level 1 (4 hour load test) 110 (2010) Weekly-inspect Monthly-testing -inspect Per Manufacturer Exercise Every 6 months exercise Every 2 years overload test 110 (2012) (2010) (2010) (2010) Every 36 months 110 (2010) I. Diesel Fuel Testing 110 (2010) VI. Electrical Testing: A. Receptacles at patient bed, deep sedation, or general anesthesia locations - testing Hospital Grade-Install, replacement, service, & performance based data 99 (2012) , B. Receptacles in patient care rooms - testing Non-hospital Grade- 99 (2012) (2012) C. Receptacles in wet locations or based on 99 (2012) performance data D. Ground fault circuit 99 (2012) interrupters -test E. Patient care- related electrical As established by policies & 99 (2012) equipment testing policy protocols F. Patient care-related electrical equipment testing First time in-service After repair 99 (2012) G. Wet Procedure Locations fixed receptacles, equipment connected by cord and plug, & fixed electrical equipment electrical continuity testing H. Line Isolation Monitors test circuit I. Test Instrument continuity testing J. Emergency Lighting 30 seconds K. Emergency Lighting 90 minutes Any modification Install Evidence of damage After repairs Intervals not exceeding 6 months 99 (2012) (A-B) Monthly 99 (2012) automated self-test & self-calibration 99 (2012) Monthly 101 (2012) (1) 101 (2012) (3) Updated 9/12/2014 Page 4
5 L. Battery Back-up Exit Signage Monthly-30 seconds -90 minutes 101 (2012) (2012) (1) 101 (2012) (3) VII. Medical Gas Systems A. Category 1 Medical Gas B. Category 2 Medical Gas C. Category 3 Medical Gas 99 (2012) (2012) (2012) (2012) (2012) VIII. Other A. Fire Drills 1 per quarter per shift 101 (2012) 4.7, , , , B. Disaster Drills-Internal & External C. Fire Plan Approval by local Fire Department and/or Emergency Management 1 each per year/6 months apart Hospital-59A-3.078(4) ASC-59A-5.018(4) Nursing Home-59A Reviewed and updated as required by the authority s having jurisdiction. 101 (2012) D. Disaster Plan Approval by County Emergency Management E. Laboratory Drills Fire & Spills F. Fire & Smoke Doors inspection & testing G. Boilers-Power Boilers, High Pressure, High Temperature Hospital-59A-3.078(3) ASC-59A-5.018(3) Nursing Home-59A Quarterly 45 (2011) , Fire-80 (2010) Smoke-105 (2010) internally & externally F.A.C. 69A (2)(a) not under pressure 6 months after Annual under pressure inspect externally H. Boilers-Heat Boilers Every 2 years F.A.C. 69A (2)(b) I. Boilers-Hot Water Boiler & Every 2 years F.A.C. 69A (2)(c) Hot Water Supply Boiler Internal-every 4 years Updated 9/12/2014 Page 5
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