Washington State Department of Health Construction Review Services
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1 Washington State Department of Health Construction Review Services Steve Pennington, Plans Reviewer/ Inspector Janet Smoot, Plans Reviewer Clynn Wilkinson, Plans Reviewer 1
2 S-2 F-1 A B I-2 I-2 B ACF 2
3 Avg. 6 Fatalities annually from Fire (hospitals, nursing homes, clinics, psych.) 3
4 4
5 We Regulate! 5
6 How life safety features developed over time See why they were/are important today Building construction types Fire Sprinkler systems Smoke compartments 6
7 Noncombustible structure. No auto. Sprinklers No auto. Fire alarm No smoke compartmentation 7
8 8
9 9
10 Storage of Hazardous materials Automatic Sprinklers Unprotected vertical openings Firefighter equipment 10
11 Non combustible bearing walls combustible floors and partitions No auto. sprinklers No auto. fire alarm No smoke compartmentation No fire drills 11
12 12
13 Non combustible construction Provide smoke compartmentation Provide sprinkler Provide alarms Protect vertical openings Better drills Flame retardant finishes Better oversight 13
14 Provide smoke compartmentation Flame retardant finishes Provide sprinklers Better drills Provide alarms 14
15 Permit 15
16 New York Baltimore National Building Code Chicago Atlanta Denver LA Memphis Standard Bldg Code Uniform Building Code International Codes (ICC) Fire Exits Factory safety NFPA Building Exits NFPA Life Safety Code NFPA
17 Sprinklers required. New construction, not existing Non-or limited combustible construction. Especially as buildings get taller. More control over finishes. Smoke compartmentation (in NFPA) 17
18 Better protection of vertical openings. Better drills. (Alarm, contain) Systematic, conceptual approach. 18
19 Design, construction and compartmentation. Provision for detection alarm and extinguishment Fire prevention and the planning, training and drilling programs for the isolation of fire, transfer of occupants to areas of refuge, or evacuation of the building. 19
20 No high fatality (>8) hospital fires since early 70 s. Retroactive sprinklering of combustible / limited-combustible hospitals. Combustible construction severely limited. Better control of vertical openings Smoke compartments required. Better drills NFIRS data available! 20
21 Noncombustible construction No auto. sprinklers Fire alarm present but not fully operable Smoke compartments Detailed staff planning 21
22 14 patients 22
23 Room
24 No automatic sprinklers Delayed fire alarm due to inoperability Door to room was left open Smoke compartments worked Immediate staff actions based on training saved lives. 24
25 Noncombustible construction Partial sprinklers Fire alarm Smoke compartments Detailed staff planning 25
26 26
27 27
28 Smoke compartments work Containment works when you execute well. 28
29 February 26, Greenwood Health Center in Hartford, Connecticut - killed 16 residents September 25, fatalities in a Nashville, Tennessee nursing home among them the mother of a local district fire chief January 19, Maryville, Tennessee, 5 residents died in a nursing home fire 29
30 Noncombustible structure (not protected) No auto. Sprinklers Automatic Fire alarm Smoke compartmentation Some staff training 30
31 31
32 32
33 Fire Starts in Room
34 34
35 Within Smoke Compartment - Doors Open 35
36 Within Smoke Compartment - Doors Closed 36
37 Inside Patient Room - Doors Closed 37
38 Smoke Compartments Work 38
39 Safe Side of Smoke Compartment 39
40 Fire Side of Smoke Compartment 40
41 No Smoke at Vents Door & GWB 41
42 42
43 No automatic sprinklers Spotty staff response Door to room of origin left open Patient relocation Tried to fight fire Smoke compartments worked. When closed, corridor doors blocked smoke. 43
44 Retroactive installation of automatic sprinklers in all existing nursing homes. (NFPA and Federal Cert.) Renewed focus on inspections and training. 44
45 45
46 Nursing Home Fires Hospital/Hospice Fires 46
47 Hospital Nursing Home Residential Board and Care 47
48 48
49 o The codes used to provide this have evolved over years of experience. o They have had a significant impact o This is why how and why, we review current projects to assure patient, staff/ public safety o Healthcare facilities have become comparatively safe. Risk varies based on type and age of the facility. 49
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Paddy McDonnell P.I.I.E., H.Dip.SHWW., Grad. IOSH., G.I.Fire.E., MIITD.,MNFPA Technical Director Phoenix Safety Training Services
Fire Safety In Healthcare Services Conference Royal Marine Hotel, Dun Laoghaire, Co. Dublin 23 September, 2015 Understanding Fire Safety - Maintenance of Passive & Active Fire Safety Systems within Healthcare