Lauzon Life Safety Consulting
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1 Welcome to This Presentation By The WHEA Education & Professional Development Committee WHEA Lunch & Learn April 13, 2017 Lauzon Life Safety Consulting FIRE PLANS & DRILLS 1
2 Agenda Lauzon Life Safety Consulting Welcome to This Presentation By Bill Lauzon, PE Heather Lauzon Werner 2
3 This SESSION Agenda FIRE PLANS & DRILLS 1. Fire Plan Codes 2. Fire Plan Example 3. Fire Training 4. Fire Drill Code 5. Fire Drill Forms 3
4 Fire Plan Codes Code Requirements for FIRE PLANS are found in 2 Locations 1. Core Codes Chapter 4 2. Occupancy Chapters Chapter
5 Fire Plan Codes Core Code Requirements LSC 4.8 applies ONLY when directed by the occupancy chapter, x.7.x 1.Follow 4.8 Requirements Assembly (12/13) Education (14/15) Day Care (15/16) Hotels & Dorms (28/29) Mercantile (36/37) Business-Hi-Rise (38-39) 2.Have Own Requirements Health Care (18/19) Ambulatory (20/21) Detention (23/24) Apartments (30/31) Board & Care (32/33) 3.No Requirements 1 & 2 Family (24) Lodging/Rooming(26) Industrial (40) Storage (42) 5
6 Core PLAN Codes Fire Plan Codes There are Core code requirements LSC 4.8 applies ONLY if directed by the occupancy chapter, x.7.x 1.Follow 4.8 Requirements Assembly (12/13) Education (14/15) Day Care (15/16) Hotels & Dorms (28/29) Mercantile (36/37) Business-Hi-Rise (38-39) 2.Have Own Requirements Health Care (18/19) Ambulatory (20/21) Detention (23/24) Apartments (30/31) Board & Care (32/33) 3.No Requirements 1 & 2 Family (24) Lodging/Rooming(26) Industrial (40) Storage (42) 6
7 Core PLAN Codes Where Required per Occupancy Chap Per AHJ Fire Plan Codes Assembly (12/13) Business-Hi-Rise (38-39) Plan Requirements Procedures for reporting emergencies Occupant & staff response Evac procedures per occupancy Appropriate use of elevators Design & conduct of drills Type & coverage of fire protection systems Other items per AHJ Plan Review Submit to AHJ for review Review & update per AHJ 7
8 Core PLAN Codes Fire Plan Codes All Core code requirements are superseded by requirements within the Occupancy Chapter 2.Have Own Requirements Health Care (18/19) Ambulatory (20/21) 8
9 Health Fire Plan Fire Plan Codes 18/ EVACUATION & RELOCATION PLAN Health Care facilities shall have a plan: 1. For the protection of all persons in a fire 2. For evacuation to areas of refuge 3. For evacuation from the building if necessary Must be a Written plan Same Requirements in both New & Existing 9
10 Health Fire Plan Fire Plan Codes 18/ AVAILABILITY Readily available at all times in the telephone operator s position or the security center Plan available to all supervisory staff (18/ ) MUST be the current plan 10
11 Health Fire Plan Fire Plan Codes 18/ TRAINING Employees periodically instructed & kept informed to their duties Staff instructed in use of & response to fire alarms Staff instructed in life safety procedures & devices (18/ ) 11
12 Health Fire Plan Fire Plan Codes 18/ BASIC RESPONSE IN CASE OF FIRE Plan shall describe: 1. Remove all occupants near fire 2. Alarm Transmission to warn occupants and summon staff 3. Confinement of fire by closing doors to isolate the fire area 4. Extinguish small fires RACE 12
13 Health Fire Plan Fire Plan Codes 13
14 Health Fire Plan Fire Plan Codes 18/ FIRE SAFETY PLAN shall include: MUST HAVE ALL ELEMENTS NEW 1. Use of alarms 2. Transmission of alarm to fire department 3. Confirmation Call to fire department 4. Response to alarms 5. Isolation of fire Add this Mandatory Confirmation Call to Your Fire Response Plan NEW IN Call to fire department 14
15 Health Fire Plan Fire Plan Codes 18/ FIRE SAFETY PLAN shall include: MUST HAVE ALL ELEMENTS NEW 1. Use of alarms 2. Transmission of alarm to fire department 3. Confirmation Call to fire department 4. Response to alarms 5. Isolation of fire 6. Evacuation of immediate area 7. Evacuation of smoke compartment 8. Preparation of floors & building for evacuation 9. Extinguishment of fire 15
16 Health Fire Plan Fire Plan Codes NEW IN 2012 Store (But Remove) items in corridor Now legal to store equipment in corridor, but must have removal specifically in your plan Per 18/ (4)(b) Add this Mandatory Removal to Your Fire Response Plan 16
17 Health Fire Plan Fire Plan Codes 18/ CODE PHRASE TRAINING Example Staff instructed to use a code phrase for when: 1. The person who discovers a fire must go to aid of an endangered person 2. If fire alarm system malfunctions When staff hear the code phrase, they must Activate the nearest fire alarm pull Immediately execute fire duties 17
18 Fire Plan Key Points FIRE RESPONSE PLAN To cover 18
19 Fire Plan Basics Fire Plan Key Points FIRE RESPONSE PLAN 1. Response at the Fire 2. Response near the Fire 3. Evacuation Horizontal Evacuation Vertical Evacuation Building Evacuation 19
20 Fire Plan Basics Fire Plan Key Points FIRE RESPONSE PLAN Code Response Requirements Vary for various types of facilities: Business ASC Nrsg Home Hospital 20
21 Fire Plan Basics Fire Plan Key Points FIRE RESPONSE PLAN Difference: Based on Ability of Occupant to Get Out Able to Move with LITTLE HELP Able to Move with MUCH HELP Business CBRF ( A classes) CBRF ( C classes) ASC Nursing Homes Hospitals 21
22 Fire Plan Basics Fire Plan Key Points FIRE RESPONSE PLAN EVAC! DEFEND-IN-PLACE! LITTLE HELP Business CBRF ( A classes) MUCH HELP CBRF ( C classes) ASC Nursing Homes Hospitals 22
23 Fire Plan Basics Fire Plan Key Points Stay in Building During a Fire? DEFEND-IN-PLACE! 23
24 Fire Plan Basics Fire Plan Key Points Stay in Building During a Fire? Difficult & Dangerous to move patients/residents down stairs or outside of building 1. Injury during moving 2. Medication disruption 3. Keeping track 4. Outside weather 5. Where to go once outside DEFEND-IN-PLACE! 24
25 Fire Plan Basics Fire Plan Key Points Stay in Building During a Fire? Health Care Has: Rated Construction Exit Access Corridors Emergency Power Full Fire Alarm Sprinklers Trained Staff Fire Drills } Fire Plan & Drills DEFEND-IN-PLACE! 25
26 Fire Plan Basics Fire Plan Key Points FIRE RESPONSE PLAN Fire Department must review LTC Plans (DHS (3)(c )2 Tips to Get the Fire Department to Participate: 1. Avoid terms like certification 2. Your Problem is Not Their Problem 3. Understand the Limits on FD Man-power 4. If FD can t participate, hire a private inspector 5. Request far in advance 6. Don t be Demanding 7. Listen, Listen, Listen 8. Follow, Follow, Follow 9. DHS does not fund fire depts 10.Show Appreciation 26
27 Fire Plan Evaluation Fire Plan Example If you already have a Fire Plan Evaluate Your Fire Plan to confirm it: 1. Contains all Elements 2. Plan is quickly found Mandatory Elements in Plan 1.Use of alarms 2.Transmit alarm to fire dept 3.Emerg Call to fire dept 4.Response to alarms 5.Isolation of fire 6.Evac of immediate area 7.Evac of smoke comp 8.Preparation for evac 9.Extinguishment of fire 10.Use of a Code Phrase 27
28 Fire Plan Evaluation Fire Plan Example Be Detailed Be Specific Be Critical Be Obvious Many citations are given because plans: do not contain one or more of the mandatory elements They are too vague They can t be found Mandatory Elements in Plan 1.Use of alarms 2.Transmit alarm to fire dept 3.Emerg Call to fire dept 4.Response to alarms 5.Isolation of fire 6.Evac of immediate area 7.Evac of smoke comp 8.Preparation for evac 9.Extinguishment of fire 10.Use of a Code Phrase 28
29 Non-Recommended Fire Plan Fire Plan Example Here s an example of a policy that ONLY MARGINALLY contains the mandatory elements NOT RECOMMENDED 29
30 Non-Recommended Fire Plan Fire Plan Example 30
31 Non-Recommended Fire Plan Fire Plan Example Mandatory Elements in Plan 1.Use of alarms (Weak) 2.Transmit alarm to fire dept X 3.Emerg Call to fire dept X 4.Response to alarms (Okay) 5.Isolation of fire (Good) 6.Evac of immediate area (Weak) 7.Evac of smoke comp (Weak) 8.Preparation for evac X 9.Extinguishment of fire (Good) 10.Use of a Code Phrase X 31
32 Recommended Fire Plan Fire Plan Example Here is an example of a Recommended Fire Response Plan for health care facilities It Clearly Contains all the Mandatory Elements Use the example (if you choose) Mandatory Elements in Plan 1.Use of alarms 2.Transmit alarm to fire dept 3.Emerg Call to fire dept 4.Response to alarms 5.Isolation of fire 6.Evac of immediate area 7.Evac of smoke comp 8.Preparation for evac 9.Extinguishment of fire 10.Use of a Code Phrase 32
33 Recommended Fire Plan #1 Fire Plan Example 1 Page Multi-Page Plans can be difficult to locate all 10 of the required items Best to show Elements as main headings Mandatory Elements in Plan 1.Use of alarms 2.Transmit alarm to fire dept 3.Emerg Call to fire dept 4.Response to alarms 5.Isolation of fire 6.Evac of immediate area 7.Evac of smoke comp 8.Preparation for evac 9.Extinguishment of fire 10.Use of a Code Phrase 33
34 Recommended Fire Plan #1 Fire Plan Example
35 Recommended Fire Plan #1 Fire Plan Example FACILITY LIFE SAFETY SYSTEMS
36 Recommended Fire Plan #1 Fire Plan Example
37 Example Fire Plan #2 Fire Plan Example Covers all 9 Mandatory Plan Elements Mandatory Elements in Plan 1.Use of alarms 2.Transmit alarm to fire dept 3.Emerg Call to fire dept 4.Response to alarms 5.Isolation of fire 6.Evac of immediate area 7.Evac of smoke comp 8.Preparation for evac 9.Extinguishment of fire 10.Use of a Code Phrase 37
38 Example Fire Plan #2 Fire Plan Example
39 Example Fire Plan #2 Fire Plan Example 39
40 Mandatory Training Fire Training FIRE TRAINING Mandatory Training Requirements 1. Staff Duties Use & Response to Alarms Life Safety Procedures 2. Life Safety Devices 40
41 Mandatory Training 1. Staff Duties Fire Training Extract from your Fire Plan Make sure each is covered in your training 41
42 Mandatory Training 1. Staff Duties Fire Training Fire Response Type Duties Life Safety Procedures Life Safety Devices Dept Specific Duties 42
43 Fire Response Duties 1. Staff Duties FIRE RESPONSE AT THE FIRE R-A-C-E Fire Training Fire Response Duties Auto Race AWAY FROM THE FIRE P-A-S-S C-H-E-E-R 43
44 Fire Response Duties Fire Training 1. Staff Duties Fire Response Duties AT THE FIRE (race) R-A-C-E R A C E Remove People in Same Room as the Fire Activate the Alarm Confine the Fire by closing the door to the Room Extinguish the Fire if capable and it s small 44
45 Fire Response Duties 1. Staff Duties Fire Training Fire Response Duties AT THE FIRE (race) P A S S Pull the Pin Aim at the Base of the Fire Squeeze the trigger Sweep the Fire, slowly P-A-S-S 45
46 Fire Response Duties 1. Staff Duties Fire Training Fire Response Duties AT THE FIRE (race) P A S S Pull the Pin Aim at the Base of the Fire Squeeze the trigger Sweep the Fire, slowly P-A-S-S 46
47 Fire Response Duties 1. Staff Duties Fire Training Fire Response Duties AWAY FROM FIRE C-H-E-E-R 47
48 Fire Response Duties 1. Staff Duties AWAY FROM FIRE C Fire Training Fire Response Duties Clear the Corridors C-H-E-E-R H E E R Help neighbor zone Extinguisher brought Encourage Patients & Visitors Relocate Prep 48
49 Fire Response Duties Fire Training 1. Staff Duties Life Safety Procedures Follow Evacuation procedures per Facility Evac Policy DEFEND-IN-PLACE! 49
50 Fire Response Duties Fire Training 1. Staff Duties Life Safety Procedures Staff MUST know about: Smoke Compartments Smoke Barriers DEFEND-IN-PLACE! Fire Alarm Sys Smoke Detectors Their Part in the Plan 50
51 Fire Response Duties Fire Training 1. Staff Duties Life Safety Procedures 4 Typical Evac Levels 1. Room of Fire (Race) (no rating) 2. Smoke Compartment (1 hr rating) 3. Floor (1 or 2 hr rating) 4. Building
52 Fire Response Duties 1. Staff Duties Vertical Exits Fire Training Staff should to trained on LOCATIONS of: Vertical Exit Paths Pull Stations & Fire Extinguishers Smoke Barriers Horizontal Exit Paths Their Own & Adjacent Smoke Compartments 52
53 Fire Response Duties Fire Training 1. Staff Duties Life Safety Procedures In fire situations, DO NOT use elevators Stranded if Loss of Power Elevator Buttons may fuse in a fire & cause elevator to go to the fire floor Smoke in the shaft Very slow method to evac large numbers 53
54 Fire Response Duties 1. Staff Duties Fire Training Life Safety Devices Staff should be trained on LOCATIONS & How/When to operate Med Gas Zone Valves 54
55 Fire Response Duties 1. Staff Duties Fire Training Dept Specific Duties Who s responsible for what How to mark cleared rooms Who moves med charts & meds Who clears the corridors Usually in Dept meeting 55
56 Documentation Specifically show program content contains these items Fire Training Mandatory Training Requirements 1.Staff Duties 2.Use & Response to Alarms 3.Life Safety Devices 4.Life Safety Procedures Have Training Documents on hand 56
57 Fire Drill Codes Fire Drill Requirements Code Requirements for FIRE DRILLS are found in 2 Locations 1. Core Codes Chapter 4 2. Occupancy Chapters Chapter
58 Fire Drill Codes There are Core Drill Requirements But LSC 4.7 applies ONLY if directed by the occupancy chapter, x.7.x 1.Follow 4.7 Requirements Assembly (12/13) Education (14/15) Day Care (15/16) Hotels & Dorms (28/29) Mercantile (36/37) Business-Hi-Rise (38-39) 2.Has Own Requirements Health Care (18/19) Ambulatory (20/21) Detention (23/24) Apartments (30/31) Board & Care (32/33) 3.No Requirements 58 1 & 2 Family (24) Lodging/Rooming(26) Industrial (40) Storage (42)
59 Core DRILL Codes Fire Drill Codes Where Required Purpose: Emergency egress & Relocation per Occupancy Chapter Per AHJ Designed in Cooperation with local Fire Dept Assembly (12/13) Business-Hi-Rise (38-39) When Frequency per Occupancy Chapter Per AHJ Sufficient to familiarize occupants will procedures as a matter of routine All persons subject to the drill participate 59
60 Core DRILL Codes Fire Drill Codes Assembly (12/13) Business-Hi-Rise (38-39) Orderly Evacuation Emphasis on orderly evac rather than speed Simulated Conditions Held at expected & unexpected times Held under varying conditions to simulate the unusual conditions that can occur in an actual emergency Relocation Area Participants shall relocate to a predetermined location Remain at this location until recall is given Record Written record by responsible person 60
61 Health Fire Drills Fire Drill Codes FIRE DRILLS records are checked During every Health Care inspection DON T MISS ANY! 61
62 Health Fire Drills Fire Drill Codes 18/ FIRE DRILLS. Conducted quarterly on each shift To familiarize staff with signals and emergency actions 1 st Quarter 2 nd Quarter 3 rd Quarter 4 th Quarter 1 st 1 st 1 st 1 st 2 nd 2 nd 2 nd 2 nd 3 rd 3 rd 3 rd 3 rd 62
63 Health Fire Drills Fire Drill Codes 18/ FIRE DRILLS. Shall include: Simulation of emergency fire condition Same Requirements in both New & Existing 63
64 Health Fire Drills Fire Drill Codes 18/ FIRE DRILLS. Infirm or bedridden patients shall not be required to be moved during drills to safe areas or to the exterior of the building Same Requirements in both New & Existing 64
65 Health Fire Drills Fire Drill Codes 18/ FIRE DRILLS. Shall include: 1. Transmission of signal Facility Control Panel Monitoring Company Facility Pull, Smoke, Water Flow Fire Department Same Requirements in both New & Existing 65
66 Health Fire Drills Fire Drill Codes 18/ PM FIRE DRILLS. If conducted between 9 pm and 6 am, a coded announcement shall be permitted instead of audible alarms X Still Need to Operate Visuals & Transmit Alarm 66
67 Health Fire Drills Fire Drill Forms FIRE DRILL FORMS FIRE DRILLS POLICY 67 The drill is meant to test the staff: (not maintenance) On how to activate the fire alarm & On how to respond to alarms Doc.Rev Checklist Fire Drills Specific Tag Requirements 1. 1/Shift/Quarter 2. Varied Days (max 2 within a day of each other) 3. Varied Times (max 2 within an hr of each other) 4. Varied Locations (none in same smoke compart) 5. Staff/auto activate alarm 6. Include Transmission of Alarm 7. Include Back Up Call to FD or Monitoring 8. Documented staff participation 9. Documented evaluation of drill
68 Health Fire Drills Fire Drill Forms FIRE DRILL GRID Doc.Rev Checklist 14. Fire Drills Specific Tag Requirements X 1. 1/Shift/Quarter 2. Varied Days (max 2 within a day of each other) 3. Varied Times (max 2 within an hr of each other) 4. Varied Locations (none in same smoke compart) 5. Staff/auto activate alarm 6. Include Transmission of Alarm 7. Include Back Up Call to FD or Monitoring 8. Documented staff participation 9. Documented evaluation of drill 68
69 Health Fire Drills Fire Drill Forms FIRE DRILL GRID Doc.Rev Checklist Drill was conducted after the 1 st shift was over & must be counted as a 2 nd shift drill, which leaves no drill on 1 st shift during the 1 st Quarter 14. Fire Drills Specific Tag Requirements X 1. 1/Shift/Quarter 2. Varied Days (max 2 within a day of each other) 3. Varied Times (max 2 within an hr of each other) 4. Varied Locations (none in same smoke compart) 5. Staff/auto activate alarm 6. Include Transmission of Alarm 7. Include Back Up Call to FD or Monitoring 8. Documented staff participation 9. Documented evaluation of drill 69
70 Health Fire Drills Fire Drill Forms FIRE DRILL GRID Doc.Rev Checklist A drill during a shift change cannot be counted as a drill for both shifts, which leaves one of the shifts without a drill 14. Fire Drills Specific Tag Requirements X 1. 1/Shift/Quarter 2. Varied Days (max 2 within a day of each other) 3. Varied Times (max 2 within an hr of each other) 4. Varied Locations (none in same smoke compart) 5. Staff/auto activate alarm 6. Include Transmission of Alarm 7. Include Back Up Call to FD or Monitoring 8. Documented staff participation 9. Documented evaluation of drill 70
71 Health Fire Drills Fire Drill Forms FIRE DRILL GRID Doc.Rev Checklist Grid, by itself, does not include all info to demonstrate compliance 14. Fire Drills Specific Tag Requirements P P 1. 1/Shift/Quarter 2. Varied Days (max 2 within a day of each other) 3. Varied Times (max 2 within an hr of each other) 4. Varied Locations (none in same smoke compart) 5. Staff/auto activate alarm 6. Include Transmission of Alarm 7. Include Back Up Call to FD or Monitoring 8. Documented staff participation 9. Documented evaluation of drill 71
72 Health Fire Drills Fire Drill Forms FIRE DRILL GRID Doc.Rev Checklist Grid, by itself, does not include all info to demonstrate compliance 14. Fire Drills Specific Tag Requirements P P 1. 1/Shift/Quarter 2. Varied Days (max 2 within a day of each other) X 3. Varied Times (max 2 within an hr of each other) 4. Varied Locations (none in same smoke compart) 5. Staff/auto activate alarm 6. Include Transmission of Alarm 7. Include Back Up Call to FD or Monitoring 8. Documented staff participation 9. Documented evaluation of drill 72
73 Health Fire Drills Fire Drill Forms RECOMMENDED FIRE DRILL GRID FIRE DRILL LOG FOR YEAR 1 st SHIFT Date Time Loc 2 nd SHIFT Date Time Loc 3 rd SHIFT Date Time Loc Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 73
74 Health Fire Drills Fire Drill Forms RECOMMENDED FIRE DRILL GRID FIRE DRILL LOG FOR YEAR 1 st SHIFT Date Time Loc 2 nd SHIFT Date Time Loc 3 rd SHIFT Date Time Loc Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec NO PATTERN WITH DATES Same day of month Early or late in month (Max 2 within a day of each other) Vary Month of Drill (not always 1st shift in 1st month, etc.) 74
75 Health Fire Drills Fire Drill Forms RECOMMENDED FIRE DRILL GRID FIRE DRILL LOG FOR YEAR 1 st SHIFT Date Time Loc 2 nd SHIFT Date Time Loc 3 rd SHIFT Date Time Loc Jan Feb Mar Apr May Jun Jul Aug Sep NO PATTERN WITH TIME Same time of day (Max 2 within an hour of each other) Oct Nov Dec 75
76 Health Fire Drills Fire Drill Forms RECOMMENDED FIRE DRILL GRID FIRE DRILL LOG FOR YEAR 1 st SHIFT Date Time Loc 2 nd SHIFT Date Time Loc 3 rd SHIFT Date Time Loc Jan Feb Mar Apr May Jun NO PATTERN WITH LOCATION Vary locations Jul Aug Sep None in same compartment on same shift Oct Nov Dec 76
77 Health Fire Drills Fire Drill Forms RECOMMENDED FIRE DRILL GRID FIRE DRILL LOG FOR YEAR 1 st SHIFT Date Time Loc 2 nd SHIFT Date Time Loc 3 rd SHIFT Date Time Loc Jan Feb Mar One Valid Drill = Okay One Valid Drill = Okay One Valid Drill = Okay Apr May Jun One Valid Drill = Okay One Valid Drill = Okay One Valid Drill = Okay Jul Aug Sep One Valid Drill = Okay One Valid Drill = Okay One Valid Drill = Okay Oct Nov Dec One Valid Drill = Okay One Valid Drill = Okay One Valid Drill = Okay 77
78 Health Fire Drills Fire Drill Forms RECOMMENDED FIRE DRILL GRID Code Ref Checkpoints Grid Available for free download to members of LLSC Code Central 78
79 Health Fire Drill Form Fire Drill Forms FIRE DRILL REPORT FORM Many Forms are Available There isn t a Best Form Use one that fits facility culture Make sure it contains Key Checkpoints 79
80 Health Fire Drills Fire Drill Forms recommended FIRE DRILL REPORT FORM Doc.Rev Checklist 14. Fire Drills Specific Tag Requirements 1. 1/Shift/Quarter 2. Varied Days (max 2 within a day of each other) 3. Varied Times (max 2 within an hr of each other) 4. Varied Locations (none in same smoke compart) 5. Staff/auto activate alarm 6. Include Transmission of Alarm 7. Include Back Up Call to FD or Monitoring 8. Documented evaluation of drill 9. Documented staff participation 80
81 Health Fire Drills Fire Drill Forms recommended FIRE DRILL REPORT FORM Doc.Rev Checklist 14. Fire Drills Specific Tag Requirements 1. 1/Shift/Quarter 2. Varied Days (max 2 within a day of each other) 3. Varied Times (max 2 within an hr of each other) 4. Varied Locations (none in same smoke compart) 5. Staff/auto activate alarm 6. Include Transmission of Alarm 7. Include Back Up Call to FD or Monitoring 8. Documented staff participation 9. Documented evaluation of drill 81
82 Agenda FIRE PLANS & DRILLS 1. Fire Plan Code 2. Fire Plan Example 3. Fire Drill Code 4. Fire Drill Forms 82
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