Building Codes & Standards for Healthcare. Healthcare Construction Certificate - Level 1

Size: px
Start display at page:

Download "Building Codes & Standards for Healthcare. Healthcare Construction Certificate - Level 1"

Transcription

1 Building Codes & Standards for Healthcare

2 Building Codes and Standards AHJs Codes Defend in Place Walls Sprinklers Fire Alarm

3 Important Dates for Healthcare Facilities 7/5/16 NFPA Life Safety Code Edition adopted by CMS CMS Enforcement date: 11/1/16 TJC Enforcement date: 11/7/16 Wisconsin adopts NFPA Edition Enforcement: 10/1/17 Wisconsin adopts 2015 ICC codes along with FGI Guidelines 2014 Edition Ventilation only Enforcement: 5/1/18

4 Building Codes for Healthcare DHS 2012 LSC 101 Major Changes: Cooking Open to the Corridors Gas Fireplaces in sleeping compartments Fixed Furniture in 8 Corridor More Combustible Decorations Relative Humidity in OR s

5 New Referenced Codes and Standards 2012 LSC Categorical Waivers based on partial use of 2012 LSC NO longer applicable HEALTH CARE CODE (Risk Based, Elec, Med Gas, Ventilation, Equip) Chapter 43 Building Renovations

6 National Fire Protection Association NFPA Health Care Facilities NFPA edition Chap 4 Risk Assessments Chap 5 / 11 Medical Gas and Vacuum Systems and Equipment Chap 6 / 10 Electrical Systems and Equipment Chap 9 Heating, Ventilation, and Air Conditional (HVAC) Chap 14 Hyperbaric Facilities Chap 15 Features of Fire Protection

7 Unique Building Features in Healthcare Hospitals Compartmentalization creates the ability to defend in place

8 Unique Building Features in Healthcare Electrical distribution systems multiple Transfer Switches Isolated power systems with line isolation monitors or protect for wet locations in OR s or GFI s Life Safety Circuits for life support systems Must have Diesel Generator Back up

9 Unique Building Features in Healthcare Medical Gas systems

10 Unique Building Features in Healthcare Ventilation and smoke control

11 Unique Building Features in Healthcare Sprinklers

12 Conflicts Exist in Code Adoptions Most Restrictive Applies Codes are not always in alignment NFPA sometimes conflicts with ICC State can Adopt a more stringent rule Most restrictive rule or code applies The Difficulty plans cannot always clearly indicate what code standards are being applied to the existing construction.

13

14

15 DHS Plan Review Applications

16 State Level DSPS Department of Safety and Professional Services Building and Structures Plan Review ICC International Code Council IBC, Energy, Fuel Gas, Existing Building Code, and Mechanical Code State Plumbing, Elevator, Pressure Vessels (Boilers & Hyperbaric). SPS 316 Electrical NFPA 70 SPS 314 State Fire Prevention NFPA 1 Referenced: FGI Design Guidelines

17 OSHA and DNR Asbestos OSHA and DNR Asbestos OSHA (J)(2)i) Building & facility owners shall determine the presence, location and quantity of ACM and/or PACM at work site NR 447 Pre inspection is required prior to ANY demolition or renovation Demolition: Wrecking or taking out of any load supporting structural member Renovation: Altering a facility or one or more facility components in any way

18 OSHA and DNR Asbestos Identify friable and non friable materials Obvious loose or crumbling ACM or suspect ACM Floor coverings and/or mastics DNR FAQ The age of a building does not matter ACM are still made and available. Re use of materials also increases the possibility that asbestos containing materials may be in a newer buildings. Remember multiple regulators DNR, DHS, OSHA, EPA, and local AHJs E.G. Milwaukee Thanks to Bill Best for this info

19 OSHA Silica Rule

20 Design Standards FGI Guidelines Document Facilities Guidelines Institutes: Guidelines for the Design and Construction of Health Care State of Wisconsin: 2014 Edition in SPS 364 The Joint Commission : 2014 Edition Standard ASHRAE 170 HVAC provisions adoption by DSPS in 2018 Infection Control Risk Mitigation Ventilation of Construction Zone

21 FGI Ventilation Table (Partial)

22 Assisted Living Facilities State of Wisconsin: CBRF Community Based Residential Facility DHS 83 RCAC Residential Care Apartments Complex DHS 89 Adult Family Homes DHS 88 Small CBRF s (5 8 bed) per WCBC Code to UDC Uniform Dwelling Code

23 The Joint Commission Certification Management Plans: Environment of Care Environmental Safety, Security, Hazardous Materials and Waste, Fire Safety Medical Equipment Management, Utilities Systems CMS Validation Surveys by DHS Hospitals and Nursing Homes

24 Defend in Place Principle Smoke compartment walls and doors to provide measures of safety Divide building into zones Zones provide alternative evacuation options Horizontal evacuations (preferred) Vertical evacuation if necessary Building evacuation only if necessary

25 Life Safety Principles Save all patients and staff Control spread of fire Maybe extinguish fire at origin RACE: (Some Fire Departments like ACER ) R Rescue from room of origin A Activate alarm system C Contain the fire (close the door positive latch) E Evacuate or Extinguish (if possible)

26 Fire Safety Technology Sprinkler design Standard sprinkler heads all that available until 1990 s Quick response sprinkler heads Life savings and control of fire spread: New sprinkler heads have changed the Life Safety Code parameters and philosophy QR s defined new wall type Smoke Resistant Smoke Tight walls Formerly all walls rated like Fire Barriers Smoke Resistant walls require quality Maintenance

27 Fire Safety Technology Full Building Sprinkler Credits Construction Type Travel Distance Delayed Egress Locking Hazardous Room Enclosures Corridor Walls and Doors Smoke Dampers Window Sizes

28 Life Safety Plan

29 Walls Provide Time Critical Areas e.g.: Operating Rooms Nurseries NICU s ICU s CCU s Psychiatric Units Emergency Dept.

30 Wall Types: Sound Smoke Tight or Fire Rated Fire Walls Fire Barriers Smoke Barriers Shaft Enclosures Smoke Tight Walls Smoke Protection Only Sound Walls for FGI Requires Sound Privacy Acoustics Rated Walls have a FRR Fire Resistive Rating Smoke Tight Walls have a Zero 0 Rating but must be tight fitting CMS has a Gap Memo Conflict with NFPA 101 and IBC regarding smoke tight ceilings

31 Walls Functional Uses Building Separations Fire Walls Occupancy Separations Fire Barriers Hazardous Areas Separations Fire Barriers Vertical Separations: Shafts Stairs / Equipment Smoke / Fire Barrier Compartments Corridor Walls Smoke Tight or Fire Partitions Horizontal Exits Used in the place of Stairs for Exit Distance Compliance Stair Extensions Exit Passageways Horizontal Tunnel or Shaft

32 Smoke Barrier compartment or Smoke Zones 1 Hour Fire Barrier Wall Wall Floor to Deck Exterior to Exterior Doors 20 minute Must self close. No Latching Required but allowed Higher Ratings Than 1 Hour Will Require Additional Hardware Smoke Zones

33 Room Separation Smoke Tight Walls Only Approved Automatic Sprinkler System (AASS) Philosophical Change: Fire Barrier Separation Evacuation Critical QR Residential Heads Sprinkler Protection Sprinklers Heads As Life Saving Devices Glass Allowed but Smoke Tight Walls? Reduction in Barriers and Dampers Use +

34 Building Separations Fire Barriers

35 Fire Barriers & Door Assemblies Hazardous Areas: Soiled utility rooms Store & supply rooms size critical on design? Equipment Rooms? Oxygen storage rooms Mechanical & boiler rooms Trash & chute rooms Maintenance shops Paint shops

36 Floors Shafts Smoke Containment Mechanical Rooms & Shaft Design Vertical Sections of Hospitals Floor to Floor Separation Shaft to Floor Floor Penetrations

37 Open Stairs & Shaft Walls Connecting Floor Levels: Stairs Ventilation Shafts Pipe Shafts Electrical Shafts Lobbies Atriums Open Stair Exceptions Smoke Control

38 Smoke Barrier Doors & Walls

39 Smoke Barrier Compartment Zones Define Areas of Refuge w/ Horizontal Evacuation: Options to Total Evac. RACE Terminology Rescue Alarm Control Evacuate or Extinguish

40 Security Doors Special Locking or Access Control

41 Questions?

Taming the Health Care Building Codes NFPA vs. The International and Chicago Building Codes JENSEN & HALSTEAD LTD.

Taming the Health Care Building Codes NFPA vs. The International and Chicago Building Codes JENSEN & HALSTEAD LTD. Taming the Health Care Building Codes NFPA vs. The International and Chicago Building Codes Comparing the Codes: NFPA 101 Life Safety Code (2000) (NFPA) International Building Code (2012) (IBC) Chicago

More information

THE 2012 EDITION OF THE LIFE SAFETY CODE HOSPITAL EDITION SESSION #6

THE 2012 EDITION OF THE LIFE SAFETY CODE HOSPITAL EDITION SESSION #6 THE 2012 EDITION OF THE LIFE SAFETY CODE HOSPITAL EDITION SESSION #6 WELCOME Moderator: Richard Schieferdecker support.webinato.com Audio 1 QUESTIONS How To Ask a Question: POLLING There will be occasional

More information

Changes to the 2018 Joint Commission Comprehensive Accreditation Manual for Hospitals (CAMH)

Changes to the 2018 Joint Commission Comprehensive Accreditation Manual for Hospitals (CAMH) Changes to the 2018 Joint Commission Comprehensive Accreditation Manual for Hospitals (CAMH) The following represents a review of the Life Safety chapter of the new 2018 Joint Commission CAMH manual for

More information

LIFE SAFETY COMPLIANCE: ADAPTING TO THE 2012 LIFE SAFETY CODE

LIFE SAFETY COMPLIANCE: ADAPTING TO THE 2012 LIFE SAFETY CODE California Society for Healthcare Engineering SOUTHERN CALIFORNIA SEMINAR LIFE SAFETY COMPLIANCE: ADAPTING TO THE 2012 LIFE SAFETY CODE 1 PROGRAM AGENDA Adoption of 2012 LSC CMS Final Rule / Amendments

More information

Presented by: Brad Keyes, CHSP Senior Consultant Keyes Life Safety Compliance, LLC

Presented by: Brad Keyes, CHSP Senior Consultant Keyes Life Safety Compliance, LLC Presented by: Brad Keyes, CHSP Senior Consultant Keyes Life Safety Compliance, LLC Changes to Life Safety Compliance Healthcare leaders will have to deal with many changes in Life Safety compliance when

More information

JOINT COMMISSION PREPAREDNESS / STATEMENT OF CONDITIONS DRAWINGS WSSHE SOUTHWEST CHAPTER NOVEMBER 19, 2015

JOINT COMMISSION PREPAREDNESS / STATEMENT OF CONDITIONS DRAWINGS WSSHE SOUTHWEST CHAPTER NOVEMBER 19, 2015 JOINT COMMISSION PREPAREDNESS / STATEMENT OF CONDITIONS DRAWINGS WSSHE SOUTHWEST CHAPTER NOVEMBER 19, 2015 AGENDA INTRODUCTION OF PRESENTERS SOC VS. FIRE & LIFE SAFETY DRAWINGS HAZARDOUS AREAS VS. INCIDENTAL

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 92 FED - K0000 - INITIAL COMMENTS Title INITIAL COMMENTS Type Memo Tag FED - K9999 - FINAL OBSERVATIONS Title FINAL OBSERVATIONS Type Memo Tag FED - KA100 - General Requirements - Other Title

More information

First Aspen Federal Regulation Set: K LSC 2000 Health Existing

First Aspen Federal Regulation Set: K LSC 2000 Health Existing First Aspen Federal Regulation Set: K 01.01 LSC 2000 Health Existing K 0000 Title CFR Type INITIAL COMMENTS Memo K 0011 If the building has a common wall with a nonconforming building, the common wall

More information

THE 2012 EDITION OF THE LIFE SAFETY CODE HOSPITAL EDITION SESSION #5

THE 2012 EDITION OF THE LIFE SAFETY CODE HOSPITAL EDITION SESSION #5 THE 2012 EDITION OF THE LIFE SAFETY CODE HOSPITAL EDITION SESSION #5 AGENDA: Ambulatory Health Care & Business Occupancies Definitions / Examples Mixed & Contiguous Occupancies Ambulatory Health Care &

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 100 FED - K0000 - INITIAL COMMENTS Title INITIAL COMMENTS CFR Type Memo Tag FED - K9999 - FINAL OBSERVATIONS Title FINAL OBSERVATIONS CFR Type Memo Tag FED - KA100 - General Requirements - Other

More information

NFPA 101 and NFPA 99, 2012 Editions Code Update. where art meets engineering

NFPA 101 and NFPA 99, 2012 Editions Code Update. where art meets engineering NFPA 101 and NFPA 99, 2012 Editions Code Update where art meets engineering Austin Dallas Denver Houston Kansas City Miami Nashville Phoenix Richmond Washington DC NFPA 101 and NFPA 99 where art meets

More information

Chapter 43, Building Rehabilitation allows for degrees of compliance based on the work category such as the extent of work.

Chapter 43, Building Rehabilitation allows for degrees of compliance based on the work category such as the extent of work. 3610 COMMERCE DR SUITE 817 BALTIMORE MD 21227 P 410.737.8677 F 410.737.8688 www.haifire.com May 5, 2014 Review of Regulations 42 CFR Parts 403, 416, 418, 460, 482, 483 and 485 Medicare and Medicaid Programs;

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 130 ST - K0000 - Initial Comments Title Initial Comments Statute or Rule Type Memo Tag These guidelines are meant solely to provide guidance to surveyors in the survey process. Based on the LSC

More information

Lauzon Life Safety Consulting

Lauzon Life Safety Consulting 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 Agenda Lauzon Life Safety Consulting

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 94 ST - K0000 - Initial Comments Title Initial Comments Statute or Rule Type Memo Tag These guidelines are meant solely to provide guidance to surveyors in the survey process. ST - K0100 - General

More information

FIRE/SMOKE BARRIER FUNDAMENTALS

FIRE/SMOKE BARRIER FUNDAMENTALS FIRE/SMOKE BARRIER FUNDAMENTALS William E. Koffel, P.E., FSFPE President Koffel Associates, Inc. www.koffel.com wkoffel@koffel.com Expertly Engineering Safety From Fire OBJECTIVE Identify the different

More information

Are there any policies regarding outlets that contain USB ports?

Are there any policies regarding outlets that contain USB ports? Answers to the Questions Mark J. Blackburn, P.E., CFPS February, 2016 Question 1 Are there any policies regarding outlets that contain USB ports? There is no direct reference in code about these types

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 75 ST - K0000 - Initial Comments Title Initial Comments Statute or Rule Type Memo Tag These guidelines are meant solely to provide guidance to surveyors in the survey process. ST - K0001 - OTHER

More information

NFPA 101 Code Update from 2012 Edition to the 2015 Edition

NFPA 101 Code Update from 2012 Edition to the 2015 Edition NFPA 101 Code Update from 2012 Edition to the 2015 Edition Presented by: Gary Furdell AHCA Fire Protection Specialist 1 2 2012 Update to 2015 Chapter 18 New Health Care Occupancies 4 18.1.3.2 Atrium walls

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 98 ST - Y0000 - INITIAL COMMENTS Title INITIAL COMMENTS Type Memo Tag These guidelines are meant solely to provide guidance to surveyors in the survey process. Based on the LSC surveyor's determination

More information

DEALING WITH FIRE SAFETY

DEALING WITH FIRE SAFETY DEALING WITH FIRE SAFETY Personal Care Homes And Assisted Living Facilities Presented by: Harold D. Hicks, P.E., FSFPE Fire Protection Engineer 1 Atlantic Code Consultants 2 Our Objectives Recognize the

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 41 FED - K0000 - INITIAL COMMENTS Title INITIAL COMMENTS CFR Type Memo Tag FED - K0011 - LIFE SAFETY CODE STANDARD If the building has a common wall with a nonconforming building, the common

More information

THE 2012 EDITION OF THE LIFE SAFETY CODE NURSING HOME EDITION SESSION #2

THE 2012 EDITION OF THE LIFE SAFETY CODE NURSING HOME EDITION SESSION #2 THE 2012 EDITION OF THE LIFE SAFETY CODE NURSING HOME EDITION SESSION #2 WELCOME Moderator: Richard Schieferdecker support.webinato.com Audio 1 QUESTIONS How To Ask a Question: POLLING There will be occasional

More information

NFPA 101, 2012 EDITION IMPACT ON NEW AND EXISTING HEALTH CARE FACILITIES

NFPA 101, 2012 EDITION IMPACT ON NEW AND EXISTING HEALTH CARE FACILITIES NFPA 101, 2012 EDITION IMPACT ON NEW AND EXISTING HEALTH CARE FACILITIES Sharon S. Gilyeat, P.E., Principal Koffel Associates, Inc. www.koffel.com sgilyeat@koffel.com Expertly Engineering Safety From Fire

More information

THE 2012 EDITION OF THE LIFE SAFETY CODE NURSING HOME EDITION SESSION #4

THE 2012 EDITION OF THE LIFE SAFETY CODE NURSING HOME EDITION SESSION #4 THE 2012 EDITION OF THE LIFE SAFETY CODE NURSING HOME EDITION SESSION #4 WELCOME Moderator: Richard Schieferdecker support.webinato.com Audio 1 QUESTIONS How To Ask a Question: POLLING There will be occasional

More information

FIRE PROTECTION KEY DESIGN CONCEPTS IN HEALTHCARE FACILITIES Scott Twele, Aman Shah Steven Dannaway. AIA Healthcare Group

FIRE PROTECTION KEY DESIGN CONCEPTS IN HEALTHCARE FACILITIES Scott Twele, Aman Shah Steven Dannaway. AIA Healthcare Group FIRE PROTECTION KEY DESIGN CONCEPTS IN HEALTHCARE FACILITIES Scott Twele, Aman Shah Steven Dannaway AIA Healthcare Group Introductions Presenters Coffman Engineers Scott M. Twele, P.E. Operations Manager,

More information

The Physical Environment Portal: Module 5, LS Leadership

The Physical Environment Portal: Module 5, LS Leadership The Physical Environment Portal: Module 5, LS.02.01.10 - Leadership Fire Safety: Background Fire safety impacts both the lives of the occupants and the physical structures. In the early 1900 s many buildings

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 75 FED - K0000 - INITIAL COMMENTS Title INITIAL COMMENTS Type Memo Tag FED - K0100 - General Requirements - Other Title General Requirements - Other General Requirements - Other List in the REMARKS

More information

CMS Announcement 3/27/2017. Adoption of 2012 Life Safety Code Health Care Facilities Code. Kenneth Daily, LNHA

CMS Announcement 3/27/2017. Adoption of 2012 Life Safety Code Health Care Facilities Code. Kenneth Daily, LNHA Adoption of 2012 Life Safety Code Health Care Facilities Code Kenneth Daily, LNHA kenn@qissurvey.com CMS Announcement May 2016 Life Safety Code Health Care Code Effective July 5 th Numerous changes many

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 133 ST - Y0000 - INITIAL COMMENTS Title INITIAL COMMENTS Type Memo Tag These guidelines are meant solely to provide guidance to surveyors in the survey process. ST - Y1001 - Awareness of the

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 92 ST - K0000 - INITIAL COMMENTS Title INITIAL COMMENTS Type Memo Tag These guidelines are meant solely to provide guidance to surveyors in the survey process. ST - K0100 - General Requirements

More information

FHCA 2014 Annual Conference & Trade Show

FHCA 2014 Annual Conference & Trade Show FHCA 2014 Annual Conference & Trade Show CE Session #5 Preparing for the Upcoming Code Changes Don t Look Back Tuesday, July 8 8:15 to 9:15 a.m. Canary 3 Operations/Quality Improvement Upon completion

More information

Emergency Planning for Institutional Facilities

Emergency Planning for Institutional Facilities Emergency Planning for Institutional Facilities Pacific ADA Emergency Preparedness Webinars Presented by: Kimberly Paarlberg, ICC Based on the 2015 edition of the International Building Code (IBC) and

More information

E25 (D) Automatic controls for general means of egress lighting

E25 (D) Automatic controls for general means of egress lighting Adhoc Health Care MOE Study Group Study Group Report of Adhoc Meeting July 12&13, 2012 Possible Public Comments E25, E69, E74, G71, G77/G80 Study Group E25 (D) Automatic controls for general means of egress

More information

EC EP 14 All other electrical K-920 equipment in patient care vicinity NFPA , Chapter 10

EC EP 14 All other electrical K-920 equipment in patient care vicinity NFPA , Chapter 10 MSL Healthcare Partners, Inc. Wild Card EPs Paraphrase K-tag # EC.02.04.03 EP 14 All other electrical K-920 equipment in patient care vicinity NFPA 992012, Chapter 10 K-924 K-928 K-931 K-tag Description

More information

Interim Life Safety Assessments and Infection Prevention Assessments

Interim Life Safety Assessments and Infection Prevention Assessments Interim Life Safety Assessments and Infection Prevention Assessments 1 Healthcare Construction ILSM and ICRAs PRESENTED BY Bob Dubiel, CHFM, CHC -Mayo Clinic Health System NWWI -Projects and Construction

More information

Public. Mike Free Health. State of Alabama Department of

Public. Mike Free Health. State of Alabama Department of State of Alabama Department of Mike Free Building Construction Specialist Technical Services Unit Office of Facilities Management Public 334-206-5221 334-206-5177 Health Fax: 334-206-5890 Web Site: www.adph.org.facmgmt

More information

Public Health Fax: Web Site:

Public Health Fax: Web Site: State of Alabama Department of Public Health Fax: 334-206-5890 Web Site: www.adph.org.facmgmt Mike Free Building Construction Specialist Technical Services Unit Office of Facilities Management 334-206-5221

More information

Following are code change proposals submitted through Adhoc Health from General study group and related changes. General. Position.

Following are code change proposals submitted through Adhoc Health from General study group and related changes. General. Position. Adhoc Health Committee Report General Group A changes: There are 4 areas of study currently listed under Adhoc. 1. Fire/Fire Safety 2. General 3. Means of Egress 4. Occupancy Following are code change

More information

Barrier Management- Defending the Safety of Patients, Visitors, & Staff

Barrier Management- Defending the Safety of Patients, Visitors, & Staff Barrier Management- Defending the Safety of Patients, Visitors, & Staff About Your Speaker Rick Tinsley: 3 Years as Healthcare Construction Electrician 38 Years in Healthcare Facility Maintenance 13 Years

More information

The Healthcare Environment Update

The Healthcare Environment Update 2017 The Healthcare Environment Update John Maurer, SASHE, CHFM, CHSP Engineering Department The Joint Commission Engineering Department 2017-1 Most Cited Standards Standard 2015 % Noncompliance 2016 %

More information

Presented by: Bill Lauzon, PE Lauzon Life Safety Consulting, LLC Web: Lauzon-LSC.com

Presented by: Bill Lauzon, PE Lauzon Life Safety Consulting, LLC Web: Lauzon-LSC.com Presented by: Bill Lauzon, PE Lauzon Life Safety Consulting, LLC 262-945-4567 Lauzon.lsc@gmail.com Web: Lauzon-LSC.com 1 Wis Professional Engineer Experienced Facility Director Experienced AHJ WHEA Code

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 51 FED - K0000 - INITIAL COMMENTS Title INITIAL COMMENTS CFR Type Memo Tag FED - K0130 - MISCELLANEOUS Title MISCELLANEOUS OTHER LSC DEFICIENCY NOT ON 2786 FED - K9999 - FINAL OBSERVATIONS Title

More information

NFPA 101 Life Safety Code Culture change 2012

NFPA 101 Life Safety Code Culture change 2012 NFPA 101 Life Safety Code Culture change 2012 Produced by Kansas Fire Marshal April, 2012 On March 9, 2012 Centers for Medicare & Medicaid Services implements a policy where they have formally adopted

More information

K SURVEY FOR DATE OF PLAN APPROVAL SURVEY UNDER

K SURVEY FOR DATE OF PLAN APPROVAL SURVEY UNDER DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICA SERVICES FIRE SAFETY SURVEY REPORT - HEALTH CARE Form Approved OMB No. 0938-0242 1. (A) PROVER NUMBER 1. (B) MEDICA I.D. NO. 1. HOSPITAL

More information

January 1, 2014 Mandatory Effective Date

January 1, 2014 Mandatory Effective Date 2013 Kentucky Building Code Highlights Winnie Blythe, Technical Advisor Dept. of Housing, Buildings, and Construction winnie.blythe@ky.gov www.dhbc.ky.gov 502-573-0373 January 1, 2014 Mandatory Effective

More information

Report on First Revisions with Statement June 2014 NFPA 101

Report on First Revisions with Statement June 2014 NFPA 101 101 FR3002 SAF-HEA (18.1.3.2) Recommendation: 18.1.3.2 Atrium walls in accordance with 6.1.14.4.6 shall be permitted to serve as part of the separation required by 6.1.14.4.1 for creating separated occupancies

More information

Balloting Version First Draft NFPA 101 Life Safety Code Proposed 2015 Edition

Balloting Version First Draft NFPA 101 Life Safety Code Proposed 2015 Edition Copyright National Fire Protection Association 2013. All rights reserved. This copy is solely for your personal, noncommercial use in connection with participation in the NFPA Standards Development Process.

More information

Life Safety Code Common Discepancies Course# LSC102. EZpdh.com All Rights Reserved

Life Safety Code Common Discepancies Course# LSC102. EZpdh.com All Rights Reserved Life Safety Code Common Discepancies Course# LSC102 EZpdh.com All Rights Reserved 1. K147 Electrical - Electrical wiring and equipment shall be in accordance with NFPA 70, National Electrical Code. 9.1.2

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 34 ST - K0000 - INITIAL COMMENTS Title INITIAL COMMENTS Statute or Rule Type Memo Tag These guidelines are meant solely to provide guidance to surveyors in the survey process. ST - K0001 - OTHER

More information

FACILITY MANAGEMENT DEFICIENCIES IN CRITICAL ACCESS HOSPITALS (CAH)

FACILITY MANAGEMENT DEFICIENCIES IN CRITICAL ACCESS HOSPITALS (CAH) FACILITY MANAGEMENT DEFICIENCIES IN CRITICAL ACCESS HOSPITALS (CAH) Presented by: Alise Howlett, Assoc. AIA, CFPE, CHFM Standards Advisor, EM/PE/LS HFAP A better healthcare survey experience 1 FREQUENT

More information

THE HEALTHCARE ENVIRONMENT UPDATE. Anne M. Guglielmo, Engineer Engineering Department The Joint Commission. Copyright, The Joint Commission

THE HEALTHCARE ENVIRONMENT UPDATE. Anne M. Guglielmo, Engineer Engineering Department The Joint Commission. Copyright, The Joint Commission 2013 THE HEALTHCARE ENVIRONMENT UPDATE Anne M. Guglielmo, Engineer Engineering Department The Joint Commission Standard/NPSG 2012 Non Compliance 2013 Non Compliance (1 st Six Months) RC.01.01.01 61% 55%

More information

Interim Life Safety Measures. Healthcare Construction Certificate - Level 1

Interim Life Safety Measures. Healthcare Construction Certificate - Level 1 Interim Life Safety Measures Purpose of Interim Life Safety Management BASIC SAFETY: During renovations projects in healthcare occupancies, the basic level of protection for the occupants must be maintained

More information

Center for Clinical Standards and Quality /Survey & Certification Group

Center for Clinical Standards and Quality /Survey & Certification Group DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C2-21-16 Baltimore, Maryland 21244-1850 Center for Clinical Standards and Quality /Survey

More information

Defend In Place 2012 IFC Overview of Institutional Occupancies

Defend In Place 2012 IFC Overview of Institutional Occupancies Defend In Place 2012 IFC Overview of Institutional Occupancies ICC Course No. ICC CEU s = 0.50 SCFA Course 8506-15-0 Nathan Ellis Cell: 864-812-5183 Nathan.Ellis@llr.sc.gov Institutional Occupancies Course

More information

AD HOC HEALTHCARE COMMITTEE MEANS OF EGRESS WORK GROUP APPROVED CODE CHANGE DRAFTS CODE GROUP B MOE COMMITTEE

AD HOC HEALTHCARE COMMITTEE MEANS OF EGRESS WORK GROUP APPROVED CODE CHANGE DRAFTS CODE GROUP B MOE COMMITTEE AD HOC HEALTHCARE COMMITTEE MEANS OF EGRESS WORK GROUP APPROVED CODE CHANGE DRAFTS CODE GROUP B MOE COMMITTEE This report includes 6 code change proposals from the Adhoc Health Care, Means of Egress committee

More information

C. None (No sprinkler system) K3 E. NUMBER OF BEDS CERTIFIED FOR MEDICAID

C. None (No sprinkler system) K3 E. NUMBER OF BEDS CERTIFIED FOR MEDICAID DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES FIRE SAFETY SURVEY REPORT - 2000 LIFE SAFETY CODE Intermediate Care Facilities for the Mentally Retarded LARGE PART I Figure

More information

4/9/2014. Life Safety Code. Nursing Facility Life Safety Code Today and Tomorrow. Kenneth Daily, LNHA.

4/9/2014. Life Safety Code. Nursing Facility Life Safety Code Today and Tomorrow. Kenneth Daily, LNHA. Nursing Facility Life Safety Code Today and Tomorrow Kenneth Daily, LNHA kenn@qissurvey.com April 2014 Life Safety Code Life Safety Code 101 (2000 Ed.) Promulgated by the National Fire Protection Association

More information

New DATE OF BLDG. PERMIT OR PLAN APPROVAL: SURVEYOR (SIGNATURE) TITLE OFFICE DATE REVIEW AUTHORITY OFFICIAL (SIGNATURE) TITLE OFFICE DATE

New DATE OF BLDG. PERMIT OR PLAN APPROVAL: SURVEYOR (SIGNATURE) TITLE OFFICE DATE REVIEW AUTHORITY OFFICIAL (SIGNATURE) TITLE OFFICE DATE DEPARTMENT OF HEALTH & HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES FIRE SAFETY SURVEY REPORT - AMBULATORY SURGICAL CENTERS Medicare 1. (A) PROVIDER NUMBER Identifying information as shown in

More information

Compliance w/ the 2012 Life Safety Code

Compliance w/ the 2012 Life Safety Code Compliance w/ the 2012 Life Safety Code Implications of the 2012 NFPA Code Set for Existing & New ASCs William E. Lindeman, AIA http://www.weldesigns.com Financial Interest Disclosure The presenter provides

More information

FIRE SAFETY SURVEY REPORT 2000 CODE - HEALTH CARE Medicare Medicaid

FIRE SAFETY SURVEY REPORT 2000 CODE - HEALTH CARE Medicare Medicaid DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICA SERVICES FIRE SAFETY SURVEY REPORT - HEALTH CARE Medicare Medicaid 2. NAME OF FACILITY 2. (A) MULTIPLE CONSTRUCTION (BLDGS) 3. SURVEY

More information

WORKSHEET 2-1 THE MANITOBA RESIDENTIAL OCCUPANCY FIRE RISK INDEX FIRE SAFETY PARAMETER VALUES

WORKSHEET 2-1 THE MANITOBA RESIDENTIAL OCCUPANCY FIRE RISK INDEX FIRE SAFETY PARAMETER VALUES 1 WORKSHEET 2-1 THE MANITOBA RESIDENTIAL OCCUPANCY FIRE RISK INDEX FIRE SAFETY PARAMETER VALUES TABLE 2.1 CONSTRUCTION OF STRUCTURAL MEMBERS AND FLOOR AND ROOF (1) ASSEMBLIES (Applies to each fire zone)

More information

Chapter Nursing Homes

Chapter Nursing Homes Chapter 16.01 Nursing Homes Section 1. Licensing. No nursing, convalescent or old age home, as defined in Section 2 of this ordinance, shall be operated except under a license from the City Council of

More information

IBC Committee Responsibility Matrix January 2017

IBC Committee Responsibility Matrix January 2017 IBC Committee Responsibility Matrix January 2017 Chapter 1 ADMIN same Chapter 3 High-Hazard Group H 307.1 same IFC same Uses Other Than Group H 307.1.1 same IFC same Hazardoss Materials 307.1.2 307.2 IFC

More information

For the Florida Building Commission And the Fire Code Advisory Council

For the Florida Building Commission And the Fire Code Advisory Council Life-Safety Modifications Mechanical and Existing Building Compared to the 2012 Changes of the International Building Code and National Fire Protection Association- 101 For the Florida Building Commission

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 21 ST - K0000 - INITIAL COMMENTS Title INITIAL COMMENTS Statute or Rule Type Memo Tag These guidelines are meant solely to provide guidance to surveyors in the survey process. ST - K0300 - Other

More information

GROUP SR SPECIAL (ASSISTED SELF-PRESERVATION) OCCUPANCIES

GROUP SR SPECIAL (ASSISTED SELF-PRESERVATION) OCCUPANCIES [B] APPENDIX SR GROUP SR SPECIAL (ASSISTED SELF-PRESERVATION) OCCUPANCIES The provisions contained in this appendix are adopted by the Building Codes Division of the State of Oregon. SECTION SR101 GENERAL

More information

The Residences at Christina Landing Wilmington, DE

The Residences at Christina Landing Wilmington, DE 5.0 FIRE PROTECTION EXISTING CONDITIONS 5.1 Project Specific Fire Protection Data Codes, Regulations, and Standards Building Officials and Code administrators (BOCA) National Building Code [1996] with

More information

Top (15) Life Safety Code Deficiencies and Tips for Compliance (10/01/2011 thru 02/22/2012)

Top (15) Life Safety Code Deficiencies and Tips for Compliance (10/01/2011 thru 02/22/2012) 1. K62 Automatic Sprinkler Systems - Automatic sprinkler systems are continuously maintained in reliable operating condition and are inspected and tested periodically. 18.7.6, 19.7.6, 4.6.12, NFPA 13,

More information

Life Safety - Means of Egress/Exits NFPA 101

Life Safety - Means of Egress/Exits NFPA 101 Life Safety - Means of Egress/Exits NFPA 101 Properly designed exits provide a safe path of escape from a fire or other emergency environment. The means of egress (exits) should be arranged to permit all

More information

FIRE SAFETY SURVEY REPORT 2000 CODE - HEALTH CARE Medicare Medicaid

FIRE SAFETY SURVEY REPORT 2000 CODE - HEALTH CARE Medicare Medicaid DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICA SERVICES FIRE SAFETY SURVEY REPORT - HEALTH CARE Medicare Medicaid 1. (A) PROVER NUMBER PART I Life & Safety Code, New and Existing

More information

2000 to 2012 Hospital K-tag crosswalk matrix for hospitals 2000 Tag #

2000 to 2012 Hospital K-tag crosswalk matrix for hospitals 2000 Tag # P Language 0 Language 2018 IBC/IFC Section Commentary N/A N/A N/A K100 2 General Requirements Other List in the REMARKS section, any LSC Section 18.1 and 19.1 General Requirements that are not addressed

More information

AHC MEETING # 4 K-TAG CODE CHANGE PROPOSALS (Covers all Work Groups)

AHC MEETING # 4 K-TAG CODE CHANGE PROPOSALS (Covers all Work Groups) AHC MEETING # 4 K-TAG CODE CHANGE PROPOSALS (Covers all Work Groups) This appendix is based on the AHC s review of the K-Tag proposals from all the Work Groups at AHC Meeting # 4. Meeting # 4 of the AHC

More information

PRINTED: 06/09/2017 FORM APPROVED CENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO (X2) MULTIPLE CONSTRUCTION A. BUILDING 03 - A BUILDING

PRINTED: 06/09/2017 FORM APPROVED CENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO (X2) MULTIPLE CONSTRUCTION A. BUILDING 03 - A BUILDING SUMMARY PROVER'S PLAN OF CORRECTION K 000 INITIAL COMMENTS K 000 A Life Safety Code Survey was conducted by the State Fire Marshal beginning on May 9th, 2017 and ending on May 10th, 2017. Adair Acute Care

More information

AHC Meeting #7 July 12-13, Occupancy WG Report

AHC Meeting #7 July 12-13, Occupancy WG Report AHC Meeting #7 July 12-13, 2012 Part 1: CTC public comments on I-1/I-2 Condition designations..page 1 Part 2; AHC public comments on I-2 Condition designations Page 6 Part 3: Approved code change G244

More information

Accreditation Program: Hospital

Accreditation Program: Hospital ccreditation Program: Hospital Life Safety 2008 The Joint ommission on ccreditation of Healthcare Organizations ccreditation Program: Hospital hapter: Life Safety Standard LS.0001 The [organization] designs

More information

Washoe County Department of Social Services

Washoe County Department of Social Services SECTION 30 FIRE AND LIFE SAFETY REQUIREMENTS 30.1 Authority to inspect. The facility shall meet all fire and life safety standards. Fire department inspectors shall have authority to enter, for purposes

More information

GROUP SR SPECIAL RESIDENCE (ASSISTED SELF-PRESERVATION) OCCUPANCIES

GROUP SR SPECIAL RESIDENCE (ASSISTED SELF-PRESERVATION) OCCUPANCIES [B] APPENDIX SR GROUP SR SPECIAL RESIDENCE (ASSISTED SELF-PRESERVATION) OCCUPANCIES The provisions contained in this appendix are adopted by the Building Codes Division of the State of Oregon SECTION SR101

More information

Developing a Healthcare Facility Fire Door Inspection Program

Developing a Healthcare Facility Fire Door Inspection Program Developing a Healthcare Facility Fire Door Inspection Program WELCOME Moderator: Richard Schieferdecker support.webinato.com Audio QUESTIONS How To Ask a Question: 1 POLLING There will be occasional interactive

More information

FIRE SAFETY SURVEY REPORT AMBULATORY SURGICAL CENTERS (ASC) & END STAGE RENAL DISEASE (ESRD) MEDICARE

FIRE SAFETY SURVEY REPORT AMBULATORY SURGICAL CENTERS (ASC) & END STAGE RENAL DISEASE (ESRD) MEDICARE DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICA SERVICE Form Approved OMB Exempt FIRE SAFETY SURVEY REPORT AMBULATORY SURGICAL CENTERS (ASC) & END STAGE RENAL DISEASE (ESRD) MEDICARE

More information

Tennessee Department of Health Bureau of Health Licensure and Regulations Division of Health Care Facilities

Tennessee Department of Health Bureau of Health Licensure and Regulations Division of Health Care Facilities Tennessee Department of Health Bureau of Health Licensure and Regulations Division of Health Care Facilities 1 Colby Henson Fire Safety Supervisor 665 Mainstream Drive 2nd floor 615-806-4798 Colby.Henson@tn.gov

More information

Other EC and LS documents may be requested by surveyors, as needed, throughout the survey.

Other EC and LS documents may be requested by surveyors, as needed, throughout the survey. Documentation required by the Hospital Accreditation program Life Safety (LS) and selected Environment of Care (EC) standards is presented in the following pages. These documents will be reviewed by the

More information

Crosswalk of 2014 HFAP Standards against HFAP Standards Acute Care Hospital Manual

Crosswalk of 2014 HFAP Standards against HFAP Standards Acute Care Hospital Manual 09.00.01 Operations Plan 11.07.01 09.00.02 Hazard Vulnerablity Analysis (HVA) 09.01.01 Safety & Security 11.00.02 New Name 09.01.02 Supplies 09.01.03 482.41(a)(2) Utilities 11.03.21; 11.03.22 09.01.04

More information

Fire & Life Safety Code Compliance. Common Safety Deficiencies and Tips for Compliance for Long Term Care and Skilled Nursing Facilities

Fire & Life Safety Code Compliance. Common Safety Deficiencies and Tips for Compliance for Long Term Care and Skilled Nursing Facilities Fire & Life Safety Code Compliance Common Safety Deficiencies and Tips for Compliance for Long Term Care and Skilled Nursing Facilities LTC, Skilled Nursing Facilities COMMON LIFE SAFETY DEFICIENCIES

More information

WORKSHEET 3-1 THE MANITOBA OFFICE OCCUPANCY FIRE RISK INDEX FIRE SAFETY PARAMETER VALUES

WORKSHEET 3-1 THE MANITOBA OFFICE OCCUPANCY FIRE RISK INDEX FIRE SAFETY PARAMETER VALUES 1 WORKSHEET 3-1 THE MANITOBA OFFICE OCCUPANCY FIRE RISK INDEX FIRE SAFETY PARAMETER VALUES TABLE 3.1 CONSTRUCTION OF STRUCTURAL MEMBERS AND FLOOR AND ROOF (1) ASSEMBLIES (Applies each fire zone) Building

More information

Washington State Department of Health Construction Review Services

Washington State Department of Health Construction Review Services Washington State Department of Health Construction Review Services Steve Pennington, Plans Reviewer/ Inspector Janet Smoot, Plans Reviewer Clynn Wilkinson, Plans Reviewer 1 S-2 F-1 A B I-2 I-2 B ACF 2

More information

2012 International Fire Code Significant Changes. IFC Background. Purpose IBC and 2012 NFPA 101 Significant Means of Egress Changes

2012 International Fire Code Significant Changes. IFC Background. Purpose IBC and 2012 NFPA 101 Significant Means of Egress Changes 2012 International Fire Code Significant Changes Andrew M. Schneider, P.E. Senior Fire Protection Engineer aschneider@koffel.com Koffel Associates, Inc. www.koffel.com Expertly Engineering Safety From

More information

2018 IFC Update. Based on the 2018 International Fire Code, (IFC ) Goal. Objectives. Content

2018 IFC Update. Based on the 2018 International Fire Code, (IFC ) Goal. Objectives. Content Based on the 2018 International Fire Code, (IFC ) The International Fire Code (IFC ), establishes minimum regulations for fire safety. This handout will identify important changes in the IFC from 2015

More information

Life Safety Crosswalk

Life Safety Crosswalk The Life Safety 2008 2009 Crosswalk is an easy-to-use reference tool that crosswalks The Joint Commission s 2009 Life Safety with the 2008 and National Fire Protection Association s This crosswalk excerpt

More information

Agency for Health Care Administration. Eddie Alday Life Safety Code Lead 30 th AHCA Seminar 23 September 2014

Agency for Health Care Administration. Eddie Alday Life Safety Code Lead 30 th AHCA Seminar 23 September 2014 Agency for Health Care Administration Eddie Alday Life Safety Code Lead 30 th AHCA Seminar 23 September 2014 CMS S&C Letter Interpretation CMS- S&C: 13-58-LSC Dated: 08/30/2013 Several Categorical LSC

More information

UNIVERSITY OF ROCHESTER ENVIRONMENTAL HEALTH & SAFETY

UNIVERSITY OF ROCHESTER ENVIRONMENTAL HEALTH & SAFETY Revision No.: 11 Page 1 of 12 I. PURPOSE This procedure establishes a tool to help maintain a safe environment for all patients, visitors and staff by evaluating the loss of a life safety feature during

More information

Building & Fire Code Academy. Building Better With Our Greatest Resource Education. Welcome!

Building & Fire Code Academy. Building Better With Our Greatest Resource Education. Welcome! Building & Fire Code Academy Building Better With Our Greatest Resource Education Welcome! Understanding the Sprinkler System Design Alternatives in the 2015 International Why inspect, test and maintain?

More information

City of South Salt Lake Fire Code Training Exiting, Egress Systems and Egress Control

City of South Salt Lake Fire Code Training Exiting, Egress Systems and Egress Control City of South Salt Lake Fire Code Training Exiting, Egress Systems and Egress Control 11-27-12 This document is designed as a summary guide using IFC requirements for the provisions associated with exiting,

More information

The New Life Safety Code & Texas Responds with New Small House Nursing Design Standards

The New Life Safety Code & Texas Responds with New Small House Nursing Design Standards The New Life Safety Code & Texas Responds with New Small House Nursing Design Standards Fred Worley, Architect Architectural Unit Manager, TDADS Wes Wells, Administrator Buckner Westminster Place DADS

More information

CMS Regulatory Update & Survey Trends: Life Safety Code

CMS Regulatory Update & Survey Trends: Life Safety Code CMS Regulatory Update & Survey Trends: Life Safety Code CMS Physical Environment Compliance Challenges William E. Lindeman, AIA http://www.weldesigns.com Financial Interest Disclosure The presenter provides

More information

WORKSHEET 4-1 THE MANITOBA FIRE RISK INDEX FOR THE RESIDENTIAL OCCUPANCY OF HERITAGE BUILDINGS FIRE SAFETY PARAMETERS

WORKSHEET 4-1 THE MANITOBA FIRE RISK INDEX FOR THE RESIDENTIAL OCCUPANCY OF HERITAGE BUILDINGS FIRE SAFETY PARAMETERS 1 WORKSHEET 4-1 THE MANITOBA FIRE RISK INDEX FOR THE RESIDENTIAL OCCUPANCY OF HERITAGE BUILDINGS FIRE SAFETY PARAMETERS TABLE 4.1 CONSTRUCTION OF STRUCTURAL MEMBERS AND FLOOR AND ROOF ASSEMBLIES Construction

More information

Life Safety Code NFPA 10 NFPA 13 NFPA 25 NFPA 72 NFPA 90A NFPA 110 NFPA 99 THE 2012 EDITION OF THE LIFE SAFETY CODE HOSPITAL EDITION SESSION #7

Life Safety Code NFPA 10 NFPA 13 NFPA 25 NFPA 72 NFPA 90A NFPA 110 NFPA 99 THE 2012 EDITION OF THE LIFE SAFETY CODE HOSPITAL EDITION SESSION #7 THE 2012 EDITION OF THE LIFE SAFETY CODE HOSPITAL EDITION SESSION #7 AGENDA: Life Safety Code Referenced Publications Overview Life Safety Code NFPA 10 NFPA 13 NFPA 25 NFPA 72 NFPA 90A NFPA 110 NFPA 99

More information

Report on First Revisions with Statement June 2014 NFPA 101

Report on First Revisions with Statement June 2014 NFPA 101 101 FR6005 SAF-BCF (32.2.1.1.2) Recommendation: 32.2.1.1.2 Where there are sleeping accommodations for more than 16 residents are provided, the occupancy shall be classified as a large facility in accordance

More information

PERFORMANCE COMPLIANCE METHODS

PERFORMANCE COMPLIANCE METHODS CHAPTER 13 PERFORMANCE COMPLIANCE METHODS SECTION 1301 GENERAL 1301.1 Scope. The provisions of this chapter shall apply to the alteration, repair, addition and change of occupancy of existing structures,

More information

Changes to Environment of Care, Equipment Management, and Life Safety Chapters Related to Life Safety Code Updates

Changes to Environment of Care, Equipment Management, and Life Safety Chapters Related to Life Safety Code Updates Issued September 20, 2017 Changes to Environment of Care, Equipment Management, and Life Safety Chapters Related to Life Safety Code Updates Environment of Care (EC) Chapter Home Care (OME) Accreditation

More information