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

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1 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 by the provided K- tags, but are deficient. This information, along with the applicable Life Safety Code or NFPA standard citation, should be included on Form CMS N/A N/A N/A K111 2 Building Rehabilitation IEBC [A] Scope. IEBC General. IEBC Repairs. IEBC Alteration, change of occupancy, addition or relocation. Repair, Renovation, Modification, or Reconstruction Any building undergoing repair, renovation, modification, or reconstruction complies with both of the following: Requirements of Chapter 18 and 19 Requirements of the applicable Sections 43.3, 43.4, 43.5, and , , IFC Scope. IFC Intent. IEBC 202 Definitions REPAIR. [A] ALTERATION. IEBC Scope. (Repair) IEBC Scope. (Prescriptive method) IEBC Scope. (Level 1 alterations ) IEBC Scope. (Level 2 alterations ) IEBC Scope. (Level 3 alterations)? This is a catch-all. Until we either do a much more comprehensive review of 101, or we start seeing what gets cited out of this section, it tough to determine if there is a gap. I would argue this needs to be monitored closely, however but we could present this as substantially equivalent. Minimal work required. This is essentially a scoping document instructing surveryors to acknowledge the existing requirements (IFC), renovation scoping requirements (IEBC) and new construction requirements (IBC). Conceptually both code families are consistent. We should review and monitor the approaches. Update IEBC to address changes of function (storage in a hospital). Review nursing home application (group I-2, condition 1) See comment above Change of Use or Change of Occupancy Any building undergoing change of use or change of occupancy classification complies with the requirements of Section 43.7, unless permitted by or (4.6.7 and ), (4.6.7 and ), (43.7) IFC Scope. IFC Intent. IFC SECTION 1105 CONSTRUCTION REQUIREMENTS FOR EXISTING GROUP I-2 IFC General. IEBC 202 Definitions [A] CHANGE OF OCCUPANCY. IEBC Scope. (Prescriptive method) IEBC Scope. (change of occupancy) IEBC SECTION 1002 SPECIAL USE AND OCCUPANCY IEBC Compliance with the building code. Minimal work needed. We addressed change of occupancy clearly and consistently with these concepts. High level review of scoping language needed. Change of use (actual use of space ie. Bedroom to storage room) is not consistent with these requirements. Additions Any building undergoing an addition shall comply with the requirements of Section If the building has a common wall with a nonconforming building, the common wall is a fire barrier having at least a 2-hour fire resistance rating constructed of materials as required for the addition. Communicating openings occur only in corridors and are protected by approved self-closing fire doors with at least a 1 1/2-hour fire resistance rating. Additions comply with the requirements of Section 43.8 (additions) (4.6.7 and ), (8.3), , , (4.6.7 and ), (8.3), , , (43.8) IEBC 202 Definitions No work needed. ADDITION. IEBC Scope. (Prescriptive method) IEBC General. IEBC Scope. (addition) G (AMPC1) IBC Group I-2, Condition 2 occupancies. Some work needed. This portion of the KTAG is worded in a challenging way. Conceptually, the Ktag tries to acknowledge that noncompliant buildings (ie other occupancies) that are not compliant with the bare minimum requirements for the occupancy (IFC chapter 11requirements) are separated from a new healthcare occupancy with a two hour separation. The building code works the same way if you add an I-2 to another occupancy you will get a minimum 2 hour separation. With non-separated mixed uses, it s more difficult to state. We added a section into 2018 IBC 508 to deal with some of the opening protection issues but this needs to be added into the chapter 11 IFC. Review nursing home application (group I-2, condition 1) N/A N/A N/A K112 3 Sprinkler Requirements for Major Rehabilitation If a non-sprinklered smoke compartment has undergone major rehabilitation the automatic sprinkler requirements of have been applied to the smoke compartment. In cases where the building is not protected throughout by a sprinkler system, the requirements of , , and are also met. Note: Major rehabilitation involves the modification of more than 50 percent, or more than 4500 square feet of the area of the smoke compartment , N/A N/A N/A K131 3 Multiple Occupancies Sections of Health Care Facilities Sections of health care facilities classified as other occupancies meet all of the following: IFC Group I-2 automatic sprinkler system. IBC 202 Definitions 24-HOUR BASIS. CARE SUITE. CLINIC, OUTPATIENT. CUSTODIAL CARE. DETOXIFICATION FACILITIES. HOSPITALS AND PSYCHIATRIC HOSPITALS. INCAPABLE OF SELF-PRESERVATION. MEDICAL CARE. No work. Because of the decision (2009) to retroactively sprinkler ALL group I-2 areas, and 2015 guidance to sprinkler all buildings containing group I-2 the concept of triggering sprinkler work as part of a rehab is moot. Some work needed. This portion of the KTAGs deal with multiple occupancies, mixed use. Conceptually, the approaches are now very similar. Ambulatory surgery is identified and is consistent with CMS rule. There may be additional detail needed when describing the movement of inpatients, however, this is arguably already covered in the rules. CMS heavily edits this concept. Adhoc Health Care Committee to Hospital K-tag crosswalk matrix for hospitals June 19, 2017 Page 1

2 P Language 0 Language 2018 IBC/IFC Section Commentary NURSING HOMES. PERSONAL CARE SERVICE. IBC SECTION 308 INSTITUTIONAL GROUP I IBC Institutional Group I. IBC Institutional Group I-1. IBC Condition 1. IBC Condition 2. IBC Six to 16 persons receiving custodial care. IBC Five or fewer persons receiving custodial care. IBC Institutional Group I-2. IBC Occupancy conditions. IBC Condition 1. IBC Condition 2. IBC Five or fewer persons receiving medical care. IBC Five or fewer persons receiving care. IBC Five or fewer persons receiving care in a dwelling unit. They are not intended to serve four or more inpatients. They are separated from areas of health care occupancies by construction having a minimum 2- hour fire resistance rating in accordance with Chapter 8. The entire building is protected throughout by an approved, supervised automatic sprinkler system in accordance with Section 9.7. Hospital outpatient surgical departments are required to be classified as an Ambulatory Health Care Occupancy regardless of the number of patients served , , 42 CFR , 42 CFR N/A N/A N/A K132 3 Multiple Occupancies Contiguous Non-Health Care Occupancies Non-health care occupancies that are located immediately next to a Health Care Occupancy, but are primarily intended to provide outpatient services are permitted to be classified as Business or Ambulatory Health Care Occupancies, provided the facilities are separated by construction having not less than 2-hour fire resistance-rated construction, and are not intended to provide services simultaneously for four or more inpatients. Outpatient surgical departments must be classified as Ambulatory Health Care Occupancy regardless of the number of patients served , K11 2 If building has a common wall with nonconforming building, common wall is a fire barrier of at least a two hour fire resistance rating constructed of materials as required for the addition. Communicating openings occur only in corridors and shall be protected by approved self-closing fire doors with at least 1½ hour fire resistance rating ( , , and ). K12 2 EXISTING Building construction type and height meets one of the following: , K133 4 Multiple Occupancies Construction Type Where separated occupancies are in accordance with 18/ or 18/ , the most stringent construction type is provided throughout the building, unless a 2- hour separation is provided in accordance with , in which case the construction type is determined as follows: The construction type and supporting construction of the health care occupancy is based on the story in which it is located in the building in accordance with 18/ and Tables 18/ The construction type of the areas of the building enclosing the other occupancies shall be based on the applicable occupancy chapters , , K161 4 Building Construction Type and Height EXISTING Building construction type and stories IBC SECTION 508 MIXED USE AND OCCUPANCY IBC General. IFC Installation requirements. IFC Standards. IFC NFPA 13 sprinkler systems. IBC 202 DEFINITIONS 24-HOUR BASIS. AMBULATORY CARE FACILITY. CLINIC, OUTPATIENT. IBC Business Group B. IBC Separation. IBC 202 DEFINITIONS 24-HOUR BASIS. AMBULATORY CARE FACILITY. CLINIC, OUTPATIENT. IBC Business Group B. IBC SECTION 302 OCCUPANCY CLASSIFICATION AND USE DESIGNATION IBC Occupancy classification. IBC Use designation. IBC Separation. IBC TABLE f REQUIRED SEPARATION OF OCCUPANCIES (HOURS) IBC SECTION 508 MIXED USE AND OCCUPANCY IBC General. IFC Construction. IFC Construction. IFC TABLE FLOOR LEVEL LIMITATIONS FOR GROUP I-2 CONDITION 2 Needs significant review. In context this is stated, this would allow separated mixed uses if no more than 4 inpatients. This is different that the NFPA stipulation relating to patients capability of selfpreservation. Needs significant review This would imply that non-separated mixed occupancies are not acceptable. Needs significant clarity in both IBC and IFC. Needs some review Recent action to retroactively sprinkler buildings contains an I-2 would cover other occupancies within the building. Not sure how this will be enforced, need to monitor and adjust if applies to buildings outside of the I-2. No work needed. Current approach to Ambulatory care matches this requirement. Some work needed. There is a lack of context in the KTAG that would imply that a separated occupancy could have not more than 4 people incapable of self preservation. It s more accurate to say that NFPA 101 says you must have no more than four before you become an ambulatory healthcare occupancy. Need to clarify intent of NFPA 10, because that is inconsistent. Also need to understand the overlap of CMS COPs to see if they are engineering a separation from a billing perspective. No work needed Some work needed and 3 sprinklered. IFC may be more restrictive. Not a problem per se, but may be issue for existing facility depending on implementation date of retro sprinklers. Adhoc Health Care Committee to Hospital K-tag crosswalk matrix for hospitals June 19, 2017 Page 2

3 P Language , , I (443), I (332), II (222) Any Height 2 II (111) One story only (non-sprinklered) 3 II (111) Not over three stories with complete automatic sprinkler system 4 III (211) Not over two stories with complete automatic sprinkler system 5 V (111) Not over two stories with complete automatic sprinkler system 6 IV (2HH) Not over two stories with complete automatic sprinkler system 7 7 II (000) 8 III (200) Not over one story with complete automatic sprinkler system 9 V (000) Not over one story with complete automatic sprinkler system Building contains fireretardant-treated wood Give a brief description, in REMARKS, of the construction, the number of stories, including basements, floors on which patients are located, location of smoke or fire barriers and dates of approval. Complete sketch or attach small floor plan of the building as appropriate. K12 3 NEW Building construction type and height meets one of the following: , , I (443), I (332), II (222) Any height with complete automatic sprinkler system 2 II (111) Not over three stories with complete automatic sprinkler system 3 III (211) Not over one story with complete automatic sprinkler system 4 V (111) Not over one story with complete automatic sprinkler system 5 IV (2HH) Not over one story with complete automatic sprinkler system 6 II (000) Not over one story with complete automatic sprinkler system 7 III (200) Not permitted 9 V (000) Not permitted Building contains fire-retardant-treated wood Give a brief description, in REMARKS, of the construction, the number of stories, including basements, floors on which patients are located, location of smoke or fire barriers and dates of approval. Complete sketch or attach small floor plan of the building as appropriate. 0 Language 2018 IBC/IFC Section Commentary meets Table , unless otherwise permitted by through , I (442), I (332), II (222) Any number of stories (non-sprinklered and sprinklered) 2 II (111) One story (non-sprinklered) 3 stories (sprinklered) 3 II (000) No stories (non-sprinklered) 2 stories (sprinklered) 4 III (211) No stories (non-sprinklered) 2 stories (sprinklered) 5 IV (2HH) No stories (non-sprinklered) 2 stories (sprinklered) 6 V (111) No stories (non-sprinklered) 2 stories (sprinklered) 7 III (200) No stories (non-sprinklered) 1 story (sprinklered) 8 V (000) No stories (non-sprinklered) 1 story (sprinklered) Sprinklered stories must be sprinklered throughout by an approved, supervised automatic system in accordance with section 9.7. (See ) Give a brief description, in REMARKS, of the construction, the number of stories, including basements, floors on which patients are located, location of smoke or fire barriers and dates of approval. Complete sketch or attach small floor plan of the building as appropriate. K161 5 Building Construction Type and Height NEW Building construction type and stories meets Table , unless otherwise permitted by through , I (442), I (332), II (222) No stories (non-sprinklered), Any number of stories (sprinklered) II (111) No stories (non-sprinklered) 3 stories (sprinklered) II (000) No stories (non-sprinklered) 1 story (sprinklered) III (211) No stories (non-sprinklered) 1 story (sprinklered) IV (2HH) No stories (nonsprinklered) 1 story (sprinklered) V (111) No stories (non-sprinklered) 1 story (sprinklered) III (200), V (000) No stories permitted Sprinklered stories must be sprinklered throughout by an approved, supervised automatic system in accordance with section 9.7. (See ) Give a brief description, in REMARKS, of the construction, the number of stories, including basements, floors on which patients are located, location of smoke or fire barriers and dates of approval. Complete sketch or attach small floor plan of the building as appropriate. N/A N/A N/A K162 6 Roofing Systems Involving Combustibles NEW Buildings of Type I (442), (332) or Type II (222), or Type II (111) having roof systems employing combustible roofing supports, decking or roofing meet the following: 1. roof covering meets Class A requirements 2. roof is separated from occupied building portions with 2-hour fire resistive noncombustible floor assembly using not less than 2-1/2 inches concrete or gypsum fill 3. the structural elements supporting the rated floor assembly meet the required fire resistance rating of the building , ASTM E108, ANSI/UL 790 IBC CHAPTER 5 GENERAL BUILDING HEIGHTS AND AREAS IBC Section 504 BUILDING HEIGHT AND NUMBER OF STORIES IBC Section 506 BUILDING AREA IBC Section 509 INCIDENTAL USES IBC Section 414 HAZARDOUS MATERIALS IBC Section 415 GROUPS H-1, H-2, H03, H-4 AND H-5 IBC Section Group I (sprinklers required) IBC Chapter 15 Roof assemblies and rooftop structures No work needed While the construction types are similar the taxonomy is slightly different. This is something we are familiar with and could be accommodated by just adopting the ICC approach to classification. Needs significant review This is a new KTAG and needs to be compared to the roofing requirements in Chapter 15. These construction types appear to allow class B roofing. Adhoc Health Care Committee to Hospital K-tag crosswalk matrix for hospitals June 19, 2017 Page 3

4 P Language K103 3 Interior walls and partitions in buildings of Type I or Type II construction shall be noncombustible or limited- combustible materials , (Indicate N/A for existing buildings using listed fire retardant treated wood studs within non-load bearing one-hour rated partitions.). 0 Language 2018 IBC/IFC Section Commentary K163 6 Interior Non-Bearing Wall Construction Interior non-bearing walls in Type I or II construction are constructed of noncombustible or limited-combustible materials. Interior nonbearing walls required to have a minimum 2- hour fire resistance rating are fire-retardanttreated wood enclosed within noncombustible or limited-combustible materials, provided they are not used as shaft enclosures , , , N/A N/A N/A K200 7 Means of Egress Requirements Other List in the REMARKS section any LSC Section 18.2 and 19.2 Means of Egress requirements that are not addressed by the provided K-tags, but are deficient. This information, along with the applicable Life Safety Code or NFPA standard citation, should be included on Form CMS , 19.2 K72 15 Means of egress shall be continuously maintained free of all obstructions or impediments to full instant use in the case of fire or other emergency. No furnishings, decorations, or other objects shall obstruct exits, access thereto, egress there from, or visibility thereof shall be in accordance with , K211 7 Means of Egress General Aisles, passageways, corridors, exit discharges, exit locations, and accesses are in accordance with Chapter 7, and the means of egress is continuously maintained free of all obstructions to full instant use in case of emergency, unless modified by 18/ through 18/ , , IBC CHAPTER 6 TYPES OF CONSTRUCTION IBC SECTION 602 CONSTRUCTION CLASSIFICATIONS IBC Types I and II IBC COMBUSTIBLE MATERIALS IN TYPES I AND II CONSTRUCTION IBC [F] Maintenance. IBC Protruding objects IBC SECTION 1005 MEANS OF EGRESS SIZING IBC SECTION 1006 NUMBER OF EXITS AND EXIT ACCESS DOORWAYS IBC SECTION 1007 EXIT AND EXIT ACCESS DOORWAY CONFIGURATION IBC SECTION 1018 AISLES IBC SECTION 1020 CORRIDORS IBC SECTION 1024 EXIT PASSAGEWAYS IBC SECTION 1028 EXIT DISCHARGE Some work needed. Chapter 6 covers combustible and limited combustible material permitted in Types 1 and 2 construction. Some comparison needs to occur. There may be allowances in IBC that are not in 101 however the point is that there is a mechanism to determine what is allowed. Note last sentence of KTAG is misleading NFPA 101 does not require all 2 hour walls to be constructed out of FRT wood.? This is a catch-all. Until we either do a much more comprehensive review of 101, or we start seeing what gets cited out of this section, it tough to determine if there is a gap. I would argue this needs to be monitored closely, however but we could present this as substantially equivalent because the ICC family goes into much more detail about the arrangement of the means of egress. Very minimal work needed. IFC 1031 covers this concept. Should check (temporary obstructions) for consistency with CMS enforcement. IFC SECTION 1031 MAINTENANCE OF THE MEANS OF EGRESS IFC General. IFC Reliability. IFC Means of egress. K43 14 Patient room doors are arranged such that the patients can open the door from inside without using a key. Special door locking arrangements are permitted in facilities , , , If door locking arrangement without delay egress is used indicate in REMARKS , K221 7 Patient Sleeping Room Doors Locks on patient sleeping room doors are not permitted unless the key-locking device that restricts access from the corridor does not restrict egress from the patient room, or the locking arrangement is permitted for patient clinical, security or safety needs in accordance with or , , TIA 12-4 N/A N/A N/A K222 8 Egress Doors Doors in a required means of egress shall not be equipped with a latch or a lock that requires the use of a tool or key from the egress side unless using one of the following special locking arrangements: CLINICAL NEEDS OR SECURITY THREAT LOCKING Where special locking arrangements for the clinical security needs of the patient are used, only one locking device shall be permitted on each door and provisions shall be made for the rapid removal of occupants by: remote control of locks; keying of all locks or keys carried by staff at all times; or other such reliable means available to the staff at all times , , , SPECIAL NEEDS LOCKING ARRANGEMENTS Where special locking arrangements for the safety needs of the patient are used, all of the Clinical or Security Locking requirements are being met. In addition, the locks must be electrical locks that fail safely so as to release upon loss of power to the device; the building is protected by a supervised automatic sprinkler system and the locked space is protected by a complete smoke detection system (or is constantly monitored at an attended location within the locked space); and both the sprinkler and IBC Locking devices. IBC Locks and latches. IFC Security devices and egress locks. IBC Controlled egress doors in Groups I-1 and I-2. IBC Controlled egress doors in Groups I-1 and I-2. Work needed. The ICC does not specifically address the patient room door condition. The referenced allowance for egress restrictions are similar to the IBC - these should be validated. There is no mention of delayed or restricted egress conditions in IFC 1104 or 1105, one would assume it default to code at time of construction. This may not be a good enough tool for the fire inspector. Some work needed See previous comments on K221. The past two cycles have seen significant work to resolve inconsistences and make these systems realistic, safe, and buildable. In some cases the ICC is now more stringent than some of these requirements. In most cases it is certainly more comphrehensive. The NFPA code changed significantly from the last KTAG. These requirements should be compared to KTAG to see if differences are significant. K222 is long some comments are below. The KTAG makes it sounds simplier than the code, review in detail, plus all options available in the ICC. Note the exception condition apply to this condition is most similar to the option in Should check and see if we need to limit device to one per door. The base condition (without exception) is most comparable. Adhoc Health Care Committee to Hospital K-tag crosswalk matrix for hospitals June 19, 2017 Page 4

5 P Language 0 Language 2018 IBC/IFC Section Commentary detection systems are arranged to unlock the doors upon activation , , TIA 12-4 K21 7 Doors in an exit passageway, stairway enclosure, horizontal exit, smoke barrier or hazardous area enclosure are self-closing and kept in the closed position, unless held open by a release device complying with that automatically closes all such doors throughout the smoke compartment or entire facility upon activation of: The required manual fire alarm system and Local smoke detectors designed to detect smoke passing through the opening or a required smoke detection system and The automatic sprinkler system, if installed , DELAYED-EGRESS LOCKING ARRANGEMENTS Approved, listed delayed-egress locking systems installed in accordance with shall be permitted on door assemblies serving low and ordinary hazard contents in buildings protected throughout by an approved, supervised automatic fire detection system or an approved, supervised automatic sprinkler system , ACCESS-CONTROLLED EGRESS LOCKING ARRANGEMENTS Access-Controlled Egress Door assemblies installed in accordance with shall be permitted , ELEVATOR LOBBY EXIT ACCESS LOCKING ARRANGEMENTS 0 Elevator lobby exit access door locking in accordance with shall be permitted on door assemblies in buildings protected throughout by an approved, supervised automatic fire detection system and an approved, supervised automatic sprinkler system , K223 9 Doors with Self-Closing Devices Doors in an exit passageway, stairway enclosure, or horizontal exit, smoke barrier, or hazardous area enclosure are self- closing and kept in the closed position, unless held open by a release device complying with that automatically closes all such doors throughout the smoke compartment or entire facility upon activation of: Required manual fire alarm system; and Local smoke detectors designed to detect smoke passing through the opening or a required smoke detection system; and Automatic sprinkler system, if installed; and Loss of power , , , N/A N/A N/A K224 9 Horizontal Sliding Doors Horizontal-sliding doors permitted by that are not automatic-closing are limited to a single leaf and shall have a latch or other mechanism to ensure the door will not rebound. Horizontal-sliding doors serving an occupant load fewer than 10 shall be permitted, providing all of the following criteria are met: Area served by the door has no hazards Door is operable from either side without special knowledge or effort Force required to operate the door in the direction of travel is 30 lbf to set the door in motion and 15 lbf to close or open to the required width Assembly is appropriately fire rated, and where rated is self-or automatic-closing by smoke detection per , and installed per NFPA 80 Where required to latch, the door has a latch or other mechanism to ensure the door will not rebound , K34 13 Stairways and smokeproof enclosures used as exits are in accordance with , , , K225 9 Stairways and Smokeproof Enclosures Stairways and Smokeproof enclosures used as exits are in accordance with , , , , 7.2 IBC Delayed egress. IBC Delayed egress locking system. IBC Controlled egress doors in Groups I-1 and I-2. IBC Sensor release of electrically locked egress doors. IBC Egress through intervening spaces. IBC Means of egress. (Elevator lobbies) IFC Security devices and egress locks. IBC Smoke-activated doors. F (AS) IFC Group I-2 occupancies. IBC Door swing. IBC Special purpose horizontal sliding, accordion or folding doors. IBC Smokeproof enclosures. IBC SECTION 1011 STAIRWAYS IBC SECTION 1019 EXIT ACCESS STAIRWAYS AND RAMPS IBC Group I-2 and I-3 occupancies. IBC SECTION 1023 INTERIOR EXIT STAIRWAYS AND RAMPS IBC Smokeproof enclosures. IBC Termination and extension. IBC Enclosure access. Need to review, it should be very close. Needs review Concept is similar Review Significant work was done to align these two. Not sure why we are not listing loss of power, although that may be implied. Some work needed. This is a new KTAG dealing with sliding doors. The current IBC language is misleading and needs review. A strict read would prohibit sliding doors in medical surgical patient rooms. The laundry list in item is narrow. Most patient rooms are not critical or intensive care as described in item 3. Practically MANY facilities have been built with sliding corridor doors that technically don t meet all of the IBC requirements. Also there are some restrictions in the KTAG that are good add to the ICC language (eg. ensuring no rebound) Some work needed. Requirements are similar. Section 1023 states that were these are required they shall be constructed as follows. The KTAGs and 101 broadly permit them to be used as a strategy. We should also compare requirements. Adhoc Health Care Committee to Hospital K-tag crosswalk matrix for hospitals June 19, 2017 Page 5

6 P Language 0 Language 2018 IBC/IFC Section Commentary K44 14 Horizontal exits, if used, are in accordance with , K Horizontal Exits Horizontal exits, if used, are in accordance with and the provisions of through , or through , N/A N/A N/A K Ramps and Other Exits Ramps, exit passageways, fire and slide escapes, alternating tread devices, and areas of refuge are in accordance with the provisions through to or to IBC Section 1026 Horizontal Exits IBC [BE] Areas of refuge. IBC [BE] Alternating tread devices. IBC SECTION 1019 EXIT ACCESS STAIRWAYS AND RAMPS [BE] Group I-2 and I-3 occupancies. IBC SECTION 1023 INTERIOR EXIT STAIRWAYS AND RAMPS IBC SECTION 1024 EXIT PASSAGEWAYS IBC SECTION 1027 EXIT STAIRWAYS AND RAMPS IFC Fire escape stairways. IEBC SECTION 505 FIRE ESCAPES Some review needed. While this is not a new requirement, there have been some changes to the basic horizontal exit concepts in 101. I do not think they apply to Healthcare, but we should review. Some review needed. This is a new KTAG, and to confirm consistency, we should review. K35 13 The capacity of required mean of egress is based on its width, in accordance with 7.3. K39 13, 14 K39 13, 14 EXISTING Width of aisles or corridors (clear and unobstructed) serving as exit access shall be at least 4 feet NEW Width of aisles or corridors (clear and unobstructed) serving as exit access in hospitals and nursing homes shall be at least 8 feet. In limited care facility and psychiatric hospitals, width of aisles or corridors shall be at least 6 feet , K Means of Egress Capacity The capacity of required means of egress is in accordance with , K Aisle, Corridor or Ramp Width EXISTING The width of aisles or corridors (clear or unobstructed) serving as exit access shall be at least 4 feet and maintained to provide the convenient removal of nonambulatory patients on stretchers, except as modified by , exceptions , K Aisle, Corridor or Ramp Width NEW The width of aisles or corridors (clear and unobstructed) serving as exit access in hospitals and nursing homes shall be at least 8 feet. In limited care facility and psychiatric hospitals, width of aisles or corridors shall be at least 6 feet, except as modified by the or exceptions , IFC Group I-2. IFC Width of ramps. IFC Ramps. IFC Corridor width. IFC Aisles. IBC Projections in nursing home corridors. IBC Horizontal projections. IBC Slip-resistant surface. IBC Aisles in other than assembly spaces and Groups B and M. IBC Width and capacity. IBC TABLE MINIMUM CORRIDOR WIDTH IBC Obstruction. IBC Width and capacity. IFC Obstructions. No review needed. Some review needed. As noted above 2018 IFC language is significantly coordinated with the changes made to this KTAG. We should monitor compliance and application of this section to ensure concept is accurately/adequately reflected in IFC Some work needed. IBC language may need link back to IFC 1031, to inform designers and enforcement agents. Item (6) in is a good design clarification that really needs to be in the IBC. Perhaps we should clarify if there is an operational solution to IFC , or at least a reasonable definition of accumulation. K40 14 EXISTING Exit access doors and exit doors used by health care occupants are of the swinging type and are at least 32 inches in clear width. An exception is provided for existing 34-inch doors in existing occupancies K40 14 NEW Exit access doors and exit doors used by health care occupants are of the swinging type and are at least 41.5 inches in clear width. Doors in exit stairway enclosures shall be no less than 32 inches in clear width. In psychiatric hospitals or limited care facilities (e.g.,icf/md providing medical treatment) doors are at least 32 inches wide K Clear Width of Exit and Exit Access Doors EXISTING Exit access doors and exit doors are of the swinging type and are at least 32 inches in clear width. Exceptions are provided for existing 34-inch doors and for existing 28-inch doors where the fire plan does not require evacuation by bed, gurney, or wheelchair , K Clear Width of Exit and Exit Access Doors NEW Exit access doors and exit doors are of the swinging type and are at least 41-1/2 inches in clear width. In psychiatric hospitals or limited care facilities, doors are at least 32 inches wide. Doors not subject to patient use, in exit stairway enclosures, or serving newborn nurseries shall be no less than 32 inches in clear width. If using a pair of doors, the doors shall be provided with a rabbet, bevel, or astragal at the meeting edge, at least one of the doors shall provide 32 inches in clear width, and the inactive leaf of the pair shall be secured with automatic flush bolts , N/A N/A N/A K Number of Exits Story and Compartment Not less than two exits, remote from each other, and accessible from every part of every story are provided for each story. Each smoke compartment shall likewise be provided with two distinct egress paths to exits that do not require the entry into the same adjacent smoke compartment , IBC Projections in nursing home corridors. IBC Horizontal projections. IBC Slip-resistant surface. IBC Size of doors. IBC Means of egress. G (AS) (G AMPC1) IBC Smoke compartment size. G (AS) IBC Exit access travel distance. IBC Egress based on occupant load and common path of egress travel distance. IFC Common path of egress travel. IFC Separation of exit access doors. IFC Smoke compartments. IFC Design. IFC Refuge areas. IFC Group I-2 care suites. IEBC Refuge areas. IEBC Smoke compartments. Work needed. This concept was added into chapter 11 IFC last cycle. Needs review to compare scope of IFC (doors used for movement of beds) to KTAG (MOE doors and list locations). There may need to be further work for doors not seeing bed movement. Work needed. The scope of this requirement may need to be modified to specific uses (see ). Also IBC does not address the use of pair of doors to meet requirement and the restrictions placed upon them by this (see ) Work needed This is a new KTAG. While the default for existing (IFC 1104) refers you to code at time of construction, this may be too obscure for these purposes. We need to look at this minimum standard for existing and reflect KTAG. Construction requirements for new are aligned. The last sentence relates to independent egress from smoke compartment. This was significantly modified from the previous KTAG but the new 2018 language should meet this concept. Adhoc Health Care Committee to Hospital K-tag crosswalk matrix for hospitals June 19, 2017 Page 6

7 P Language 0 Language 2018 IBC/IFC Section Commentary IEBC Ambulatory care. IEBC Smoke compartments. IEBC Group I-2. K37 13 EXISTING Existing dead-end corridors shall be permitted to be continued to be used if it is impractical and unfeasible to alter them so that exists are accessible in not less than two different directions from all points in aisles, passageways, and corridors K37 13 NEW Every exit and exit access shall be arranged so that no corridor, aisle or passageway has a pocket or dead-end exceeding 30 feet K32 12 Not less than two exits, remote from each other, are provided for each floor or fire section of the building. Not less than one exit from each floor or fire section shall be a door leading outside, stair, smoke-proof enclosure, ramp, or exit passageway. Only one of these two exits may be a horizontal exit. Egress shall not return through the zone of fire origin , , , K42 14 Any patient sleeping room or suite of rooms of more than 1,000 sq. ft. has at least 2 exit access doors remote from each other , K Dead-End Corridors and Common Path of Travel EXISTING Dead-end corridors shall not exceed 30 feet. Existing dead-end corridors greater than 30 feet shall be permitted to be continued to be used if it is impractical and unfeasible to alter them K Dead-End Corridors and Common Path of Travel NEW Dead-end corridors shall not exceed 30 feet. Common path of travel shall not exceed 100 feet , K Number of Exits Corridors Every corridor shall provide access to not less than two approved exits in accordance with Sections 7.4 and 7.5 without passing through any intervening rooms or spaces other than corridors or lobbies , K Number of Exits Patient Sleeping and Non- Sleeping Rooms Patient sleeping rooms of more than 1,000 square feet or nonsleeping rooms of more than 2,500 square feet have at least two exit access doors remotely located from each other , , , IFC Dead end corridors. IFC TABLE COMMON PATH, DEAD-END AND TRAVEL DISTANCE LIMITS (by occupancy) IFC Common path of egress travel. IFC Dead-end corridors. IEBC Dead-end corridors. IBC Egress based on occupant load and common path of egress travel distance. IBC TABLE SPACES WITH ONE EXIT OR EXIT ACCESS DOORWAY IBC Dead ends. IBC Corridor continuity. IBC Means of egress. IBC Direct access to a corridor. IBC Group I-2 care suites. IBC Exit access through care suites. IBC Separation. IBC Access to corridor. IBC Doors within care suites. IBC Care suites containing sleeping room areas. IBC Area. IBC Exit access. IBC Care suites not containing sleeping rooms. IBC Area. IBC Exit access. IBC SECTION 1006 NUMBER OF EXITS AND EXIT ACCESS DOORWAYS Some work needed. While the fire code requirement is more stringent than the KTAG, the KTAG has an open-ended acceptance of any condition. The IEBC language may be too permissive for existing conditions, but it is not as permissive as the KTAG. Regardless, the IEBC needs to be coordinated with Fire code. Some review needed. The ICC codes are more restrictive in this regard: 20 ft max dead-ends vs 30ft. 75ft CPOT vs 100ft. However it applies to new construction only. CPOT is new to this KTAG, and should be reviewed. These difference were reviewed previously and because they are more restrictive, we believe it addressed the issue. Review needed. The scope of this KTAG has changed significantly. It focuses on access to exits from a corridor and corridor continuity today, whereas previously it addressed general access to exits and limits to use of HEs. The IBC addresses corridor continuity for fire resistance rated corridors (1020.6) but does not address non-rated corridors which we have in hospitals. No review needed. Revisions last cycle aligned the codes appropriately K41 14 All sleeping rooms have a door leading to a corridor providing access to an exit or have a door leading directly to grade. One room may intervene in accordance with , If doors lead directly to grade from each room, check this box. K Corridor Access All habitable rooms not within suites have a door leading directly outside to grade or have a door leading to an exit access corridor. Patient sleeping rooms with less than eight patient beds may have one room intervening to reach an exit access corridor provided the intervening room is equipped with an approved automatic smoke detection system through , through N/A N/A N/A K Suite Separation, Hazardous Content, and Subdivision All suites are separated from the remainder of the building (including from other suites) by construction meeting the separation provisions for corridor construction ( or ). Existing approved barriers shall be allowed to continue to be used provided they limit the transfer of smoke. Intervening rooms have no hazardous areas and hazardous areas within suites comply with 18/ Subdivision of suites shall be by noncombustible or limited-combustible construction through , , , N/A N/A N/A K Sleeping Suites Occupants shall have exit access to a corridor or direct access to a horizontal exit. Where 2 exits are required, one exit access door may be to a stairway, passageway or to the exterior. Suites shall be provided with constant staff supervision. Staff IBC Direct access to a corridor. IBC Group I-2 care suites. IBC Exit access through care suites. IBC Separation. IBC Access to corridor. IBC Doors within care suites. IBC Care suites containing sleeping room areas. IBC Area. IBC Exit access. IBC Care suites not containing sleeping rooms. IBC Area. IBC Exit access. IBC Separation. IBC Means of egress. IBC Direct access to a corridor. IBC Group I-2 care suites. IBC Exit access through care suites. IBC Separation. IBC Access to corridor. IBC Doors within care suites. Some review needed. The corridor access concept is aligned in clear in both codes. The limitation of 8 sleeping beds is consistent as well, however the location of smoke detection differs. ICC monitors the condition of the sleeping room, KTAG monitors condition of the suite. This may be moot due to direct supervision Vs smoke detection requirements. Work needed Separation of suites is accomplished by a smoke partition, which is now consistent in both codes. Control over the walls subdividing suites is a new concept. This KTAG is misleading 101 allows walls of FRT with non- or limited combustible covering. Work needed. Access to corridor is implied, could be clearer, but not necessary. Option to access an exit as one of the options is new doesn t really support defend in place concept needs some review. Need to review direct vs. constant visual supervision in new KTAG. Number of exits when <1000sf, access through adjacent Adhoc Health Care Committee to Hospital K-tag crosswalk matrix for hospitals June 19, 2017 Page 7

8 P Language 0 Language 2018 IBC/IFC Section Commentary shall have direct visual supervision of patient sleeping rooms, from a constantly attended location or the room shall be provided with an automatic smoke detection system. Suites more than 1,000 square feet shall have 2 or more remote exits. One means of egress from the suite shall be to a corridor and one may be into an adjacent suite separated in accordance with corridor requirements. IBC Care suites containing sleeping room areas. IBC Area. IBC Exit access. IBC Care suites not containing sleeping rooms. IBC Area. IBC Exit access. IBC SECTION 1006 NUMBER OF EXITS AND EXIT ACCESS DOORWAYS suite are aligned. Suites shall not exceed the following size limitations: 5,000 square feet if the suite is not fully smoke detected or fully sprinklered 7,500 square feet if the suite is either fully smoke detected or fully sprinklered 10,000 square feet if the suite is both fully smoke detected and fully sprinklered and the sleeping rooms have direct supervision from a constantly attended location Travel distance between any point in a suite to exit access shall not exceed 100 ft. and distance to an exit shall not exceed 150 ft. (200 ft. if building is fully sprinklered) , N/A N/A N/A K Non-Sleeping Suites Occupants shall have exit access to a corridor or direct access to a horizontal exit. Where 2 exits are required, one exit access door may be to a stairway, passageway or to the exterior. Suites more than 2,500 square feet shall have 2 or more remote exits. One means of egress from the suite shall be to a corridor and one may be into an adjacent suite separated in accordance with corridor requirements. Suites shall not exceed 10,000 square feet. Travel distance between any point in a suite to exit access shall not exceed 100 ft. and distance to an exit shall not exceed 150 ft. (200 ft. if building is fully sprinklered) , K36 13 Travel distance (exit access) to exits are measured in accordance with 7.6. Room door to exit 100 ft. ( 150 ft. sprinklered) Point in room or suite to exit 150 ft. ( 200 ft. sprinklered) Point in room to room door 50 ft. Point in suite to suite door 100 ft , K38 13 Exit access is so arranged that exits are readily accessible at all times in accordance with 7.1, , K45 15 Illumination of means of egress, including exit discharge, is arranged so that failure of any single lighting fixture will not leave the area in darkness. Lighting system shall be either continuously in operation or capable of automatic operation without manual intervention , , 7.8 K Travel Distance to Exits Travel distance (excluding suites) to exits are measured in accordance with 7.6. From any point in the room or suite to exit 150 feet ( 200 ft. if the building is fully sprinklered) Point in a room to room door 50 ft , K Discharge from Exits Exit discharge is arranged in accordance with 7.7, provides a level walking surface meeting the provisions of with respect to changes in elevation and shall be maintained free of obstructions. Additionally, the exit discharge shall be a hard packed all- weather travel surface in accordance with CMS Survey and Certification Letter , , S&C K Illumination of Means of Egress Illumination of means of egress, including exit discharge, is arranged in accordance with 7.8 and shall be either continuously in operation or capable of automatic operation without manual intervention , IBC Means of egress. IBC Direct access to a corridor. IBC Group I-2 care suites. IBC Exit access through care suites. IBC Separation. IBC Access to corridor. IBC Doors within care suites. IBC Care suites containing sleeping room areas. IBC Area. IBC Exit access. IBC Care suites not containing sleeping rooms. IBC Area. IBC Exit access. IBC SECTION 1006 NUMBER OF EXITS AND EXIT ACCESS DOORWAYS IBC Means of egress. IBC Direct access to a corridor. IBC Care suites not containing sleeping rooms. IBC Area. IBC Exit access. IBC SECTION 1006 NUMBER OF EXITS AND EXIT ACCESS DOORWAYS IBC SECTION 1017 EXIT ACCESS TRAVEL DISTANCE IBC General. IBC Limitations. IBC TABLE EXIT ACCESS TRAVEL DISTANCE a IBC Distance of travel. IFC Exit access travel distance. IFC Table COMMON PATH, DEAD-END AND TRAVEL DISTANCE LIMITS (by occupancy) IBC Floor surface. IBC Elevation change. IBC Means of egress continuity. IBC Access to a public way. IFC Obstructions. IBC SECTION 1008 MEANS OF EGRESS ILLUMINATION IBC Means of egress illumination. IBC Illumination required. IBC Illumination level under normal power. IBC Group I-2. (E33-15 AM) IBC Exit Discharge. IBC Emergency power for illumination. IBC General. IBC Buildings. IBC Rooms and spaces. IEBC Means-of-egress lighting. IEBC Artificial lighting required. IEBC Supplemental requirements for means-ofegress lighting. IEBC Means-of-egress lighting. IFC Illumination emergency power. Some review needed. Size aligned. Travel distance aligned. ICC still counts doors NFPA does not. See K256 No work needed Concepts match. Some review needed. KTAGS allow discharge to adjacent or adjoining roofs, should review Review only. Adhoc Health Care Committee to Hospital K-tag crosswalk matrix for hospitals June 19, 2017 Page 8

9 P Language K46 15 Emergency lighting of at least 1½ hour duration is provided automatically in accordance with , K NEW (INDICATE N/A FOR EXISTING) Buildings equipped with or requiring the use of life support systems (electro-mechanical or inhalation anesthetics) have illumination of means of egress, emergency lighting equipment, exit, and directional signs supplied by the Life Safety Branch of the electrical system described in NFPA , (Indicate N/A if life support equipment is for emergency purposes only). K47, K22 K47, K22 14, 12 14, 12 K47 Exit and directional signs are displayed in accordance with 7.10 with continuous illumination also served by the emergency lighting system , (Indicate N/A in one story existing occupancies with less than 30 occupants where the line of exit travel is obvious.) K22 Access to exits shall be marked by approved, readily visible signs in all cases where the exit or way to reach exit is not readily apparent to the occupants. Doors, passages or stairways that are not a way of exit that are likely to be mistaken for an exit have a sign designating "No Exit". 7.10, , K47 Exit and directional signs are displayed in accordance with 7.10 with continuous illumination also served by the emergency lighting system , (Indicate N/A in one story existing occupancies with less than 30 occupants where the line of exit travel is obvious.) 0 Language 2018 IBC/IFC Section Commentary K Emergency Lighting Emergency lighting of at least 1½-hour duration is provided automatically in accordance with , K Life Support Means of Egress NEW (INDICATE N/A FOR EXISTING) Buildings equipped with or requiring the use of life support systems (electro-mechanical or inhalation anesthetics) have illumination of means of egress, emergency lighting equipment, exit, and directional signs supplied by the life safety branch of the electrical system described in NFPA 99. (Indicate N/A if life support equipment is for emergency purposes only.) , K Exit Signage EXISTING Exit and directional signs are displayed in accordance with 7.10 with continuous illumination also served by the emergency lighting system (Indicate N/A in one-story existing occupancies with less than 30 occupants where the line of exit travel is obvious.) K Exit Signage NEW Exit and directional signs are displayed in accordance with 7.10 with continuous illumination also served by the emergency lighting system IBC Duration. IFC Emergency power duration and installation. IFC Essential electrical systems. IFC Where required. IFC Installation and duration. IBC Electrical systems. G (AS) IBC Electrical systems. IBC [F] Group I-2 occupancies. G (AS) IBC [F] Ambulatory care facilities. IBC [F] Group I-2 occupancies. IFC Exit sign illumination. IFC Power source. IFC Exit signs. IFC [BE] Exit signs. IEBC Exit signs. IEBC Work areas. IEBC Supplemental requirements for exit signs. IEBC Exit signs. IBC Illumination. IBC Internally illuminated exit signs. IBC Externally illuminated exit signs. IBC Power source. No work needed. No work needed. Essentially, both the ICC and NFPA point to NFPA 99 for design of the Essential electrical system. Minimal review needed. The ICC is more stringent on smaller buildings however it is unlikely that many of these exist? F242 is a correlation between change E that was approved in the 2015 hearings. Section 604 of the fire code details requirements for exist signage power (Section ) and the use of NFPA 99 (by reference ). These requirements are duplicative. No review needed. K22 Access to exits shall be marked by approved, readily visible signs in all cases where the exit or way to reach exit is not readily apparent to the occupants. Doors, passages or stairways that are not a way of exit that are likely to be mistaken for an exit have a sign designating "No Exit". 7.10, , N/A N/A N/A K Protection Other List in the REMARKS section any LSC Section 18.3 and 19.3 Protection requirements that are not addressed by the provided K-tags, but are deficient. This information, along with the applicable Life Safety Code or NFPA standard citation, should be included on Form CMS K20, 7, EXISTING K Vertical Openings Enclosure EXISTING K33 12 Stairways, elevator shafts, light and ventilation K20 shafts, chutes, and other vertical openings between Stairways, elevator shafts, light and ventilation floors are enclosed with construction having a fire shafts, chutes, and other vertical openings resistance rating of at least 1 hour. An atrium may between floors are enclosed with construction be used in accordance with 8.6. having a fire resistance rating of at least one hour , through An atrium may be used in accordance with 8.2.5, If all vertical openings are properly enclosed with , If all vertical openings are construction providing at least a 2-hour fire properly enclosed with construction providing at resistance rating, also check this box. least a two hour fire resistance rating, also check this box. If enclosures are less than required, give a brief description and specific location in REMARKS. IEBC Fire resistance ratings. IEBC Vertical openings. IEBC Existing vertical openings. IEBC Supplemental shaft and floor opening enclosure requirements. IEBC Supplemental stairway enclosure requirements. IEBC Existing shafts and vertical openings. IFC Vertical openings. IFC Group I-2 and I-3 occupancies. This is a catch-all. Until we either do a much more comprehensive review of 101, or we start seeing what gets cited out of this section, it tough to determine if there is a gap. I would argue this needs to be monitored closely, however but we could present this as substantially equivalent. Review IEBC Substantial revision was made to the IFC for existing vert openings, currently language is aligned. We may want to look at IEBC language to make sure it s clear that IFC chapter 11 minimums are still met. K33 Exit enclosures (such as stairways) are enclosed Adhoc Health Care Committee to Hospital K-tag crosswalk matrix for hospitals June 19, 2017 Page 9

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