NFPA Overview and 2000 to 2012 Update. Sharon S. Gilyeat, P.E. - Principal. Koffel Associates, Inc. MD, MA, NC, CT, IN

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1 NFPA Overview and 2000 to 2012 Update Sharon S. Gilyeat, P.E. - Principal Koffel Associates, Inc. MD, MA, NC, CT, IN Koffel Associates W.L.L. Qatar Koffel Associates International United Arab Emirates Expertly Engineering Safety From Fire 1

2 Background 6 years Federal Fire Protection Engineer and Safety Manager Koffel Associates, Inc. 27 years Director, Southeast Office Develop and teach for CMS Chairs NFPA 105 Lasers and serves on NFPA 99, 45, 101, and 82 technical committees Past State of MD fire commissioner

3 Introduction and Goal This seminar is focused on the changes to the NFPA 99 Health Care Facilities Code with emphasis on changes since 1999 Not all changes included!

4 CAUTIONS!! Not all changes to NFPA 99 reflected here Slides do not contain full code text only general intent always go to the code for the full text Exceptions may apply

5 History of Development 2005 last edition to 2012 Extended to 5 year cycle for rewrite Clean rewrite Performance-based Code vs Standard June 2009 NFPA rejected and send back to editing June 2012 NFPA accepted CMS adopted as part of their 2012 LSC adoption

6 Chapters Deleted for 2012 All Occupancy chapters Chapter 6 Environmental Systems Chapter 7 Materials Chapter 10 Manufacturers Requirements Chapter 11Laboratories Chapter 21 Freestanding Birthing Centers

7 Annexes Deleted Annex B Nature of Hazards Annex D Safe Use of High-Frequency Electricity Annex F Flammable Anesthetizing Locations

8 2012 Annexes Annex A: Explanatory material Keyed to specific code text Non-mandatory Annex B: Explanatory material Keyed to Chapter Non-Mandatory Annex C Sample Adopting Ordinance Annex D: Informational References

9 New Chapters for 2012 Chapter 4 Fundamentals Establishes Categories based on risk assessment Chapter 7 Information Technology and Communications Systems Chapter 8 Plumbing & Chapter 9 HVAC Chapter 13 Security Management Chapter 15Features of Fire Protection Strike out indicates not adopted by CMS

10 Chapter 12 Emergency Management Totally rewritten Coordinate with requirements of The Joint Commission Lessons learned from recent disasters Better integration with NFPA 1600 Standard on Disaster/Emergency Management and Business Continuity Programs. NOT ADOPTED BY CMS BUT VERY CLOSE TO CMS REQUIREMENTS

11 Navigation Editorial Marks Asterisks Brackets Vertical Lines Not used Bullets Not used NOTE: New NFPA policy on vertical lines and bullets very controversial

12 NFPA Chapter 1 Administration

13 Administration 1.1 Scope Totally rewritten with scopes essentially for each chapter 1.2 Purpose Provide minimum requirements for the installation, inspection, testing, maintenance, performance and safe practice for facilities, material, equipment, and appliances.

14 Application Applies to ALL heath care facilities other than home care Construction and Equipment requirements NEW only Alterations, renovations and modernization meet new An existing system not in compliance SHALL BE PERMITTED to be continued in use, unless the AHJ determines that such use is a DISTINCT hazard to life

15 Patient Care Rooms Governing body NOT AHJ shall determine Critical care rooms General care rooms Basic care rooms Support rooms Anesthesia locations Wet procedure locations (Further discussion later)

16 Equivalency Equivalencies approved by the AHJ shall be recognized as being in compliance with the Code AHJ authorized to grant exceptions to this code

17 NFPA Chapter 3 Definitions

18 Definition Changes Anesthetizing location Administration of general anesthesia Compact storage Defend in place The operational response to an emergency in a building, in which the initial action does not involve evacuation of the building occupants

19 Definition Changes General Anesthesia and Levels of Sedation General Anesthesia Deep Sedation/Analgesia Moderate Sedation/Analgesia (Conscious Sedation) Minimal Sedation (Anxlolysis) Medical Support Gas Support Gas no longer used

20 Definitions Patient Care Room Critical Care Room General Care Room Basic Care Room Support Room

21 Definitions Wet Procedure Location Annex note

22 NFPA Chapter 4 Fundamentals

23 Risk Assessment Building system categories based on the system, not the facility no caregiver intervention Category 1 major injury or death Category 2 minor injury Category 3 no injury but can cause discomfort Category 4 no impact on patient care Risk Assessment Extensive Annex material

24 Annex Material for Chapter 4 Examples of each Category Discussion of major injury Risk assessment ISO/IEC Risk Management Risk Assessment Techniques NFPA 551 Guild for the Evaluation of Fire Risk Assessments SEMI S E Safety Guideline for Risk Assessment and Risk Evaluation

25 NFPA Chapter 5 Medical Gas and Vacuum Systems

26 Medical Gas/Medical Support Gas Oxygen Nitrous oxide Medical air Carbon dioxide Helium Nitrogen Instrument Air

27 Vacuum Systems Medical-surgical vacuum Waste anesthetic gas disposal

28 Medical Gas and Vacuum Systems Hazards Components Category 1 gas and vacuum systems Category 2 gas and vacuum systems Category 3 gas and vacuum systems

29 Medical Gas and Vacuum Systems Hazards Fire Explosions Loss of systems Inadvertent cross-connections

30 Medical Gas and Vacuum Systems 3.32

31 Category 1 Medical Gas and Vacuum Systems Category 1 Medical Piped Gas and Vacuum Systems. Requirements apply to health care facilities that require Category 1 systems as determined using risk assessment as defined in Chapter 4

32 New Vs. Existing through , through existing and new and existing See Tentative Interim Amendment (TIA) TIA 12-4

33 Medical Gas and Vacuum Systems Sources Gas cylinders Cryogenic liquid containers Bulk cryogenic liquids Medical air compressors Medical/surgical vacuum pumps WAGD producers Instrument air compressors Proportioning systems for medical air USP

34 Category 1 Gas and Vacuum Systems Sources - Cylinders

35 Cryogenic Liquid System

36 Bulk Cryogenic Supply

37 Compressor

38 Compressor

39 Vacuum Pump

40 Vacuum Pump

41 Central Supply System - Operations Use of adapter/conversion fittings prohibited Handled in accordance with Chapter 11 Only gas cylinders and accessories are permitted to be stored in central supply room Wooden racks for cylinders permitted

42 Central Supply Room - Construction Lockable doors or gates If outdoors, noncombustible enclosure, with a minimum of two exits If indoors, noncombustible or limited combustible with 1-hour fire resistance rating (see 2015 for clarification) NFPA 70 for ordinary locations

43 Central Supply Room - Construction Indirect heating (steam, hot water) Racks, chains or other fasteners to secure all cylinders. Powered by essential electrical system Racks, shelves or supports made of noncombustible or limited combustible materials Electrical devices at or above 5 feet from floor protected from damage

44 Storage Full or empty, when not connected, shall be stored in locations complying with and (Construction and Ventilation) Cylinders shall not be stored in enclosures containing motor-driven equipment except instrument air reserve headers in same location with instrument air compressors

45 Final Line Pressure Regulators Isolation valves and or check valves to isolate each regulator Pressure indicator downstream of each regulator or immediately downstream of isolating valves for the regulators Piped to allow for indipendant operation Sized for 100 percent of the peak calculated demand Constructed of materials deemed suitable by the manufacturer

46 Category 1 Gas and Vacuum Systems Headers Manifolds Gas Cylinders Cryogenic Liquid Containers Manifolds for Gas Cylinders with Reserve Supply Entire section deleted

47 Bulk Cryogenic Liquid Systems Totally revised and coordinated with NFPA 55, Compressed Gases and Cryogenic Fluids Code

48 Category 1 Gas and Vacuum Systems Emergency Oxygen Supply Connection (EOSC) may be required for maintenance or emergencies Minimum of 3 ft clearance around EOSC Alternative is in-building emergency reserve The word any in may confuse this

49 Emergency Oxygen Supply Connection

50 In-Building Reserve

51 Category 1 Medical Air Supply Systems Medical air quality Be supplied from cylinders, bulk containers, medical air compressor sources, or be reconstituted from oxygen USP and oil-free, dry Nitrogen NF Meet the requirements of medical air USP Have no detectable liquid hydrocarbons Have less than 25 ppm gaseous hydrocarbons Have equal to or less than 51 mg/m3 of permanent particulates sized 1 micron or larger in the air at normal atmospheric pressure

52 Medical Air Compressors Location Indoors in a dedicated mechanical equipment area Adequate ventilation Ambient temperature range as recommended by the manufacturer.

53 Compressor

54 Category 1 Medical Air Supply Systems After coolers Receivers Dryers Filters All component materials are to be determined by the manufacturer

55 Compressor Intake Outdoors above roof level Draw from a clean source of air Located 25 ft. from ventilating system exhausts, vents, vacuum and WAGD discharges Minimum distance 20 ft. above ground Minimum of 10 ft from any door, window or other opening

56 Compressor Intake Intake: Hard-drawn seamless copper ASTM B819, medical gas tube ASTM B88, water tube, type K or L ASTM B280, 280 ACR as permitted for vacuum and WAGD systems. Intake turned down, screened, and noncorroding material

57 Medical Air Quality - Monitoring Dew point monitored and alarmed when dew point exceeds 2 o C (35 o F) CO alarm activated when CO exceeds 10 ppm Dew point and CO monitors activate alarm if power is lost.

58 Medical Air Proportioning System Entire new section and numerous changes throughout the code on medical air proportioning systems Reconstituting medical air from Oxygen USP and Nitrogen NF

59 Category 1 Med-Surg Vacuum Systems Pump Location Indoors in a dedicated mechanical equipment area Adequately ventilated Proper utilities Ambient temperature range per manufacturers recommendation

60 Medical-Surgical Vacuum Pumps

61 Medical-Surgical Vacuum Systems Medical-Surgical Vacuum Systems Vacuum pumps (2 or more) Peak calculated demand met with largest pump out of service Piping per vacuum piping except brass, galvanized or black steel as per manufacturer

62 Vacuum Receivers Materials deemed suitable by the manufacturer ASME Boiler and Pressure Vessel Code 60 PSI and vacuum of 30 in. of Hg Manual drain Capacity based on the technology of the pumps

63 Medical-Surgical Vacuum Systems Medical-Surgical Vacuum Exhaust Located outdoors At least 10 ft. from any door, window, air intake, or other opening or places of assembly Different level than intake Consider prevailing winds, adjacent buildings, topography and other influences End turned down and screened with a noncorroding material

64 Instrument Air Supply Systems Usage Instrument air shall be permitted to be used for any medical support purpose and if appropriate to the procedures to be used in laboratories Cannot be interconnected with medical air Cannot be used for any purpose where the air will be intentionally respired by humans

65 New or Replacement Valves

66 Zone Valves Wall between the valve and outlet/inlet Serves only outlet/inlets on same story Not located in a room that it controls Operable from standing position Pressure/vacuum indicator required Visible and accessible at all times Not in locked rooms, behind doors, open doors, or hidden

67 Zone Valves Immediately outside each vital life-support, critical care, and anesthetizing location of moderate sedation, deep sedation or general anesthesia Readily accessible in an emergency Shutting off the gas to one operating room or anesthetizing area will not affect others

68 Zone Valves ZONE VALVES SHALL BE LABELED IN ACCORDANCE WITH

69 Zone Valve

70 Zone Valve

71 Zone Valves Floor plan indicating areas controlled by valve

72 In-Line Check Valves New or replacement Brass or bronze Brazed extensions In-line serviceability NO threaded connections Threaded purge points on 1/8 in NPT

73 Alarm Requirements - General Separate visual indicators (except on master) Visual non-cancelable Cancelable audible Means to indicate a lamp or LED failure Visible and audible indication that the communication is disconnected. Labeling

74 Alarm Requirements General Reinitiation of the audible signal if another alarm condition occurs Power from life safety branch of the EES Wiring used for communications is protected Communication devices that do not use wire supervised such that failure will initiate alarm LABELING KEPT UP TO DATE!! Alarm switches/sensors removable

75 Alarm Requirements Master Alarm Monitors source supply, reserve source (if any) and pressure in main lines of medical gas and vacuum piping system Two master alarm panels required (on-site maintenance office and continuously staffed location) A centralized computer system can be substituted for one of the master alarm panels

76 Master Alarm Panel Master alarm panel in a facility engineering office

77 Alarm Requirements Master Alarm Master alarm panels required to communicate directly to the alarm-initiating device they monitor Each of the two mandatory alarms must be wired independently to the initiating devices

78 Alarm Requirements Area Alarms Location: 1)Anesthetizing locations where moderate sedation, deep sedation, or general anesthesia 2)Critical Care areas

79 Alarm Requirements Area Alarm Area alarm sensor location Vital life support or critical care area: On patient (use side) of zone valve box assembly Anesthetizing area (moderate sedation, deep sedation or general anesthesia): Either on source side or patient (use side) of zone valve box assembly

80 Alarm Requirements Local Alarm Monitors air compressors, medical/surgical vacuum pump systems, WAGD systems, instrument air, and proportioning systems One signal located on the control panel for the machinery being monitored, or within monitoring device or on separate panel One signal connected to master alarm panel 11 different items to be monitored

81 Flexible Joints Metallic flexible joints permitted where required for expansion, seismic, thermal expansion or vibration and: Bronze, copper or stainless steel Cleaned at factory for oxygen service 300 psi and 1000 o F Brazing extensions Supported as required for their weight

82 Installer Qualifications Installation shall be made by qualified, competent technicians who are experienced in making such installations, including all personnel who actually install the pipe Must meet ANSI/ASSE Standard 6010, Professional Qualification Standard for Medical Gas and Vacuum System Installers

83 Installer Qualifications Installers shall not use their certification to oversee installation by noncertified personnel

84 Installer Performed Tests The 24-hour standing pressure test of positive pressure systems and vacuum systems shall be witnessed by AHJ or designee. Form indicating that this test was performed and witnessed shall be provided to the verifier prior to verifier testing

85 Category 1 Operation and Management Special precautions Piping not used for grounding Medical-Surgical Vacuum and WAGD not used for nonmedical applications Maintenance (new section) General Facilities shall develop and document periodic maintenance programs for these systems and subcomponents

86 Maintenance Programs Inventory all sources, control valves, alarms, manufactured assemblies and I/O Inspection Schedules scheduled inspections shall be established through risk assessment, manufacturers recommendations and requirements of AHJ

87 Maintenance Programs Inspection Procedures inspection procedures and test methods established through risk assessment Maintenance schedules - scheduled maintenance shall be established through risk assessment, manufacturers recommendations and requirements of AHJ

88 Maintenance Programs Qualifications persons maintaining such systems shall be qualified any of the following: Training and certification through the facility ASSE 6040 Professional Qualification Standard for Medical Gas Maintenance Personnel ASSE 6030 Professional Qualification Standard for Medical Gas Systems Verifiers

89 Inspection and Testing Operations Medical air sources Room temperature Room ventilation Shaft seal condition Filter condition Presence of hydrocarbons Water quality if so equipped Intake location Air purity Dew point Carbon monoxide monitor calibration

90 Inspection and Testing Operations Vacuum source - WAGD Exhaust location Instrument air source Filter condition Manifold sources Ventilation Enclosure labeling

91 Inspection and Testing Operations Bulk cryogenic liquid sources per NFPA 55 Final line regulator delivery pressure Valves labels Alarms lamp and audio operation Master, area, local signal operation Station I/O Flow, labeling, latching/delatching/ leaks

92 Category 3 Gas and Vacuum Systems Many similarities with Category 1 but in general less stringent. Existing and New & existing , 5.3.2, & See TIA 12-4 Shall NOT serve more than two adjoining single treatment facilities

93 Category 3 Oxygen and Nitrous Oxide Source storage Total of all gases more than 3000 ft 3 (5000 ft 3 if in DOT 4L cryogenic liquid container) per Category 1 Smaller quantities per Category 3

94 NFPA Chapter 6 Electrical Systems

95 Electrical Systems Moved after gas systems Electrical hazards Electrical distribution system Type 1, 2 and 3 electrical system

96 Electrical Systems New versus existing

97 Electrical Hazards Fire and explosion Electrical shock Thermal energy Interruption of power

98 Distribution Follow NFPA 70 - NEC Critical care areas shall be served by circuits from a critical branch served from a single automatic transfer switch AND A minimum of one circuit by normal power or by a second critical branch automatic transfer switch.

99 Critical Care Areas

100 Critical Care Areas

101 Distribution Access to overcurrent protective devices Only authorized shall have access to those serving Category 1 or Category 2 rooms Shall not be permitted in public access spaces Isolated power panels in critical care areas shall be permitted in those areas.

102 Distribution Receptacles Patient bed general care (category 2)- 4 8 Patient bed critical care (category 1) 6 14 Operating rooms (category 1) - 36 Bathrooms-none Special areas (psychiatric, pediatric, etc) none Pediatric shall have listed tamper resistant or a listed tamper resistant cover (new and existing)

103 Receptacles

104 Quiet Grounds Now referred to as isolated grounds

105 Wet Procedure Locations Special protection against electrical shock Inherently limits ground fault current without interrupting power (IP) or Interrupts power when ground fault current exceeds 6 ma Operating rooms shall be considered wet procedure locations unless risk assessment determines otherwise

106 Wet Procedure Locations Where power interruption under first fault condition is tolerable, the use of a ground-fault circuit interrupter (GFCI) shall be permitted as the protective means that monitors the actual ground-fault current and interrupts the power when that current exceeds 6 ma.

107 Categories Category 1 rooms shall be served only by Type 1 EES Category 2 rooms shall be served by Type 1 or Type 2 EES A Type 1 EES shall be permitted to serve Category 2 rooms in the same facility Basic care rooms shall not be required to be served by EES

108 Unit Lighting Battery-Powered Lighting Units Shall be provided in deep sedation and general anesthesia areas Sufficient to terminate procedures Wired to general lighting branch circuit 1 ½ hour duration Tested monthly for 30 seconds and annually for 30 minutes

109 Receptacle Testing

110 Maintenance and Testing Hospital grade at patient bed locations and where deep sedation or general anesthesia is administered at initial installation, replacement or servicing Additional testing at patient care areas performed at intervals defined by documented performance data Non-hospital grade at patient bed locations and where deep sedation or general anesthesia is administered within 12 months

111 Essential Electrical System

112 Essential Electrical System

113 Type 1 Essential Electrical System Dual sources of normal power shall be considered (not necessary) Minimum two independent sources of power: normal and one or more alternate sources

114 Generator

115 Selective Coordination Overcurrent protective devices serving the EES shall selectively coordinate for the period of time that a fault s duration extends beyond 0.1 seconds Not required as follows: Between transformer primary and secondary where only one or one set of devices exist on the secondary Between devices of the same amp rating in series

116 Type 1 Essential Electrical System Branches Life Safety Branch Critical Branch Equipment Division shall occur at transfer switches when more than one transfer switch is required.

117 Type 1 Essential Electrical System Number of transfer switches shall be based on reliability, design and load Each branch shall have one or more transfer switches One transfer switch shall be permitted to serve one or more branches in a facility with a continuous load on the switch of 150 kva (120 kw) or less

118 Life Safety Branch Elevator lighting, control, communications Automatic doors for egress Fire alarm auxiliary functions Alarm & alerting non-fire(life safety or critical) Generator accessories NO other functions

119 Critical Branch

120 Type 1 Essential Electrical System Critical Branch Blood, bone and tissue banks Telephone equipment Task Illumination and selected receptacles and power in certain areas Additional task illumination, receptacles, and select power circuits needed for effective facility operations, including single-phase fractional horsepower motors.

121 Type 2 Essential Electrical System Emergency Systems Critical Systems Life Safety Branch Equipment Branch One or more transfer switches, single transfer switch permitted under same conditions as Type 1

122 Type 2 Essential Electrical System Equipment Branch Non-delayed-automatic Generator accessories Delayed-automatic connection Task illumination (some areas) HVAC airborne infectious isolation rooms Sump pumps Smoke control systems and stair pressurization Kitchen hood exhaust if required during a fire

123 NFPA Chapter 7 IT and Communication Systems

124 Information Technology and Communication Systems NOT ADOPTED BY CMS Still an ANSI Standard Brand new chapter still some coordination issues Acronyms: Entrance Facility (EF or TEF) Telecommunications Equipment Room (TER) Telecommunications Room (TR) Outside Plant (OSP) Infrastructure

125 NFPA Chapter 8 Plumbing Chapter 9 HVAC

126 Chapter 8 Plumbing New Chapter NOT REFERENCED BY CMS No risk categories Primarily references to plumbing code Some limited information on Grease interceptors Gray waste and clear waste water

127 Chapter 9 - HVAC New Chapter

128 HVAC - General Comply with ASHRAE 170 Laboratories - NFPA 45 Energy conservation ASHRAE 90.1 or local code Commissioned per ASHRAE 90.1, ASHRAE Guidelines 0 or 1

129 HVAC - General Piping per applicable plumbing code Ductwork NFPA 90A or applicable mechanical code

130 Medical Gas Storage & Transfilling All gases other than medical gases ventilation per NFPA 55 Outdoor storage/installations of medical gases and cryogenic fluids Ventilation per NFPA 55 Chapter 11 medical gases no requirements Transfilling ventilation per NFPA 55

131 Medical Gas Storage & Transfilling Indoor storage or manifold areas; storage or manifold buildings, for medical gases and cryogenic fluids shall be provided with natural or mechanical exhaust ventilation

132 Natural Ventilation Two nonclosable louvered openings, each 155cm 2 /35 L (24 in 2 /1000 ft 3 ) of the fluid (liquid or gas) stored, but not less than 465 cm 2 (72 in 2 ) One within 300 mm (1 ft) of the floor, and one within 300 mm (1 ft) of the ceiling Ensure cross ventilation Direct to outside without ductwork Mechanical if natural cannot be met

133 Mechanical Ventilation Mechanical exhaust continuous negative pressure unless approved by the AHJ I L/sec per 300 L (1 cfm per 5 ft 3 ) of fluid, > 24 L/sec (50 cfm) < 235 L/sec (500 cfm) Exhaust inlets within 30 mm (1 ft) of floor Powered by the EES Dedicated exhaust not required but not connected to spaces with flammables OR combustibles

134 Mechanical Ventilation Duct material noncombustible Make-up air (one of the following) From outside or adjacent space with no flammable or combustible materials via noncombustible ductwork From corridors under corridor door up to 24 L/sec (50 cfm) or 15% of the room exhaust per NFPA 90A Ok from building ventilation system

135 Mechanical Ventilation Waste Gas WAGD or by an active or passive scavenging system. Medical Plume Evacuation (such as from lasers) Direct to the outside, or HEPA and direct connection to return or exhaust duct Chemical or thermal sterilization and return to the space

136 EPS Room HVAC NFPA 110 Extracted from NFPA 110 Maintaining engine water jacket temperature Ventilation for cooling room Ventilation for cooling engine Ventilation for combustion

137 NFPA Chapter 10 Electrical Equipment Chapter 11 Gas Equipment

138 Patient Care Vicinity Chapter A space within a location intended for the examination and treatment of patients, extending 1.8 m (6 ft) beyond the normal location of the bed, chair, table, treadmill or other device that supports the patient during examination and treatment and extending vertically to 2.3 m (7 ft 6 in) above the floor.

139 Electrical Equipment Testing Requirements Fixed and Portable Physical integrity new annex note Resistance Leakage current tests Fixed equipment Touch current portable equipment Leakage current tests portable equipment

140 Chapter 11- Gas Equipment Storage of gases and cylinders Performance criteria and testing Administration

141 Gas Cylinders

142 Gas Equipment Storage of cylinders (non-flammable gases) More than 3000 ft 3, use Level 1 storage requirements

143 Gas Equipment Storage of cylinders (non-flammable gases) More than 300 ft 3 but less than 3000 ft 3 Outdoors or secured enclosed interior space of noncombustible or limited combustible construction Secured Can t mix oxidizing gases with flammable liquids, gases or vapors Separate oxidizing gases from combustible materials

144 Gas Equipment Separation Minimum of 20 ft Minimum of 5 ft if AS Fire rated cabinet Several other limitations from Chapter 5

145 Gas Equipment Storage of cylinders (non-flammable gases) Less than 300 ft 3 Patient care area not larger than 22,500 ft 2, individual cylinders not required to be in enclosures Precautions in handling apply Cylinders in use do not count Cylinders available for IMMEDIATE use are not in storage

146 Gas Equipment Performance Criteria and Testing Alterations and repairs require testing Administration Eliminate ignition sources Control flammable substances Service equipment Control transfilling of cylinders and containers Signage

147 Gas Equipment Operation and Management of Cylinders Administration Special precautions for handling Special precautions for making connections Special precautions for safety mechanisms Special precautions for storage

148 Gas Equipment Liquid oxygen equipment New section

149 NFPA Chapter 12 Emergency Management Chapter 13 Security

150 Chapter 12 -Emergency Management Total rewrite of the chapter Coordination with The Joint Commission Coordination with NFPA 1600 Standard on Disaster/Emergency Management and Business Continuity Programs NFPA 1620 Recommended Practice for Pre- Incident Planning Extensive annex notes

151 Chapter 13 Security Management New Chapter Facility shall have a security management plan Security vulnerability analysis (SVA) Responsible person Over 30 item listed in the responsibilities!!!

152 Security Management NOT adopted by CMS Still an ANSI document best practice. Almost laid out as a check list Extensive good annex notes Excellent commentary in NFPA 99 Handbook

153 NFPA Chapter 14 Hyperbaric Chambers

154 Hyperbaric Chambers

155 Hyperbaric Chambers Three classes of chambers Class A Human, multiple occupancy Class B Human, single occupancy Class C Animal no human occupancy Construction and equipment Room containing the chamber shall be AS Piping requirements Totally new requirements

156 Changes for 2012 Time to evacuate the chamber Restriction on Lithium and lithium-ion batteries Chamber gas supply monitoring Use of class I and II lasers Fire protection equipment inside hypobaric chambers

157 NFPA Chapter 15 Fire Protection Features

158 Fire Protection Features New Chapter Heavily based on NFPA 101 Numerous extracts from NFPA 101

159 Fire Protection Features Sprinklers New Closet Exception Hospitals only Patient room closets Under 6 sq ft

160 Fire Alarm Systems Fire Protection Features

161 Fire Protection Features Manual extinguishing equipment Portable fire extinguishers Standpipes Compact storage Maintenance and testing Operating rooms

162 Health Care Facilities Handbook Thank You!

163

164 Future Questions. Join our LinkedIn Discussion Groups Life Safety Code People can join the group and submit their questions or People can and submit anonymously Smoke Management Proposed Changes to the IBC Ask the Expert FAQ.Koffel.com Expertly Engineering Safety From Fire 367

165 Questions? Sharon S. Gilyeat, P.E. Koffel Associates, Inc Ayrsley Town Blvd. / Suite 202 / Charlotte, NC tel Corporate Office/ / fax Follow us on LinkedIn Expertly Engineering Safety From Fire 368