Changes to NFPA 101A 2013 Edition for Health Care Facilities

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2017 NFPA Conference & Expo Changes to NFPA 101A 2013 Edition for Health Care Facilities Presented by: William Koffel, P.E, FSFPE Lennon Peake, P.E. Koffel Associates Koffel Associates President Manager 37+ years industry experience 14+ years industry experience

Overview Detail NFPA 101A 2001 2013 changes related to health care facilities Safety Parameter Values Mandatory Safety Requirements Other major changes Sample FSES Analysis Interactive Polling Questions

Polling Device Press any key to turn on device Confirm Channel is 41 (upper left hand corner) Question displayed When instructed to do so, push appropriate black letter key Further discussion and explanation based on percentage of correct responses

Application NFPA 101A lags NFPA 101 code cycle by 1 year NFPA 101A - 2013 Edition used for alternative approach to life safety based on NFPA 101-2012 Edition (LSC) LSC 1.4.3 Alternative systems, methods, or devices approved as equivalent by the Authority Having Jurisdiction shall be recognized as being in compliance with this Code CMS S&C Letter 17-15-LSC requires Fire Safety Evaluation System (FSES) analysis per NFPA 101A - 2013 Edition

Method NFPA 101A uses an index method type of qualitative risk assessment to determine if the level of life safety is equivalent to the LSC NFPA 101A 4.1.2 the FSES is a measurement system used to compare the level of life safety provided by an arrangement of safeguards that differ from those specified in the LSC to the level of life safety provided in a building that conforms exactly with the details of the LSC

Risk Assessment Resources Systems Approach to Fire-Safety Building Design NFPA Fire Protection Handbook 20 th Edition Section 1, Chapter 9 SFPE Fire Risk Assessment Guide Hazard Classifications & Fire Risk Indexing SFPE Handbook of Fire Protection Engineering 3 rd Edition Section 3 and Chapters 5-10 respectively

Basic Use NFPA 101A 4.2 Procedure for Determining Equivalency Use code text ( 4.3-4.6) as a guide to complete the 11 Worksheets in 4.7 13 Safety Parameters are assigned values based on existing conditions Construction Interior Finish Corridor Walls Corridor Doors Zone Dimensions Vertical Openings Hazardous Areas Smoke Control Emergency Movement Routes Manual Fire Alarm Smoke Detection and Alarm Automatic Sprinklers

Example FSES 5-Story building with oversized sleeping suite on Floor 2 Type II(222) construction Completely sprinkler protected Fire Alarm System with corridor smoke detection

Example FSES

Worksheets 4.7.1 4.7.5 General Information Occupancy Risk Parameter Factors 4.5 1.5 1.4 1.2 1.2 13.6 Calculations 13.6 8.2

Worksheets 4.7.6 13 Safety Parameter Values Footnotes

Worksheets 4.7.7 4.7.8 4 4 4 3 3 3 3 0 3 0-10 -10-10 0 0 3 3 3 0 0 0 0 0 0 0 2 2 3 3 3 10 10 10 5 10 13 19 4 18 4 Safety Evaluations Containment Extinguishment People Movement General Safety Mandatory Safety Values

Worksheets 4.7.9 4.7.11 13 9 4 29 4 6 3 13 1 Equivalency Evaluation 18 8.2 10 Facility Safety Requirements Conclusions

2004 Changes New Mandatory Safety Values Major rehabilitation in non sprinkler protected existing buildings NFPA 101 defined major and minor renovation

2007 Changes Modification of Mandatory Safety Values Existing Nursing Homes NFPA 101 2006 requires existing nursing homes to be sprinkler protected

2010 Changes Zone Dimensions Safety Parameter 200 ft maximum travel distance added Zone length > 150 ft with no dead ends less than 22,500 sq ft Footnote (h) added to take a 0 in lieu of -2

2010 Changes New Mandatory Safety Values High-rise hospitals and new nursing homes NFPA 101 2009 requires existing high-rise buildings to be sprinkler protected

2013 Changes Worksheet 4.7.11 - Conclusions Third alternative added to address Not Met conditions 4.3.2 Selection of Zones to Be Evaluated Zones involving housing, treatment, or customary access for patients four or more inpatients simultaneously who are incapable of selfpreservation.

Revalidation of FSES FSES deviated from original intent? Fire Protection Research Foundation FSES Validation project conclusions Minor clarification/adjustments for textile wall coverings, oversized suites, zone dimension and dead ends and single zone evaluation for building Address inspection, testing and maintenance? New Delphi Group to address recent trends in health care (e.g. requiring sprinkler protection in existing nursing homes)

2017 NFPA Conference & Expo CEUs: To receive CEUs for this session, scan your badge at the back of the room before leaving Evaluation: Complete a session evaluation on the mobile app. (Search app store for NFPA 2017 C&E. ) Handouts: Handouts will be available via the mobile app and at nfpa.org/conference Recordings: Audio recordings of all sessions will be available free of charge via NFPA change.