NFPA 99 for Facility Managers Application to Existing Facilities October 13, 2015 Jonathan Hart: Senior Fire Protection Engineer Learning Objectives Review the layout of NFPA 99 Understand the application of NFPA 99 in relation to existing facilities Identify provisions that apply to existing facilities nfpa.org NFPA 99 Layout Chapter 1 Administration Chapter 2 Referenced Pubs Chapter 3 Definitions Chapter 4 Fundamentals Chapter 5 Gas and Vacuum Systems Chapter 7 IT and Com. Systems Chapter 8 Plumbing Chapter 9 HVAC Chapter 10 Electrical Equipment Chapter 11 Gas Equipment Chapter 12 Emergency Management Chapter 13 Security Management Chapter 14 Hyperbaric Facilities Chapter 15 Features of Fire Prot. nfpa.org 3 1
Purpose Provide minimum requirements for the installation, inspection, testing, maintenance, performance, and safe practices nfpa.org 4 Application Applies to all healthcare facilities (excludes home and veterinary) Construction and equipment requirements shall be applied only to new construction and new equipment, except as modified in individual chapters. nfpa.org 5 Application Only the altered, renovated, or modernized portion of an existing system or individual component shall be required to meet the installation and equipment requirements stated in this code. If this adversely impacts the existing performance requirements of a system or component, additional upgrading shall be required. nfpa.org 6 2
Application An existing system that is not in strict compliance with the provisions of this code shall be permitted to be continued in use Unless the authority having jurisdiction has determined that such use constitutes a distinct hazard to life nfpa.org 7 Patient Care Spaces Health care governing body must establish/designate: Patient care spaces (Category 1 4) Anesthetizing locations Wet procedure locations nfpa.org 8 Chapter 2 Referenced Publications Documents referenced are considered part of the requirements of NFPA 99 Only applicable to the extent called for by NFPA 99 Where requirements differ, NFPA 99 takes precedence Existing buildings or installations not in compliance can remain where not a serious hazard to occupants nfpa.org 9 3
Chapter 3 Definitions nfpa.org 10 Chapter 4 - Fundamentals Risk Categories. Activities, systems, or equipment shall be designed to meet Category 1 through Category 4 requirements, as detailed in this code. *Not specifically required for existing facilities/systems/equipment. nfpa.org 11 Chapter 4 Fundamentals Risk Category Category 1 Category 2 Category 3 Category 4 Likely Result of Failure Major injury or death Minor injury Patient discomfort No impact on patient care nfpa.org 12 4
Chapter 5 Gas and Vacuum Systems 5.1.1.5 The following sections of this chapter shall apply to the operation, management, and maintenance of Category 1 medical gas and vacuum systems in both new and existing facilities: 5.1.2 5.1.3.1 5.1.3.2 5.1.3.3.4 5.1.3.6.2 5.1.3.8.4.2 5.1.14 nfpa.org 13 Chapter 5 Gas and Vacuum Systems 5.1.3.1 Central Supply System ID and Labeling Cylinder labels Liquid container identification Gas-specific outlet connections Verify contents Storage room door labeling nfpa.org 14 Chapter 5 Gas and Vacuum Systems 5.1.3.2 Central Supply System Operations Prohibits adapters/conversion fittings Cylinder and container handling Limits permissible items in storage room No flammable materials permitted Handling precautions Temperature limitations nfpa.org 15 5
Chapter 5 Gas and Vacuum Systems 5.1.3.3.4 Storage Full or empty when NOT connected Locations constructed per 5.1.3.3.2 Ventilated per 5.1.3.3.3 Motor-driven machinery prohibited Except instrument air reserve headers nfpa.org 16 Chapter 5 Gas and Vacuum Systems 5.1.3.6.2 Uses of Medical Air Application of human respiration Calibration of medical devices for Respiratory application nfpa.org 17 Chapter 5 Gas and Vacuum Systems 5.1.3.8.4.2 (WAGD Producer Elec. Power and Control) Alternation of producers to allow division of operating time If automatic alternation of producers is not provided, the facility staff shall arrange a schedule for manual alternation. nfpa.org 18 6
Chapter 5 Gas and Vacuum Systems 5.1.14 Operations and Management Inventories Inspection schedules Inspection procedures Maintenance schedules Qualifications Inspection of labeling Maintenance and record keeping nfpa.org 19 Chapter 5 Gas and Vacuum Systems Zone Valves Visible and accessible at all times *Not specified for existing facilities by NFPA 99. (But watch out) nfpa.org 20 6.1.2 The following paragraphs of this chapter shall apply to new and existing health care facilities: 6.3.2.2.4.2 6.3.2.2.6.1 6.3.2.2.6.2(F) 6.3.2.2.8.5(B)(2) and (3) 6.3.2.2.8.7 6.3.4 6.4.1.1.18.7 6.4.2.2.6.2(C) 6.4.2.2.6.3 6.4.4 6.5.4 6.1.3 Paragraph 6.3.2.2.2.3 shall apply only to existing facilities nfpa.org 21 7
6.3.2.2.2.3 No separate grounding conductor required 6.3.2.2.4.2 GFCI must be listed 6.3.2.2.6.1 Types of receptacles 6.3.2.2.6.2(F) Pediatric location receptacles nfpa.org 22 6.3.2.2.8 Wet Procedure Locations 6.3.2.2.8.5 Allows exemption to providing special protection against electric shock in wet procedure locations where certain procedures are followed. (B) Fixed receptacles, equipment connected by cord and plug, and fixed electrical equipment shall be tested as follows: (2) Where there is evidence of damage (3) After any repairs. nfpa.org 23 6.3.2.2.8 Wet Procedure Locations 6.3.2.2.8.7* Operating rooms defined as wet procedure locations shall be protected by either isolated power or ground-fault circuit interrupters. nfpa.org 24 8
6.3.4 Administration of Electrical Systems Maintenance and Testing Record Keeping nfpa.org 25 6.4.1.1.18 Alarm Annunciator 6.4.1.1.18.7 Centralized computer system is not permitted to be substituted for alarm annunciator but can supplement nfpa.org 26 6.4.2.2.6.2 Receptacles (C) Receptacles or cover plates of receptacles supplied from life safety or critical branch: Color or marking so as to be readily identifiable nfpa.org 27 9
6.4.4 Administration Maintenance and testing of EES Maintained to restore service in 10 s NFPA 110, Chapter 8 12 x/year (>20 but <40 days) Test conditions and personnel Record keeping nfpa.org 28 Chapter 7 IT and Communication Systems No specific requirements for existing facilities nfpa.org 29 Chapter 8 Plumbing Systems No specific requirements for existing facilities nfpa.org 30 10
Chapter 9 HVAC No specific requirements for existing facilities Ventilation requirements of 9.3.6 are required for medical gas storage rooms by Chapter 5 and Chapter 11. Natural Ventilation Mechanical Exhaust nfpa.org 31 Chapter 10 Electrical Equipment 10.1.1 This chapter shall apply to the performance, maintenance, and testing of electrical equipment in health care facilities, as specified in Section 1.3. nfpa.org 32 Chapter 10 Electrical Equipment Can we have power strips? Yes (10.2.3.6) Permanently attached to equipment assembly Sum of ampacity 75% ampacity of flexible cord connecting outlets Ampacity of flexible cord in accordance w/ NEC Electrical and mechanical integrity of assembly is regularly verified and documented nfpa.org 33 11
Chapter 10 Electrical Equipment Leakage Current Fixed Equipment 10.0 ma Touch Current Portable Equipment 500 µa nfpa.org 34 Chapter 10 Electrical Equipment Nonpatient electrical appliances and equipment Administration Policies (includes testing intervals) Servicing and maintenance Record keeping Qualification and training of personnel nfpa.org 35 Chapter 11 Gas Equipment 11.1.1 This chapter shall apply to the performance, maintenance, and testing of gas equipment in health care facilities, as specified in Section 1.3. nfpa.org 36 12
Chapter 11 Gas Equipment Storage requirements >3000 ft 3 <3000 ft 3 but >300 ft 3 <300 ft 3 Performance criteria and testing Administration Operation and management of cylinders nfpa.org 37 Chapter 12 Emergency Management 12.1* Applicability. This chapter shall apply to new and existing health care facilities. Assess Mitigate Prepare for Respond to Recover from nfpa.org 38 Chapter 12 Emergency Management Testing Emergency Plans and Operations Test EOP at least twice annually Monitored Debriefing session within 72 hours Identify deficiencies and opportunities for improvement Incorporate into improvement plan Evaluate improvements in subsequent exercised nfpa.org 39 13
Chapter 12 Emergency Management Modify HVA, EOP, supply chain, and other components as result of exercise, real event, and annual review Maintain records for 3 years nfpa.org 40 Chapter 13 Security Management 13.1* Applicability. This chapter shall apply to new and existing health care facilities. Security vulnerability assessment Evaluate security risks Implement procedures and controls nfpa.org 41 Chapter 13 Security Management Periodic drills at various times and locations Critique drill for plan effectiveness Identify opportunities for improvement Incorporate into security plan Security plan evaluated at least annually Include review of laws, regulations, and standards nfpa.org 42 14
Chapter 14 Hyperbaric Facilities 14.1.1.2 The following sections of this chapter shall apply to both new and existing facilities: 28 specific sections nfpa.org 43 Chapter 14 Hyperbaric Facilities Designate an on-site Hyperbaric Safety Director Develop procedures for operation and maintenance Recommend safety policies Restrict and remove hazardous items Minimum staff qualifications Establish emergency procedures Conduct fire drills nfpa.org 44 Chapter 15 Features of Fire Protection 15.1.1 This chapter shall apply to all new and existing health care facilities. Existing system not in strict compliance shall be permitted to be continued in use UNLESS, AHJ determines distinct hazard to life nfpa.org 45 15
Chapter 15 Features of Fire Protection 15.12 Maintenance and Testing Water based fire protection systems ITM per NFPA 25 nfpa.org 46 Chapter 15 Features of Fire Protection 15.13 Fire Loss Prevention in Operating Rooms Assess hazards in OR Establish fire prevention procedures Precautions on the use of flammable germicides and antiseptics Develop emergency procedures Orientation and training for all OR staff nfpa.org 47 Conclusions Majority of NFPA 99 applies to new construction/systems only (renovated/modernized/altered too) Application to existing facilities is identified by individual chapters Varies by chapter Typically only operational and ITM requirements nfpa.org 48 16
Questions 49 Thank You 50 17