NFPA 99 - 2012 - Washington State Society for Healthcare …wsshe.org/171019 ASHE REG 10 NETWKG SPOKANE- … · · 2017-10-301 Expertly Engineering Safety From Fire NFPA 99 - 2012

1Expertly Engineering Safety From Fire

NFPA 99 - 2012Overview and 2000 to 2012 Update

®

®

Koffel Associates, Inc.MD, MA, NC, CT, IN

Koffel Associates W.L.L.Qatar

Koffel Associates InternationalUnited Arab Emirates

Sharon S. Gilyeat, P.E. - Principal

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

Introduction and Goal

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

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

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

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

Annexes Deleted

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

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

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

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

Navigation

Editorial Marks• Asterisks 99-81• Brackets 99-81• Vertical Lines – Not used• Bullets – Not used

• NOTE: New NFPA policy on vertical lines and bullets – very controversial

NFPA 99 - 2012

Chapter 1Administration

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.

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

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)

Equivalency

• Equivalencies approved by the AHJ shall be recognized as being in compliance with the Code

• AHJ authorized to grant exceptions to this code

NFPA 99 - 2012

Chapter 3Definitions

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

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

Definitions

• Patient Care Room• Critical Care Room• General Care Room• Basic Care Room• Support Room

Definitions

• Wet Procedure Location• Annex note

NFPA 99 - 2012

Chapter 4Fundamentals

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

Annex Material for Chapter 4

• Examples of each Category• Discussion of major injury• Risk assessment

• ISO/IEC 31010 Risk Management – Risk Assessment Techniques

• NFPA 551 Guild for the Evaluation of Fire Risk Assessments

• SEMI S10-0307E Safety Guideline for Risk Assessment and Risk Evaluation

NFPA 99 - 2012

Chapter 5Medical Gas and Vacuum Systems

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

Vacuum Systems

• Medical-surgical vacuum• Waste anesthetic gas disposal

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

Medical Gas and Vacuum Systems

• Hazards• Fire• Explosions• Loss of systems• Inadvertent cross-connections


3.32

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

New Vs. Existing

• 5.1.14.4.3 through 5.1.14.4.9, 5.1.13 through 5.1.15 – existing

• 5.1.14.3 and 5.1.14.4.1 new and existing• See Tentative Interim Amendment (TIA)

• TIA 12-4


• 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

Category 1Gas and Vacuum Systems

Sources -Cylinders

Cryogenic Liquid System

Bulk Cryogenic Supply

Compressor

Compressor

Vacuum Pump

Vacuum Pump

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

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

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

Storage

• Full or empty, when not connected, shall be stored in locations complying with 5.1.3.3.2 and 5.1.3.3.3 (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

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

Category 1 Gas and Vacuum Systems

• Headers• Manifolds

• Gas Cylinders• Cryogenic Liquid Containers

• Manifolds for Gas Cylinders with Reserve Supply• Entire section deleted

Bulk Cryogenic Liquid Systems

Totally revised and coordinated

with NFPA 55, Compressed Gases and

Cryogenic Fluids Code


• 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 5.1.3.5.13 may confuse this

Emergency Oxygen Supply Connection

In-Building Reserve

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

Medical Air Compressors

• Location• Indoors in a dedicated mechanical equipment

area• Adequate ventilation• Ambient temperature range as recommended

by the manufacturer.

Compressor

Category 1 Medical Air Supply Systems

• After coolers• Receivers• Dryers• Filters• All component materials are to be determined

by the manufacturer

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

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

Medical Air Quality - Monitoring

• Dew point monitored and alarmed when dew point exceeds 2o C (35oF)

• CO alarm activated when CO exceeds 10 ppm• Dew point and CO monitors activate alarm if

power is lost.

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

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

Medical-Surgical Vacuum Pumps

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

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

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

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

New or Replacement Valves

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

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

Zone Valves

• ZONE VALVES SHALL BE LABELED IN ACCORDANCE WITH 5.1.11.2

Zone Valve

Zone Valve

Zone Valves

Floor plan indicating areas controlled by valve

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

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

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

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-sitemaintenance office and continuously staffed location)

• A centralized computer system can be substituted for one of the master alarm panels

Master Alarm Panel

Master alarm panel in a facility engineering office

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

Alarm Requirements – Area AlarmsLocation:

1)Anesthetizing locations where moderate sedation, deep sedation, or general anesthesia2)Critical Care areas

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

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

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 1000oF• Brazing extensions• Supported as required for their weight

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

Installer Qualifications

• Installers shall not use their certification to oversee installation by noncertified personnel

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

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

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


• 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


• 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

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


• Vacuum source - WAGD• Exhaust location

• Instrument air source• Filter condition

• Manifold sources• Ventilation• Enclosure labeling


• 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


• Many similarities with Category 1 but in general less stringent.

• Existing – 5.3.12.2 and 5.3.13.4• New & existing – 5.3.1.1, 5.3.2, 5.3.12.1 &

5.3.13.3See TIA 12-4

• Shall NOT serve more than two adjoining single treatment facilities

Category 3 Oxygen and Nitrous Oxide

• Source storage• Total of all gases more than 3000 ft3 (5000 ft3 if

in DOT 4L cryogenic liquid container) – per Category 1

• Smaller quantities per Category 3

NFPA 99 - 2012

Chapter 6Electrical Systems

Electrical Systems

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

Electrical Systems

• New versus existing

Electrical Hazards

• Fire and explosion• Electrical shock• Thermal energy• Interruption of power

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.

Critical Care Areas

Critical Care Areas

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.

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)

Receptacles

Quiet Grounds

• Now referred to as “isolated grounds”

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

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.

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

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

Receptacle Testing

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

Essential Electrical System

Essential Electrical System

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

Generator

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


• Branches• Life Safety Branch• Critical Branch• Equipment

• Division shall occur at transfer switches when more than one transfer switch is required.


• 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

Life Safety Branch

• Elevator lighting, control, communications• Automatic doors for egress• Fire alarm auxiliary functions• Alarm & alerting non-fire(life safety or

critical)• Generator accessoriesNO other functions

Critical Branch


• 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.


• Emergency Systems• Critical Systems• Life Safety Branch• Equipment Branch• One or more transfer switches, single transfer

switch permitted under same conditions as Type 1

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

NFPA 99 - 2012 Chapter 7

IT and Communication Systems

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

NFPA 99 - 2012 Chapter 8 Plumbing

Chapter 9 HVAC

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

Chapter 9 - HVACNew Chapter

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

HVAC - GeneralPiping – per applicable plumbing code

Ductwork – NFPA 90A or applicable mechanical code

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

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

Natural Ventilation

• Two nonclosable louvered openings, each 155cm2/35 L (24 in2/1000 ft3) of the fluid (liquid or gas) stored, but not less than 465 cm2 (72 in2)

• 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

Mechanical Ventilation

• Mechanical exhaust – continuous negative pressure unless approved by the AHJ

• I L/sec per 300 L (1 cfm per 5 ft3) 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


• 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


• 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

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

NFPA 99 - 2012 Chapter 10 Electrical Equipment

Chapter 11 Gas Equipment

Patient Care Vicinity

• Chapter 3 – 3.3.139• “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.”

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

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

Gas Cylinders

Gas Equipment

• Storage of cylinders (non-flammable gases)• More than 3000 ft3, use Level 1 storage

requirements

Gas Equipment• Storage of cylinders (non-flammable gases)

• More than 300 ft3 but less than 3000 ft3

• 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

Gas Equipment

• Separation • Minimum of 20 ft• Minimum of 5 ft if AS• Fire rated cabinet

• Several other limitations from Chapter 5

Gas Equipment

• Storage of cylinders (non-flammable gases)• Less than 300 ft3

• Patient care area not larger than 22,500 ft2, 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

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

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

Gas Equipment

• Liquid oxygen equipment – New section

NFPA 99 - 2012 Chapter 12 Emergency Management

Chapter 13 Security

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

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!!!

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

NFPA 99 - 2012 Chapter 14

Hyperbaric Chambers

Hyperbaric Chambers

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

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

NFPA 99 - 2012

Chapter 15Fire Protection Features

Fire Protection Features

• New Chapter• Heavily based on NFPA 101

• Numerous extracts from NFPA 101


• Sprinklers• New Closet Exception• Hospitals only• Patient room closets• Under 6 sq ft


Fire Alarm Systems


• Manual extinguishing equipment• Portable fire extinguishers• Standpipes

• Compact storage• Maintenance and testing• Operating rooms

Thank You!

Health Care Facilities Handbook


Future Questions….

Join our LinkedIn Discussion GroupsLife Safety Code

People can join the group and submit their questions orPeople can email [email protected] and submit

anonymously Smoke Management

Proposed Changes to the IBC

Ask the Expert FAQ.Koffel.com

®


Questions?

Follow us on LinkedIn

Sharon S. Gilyeat, [email protected]

®

Koffel Associates, Inc.2015 Ayrsley Town Blvd. / Suite 202 / Charlotte, NC 28273tel 704-280-8365Corporate Office/410-750-2246/ fax 410-750-2588

www.koffel.com

mailto:[email protected]

http://www.koffel.com/

Documents

NFPA 99 - 2012 - Washington State Society for Healthcare …wsshe.org/171019 ASHE REG 10 NETWKG SPOKANE- … · · 2017-10-301 Expertly Engineering Safety From Fire NFPA 99 - 2012