Slide 1 2014 NFPA Conference & Expo ___________________________________

NFPA 99 Health Care ___________________________________

Facilities Code 2000 - 2012
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Presented by:
James K Lathrop,
Samantha White ___________________________________
Koffel Associates, Inc.

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Slide 2 ___________________________________

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 ___________________________________

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Slide 3 ___________________________________

Major Issues
Wet Locations ___________________________________
Selective Coordination
Chapters 8 & 9
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Slide 4 ___________________________________

All Occupancy chapters

Chapter 6 Environmental Systems ___________________________________
Chapter 7 Materials
Chapter 10 Manufacturers Requirements
Chapter 11 Laboratories ___________________________________

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Slide 5 ___________________________________

Annex B Nature of Hazards

Annex D Safe Use of High-Frequency Electricity ___________________________________
Annex F Flammable Anesthetizing Locations

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Slide 6 ___________________________________

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
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Slide 7 ___________________________________

Chapter 4 Fundamentals
Establishes Categories based on risk
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assessment
Chapter 7 Information Technology and
Communications Systems ___________________________________
Chapter 8 Plumbing & Chapter 9 HVAC
Chapter 13 Security Management
Chapter 15Features of Fire Protection
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Slide 8 ___________________________________

Totally rewritten
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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.
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Slide 9 ___________________________________

Editorial Marks ___________________________________

Asterisks 99-81
Brackets 99-81
Vertical Lines Not used
Bullets Not used
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1.9

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Slide 10 ___________________________________

1.3 Application
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.
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Slide 11 ___________________________________

Governing body shall determine:

Critical care rooms ___________________________________
General care rooms
Basic care rooms
Support rooms
Anesthesia locations
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Wet procedure locations

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Slide 12 ___________________________________

General Anesthesia and Levels of Sedation

General Anesthesia ___________________________________
Deep Sedation/Analgesia
Moderate Sedation/Analgesia (Conscious
Sedation)
Minimal Sedation (Anxlolysis)
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Slide 13 ___________________________________

Wet Procedure Location

Annex note ___________________________________

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Slide 14 ___________________________________

Building system categories

Category 1 major injury or death
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Category 2 minor injury
Category 3 no injury but can cause discomfort
Category 4 no impact on patient care ___________________________________
Examples of each Category
Based on the system under consideration.
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Slide 15 ___________________________________

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
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Slide 16 ___________________________________
Chapter 5
Gas and Vacuum ___________________________________
Systems

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Slide 17 ___________________________________

5.1 Category 1 Systems

5.2 Category 2 Systems ___________________________________
5.3 Category 3 Systems

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Slide 18 ___________________________________

Category 1 Medical Piped Gas and Vacuum

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Systems. Requirements apply to health care
facilities that require Category 1 systems as
determined using risk assessment as defined ___________________________________
in Chapter 4.

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Slide 19 ___________________________________

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 ___________________________________

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Slide 20 ___________________________________

Lockable doors or gates

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If outdoors, noncombustible enclosure, with
a minimum of two exits
If indoors, noncombustible or limited ___________________________________
combustible with 1-hour fire resistance rating
Electrical devices at or above 5 feet from
floor protected from damage ___________________________________
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Slide 21 ___________________________________

NFPA 70 for ordinary locations

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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
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Slide 22 ___________________________________

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Slide 23 ___________________________________

Manifold room ventilation ___________________________________

Relief valves vented per 5.1.3.5.6.1 (4)-(9)
See Chapter 9 for other ventilation
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Slide 24 ___________________________________

Cylinders shall not be stored in enclosures containing

motor-driven equipment except instrument air ___________________________________
reserve headers in same location with instrument air
compressors.

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Slide 25 ___________________________________

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Slide 26 ___________________________________

Permitted locations (5.1.3.5.2) ___________________________________

Limited to patient care
Calibration of medical devices
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Slide 27 ___________________________________

Manifolds for Gas Cylinders with Reserve ___________________________________

Supply
Entire section deleted
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Slide 28 ___________________________________
Totally revised and
coordinated with
NFPA 55,
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Compressed Gases
and Cryogenic Fluids
Code
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Slide 29 ___________________________________

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Slide 30 ___________________________________

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Slide 31 ___________________________________

Emergency Oxygen Supply Connection (EOSC)

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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
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Slide 32 ___________________________________

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Slide 33 ___________________________________

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
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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
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Slide 34 ___________________________________

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Slide 35 ___________________________________

Location
Indoors in a dedicated mechanical equipment ___________________________________
area
Adequate ventilation
Ambient temperature range as recommended by
the manufacturer. ___________________________________

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Slide 36 ___________________________________

Outdoors above roof level Draw from a clean

source of air ___________________________________
Located 25 ft. from ventilating system
exhausts, vents, vacuum and WAGD discharges
10 ft from any door or window
Minimum distance 20 ft. above ground
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Slide 37 ___________________________________

Dew point monitored and alarmed when dew

point exceeds 35oF ___________________________________
CO alarm activated when CO exceeds 10 ppm
Dew point and CO monitors activate alarm if
power is lost. ___________________________________

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Slide 38 ___________________________________

Entire new section and numerous changes

throughout the code on medical air ___________________________________
proportioning systems
Reconstituting medical air from Oxygen USP
and Nitrogen NF
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Slide 39 ___________________________________

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Vacuum Pump
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Slide 40 ___________________________________

Location
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Indoors in a dedicated mechanical equipment
area.
Adequately ventilated ___________________________________
Proper utilities
Ambient temperature range per manufacturers
recommendation
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Slide 41 ___________________________________

Medical-Surgical Vacuum Systems ___________________________________

Piping per vacuum piping except brass, galvanized
or black steel as per manufacturer
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Slide 42 ___________________________________

Materials deemed suitable by the

manufacturer ___________________________________
60 PSI and vacuum of 30 in. of Hg
Capacity based on the technology of the
pumps ___________________________________

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Slide 43 ___________________________________

Not located in a room that it controls

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Slide 44 ___________________________________

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Slide 45 ___________________________________

Category 1 warning systems ___________________________________

Master alarm
Area alarm
Local alarm ___________________________________

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Slide 46 ___________________________________

Alarm requirements - general

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Non-cancelable visual indicator
Visible and audible indication that the
communication is disconnected. ___________________________________
Reinitiation of the audible signal if another alarm
condition occurs

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Slide 47 ___________________________________

Alarm requirements general continued

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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
Alarm switches/sensors removable

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Slide 48 ___________________________________

Master alarm
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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
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maintenance office and continuously staffed
location)
A centralized computer system can be
substituted for one of the master alarm panels
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Slide 49 ___________________________________

Master alarm panels required to communicate

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directly to the alarm-initiating device they
monitor
Each of the two mandatory alarms must be ___________________________________
wired independently to the initiating devices

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Slide 50 ___________________________________

Area Alarm Panel

Location:
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1)Anesthetizing
locations where
moderate sedation,
deep sedation, or
general anesthesia
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2)Critical Care areas

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Slide 51 ___________________________________

Area alarm sensor location

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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):
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Either on source side or patient (use side) of zone
valve box assembly

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51

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Slide 52 ___________________________________

Need continuous, uninterrupted power,

continuously monitored or provide remote ___________________________________
signaling, devices are supervised, others
Software: Medical gas shall have the same
status as life safety, medical gas has higher
priority than lesser signals provide an audible
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alert, alert the condition and activate any
signaling protocols
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Slide 53 ___________________________________

When brazing, joints shall be continuously

purged with nitrogen NF ___________________________________
Final brazed connection of new piping in an
extension shall be permitted to be made
without the purge in such case an outlet in
the immediate downstream zone of both the
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new and existing piping shall be tested

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Slide 54 ___________________________________

Gas Tungsten Arc Welding (GTAW) for copper

and stainless tube ___________________________________
Welder qualifications
Welder and Brazing Qualifications per Section IX
of the ASME Boiler and Pressure Vessel Code
Shall include a bend test and a tensile test
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Shall qualify on each tube diameter

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Slide 55 ___________________________________

Stainless Tube
Metal inert gas (MIG) welding, Tungsten inert gas ___________________________________
(TIG) welding, or other acceptable for stainless
tube

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Slide 56 ___________________________________

Supports for copper tube shall have a copper

finish and be sized for copper tube ___________________________________
In potentially damp locations, copper tube
hangers or supports that are in contact with
the tube shall be plastic-coated or otherwise
be electrically insulated from the tube by a
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material that will not absorb moisture

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1.56

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Slide 57 ___________________________________

Protect the piping from physical damage

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during backfilling
If protected by conduit, cover or enclosure:
Access for joint inspection and leak testing ___________________________________
Self-draining and not retain groundwater
Backfilled with 36 inches or 18 inches where
there is no potential for damage from surface
loads or surface conditions.
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Slide 58 ___________________________________

Special fittings
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Memory metal couplings
Rated not less than 1000 oF and not less than 300 psi
Qualified technician ___________________________________
Axially swaged fittings
elastic strain preload fittings providing a metal to
metal seal, rated at not less than 1000oF and not less
than 300 psi permanent and nonseparable
Qualified technician ___________________________________
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Slide 59 ___________________________________

Backfill shall be clean, free of material that

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can damage the pipe, and compacted
Where installed through a wall sleeve, the
outdoor end of the sleeve shall be sealed to ___________________________________
prevent entrance of groundwater.

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Slide 60 ___________________________________

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
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Slide 61 ___________________________________

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
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Gas and Vacuum System Installers

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Slide 62 ___________________________________

Installers shall not use their certification to

oversee installation by noncertified personnel ___________________________________

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Slide 63 ___________________________________

Positive pressure not breached or penetrated

by any means that will result in residual ___________________________________
copper particles or other debris remaining in
the piping or affect the oxygen-clean interior
of the piping
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Slide 64 ___________________________________

Pipe Labeling ___________________________________

Piping shall not be painted

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Slide 65 ___________________________________

Maintenance (new section)

Extensive new material 5.1.14
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Based upon risk assessment
Minimum qualifications
Certified by health care facility ___________________________________
ASSE 6040 Professional Qualification Standard
fro Medical Gas Maintenance Personnel
ASSE 6030 Professional Qualification Standard
for Medical Gas Verifiers. ___________________________________
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Slide 66 ___________________________________

Medical air sources

Room temperature Room ventilation
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Shaft seal condition
Filter condition
Presence of hydrocarbons ___________________________________
Water quality if so equipped
Intake location Air purity Dew point
Carbon monoxide monitor calibration
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Slide 67 ___________________________________

Vacuum source - WAGD

Exhaust location
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Instrument air source
Filter condition
Manifold sources ___________________________________
Ventilation
Enclosure labeling
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Slide 68 ___________________________________

Manufactured assemblies employing flexible

connections between the user terminal and ___________________________________
the piping system
Nonstationary booms and articulating
assemblies, other than head walls utilizing
flexible connectors, tested for leaks per ___________________________________
manufacturers recommendations every 18
months or as determined by risk assessment

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Slide 69 ___________________________________

Manufactured assemblies Contd

System pressure to be maintained until each
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joint has been examined for leakage
Safe working condition of the flexible assemblies
shall be confirmed
DISS connectors internal to the assemblies shall
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be checked for leakage
Additional testing at intervals defined by
performance data
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Slide 70 ___________________________________

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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 & ___________________________________
5.3.13.3
See TIA 12-4
Shall NOT serve more than two adjoining ___________________________________
single treatment facilities
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Slide 71 ___________________________________

Medical gases are oxygen and nitrous oxide

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Gas powered devices use compressed air and
nitrogen
Vacuum systems shall either be wet or dry ___________________________________
Typically used in dental offices
Deep sedation and anesthesia not permitted
in Category 3 areas ___________________________________
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Slide 72 ___________________________________

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Installer Qualifications for medical gas
sources
Total of all gases over 3000 ft3 (5000 ft3 if in
DOT 4L cryogenic liquid container) ASSE 6010
Medical Gas Installers & CGA M-1, Guide for
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Medical Gas Installations at Consumer Sites
Pipe systems (regardless of source size) ASSE
6010 ___________________________________
Cannot oversee non-certified personnel
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Slide 73 ___________________________________

Verifier Qualifications
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Must meet ANSI/ASSE Standard 6030, Medical
Gas Verifiers Professional Qualifications Standard
Installer can not be verifier ___________________________________

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Slide 74 ___________________________________
Chapter 6
Electrical Systems ___________________________________

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Slide 75 ___________________________________

Moved after gas systems

Electrical hazards ___________________________________
Electrical distribution system
Type 1, 2 and 3 electrical system
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Slide 76 ___________________________________

Follow NFPA 70 - NEC

Critical care areas shall be served by circuits
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from a critical branch served from a single
automatic transfer switch AND
A of one circuit by normal power or by a ___________________________________
secminimum ond critical branch automatic
transfer switch.

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Slide 77 ___________________________________

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Slide 78 ___________________________________

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Slide 79 ___________________________________

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.
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Slide 80 ___________________________________

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
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Pediatric shall have listed tamper resistant or a
listed tamper resistant cover (new and existing)
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Slide 81 ___________________________________

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Slide 82 ___________________________________

Now referred to as isolated grounds

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Slide 83 ___________________________________

Operating rooms shall be considered wet

procedure locations unless risk assessment ___________________________________
determines otherwise

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Slide 84 ___________________________________

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 & rooms other than
patient rooms shall not be required to be
served by EES ___________________________________
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Slide 85 ___________________________________

Battery-Powered Lighting Units

Shall be provided in deep sedation and general
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anesthesia areas
Sufficient to terminate procedures
Wired to general lighting branch circuit ___________________________________
1 hour duration
Tested monthly for 30 seconds and annually for
30 minutes
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Slide 86 ___________________________________

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Slide 87 ___________________________________

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87
Koffel Associates, Inc.

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Slide 88 ___________________________________

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2.88
Koffel Associates, Inc.

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Slide 89 ___________________________________

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Slide 90 ___________________________________

Extracted requirements from NFPA 110:7.2.1

30 36 inch clearance for indoor rooms. Does ___________________________________
not apply to outdoor housings

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Slide 91 ___________________________________

Overcurrent protective devices serving the EES shall

selectively coordinate for the period of time that a ___________________________________
faults 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
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Slide 92 ___________________________________

Branches
Life Safety Branch ___________________________________
Critical Branch
Equipment
Division shall occur at transfer switches when ___________________________________
more than one transfer switch is required.

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Slide 93 ___________________________________

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
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Slide 94 ___________________________________

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Slide 95 ___________________________________

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
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Slide 96 ___________________________________

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1.96

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Slide 97 ___________________________________

Equipment Systems Branch

Generator equipment for non-delayed automatic ___________________________________
connection
Equipment for delayed-automatic connection
Equipment for delayed-automatic or manual
connection ___________________________________

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Slide 98 ___________________________________

Administration
Maintenance and testing ___________________________________
10-second criteria does not apply during the monthly
test. If not met a process shall be provided to annually
confirm the capability to meet the 10 second
requirement.
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Slide 99 ___________________________________

Emergency Systems
Critical Systems
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Life Safety Branch
Equipment Branch
One or more transfer switches, single transfer ___________________________________
switch permitted under same conditions as
Type 1
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99

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Slide 100 ___________________________________

Equipment Branch
Non-delayed-automatic ___________________________________
Generator accessories

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100

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Slide 101 ___________________________________

Delayed-automatic or manual connection

Heating to patient rooms (certain conditions) ___________________________________
Elevator services
Some additional illumination and receptacles
If one transfer switch serves multiple systems, it
shall be non-delayed automatic
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Slide 102 ___________________________________

For operations with less stringent

requirements ___________________________________
Provides limited power and illumination for
orderly cessation of procedures
Selective coordination the same as Type 1 ___________________________________

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Slide 103 ___________________________________
Chapter 7
Information ___________________________________
Technology and
Communication
Systems
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Slide 104 ___________________________________

Brand new chapter

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New installations only per Chapter 1
Acronyms:
Entrance Facility (EF or TEF) ___________________________________
Telecommunications Equipment Room (TER)
Telecommunications Room (TR)
Outside Plant (OSP) Infrastructure ___________________________________
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Slide 105 ___________________________________

Material not directly related shall not pass

through or below (wiring, piping, tube) ___________________________________
12 ft from electromagnetic interference
Not subject to flooding
Where subject to hurricanes and tornados ___________________________________
located away from curtain walls

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Slide 106 ___________________________________

Power
Dedicated circuits
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One duplex receptacle minimum

Environment ___________________________________
Temp & humidity per manufacturers specs
Positive pressure

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Slide 107 ___________________________________

Permitted to be combined with the

telecommunications equipment room (TER) ___________________________________
Two physically separated service entrance
pathways into the EF
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Slide 108 ___________________________________

If remote primary data center is used:

Two EFs and redundant telecommunications ___________________________________
service entrances required
Electronic storage capable of storing all inpatient
records available at hospital
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108

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Slide 109 ___________________________________

EF permitted to be in ER
EF dedicated to the telecommunications
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function and related support facilities
Located near service entrance
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109

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Slide 110 ___________________________________

Power
Connected to Critical Branch ___________________________________
Environment
HVAC connected to Equipment Branch ___________________________________

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110

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Slide 111 ___________________________________

Permitted to house servers and data storage. ___________________________________

Other communications equipment permitted
Not used for any other purpose
___________________________________

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111

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Slide 112 ___________________________________

Not located in sterile area

Avoid vibration ___________________________________
Secure

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___________________________________

Slide 113 ___________________________________

Power
Connected to EES (Life Safety or Critical Branch)
___________________________________
One duplex receptacle per wall minimum

Environment ___________________________________
HVAC possibly connected to Equipment Branch

___________________________________
113

___________________________________

___________________________________

___________________________________

Slide 114 ___________________________________

___________________________________

___________________________________

___________________________________
114

___________________________________

___________________________________

___________________________________
Slide 115 ___________________________________

Located such that any outlet can be reached

___________________________________
within 90 m (292 ft) along the pathway
Minimum of one per story
Serve a maximum of 20,000 ft2 ___________________________________

___________________________________
115

___________________________________

___________________________________

___________________________________

Slide 116 ___________________________________

Transformers and unrelated electrical

equipment not allowed ___________________________________
Secure
Power
Connected to EES (Critical Branch) ___________________________________

___________________________________
116

___________________________________

___________________________________

___________________________________

Slide 117 ___________________________________

Sprinklers
Provide with wire cages or recessed ___________________________________
Dropped ceiling prohibited

___________________________________

___________________________________
117

___________________________________

___________________________________

___________________________________
Slide 118 ___________________________________

Redundant pathways between EF and TER

Conduits for cabling in inaccessible ceiling ___________________________________
spaces

___________________________________

___________________________________
118

___________________________________

___________________________________

___________________________________

Slide 119 ___________________________________

Dual telecommunications service entrance

pathways shall be provided to EF ___________________________________
Minimum of 20 ft apart
Underground conduits > 2 ft from steam and
water pipes if perpendicular, 6 ft if parallel ___________________________________
Minimum of 2 ft below grade.

___________________________________
119

___________________________________

___________________________________

___________________________________

Slide 120 ___________________________________

Audiovisual and listed

Supplemental features (alphanumeric pagers, ___________________________________
or other wireless devises) permitted
Patient Area Call Station
Emergency Call ___________________________________
Staff Emergency Assistance Call
Emergency Resuscitation Alarm
___________________________________
120

___________________________________

___________________________________

___________________________________
Slide 121 ___________________________________

Basically the same as Category 1

___________________________________
Redundant pathways and cabling for
backbone distribution system not required
Some reductions in requirements for nurse ___________________________________
call systems visual only without audio
permitted
___________________________________
121

___________________________________

___________________________________

___________________________________

Slide 122 ___________________________________

Basically the same as Category 1 but

___________________________________
Duel service entrance pathways into the EF not
required,
Connection to EES not required for power or for
HVAC,
___________________________________
Redundant pathways and cabling for backbone
distribution system not required
Nurse call systems reserved ___________________________________
122

___________________________________

___________________________________

___________________________________

Slide 123 ___________________________________

Chapter 8
Plumbing ___________________________________
Chapter 9
HVAC
___________________________________

___________________________________
123

___________________________________

___________________________________

___________________________________
Slide 124 ___________________________________

New Chapter
Entire chapter a TIA ___________________________________
No risk categories
Primarily references to plumbing code
Some limited information on ___________________________________
Grease interceptors
Gray waste and clear waste water
___________________________________
124

___________________________________

___________________________________

___________________________________

Slide 125 ___________________________________

New Chapter ___________________________________

___________________________________

___________________________________
125

___________________________________

___________________________________

___________________________________

Slide 126 ___________________________________

Many of the provisions

are a simple reference
___________________________________
to another Document:
ASHRAE
NFPA
Plumbing code ___________________________________

___________________________________
126

___________________________________

___________________________________

___________________________________
Slide 127 ___________________________________

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

___________________________________
127

___________________________________

___________________________________

___________________________________

Slide 128 ___________________________________

Indoor storage or manifold areas; storage or

manifold buildings, for medical gases and ___________________________________
cryogenic fluids shall be provided with natural
or mechanical exhaust ventilation.
___________________________________

___________________________________
128

___________________________________

___________________________________

___________________________________

Slide 129 ___________________________________

Extracted from NFPA 110

Maintain engine water jacket temperature ___________________________________
Ventilation for cooling room
Ventilation for cooling engine
Ventilation for combustion
___________________________________

___________________________________
129

___________________________________

___________________________________

___________________________________
Slide 130 ___________________________________
Chapter 10
Electrical ___________________________________
Equipment

Chapter 11
Gas Equipment ___________________________________

___________________________________
130

___________________________________

___________________________________

___________________________________

Slide 131 ___________________________________

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.
___________________________________
1.131

___________________________________

___________________________________

___________________________________

Slide 132 ___________________________________

Patient Care Electrical Appliances and

Equipment ___________________________________
Permanently connected - Fixed equipment
Cord and plug - Portable equipment
Power cords
Multiple outlet connection on movable equipment
___________________________________
Permanently attached
Ampacity verified
Means to verify additional devices cannot be
connected after leakage currents have been verified ___________________________________
132

___________________________________

___________________________________

___________________________________
Slide 133 ___________________________________

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

___________________________________
133

___________________________________

___________________________________

___________________________________

Slide 134 ___________________________________

Nonpatient Electrical Appliances and

Equipment - Portable ___________________________________
Vacuum cleaners, polishers, etc.
Patient care areas
Not to exceed 500 micro amps when in patient vicinity
and in contact with patients ___________________________________

___________________________________
134

___________________________________

___________________________________

___________________________________

Slide 135 ___________________________________

Nonpatient Electrical Appliances and

Equipment (cont.) ___________________________________
Household or office equipment, without
grounding wire and plug, are allowed if not
located within the patient care vicinity
___________________________________

___________________________________
135

___________________________________

___________________________________

___________________________________
Slide 136 ___________________________________

Policies
Servicing and Maintenance- Technical ___________________________________
documents must be provided and used to
develop maintenance program
Testing intervals
The facility establishes type of test and intervals
___________________________________
for testing patient care related electrical
equipment

___________________________________
136

___________________________________

___________________________________

___________________________________

Slide 137 ___________________________________

Entire chapter retroactively applied

Storage of gases and cylinders ___________________________________
Performance criteria and testing
Administration
___________________________________

___________________________________
137

___________________________________

___________________________________

___________________________________

Slide 138 ___________________________________

___________________________________

___________________________________

___________________________________
138

___________________________________

___________________________________

___________________________________
Slide 139 ___________________________________

Storage of cylinders (non-flammable gases)

More than 3000 ft3, use Category 1 storage ___________________________________
requirements from Chapter 5

___________________________________

___________________________________
139

___________________________________

___________________________________

___________________________________

Slide 140 ___________________________________

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
Cant mix oxidizing gases with flammable liquids,
gases or vapors
Separate oxidizing gases from combustible ___________________________________
materials

140

___________________________________

___________________________________

___________________________________

Slide 141 ___________________________________

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

___________________________________
141

___________________________________

___________________________________

___________________________________
Slide 142 ___________________________________

Storage in cabinet ___________________________________

___________________________________

___________________________________
1.142

___________________________________

___________________________________

___________________________________

Slide 143 ___________________________________

Storage of cylinders (non-flammable gases)

Less than 300 ft3 ___________________________________
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
Cylinders cannot be chained to portable or moveable
apparatus
___________________________________
143

___________________________________

___________________________________

___________________________________

Slide 144 ___________________________________

Operation and Management of Cylinders

Administration ___________________________________
Special precautions for handling
Special precautions for making connections
Special precautions for safety mechanisms
Special precautions for storage
___________________________________

___________________________________
144

___________________________________

___________________________________

___________________________________
Slide 145 ___________________________________

Liquid oxygen equipment New section

___________________________________

___________________________________

___________________________________
145

___________________________________

___________________________________

___________________________________

Slide 146 ___________________________________

Chapter 12
Emergency ___________________________________
Management

Chapter 13
Security ___________________________________

___________________________________
146

___________________________________

___________________________________

___________________________________

Slide 147 ___________________________________

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
___________________________________
1.147

___________________________________

___________________________________

___________________________________
Slide 148 ___________________________________

Senior management
___________________________________
Emergency Management Committee
Facility category
1 or 2 ___________________________________

___________________________________
148

___________________________________

___________________________________

___________________________________

Slide 149 ___________________________________

Hazard Vulnerability Analysis (HVA)

___________________________________
Mitigation
Preparedness
Critical Function Strategies ___________________________________

___________________________________
149

___________________________________

___________________________________

___________________________________

Slide 150 ___________________________________

Communications
Resources and Assets ___________________________________
Safety and Security
Clinical Support Activities
Essential Utilities ___________________________________
Exterior Connections
Staff Roles
___________________________________
150

___________________________________

___________________________________

___________________________________
Slide 151 ___________________________________

Staff education
Testing
___________________________________
Twice annually
Based on HVA
___________________________________

___________________________________
151

___________________________________

___________________________________

___________________________________

Slide 152 ___________________________________

___________________________________
Staff education
Testing
Twice annually
Based on HVA ___________________________________
Scope of exercises
Response
Recovery ___________________________________
152

___________________________________

___________________________________

___________________________________

Slide 153 ___________________________________

Update program yearly

Update the HVA ___________________________________
Update the EOP
Maintain records for three years
___________________________________

___________________________________
153

___________________________________

___________________________________

___________________________________
Slide 154 ___________________________________

New Chapter
Facility shall have a security management plan
___________________________________
Security vulnerability analysis (SVA)
Responsible person
30+ responsibilities ___________________________________

___________________________________
154

___________________________________

___________________________________

___________________________________

Slide 155 ___________________________________

Security sensitive areas

Access and egress security measure ___________________________________
Media control
Crowd control
___________________________________

___________________________________
155

___________________________________

___________________________________

___________________________________

Slide 156 ___________________________________

Security equipment
Employment practices ___________________________________
Security operations
Program evaluation
___________________________________

___________________________________
156

___________________________________

___________________________________

___________________________________
Slide 157 ___________________________________

Periodic drills
Drill critique ___________________________________
SVA & security plan evaluated annually

___________________________________

___________________________________
157

___________________________________

___________________________________

___________________________________

Slide 158 ___________________________________

Chapter 14
___________________________________
Hyperbaric
Chambers

___________________________________

___________________________________
158

___________________________________

___________________________________

___________________________________

Slide 159 ___________________________________

___________________________________

___________________________________

___________________________________
1.159

___________________________________

___________________________________

___________________________________
Slide 160 ___________________________________

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
___________________________________
1.160

___________________________________

___________________________________

___________________________________

Slide 161 ___________________________________

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
___________________________________
161

___________________________________

___________________________________

___________________________________

Slide 162 ___________________________________

Chapter 15
Fire Protection ___________________________________
Features

___________________________________

___________________________________
162

___________________________________

___________________________________

___________________________________
Slide 163 ___________________________________

New Chapter
Heavily based on NFPA 101 ___________________________________
Numerous extracts from NFPA 101
Entire chapter retroactively applied
___________________________________

___________________________________
.163

___________________________________

___________________________________

___________________________________

Slide 164 ___________________________________

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

___________________________________
164

___________________________________

___________________________________

___________________________________

Slide 165 ___________________________________

Manual extinguishing equipment

Portable fire extinguishers ___________________________________
Standpipes
Compact storage
Maintenance and testing ___________________________________
Operating rooms

___________________________________
165

___________________________________

___________________________________

___________________________________
Slide 166 ___________________________________

2012 Edition now available

Co-edited by Rich Bielen and Jim Lathrop ___________________________________
Over 600 pages
Now in color (all NFPA handbooks now in
color) ___________________________________

___________________________________
166

___________________________________

___________________________________

___________________________________

Slide 167 2014 NFPA Conference & Expo ___________________________________

Thank You ___________________________________

CEUs: To receive CEUs for this session, scan your badge at
the back of the room before leaving

Evaluation: Complete the session evaluation on the mobile app.

(To download, search your app store for NFPA 2014 C&E.) ___________________________________
Handouts: Handouts will be available via the mobile app or at
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Recordings: Audio recordings will be available. To order, see

Fleetwood Media Productions (at Breakers Registration
___________________________________
desk) or visit nfpa.org/conference

___________________________________

___________________________________

___________________________________