applying the 2012 life safety code® categorical waivers › wp-content › uploads › 2017 › 05...

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THE 2012 EDITION OF THE LIFE SAFETY CODE®

HOSPITAL EDITION

SESSION #5

AGENDA: Ambulatory Health Care & Business Occupancies

Definitions / Examples

Mixed & Contiguous Occupancies

Ambulatory Health Care & Business Occupancies:

General Requirements

Means of Egress Requirements

Protection Requirements

Building Services / Operating Features

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DEFINITIONS / EXAMPLES

12 – 42: Occupancy Chapters

AssemblyEducational

Day-CareHealth Care

20 / 21 Ambulatory Health CareDetention & Correction

One- and Two- Family DwellingLodging or Rooming

Hotels & DormitoryApartments

Residential Board & CareMercantile

38 / 39 BusinessIndustrialStorage

MOST STRINGENT BLEND OF LEAST STRINGENT

BUSINESS & HEALTHCARE

HEALTHCARE AMBULATORY BUSINESS

HEALTHCARE


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3.3.188.7 Health Care

Provide medical or other treatment or care simultaneously to four or more persons on an inpatient basis.

Where such occupants are mostly incapable of self-preservation due to age, physical or mental disability, or because of security measures not under the occupant’s control.

DEFINITION – NFPA & CMS

3.3.188.7 Health Care

In-Patient Hospital Areas

Nursing Homes

Skilled Nursing Facilities (SNFs)

Inpatient Hospice

Limited Care Facilities

Psychiatric Facilities

Certain Board and Care Facilities

EXAMPLES

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3.3.188.1 Ambulatory Health Care

Provide services or treatment simultaneously to four or more patients that provides, on an outpatient basis, one or more of the following:

1) Treatment for patients that renders the patients incapable of taking action for self-preservation under emergency conditions without the assistance of others

2) Anesthesia that renders the patients incapable of taking action for self-preservation under emergency conditions without the assistance of others

3) Emergency or urgent care for patients who, due to the nature of their injury or illness, are incapable of taking action for self-preservation under emergency conditions without the assistance of others (New Text)

DEFINITION – NFPA


Provide services or treatment simultaneously to four or more patients that provides, on an outpatient basis, one or more of the following:

PER CMS FINAL RULE:

For ambulatory surgery centers (ASC) seeking Medicare reimbursement, CMS considers all ASC providers to be classified as ambulatory care occupancy regardless of the number of patients.

DEFINITION – CMS FINAL RULE

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Ambulatory Surgery Centers

Urgent Care Centers

Endoscopy Centers

Certain End Stage Renal Disease Centers

“ESRD facilities that are located adjacent to high hazardous occupancies and those facilities that do not exit to the outside at grade level from the patient treatment area.”

Hospital Outpatient Surgical Departments *

Certain Emergency Departments *

* = Must be properly separated &

not serving certain inpatients

EXAMPLES

3.3.188.3 Business

An occupancy used for account and record keeping or the transaction of business other than mercantile.

Outpatient Clinics (ambulatory)

General Offices (finance, HR, etc.)

Doctor’s Offices

Dentist Offices

DEFINITION – NFPA & CMS / EXAMPLES

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MULTIPLE OCCUPANCIES: Sections of health care occupancies shall be permitted to be classified as other occupancies, provided:

They are not intended to provide services simultaneously for four or more inpatients for housing, treatment, or customary access by inpatients incapable of self-preservation.

They are separated by a minimum 2hr FRR barrier.

For other than previously approved separations, the entire building is sprinklered.

Section 19.1.3.3 (1) (Revised Text)

GENERAL REQUIREMENTS (Chapter 18/19 – HEALTH CARE)

CONTIGUOUS OCCUPANCIES:

Ambulatory care facilities, medical clinics, & similar facilities that are contiguous to Health Care Occupancies can be classified as Ambulatory Health Care or Business Occupancies provided they are not intended to provide services to four or more health care patients inpatients who are litter borne.

Section 19.1.3.4.1 (Revised Text)

Ambulatory care facilities, medical clinics, & similar facilities that are contiguous to health care occupancies shall be permitted to be used for diagnostic & treatment services of inpatients who are capable of self-preservation.

Section 19.1.3.4.2 (New Text)


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HEALTH CARE OCCUPANCY EXITING THROUGH OTHER OCCUPANCIES:

If the means of egress from health care occupancy traverses non-health care spaces, these spaces (the means of egress) shall conform to the requirements of this Code for health care occupancies.

Unless exit is through a compliant horizontal exit (19.2.2.5)

Sections 19.1.3.6 & 19.1.3.7



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EMERGENCY DEPARTMENTS ??

12 – 42: Occupancy Chapters

If construction completed before JULY 5, 2016.

If construction started (substantial permits approved) after JULY 5, 2016.


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GENERAL REQUIREMENTS

TOTAL CONCEPT…. JUST LIKE HEALTH CARE

Design, Construction,

Compartmentation

Prevention, Planning and

Training

Detection, Alarm and

Extinguishment

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwj15tmVqsjNAhUIMj4KHcpxDKgQjRwIBw&url=http%3A%2F%2Famericanschoolpr.com%2Fcms%2Fgeneral-requirements%2F&psig=AFQjCNEVGhMXPFlEtQYg--8u9gAE3rz2OQ&ust=1467121101461574

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MULTIPLE OCCUPANCIES:

Sections of ambulatory health care occupancies shall be permitted to be classified as other occupancies, provided:

They are not intended to serve ambulatory health care occupants for purposes of treatment or customary access by patients incapable of self-preservation.

They are separated by a minimum 1 hr FRR barrier.

Section 21.1.3.2

GENERAL REQUIREMENTS – AMBULATORY HEALTH CARE

AMBULATORY HEALTH CARE OCCUPANCY EXITING THROUGH OTHER OCCUPANCIES:

If the means of egress from health care occupancy traverses non-ambulatory health care spaces, these spaces (the means of egress) shall conform to the requirements of this Code for ambulatory health care occupancies.

Unless exit is through a compliant horizontal exit (19.2.2.5)

Section 21.1.3.3

GENERAL REQUIREMENTS – AMBULATORY HEALTH CARE

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CONSTRUCTION REQUIREMENTS

BUSINESS

No requirements.

Section 39.1.6

AMBULATORY HEALTH CARE

Not permitted in combustible buildings unless fully sprinklered.

Section 21.1.6

MEANS OF EGRESS REQUIREMENTS

BUSINESS

Delayed Egress (more than one) and Access Control Allowed

Travel Distance from any point in a room to an exit: 200 ft not sprinklered300 ft sprinklered

Normal lighting for egress

Emergency lighting if:3 or more stories> 50 occupants ↑or ↓ LED

> 300 occupants total

Section 39.2


Delayed Egress (more than one) and Access Control allowed on any door.

Travel Distance from any point in a room to an exit: 150 ft not sprinklered200 ft sprinklered

Normal & Emergency lighting for means of egress

Emergency task lighting for anesthesia locations

Section 21.2

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PROTECTION OF VERTICAL OPENINGS

BUSINESS

In accordance with Section 8.6

30 min minimum FRR for existing enclosures

Few Exceptions:

8.6.9.1 Convenience Openings

39.2.4.6/7 Single tenant exit 39.3.1.1

Unprotected Vertical Openings

Section 39.3.1


See 39.3.1

Section 21.3.1

PROTECTION OF HAZARADOUS AREAS

BUSINESS

Hazardous area including, but not limited to, areas for general storage, boiler or furnace rooms, and maintenance shops that including woodworking and painting see Sec. 8.7

Enclose with 1 hr FRR Barrier

OR

Protect with sprinkler system

Section 39.3.2


See 39.3.2

Doors to hazardous areas shall be self–closing or automatic closing

(New Text)

Section 21.3.2

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Laboratories

Anesthetizing Locations

Medical Gas

PROTECTION OF HAZARDS – AMBULATORY HEALTH CARE

Cooking Facilities

PROTECTION OF HAZARDS – AMBULATORY HEALTH CARE

21.3.2.4 Cooking facilities shall be protected in accordance with 9.2.3

21.3.2.5 Where domestic cooking equipment is used for food warming or limited cooking, protection or separation of food preparation facilities shall not be required.

(New Text)

HINT: BUSINESS

OCCUPANCY HAS

SIMILAR PROVISIONS

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Alcohol- Based Hand-Rub

Dispensers

PROTECTION REQUIREMENTS – AMBULATORY HEALTH CARE

HINT: BUSINESS

OCCUPANCY IS SILENT

ON THIS ISSUE

21.3.2.6 Alcohol-based hand-rub dispensers shall be protected….

All same rules as Health Care Occupancies

applies

(New Text)

INTERIOR FINISH

BUSINESS

Interior wall & ceiling finishes shall be:

Class A or B in exit & exit access corridors

Class A, B or C in other areas

Interior floor finish:

No requirements

Section 39.3.3


See 39.3.3

Section 21.3.3

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DETECTION, ALARM AND COMMUNICATION SYSTEMS

BUSINESS

Fire Alarm System if:3 or more stories> 50 occupants ↑or ↓ LED

> 300 occupants total

Initiation by either:Manual MeansComplete Detection SystemAuto-sprinkler SystemOccupant Notification required

Occupant notificationEmergency Forces only for new or “replaced” systemsPositive Alarm sequence permitted

Section 39.3.4


Fire Alarm systems required

Initiation by manual means & any detection required

Occupant & Emergency forces notifications required

Positive Alarm sequence permitted (New Text)

Section 21.3.4

EXTINGUISHMENT REQUIREMENTS

BUSINESS

Sprinklers not required

Portable fire extinguishers required

Section 39.3.5


Sprinklers not required

Portable fire extinguishers required

Section 21.3.5

HINT: ALTHOUGH NOT

REQUIRED, 5 LB CO2

FIRE EXTINGUISHERS

ARE RECOMMENDED IN

EACH OPERATING ROOM

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CORRIDOR REQUIREMENTS

BUSINESS

No Requirements

Section 39.3.6


No Requirements

Section 21.3.6

HINT: SINCE NO

CORRIDOR

REQUIREMENTS, NO

SUITES, CORRIDOR

CLUTTER, ETC.

BUT MEANS OF EGRESS

STILL NEEDS TO BE KEPT

CLEAR!!

SUBDIVISION OF BUILDING SPACES

BUSINESS

No requirements

Section 39.3.7


Separation from other tenants and occupancies

AND

Smoke compartments

Section 21.3.7

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SEPARATION FROM OTHER TENANTS:

1-hr FRR walls (minimum) – slab to slab

Doors such as 1 ¾” thick solid-bonded wood-core doors and equipped with positive latch

Doors shall be self-closing, and shall be kept in the closed position, except when not in use

Any windows shall be of fixed fire window assemblies

Section 21.3.7.1

SUBDIVISION OF BUILDING SPACES – AMBULATORY HEALTH CARE

HINT: UNIQUE DOOR

REQUIREMENTS COMPARED

TO SMOKE BARRIERS OR

TYPICAL 1HR FRR

BARRIERS


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SMOKE BARRIERS:

Every story shall be divided into not less than two smoke compartments, unless:

Facility is < 5,000 sq ft & smoke detection system

Facility is < 10,000 sq ft & automatic sprinklers

An area in an adjoining occupancy shall be permitted to serve as a smoke compartment if all the following criteria is met:

The separating wall and both compartments are 1hr FRR

The ambulatory health care facility is < 22,500 sq ft

Access from the facility to the other occupancy is unrestricted

Section 21.3.7.1


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SMOKE BARRIERS:

30 min FRR minimum

Smoke dampers not required in fully sprinkleredfacility

Doors such as 1 ¾” thick solid-bonded wood-core doors, must be self or automatic-closing

Cross corridor smoke barrier doors need not positive latch

Section 21.3.7.4


FIRE DRILLS

BUSINESS

Instructed in the fire planIn buildings occupied by more than 500 persons, or by more than 100 persons ↑ or ↓ the LED- employees shall be “periodically” instructed and old drills “periodically where practical.”

Section 39.7.2


Need to have a plan and available to all staffRequires “periodic instruction” (aka “annually “ by most AHJs)Fire Drill must include transmission of fire alarmPatients not required to be movedQuarterly each shift9:00 pm – 6:00 am a “coded announcement” is permitted instead of audible alarms

Section 21.7.1

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PROCEDURE IN CASE OF FIRE

BUSINESS

Must have a fire plan

Designated employees shall be periodically instructed in the use of portable fire extinguishers

Section 39.7.2 / 3


Must have a written fire safety plan that includes:

Removal of all occupants directly involved in fire

Evacuation of smoke compartments & possible floor evacuation

Transmission of fire alarm

Emergency phone call to Fire Department

Confine the fire (doors, etc.)

Fire extinguishment

Section 21.7.2

Section 21.3.4

HINT: THE JOINT

COMMISSION AND OTHER

AHJS EXPECT ANNUAL

DRILLS IN FREE STANDING

BUSINESS OCCUPANCIES

COMBUSTIBLE DECORATIONS

Combustible decorations shall be prohibited unless one of thefollowing is met:

COMBUSTIBLE DECORATIONS – AMBULATORY HEALTH CARE

They are flame-retardant

Decorations meet NFPA 701, Standard Methods of Fire Tests for Flame Propagation of Textiles & Films

Decorations exhibit a heat release rate not exceeding 100 kW when tested per NFPA 289

They are decorations, such as photographs and paintings and in such limited quantities that a hazard of fire development or spread is not present.

Section 21.7.5.4

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AMBULATORY HEALTH CARE / BUSINESS

SOILED LINEN / TRASH RECEPTACLES

Containers used solely for recycling clean waste or for patient records awaiting destruction shall be permitted to be excluded from the “32 gallon” rule if:

Container does not exceed 96 gal

Containers exceeding 96 gal are placed in haz areas

Container size shall not be limited in haz areas

Containers are labeled/listed as meeting FM Approval Standard 6921, Containers for Combustible Waste; however, the testing/labeling/listing is not limited to FM Approvals (any lab can perform the tests)

BUILDING SERVICES / OPERATING FEATURES

ANNUAL INSPECTION OF DOOR OPENINGS

Complying with 7.2.1.15.2 (New Text)

Applies to ALL Occupancy Chapters

AMBULATORY HEALTH CARE / BUSINESS

Fire–rated doors shall be inspected per NFPA 80

Smoke doors shall be inspected per NFPA 105

Annual requirement, but allows a “performance-based program”

ANNUAL INSPECTION OF FIRE AND SMOKE DOOR ASSEMBLIES

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NEXT SESSION

Survey and Compliance Strategies

applying the 2012 life safety code® categorical waivers › wp-content › uploads › 2017 › 05...

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