Eugene A. Cable, P.E.

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Eugene A. Cable, P.E.

• Life Safety,
• Fire Protection Engineering,
• and JCAHO Consultants
• 412 Horse Heaven Road
• Averill Park, New York 12018
• [phone]
• Eugene.Cable_at_Fairpoint.Net

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Life Safety Code UpdateHealth Care Occupancies

• Fire vs. People Primer
• 2009 Code Adoption/ Options??
• 12 Important changes
• TJC 2009 Life Safety Code Standards

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Life Safety CodeGoal and Objective
(No Change) Section 4.1.1 Protection of occupant
s not intimate with initial fire development
Section 4.2.1 Protect occupants for the time ne
eded to evacuate, relocate, or defend in place.

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• Fire Growth Footage

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Basic Principlesof Protecting People from Fire

• Keep smoke/ Toxic Gases from People
• CO PPM
• Visibility
• Keep Heat/ Fire from People

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Fire and Life Safety Model - Escape
Fire Development - fire growth curve
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Eugene A. Cable, P.E. [phone]
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View of Standpipe Hose Travel
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Hospital Fires?(NFIRS and NFPA)1999 2005
averages

• Hospital fires 2300/ year
• Injuries 58/ year
• Fatalities 1/ year
• Property damage 13 million

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Fire Cause

• 33 Cooking related 759 fires
• 12 Intentionally set 276 fires
• 11 Smoking 253 fires
  
  
• 7 Clothes dryers or washers
• 161
  fires
  
• 4 Torch / welding/ soldering
• 92
  fires
  

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Extent of Fire Damage1999-2002

• 79 Confined to object 2,490
• 16 Involve the Room 510
• 2 Spread to just the floor 60
• 3 Multiple floors 90
• 0 Entire building 10

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Life Safety Code UpdateHealth Care Occupancies

• Fire vs. People Primer
• 2009 Code Adoption/ Options??
• 12 Important changes
• TJC 2009 Life Safety Code Standards

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Vermont

• Paul Spicer sent me to Bob Howell at
  802-479-7566
  
• 2006 Code is in process for adoption but several
  hold-ups have slowed it. Looks like early
  summer. If it drags on too long we just might
  look to skip to the 2009 Edition.

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New Hampshire

• Wendy Smigelski 603-271-4471
• Paper work is in to adopt the 2009 Code, we
  should know late November or early December. We
  might end up adopting the 2006 Code, due to the
  2009 requirement to sprinkler all new residences

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MAINE

• (Steve Dodge retired last May)
• Rich McCarthy 207-626-3880
• Mr. McCarthy left a message that Maine uses the
  2006 Code now and will be adopting the 2009
  Edition very soon, legislation is in the works.

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Connecticut

• Iggy Kapalczynski, 860-685-8350
• We are looking at adopting the 2009 Code but no
  official progress as yet. Would be a 3-year
  process or possibly go for the 2006 Code

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CMS TJC

• There are no active plans to adopt a newer
  edition of NFPA 101.
  
• The 2000 Code will remain for the foreseeable
  future.

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Options

• CMS will allow use of Code newer than 2000 with
  a request for waiver.
  
• The Joint Commission will allow use of a newer
  Code in its entirety, need only note it in the
  Part 2 BBI
  
• The Joint Commission will allow use of a newer
  Code Section by specific equivalency request and
  expert certification.

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ICU Suite larger than 5,000 sq ftViolates 2000
CodeOK with 2006/2009 Code
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(ICU) Patient room sliding doors2000 Code side
hinge breakaway required2006/2009 Code, side
hinge breakaway NOT required
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Life Safety Code UpdateHealth Care Occupancies

• Fire vs. People Primer
• 2009 Code Adoption/ Options??
• 12 Important changes
• TJC 2009 Life Safety Code Standards

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12 Important Changes2009 LSC

• 1. Allowed to lock for security reasons
• 2. 2-hour barriers must be vertically aligned
• 3. No longer limits of delayed egress locks
• 4. Rules for security locking
• 5. Suites separation between each other
• 6. Aerosol alcohol based hand rub rules
• 7. Gel ABHR 1 inch from ignition source
• 8. Soiled linen rooms, hazards area if 64 gal
• 9. No longer requires latching for power doors
• 10. Existing dead-end corridors, new language
• 11. 12 years to sprinkler high-rise healthcare
• 12. No longer limits travel distance from room
  door
  

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1. Allowed to lock for securitypage 171

• Sections 18.1.1.1.5 and 19.1.1.1.5
• Detention Security needs are valid.
• Safety needs for infants, pediatrics and
• civil disorder are allowed.
• Healthcare occupancies are allowed to
• lock the means of egress.
• Staff must be present at all times to unlock
• the means of egress.

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2. 2-hour barriers Page 187

• Sections 18.1.2.2 19.1.2.2
• Clarification for 2 hour separation.
• (2) 2 hour wall must comply with section 8.2.1.3
  for separation of construction types, vertical
  alignment.
  

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3. No longer limits of delayed egress
locksPage 188

• Sections 18.2.2.4(2) and 19.2.2.4(2)
• The code deleted the limitation of one delayed
  egress device in the means of egress for
  healthcare.

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4. Rules for security lockingPage 189

• Section 19.2.2.2.5.2 These sections state how to
  do security locking based on
  
• Staff must be able to unlock at all times
• Smoke detection throughout the secured
• area
• Building is fully sprinklered
• Locks failsafe (release)
• Smoke detection or sprinkler
• activation will release the locks

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5. Suites separation between each otherPage 191

• Clarification added
• The separation between suites be the same
  requirements as separation of suite from
  remainder of building.
  
• Corridor wall construction.

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6. Aerosol alcohol based hand rub rulesPage 193

• Section 19.3.2.6 (3)
• Aerosol containers of Alcohol Based
• Hand Rubs are limited to 18 oz. and
• shall be Level 1 aerosols per NFPA 30B
• Not more than 1,135 oz. shall be in a
• smoke zone outside storage cabinets

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7. Gel ABHR 1 inch from ignition sourcePage 193

• Section 19.3.2.6 (7)
• Separation of ABHR dispensers
• 1 inch to each side above an ignition
• source
• 1 inch to each side to an ignition source
• 1 inch beneath an ignition source
• This modifies the previous over or
• directly adjacent no technical
• justification for the change

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8. Soiled linen rooms, hazardous area if 64
galPage 178

• Section 18.3.2.1
• Soiled linen greater than 64 gallons 1 hour
• Trash greater than 64 gallons 1 hour

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9. No longer requires latching for power
doorsPage 196

• Section 19.3.6.3.7
• Power doors complying with 7.2.1.9 are no
  longer required to latch provided the doors can
  be kept closed if a force of 5 pounds is applied
  in the direction to open the door (swinging or
  sliding)

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10. Existing dead-end corridors, new
languagePage 190

• Section 19.2.5.2
• Existing dead end corridors exceeding 30 feet
  shall be permitted to continue in use if it is
  impractical and unfeasible to alter them.

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11. 12 years to sprinkler high-rise
healthcarePage 194

• Section 19.3.5.2 and 19.4.2
• Owners shall have 12 years from the
• adoption of this Code to have existing
  high-rise buildings containing healthcare
  occupancies fully sprinkler protected.

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12. No longer limits travel distance from room
doorPage 192

• Section 19.2.6.2
• The black dot means a section is removed.
• Code no longer has a travel distance rule from
  room door to exit.

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Life Safety Code UpdateHealth Care Occupancies

• Fire vs. People Primer
• 2009 Code Adoption/ Options??
• 12 Important changes
• TJC 2009 Life Safety Code Standards

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LS.02.01.10Building and Fire Protection
Features(10 Elements)

• Type of construction
• Sprinkler system requirements
• 2-hour fire rated barriers
• Openings in fire rated barriers
• Fire rated doors
• Fire dampers in place
• Penetration protection

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LS.02.01.20Means of Egress(32 elements)

• Door locking
• Horizontal exits
• Guards and handrails
• Exit discharge
• Corridor width/ projections
• Number of exits
• Suites size, exit access,
• Rooms open to corridor
• Travel distances/ dead-ends
• Exits signs

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LS. 02.01.30Building features and
compartments( 20 elements)

• Vertical Openings
• Hazardous areas
• Gift shops
• Interior Finish
• Corridor separation/ doors
• Smoke barriers/ penetrations/ ducts
• Smoke barrier doors

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LS.02.01.34Fire alarm systems( 4 elements)

• Automatically transmits alarm
• Hospital meets all other fire alarm requirements
  of

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LS.02.01.35Extinguishing systems(14 elements)

• Sprinkler systems monitored water flow
  alarms/supervision
  
• Piping/ sprinklers condition
• Fire extinguishers/ travel distance
• Cooking/ ext/ exhaust/ fans/ heat

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LS.02.01.40Special features(2 elements)

• Windowless buildings
• New High-rise has full sprinkler protection

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LS.02.01.50Building Services(12 elements)

• Elevators
• Chutes

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LS.02.01.70Operating features(4 elements)

• Decorations
• Soiled linen and trash containers 32 gal in a
  room
  
• Hospital meets all other operating features in
  Sec. 19.7

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Life Safety Code UpdateHealth Care Occupancies

• Fire vs. People Primer
• 2009 Code Adoption/ Options??
• 12 Important changes
• TJC 2009 Life Safety Code Standards