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NFPA Technical Committee on Health Care Occupancies NFPA 101 and
NFPA 5000 FIRST DRAFT MEETING AGENDA
Wednesday-Friday August 15-17, 2012 St. Louis Union Station
Marriott
St. Louis, Missouri
1. Call to Order. Call meeting to order by Chair David Klein at
8:00 a.m. on August 15,
2012 at the St. Louis Union Station Marriott, St. Louis, MO.
2. Introduction of Committee Members and Guests. For a committee
roster, see page 03.
3. Approval of Prior Meeting Minutes. Approve the October 19-20,
2010 meeting
minutes and the July 26, 2011 meeting minutes. See page 07.
4. The New Process Review. See page 17.
5. Health Care Summit Notes. See page 30.
6. TIA on Smoke Alarms for Spaces Open to Kitchen. See page 39.
7. Risk-Based Occupancy Task Group. John Rickard – Chair, Ken
Bush, Mike Crowley, Buddy Dewar, David Hood, Tom Jaeger, Bill
Koffel, Ben Pethe, Saundra Stevens.
8. Person-Directed / Person-Centered Care. (John
Rickard)
9. Home Health Care Study (and Misc. Items). Ken Bush –
Chair, Tom Jaeger, Pete
Larrimer, and Saundra Stevens will report on the aforementioned
topic and: Residential cooking and fireplace fire experience, and
Monitor fire statistics related to UL 300 versus UL 300A kitchen
systems
10. Antifreeze Sprinkler Systems Update. (Buddy Dewar) 11.
Maximum Permitted Suite Size. (Mike Crowley)
12. FRTW Assemblies – Code Error. See page 46.
13. Laboratory Reference to NFPA 99 – Code Error. See page
48.
Page 1 of 184
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14. Correlating Committee Wish List 2015 Edition. See page 49.
15. NFPA 101 and NFPA 5000 Correlation. Mike Crowley – Chair, Chad
Beebe, Tom
Jaeger, Henry Kowalenko, Jim Lathrop and Dan O’Connor. Proposed
changes submitted as Public Input and will be addressed below in
Items 17 and 18.
16. Review of Core Chapters’ First Revisions. Drafts to be
provided via separate distribution prior to meeting date.
17. NFPA 101 First Draft (formerly ROP) Preparation. For Public
Input, see page 54.
18. NFPA 5000 First Draft (formerly ROP) Preparation. For Public
Input, see page 127.
19. Other Business.
20. Future Meetings.
21. Adjournment.
Page 2 of 184
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Address List No PhoneHealth Care Occupancies BLD-HEABuilding
Code
Ron Coté07/02/2012
BLD-HEADavid P. KleinChairUS Department of Veterans Affairs810
Vermont Avenue, NW, Suite 800Mail Code: (10NA8)Washington, DC
20420Alternate: Peter A. Larrimer
U 11/2/2006BLD-HEA
Ron CotéSecretary (Staff-Nonvoting)National Fire Protection
Association1 Batterymarch ParkQuincy, MA 02169-7471
1/1/1991
BLD-HEAKenneth E. BushPrincipalMaryland State Fire Marshals
Office301 Bay Street, Lower LevelEaston, MD 21601International Fire
Marshals Association
E 1/1/1978BLD-HEA
Wayne G. CarsonPrincipalCarson Associates, Inc.35 Horner Street,
Suite 120Warrenton, VA 20186-3415
SE 1/1/1988
BLD-HEAMichael A. CrowleyPrincipalThe RJA Group, Inc.Rolf Jensen
& Associates, Inc.8827 West Sam Houston Parkway North, Suite
150Houston, TX 77040Alternate: William M. Dorfler
SE 1/1/1985BLD-HEA
Samuel S. DannawayPrincipalS. S. Dannaway Associates, Inc.720
Iwilei Road, Suite 412Honolulu, HI 96817-5316American Society of
Safety Engineers
SE 1/16/2003
BLD-HEABuddy DewarPrincipalNational Fire Sprinkler Association,
Inc.200 West College AvenueTallahassee, FL 32301
M 10/23/2003BLD-HEA
Alice L. EpsteinPrincipalCNA InsuranceTen Town Plaza, Suite
208Durango, CO 81301
I 8/5/2009
BLD-HEADouglas S. EricksonPrincipalNorthstar Management
Company10280 Sunset Office Drive, Suite 200St. Louis, MO
63127American Society for Healthcare EngineeringAlternate: Chad E.
Beebe
U 1/1/1982BLD-HEA
John E. FishbeckPrincipalThe Joint CommissionOne Renaissance
BoulevardOakbrook Terrace, IL 60181
E 4/1/1996
BLD-HEAGary FurdellPrincipalState of FloridaAgency for
Healthcare Administration4347 South Canal CircleNorth Fort Myers,
FL 33903Alternate: James R. Stuckey
E 8/5/2009BLD-HEA
Michael O. GencarelliPrincipalUS Department of the NavyNAVFAC
HQ: Medical Facilities Design Office (MDFO)1322 Patterson Avenue,
Suite 1000Washington, DC 20374Alternate: Justin D. Reid
E 8/9/2011
1Page 3 of 184
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Address List No PhoneHealth Care Occupancies BLD-HEABuilding
Code
Ron Coté07/02/2012
BLD-HEARobert J. HarmeyerPrincipalMSKTD & Associates930
North Meridian StreetIndianapolis, IN 46204American Institute of
Architects
SE 10/20/2010BLD-HEA
Donald W. HarrisPrincipalCalifornia Office of Health Planning
& DevelopmentFacilities Development Division1600 9th Street,
Room 420Sacramento, CA 95814
E 7/12/2001
BLD-HEADavid R. HoodPrincipalRussell Phillips & Associates,
LLC500 Cross Keys Office ParkFairport, NY 14550-3507NFPA Health
Care SectionAlternate: A. Richard Fasano
U 4/14/2005BLD-HEA
Richard M. HoreisPrincipalHDR Architecture, Inc.8404 Indian
Hills DriveOmaha, NE 68114
SE 10/20/2010
BLD-HEAThomas W. JaegerPrincipalJaeger and Associates, LLCPO Box
1291Middletown Springs, VT 05757American Health Care
AssociationAlternate: Doug Beardsley
U 1/1/1978BLD-HEA
Henry KowalenkoPrincipalIllinois Department of Public
HealthOffice of Health Care Regulation525 West Jefferson Street,
4th FloorSpringfield, IL 62761
E 3/4/2009
BLD-HEAJames Merrill IIPrincipalUS Department of Health &
Human ServicesCenters for Medicare & Medicaid Services
(CMS)7500 Security Boulevard, M/S S2-12-25Balitmore, MD 21133US
Dept. of Health & Human Services/CMSCMSAlternate: Kenneth
Sun
E 3/2/2010BLD-HEA
Daniel J. O'ConnorPrincipalAon Fire Protection Engineering1000
Milwaukee Avenue, 5th FloorGlenview, IL 60025-2423
I 1/1/1991
BLD-HEABen PethePrincipalHealth Care Consultant3224 Fountain
BoulevardTampa, FL 33609
SE 10/20/2010BLD-HEA
G. Brian PredigerPrincipalU.S. Army Medical Command
HeadquartersDirector, Facilities Engineering Division2748 Worth
Road, Suite 22Fort Sam Houston, TX 78234Alternate: Philip J.
Hoge
U 7/24/1997
BLD-HEAJohn A. RickardPrincipalKatus, LLC5838 Balcones Drive,
Suite BAustin, TX 78731-4206
SE 8/2/2010BLD-HEA
Richard Jay RobertsPrincipalHoneywell Life Safety3825 Ohio
AvenueSt. Charles, IL 60174Automatic Fire Alarm Association,
Inc.
M 10/20/2010
2Page 4 of 184
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Address List No PhoneHealth Care Occupancies BLD-HEABuilding
Code
Ron Coté07/02/2012
BLD-HEATerry SchultzPrincipalCode Consultants, Inc.2043 Woodland
Parkway, Suite 300St. Louis, MO 63146-4235Alternate: James R.
Ambrose
SE 7/23/2008BLD-HEA
Saundra J. StevensPrincipalAdams County Regional Medical
Center230 Medical Center DriveSeaman, OH 45679
U 10/27/2009
BLD-HEAGeza SzakatsPrincipalArup North America Ltd.560 Mission
Street, 7th FloorSan Francisco, CA 94105
SE 8/2/2010BLD-HEA
Peter W. TatelyPrincipalSiemens Building Technologies927
Nottingham RoadPottstown, PA 19465
M 10/27/2009
BLD-HEAMichael D. WiddekindPrincipalZurich Services
CorporationRisk Engineering112 Andrew CourtCentreville, MD
21617
I 1/14/2005BLD-HEA
Fred WorleyPrincipalTexas Department of Aging & Disability
ServicesLong Term Care Regulatory DivisionPO Box 149030, Mail Code
E-250Austin, TX 78757
E 03/05/2012
BLD-HEAJames R. AmbroseAlternateCode Consultants, Inc.2043
Woodland Parkway, Suite 300St Louis, MO 63146-4235Principal: Terry
Schultz
SE 1/1/1992BLD-HEA
Doug BeardsleyAlternateCare Providers of Minnesota7851 Metro
Parkway, Suite 200Bloomington, MN 55425American Health Care
AssociationPrincipal: Thomas W. Jaeger
U 7/23/2008
BLD-HEAChad E. BeebeAlternateASHE - AHAPO Box 5756Lacey, WA
98509-5756American Society for Healthcare EngineeringPrincipal:
Douglas S. Erickson
U 03/05/2012BLD-HEA
William M. DorflerAlternateThe RJA Group, Inc.Rolf Jensen &
Associates, Inc.600 West Fulton Street, Suite 500Chicago, IL
60661-1241Principal: Michael A. Crowley
SE 3/15/2007
BLD-HEAA. Richard FasanoAlternateRussell Phillips &
Associates Inc.8788 Elk Grove BoulevardBldg. 3, Suite 12-HElk
Grove, CA 95624NFPA Health Care SectionPrincipal: David R. Hood
U 8/5/2009BLD-HEA
Philip J. HogeAlternateUS Army Corps of EngineersHumphreys
Engineer CenterKingman Building, Suite 3MX7701 Telegraph
RoadAlexandria, VA 22315-3813Principal: G. Brian Prediger
U 10/20/2010
3Page 5 of 184
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Address List No PhoneHealth Care Occupancies BLD-HEABuilding
Code
Ron Coté07/02/2012
BLD-HEAPeter A. LarrimerAlternateUS Department of Veterans
Affairs323 North Shore Drive, Suite 400Pittsburgh, PA
15212Principal: David P. Klein
U 11/2/2006BLD-HEA
Justin D. ReidAlternateUS Department of the NavyNAVFAC
Atlantic6506 Hampton Blvd., Bldg. ANorfolk, VA 23508Principal:
Michael O. Gencarelli
E 03/05/2012
BLD-HEAJames R. StuckeyAlternateState of FloridaAgency for
Healthcare Administration114 Tropicana DrivePunta Gorda, FL
33950-5020Principal: Gary Furdell
E 03/05/2012BLD-HEA
Kenneth SunAlternateUS Public Health ServiceCenters for Medicare
& Medicaid Services (CMS)1600 Broadway, Suite 700Denver, CO
80202US Dept. of Health & Human Services/CMSCMSPrincipal: James
Merrill II
E 3/2/2010
BLD-HEAPichaya ChantranuwatNonvoting MemberFusion Consultants
Co. Ltd/Thailand81/55 Soi Phumijit, Rama 4 RoadPrakanong,
KlontoeyBangkok, 10110 Thailand
SE 1/18/2001BLD-HEA
David M. SineNonvoting MemberNational Center for Patient
Safety209 West SummitAnn Arbor, MI 48103National Association of
Psychiatric Health Systems
U 1/1/1989
BLD-HEARon CotéStaff LiaisonNational Fire Protection
Association1 Batterymarch ParkQuincy, MA 02169-7471
1/1/1991
4Page 6 of 184
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BLD/SAF-HEA 10-2010 ROC Meeting Minutes / Page 1
ROP MEETING MINUTES
Building Construction – Life Safety Technical Committee on
Health Care Occupancies
Tuesday-Wednesday, October 19-20, 2010 Hotel Monteleone New
Orleans, LA
1. Call to Order.
The meeting was called to order by Chair David Klein at 8:00
a.m. on on Tuesday, October 19, 2010, at the Hotel Monteleone, New
Orleans, LA.
2. Introduction of Committee Members and Guests.
The following committee members and guests were in
attendance.
TECHNICAL COMMITTEE MEMBERS PRESENT
NAME REPRESENTING
David Klein, Chair US Department of Veterans Affairs
Ron Coté, Nonvoting Secretary NFPA
Kenneth Bush, Principal Maryland State Fire Marshals Office Rep.
International Fire Marshals Association
Michael Crowley, Principal
The RJA Group, Inc.
Samuel Dannaway, Principal S.S. Dannaway Associates, Inc. Rep.
American Society of Safety Engineers
Buddy Dewar, Principal
National Fire Sprinkler Association
Alice Epstein, Principal CNA Insurance
Douglas Erickson, Principal American Society for Healthcare
Engineering
Page 7 of 184
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BLD/SAF-HEA 10-2010 ROC Meeting Minutes / Page 2
A. Richard Fasano (Alt. to D. Hood)
Russell Phillips & Associates Inc. Rep. NFPA Health Care
Section
John Fishbeck, Principal The Joint Commission
Gary Furdell, Principal State of Florida, Agency for Healthcare
Administration
David Hood, Principal Russell Phillips & Associates, LLC
Rep. NFPA Health Care Section
Thomas Jaeger, Principal Jaeger & Associates, LLC Rep.
American Health Care Association
Henry Kowalenko, Principal Illinois Department of Public
Health
Peter Larrimer (Alt. to D. Klein)
US Department of Veterans Affairs
James Merrill, Principal US Department of Health and Human
Services
Daniel O’Connor, Principal Aon Fire Protection Engineering
Corporation
G. Brian Prediger, Principal
US Department of the Army
John Rickard, Principal Olicon Design
Terry Schultz (Alt. to J. Ambrose)
Code Consultants, Inc.
David Sine (Non-voting Member)
National Center for Patient Safety Rep. National Association of
Psychiatric Health Systems
Saundra Stevens, Principal Adams County Regional Medical
Center
Kenneth Sun US Public Health Service (Alternate to J.
Merrill)
Geza Szakats, Principal Arup North America Ltd.
Michael Widdekind, Principal Zurich Services Corporation
Page 8 of 184
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BLD/SAF-HEA 10-2010 ROC Meeting Minutes / Page 3
GUESTS
NAME REPRESENTING
Chad Beebe Washington State Department of Health
Amy Carpenter Wallace, Roberts & Todd
Marty Farraher Siemens
Robert Fuller EVIS
Phil Jose P.R. Jose & Associates
Bonnie Kantor Pioneer Network Masoud Sabounchi
Advanced Consulting Engineering
TECHNICAL COMMITTEE MEMBERS NOT PRESENT NAME REPRESENTING
Wayne Carson, Principal Carson Associates, Inc.
Donald Harris, Principal California Office of Health
Planning
& Development
George Stevens, Principal
US Department of Health & Human Services/Indian Health
Services
Peter Tately, Principal Siemens Building Technologies
3. Approval of Minutes. The minutes of the December 10-11, 2009
meeting were approved as written and distributed.
4. The Revision Process.
Staff addressed the actions that the committee could take at the
ROC meeting; described the “e-mail” letter ballot for recording the
written vote on the committee actions on the comments; and
highlighted significant changes made to the core chapters during
the ROC meetings held two weeks earlier.
5. Defining AHC “Outpatient”. Drop subject from agenda.
Page 9 of 184
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BLD/SAF-HEA 10-2010 ROC Meeting Minutes / Page 4
6. Smoke Barrier Door Latching.
Subject addressed by Comment 101-226a and 101-258a.
7. Corridor Clutter Task Group. The task group (consisting of
Tom Jaeger – Chair, Ken Bush, Amy Carpenter, Buddy Dewar, David
Hood, Bill Koffel, Brian Prediger, and David Sine) reported. The
issue was addressed via the action on the public comments. The task
group was discharged. See Comments 101-188 through 101-191.
8. Closet Sprinkler Exemption. Issue addressed via Comment
101-217.
9. Health Care Summit – Subjects Identified.
Retain subject on agenda. Republish staff notes from health care
summit in agenda for next meeting.
10. NFPA 101 ROC Preparation.
All comments were addressed. See the ROC letter ballot.
11. NFPA 5000 ROC Preparation.
All comments were addressed. See the ROC letter ballot.
12. Other Business. Correlation of NFPA 101/5000 Provisions. A
task group was formed to address needed correlation between NFPA
101 Chapters 18-21 and NFPA 5000 Chapters 19-20 as many changes
made to NFPA 101 have not been made to NFPA 5000. The task group
includes Mike Crowley – Chair, Chad Beebe, Tom Jaeger, Henry
Kowalenko, Jim Lathrop, and Dan O’Connor. Retain subject on agenda.
ABHR. The committee generated and accepted Comment 101-211a to
exempt limited alcohol-based hand-rub dispensers in
patient/resident rooms from being included in the maximum permitted
aggregate quantity.
13. Future Meetings.
The committee asked to meet in a special 1.5-day, pre-ROP
meeting in October 2011 in the Dallas-Fort Worth area, with task
groups to meet the previous day. The committee will need to meet in
the Fall of 2012 to prepare the Reports on Proposals (ROPs) for the
2015 editions of NFPA 101 and NFPA 5000. The committee asked that
the ROP meeting be scheduled for 1.5 days with adjournment planned
for noon on the second day.
Page 10 of 184
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BLD/SAF-HEA 10-2010 ROC Meeting Minutes / Page 5
14. Adjournment.
On Tuesday, October 19 the meeting was recessed at 5:35 PM. On
Wednesday, October 20 the meeting was recovened at 8:00 AM and
adjourned at 11:25 AM.
Minutes prepared by Ron Coté and Linda MacKay
Page 11 of 184
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MINUTES NFPA Life Safety Technical Committee on Health Care
Occupancies
July 26, 2011 Pre-ROP Planning Teleconference
1. Call to Order.
The meeting was called to order by Chair David Klein at 1:00
p.m. on July 26, 2011 via teleconference.
2. Roll Call of Committee Members.
The following Committee Members participated in the
teleconference: Technical Committee Members Who Participated:
NAME
REPRESENTING
David Klein, Chair US Department of Veterans Affairs Ron Coté,
Nonvoting Secretary NFPA James Ambrose, Principal Code Consultants,
Inc. Kenneth Bush, Principal Maryland State Fire Marshal’s
Office
Rep. International Fire Marshals Association
Michael Crowley, Principal The RJA Group, Inc.
Buddy Dewar, Principal National Fire Sprinkler Association,
Inc.
Alice Epstein, Principal CNA Insurance
David Hood, Principal Russell Phillips & Associates, LLC
Phillip Hoge, Alternate (to Brian Prediger)
US Army Corps of Engineers
Page 12 of 184
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Richard Horeis, Principal HDR Architecture, Inc.
Thomas Jaeger, Principal Jaeger and Associates, LLC
Rep. American Health Care Association
William Koffel, Alternate (to Doug Erickson)
Koffel Associates, Inc.
Peter Larrimer. Alternate (to David Klein)
US Department of Veterans Affairs
James Merrill, Principal
US Department of Health and Human Services/ CMS
Daniel O’Connor, Principal
Aon Fire Protection Engineering
Ben Pethe, Principal Health Care Consultant
John Rickard, Principal Olicon Design
Richard Roberts, Principal Honeywell Life Safety Rep. Automatic
Fire Alarm Association, Inc.
Terry Schultz, Alternate (to Jim Ambrose)
Code Consultants, Inc.
Saundra Stevens, Principal Adams County Regional Medical
Center
Geza Szakats, Principal
Arup North America Ltd.
Peter Tately, Principal
Siemens Building Technologies
Technical Committee Members Who Did Not Participate: NAME
REPRESENTING
Wayne (Chip) Carson, Principal
Carson Associates, Inc.
Samuel Dannaway, Principal S.S. Dannaway Associates, Inc. Rep.
American Society of Safety Engineers
John Fishbeck, Principal
The Joint Commission
Page 13 of 184
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Gary Furdell, Principal State of Florida – Agency for Healthcare
Administration
Robert Harmeyer, Principal
MSKTD & Associates Rep. American Institute of Architects
Donald Harris, Principal
California Office of Health, Planning & Development
Facilities Development Division
Henry Kowalenko, Principal Illinois Department of Public
Health
George Stevens, Principal
US Department of Health and Human Services/IHS
Michael Widdekind, Principal Zurich Services Corporation
3. Reviewing Short- and Long-Term Action Items from July 2010
Health Care Summit. A. Revising NFPA 101 to Reflect Risk-Based
Approach. Thoughts expressed: The committee is concerned with the
line between limited care facilities and residential board and care
(B&C). Should address the transition where resident’s needs
change. State licensure currently dictates that bed ridden imposes
health care requirements. Licensure follows common set of rules in
all 50 states for hospitals and nursing homes, but not for B&C.
Need to avoid creating conflicts with licensure groups. Evacuation
capability dictates when changes in B&C are needed. NFPA 99’s
recent changes are related to risk to patient. When is a
“doctor-in-a-box” (i.e., WalMart clinic) ambulatory health care
(AHC) and when is it a business occupancy? The committee agreed to
work toward defining occupancies relative to patient/resident needs
rather than the surroundings of the building. The related task
group should include providers, advocates and clinicians. The task
group also received responsibility for the separate subject of
health care in retail spaces. Risk-Based Occupancy Task Group
formed: John Rickard – Chair, Ken Bush, Mike Crowley, Buddy Dewar,
David Hood, Tom Jaeger, Bill Koffel, Ben Pethe, Saundra Stevens,
to-be-named rep from B&C TC (SAF-BCF), and a provider (to be
identified by Tom Jaeger). B. Person-Directed / Person-Centered
Care. John Rickard agreed to serve as a task group of one to
identify code issues related to person-directed / person-centered
care before asking for a summit presentation on the subject. John
offered that he would work to convene the right people for a
teleconference discussion of the subject.
Page 14 of 184
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C. Permitting Fire Safety Risk to Increase in Order to Better
the Quality of Life. Thoughts expressed: Some of the changes made
for NFPA 101-2012 do slightly increase the risk to occupants as an
accommodation to better quality of life. It is not the committee’s
job to promote home health care, but to establish guidelines for
proper care. Should NFPA write a home health care standard? There’s
probably not enough public interest for a new document. The
committee agreed to monitor the subject so as to be able to
recognize additional home health care that is promoted by others;
and to react by writing needed requirements. The monitoring should
take the form of seeking out providers; asking what is being done;
asking what care is being provided; asking where the care is being
provided; and asking what is coming for the future. Alice Epstein
provided two documents: Health Care Comes Home: The Human Factors,
and State Operators Manual – Guide to Surveyors: Home Health
Agencies. The documents appear as attachments to these minutes.
Home Health Care Study (and Misc. Items) Task Group formed: Ken
Bush – Chair, Tom Jaeger, Pete Larrimer, and Saundra Stevens (John
Rickard to assist as able). The task group was also asked to look
at the residential cooking and fireplace fire experience; and
available reports for open kitchen fires in long term facilities.
The task group was asked to monitor fire statistics, in coming
years, related to UL 300 versus UL 300A kitchen systems. As
possible, the task group was asked to prod UL to finalize its UL
300A investigative report into a standard. D. Changes in Cooking
Risks as a Person’s Abilities Change.
The committee agreed that the subject is a clinical issue that
is not related to the physical plant. E. Antifreeze Sprinkler
Systems.
The committee asked if it needs to be concerned about the use of
antifreeze solutions in health care occupancy NFPA 13 sprinkler
systems given the recent FPRF work on antifreeze solutions in
residential sprinkler systems. Buddy Dewar offered to work through
Russ Fleming of NFSA to learn what is being done to address NFPA 13
systems.
4. New Issue – Maximum Permitted Suite Size.
Mike Crowley asked that the committee address increasing the
allowable size of required smoke compartments. The allowable size
of sleeping suites was increased in NFPA 101-2012 from 7500 ft2 to
10,000 ft2. The committee took no action. Mike agreed to study and
monitor the subject.
Page 15 of 184
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5. NFPA 101 and NFPA 5000 Correlation.
Mike Crowley, chair of the task group on correlation of NFPA 101
and NFPA 5000 requirements for health care and ambulatory health
care occupancies, advised that he will convene the task group via
teleconference. Not all changes made to NFPA 101 Chapters 18–22
appear in NFPA 5000 Chapters 19-20.
6. Next Meeting. The committee expressed interest in
participating in another Health Care Summit. There was agreement
that a March-April 2012 timeframe would work well. The committee
asked that the summit date avoid: March 5 (NFPA Board of Directors
Meeting), April 8 Easter period including the week prior, and April
6-14 Passover period. The committee asked that a pre-ROP meeting be
held to follow the 2012 Summit. Task groups would meet in the
morning of the day after the summit; the full committee would
convene in the afternoon.
7. Adjournment.
The meeting was adjourned at 2:45 p.m. Attachments: Health Care
Comes Home: The Human Factors State Operators Manual – Guide to
Surveyors: Home Health Agencies
Minutes Prepared by Ron Coté and Linda MacKay
Page 16 of 184
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 1
Health Care Occupancies1
NFPA 101 / 5000
First Draft (Public Input) Technical Committee MeetingTechnical
Committee Meeting
Meeting General Guidelines
Fire Safety – If alarm sounds… Members please make changes to
your contact
2
Members, please make changes to your contact information on
roster sheets accompanying the sign-in list
Use of tape recorders or other means capable of reproducing
verbatim transcriptions of this meeting is not permittedp
Guests… Members representing another interest category…
Page 17 of 184
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 2
NFPA First Draft Meeting
General Procedures33
oFollow Robert’s Rules of Order.oDiscussion requires a
motion.
Motions for Ending Debate Previous Question or “Call the
Question”
NFPA First Draft Meeting4
Call the Questiono Not in order when another has the flooro
Requires a secondo This motion is not debatable and DOES NOT
automatically stop debateo A 2/3 affirmative vote will
immediately close debate and
return to the original motion on the floor. Less then 2/3 will
allow debate to continue.
Page 18 of 184
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 3
NFPA First Draft Meeting
Committee member actions:5
o Member addresses the chair.o Receives recognition from the
chair.o Introduces the motion.o Another member seconds the
motion.
Committee chair actions:
NFPA First Draft Meeting6
o States the motion.o Calls for discussion.o Ensures all issues
have been heard.o Takes the vote.o Announces the result of the
vote.
Page 19 of 184
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 4
NFPA First Draft Meetings
Technical Committee on Health Care Occupancies (29)
7
(29) Enforcers, 8 Members: 28% Insurance, 3 Members: 10%
Manufacturers, 3 Members: 10% Special Experts, 9 Members: 31%
Users, 6 Members: 21%
NFPA 101/NFPA 5000 – New Process
Timeline Public Input Stage (First Draft):
8
Public Input Stage (First Draft): PI Closing Date: May 4, 2012
First Draft Meeting:
Core Chapters: May 21-25, 2012 Occupancy Chapters: August 12-16,
2012 Correlating Committees: November 5-7, 2012
Posting of First Draft for Balloting Date: Varies by TC Posting
of First Draft for Public Comment: February 22, 2013
Comment Stage (Second Draft): Public Comment Closing Date: May 3
2013 Public Comment Closing Date: May 3, 2013 Second Draft
Meeting:
Core Chapters: May 20-23, 2013 Occupancy Chapters: June 24-27,
2013 Correlating Committees: October, 2013
Posting of Second Draft for Balloting Date: Varies by TC Posting
of Final Second Draft for NITMAM: January 3, 2014
Page 20 of 184
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 5
NFPA 101/NFPA 5000 – New Process
Timeline9
Tech Session Preparation:NITMAM Closing Date: February 7,
2014NITMAM /CAM Posting Date: April 4, 2014NFPA Annual Meeting:
June 9-12, 2014
Standards Council Issuance:I f D t ith CAM A t 14 Issuance of
Documents with CAM: August 14, 2014 with 2015 edition date
NFPA 101/NFPA 5000 New Process – Terms
Changes in Terms:
10
New Term Old TermInput Stage ROP StagePublic Input Proposal
First Draft Meeting ROP Meeting
Committee Input Committee Proposal that Failed Ballot or “Trial
Balloon”Committee Statement (CS) Committee StatementCommittee
Statement (CS) Committee Statement
First Revision (FR) Committee Proposal or Accepted Public
ProposalFirst Draft Report ROP
First Draft ROP Draft
Page 21 of 184
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 6
NFPA 101/NFPA 5000 New Process – Terms
Changes in Terms:
11
New Term Old TermComment Stage ROC StagePublic Comment Public
Comment
Second Draft Meeting ROC Meeting
Committee Comment Committee Comment that Failed Ballot or “Trial
Balloon”Committee Comment or AcceptedSecond Revision Committee
Comment or Accepted Public Comment
Second Draft Report ROCSecond Draft ROC Draft
NFPA 101/NFPA 5000 New Process – Actions
NEW Committee Actions and Motions:12
o Resolve Public Inputo Create a First Revisiono Create a
Committee Input (Trial Balloon)
Page 22 of 184
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 7
NFPA 101/NFPA 5000 New Process – Actions
• Resolve a Public Input (No Change to Text):13
o Committee does not want to incorporate the Public Input (PI)
as a revision.
o Committee develops a Committee Statement (CS) to respond to
(resolve) a Public Input.
o Committee must indicate, in CS, reasons for not ti th d ti (
Slid 16)accepting the recommendation (more on Slide 16).
o CS does not get balloted.
NFPA 101/NFPA 5000 New Process – Actions
• Create a First Revision (FR)14
o Committee details the change (in legislative text) it is
making to current document.
o Committee develops a Committee Statement (CS) substantiating
the change.
o If the revision is associated with one or more P bli I t th C
itt d l CS tPublic Input, the Committee develops a CS to respond to
each PI.
o Each FR gets balloted.
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 8
NFPA 101/NFPA 5000 New Process – Actions
• Create a Committee Input (Trial B ll )
15
Balloon)o Committee wants to receive Public Comment on a
topic, but not ready to incorporate it into the draft.o Need to
provide a Committee Statement.o Does not get balloted.
NFPA 101/NFPA 5000 New Process – Actions
Committee Response (CS) to Public Input:All PI t i (CS)
16
o All PI must receive a response (CS).o Advise submitter of
flaws.o Provide reasons why committee disagreed.o Provide direction
relative to refinement
needed for securing committee’s supportneeded for securing
committee’s support.o Explain how the submitter’s
substantiation
is inadequate.
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 9
NFPA 101/NFPA 5000 New Process – Actions
Committee Response (CS) to Public Input:Sh ld f th Fi t R i i if
it
17
o Should reference the First Revision if it addresses the intent
of the Submitter’s Public Input.
NFPA 101/NFPA 5000 New Process – Voting
Formal voting 18
o Voting during meeting is used to establish a sense of
agreement (simple majority), and move First Revisions to letter
ballot.
o Secured by letter ballot (2/3 agreement).Only the results of
the formal balloto Only the results of the formal ballot determine
the official position of the committee on the First Draft.
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 10
NFPA 101/NFPA 5000 New Process – Voting
Ballots are on the First Revisions (FR) ONLY Public Input and
Committee Input not balloted
19
Public Input and Committee Input not balloted Reference
materials are available:
First Draft, PI, CI, CS
Ballot form allows you to vote: o Affirmative on all FRo
Affirmative on all FR with exceptions specifically noted
Ballot form provides a column for affirmative Ballot form
provides a column for affirmative with commento Note: This box only
needs to be checked if there is an
accompanying comment. Reject or abstain requires a reason.
NFPA 101/NFPA 5000 New Process – Voting
Initial ballot
20
Initial ballot.Circulation of negatives and comments.Members may
change votes during
circulation. First Revision that fails letter ballot
becomes Committee Input (CI) – just like the trial balloon
version of CI – so as to solicit Public Comment.
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 11
NFPA 101/NFPA 5000 New Process – Voting
BallotingBalloting will be web based on line format
21
o Balloting will be web-based, on-line format.o Alternates
encouraged to return ballots.
TC Struggles with an Issue
Code Fund Lends a Hand
Research Project Carried Out
22
with an Issue
• TC needs data on a new technology or emerging issue
• Two opposing views on an issue with no real data
a Hand
• TC rep and/or staff liaison submits a Code Fund Request
• Requests are reviewed by a Panel and chosen based
Carried Out
• Funding for project is provided by the Code Fund and/or
industry sponsors
• Project is completed real data
• Data presented is not trusted by committee
chosen based on need / feasibility
completed and data is available to TC
www.nfpa.org/codefund
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 12
Legal
Antitrust: the single most important provision-Federal law
prohibits contracts combinations
23
Federal law prohibits contracts, combinations, or conspiracies
which unreasonably restrain trade or commerce. Section 1 of the
Sherman Act
Patent: Disclosures of essential patent claims should be made by
the patent holder, but others may also notify NFPA if they believe
that a y y yproposed or existing NFPA standard includes an
essential patent claim.
Legal
Activities Disapproved by the CourtsP ki ti
24
Packing meetings Hiding commercial interest throwing the
committees out of balance No decision-making authority to
unbalanced Task
Groups; include all interested parties. Hiding scientific or
technical information from
committees
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NFPA 101/5000 First Draft (Public Input) Meeting
Page 13
Doc Info Pages
Document Information Next Edition Technical Committee
25
• Document scope• Current/Previous
Edition information• Issued TIAs, FIs and
Errata• Archived revision
information• Standard Council
Decisions
• Meetings and Ballots• ROP/ROC or First
Draft Report and Second Draft Report
• NITMAM and Standards Council Decisions
• Submission of Public Input/Comment
f
• Committee name, responsibility and scope
• Staff liaison• Committee list
• Private committee contact information
• Current committee documents in PDF f• Articles and Reports
• Read only document• Private TC info –
Ballot circulations, informational ballots and other committee
info
format• Committees seeking
members and committee online application
NFPA First Draft Meetings26
Questions
Page 29 of 184
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1
Cote, Ron
From: Almand, KathleenSent: Wednesday, June 06, 2012 9:06 AMTo:
chad beeby; Cote, Ron; dave klein; george mills; james merrill;
Solomon, Robert; tom jaegerSubject: Health care summit
proceedings
Program committee members – just a note to let you know that the final proceedings have been posted at the link below. Thank you for all that you have done to create an excellent program; I look forward to working with you again in the future. http://www.nfpa.org/itemDetail.asp?categoryID=2328&itemID=54103&URL=Research/Fire%20Protection%20Research%20Foundation/Reports%20and%20proceedings/Proceedings Kathleen.
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MINUTES Technical Discussions Meeting
Following the National Trends in Delivery of Health and Long
Term Care
Symposium March 28, 2012
Baltimore, Maryland
1. Attendees.
NAME COMPANY / ORGANIZATION TC on
BCF TC on HEA
Guest
Kathleen Almand NFPA Fire Protection Research Foundation
x
Chad Beebe American Society for Healthcare Engineering
x
Warren Bonisch Aon/Schirmer Engineering Corporation
x
Harry Bradley Maryland State Fire Marshal’s Office
x
Kenneth Bush Maryland State Fire Marshal’s Office -Rep.
International Fire
Marshals Association
x
Richard T. Byrd TN Department of Health x Amy Carpenter Lenhardt
Rodgers / Pioneer
Network x
Maggie Calkins Pioneer Network / IDEAS x Martin Casey Centers
for Medicare &
Medicaid Services x
Ron Coté NFPA x Samuel
Dannaway S. S. Dannaway Associates,
Inc. x
Buddy Dewar National Fire Sprinkler Association, Inc.
x
William Dorfler Rolf Jensen & Associates x Mitch Elliott
Vetter Health Services, Inc. x
Alice Epstein CNA Insurance x John Fishbeck The Joint Commission
x
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Mike Gencarelli Naval Facilities – Medical x Skip Gregory Health
Facility Consulting x
Robert Harmeyer MSKTD & Associates Rep. American Institute
of
Architects
x
David Hood Russell Phillips & Associates, LLC
x
Richard Horeis HDR Architecture x Thomas Jaeger Jaeger and
Associates, LLC
Rep. American Health Care Association
x
Adam Jones Buechel Fire Protection District x Amanda Kimball
NFPA Fire Protection Research
Foundation x
David P. Klein US Department of Veterans Affairs
x
William Koffel Koffel Associates, Inc. x Henry Kowalenko
Illinois Department of Public
Health x x
David Kyllo National Center for Assisted Living
x
Cathy Lieblich Pioneer Network x Robert Mayer Rothschild
Foundation x
James Merrill II Centers for Medicare & Medicaid
Services
x
Daniel Nichols State of New York, Department of State
x
Jim Peterson Heery International x Dan Purgiel LRS Architects /
ALFA x
John Rickard Katus, LLC x Richard Roberts Honeywell / AFAA x
Terry Schultz CCI x x Robert Solomon NFPA x Mitchell
Stenoff,
AIA Kettor Health Services, SAGE,
NFPA HOS Board x
Saundra Stevens Adams County Regional Medical Center
x
Eunice Noell-Waggoner
Center of Design for an Aging Society
x
Michael Widdekind
Zurich Services Corporation x
Fred Worley TX Department Aging & Disability Services
x x
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2. Notes from Health Care Group Breakout Session (as recorded by
Kathleen Almand) a. CMS Issues
- Moving to adopt 2012 LSC – no definite timeline - Note letter
issued related to culture change is also applicable to hospitals -
Working on other letters/guidance on 2012 LSC and other documents -
Note legal and other regulatory constraints - Interests:
terminology clarification, lighting - Note sprinkler requirement
deadline for nursing homes is 8/13; expect 95% compliance - Open to
the concept of a pilot case study of construction under the 2012
LSC
b. Pioneer Network Concepts
1) Corridors – task group – chair Ken, Mike, Amy, Bill
- permit p/t and o/t treatment rooms open to corridors (don’t
have hazardous materials)
- are eight foot corridors always required
- define a corridor – is it a physical separation, is it a clear
egress path, use the suite concept?
- note concern re physical separation was min square footage for
dining and deficient smoke barriers
2) Cooking Activities
in Nursing home p/T and o/t treatment areas
- does the definition of limited cooking include conventional
kitchen range
- what is the MAQ for cooking oil – related to grease laden
vapor acceptability
- existing facilities – use of portable electric tabletop
cooking equipment which is not flue connected – permit removal of
requirement for separation from the corridor
In 18.3.2.5.5
– clarify whether the kitchen is permitted to be open to the
corridor in the presence of a Type A hood
- clarify language on detectors and smoke alarms – minimum and
maximum distance from the cooking appliance and whether it can be
outside the kitchen-
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consider TIA - Task group – Tom Jaeger (chair), Alice, Mike,
Amy, Richard Roberts
3) Egress Doors
- permit decoration or concealment – still marked so visible for
staff; either locked or unlocked; within clinical area
- clarify what doors do NOT need to be 41 1/2'” clear (ie those
other than bedrooms)
4) Sprinkler tradeoffs for type of construction
- type 3.2.1?? – 2 story unprotected; type 5 1 story
unprotected, 2 story protected
- consider a footprint limitation or use of fire barriers
- travel distance extension possibilities?
c. Home based Health Care – potentially consider a risk based
approach, e.g., the 99 approach
d. Noise Issues – fire alarm – pre-notification to staff prior
to general notification to minimize resident distress – it is
currently possible to do this with fire alarms and sprinkler water
flow alarms. Delayed egress lock alarms don’t have this capability
but in the 2009 edition of the code, this type of system is not
required if smoke detection is present. Also possible to use
magnetic type locks. Pull station positioning can help minimize the
occurrence of false alarms or undue distress. Private notification
with pagers is also an option in some situations.
e. Lighting – normal and emergency modes, contrast – refer the
contrast issue to chapter 7 of the LSC
f. Temporary Medical structures – eg tents, military – note in
the fire code there is a maximum time period specified for a
temporary structure
g. Terminology – defn of nursing home – a continuing issue,
consider a risk based approach - no action
h. Aging services – mixed care and residents in a single
structure – consider risk based approach – no action
i. Increased use of robots and scooters – charging facilities
hazards, emergency role and hazards, storage hazards – no
actions
j. Tele-medicine – implications for life safety code? – no
issues
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k. Retail health care centers - as doctor’s offices, not in this
committee’s jurisdiction
l. Bariatric evacuation issues – no action
m. Non fire emergencies – space planning, patient protection –
fenestration is a concern – a building code issue
n. Combustible decorations/furnishings – Pioneer representatives
to bring proposals back to the committee to address a a way to
define MAQ
o. Intersection of LSC and FGI guidelines – no issues
p. Ambulatory Health Care Provisions – revise editorially to
make them stand alone chapters independent of the business chapter
and bring up appendix material – Ron Cote to develop for committee
consideration
3. Notes from Residential Board and Care Group Breakout Session
(as
recorded by Amanda Kimball)
• Proposal to split I-1 and R-4 in IBC o Review these changes
(G-31) and substantiation o Put together work group – Dan Purgiel
to lead work group – John and
Adam also on work group • Assisted living vs board and care
terminology
o Rename board and care chapter to assisted living? Also, have
“residential care” – differences regionally Developmental
disability home not assisted living Board and care is general
terminology that can cover residential
care, assisted living, group homes 2012 IBC switched personal
care to custodial care (not viewed
favorably by disabled community) Most states use some sort of
derivation of personal care No consensus to change name
o Should chapter be split into tiers? Residential setting,
Middle ground, health care What envelope requirements needed? Have
moved away from
tiers. Biggest issues are sprinklers and smoke detection. Are we
unhappy with the level of safety provided by code currently?
• NFPA 13 vs 13R systems • Fire analysis and research division
do annual sprinkler report
to address when sprinklers do not activate, etc
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• University of MD report suggests need both sprinklers and
smoke detection
Age in place What about construction type? Use of wood frame
construction. Defend in place vs full evacuation
• Risk of injury from evacuation drills • Staged evacuation –
new term • Always have a resident or two that will not be capable
of self
evacuation • Travel distance = evacuation time – shrink
smoke
compartment? May be better delineate when go to health care
(applies to all
facilities) All states have licensing reqs, but under different
names
• Commonly say that you need to provide sufficient staff for
acuity level
• Board and care chapter used to have staffing ratios • Keeping
general is best
Is there a need to differentiate between skilled nursing and
assisted living?
• Need to codify defend in place • Main difference is number of
stories allowed for wood frame
construction • CMS recognizes skilled nursing, but not assisted
living (do
regulate IFCMRs) o Maintain status quo for name
Maybe address nursing at some point Alzheimer’s facilities
(memory care units) – can build under board
and care – often connected to assisted living Focus on level of
protection: sprinklers, smoke detection,
compartmentation Managed care is changing – dynamics changing on
both provider
and regulatory sides – changing in every state • Evacuation
times
o Take impact of smoke detection on evacuation times into
consideration (NIST, U of MD studies)
• Smoke detection o New requirements in NFPA 72 on placement of
detectors to reduce
nuisance alarms (from cooking, etc) – add these to NFPA 101
(instead of just referencing 72)
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-
• CO detection o May want to add requirements for CO detection –
voted down during last
cycle o Residential chapter has requirements (10 ft of each
sleeping room and on
each level) • Personal care
o Definition of incapable o Clarify personal care somewhere in
the code (may be in appendix or
handbook) o What constitutes long term care services?
Nursing care eligible different state by state Oregon,
Washington – high Medicaid involvement in assisted living
(have to be nursing home eligible) – Medicaid will pay for
services (not room and board unless nursing home)
ADLs, medication, and some other health care oversight o
On-going nursing care
Most states address it, but define it by “intermittent care” –
not clear what this means
o Assisted living is middle class o Difficult for an AHJ to
evaluate how much care patients are getting in
terms of evacuation capability o NFPA 101 has applied main uses
to board and care
• Private entities purchasing single family dwellings and
putting in three people (fall under four, so no regulation)
o In Kentucky – proposals to sprinkler these dwellings •
Consideration of smoke compartment size • Furniture in corridors
(conflicts) • Lighting
o Low level lighting and emergency lights • ADA conflicts (one
in chapter 32) • Emergency lighting levels
o Adjust lighting levels up from 1cd? (since such a major change
from 30cd and difficult for aged eyes to adjust to)
o Issues with emergency lighting levels meeting code reqs o
Beyond scope of board and care group, but could send
information
forward to fundamental groups (means of egress, Chapter 7) Apply
to all occupancies? Or just to board and care and
healthcare? Have Eunice help write annex language
o Emergency lighting not req’d in small facilities
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• Memory care units o Locking doors
Delayed egress modified for nursing homes • Worked well with
full sprinkler and smoke protection
Oregon special locking arrangement (small R-4/board and care
modified to include full sprinklers)
• Need 24 hour staff in compartment or on that floor Electro
magnetic locking Include in board and care and in healthcare
chapters Work group to develop language for public input in August
– led by
Harry (with John and Dan Purgiel) o Memory care units -
Secondary means of escape is required in small (16
and under) Use of windows – prohibit from opening by resident Do
not require secondary means of escape where security issue In NY,
lock windows in substance abuse facilities, etc Need other
appropriate protection
• Full sprinkler protection? - Just apply to new construction? -
could apply to existing too (extend 13R to attic)
• Can you get to 13 system from 13R? Yes, should be able to •
Chapter 32 spells out 13, 13R, or 13D system • Smoke detection?
Exception to 32.2.2.3.1 John to develop proposal
• Pre-notification of alarm (esp in memory care units) o Apply
pre-notification reqs from health care to apply to board and care
(inc
in NFPA 72 – in AHJs hands) o Needs to be to a constantly
attended location – is this available in board
and care facilities? o Fire alarm systems are capable
• Kitchens open to corridor – need commercial hood in assisted
living • Changes in capability of residents – no req for on-going
evaluations
Page 38 of 184
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NFPA 101®‐2012, Life Safety Code® Revise 18.3.2.5.3 (11) – (12), 19.3.2.5.3 (11) – (13), and associated advisory annex as follows: Chapter 18 New Health Care Occupancies
Chapter 19 Existing Health Care Occupancies
18.3.2.5.3* Within a smoke compartment, where residential or commercial cooking equipment is used to prepare meals for 30 or fewer persons, one cooking facility shall be permitted to be open to the corridor, provided that all of the following conditions are met:
(1)
The portion of the health care facility served by the cooking facility is limited to 30 beds and is separated from other portions of the health care facility by a smoke barrier constructed in accordance with 18.3.7.3, 18.3.7.6, and 18.3.7.8.
(2)
The cooktop or range is equipped with a range hood of a width at least equal to the width of the cooking surface, with grease baffles or other grease‐collecting and clean‐out capability.
(3)* The hood systems have a minimum airflow of 500 cfm (14,000 L/min).
(4)
The hood systems that are not ducted to the exterior additionally have a charcoal filter to remove smoke and odor.
(5)
The cooktop or range complies with all of the following:
(a)
The cooktop or range is protected with a fire suppression system listed in accordance with UL 300, Standard for Fire Testing of Fire Extinguishing Systems for Protection of Commercial
19.3.2.5.3* Within a smoke compartment, where residential or commercial cooking equipment is used to prepare meals for 30 or fewer persons, one cooking facility shall be permitted to be open to the corridor, provided that all of the following conditions are met:
(1)
The portion of the health care facility served by the cooking facility is limited to 30 beds and is separated from other portions of the health care facility by a smoke barrier constructed in accordance with 19.3.7.3, 19.3.7.6, and 19.3.7.8.
(2)
The cooktop or range is equipped with a range hood of a width at least equal to the width of the cooking surface, with grease baffles or other grease‐collecting and clean‐out capability.
(3)* The hood systems have a minimum airflow of 500 cfm (14,000 L/min).
(4)
The hood systems that are not ducted to the exterior additionally have a charcoal filter to remove smoke and odor.
(5)
The cooktop or range complies with all of the following:
(a)
The cooktop or range is protected with a fire suppression system listed in accordance with UL 300, Standard for Fire Testing of Fire Extinguishing Systems for Protection of Commercial
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Cooking Equipment, or is tested and meets all requirements of UL 300A, Extinguishing System Units for Residential Range Top Cooking Surfaces, in accordance with the applicable testing document's scope.
(b)
A manual release of the extinguishing system is provided in accordance with NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial Cooking Operations, Section 10.5.
(c)
An interlock is provided to turn off all sources of fuel and electrical power to the cooktop or range when the suppression system is activated.
(6)* The use of solid fuel for cooking is prohibited.
(7)* Deep‐fat frying is prohibited
(8)
Portable fire extinguishers in accordance with NFPA 96 are located in all kitchen areas.
(9)* A switch meeting all of the following is provided:
(a)
A locked switch, or a switch located in a restricted location, is provided within the cooking facility that deactivates the cooktop or range.
(b)
The switch is used to deactivate the cooktop or range whenever the kitchen is not under staff supervision.
Cooking Equipment, or is tested and meets all requirements of UL 300A, Extinguishing System Units for Residential Range Top Cooking Surfaces, in accordance with the applicable testing document's scope.
(b)
A manual release of the extinguishing system is provided in accordance with NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial Cooking Operations, Section 10.5.
(c)
An interlock is provided to turn off all sources of fuel and electrical power to the cooktop or range when the suppression system is activated.
(6)* The use of solid fuel for cooking is prohibited.
(7)* Deep‐fat frying is prohibited.
(8)
Portable fire extinguishers in accordance with NFPA 96 are located in all kitchen areas.
(9)* A switch meeting all of the following is provided:
(a)
A locked switch, or a switch located in a restricted location, is provided within the cooking facility that deactivates the cooktop or range.
(b)
The switch is used to deactivate the cooktop or range whenever the kitchen is not under staff supervision.
Page 40 of 184
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(c)
The switch is on a timer, not exceeding a 120‐minute capacity, that automatically deactivates the cooktop or range, independent of staff action.
(10)
Procedures for the use, inspection, testing, and maintenance of the cooking equipment are in accordance with Chapter 11 of NFPA 96 and the manufacturer’s instructions and are followed.
(11)* Not less than two AC‐powered photoelectric smoke alarms, interconnected in accordance with 9.6.2.10.3, equipped with a silence feature, and in accordance with NFPA 72, National Fire Alarm and Signaling Code, are located not closer than 20 ft (6.1 m) and not further than 25 ft (7.6 m) from the cooktop or range.
(12)*
The smoke alarms required by 18.3.2.5.3(11) are permitted to be located outside the kitchen area where such placement is necessary for compliance with the 20‐ft (7.6‐m) minimum distance criterion.
(13)* (12)
No smoke detector is System smoke detectors, as might be provided in corridors for compliance with other Code requirements, shall not be located closer less than 25 ft (7.6 m) 20 ft (6.1 m) from the cooktop or range.
(c)
The switch is on a timer, not exceeding a 120‐minute capacity, that automatically deactivates the cooktop or range, independent of staff action.
(10)
Procedures for the use, inspection, testing, and maintenance of the cooking equipment are in accordance with Chapter 11 of NFPA 96 and the manufacturer’s instructions and are followed.
(11)* Not less than two AC‐powered photoelectric smoke alarms, interconnected in accordance with 9.6.2.10.3, equipped with a silence feature, and in accordance with NFPA 72, National Fire Alarm and Signaling Code, are located not closer than 20 ft (6.1 m) and not further than 25 ft (7.6 m) from the cooktop or range.
(12)*
The smoke alarms required by 19.3.2.5.3(11) are permitted to be located outside the kitchen area where such placement is necessary for compliance with the 20‐ft (7.6‐m) minimum distance criterion.
(13)* (12)
No smoke detector is System smoke detectors, as might be provided in corridors for compliance with other Code requirements, shall not be located closer less than 25 ft (7.6 m) 20 ft (6.1 m) from the cooktop or range.
(14) (13)
The smoke compartment is protected throughout by an approved, supervised automatic sprinkler system in accordance with Section 9.7.
Page 41 of 184
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A.18.3.2.5.3
The intent of 18.3.2.5.3 is to limit the number of persons for whom meals are routinely prepared to not more than 30. Staff and feeding assistants are not included in this number.
A.18.3.2.5.3(3)
The minimum airflow of 500 cfm (14,000 L/m) is intended to require the use of residential hood equipment at the higher end of equipment capacities. It is also intended to draw a sufficient amount of the cooking vapors into the grease baffle and filter system to reduce migration beyond the hood.
A.18.3.2.5.3(6)
The intent of this provision is to limit cooking fuel to gas or electricity. The prohibition of solid fuels for cooking is not intended to prohibit charcoal grilling on grills located outside the facility.
A.18.3.2.5.3(7)
Deep‐fat frying is defined as a cooking method that involves fully immersing food in hot oil.
A.18.3.2.5.3(9)
The intent of this requirement is that the fuel source for the cooktop or range is to be turned on only when staff is present or aware that the kitchen is being used. The timer function is meant to provide an additional safeguard if the staff forgets to deactivate the cooktop or range. If a cooking activity lasts longer than 120 minutes, the timer would be required to be manually reset.
A.18.3.2.5.3(11)
Protection of the cooktop or range is accomplished by the sprinklers that are required in the space and the required cooktop hood fire suppression system. The smoke alarms are intended to notify staff who might not be in the immediate area. The intent of requiring use of smoke alarms, instead of
A.19.3.2.5.3
The intent of 19.3.2.5.3 is to limit the number of persons for whom meals are routinely prepared to not more than 30. Staff and feeding assistants are not included in this number.
A.19.3.2.5.3(3)
The minimum airflow of 500 cfm (14,000 L/m) is intended to require the use of residential hood equipment at the higher end of equipment capacities. It is also intended to draw a sufficient amount of the cooking vapors into the grease baffle and filter system to reduce migration beyond the hood.
A.19.3.2.5.3(6)
The intent of this provision is to limit cooking fuel to gas or electricity. The prohibition of solid fuels for cooking is not intended to prohibit charcoal grilling on grills located outside the facility.
A.19.3.2.5.3(7)
Deep‐fat frying is defined as a cooking method that involves fully immersing food in hot oil.
A.19.3.2.5.3(9)
The intent of this requirement is that the fuel source for the cooktop or range is to be turned on only when staff is present or aware that the kitchen is being used. The timer function is meant to provide an additional safeguard if the staff forgets to deactivate the cooktop or range. If a cooking activity lasts longer than 120 minutes, the timer would be required to be manually reset.
A.19.3.2.5.3(11)
Protection of the cooktop or range is accomplished by the sprinklers that are required in the space and the required cooktop hood fire suppression system. The smoke alarms are intended to notify staff who might not be in the immediate area. The intent of requiring use of smoke alarms, instead of system
Page 42 of 184
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system smoke detectors, is intended to prevent false alarms from initiating the building fire alarm system and notifying the fire department reduce the number of nuisance alarms. Each nuisance alarm resulting from using a system smoke detector would initiate the building fire alarm system and notify the fire department. Smoke alarms should be maintained a minimum of 20 ft (6.1 m) away from the cooktop or range as studies have shown this distance to be the threshold for significantly reducing false nuisance alarms caused by cooking. The intent of the interconnected smoke alarms, with silence feature, is that while the devices would alert staff members to a potential problem, if it is a false nuisance alarm, the staff members can use the silence feature instead of disabling the alarm. The referenced study indicates that nuisance alarms are reduced with photoelectric smoke alarms. Providing two, interconnected alarms provides a safety factor since they are not electrically supervised by the the fire alarm system. (Smoke Alarms – Pilot Study of Nuisance Alarms Associated with Cooking)
A.18.3.2.5.3(12)
The provision of 18.3.2.5.3(12) recognizes that it is more important to maintain the 20‐ft (6.1‐m) minimum spacing between the smoke alarm and the cooktop or range, to minimize nuisance alarms, than to assure that the smoke alarm is located within the kitchen area itself. Figure A.18.3.2.5.3(12) shows one smoke alarm placement strategy that could be utilized.
smoke detectors, is intended to prevent false alarms from initiating the building fire alarm system and notifying the fire department reduce the number of nuisance alarms. Each nuisance alarm resulting from using a system smoke detector would initiate the building fire alarm system and notify the fire department. Smoke alarms should be maintained a minimum of 20 ft (6.1 m) away from the cooktop or range as studies have shown this distance to be the threshold for significantly reducing false nuisance alarms caused by cooking. The intent of the interconnected smoke alarms, with silence feature, is that while the devices would alert staff members to a potential problem, if it is a false nuisance alarm, the staff members can use the silence feature instead of disabling the alarm. The referenced study indicates that nuisance alarms are reduced with photoelectric smoke alarms. Providing two, interconnected alarms provides a safety factor since they are not electrically supervised by the the fire alarm system. (Smoke Alarms – Pilot Study of Nuisance Alarms Associated with Cooking)
A.19.3.2.5.3(12)
The provision of 19.3.2.5.3(12) recognizes that it is more important to maintain the 20‐ft (6.1‐m) minimum spacing between the smoke alarm and the cooktop or range, to minimize nuisance alarms, than to assure that the smoke alarm is located within the kitchen area itself. Figure A.19.3.2.5.3(12) shows one smoke alarm placement strategy that could be utilized.
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FIGURE A.18.3.2.5.3(12) Smoke alarm placement providing the required minimum 20 ft (6.1 m) clearance from cooktop or range. A.18.3.2.5.3(13) The requirement of 18.3.2.5.3(13),for system smoke detectors to be not closer than 25 feet (7.6 m) from the cooktop or range, is intended to reduce nuisance alarms that would sound the building fire alarm system and bring the fire department, and to allow the single station alarms, required by 18.3.2.5.3(11), to notify local staff to respond to the kitchen area. It is not the intent of this requirement to limit the distance of system smoke detectors located in a space that is separated from the cooktop or range by walls and a door.
FIGURE A.19.3.2.5.3(12) Smoke alarm placement providing the required minimum 20 ft (6.1 m) clearance from cooktop or range. A.19.3.2.5.3(13) The requirement of 19.3.2.5.3(13),for system smoke detectors to be not closer than 25 feet (7.6 m) from the cooktop or range, is intended to reduce nuisance alarms that would sound the building fire alarm system and bring the fire department, and to allow the single station alarms, required by 19.3.2.5.3(11), to notify local staff to respond to the kitchen area. It is not the intent of this requirement to limit the distance of system smoke detectors located in a space that is separated from the cooktop or range by walls and a door.
Technical Substantiation for Changes: The new language clarifies the requirements related to the use of smoke alarms as well as system smoke detectors. The original language contained a requirement to install smoke alarms a minimum of 20 feet away from the cooktop or range, but there was no limit on the maximum distance the smoke alarms could be located from the cooktop or range. The new language clarifies that the smoke alarms are to be installed at a distance not less than 20 feet and not more than 25 feet from the cooktop or range. It also clarifies that the smoke alarms are permitted to be located outside of the kitchen area to meet the 20 foot minimum distance criterion.
The provision of 18/19.3.2.5.3(12) recognizes that it is more important to maintain the 20‐ft (6.1‐m) minimum distance criterion between the smoke alarm and the cooktop or range, to minimize nuisance alarms, than to assure that the smoke alarm is located within the kitchen area itself. The smoke alarms
Cor
ridor
Cor
ridor
X
X
X
Kitchen
≥ 20 ft (≥ 6.1 m)Cooktop
Smoke alarm
Cor
ridor
Cor
ridor
X
X
X
Kitchen
≥ 20 ft (≥ 6.1 m)Cooktop
Smoke alarm
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are intended to notify staff who might not be in the immediate area. The use of smoke alarms, instead of system smoke detectors, is intended to reduce the number of nuisance alarms that would initiate the building fire alarm system and notify the fire department.
The new language also clarifies that smoke alarms are to be located closer to the cooktop or range than system smoke detectors when system smoke detectors are installed. The provision of 18/19.3.2.5.3(13) clarifies that there is a minimum distance criterion of 25 feet that applies to all system smoke detectors. In addition, the Annex clarifies that it is not the intent to impose the 25 foot minimum distance on system smoke detectors located in a space that is separated from the cooktop or range by walls and a door (i.e., located in a different room).
Substantiation of Emergency Nature: (Tom Jaeger to draft)
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1
Cote, Ron
From: Harrington, GregSent: Tuesday, February 21, 2012 1:34
PMTo: Cote, RonSubject: RE: NFPA 101-2012: 18.1.6.5
Thank you. From: Cote, Ron Sent: Tuesday, February 21, 2012 1:09
PM To: Harrington, Greg Cc: MacKay, Linda Subject: RE: NFPA
101-2012: 18.1.6.5 Yes, in an effort to standardize on
terminology a technical change was made (1) without technical
substantiation for such change, and (2) without the committee
realizing that the change would affect the paragraph technically.
There was no deliberate intent by the committee to exclude 1-hr
fire resistance-rated assemblies from using the same leniency for
FRTW as offered to 2-hr assemblies. Ron Coté, P.E. Principal Life
Safety Engineer NFPA - Quincy, MA USA Important Notice: This
correspondence is not a Formal Interpretation issued pursuant to
NFPA Regulations. Any opinion expressed is the personal opinion of
the author and does not necessarily represent the official position
of the NFPA or its Technical Committees. In addition, this
correspondence is neither intended, nor should it be relied upon,
to provide professional consultation or services. The United States
Fire Administration (USFA) and National Fire Protection Association
(NFPA) are working together to remind everyone that home fires are
more prevalent in winter than in any other season. Learn how to
reduce your risk of experiencing a fire this winter.
www.nfpa.org/winter From: Harrington, Greg
Sent: Tuesday, February 21, 2012 1:02 PM To: Cote, Ron Subject: RE:
NFPA 101-2012: 18.1.6.5 My error, I neglected to attach the
pages. Please see the highlighted bit. From: Cote, Ron Sent:
Tuesday, February 21, 2012 1:01 PM To: Harrington, Greg Subject:
RE: NFPA 101-2012: 18.1.6.5 If you have the Comment, would
you send it? Otherwise I can look it up.
Page 46 of 184
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2
Ron Coté, P.E. Principal Life Safety Engineer NFPA - Quincy, MA
USA
From: Harrington, Greg Sent: Tuesday, February 21, 2012 12:59 PM
To: Cote, Ron Subject: NFPA 101-2012: 18.1.6.5 Ron: Please
see attached Comment 101-223 from the A2008 ROC, specifically the
revision to 18.1.6.8 (18.1.6.5 in the 2009 and 2012 editions) made
by the Larry Brown “grade plane” task group. This resulted in a
technical change that I don’t believe was intended. Per the 2009
and 2012 editions, FRTW is only permitted in nonbearing partitions
with a FRR at least 2 hr – a 1 hr partition would not be permitted
to use FRTW. Do you agree this revision was made in error? (I have
a pending advisory service inquiry.) Thanks.
--Greg
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1
Cote, Ron
From: Cote, RonSent: Wednesday, May 02, 2012 1:33 PMTo: Hart,
JonathanSubject: RE: NFPA 101 Ch 18 Laboratories
Thank you, Jonathan. I’ll add the subject to the agenda for
BLD/SAF-HEA’s August first draft meeting . Ron Coté, P.E. Principal
Life Safety Engineer NFPA - Quincy, MA USA
From: Hart, Jonathan Sent: Tuesday, May 01, 2012 8:43 PM To:
Cote, Ron Subject: NFPA 101 Ch 18 Laboratories
Hi Ron, I’m sure you and some from the health care committee probably know by now but I just noticed in 101 that 18.3.2.2 refers to NFPA 99 for Laboratories employing hazardous materials. We’ve deleted the chapter for Labs from 99 and now actually extract from 101 as follows:
15.4 Laboratories. Laboratories using chemicals shall comply
with NFPA 45, Standard on Fire Protection for Laboratories Using
Chemicals, unless otherwise modified by other provisions of this
code. [101:8.7.4.1]
Like I said, someone has probably picked up on this but I figured I might as well bring it up just in case. I do think that we lost some things in taking out our chapter that NFPA 45 does not address and I plan to bring this up at our CC meeting in two weeks, we may end up with some of the requirements put back in, or just working with the 45 TC to better correlate with what we had. Just to keep everyone on their toes. Jon Jonathan R. Hart Associate Fire Protection Engineer National Fire Protection Association 1 Batterymarch Park, Quincy, MA 02169‐7471 Phone: 617‐984‐7470 Email: [email protected] Attend
the premier event for fire, life safety and electrical
professionals!
www.nfpa.org/conference Blog: http://nfpa.typepad.com/conference
Page 48 of 184
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BLD‐AACandSAF‐AACpre‐FirstDraftplanningmeeting–March13,2012
Page7
9. Increasing Attendance at Technical Committee Meetings. Robert
Solomon reported on the NFPA goal of increasing attendance at
technical committee meetings. Efforts are being made to attract
participants from the geographic area where the committee meeting
is being held via communication with professional groups. Use of
social media is being considered. Participation via telephone and
Microsoft Live Meeting is being considered for committees with few
Public Input items and for which short duration meetings are
expected.
10. New Codes and Standards Revision Process. Robert Solomon
used a PowerPoint presentation, for which handouts of the slides
were distributed by e-mail on March 12, to explain terminology and
the workings of the new revision process. Approximately 1.5 hours
into the review, it was agreed to leave this agenda item and move
to the agenda item addressing the identification of subject areas
for technical committee focus during the upcoming revision
cycle.
11. Subject Areas for TC Focus During 2015 Edition Revision
Cycle. The correlating committees reviewed the list of 36 subject
areas – as prepared by staff mainly from committee meeting minutes
– distributed with the agenda. Item 36 referenced the subjects
detailed in the SAF-AAC meeting minutes of January 6, 2011, also
included in the agenda packet. Members introduced additional items
for consideration, including those received via e-mail from Jim
Lathrop, chair of BLD/SAF-MEA who was unable to participate in the
meeting. The following is a list of subject areas that the
technical committees are already scheduled to address or are asked
by the correlating committees to address for preparation of NFPA
101-2015 and NFPA 5000-2015.
No.
Subject
Notes Document or Committee
Impacted NFPA 101 NFPA 5000
1 Glossary of Terms (GOT)
TCs are asked to remove requirements from documents. Place
requirements in code provisions. Up-to-date GOT, with designation
of assigned TC and preferred definition, does not exist. TCs are
asked to respond to PIs relative to definitions and to “do their
best” relative to moving toward standardization. Efforts needed to
implement new revision process might preclude much effort from
being expended on GOT issues.
All TCs All TCs
2 Update requirements Correlation needed Not AXM, BCF,
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BLD‐AACandSAF‐AACpre‐FirstDraftplanningmeeting–March13,2012
Page8
No.
Subject
Notes
Document or Committee Impacted
NFPA 101 NFPA 5000 in NFPA 5000 to include changes made in
recent editions of NFPA 101 to the provisions for new construction,
but missed for NFPA 5000
Applicable BSF, DET, END, FIR, FUN, FUR, HEA, IND, MEA, MER,
RES
3 Non Emergency Movement and Non-Fire Emergency situations
in/outside of buildings
Examples: Baseball park patron reaches for ball and falls over
guard; outside shooter – protect in place; weather events; gas
leak
AXM, FUN, MEA, MER
AXM, FUN, MEA, MER
4 Multi-hazards (other than fire)
Task group of FUN assigned FUN FUN
5 Atrium as occupancy separation
Subject rejected during last revision cycle
FUN FUN
6 Study use of FRTW in plenum spaces regulated by NFPA 90A
Topic of appeal to NFPA Standards Council. BLD-AAC asked SCM and
BLC to look at issue again for 2015 editions. Receive input from
AIC-AAA as well.
May impact Chapter 8
BLC, SCM
7 Photovoltaic Systems Topic of Held comment in NFPA 5000. Cuts
across multiple TCs and projects. Consider formation of a Task
Group comprised of members from BLC, BSY, SCM as well as NEC-AAC,
FCC-AAA and a representative of the NFPA Fire Service Section to
look at the issue and develop a recommendation.
Not applicable
BLC, BSY, SCM
8 Revise or remove Height and Area tables in NFPA 5000
Area limitations in Table 7.4.1 were questioned during last
cycle. FPRF fund request submitted but not yet acted on.
Not Applicable
BLC
9 Defining exit access, exit, exit discharge
Task group of MEA assigned MEA MEA
10 Atrium egress Task group of MEA assigned MEA MEA 11 Stair
descent devices
relative to RESNA product standard
Task group of MEA assigned. MEA annex material might be
deleted
MEA MEA, BSY
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BLD‐AACandSAF‐AACpre‐FirstDraftplanningmeeting–March13,2012
Page9
No.
Subject
Notes
Document or Committee Impacted
NFPA 101 NFPA 5000 upon completion of RESNA standard
12 Anthropometric Data Consider currency of the data (as shown
in 101: A.7.3.4.1.1); secure new data; revise code requirements
where needed
MEA MEA
13 Exiting within super-secure buildings
Consider provisions for shelter-in-place
MEA MEA
14 Evaluate current requirements for existing buildings
Reality check? MEA MEA
15 Accessibility criteria of NFPA 5000.
Topic of appeal to NFPA Standards Council involving jurisdiction
of BSY and RES on visitability issue. Do Occupancy TCs have the
ability to modify BSY actions on this subject?
Not Applicable
BSY and occupancy TCs, mainly RES
16 NFPA 5000 Accessibility
Do 2010 DOJ Standards create need for revisions?
Not Applicable
BSY
17 Energy Conservation Provisions
Level of stringency, impact on fire and life safety and
availability of ASHRAE 90.1 and 90.2
Not Applicable
BSY
18 Mechanical Code Include reference to IAPMO Mechanical
Code?
Not Applicable
BSY
19 Plumbing Code Include reference to IAPMO Plumbing Code?
Not Applicable
BSY
20 Isolated Hazardous Area/Special Hazard sprinkler
protection
Clarification of intent of application of not more than 6
sprinklers supplied by domestic water
BSF FIR
BSF FIR
21 Occupant notification via public address/entertainment system
in assembly occupancies
Task group of AXM assigned
AXM AXM
22 Assembly seating aisle termination
Task group of AXM assigned
AXM AXM
23 Evaluation of smoke-protected assembly-seating capacity
factors
Task group of AXM assigned
AXM AXM
24 Assembly occupancies life
Task group of AXM assigned
AXM AXM
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BLD‐AACandSAF‐AACpre‐FirstDraftplanningmeeting–March13,2012
Page10
No.
Subject
Notes
Document or Committee Impacted
NFPA 101 NFPA 5000 safety evaluation (LSE) operational
requirements
25 Assembly crowd managers and their training
Task group of AXM assigned
AXM AXM
26 Evaluation of existing exemptions for places of religious
worship
Task group of AXM assigned
AXM AXM
27 Introduction of risk-based provisions into health care
chapters
Task group of HEA assigned HEA HEA
28 Person-directed / person-centered health care
Task group of HEA assigned HEA HEA
29 Home health care Task group of HEA assigned HEA HEA 30
Increasing allowable
risk to achieve better quality of life in health care
occupancies
Task group of HEA assigned HEA HEA
31 Ambulatory Health Care (AHC) Occupancies
Consider making AHC chapters self-standing (without need to
consult Business Occupancy chapters)
HEA HEA
32 Dormitory requirements
Evaluate whether dormitory requirements justify their own
chapters, independent of those for hotels
RES RES
33 Fireplaces and CO detection
Clarification on need for CO detection with fireplaces (solid
fuel, gas, electric?). FI did not pass ballot of RES.
RES BCF
RES BCF
34 CO detection for board and care facilities
Task group of BCF assigned BCF BCF
35 Occupant Load Factor for business uses
Review project by Fire Protection Research Foundation. Consider
call centers vs. less-populated business uses.
MER MER
36 Correlation of HAZMAT requirements among NFPA 1/400/5000
Staff to draft committee-PIs for review by TG-3.
Not Applicable
FIR
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BLD‐AACandSAF‐AACpre‐FirstDraftplanningmeeting–March13,2012
Page11
No.
Subject
Notes
Document or Committee Impacted
NFPA 101 NFPA 5000 37 Leakage at smoke
barriers and fire barriers
Quantification of leakage? FIR FIR
38 Active fire protection systems and fire ratings
Revisit issue of crediting active fire protection systems, like
sprinklers, with providing fire resistance rating to an assembly so
protected
FIR FIR
39 Terms/phrases: - Smoke barrier - Smoke partition - “Partition
that resists passage of smoke” - “Partition that limits passage of
smoke”
If FIR finds the time, work toward correlation throughout code
by suggesting changes to other TCs. Other TCs to review their use
of these terms.
FIR, and other TCs
FIR, and other TCs
40 Accuracy of annex material
Review annex material for accuracy
All TCs All TCs
12. Other Business. None.
13. Next Meeting. The correlating committees will meet in
November 2012 in a face-to-face meeting to address the Public Input
process conducted by the technical committees earlier in the year.
The BLD-AAC and SAF-AAC committees will individually hold a one-day
meeting. The two meetings will be on consecutive days and be held
during the week of November 5-9. No meeting location had been
determined.
14. Adjournment. The meeting was adjourned 2:00 p.m.
Eastern.
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Report on Proposals – June 2014 NFPA
101_______________________________________________________________________________________________101-
Log #361 SAF-HEA
_______________________________________________________________________________________________Joshua
Elvove, U.S. General Services Administration
Revise to read:18.1.3.3 An atrium separation meeting the
requirements of 6.1.14.4.5 shall be permitted to serve as an
occupancy
separation.18.1.3.34* Sections of health care facilities shall
be permitted to be classified as other occupancies, provided that
theymeet both of the following conditions:(1) They are not intended
to provide services simultaneously for four or more inpatients for
purposes of housing,treatment, or customary access by inpatients
incapable of self-preservation.(2) They are separated from areas of
health care occupancies by construction having a minimum 2-hour
fire resistancerating in accordance with Chapter 8.18.1.3.4 5
Contiguous Non-Health Care Occupancies.18.1.3.45.1* Ambulatory care
facilities, medical clinics, and similar facilities that are
contiguous to health careoccupancies, but are primarily intended to
provide outpatient services, shall be permitted to be classified as
businessoccupancies or ambulatory health care facilities, provided
that the facilities are separated from the health careoccupancy by
construction having a minimum 2-hour fire resistance rating, and
the facility is not intended to provideservices simultaneously for
four or more inpatients who are incapable of self
preservation.18.1.3.45.2 Ambulatory care facilities, medical
clinics, and similar facilities that are contiguous to health
careoccupancies shall be permitted to be used for diagnostic and
treatment services of inpatients who are capable
ofself-preservation.18.1.3.56 Where separated occupancies
provisions are used in accordance with either 18.1.3.3 or 18.1.3.4,
the moststringent construction type shall be provided throughout
the building, unless a 2-hour separation is provided inaccordance
with 8.2.1.3, in which case the construction type shall be
determined as follows:(1) The construction type and supporting
construction of the health care occupancy shall be based on the
story on whichit is located in the building in accordance with the
provisions of 18.1.6 and Table 18.1.6.1.(2) The construction type
of the areas of the building enclosing the other occupancies shall
be based on the applicableoccupancy chapters of this Code.18.1.3.67
All means of egress from health care occupancies that traverse
non-health care spaces shall conform to therequirements of this
Code for health care occupancies, unless otherwise permitted by
18.1.3.7.18.1.3.78 Exit through a horizontal exit into other
contiguous occupancies that do not conform to health care
egressprovisions, but that do comply with requirements set forth in
the appropriate occupancy chapter of this Code, shall bepermitted,
provided that both of the following criteria apply:(1) The
occupancy does not contain high hazard contents.(2) The horizontal
exit complies with the requirements of 18.2.2.5.18.1.3.89 Egress
provisions for areas of health care facilities that correspond to
other occupancies shall meet thecorresponding requi