Upload
others
View
2
Download
0
Embed Size (px)
Citation preview
10/21/2016
1
THE 2012 EDITION OF THE LIFE SAFETY CODE®
NURSING HOME EDITION
SESSION #5
WELCOME
Moderator: Richard Schieferdecker
support.webinato.com
Audio
10/21/2016
2
QUESTIONS
How To Ask a Question:
POLLING
There will be occasional interactive poll questions.
10/21/2016
3
THE 2012 EDITION OF THE LIFE SAFETY CODE®
NURSING HOME EDITION
SESSION #5
AGENDA
Hot Topics – Common Findings
Life Safety Drawings
Waivers / Equivalencies
10/21/2016
4
SURVEY TOOLS AND TRAINING
http://surveyortraining.cms.hhs.gov/index.aspx
SURVEY TOOLS AND TRAINING
http://surveyortraining.cms.hhs.gov/index.aspx
10/21/2016
5
SURVEY TOOLS AND TRAINING
http://surveyortraining.cms.hhs.gov/index.aspx
CMS TOP FINDINGS….2016 2015 2014
1. K0056 – Automatic Sprinkler Systems
K0056 – Automatic Sprinkler Systems
K0062 – Sprinkler System Maintenance
2. K0062 – Sprinkler System Maintenance
K0029 – Hazardous AreaSeparation
K0056 – Automatic Sprinkler Systems
3. K0144 – Generators Inspection/Testing
K0062 – Sprinkler System Maintenance
K0050 – Fire Drills
4. K0038 – Exit Accessible at All Times
K033 – Exit Components K0029 – Hazardous AreaSeparation
5. K0029 – Hazardous AreaSeparation
K0144 – Generators Inspection/Testing
K0052 – Fire Alarm System Testing
6. K0025 – Smoke PartitionConstruction
K0038 – Exit Accessible at All Times
K0144 – Generators Inspection/Testing
7. K0050 – Fire Drills K0025 – Smoke Partition Construction
K0025 – Smoke Partition Construction
8. K0067 ‐ HVAC K020 – Vertical Shafts K0071 – Laundry Chutes
9. K0071 – Laundry Chutes K0050 – Fire Drills K0147‐ Electrical Wiring and Equipment
10. K0018 – Corridor Doors K0018 – Corridor Doors K069 – Cooking Equipment
10/21/2016
6
SPRINKLER SYSTEM INSTALLATION K56 → K351
SPRINKLER SYSTEM MAINTENANCE K62 → K353
NFPA 25, 2011 Edition
10/21/2016
7
EXIT DISCHARGE K38 → K271
Terminate at the public way
Hard‐packed, all weather travel surface
Free of snow or ice
Slope not exceeding 1 in 20
EXIT CORRIDORS K39 → K232
Corridor clutter / storage
30 minute rule
10/21/2016
8
HAZARDOUS AREAS K29 → K321
EXISTING1 hour enclosure
¾ hour door
Sprinkler protection
Smoke partition
Self‐closing door
50 SF or greater with storage
NEW1 hour enclosure
¾ hour door
Sprinkler protection
Self‐closing door
100 SF or greater with storage
SMOKE BARRIERS K25 → K372(wall), K379(doors)
Outside wall to outside wall
Floor to deck
All penetrations sealed
Doors smoke resisting
Doors self‐closing
HINT: INSPECT IN THELESS OBVIOUS
LOCATIONS...NOT JUSTABOVE THE CORRIDOR
DOORS
10/21/2016
9
CONSTRUCTION TYPE / PROTECTION K12 → K161
FIRE DRILLS K50 → K712
Varying times
Varying conditions
Each shift quarterly
Knowledge of procedures and competence of staff as observed in drills
10/21/2016
10
CORRIDOR DOORS K18 → K363
ELECTRICAL K147 → K511
NFPA 70 (NEC)
10/21/2016
11
WHY DRAWINGS
Rated fire / smoke barrier
walls
30 min corridor walls
Rated enclosures / shafts
Exits
Exterior
Stairs
Passageways
Horizontal
LIFE SAFETY FEATURES
10/21/2016
12
LIFE SAFETY FEATURES
Existing Hazardous Areas
Sprinklered
Non-sprinklered
New Hazardous Areas
Ambulatory & Business
HAZARDOUS AREAS
10/21/2016
13
HAZARDOUS AREAS
Suite Type
Sleeping suite
Non-sleeping suite
Non-patient care suite
Suite Size
SUITES
10/21/2016
14
Compartment Boundaries
Compartment Size
22,500sq.ft.
Sprinkler Protection
SMOKE COMPARTMENTS
SUITES & SMOKE COMPARTMENTS
10/21/2016
15
LOGO
COVER PAGE – GENERAL BLDG. INFO
ALTERNATE APPOACHES
10/21/2016
16
WAIVERS
Fire Safety Evaluation System (FSES)
Time Limited Waiver
Permanent Waiver
Categorical Waiver
NFPA 101A (guide)
Addresses Alternate Approaches to Life Safety
Accepted method by TJC and CMS
Calculations and process by occupancy type
Evaluates each smoke zone
Factors include
• Occupancy risk factors
• Safety parameters
FIRE SAFETY EVALUATION SYSTEM (FSES)
10/21/2016
17
OCCUPANCY RISK PARAMETERS ‐ HEALTHCARE
Construction
Interior Finish
Corridor Partitions
Corridor Doors
Zone Dimensions
Vertical Openings
Hazardous Areas
Smoke Control
Egress Routes
Fire Alarm
Detection
Sprinkler Protection
OCCUPANCY SAFETY PARAMETERS ‐ HEALTHCARE
10/21/2016
18
OCCUPANCY SAFETY PARAMETERS ‐ HEALTHCARE
OCCUPANCY SAFETY PARAMETERS ‐ HEALTHCARE
10/21/2016
19
OCCUPANCY SAFETY PARAMETERS ‐ HEALTHCARE
√
√
√
√
All Zones Must be Zero (0) or Greater
Construction issues
Travel distance issues
Deficient egress components
COMMON FSES APPLICATIONS
10/21/2016
20
A detailed written request outlining a time period in which the facility will become in prescriptive compliance with a Life Safety Code® provision.
• Deficiencies eliminated in future Code editions
• Temporary issues
• Issues identified in survey taking longer than 60 days to remediate.
TIME LIMITED WAIVERS
Executive Summary / Overview
Building Overview
• Construction info
• Building height
• Sprinkler protection
• Smoke detection
• Other pertinent info
Detailed Deficiency Description
Code / Standard References
• TJC Life Safety Chapter
• Life Safety Code® chapter and section
Intent of the Requirement
WAIVER SUBMISSION
10/21/2016
21
Hardship Assessment
• Cost (provide specifics when possible)
• Operational disruption
• Negative affect on patients
Waiver Justification
• What off‐sets the deficiency
• New or existing features above what is required
• Cost, source & commitment for alternative solution
Interim Life Safety Measures (ILSM)
• Clarify that ILSMs have been reviewed and applied
Patient Safety Assessment / Field Verification
• Clarify that the request will not negatively impact patient safety
• Statement clarifying an on‐site review & assessment
WAIVER DOCUMENTATION / SUBMISSION
Deficiency Alternative
Supporting documentation / descriptive drawings
WAIVER DOCUMENTATION / SUBMISSION
Organization Name & Logo
10/21/2016
22
Supporting / descriptive photographs
WAIVER DOCUMENTATION / SUBMISSION
Registered Architect
Licensed PE
CFPS
Local AHJ (fire marshal, building official, etc.)
WAIVER CERTIFICATION
10/21/2016
23
Why are Requests Commonly Returned or Rejected
• Substance Proposal does not constitute an equivalent or better situation
• Administrative Missing information in submission
Request form not provided or incomplete
No certifying letter
FSES not completed accurately
FSES drawings not included
COMMON PITFALLS
QUESTIONS
10/21/2016
24
Next Session
Referenced
Codes & Standards
THANK YOU
Dave Hood Nick GabrielePresident Vice President