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2000 to 2012 Hospital K-tag crosswalk matrix for hospitals
Adhoc Health Care Committee – 2000 to 2012 Hospital K-tag crosswalk matrix for hospitals – June 19, 2017 Page 1
2000 Tag #
2000 P #
2000 Language 2012 Tag #
2012 P #r
20120 Language 2018 IBC/IFC Section Commentary
N/A N/A N/A K100 2 General Requirements – Other
List in the REMARKS section, any LSC Section 18.1
and 19.1 General Requirements that are not
addressed by the provided K- tags, but are deficient.
This information, along with the applicable Life
Safety Code or NFPA standard citation, should be
included on Form CMS-2567.
? This is a “catch-all”. Until we either do a much more comprehensive review of 101, or we start seeing what gets cited out of this section, it tough to determine if there is a gap. I would argue this needs to be monitored closely, however but we could present this as substantially equivalent.
N/A N/A N/A K111 2 Building Rehabilitation IEBC [A] 101.2 Scope. IEBC 301.1 General. IEBC 301.2 Repairs. IEBC 301.3 Alteration, change of occupancy, addition or relocation. IFC 1101.1 Scope. IFC 1101.2 Intent.
Minimal work required. This is essentially a scoping document instructing surveryors to acknowledge the existing requirements (IFC), renovation scoping requirements (IEBC) and new construction requirements (IBC). Conceptually both code families are consistent. We should review and monitor the approaches. Update IEBC to address changes of function (storage in a hospital). Review nursing home application (group I-2, condition 1)
Repair, Renovation, Modification, or Reconstruction
Any building undergoing repair, renovation, modification, or reconstruction complies with both of the following:
• Requirements of Chapter 18 and 19
• Requirements of the applicable Sections 43.3,
43.4, 43.5, and 43.6 18.1.1.4.3, 19.1.1.4.3, 43.1.2.1
IEBC 202 Definitions REPAIR. [A] ALTERATION. IEBC 401.1 Scope. (Repair) IEBC 501.1 Scope. (Prescriptive method) IEBC 701.1 Scope. (Level 1 alterations ) IEBC 801.1 Scope. (Level 2 alterations ) IEBC 901.1 Scope. (Level 3 alterations) IFC 1101.1 Scope. IFC 1101.2 Intent. IFC SECTION 1105 CONSTRUCTION REQUIREMENTS FOR EXISTING GROUP I-2 IFC 1105.1 General.
See comment above
Change of Use or Change of Occupancy
Any building undergoing change of use or change of
occupancy classification complies with the
requirements of Section 43.7, unless permitted by
18.1.1.4.2 or 19.1.1.4.2
18.1.1.4.2 (4.6.7 and 4.6.11), 19.1.1.4.2 (4.6.7 and 4.6.11), 43.1.2.2 (43.7)
IEBC 202 Definitions [A] CHANGE OF OCCUPANCY. IEBC 501.1 Scope. (Prescriptive method) IEBC 1001.1 Scope. (change of occupancy) IEBC SECTION 1002 SPECIAL USE AND OCCUPANCY IEBC 1002.1 Compliance with the building code.
Minimal work needed.
We addressed change of occupancy clearly and consistently with these concepts. High level review of scoping language needed. Change of use (actual use of space ie. Bedroom to storage room) is not consistent with these requirements.
Additions
Any building undergoing an addition shall comply
with the requirements of Section 43.8.
IEBC 202 Definitions ADDITION. IEBC 501.1 Scope. (Prescriptive method) IEBC 502.1 General. IEBC 1101.1 Scope. (addition)
No work needed.
If the building has a common wall with a
nonconforming building, the common wall is a fire
barrier having at least a 2-hour fire resistance rating
constructed of materials as required for the addition.
Communicating openings occur only in corridors and
are protected by approved self-closing fire doors
with at least a 1 1/2-hour fire resistance rating.
Additions comply with the requirements of Section
43.8 (additions).
18.1.1.4.1 (4.6.7 and 4.6.11), 18.1.1.4.1.1 (8.3), 18.1.1.4.1.2, 18.1.1.4.1.3, 19.1.1.4.1 (4.6.7 and 4.6.11), 19.1.1.4.1.1 (8.3),
19.1.1.4.1.2, 19.1.1.4.1.3, 43.1.2.3(43.8)
G148-15 (AMPC1) IBC 508.3.1.2 Group I-2, Condition 2 occupancies. Some work needed.
This portion of the KTAG is worded in a challenging way. Conceptually, the Ktag tries to acknowledge that non-compliant buildings (ie other occupancies) that are not compliant with the bare minimum requirements for the occupancy (IFC chapter 11requirements) are separated from a new healthcare occupancy with a two hour separation. The building code works the same way – if you
add an I-2 to another occupancy you will get a minimum 2 hour separation. With non-separated mixed uses, it’s more difficult to state. We added a section into 2018 IBC 508 to deal with some of the opening protection issues – but this
needs to be added into the chapter 11 IFC. Review nursing home application (group I-2, condition 1)
N/A N/A N/A K112 3 Sprinkler Requirements for Major Rehabilitation
If a non-sprinklered smoke compartment has
undergone major rehabilitation the automatic
sprinkler requirements of 18.3.5 have been
applied to the smoke compartment.
In cases where the building is not protected throughout by a sprinkler system, the requirements of 18.4.3.2, 18.4.3.3, and 18.4.3.8 are also met.
Note: Major rehabilitation involves the
modification of more than 50 percent, or more
than 4500 square feet of the area of the smoke
compartment.
18.1.1.4.3.3,19.1.1.4.3.3
IFC 1105.9 Group I-2 automatic sprinkler system.
No work. Because of the decision (2009) to retroactively sprinkler ALL group I-2 areas, and 2015 guidance to sprinkler all buildings containing group I-2 – the concept of triggering
sprinkler work as part of a rehab is moot.
N/A N/A N/A K131 3 Multiple Occupancies – Sections of Health Care Facilities
Sections of health care facilities classified as other occupancies meet all of the following:
IBC 202 Definitions 24-HOUR BASIS. CARE SUITE. CLINIC, OUTPATIENT. CUSTODIAL CARE. DETOXIFICATION FACILITIES. HOSPITALS AND PSYCHIATRIC HOSPITALS. INCAPABLE OF SELF-PRESERVATION. MEDICAL CARE.
Some work needed. This portion of the KTAGs deal with multiple occupancies, mixed use. Conceptually, the approaches are now very similar. Ambulatory surgery is identified and is consistent with CMS rule. There may be additional detail needed when describing the movement of inpatients, however, this is arguably already covered in the rules. CMS heavily edits this concept.
2000 to 2012 Hospital K-tag crosswalk matrix for hospitals
Adhoc Health Care Committee – 2000 to 2012 Hospital K-tag crosswalk matrix for hospitals – June 19, 2017 Page 2
2000 Tag #
2000 P #
2000 Language 2012 Tag #
2012 P #r
20120 Language 2018 IBC/IFC Section Commentary
NURSING HOMES. PERSONAL CARE SERVICE. IBC SECTION 308 INSTITUTIONAL GROUP I IBC 308.1 Institutional Group I. IBC 308.2 Institutional Group I-1. IBC 308.2.1 Condition 1. IBC 308.2.2 Condition 2. IBC 308.2.3 Six to 16 persons receiving custodial care. IBC 308.2.4 Five or fewer persons receiving custodial care. IBC 308.3 Institutional Group I-2. IBC 308.3.1 Occupancy conditions. IBC 308.3.1.1 Condition 1. IBC 308.3.1.2 Condition 2. IBC 308.3.2 Five or fewer persons receiving medical care. IBC 308.5.3 Five or fewer persons receiving care. IBC 308.5.4 Five or fewer persons receiving care in a dwelling unit.
• They are not intended to serve four or more inpatients.
Needs significant review. In context this is stated, this would allow separated mixed uses if no more than 4 inpatients. This is different that the NFPA stipulation relating to patients capability of self-preservation.
• They are separated from areas of health care
occupancies by construction having a minimum 2-
hour fire resistance rating in accordance with
Chapter 8.
IBC SECTION 508 MIXED USE AND OCCUPANCY IBC 508.1 General.
Needs significant review This would imply that non-separated mixed occupancies are not acceptable. Needs significant clarity in both IBC and IFC.
• The entire building is protected throughout
by an approved, supervised automatic
sprinkler system in accordance with Section
9.7.
IFC 903.3 Installation requirements. IFC 903.3.1 Standards. IFC 903.3.1.1 NFPA 13 sprinkler systems.
Needs some review Recent action to retroactively sprinkler buildings contains an I-2 would cover other occupancies within the building. Not sure how this will be enforced, need to monitor and adjust if applies to buildings outside of the I-2.
Hospital outpatient surgical departments are
required to be classified as an Ambulatory Health
Care Occupancy regardless of the number of
patients served.
18.1.3.3, 19.1.3.3, 42 CFR 482.41, 42 CFR 485.623
IBC 202 DEFINITIONS 24-HOUR BASIS. AMBULATORY CARE FACILITY. CLINIC, OUTPATIENT. IBC 304.1 Business Group B. IBC 422.2 Separation.
No work needed. Current approach to Ambulatory care matches this requirement.
N/A N/A N/A K132 3 Multiple Occupancies – Contiguous Non-Health Care Occupancies
Non-health care occupancies that are located
immediately next to a Health Care Occupancy, but
are primarily intended to provide outpatient
services are permitted to be classified as Business
or Ambulatory Health Care Occupancies, provided
the facilities are separated by construction having
not less than 2-hour fire resistance-rated
construction, and are not intended to provide
services simultaneously for four or more inpatients.
Outpatient surgical departments must be classified
as Ambulatory Health Care Occupancy regardless
of the number of patients served.
18.1.3.4.1, 19.1.3.4.1
IBC 202 DEFINITIONS 24-HOUR BASIS. AMBULATORY CARE FACILITY. CLINIC, OUTPATIENT. IBC 304.1 Business Group B. IBC SECTION 302 OCCUPANCY CLASSIFICATION AND USE DESIGNATION IBC 302.1 Occupancy classification. IBC 302.2 Use designation. IBC 422.2 Separation. IBC TABLE 508.4
f REQUIRED SEPARATION OF OCCUPANCIES (HOURS)
Some work needed. There is a lack of context in the KTAG that would imply that a separated occupancy could have not more than 4 people incapable of self preservation. It’s more accurate to say that NFPA 101 says you must have no more than four before you become an ambulatory healthcare occupancy. Need to clarify intent of NFPA 10, because that is inconsistent. Also need to understand the overlap of CMS COPs to see if they are engineering a separation from a billing perspective.
K11 2 If building has a common wall with nonconforming
building, common wall is a fire barrier of at least a
two hour fire resistance rating constructed of
materials as required for the addition.
Communicating openings occur only in corridors
and shall be protected by approved self-closing fire
doors with at least 1½ hour fire resistance rating
(18.1.1.4.1-2, 18.2.3.2, and 19.1.1.4.1-2).
K133 4 Multiple Occupancies – Construction Type
Where separated occupancies are in
accordance with 18/19.1.3.2 or 18/19.1.3.4,
the most stringent construction type is
provided throughout the building, unless a 2-
hour separation is provided in accordance
with 8.2.1.3, in which case the construction
type is determined as follows:
• The construction type and supporting
construction of the health care occupancy is based
on the story in which it is located in the building in
accordance with 18/19.1.6 and Tables 18/19.1.6.1
• The construction type of the areas of
the building enclosing the other
occupancies shall be based on the
applicable occupancy chapters.
18.1.3.5, 19.1.3.5, 8.2.1.3
IBC SECTION 508 MIXED USE AND OCCUPANCY IBC 508.1 General. IFC 1105.2 Construction.
No work needed
K12 2 2000 EXISTING
Building construction type and height
meets one of the following: 19.1.6.2,
K161 4 Building Construction Type and Height 2012
EXISTING
Building construction type and stories
IFC 1105.2 Construction. IFC TABLE 1105.2 FLOOR LEVEL LIMITATIONS FOR GROUP I-2 CONDITION 2
Some work needed Look @2A and 3 sprinklered. IFC may be more restrictive. Not a problem per se, but may be issue for existing facility depending on implementation date of retro sprinklers.
2000 to 2012 Hospital K-tag crosswalk matrix for hospitals
Adhoc Health Care Committee – 2000 to 2012 Hospital K-tag crosswalk matrix for hospitals – June 19, 2017 Page 3
2000 Tag #
2000 P #
2000 Language 2012 Tag #
2012 P #r
20120 Language 2018 IBC/IFC Section Commentary
19.1.6.3, 19.1.6.4, 19.3.5.1 I (443), I
(332), II (222) Any Height
2 II (111) One story only (non-sprinklered)
3 II (111) Not over three stories with complete automatic sprinkler system
4 III (211) Not over two stories with complete automatic sprinkler system
5 V (111) Not over two stories with complete automatic sprinkler system
6 IV (2HH) Not over two stories with complete
automatic sprinkler system
7 7 II (000)
8 III (200) Not over one story with complete automatic sprinkler system
9 V (000) Not over one story with complete
automatic sprinkler system Building contains fire-
retardant-treated wood
Give a brief description, in REMARKS, of the
construction, the number of stories, including
basements, floors on which patients are located,
location of smoke or fire barriers and dates of
approval. Complete sketch or attach small floor
plan of the building as appropriate.
meets Table 19.1.6.1, unless otherwise
permitted by 19.1.6.2 through 19.1.6.7
19.1.6.4, 19.1.6.5
1 I (442), I (332), II (222) Any number of stories (non-sprinklered and sprinklered)
2 II (111) One story (non-sprinklered) ≤ 3 stories (sprinklered)
3 II (000) No stories (non-sprinklered) ≤ 2 stories (sprinklered)
4 III (211) No stories (non-sprinklered) ≤ 2 stories (sprinklered)
5 IV (2HH) No stories (non-sprinklered) ≤ 2 stories (sprinklered)
6 V (111) No stories (non-sprinklered) ≤ 2 stories (sprinklered)
7 III (200) No stories (non-sprinklered) ≤ 1 story (sprinklered)
8 V (000) No stories (non-sprinklered) ≤ 1 story (sprinklered)
Sprinklered stories must be sprinklered
throughout by an approved, supervised automatic
system in accordance with section 9.7. (See
19.3.5)
Give a brief description, in REMARKS, of the
construction, the number of stories, including
basements, floors on which patients are located,
location of smoke or fire barriers and dates of
approval. Complete sketch or attach small floor plan
of the building as appropriate.
K12 3 2000 NEW
Building construction type and height meets one of the following: 18.1.6.2, 18.1.6.3, 18.3.5.1
1 I (443), I (332), II (222) Any height with complete automatic sprinkler system
2 II (111) Not over three stories with complete automatic sprinkler system
3 III (211) Not over one story with complete automatic sprinkler system
4 V (111) Not over one story with complete automatic sprinkler system
5 IV (2HH) Not over one story with complete automatic sprinkler system
6 II (000) Not over one story with complete automatic sprinkler system
7 III (200) Not permitted
9 V (000) Not permitted
Building contains fire-retardant-treated wood
Give a brief description, in REMARKS, of the
construction, the number of stories, including
basements, floors on which patients are located,
location of smoke or fire barriers and dates of
approval. Complete sketch or attach small floor
plan of the building as appropriate.
K161 5 Building Construction Type and Height 2012 NEW
Building construction type and stories meets Table
18.1.6.1, unless otherwise permitted by 18.1.6.2
through 18.1.6.7. 18.1.6.4, 18.1.6.5
I (442), I (332), II (222) No stories (non-sprinklered),
Any number of stories (sprinklered) II (111) No
stories (non-sprinklered) ≤ 3 stories (sprinklered)
II (000) No stories (non-sprinklered) ≤ 1 story
(sprinklered) III (211) No stories (non-sprinklered) ≤
1 story (sprinklered) IV (2HH) No stories (non-
sprinklered) ≤ 1 story (sprinklered) V (111) No stories
(non-sprinklered) ≤ 1 story (sprinklered) III (200), V
(000) No stories permitted
Sprinklered stories must be sprinklered throughout
by an approved, supervised automatic system in
accordance with section 9.7. (See 18.3.5)
Give a brief description, in REMARKS, of the
construction, the number of stories, including
basements, floors on which patients are located,
location of smoke or fire barriers and dates of
approval. Complete sketch or attach small floor plan
of the building as appropriate.
IBC CHAPTER 5 GENERAL BUILDING HEIGHTS AND AREAS IBC Section 504 BUILDING HEIGHT AND NUMBER OF STORIES IBC Section 506 BUILDING AREA IBC Section 509 INCIDENTAL USES IBC Section 414 HAZARDOUS MATERIALS IBC Section 415 GROUPS H-1, H-2, H03, H-4 AND H-5 IBC Section 903.2.6 Group I (sprinklers required)
No work needed While the construction types are similar the taxonomy is slightly different. This is something we are familiar with and could be accommodated by just adopting the ICC approach to classification.
N/A N/A N/A K162 6 Roofing Systems Involving Combustibles 2012
NEW
Buildings of Type I (442), (332) or Type II (222), or
Type II (111) having roof systems employing
combustible roofing supports, decking or roofing
meet the following:
1. roof covering meets Class A requirements
2. roof is separated from occupied building portions
with 2-hour fire resistive noncombustible floor
assembly using not less than 2-1/2 inches concrete
or gypsum fill
3. the structural elements supporting the
rated floor assembly meet the required
fire resistance rating of the building
18.1.6.2, ASTM E108, ANSI/UL 790
IBC Chapter 15 Roof assemblies and rooftop structures Needs significant review This is a new KTAG and needs to be compared to the roofing requirements in Chapter 15. These construction types appear to allow class B roofing.
2000 to 2012 Hospital K-tag crosswalk matrix for hospitals
Adhoc Health Care Committee – 2000 to 2012 Hospital K-tag crosswalk matrix for hospitals – June 19, 2017 Page 4
2000 Tag #
2000 P #
2000 Language 2012 Tag #
2012 P #r
20120 Language 2018 IBC/IFC Section Commentary
K103 3 Interior walls and partitions in buildings of Type
I or Type II construction shall be
noncombustible or limited- combustible
materials 18.1.6.3, 19.1.6.3 (Indicate N/A for
existing buildings using listed fire retardant
treated wood studs within non-load bearing
one-hour rated partitions.).
K163 6 Interior Non-Bearing Wall Construction
Interior non-bearing walls in Type I or II
construction are constructed of noncombustible
or limited-combustible materials. Interior non-
bearing walls required to have a minimum 2-
hour fire resistance rating are fire-retardant-
treated wood enclosed within noncombustible or
limited-combustible materials, provided they are
not used as shaft enclosures.
18.1.6.4, 18.1.6.5, 19.1.6.4, 19.1.6.5
IBC CHAPTER 6 TYPES OF CONSTRUCTION IBC SECTION 602 CONSTRUCTION CLASSIFICATIONS IBC 602.2 Types I and II IBC COMBUSTIBLE MATERIALS IN TYPES I AND II CONSTRUCTION
Some work needed. Chapter 6 covers combustible and limited combustible material permitted in Types 1 and 2 construction. Some comparison needs to occur. There may be allowances in IBC that are not in 101 – however the point is that there is a mechanism to determine what is allowed. Note last sentence of KTAG is misleading – NFPA 101 does not require all 2 hour walls to be constructed out of FRT wood.
N/A N/A N/A K200 7 Means of Egress Requirements – Other
List in the REMARKS section any LSC Section 18.2
and 19.2 Means of Egress requirements that are not
addressed by the provided K-tags, but are deficient.
This information, along with the applicable Life
Safety Code or NFPA standard citation, should be
included on Form CMS-2567.
18.2, 19.2
? This is a “catch-all”. Until we either do a much more comprehensive review of 101, or we start seeing what gets cited out of this section, it tough to determine if there is a gap. I would argue this needs to be monitored closely, however but we could present this as substantially equivalent because the ICC family goes into much more detail about the arrangement of the means of egress.
K72 15 Means of egress shall be continuously maintained
free of all obstructions or impediments to full instant
use in the case of fire or other emergency. No
furnishings, decorations, or other objects shall
obstruct exits, access thereto, egress there from, or
visibility thereof shall be in accordance with 7.1.10.
18.2.1, 19.2.1
K211 7 Means of Egress – General
Aisles, passageways, corridors, exit discharges, exit
locations, and accesses are in accordance with
Chapter 7, and the means of egress is continuously
maintained free of all obstructions to full instant use
in case of emergency, unless modified by 18/19.2.2
through 18/19.2.11.
18.2.1, 19.2.1, 7.1.10.1
IBC [F] 1002.1 Maintenance. IBC 1003.3 Protruding objects IBC SECTION 1005 MEANS OF EGRESS SIZING IBC SECTION 1006 NUMBER OF EXITS AND EXIT ACCESS DOORWAYS IBC SECTION 1007 EXIT AND EXIT ACCESS DOORWAY CONFIGURATION IBC SECTION 1018 AISLES IBC SECTION 1020 CORRIDORS IBC SECTION 1024 EXIT PASSAGEWAYS IBC SECTION 1028 EXIT DISCHARGE
IFC SECTION 1031 MAINTENANCE OF THE MEANS OF EGRESS IFC 1031.1 General. IFC 1031.2 Reliability. IFC 1105.5 Means of egress.
Very minimal work needed. IFC 1031 covers this concept. Should check1031.3.1 (temporary obstructions) for consistency with CMS enforcement.
K43 14 Patient room doors are arranged such that the
patients can open the door from inside without
using a key. Special door locking arrangements are
permitted in facilities. 18.2.2.2.4, 18.2.2.2.5,
19.2.2.2.4, 19.2.2.2.5 If door locking arrangement
without delay egress is used indicate in REMARKS
18.2.2.2.2, 19.2.2.2.2
K221 7 Patient Sleeping Room Doors
Locks on patient sleeping room doors are not
permitted unless the key-locking device that
restricts access from the corridor does not
restrict egress from the patient room, or the
locking arrangement is permitted for patient
clinical, security or safety needs in accordance
with 18.2.2.2.5 or 19.2.2.2.5.
18.2.2.2, 19.2.2.2, TIA 12-4
IBC 407.4.1.1 Locking devices. IBC 1010.1.9.4 Locks and latches.
Work needed. The ICC does not specifically address the patient room door condition. The referenced allowance for egress restrictions are similar to the IBC - these should be validated. There is no mention of delayed or restricted egress conditions in IFC 1104 or 1105, one would assume it default to code at time of construction. This may not be a good enough tool for the fire inspector.
N/A N/A N/A K222 8 Egress Doors
Doors in a required means of egress shall not be
equipped with a latch or a lock that requires the use
of a tool or key from the egress side unless using
one of the following special locking arrangements:
IFC 1031.2.1 Security devices and egress locks.
Some work needed See previous comments on K221. The past two cycles have seen significant work to resolve inconsistences and make these systems realistic, safe, and buildable. In some cases the ICC is now more stringent than some of these requirements. In most cases it is certainly more comphrehensive. The NFPA code changed significantly from the last KTAG. These requirements should be compared to 2012 KTAG to see if differences are significant. K222 is long – some comments are below.
CLINICAL NEEDS OR SECURITY THREAT LOCKING
Where special locking arrangements for the clinical
security needs of the patient are used, only one
locking device shall be permitted on each door and
provisions shall be made for the rapid removal of
occupants by: remote control of locks; keying of all
locks or keys carried by staff at all times; or other
such reliable means available to the staff at all times.
18.2.2.2.5.1, 18.2.2.2.6, 19.2.2.2.5.1, 19.2.2.2.6
IBC 10101.1.9.7 Controlled egress doors in Groups I-1 and I-2. The KTAG makes it sounds simplier than the code, review 18.2.2.2 in detail, plus all options available in the ICC. Note the exception condition apply to this condition is most similar to the option in 18.2.2.2.6 Should check and see if we need to limit device to one per door.
SPECIAL NEEDS LOCKING ARRANGEMENTS
Where special locking arrangements for the safety
needs of the patient are used, all of the Clinical or
Security Locking requirements are being met. In
addition, the locks must be electrical locks that fail
safely so as to release upon loss of power to the
device; the building is protected by a supervised
automatic sprinkler system and the locked space is
protected by a complete smoke detection system
(or is constantly monitored at an attended location
within the locked space); and both the sprinkler and
IBC 10101.1.9.7 Controlled egress doors in Groups I-1 and I-2. The base condition (without exception) is most comparable.
2000 to 2012 Hospital K-tag crosswalk matrix for hospitals
Adhoc Health Care Committee – 2000 to 2012 Hospital K-tag crosswalk matrix for hospitals – June 19, 2017 Page 5
2000 Tag #
2000 P #
2000 Language 2012 Tag #
2012 P #r
20120 Language 2018 IBC/IFC Section Commentary
detection systems are arranged to unlock the doors
upon activation.
18.2.2.2.5.2, 19.2.2.2.5.2, TIA 12-4
DELAYED-EGRESS LOCKING ARRANGEMENTS
Approved, listed delayed-egress locking systems
installed in accordance with 7.2.1.6.1 shall be
permitted on door assemblies serving low and
ordinary hazard contents in buildings protected
throughout by an approved, supervised automatic
fire detection system or an approved, supervised
automatic sprinkler system.
18.2.2.2.4, 19.2.2.2.4
IBC 1010.1.9.8 Delayed egress. IBC 1010.1.9.8.1 Delayed egress locking system.
Need to review, it should be very close.
ACCESS-CONTROLLED EGRESS LOCKING ARRANGEMENTS
Access-Controlled Egress Door assemblies installed
in accordance with 7.2.1.6.2 shall be permitted.
18.2.2.2.4, 19.2.2.2.4
IBC 10101.1.9.7 Controlled egress doors in Groups I-1 and I-2. IBC 1010.1.9.9 Sensor release of electrically locked egress doors.
Needs review
ELEVATOR LOBBY EXIT ACCESS LOCKING ARRANGEMENTS 0
Elevator lobby exit access door locking in
accordance with 7.2.1.6.3 shall be permitted on door
assemblies in buildings protected throughout by an
approved, supervised automatic fire detection
system and an approved, supervised automatic
sprinkler system.
18.2.2.2.4, 19.2.2.2.4
IBC 1016.2 Egress through intervening spaces. IBC 3006.4 Means of egress. (Elevator lobbies) IFC 1031.2.1 Security devices and egress locks.
Concept is similar
K21 7 Doors in an exit passageway, stairway enclosure, horizontal exit, smoke barrier or hazardous area enclosure are self-closing and kept in the closed position, unless held open by a release device complying with 7.2.1.8.2 that automatically closes all such doors throughout the smoke compartment or entire facility upon activation of: The required manual fire alarm system and Local smoke detectors designed to detect smoke passing through the opening or a required smoke detection system and The automatic sprinkler system, if installed 18.2.2.2.6, 18.3.1.2
K223 9 Doors with Self-Closing Devices
Doors in an exit passageway, stairway enclosure, or
horizontal exit, smoke barrier, or hazardous area
enclosure are self- closing and kept in the closed
position, unless held open by a release device
complying with 7.2.1.8.2 that automatically closes
all such doors throughout the smoke compartment
or entire facility upon activation of:
• Required manual fire alarm system; and
• Local smoke detectors designed to detect smoke passing through the opening or a required smoke detection system; and
• Automatic sprinkler system, if installed; and
• Loss of power
18.2.2.2.7, 18.2.2.2.8, 19.2.2.2.7, 19.2.2.2.8
IBC 716.2.6.6 Smoke-activated doors. F253-16 (AS) IFC 1105.5.2 Group I-2 occupancies.
Review Significant work was done to align these two. Not sure why we are not listing loss of power, although that may be implied.
N/A N/A N/A K224 9 Horizontal Sliding Doors
Horizontal-sliding doors permitted by 7.2.1.14 that
are not automatic-closing are limited to a single
leaf and shall have a latch or other mechanism to
ensure the door will not rebound.
Horizontal-sliding doors serving an occupant
load fewer than 10 shall be permitted, providing
all of the following criteria are met:
• Area served by the door has no hazards
• Door is operable from either side without special knowledge or effort
• Force required to operate the door in the direction
of travel is ≤ 30 lbf to set the door in motion and ≤
15 lbf to close or open to the required width
• Assembly is appropriately fire rated, and
where rated is self-or automatic-closing by
smoke detection per 7.2.1.8, and installed
per NFPA 80
• Where required to latch,
the door has a latch or
other mechanism to ensure
the door will not rebound.
18.2.2.2.10, 19.2.2.2.10
IBC 1010.1.2 Door swing. IBC 1010.1.4.3 Special purpose horizontal sliding, accordion or folding doors.
Some work needed. This is a new KTAG dealing with sliding doors. The current IBC language is misleading and needs review. A strict read would prohibit sliding doors in medical surgical patient rooms. The laundry list in item is narrow. Most patient rooms are not critical or intensive care as described in item 3. Practically MANY facilities have been built with sliding corridor doors that technically don’t meet all of the IBC
requirements. Also – there are some restrictions in the
KTAG that are good add to the ICC language (eg. ensuring no rebound)
K34 13 Stairways and smokeproof enclosures used as
exits are in accordance with 7.2. 18.2.2.3,
18.2.2.4, 19.2.2.3, 19.2.2.4
K225 9 Stairways and Smokeproof Enclosures
Stairways and Smokeproof enclosures used as exits
are in accordance with 7.2. 18.2.2.3, 18.2.2.4,
19.2.2.3, 19.2.2.4, 7.2
IBC 403.5.4 Smokeproof enclosures. IBC SECTION 1011 STAIRWAYS IBC SECTION 1019 EXIT ACCESS STAIRWAYS AND RAMPS IBC 1019.4 Group I-2 and I-3 occupancies. IBC SECTION 1023 INTERIOR EXIT STAIRWAYS AND RAMPS IBC 1023.11 Smokeproof enclosures. IBC 1023.11.1 Termination and extension. IBC 1023.11.2 Enclosure access.
Some work needed. Requirements are similar. Section 1023 states that were these are required they shall be constructed as follows. The KTAGs and 101 broadly permit them to be used as a strategy. We should also compare requirements.
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20120 Language 2018 IBC/IFC Section Commentary
K44 14 Horizontal exits, if used, are in accordance with 7.2.4. 18.2.2.5, 19.2.2.5
K226 10 Horizontal Exits
Horizontal exits, if used, are in accordance with
7.2.4 and the provisions of 18.2.2.5.1 through
18.2.2.5.7, or 19.2.2.5.1 through 19.2.2.5.4.
18.2.2.5, 19.2.2.5
IBC Section 1026 Horizontal Exits Some review needed. While this is not a new requirement, there have been some changes to the basic horizontal exit concepts in 101. I do not think they apply to Healthcare, but we should review.
N/A N/A N/A K227 10 Ramps and Other Exits
Ramps, exit passageways, fire and slide escapes,
alternating tread devices, and areas of refuge are in
accordance with the provisions 7.2.5 through 7.2.12.
18.2.2.6 to 18.2.2.10 or 19.2.2.6 to 19.2.2.10
IBC [BE] 1009.6 Areas of refuge. IBC [BE] 1011.14 Alternating tread devices. IBC SECTION 1019 EXIT ACCESS STAIRWAYS AND RAMPS [BE] 1019.4 Group I-2 and I-3 occupancies. IBC SECTION 1023 INTERIOR EXIT STAIRWAYS AND RAMPS IBC SECTION 1024 EXIT PASSAGEWAYS IBC SECTION 1027 EXIT STAIRWAYS AND RAMPS IFC 1104.16 Fire escape stairways. IEBC SECTION 505 FIRE ESCAPES
Some review needed. This is a new KTAG, and to confirm consistency, we should review.
K35 13 The capacity of required mean of egress is based on its width, in accordance with 7.3.
K231 10 Means of Egress Capacity
The capacity of required means of egress is in
accordance with 7.3. 18.2.3.1, 19.2.3.1
No review needed.
K39 13, 14
2000 EXISTING
Width of aisles or corridors (clear and unobstructed) serving as exit access shall be at least 4 feet. 19.2.3.3
K232 10 Aisle, Corridor or Ramp Width 2012 EXISTING
The width of aisles or corridors (clear or
unobstructed) serving as exit access shall be at
least 4 feet and maintained to provide the
convenient removal of nonambulatory patients on
stretchers, except as modified by 19.2.3.4,
exceptions 1-5.
19.2.3.4, 19.2.3.5
IFC 1031.3.1 Group I-2. IFC 1104.15 Width of ramps. IFC 1105.5.3 Ramps. IFC 1105.5.4 Corridor width. IFC 1105.5.7 Aisles.
Some review needed. As noted above 2018 IFC language is significantly coordinated with the changes made to this KTAG. We should monitor compliance and application of this section to ensure concept is accurately/adequately reflected in IFC 1031.
K39 13, 14
2000 NEW
Width of aisles or corridors (clear and
unobstructed) serving as exit access in hospitals
and nursing homes shall be at least 8 feet.
In limited care facility and psychiatric
hospitals, width of aisles or corridors shall be
at least 6 feet. 18.2.3.3, 18.2.3.4
K232 10 Aisle, Corridor or Ramp Width 2012 NEW
The width of aisles or corridors (clear and
unobstructed) serving as exit access in hospitals
and nursing homes shall be at least 8 feet. In limited
care facility and psychiatric hospitals, width of aisles
or corridors shall be at least 6 feet, except as
modified by the 18.2.3.4 or 18.2.3.5 exceptions.
18.2.3.4, 18.2.3.5
IBC 407.4.3 Projections in nursing home corridors. IBC 1003.3.3 Horizontal projections. IBC 1003.4 Slip-resistant surface. IBC 1018.5 Aisles in other than assembly spaces and Groups B and M. IBC 1020.2 Width and capacity. IBC TABLE 1020.2 MINIMUM CORRIDOR WIDTH IBC 1020.3 Obstruction. IBC 1024.2 Width and capacity. IFC 1031.3 Obstructions.
Some work needed. IBC language may need link back to IFC 1031, to inform designers and enforcement agents. Item (6) in 18.2.3.4 is a good design clarification that really needs to be in the IBC. Perhaps we should clarify if there is an operational solution to IFC 1031.3, or at least a reasonable definition of accumulation.
K40 14 2000 EXISTING
Exit access doors and exit doors used by
health care occupants are of the swinging type
and are at least 32 inches in clear width. An
exception is provided for existing 34-inch
doors in existing occupancies. 19.2.3.5
K233 11 Clear Width of Exit and Exit Access Doors 2012
EXISTING
Exit access doors and exit doors are of the
swinging type and are at least 32 inches in clear
width. Exceptions are provided for existing 34-inch
doors and for existing 28-inch doors where the fire
plan does not require evacuation by bed, gurney, or
wheelchair.
19.2.3.6, 19.2.3.7
IBC 407.4.3 Projections in nursing home corridors. IBC 1003.3.3 Horizontal projections. IBC 1003.4 Slip-resistant surface.
Work needed. This concept was added into chapter 11 IFC last cycle. Needs review to compare scope of IFC (doors used for movement of beds) to KTAG (MOE doors and list locations). There may need to be further work for doors not seeing bed movement.
K40 14 2000 NEW
Exit access doors and exit doors used by health
care occupants are of the swinging type and are
at least 41.5 inches in clear width. Doors in exit
stairway enclosures shall be no less than 32
inches in clear width. In psychiatric hospitals or
limited care facilities (e.g.,ICF/MD providing
medical treatment) doors are at least 32 inches
wide. 18.2.3.5
K233 11 Clear Width of Exit and Exit Access Doors 2012
NEW
Exit access doors and exit doors are of the
swinging type and are at least 41-1/2 inches in
clear width. In psychiatric hospitals or limited care
facilities, doors are at least 32 inches wide. Doors
not subject to patient use, in exit stairway
enclosures, or serving newborn nurseries shall be
no less than 32 inches in clear width. If using a
pair of doors, the doors shall be provided with a
rabbet, bevel, or astragal at the meeting edge, at
least one of the doors shall provide 32 inches in
clear width, and the inactive leaf of the pair shall
be secured with automatic flush bolts.
18.2.3.6, 18.2.3.7
IBC 1010.1.1 Size of doors. Work needed. The scope of this requirement may need to be modified to specific uses (see 18.2.3.7). Also IBC does not address the use of pair of doors to meet requirement and the restrictions placed upon them by this (see 18.2.3.7)
N/A N/A N/A K241 11 Number of Exits – Story and Compartment
Not less than two exits, remote from each other, and
accessible from every part of every story are
provided for each story. Each smoke
compartment shall likewise be provided with two
distinct egress paths to exits that do not require the
entry into the same adjacent smoke compartment.
18.2.4.1-18.2.4.4, 19.2.4.1-19.2.4.4
IBC 407.4 Means of egress. G107-15 (AS) (G109-15 AMPC1) IBC 407.5.1 Smoke compartment size. G107-15 (AS) IBC 407.5.2 Exit access travel distance. IBC 1006.2.1 Egress based on occupant load and common path of egress travel distance. IFC 1104.20 Common path of egress travel. IFC 1105.5.6 Separation of exit access doors. IFC 1105.6 Smoke compartments. IFC 1105.6.1 Design. IFC 1105.6.1.1 Refuge areas. IFC 1105.7 Group I-2 care suites. IEBC 503.12 Refuge areas. IEBC 503.12.1 Smoke compartments.
Work needed This is a new KTAG. While the default for existing (IFC 1104) refers you to code at time of construction, this may be too obscure for these purposes. We need to look at this minimum standard for existing and reflect KTAG. Construction requirements for new are aligned. The last sentence relates to independent egress from smoke compartment. This was significantly modified from the previous KTAG – but the new 2018 language should meet this concept.
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IEBC 503.12.2 Ambulatory care. IEBC 802.3 Smoke compartments. IEBC 804.4.1.2 Group I-2.
K37 13 2000 EXISTING
Existing dead-end corridors shall be permitted to be
continued to be used if it is impractical and
unfeasible to alter them so that exists are accessible
in not less than two different directions from all
points in aisles, passageways, and corridors.
19.2.5.10
K251 11 Dead-End Corridors and Common Path of Travel
2012 EXISTING
Dead-end corridors shall not exceed 30 feet.
Existing dead-end corridors greater than 30 feet
shall be permitted to be continued to be used if it is
impractical and unfeasible to alter them.
19.2.5.2
IFC 1104.18 Dead end corridors. IFC TABLE 1104.18 COMMON PATH, DEAD-END AND TRAVEL DISTANCE LIMITS (by occupancy) IFC 1104.20 Common path of egress travel. IFC 1105.5.5 Dead-end corridors. IEBC 804.6 Dead-end corridors.
Some work needed. While the fire code requirement is more stringent than the KTAG, the KTAG has an open-ended acceptance of any condition. The IEBC language may be too permissive for existing conditions, but it is not as permissive as the KTAG. Regardless, the IEBC needs to be coordinated with Fire code.
K37 13 2000 NEW
Every exit and exit access shall be arranged so
that no corridor, aisle or passageway has a
pocket or dead-end exceeding 30 feet. 18.2.5.10
K251 12 Dead-End Corridors and Common Path of Travel
2012 NEW
Dead-end corridors shall not exceed 30 feet.
Common path of travel shall not exceed 100 feet.
18.2.5.2, 18.2.5.3
IBC 1006.2.1 Egress based on occupant load and common path of egress travel distance. IBC TABLE 1006.2.1 SPACES WITH ONE EXIT OR EXIT ACCESS DOORWAY IBC 1020.4 Dead ends.
Some review needed. The ICC codes are more restrictive in this regard:
20 ft max dead-ends vs 30ft.
75ft CPOT vs 100ft. However it applies to new construction only. CPOT is new to this KTAG, and should be reviewed. These difference were reviewed previously and because they are more restrictive, we believe it addressed the issue.
K32 12 Not less than two exits, remote from each other, are
provided for each floor or fire section of the building.
Not less than one exit from each floor or fire section
shall be a door leading outside, stair, smoke-proof
enclosure, ramp, or exit passageway. Only one of
these two exits may be a horizontal exit. Egress
shall not return through the zone of fire origin.
18.2.4.1, 18.2.4.2, 19.2.4.1, 19.2.4.2
K252 12 Number of Exits – Corridors
Every corridor shall provide access to not less than
two approved exits in accordance with Sections 7.4
and 7.5 without passing through any intervening
rooms or spaces other than corridors or lobbies.
18.2.5.4, 19.2.5.4
IBC 1020.6 Corridor continuity.
Review needed. The scope of this KTAG has changed significantly. It focuses on access to exits from a corridor and corridor continuity today, whereas previously it addressed general access to exits and limits to use of HEs. The IBC addresses corridor continuity for fire resistance rated corridors (1020.6) but does not address non-rated corridors which we have in hospitals.
K42 14 Any patient sleeping room or suite of rooms of
more than 1,000 sq. ft. has at least 2 exit
access doors remote from each other. 18.2.5.2,
19.2.5.2
K253 12 Number of Exits – Patient Sleeping and Non-Sleeping Rooms
Patient sleeping rooms of more than 1,000 square
feet or nonsleeping rooms of more than 2,500
square feet have at least two exit access doors
remotely located from each other.
18.2.5.5.1, 18.2.5.5.2, 19.2.5.5.1, 19.2.5.5.2
IBC 407.4 Means of egress. IBC 407.4.1 Direct access to a corridor. IBC 407.4.4 Group I-2 care suites. IBC 407.4.4.1 Exit access through care suites. IBC 407.4.4.2 Separation. IBC 407.4.4.3 Access to corridor. IBC 407.4.4.4 Doors within care suites. IBC 407.4.4.5 Care suites containing sleeping room areas. IBC 407.4.4.5.1 Area. IBC 407.4.4.5.2 Exit access. IBC 407.4.4.6 Care suites not containing sleeping rooms. IBC 407.4.4.6.1 Area. IBC 407.4.4.6.2 Exit access. IBC SECTION 1006 NUMBER OF EXITS AND EXIT ACCESS DOORWAYS
No review needed. Revisions last cycle aligned the codes appropriately
K41 14 All sleeping rooms have a door leading to a
corridor providing access to an exit or have a door
leading directly to grade. One room may intervene
in accordance with 18.2.5.1, 19.2.5.1 If doors lead
directly to grade from each room, check this box.
K254 12 Corridor Access
All habitable rooms not within suites have a door
leading directly outside to grade or have a door
leading to an exit access corridor. Patient sleeping
rooms with less than eight patient beds may have
one room intervening to reach an exit access
corridor provided the intervening room is equipped
with an approved automatic smoke detection
system.
18.2.5.6.1 through 18.2.5.6.4, 19.2.5.6.1 through 19.2.5.6.4
IBC 407.4.1 Direct access to a corridor. IBC 407.4.4 Group I-2 care suites. IBC 407.4.4.1 Exit access through care suites. IBC 407.4.4.2 Separation. IBC 407.4.4.3 Access to corridor. IBC 407.4.4.4 Doors within care suites. IBC 407.4.4.5 Care suites containing sleeping room areas. IBC 407.4.4.5.1 Area. IBC 407.4.4.5.2 Exit access. IBC 407.4.4.6 Care suites not containing sleeping rooms. IBC 407.4.4.6.1 Area. IBC 407.4.4.6.2 Exit access.
Some review needed. The corridor access concept is aligned in clear in both codes. The limitation of 8 sleeping beds is consistent as well, however the location of smoke detection differs. ICC monitors the condition of the sleeping room, KTAG monitors condition of the suite. This may be moot due to direct supervision Vs smoke detection requirements.
N/A N/A N/A K255 13 Suite Separation, Hazardous Content, and Subdivision
All suites are separated from the remainder of the
building (including from other suites) by
construction meeting the separation provisions for
corridor construction (18.3.6.2-18.3.6.5 or 19.3.6.2-
19.3.6.5). Existing approved barriers shall be
allowed to continue to be used provided they limit
the transfer of smoke. Intervening rooms have no
hazardous areas and hazardous areas within suites
comply with 18/19.2.5.7.1.3. Subdivision of suites
shall be by noncombustible or limited-combustible
construction.
18.2.5.7.1.2 through 18.2.5.7.1.4, 19.2.5.7.1.2, 19.2.5.7.1.3, 19.2.5.7.1.4
IBC 407.4.4.2 Separation.
Work needed Separation of suites is accomplished by a smoke partition, which is now consistent in both codes. Control over the walls subdividing suites is a new concept. This KTAG is misleading – 101 allows walls of FRT with non- or limited combustible covering.
N/A N/A N/A K256 14 Sleeping Suites
Occupants shall have exit access to a corridor or
direct access to a horizontal exit. Where ≥ 2 exits
are required, one exit access door may be to a
stairway, passageway or to the exterior. Suites shall
be provided with constant staff supervision. Staff
IBC 407.4 Means of egress. IBC 407.4.1 Direct access to a corridor. IBC 407.4.4 Group I-2 care suites. IBC 407.4.4.1 Exit access through care suites. IBC 407.4.4.2 Separation. IBC 407.4.4.3 Access to corridor. IBC 407.4.4.4 Doors within care suites.
Work needed. Access to corridor is implied, could be clearer, but not necessary. Option to access an exit as one of the options is new – doesn’t really support defend in place concept – needs some review. Need to review direct vs. constant visual supervision in new KTAG. Number of exits when <1000sf, access through adjacent
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shall have direct visual supervision of patient
sleeping rooms, from a constantly attended location
or the room shall be provided with an automatic
smoke detection system.
Suites more than 1,000 square feet shall have 2 or
more remote exits. One means of egress from the
suite shall be to a corridor and one may be into an
adjacent suite separated in accordance with corridor
requirements.
IBC 407.4.4.5 Care suites containing sleeping room areas. IBC 407.4.4.5.1 Area. IBC 407.4.4.5.2 Exit access. IBC 407.4.4.6 Care suites not containing sleeping rooms. IBC 407.4.4.6.1 Area. IBC 407.4.4.6.2 Exit access. IBC SECTION 1006 NUMBER OF EXITS AND EXIT ACCESS DOORWAYS
suite are aligned.
Suites shall not exceed the following size limitations:
• 5,000 square feet if the suite is not fully smoke detected or fully sprinklered
• 7,500 square feet if the suite is either fully smoke detected or fully sprinklered
• 10,000 square feet if the suite is both fully smoke
detected and fully sprinklered and the sleeping
rooms have direct supervision from a constantly
attended location
Travel distance between any point in a suite to exit
access shall not exceed 100 ft. and distance to an
exit shall not exceed 150 ft. (200 ft. if building is fully
sprinklered).
18.2.5.7.2, 19.2.5.7.2
IBC 407.4 Means of egress. IBC 407.4.1 Direct access to a corridor. IBC 407.4.4 Group I-2 care suites. IBC 407.4.4.1 Exit access through care suites. IBC 407.4.4.2 Separation. IBC 407.4.4.3 Access to corridor. IBC 407.4.4.4 Doors within care suites. IBC 407.4.4.5 Care suites containing sleeping room areas. IBC 407.4.4.5.1 Area. IBC 407.4.4.5.2 Exit access. IBC 407.4.4.6 Care suites not containing sleeping rooms. IBC 407.4.4.6.1 Area. IBC 407.4.4.6.2 Exit access. IBC SECTION 1006 NUMBER OF EXITS AND EXIT ACCESS DOORWAYS
Some review needed. Size aligned. Travel distance aligned. ICC still counts doors NFPA does not.
N/A N/A N/A K257 14 Non-Sleeping Suites
Occupants shall have exit access to a corridor or
direct access to a horizontal exit. Where ≥ 2 exits
are required, one exit access door may be to a
stairway, passageway or to the exterior.
Suites more than 2,500 square feet shall have 2 or
more remote exits. One means of egress from the
suite shall be to a corridor and one may be into an
adjacent suite separated in accordance with corridor
requirements.
Suites shall not exceed 10,000 square feet.
Travel distance between any point in a suite to exit
access shall not exceed 100 ft. and distance to an
exit shall not exceed 150 ft. (200 ft. if building is fully
sprinklered).
18.2.5.7.3, 19.2.5.7.3
IBC 407.4 Means of egress. IBC 407.4.1 Direct access to a corridor. IBC 407.4.4.6 Care suites not containing sleeping rooms. IBC 407.4.4.6.1 Area. IBC 407.4.4.6.2 Exit access. IBC SECTION 1006 NUMBER OF EXITS AND EXIT ACCESS DOORWAYS
See K256
K36 13 Travel distance (exit access) to exits are measured in accordance with 7.6.
• Room door to exit ≤ 100 ft. (≤ 150 ft. sprinklered)
• Point in room or suite to exit ≤ 150 ft. (≤ 200 ft. sprinklered)
• Point in room to room door ≤ 50 ft.
• Point in suite to suite door ≤ 100 ft. 18.2.6, 19.2.6
K261 15 Travel Distance to Exits
Travel distance (excluding suites) to exits are measured in accordance with 7.6.
• From any point in the room or suite to exit ≤ 150 feet (≤ 200 ft. if the building is fully sprinklered)
• Point in a room to room door ≤ 50 ft. 18.2.6,
19.2.6
IBC SECTION 1017 EXIT ACCESS TRAVEL DISTANCE IBC 1017.1 General. IBC 1017.2 Limitations. IBC TABLE 1017.2 EXIT ACCESS TRAVEL DISTANCE
a
IBC 407.4.2 Distance of travel. IFC 1104.19 Exit access travel distance. IFC Table 1104.18 COMMON PATH, DEAD-END AND TRAVEL DISTANCE LIMITS (by occupancy)
No work needed Concepts match.
K38 13 Exit access is so arranged that exits are readily accessible at all times in accordance with 7.1, 18.2.1, 19.2.1
K271 15 Discharge from Exits
Exit discharge is arranged in accordance with 7.7,
provides a level walking surface meeting the
provisions of 7.1.7 with respect to changes in
elevation and shall be maintained free of
obstructions. Additionally, the exit discharge shall
be a hard packed all- weather travel surface in
accordance with CMS Survey and Certification
Letter 05-38.
18.2.7, 19.2.7, S&C 05-38
IBC 1003.4 Floor surface. IBC 1003.5 Elevation change. IBC 1003.6 Means of egress continuity. IBC 1028.5 Access to a public way. IFC 1031.3 Obstructions.
Some review needed. KTAGS allow discharge to adjacent or adjoining roofs, should review
K45 15 Illumination of means of egress, including exit
discharge, is arranged so that failure of any single
lighting fixture will not leave the area in darkness.
Lighting system shall be either continuously in
operation or capable of automatic operation
without manual intervention. 18.2.8, 19.2.8, 7.8
K281 15 Illumination of Means of Egress
Illumination of means of egress, including exit
discharge, is arranged in accordance with 7.8 and
shall be either continuously in operation or capable
of automatic operation without manual intervention.
18.2.8, 19.2.8
IBC SECTION 1008 MEANS OF EGRESS ILLUMINATION IBC 1008.1 Means of egress illumination. IBC 1008.2 Illumination required. IBC 1008.2.1 Illumination level under normal power. IBC 1008.2.2 Group I-2. (E33-15 AM) IBC 1008.2.3 Exit Discharge. IBC 1008.3 Emergency power for illumination. IBC 1008.3.1 General. IBC 1008.3.2 Buildings. IBC 1008.3.3 Rooms and spaces. IEBC 805.7 Means-of-egress lighting. IEBC 805.7.1 Artificial lighting required. IEBC 805.7.2 Supplemental requirements for means-ofegress lighting. IEBC 905.2 Means-of-egress lighting. IFC 1104.5 Illumination emergency power.
Review only.
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K46 15 Emergency lighting of at least 1½
hour duration is provided
automatically in accordance with
7.9. 18.2.9.1, 19.2.9.1.
K291 15 Emergency Lighting
Emergency lighting of at least 1½-hour duration is
provided automatically in accordance with 7.9.
18.2.9.1, 19.2.9.1
IBC 1008.3.4 Duration. IFC 1104.5.1 Emergency power duration and installation.
No work needed.
K105 15 2000 NEW (INDICATE N/A FOR EXISTING)
Buildings equipped with or requiring the use of life
support systems (electro-mechanical or inhalation
anesthetics) have illumination of means of egress,
emergency lighting equipment, exit, and directional
signs supplied by the Life Safety Branch of the
electrical system described in NFPA 99. 18.2.9.2.,
18.2.10.2 (Indicate N/A if life support equipment is
for emergency purposes only).
K292 15 Life Support Means of Egress
2012 NEW (INDICATE N/A FOR EXISTING)
Buildings equipped with or requiring the use of life
support systems (electro-mechanical or inhalation
anesthetics) have illumination of means of egress,
emergency lighting equipment, exit, and directional
signs supplied by the life safety branch of the
electrical system described in NFPA 99.
(Indicate N/A if life support equipment is for
emergency purposes only.) 18.2.9.2, 18.2.10.5
IFC 1105.10 Essential electrical systems. IFC 1105.10.1 Where required. IFC 1105.10.2 Installation and duration. IBC 407.11 Electrical systems. G125-15 (AS) IBC 422.6 Electrical systems. IBC [F] 2702.1.7 Group I-2 occupancies. G125-15 (AS) IBC [F] 2702.2.1 Ambulatory care facilities. IBC [F] 2702.2.7 Group I-2 occupancies.
No work needed. Essentially, both the ICC and NFPA point to NFPA 99 for design of the Essential electrical system.
K47, K22
14, 12
K47
Exit and directional signs are displayed in
accordance with 7.10 with continuous illumination
also served by the emergency lighting system.
18.2.10.1, 19.2.10.1
(Indicate N/A in one story existing
occupancies with less than 30 occupants
where the line of exit travel is obvious.)
K22
Access to exits shall be marked by approved,
readily visible signs in all cases where the exit or
way to reach exit is not readily apparent to the
occupants. Doors, passages or stairways that are
not a way of exit that are likely to be mistaken for
an exit have a sign designating "No Exit". 7.10,
18.2.10.1, 19.2.10.1
K293 16 Exit Signage 2012 EXISTING Exit and directional signs are displayed in accordance with 7.10 with continuous illumination also served by the emergency lighting system. 19.2.10.1 (Indicate N/A in one-story existing occupancies with less than 30 occupants where the line of exit travel is obvious.)
IFC 1104.3 Exit sign illumination. IFC 1104.4 Power source. IFC 604.2.6 Exit signs. IFC [BE] 1031.4 Exit signs.
Minimal review needed. The ICC is more stringent on smaller buildings – however it is unlikely that many of these exist? F242 is a correlation between change E-90-15 that was approved in the 2015 hearings. Section 604 of the fire code details requirements for exist signage power (Section 604.2.5) and the use of NFPA 99 (by reference 604.2.6). These requirements are duplicative.
K47, K22
14, 12
K47
Exit and directional signs are displayed in
accordance with 7.10 with continuous illumination
also served by the emergency lighting system.
18.2.10.1, 19.2.10.1
(Indicate N/A in one story existing
occupancies with less than 30 occupants
where the line of exit travel is obvious.)
K22
Access to exits shall be marked by approved,
readily visible signs in all cases where the exit or
way to reach exit is not readily apparent to the
occupants. Doors, passages or stairways that are
not a way of exit that are likely to be mistaken for
an exit have a sign designating "No Exit". 7.10,
18.2.10.1, 19.2.10.1
K293 16 Exit Signage 2012 NEW Exit and directional signs are displayed in accordance with 7.10 with continuous illumination also served by the emergency lighting system. 18.2.10.1
IEBC 805.8 Exit signs. IEBC 805.8.1 Work areas. IEBC 805.8.2 Supplemental requirements for exit signs. IEBC 905.3 Exit signs. IBC 1013.3 Illumination. IBC 1013.5 Internally illuminated exit signs. IBC 1013.6 Externally illuminated exit signs. IBC 1013.6.3 Power source.
No review needed.
N/A N/A N/A K300 16 Protection – Other
List in the REMARKS section any LSC Section
18.3 and 19.3 Protection requirements that are not
addressed by the provided K-tags, but are
deficient. This information, along with the
applicable Life Safety Code or NFPA standard
citation, should be included on Form CMS-2567.
This is a “catch-all”. Until we either do a much more comprehensive review of 101, or we start seeing what gets cited out of this section, it tough to determine if there is a gap. I would argue this needs to be monitored closely, however but we could present this as substantially equivalent.
K20, K33
7, 12
2000 EXISTING
K20
Stairways, elevator shafts, light and ventilation
shafts, chutes, and other vertical openings
between floors are enclosed with construction
having a fire resistance rating of at least one hour.
An atrium may be used in accordance with 8.2.5,
8.2.5.6, 19.3.1.1 If all vertical openings are
properly enclosed with construction providing at
least a two hour fire resistance rating, also check
this box.
If enclosures are less than required, give a brief description and specific location in REMARKS.
K33
Exit enclosures (such as stairways) are enclosed
K311 16 Vertical Openings – Enclosure 2012 EXISTING
Stairways, elevator shafts, light and ventilation
shafts, chutes, and other vertical openings between
floors are enclosed with construction having a fire
resistance rating of at least 1 hour. An atrium may
be used in accordance with 8.6.
19.3.1.1, through 19.3.1.6
If all vertical openings are properly enclosed with
construction providing at least a 2-hour fire
resistance rating, also check this box.
IEBC 501.2 Fire resistance ratings. IEBC 802.2 Vertical openings. IEBC 802.2.1 Existing vertical openings. IEBC 802.2.2 Supplemental shaft and floor opening enclosure requirements. IEBC 802.2.3 Supplemental stairway enclosure requirements. IEBC 903.1 Existing shafts and vertical openings. IFC 1103.4 Vertical openings. IFC 1103.4.1 Group I-2 and I-3 occupancies.
Review IEBC Substantial revision was made to the IFC for existing vert openings, currently language is aligned. We may want to look at IEBC language to make sure it’s clear that IFC chapter 11 minimums are still met.
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with construction having a fire resistance rating of
at least one hour, are arranged to provide a
continuous path of escape, and provide protection
against fire or smoke from other parts of the
building. 7.1.3.2, 8.2.5.2, 8.2.5.4, 19.3.1.1
If all vertical openings are properly enclosed with
construction providing at least a two hour fire
resistance rating, also check this box □
K20, K33
7, 12
2000 NEW
K20
Stairways, elevator shafts, light and ventilation
shafts, chutes, and other vertical openings
between floors are enclosed with construction
having a fire resistance rating of at least two
hours connecting four stories or more. (One hour
for single story building and buildings up to three
stories in height.) An atrium may be used in
accordance with 8.2.5.6, 8.2.5, 18.3.1.1
If enclosures are less than required, give a brief description and specific location in REMARKS.
K33
Exit enclosures (such as stairways) in buildings four
stories or more are enclosed with construction
having a fire resistance rating of at least two hours,
are arranged to provide a continuous path of
escape, and provide a protection against fire and
smoke from other parts of the building. In all
buildings less than four stories, the enclosure is at
least one hour. 7.1.3.2, 8.2.5.2, 8.2.5.4, 18.3.1.1,
18.2.2.3
K311 15 Vertical Openings – Enclosures 2012 NEW
Stairways, elevator shafts, light and ventilation
shafts, chutes, and other vertical openings
between floors are enclosed with construction
having a fire resistance rating of at least 2 hours
connecting four or more stories. (1 hour for single
story building and buildings up to three stories in
height.) An atrium may be used in accordance
with 8.6.7.
18.3.1 through 18.3.1.5
IBC SECTION 712 VERTICAL OPENINGS IBC SECTION 713 SHAFT OPENINGS
Review only. Essentially the concepts are aligned. KTAG is misleading. One story building arguably do not have vertical openings. 101 allows convenience openings and 2 story partial enclosures in healthcare – similar to what ICC does in Chapter 7.
K29 10 2000 EXISTING
One hour fire rated construction (with 3/4 hour fire-
rated doors) or an approved automatic fire
extinguishing system in accordance with 8.4.1
and/or 19.3.5.4 protects hazardous areas. When the
approved automatic fire extinguishing system option
is used, the areas shall be separated from other
spaces by smoke resisting partitions and doors.
Doors shall be self-closing and non-rated or field-
applied protective plates that do not exceed 48
inches from the bottom of the door are permitted.
19.3.2.1
(See table on 2786R)
Describe the floor and zone locations of hazardous areas that are deficient in REMARKS.
K321 17 Hazardous Areas – Enclosure 2012 EXISTING
Hazardous areas are protected by a fire barrier
having 1-hour fire resistance rating (with 3/4-hour
fire rated doors) or an automatic fire extinguishing
system in accordance with 8.7.1. When the
approved automatic fire extinguishing system
option is used, the areas shall be separated from
other spaces by smoke resisting partitions and
doors in accordance with 8.4. Doors shall be self-
closing or automatic-closing and permitted to have
nonrated or field-applied protective plates that do
not exceed 48 inches from the bottom of the door.
Describe the floor and zone locations of hazardous
areas that are deficient in REMARKS. 19.3.2.1
Area, Automatic Sprinkler, Separation, N/A
a. Boiler and Fuel-Fired Heater Rooms
b. Laundries (larger than 100 square feet)
c. Repair, Maintenance, and Paint Shops
d. Soiled Linen Rooms (exceeding 64 gallons)
e. Trash Collection Rooms (exceeding 64 gallons)
f. Combustible Storage Rooms/Spaces (over 50 square feet)
g. Laboratories (if classified as Severe Hazard - see 0322)
IFC 1105.3 Incidental uses in existing Group I-2. IFC 1105.3.1 Occupancy classification. IFC 1105.3.2 Area limitations. IFC 1105.3.3 Separation and protection. IFC 1105.3.3.1 Separation. IFC 1105.3.3.2 Protection. IFC 1105.3.3.2.1 Protection limitation. IFC TABLE 1105.3 INCIDENTAL USES IN EXISTING GROUP I-2 OCCUPANCIES IEBC 902.2 Boiler and furnace equipment rooms.
Review only. Based on work last cycle these are aligned. Some of the numbers are slightly different (10 cu.ft. vs 64 gallons) but the concepts are the same. As mentioned previously we may want to address change of use to storage in the IEBC.
K29 10 2000 NEW
Hazardous areas are protected in accordance
with 8.4. The areas shall be enclosed with a one
hour fire-rated barrier, with a 3/4 hour fire-rated
door, without windows (in accordance with 8.4).
Doors shall be self-closing or automatic closing
in accordance with 7.2.1.8. Hazardous areas are
protected by a sprinkler system in accordance
with 9.7, 18.3.2.1, 18.3.5.1.
(See table on 2786R)
Describe the floor and zone locations of hazardous areas that are deficient in REMARKS.
K321 18 Hazardous Areas – Enclosure 2012 NEW
Hazardous areas are protected in accordance with
18.3.2.1. The areas shall be enclosed with a 1-hour
fire-rated barrier, with a 3/4-hour fire-rated door
without windows (in accordance with 8.7.1.1). Doors
shall be self-closing or automatic-closing in
accordance with 7.2.1.8. Hazardous areas are
protected by a sprinkler system in accordance with
9.7, 18.3.2.1, and 8.4.
Describe the floor and zone locations of hazardous areas that are deficient in REMARKS.
18.3.2.1, 7.2.1.8, 8.4, 8.7, 9.7
Area, Automatic Sprinkler, Separation, N/A
a. Boiler and Fuel-Fired Heater Rooms
b. Laundries (larger than 100 square feet)
IBC SECTION 509 INCIDENTAL USES IBC TABLE 509 INCIDENTAL USES
See above
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c. Repair, Maintenance, and Paint Shops
d. Soiled Linen Rooms (exceeding 64 gallons)
e. Trash Collection Rooms (exceeding 64 gallons)
f. Combustible Storage Rooms/Spaces (over 50 and less than 100 square feet)
g. Combustible Storage Rooms/Spaces (over 50 square feet)
h. Laboratories (if classified as Severe Hazard - see 0322)
K31, K131, K132,
K133,
K134,
K135,K136
23 K31
Laboratories employing quantities of flammable, combustible, or hazardous materials that are considered a severe hazard shall be protected in accordance with NFPA 99. (Laboratories that are not considered to be severe hazard shall meet the provision of K29.) 18.3.2.2, 19.3.2.2, Chapter 10 (NFPA 99) K131
Emergency procedures shall be established for
controlling chemical spills in accordance with 10-
2.1.3.2 (NFPA 99).
K132
Continuing safety education and supervision shall be
provided, incidents shall be reviewed monthly, and
procedures reviewed annually shall be in
accordance with 10-2.1.4.2 (NFPA 99).
K134
Where the eyes or body of any person can be
exposed to injurious corrosive materials, suitable
fixed facilities for quick drenching or flushing of the
eyes and body shall be provided within the work
area for immediate emergency use. Fixed eye baths
designed and installed to avoid injurious water
pressure shall be in accordance with 10-6 (NFPA
99).
K133
Fume hoods shall be in accordance with 5-4.3, 5-6.2 (NFPA 99). K135
Flammable and combustible liquids shall be used
from and stored in approved containers in
accordance with NFPA 30, Flammable and
Combustible Liquids Code, and NFPA 45, Standard
on Fire Protection for Laboratories Using
Chemicals.
Storage cabinets for flammable and combustible
liquids shall be constructed in accordance with NFPA
30, Flammable and Combustible liquids Code, 4-3
(NFPA 99), 10-7.2.1 (NFPA 99)
K136
Procedures for laboratory emergencies shall be
developed. Such procedures shall include alarm
actuation, evacuation, and equipment shutdown
procedures, and provisions for control of
emergencies that could occur in the laboratory,
including specific detailed plans for control
operations by an emergency control
group within the organization or a public fire department in accordance with 10-2.1.3.1 (NFPA 99), 18.3.2.2., 19.3.2.1
K322 19 Laboratories Laboratories employing quantities of flammable, combustible, or hazardous materials that are considered a severe hazard a r e protected by 1-hour fire resistance-rated separation, automatic sprinkler system, and are in accordance with 8.7 and with NFPA 99.
IFC 5003.8 Construction requirements. IFC 5003.8.1 Buildings. IFC 5003.8.2 Required detached buildings. IFC 5003.8.3 Control areas. Control areas shall comply with Sections 5003.8.3.1 through 5003.8.3.5. IFC 5003.8.3.1 Construction requirements. IFC 5003.8.3.2 Percentage of maximum allowable quantities. IFC 5003.8.3.3 Number. IFC 5003.8.3.4 Fire-resistance-rating requirements. IFC 5003.9 General safety precautions. IFC 5003.9.1 Personnel training and written procedures. IFC 5003.9.1.1 Fire department liaison. IFC 5003.9.2 Security. IFC 5704.3 Container and portable tank storage. IFC 5704.3.1 Design, construction and capacity of containers and portable tanks. IFC 5704.3.1.1 Approved containers. IFC 5704.3.2 Liquid storage cabinets. IFC 5704.3.2.1 Design and construction of storage cabinets. IFC 5704.3.2.1.1 Materials. IFC 5704.3.2.1.2 Labeling. IFC 5704.3.2.1.3 Doors. IFC 5704.3.2.1.4 Bottom. IFC 5704.3.2.2 Capacity. IMC SECTION 510 HAZARDOUS EXHAUST SYSTEMS IMC 510.1 General. IMC 510.2 Where required. IPC SECTION 411 EMERGENCY SHOWERS AND EYEWASH STATIONS IPC 411.1 Approval. IPC 411.2 Waste connection. IPC 411.3 Water supply.
Review. This KTAG is essentially covered in the ICC by the concept of incidental uses, hazardous materials and permit amounts. NFPA 99 moved away from prescribing laboratory requirements and left regulation to NFPA 45. We should review these and compare 2018 ICC changes for lab areas. The basic labs are consistent, with ICC possibly being more stringent. Larger educational or production labs may adequately be addressed in 2018. Unclear if it covers all teaching and production context that might be seen in a hospital. Gas appliance language is very specific and needs to be reviewed.
Laboratories not considered a severe hazard are protected as hazardous areas (see 0321).
IBC SECTION 509 INCIDENTAL USES IBC TABLE 509 INCIDENTAL USES
Laboratories using chemicals are in accordance with NFPA 45.
ICCPC 2201.3.10 Ventilation.
Gas appliances are of appropriate design and installed in accordance with NFPA 54. Shutoff valves are marked to identify material they control. Devices requiring medical grade oxygen from the piped distribution system meet the requirements under 11.4.2.2 (NFPA 99). 18.3.2.2, 19.3.2.2, 8.7, 8.7.4.1 (LSC) 9.3.1.2, 11.4.3.2, 15.4 (NFPA 99)
IFC SECTION 603 FUEL-FIRED APPLIANCES IFC 603.1 Installation. IFC 603.1.1 Manufacturer’s instructions.
K78 24 Anesthetizing locations shall be protected in accordance with NFPA 99, Standard for Health Care Facilities.
(a) Shutoff valves are located outside each
anesthetizing location and arranged so that
shutting off one room or location will not affect
others.
(b) Relative humidity is maintained equal to or
great than 35% 4-3.1.2.3(n) and 5-4.1.1 (NFPA
99), 18.3.2.3, 19.3.2.3
K323 20 Anesthetizing Locations
Areas designated for administration of general
anesthesia (i.e., inhalation anesthetics) are in
accordance with 8.7 and NFPA 99.
Zone valves are: located immediately outside
each anesthetizing location for medical gas or
vacuum; readily accessible in an emergency; and
arranged so shutting off any one anesthetizing
location will not affect others.
Area alarm panels are provided to monitor all
medical gas, medical-surgical vacuum, and piped
WAGD systems. Panels are at locations that
provide for surveillance, indicate medical gas
pressure decreases of 20% and vacuum decreases
of 12 inch gauge HgV, and provide visual and
IFC 5306.5 Medical gas systems.. The reference to NFPA 99 is adequate for this k-tag, and needs to be maintained.
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audible indication. Alarm sensors are installed
either on the source side of individual room zone
valve box assemblies or on the patient/use side of
each of the individual zone box valve assemblies.
The EES critical branch supplies power for task
illumination, fixed equipment, select receptacles,
and select power circuits, and EES equipment
system supplies power to ventilation system.
Heating, cooling, and ventilation are in
accordance with ASHRAE 170. Medical
supply and equipment manufacturer’s
instructions for use are considered before
reducing humidity levels to those allowed
by ASHRAE, per S&C 13-58.
Supply and exhaust systems for windowless
anesthetizing locations have smoke control
system(s) to automatically vent smoke, prevent
the recirculation of smoke originating within the
surgical suite, and prevent the circulation of smoke
entering the system intake, without interfering with
exhaust function, per 79 FR 21551.
18.3.2.3, 19.3.2.3 (LSC)
5.1.4.8.7, 5.1.4.8.7.2, 5.1.9.3, 5.1.9.3.4, 6.4.2.2.4.2 (NFPA 99)
K69 20 Cooking facilities shall be protected in accordance with 9.2.3, 18.3.2.6, and NFPA 96
K324 21 Cooking Facilities
Cooking equipment is protected in accordance with
NFPA 96, Standard for Ventilation Control and Fire
Protection of Commercial Cooking Operations ,
unless:
• residential cooking equipment (i.e., small
appliances such as microwaves, hot plates, toasters)
are used for food warming or limited cooking in
accordance with 18.3.2.5.2, 19.3.2.5.2
• cooking facilities open to the corridor in smoke
compartments with 30 or fewer patients comply with
the conditions under 18.3.2.5.3, 19.3.2.5.3, or
• Cooking facilities in smoke compartments with 30
or fewer patients comply with conditions under
18.3.2.5.4, 19.3.2.5.4. Cooking facilities protected
according to NFPA 96 per 9.2.3 are not required to
be enclosed as hazardous areas, but shall not be
open to the corridor.
18.3.2.5.1 through 18.3.2.5.4, 19.3.2.5.1 through 19.3.2.5.5, 9.2.3, TIA 12-2
F178-16 (AS), F179-16 (AS) IFC 904.13 Domestic cooking systems in Group I-2 Condition 1. This IMC section more clearly defines the difference in commercial cooking and ranges, and adequately covers the Hospital requirements for ADL kitchens, and cooking education. The IFC section was added to satisfy nursing home requirements, to allow open cooking serving multiple resident rooms.
K211 12 Where Alcohol Based Hand Rub (ABHR)
dispensers are installed: The corridor is at least 6
feet wide
The maximum individual fluid dispenser capacity shall be
1.2 liters (2 liters in suites of rooms)
The dispensers shall have a minimum spacing of 4 ft. from each other
Not more than 10 gallons are
used in a single smoke
compartment outside a storage
cabinet. Dispensers are not
installed over or adjacent to an
ignition source.
If the floor is carpeted, the building is fully sprinklered. 18.3.2.7, CFR 403.744, 418.110, 460.72, 482.41, 483.70,
485.623
K325 21 Alcohol Based Hand Rub Dispenser (ABHR)
ABHRs are protected in accordance with 8.7.3.1, unless all conditions are met:
• Corridor is at least 6 feet wide
• Maximum individual dispenser capacity is 0.32 gal. (0.53 gal. in suites) of fluid and 18 oz. of Level 1 aerosols
• Dispensers shall have a minimum of 4-foot horizontal spacing
• Not more than an aggregate of 10 gallons of fluid
or 135 oz. aerosol are used in a single smoke
compartment outside a storage cabinet, excluding
one individual dispenser per room
• Storage in a single smoke compartment greater than 5 gallons complies with NFPA 30
• Dispensers are not installed within 1 inch of an ignition source
• Dispensers over carpeted floors are in sprinklered smoke compartments
• ABHR does not exceed 95% alcohol
• Operation of the dispenser shall comply with Section 18.3.2.6(11) or 19.3.2.6(11)
• ABHR is protected against inappropriate access
18.3.2.6, 19.3.2.6, 42 CFR Parts 403, 418, 460, 482, 483, and 485
IFC 5705.5 Alcohol-based hand rubs classified as Class I or II liquids. IFC 5705.5.1 Corridor installations. IBC 407.4.3 Projections in nursing home corridors. IBC 1003.3.3 Horizontal projections. IBC 1003.4 Slip-resistant surface.
These requirements were found to match up to those in the Fire Code. No changes were needed.
K14, K15
4 2000 EXISTING
K14
Interior finish for means of egress, including
exposed interior surfaces of buildings such as fixed
or movable walls, partitions, columns, and ceilings
K331 22
Interior Wall and Ceiling Finish 2012 EXISTING
Interior wall and ceiling finishes, including
exposed interior surfaces of buildings such as
fixed or movable walls, partitions, columns, and
have a flame spread rating of Class A or Class B.
IFC 1031.6 Finishes, furnishings and decorations. IEBC 802.4 Interior finish. IEBC 802.4.1 Supplemental interior finish requirements. IEBC 903.3 Interior finish.
This is also covered in IFC table 803.3. Interior finishes remains a big issue with the I-2, Condition 1 (nursing home) group. More and more facilities are taking a consumer based approach, and need to be more upgraded and more like a home-environment, or higher end hotel.
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has a flame spread rating of Class A or Class B.
Interior finishes existing before December 17, 2010
that are applied directly to wall and ceilings with a
thickness of less than ½8 inch shall be permitted to
remain in use without flame spread rating
documentation. 10.2, 19.3.3.1, 19.3.3.2,
NFPA TIA 00-2
Indicate flame spread rating/s
K15
Interior finish for rooms and spaces not used for
corridors or exitways, including exposed interior
surfaces of buildings such as fixed or movable
walls, partitions, columns, and ceilings has a flame
spread rating of Class A or Class B. (In fully-
sprinklered buildings, flame spread rating of Class C
may be continued in use within rooms separated in
accordance with 19.3.6 from the exit access
corridors.) 19.3.3.1, 19.3.3.2
Indicate flame spread rating/s
The reduction in class of interior finish for a
sprinkler system as prescribed in 10.2.8.1 is
permitted.
10.2, 19.3.3.1, 19.3.3.2
Indicate flame spread rating(s).
K14, K15
4 2000 NEW
K14
Interior finish for means of egress, including
exposed interior surfaces of buildings such as
fixed or movable walls, partitions, columns, and
ceilings has a flame spread rating of Class A or
Class B. Lower half of corridor
walls, not exceeding 4ft in height, may have a Class
C flame spread rating. 10.2, 18.3.3.1, 18.3.3.2,
NFPA TIA 00- 2
Indicate flame spread rating/s
K15
Interior finish for rooms and spaces not used for
corridors or exitways, including exposed interior
surfaces of buildings such as fixed or movable
walls, partitions, columns, and ceilings has a flame
spread rating of Class A or Class B. (Rooms not
over
4 persons in capacity may have a flame
spread rating of Class A, Class B, or Class
C). 18.3.3.1, 18.3.3.2. Indicate flame spread
rating/s
K331 22 Interior Wall and Ceiling Finish 2012 NEW
Interior wall and ceiling finishes, including exposed
interior surfaces of buildings such as fixed or
movable walls, partitions, columns, and have a flame
spread rating of Class A. The reduction in class of
interior finish for a sprinkler system as prescribed in
10.2.8.1 is permitted.
Individual rooms not exceeding four persons may have a Class A or B finish.
Lower half of corridor walls, not exceeding 4 feet in
height, may have a Class A or B flame spread rating.
10.2, 18.3.3.1, 18.3.3.2
Indicate flame spread rating(s).
IFC 803.3 Interior finish requirements based on occupancy. IFC TABLE 803.3 INTERIOR WALL AND CEILING FINISH REQUIREMENTS BY OCCUPANCY
k
In terms of hospitals, these requirements are in line. Further work needs to be done in regard to nursing homes. There has been coordination with the nursing home advocates and the experts of the testing laboratories. At issue is the ‘homelike’ feel needed in the nursing home setting, particularly on walls.
N/A N/A N/A K332 22 Interior Floor Finish
2012 NEW (Indicate N/A for 2012 EXISTING)
Interior finishes shall comply with 10.2. Floor finishes
in exit enclosures and exit access corridors and
spaces not separated by walls that resist the
passage of smoke shall be Class I or II.
18.3.3.3.1, 18.3.3.3.2, 18.3.3.3.3, 10.2, 10.2.7.1, 10.2.7.2
IFC 804.3 New interior floor finish. IFC 804.3.1 Classification. IFC 804.3.3.2 Minimum critical radiant flux.
Same comment as in K331.
K51 16 A fire alarm system is installed with systems and
components approved for the purpose in
accordance with NFPA 70, National Electric Code
and NFPA 72, National Fire Alarm Code to provide
effective warning of fire in any part of the building.
Fire alarm system wiring or other transmission paths
are monitored for integrity. Initiation of the fire
alarm system is by manual means and by any
required sprinkler system alarm, detection device, or
detection system. Manual alarm boxes are provided
in the path of egress near each required exit.
Manual alarm boxes in patient sleeping areas shall
not be required at exits if manual alarm boxes are
located at all nurse’s stations.
Occupant notification is provided by audible and
visual signals. In critical care areas, visual alarms
are sufficient. The fire alarm system transmits the
alarm automatically to notify emergency forces in
the event of fire. The fire alarm automatically
activates required control functions. System
records are maintained and readily available.
K341 22 Fire Alarm System – Installation
A fire alarm system is installed with systems and
components approved for the purpose in
accordance with NFPA 70, National Electric Code,
and NFPA 72, National Fire Alarm Code to provide
effective warning of fire in any part of the building. In
areas not continuously occupied, detection is
installed at each fire alarm control unit. In new
occupancy, detection is also installed at notification
appliance circuit power extenders, and supervising
station transmitting equipment. Fire alarm system
wiring or other transmission paths are monitored for
integrity.
18.3.4.1, 19.3.4.1, 9.6, 9.6.1.8
IBC [F] 407.8 Fire alarm system. IBC [F] 422.5 Fire alarm systems. IFC 1103.7 Fire alarm systems. IFC 1103.7.2 Group I-1. IFC 1103.7.3 Group I-2. IFC 1105.9 Group I-2 automatic fire alarm system. IFC 907.4.2.1 Location. IFC 907.6.2 Power supply. IFC 907.6.6 Monitoring. IFC 907.6.6.1 Automatic telephone-dialing devices. IFC 907.6.6.2 Termination of monitoring service. IFC 907.8.5 Inspection, testing and maintenance. IEBC 803.4.1.3 Group I-2. IEBC 904.2.1 Manual fire alarm systems.
Generally, meets requirement. However, the IFC does not cover a new provision in 9.6.1.8.1 of the 2012 LSC to address areas that are not continuously occupied. It also effects where the notification reaches. This is important in hospitals at mechanical rooms, storage areas, and OR core areas.
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18.3.4, 19.3.4, 9.6
K60 18 Initiation of the required fire alarm systems
shall be by manual fire alarm initiation,
automatic detection, or extinguishing
system operation. 18.3.4.2, 19.3.4.2,
9.6.2.1
K342 23 Fire Alarm System – Initiation
Initiation of the fire alarm system is by manual
means and by any required sprinkler system
alarm, detection device, or detection system.
Manual alarm boxes are provided in the path of
egress near each required exit. Manual alarm
boxes in patient sleeping areas shall not be
required at exits if manual alarm boxes are located
at all nurse’s stations or other continuously
attended staff location, provided alarm boxes are
visible, continuously accessible, and 200 feet
travel distance is not exceeded.
18.3.4.2.1, 18.3.4.2.2, 19.3.4.2.1, 19.3.4.2.2, 9.6.2.5
IFC 907.2.6 Group I. IFC 907.2.6.2 Group I-2.
For new, this is now addressed in the IBC, per a change in the 2012 code.
N/A N/A N/A K343 23 Fire Alarm – Notification 2012 EXISTING
Positive alarm sequence in accordance with
9.6.3.4 are permitted in buildings protected
throughout by a sprinkler system. Occupant
notification is provided automatically in accordance
with 9.6.3 by audible and visual signals.
In critical care areas, visual alarms are sufficient.
The fire alarm system transmits the alarm
automatically to notify emergency forces in the
event of a fire.
19.3.4.3, 19.3.4.3.1, 19.3.4.3.2, 9.6.4, 9.7.1.1(1)
IFC 1103.7 Fire alarm systems. IFC 1103.7.3 Group I-2. IFC 1105.9 Group I-2 automatic sprinkler system.
.
This also addresses the Silent Mode issue, which we have covered in the 2012 cycle.
N/A N/A N/A K343 23 Fire Alarm – Notification 2012 NEW
Positive alarm sequence in accordance with
9.6.3.4 are permitted. Occupant notification is
provided automatically in accordance with 9.6.3 by
audible and visual signals.
In critical care areas, visual alarms are sufficient.
The fire alarm system transmits the alarm
automatically to notify emergency forces in the
event of a fire.
Annunciation and annunciation zoning for fire
alarm and sprinklers shall be provided by audible
and visual indicators and zones shall not be larger
than 22,500 square feet per zone.
18.3.4.3 through 18.3.4.3.3, 9.6.4
IBC [F] 407.9 Automatic fire detection. IFC 907.2.6.2 Group I-2. IFC 907.5.2 Alarm notification appliances. IFC 907.5.2.1 Audible alarms. IFC 907.5.2.2 Emergency voice/alarm communication systems. IFC 907.5.2.2.1 Manual override. IFC 907.5.2.2.2 Live voice messages. IFC 907.5.2.2.3 Alternate uses. IFC 907.5.2.3 Visible alarms. IFC 907.5.2.3.1 Public use areas and common use areas.
This requirement is adequately addressed in the IBC, but the expansion of spaces for I-2, Condition 1 (nursing homes) differs slightly from hospitals. Federal requirements particularly allow food prep areas, where nursing home residents can cook, but this is unlikely in a hospital. These requirements were successfully added in the 2012 cycle.
K107 25 Required alarm and detection systems are
provided with an alternative power supply in
accordance with NFPA 72.
9.6.1.4, 18.3.4.1, 19.3.4.1
K344 23 Fire Alarm – Control Functions
The fire alarm automatically activates required
control functions and is provided with an alternative
power supply in accordance with NFPA 72.
18.3.4.4, 19.3.4.4, 9.6.1, 9.6.5, NFPA 72
IFC 907.5.2.2.5 Emergency power. Also look at K51
K52 16 K52
A fire alarm system required for life safety shall be,
tested, and maintained in accordance with NFPA
70 National Electric Code and NFPA 72 National
Fire Alarm Code and records kept readily available.
The system shall have an approved maintenance
and testing program complying with applicable
requirement of NFPA 70 and 72.
9.6.1.4, 9.6.1.7
K345 24 Fire Alarm System – Testing and Maintenance
A fire alarm system is tested and maintained in
accordance with an approved program
complying with the requirements of NFPA 70,
National Electric Code, and NFPA 72, National
Fire Alarm and Signaling Code. Records of
system acceptance, maintenance and testing
are readily available.
9.7.5, 9.7.7, 9.7.8, and NFPA 25
IFC 907.6.5 Access. This requirement matches well, but the word “periodic” is likely to evolve in the future for I-2.
K155 18 K155
Where a required fire alarm system is out of
service for more than 4 hours in a 24-hour period,
the authority having jurisdiction shall be notified,
and the building shall be evacuated or an
approved fire watch shall be provided for all parties
left unprotected by the shutdown until the fire
alarm system has been returned to service. 9.6.1.8
K346 24 Fire Alarm – Out of Service
Where required fire alarm system is out of service
for more than 4 hours in a 24-hour period, the
authority having jurisdiction shall be notified, and
the building shall be evacuated or an approved fire
watch shall be provided for all parties left
unprotected by the shutdown until the fire alarm
system has been returned to service.
9.6.1.6
IFC 901.7 Systems out of service. Action needs to be taken on this topic. The question of ‘immediately’ in the IFC, and the 4-hour period over 24 hours in the LSC needs to be resolved.
K53, K54
16, 17
2000 NEW K53 (NURSING HOME AND EXISTING LIMITED CARE FACILITIES) An automatic smoke detection system is installed in all corridors. (As an alternative to the corridor smoke detection system on patient sleeping room floors, smoke detectors may be installed in each patient sleeping room and at smoke barrier or horizontal exit doors in the corridor.) Such detectors are electrically interconnected to the fire alarm system. 18.3.4.5.3
K347 24 Smoke Detection 2012 EXISTING Smoke detection systems are provided in spaces open to corridors as required by 19.3.6.1. 19.3.4.5.2
Action needs to be taken on this topic. New allowance for cooking facilities to be open to the corridor. Intent is kitchenettes used for residents of nursing homes, but spills over into the I-2, Condition 2 (Hospital) setting.
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K54 All required smoke detectors, including those activating door hold-open devices, are approved, maintained, inspected and tested in accordance with the manufacturer’s specifications. 9.6.1.3
K53, K54
16, 17
2000 NEW
K53
(NURSING HOME AND EXISTING LIMITED CARE FACILITIES)
An automatic smoke detection system is installed in
all corridors. (As an alternative to the corridor smoke
detection system on patient sleeping room floors,
smoke detectors may be installed in each patient
sleeping room and at smoke barrier or horizontal
exit doors in the corridor.) Such detectors are
electrically interconnected to the fire alarm system.
18.3.4.5.3
K54
All required smoke detectors, including those
activating door hold-open devices, are approved,
maintained, inspected and tested in accordance with
the manufacturer’s specifications. 9.6.1.3
K347 24 Smoke Detection 2012 NEW Smoke detection systems are provided in spaces open to corridors as required by 18.3.6.1
In nursing homes, an automatic smoke
detection system is installed in the corridors of
all smoke compartments containing resident
sleeping rooms, unless the resident sleeping
room has:
• smoke detection, or
• Automatic door closing devices with
integral smoke detectors on the room
side that provide occupant notification.
Such detectors are electrically
interconnected to the fire alarm
system.
18.3.4.5.2, 18.3.4.5.3
IFC 903.2.6 Group I. Seems to be adequately covered. This aligns with moving towards all hospital facilities required to be fully sprinklered. See K351 (old K56)
K56 18 2000 EXISTING Where required by section 19.1.6, Health care facilities shall be protected throughout by an approved, supervised automatic sprinkler system in accordance with section 9.7. Required sprinkler systems are equipped with water flow and tamper switches which are electrically interconnected to the building fire alarm. In Type I and II construction, alternative protection measures shall be permitted to be substituted for sprinkler protection in specific areas where State or local regulations prohibit sprinklers. 19.3.5, 19.3.5.1, NPFA 13
K351 25 Sprinkler System – Installation 2012 EXISTING
Nursing homes, and hospitals where required by
construction type, are protected throughout by an
approved automatic sprinkler system in accordance
with NFPA 13, Standard for the Installation of
Sprinkler Systems.
In Type I and II construction, alternative protection
measures are permitted to be substituted for
sprinkler protection in specific areas where State or
local regulations prohibit sprinklers.
In hospitals, sprinklers are not required in clothes
closets of patient sleeping rooms where the area of
the closet does not exceed 6 ft² and sprinkler
coverage covers the closet footprint as required by
NFPA 13, Standard for Installation of Sprinkler
Systems.
19.3.5.1, 19.3.5.2, 19.3.5.3, 19.3.5.4, 19.3.5.5, 19.4.2, 19.3.5.10, 9.7, 9.7.1.1(1)
IFC 1103.5 Sprinkler systems. IFC 1103.5.2 Group I-2. IFC 1103.5.3 Group I-2 Condition 2. IFC 1105.8 Group I-2 automatic sprinkler system.
Action needs to be taken on this topic. Monitoring of this requirement is crucial to track in future code cycles. This is a key new federal requirement, and must remain aligned in the codes to be effective.
K56 18 2000 NEW
There is an automatic sprinkler system installed in
accordance with NFPA13, Standard for the
Installation of Sprinkler Systems, with approved
components, device and equipment, to provide
complete coverage of all portions of the facility.
Systems are equipped with waterflow and tamper
switches, which are connected to the fire alarm
system. In Type I and II construction, alternative
protection measures shall be permitted to be
substituted for sprinkler protection in specific areas
where State or local regulations prohibit sprinklers.
18.3.5, 18. 3 . 5. 1 .
K351 25 2012 NEW
Buildings are to be protected throughout by an
approved automatic sprinkler system in accordance
with NFPA 13, Standard for the Installation of
Sprinkler Systems.
In Type I and II construction, alternative protection
measures are permitted to be substituted for
sprinkler protection in specific areas where State
and local regulations prohibit sprinklers.
Listed quick-response or listed residential sprinklers
are used throughout smoke compartments with
patient sleeping rooms. In hospitals, sprinklers are
not required in clothes closets of patient sleeping
rooms where the area of the closet does not exceed
6 ft² and sprinkler coverage covers the closet
footprint as required by NFPA 13, Standard for
Installation of Sprinkler Systems.
18.3.5.1, 18.3.5.4, 18.3.5.5, 18.3.5.6, 9.7, 9.7.1.1(1), 18.3.5.10
IBC [F] 407.7 Automatic sprinkler system. IFC 903.3 Installation requirements. IFC 903.3.1 Standards. IFC 903.3.1.1 NFPA 13 sprinkler systems.
This requirement is adequately represented, as part of the issues noted above.
K61 19 Automatic sprinkler system supervisory
attachments are installed and monitored for
integrity in accordance with NFPA 72, and provide
a signal that sounds and is displayed at a
continuously attended location or approved
remote facility when sprinkler operation is
impaired. 9.7.2.1,
NFPA 72
K352 25 Sprinkler System – Supervisory Signals
Automatic sprinkler system supervisory attachments
are installed and monitored for integrity in
accordance with NFPA 72, National Fire Alarm and
Signaling Code, and provide a signal that sounds
and is displayed at a continuously attended location
or approved remote facility when sprinkler operation
is impaired.
9.7.2.1, NFPA 72
IFC 903.4.1 Monitoring. IFC 903.4.2 Alarms.
This is a key provision, and needs to be closely monitored. The fire code considers more than just hospitals in this paragraph, so the scoping aspects of a committee dedicated to the healthcare type will be helpful in keeping it aligned with federal standards.
K62, K63
19 K62
Automatic sprinkler systems are continuously
maintained in reliable operating condition and
K353 26 Sprinkler System – Maintenance and Testing
Automatic sprinkler and standpipe systems are
inspected, tested, and maintained in accordance
IFC 903.5 Testing and maintenance. IFC 901.4 Installation.
This provision is adequately aligned.
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are inspected and tested periodically. 18.7.6,
19.7.6, 4.6.12, NFPA 13, NFPA 25, 9.7.5
K63
Required automatic sprinkler systems have an
adequate and reliable water supply which
provides continuous and automatic pressure.
9.7.1.1, NFPA 13
with NFPA 25, Standard for the Inspection, Testing,
and Maintaining of Water-based Fire Protection
Systems. Records of system design, maintenance,
inspection and testing are maintained in a secure
location and readily available.
a) Date sprinkler system last checked
b) Who provided system test
c) Water system supply source
Provide in REMARKS information on coverage for
any non-required or partial automatic sprinkler
system. 9.7.5, 9.7.7, 9.7.8, and NFPA 25
K154 19 Where a required automatic sprinkler system is out of service for more than 4 hours in a 24-hour period, the authority having jurisdiction shall be notified, and the building shall be evacuated or an approved fire watch system be provided for all parties left Unprotected by the shutdown until the sprinkler system has been returned to service. 9.7.6.1.
K354 26 Sprinkler System – Out of Service
Where the sprinkler system is impaired, the extent
and duration of the impairment has been
determined, areas or buildings involved are
inspected and risks are determined,
recommendations are submitted to management or
designated representative, and the fire department
and other authorities having jurisdiction have been
notified. Where the sprinkler system is out of service
for more than 10 hours in a 24-hour period, the
building or portion of the building affected are
evacuated or an approved fire watch is provided until
the sprinkler system has been returned to service.
18.3.5.1, 19.3.5.1, 9.7.5, 15.5.2 (NFPA 25)
IFC 901.7 Systems out of service. Action needs to be taken on this topic. Current federal standards allow for the syste to be out for 10 hours (or one shift) before formal notification. Work needs to be done to align.
K64 19 Portable fire extinguishers shall be
installed, inspected, and maintained in all
health care occupancies in accordance
with 9.7.4.1, NFPA 10.
18.3.5.6, 19.3.5.6
K355 26 Portable Fire Extinguishers
Portable fire extinguishers are selected, installed,
inspected, and maintained in accordance with NFPA
10, Standard for Portable Fire Extinguishers.
18.3.5.12, 19.3.5.12, NFPA 10
IFC 906.1 Where required. IFC 906.2 General requirements. IFC 906.2.1 Certification of service personnel for portable fire extinguishers.
Placement of fire extinguishers is well alighed, particulary with the reference to NFPA 10. However, as noted in exception 3 of 906.1, there will potentially be emerging exceptions coming as a result of trade-offs with other conditions (one could consider this exception a trade-off for food prep in open corridors in I-2, Condition 1. These aspects need to be monitored.
K30 11 Gift shops shall be protected as hazardous areas
when used for storage or display of combustibles in
quantities considered hazardous. Nonrated walls
may separate gift shops that are not considered
hazardous, have separate protected storage and
that are completely sprinklered. Gift shops may be
open to the corridor if they are not considered
hazardous, have separate protected storage, are
completely sprinklered and do not exceed 500
square feet. 18.3.2.5, 19.3.2.5
K361 26 Corridors – Areas Open to Corridor
Spaces (other than patient sleeping rooms,
treatment rooms and hazardous areas), waiting
areas, nurse’s stations, gift shops, and cooking
facilities, open to the corridor are in accordance
with the criteria under 18.3.6.1 and 19.3.6.1.
18.3.6.1, 19.3.6.1
IBC 407.2 Corridors continuity and separation. IBC 407.2.1 Waiting and similar areas. IBC 407.2.2 Care providers’ stations. IBC 407.2.3 Psychiatric treatment areas. IBC 407.2.4 Gift shops. IBC 407.2.5 Nursing home housing units. IBC 407.2.6 Nursing home cooking facilities.
Action needs to be taken on this topic. Although comprehensive, many of these requirements are based on older federal requirements (2000 LSC), particularly the one for gift shops. Code changes need to be developed to bring them to current standards, as the use of corridors evolves.
K17 5 2000 EXISTING
Corridors are separated from use areas by walls
constructed with at least ½ hour fire resistance
rating. In fully sprinklered smoke compartments,
partitions are only required to resist the passage of
smoke. In non-sprinklered buildings, walls extend
to the underside of the floor or roof deck above the
ceiling. (Corridor walls may terminate at the
underside of ceilings where specifically permitted
by Code. Charting and clerical stations, waiting
areas, dining rooms, and activity spaces may be
open to corridor under certain conditions specified
in the Code. Gift shops may be separated from
corridors by non-fire rated walls
if the gift shop is fully sprinklered.) 19.3.6.1, 19.3.6.2, 19.3.6.4, 19.3.6.5
If the walls have a fire resistance rating, give rating
if the walls terminate at the underside of a ceiling,
give a brief description in REMARKS, of the ceiling,
describing the ceiling throughout the floor area.
K362 27 Corridors – Construction of Walls 2012 EXISTING
Corridors are separated from use areas by walls
constructed with at least ½-hour fire resistance
rating. In fully sprinklered smoke compartments,
partitions are only required to resist the transfer of
smoke. In nonsprinklered buildings, walls extend
to the underside of the floor or roof deck above
the ceiling. Corridor walls may terminate at the
underside of ceilings where specifically permitted
by Code.
Fixed fire window assemblies in corridor walls are
in accordance with Section 8.3, but in sprinklered
compartments there are no restrictions in area or
fire resistance of glass or frames.
If the walls have a fire resistance rating, give the
rating if the walls terminate at the underside of the ceiling, give brief description in REMARKS, describing the ceiling throughout the floor area.
19.3.6.2, 19.3.6.2.7
IFC 1104.17 Corridor construction. IFC 1105.4 Corridor construction. IFC 1105.4.1 Materials. IFC 1105.4.2 Fire-resistance rating. IFC 1105.4.3 Corridor wall continuity.
Action needs to be taken on this topic. This is one of the larger issues dealing with corridors, and maintaining effective operations. We need to build the case to align the concept that the lay-in acoustic tile ceiling is effective for smoke control. The fire code has this in the retroactive requirements. Work is needed to bring it into the IBC.
K17 5 2000 NEW
Corridor walls shall form a barrier to limit the
transfer of smoke. Such walls shall be permitted to
terminate at the ceiling where the ceiling is
constructed to limit the transfer of smoke. No fire
resistance rating is required for the corridor walls.
18.3.6.1, 18.3.6.2, 18.3.6.4, 18.3.6.5
K362 27 Corridors – Construction of Walls 2012 NEW
Corridor walls shall form a barrier to limit the
transfer of smoke. Such walls shall be permitted to
terminate at the ceiling where the ceiling is
constructed to limit the transfer of smoke. No fire
resistance rating is required for the corridor walls.
18.3.6.2
IBC SECTION 407 GROUP I-2 IBC 407.1 General. IBC 407.3 Corridor wall construction. IBC 1020 Corridors IBC 1020.5 (IMC [BF] 601.2) Air movement in corridors.
Action needs to be taken on this topic. See above in K362
K18 6 2000 EXISTING
Doors protecting corridor openings in other than
required enclosures of vertical openings, exits, or
hazardous areas shall be substantial doors, such
as those constructed of 13/4 inch solid-bonded
K363 28 Corridor – Doors 2012 EXISTING
Doors protecting corridor openings in other than
required enclosures of vertical openings, exits, or
hazardous areas shall be substantial doors, such
as those constructed of 1¾ inch solid-bonded core
IBC 407.3.1 Corridor doors. IEBC 804.5.2 Transoms. IFC 1105.4.4.2 Doors.
Action needs to be taken on this topic. Work needs to be done regarding transoms are not expressly allowed, so work is needed in the IEBC on this one.
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core wood, or capable of resisting fire for at least
20 minutes. Clearance between bottom of door and
floor covering is not exceeding 1 inch. Doors in fully
sprinklered smoke compartments are only required
to resist the passage of smoke. There is no
impediment to the closing of the doors. Hold open
devices that release when the door is pushed or
pulled are permitted. Doors shall be provided with a
means suitable for keeping the door closed. Dutch
doors meeting 19.3.6.3.6 are permitted.
Door frames shall be labeled and made of steel or
other materials in compliance with 8.2.3.2.1. Roller
latches are prohibited by CMS regulations in all
health care facilities. 19.3.6.3
Show in REMARKS, details of doors, such as fire protection ratings, automatic closing devices, etc.
wood, or capable of resisting fire for at least 20
minutes. Doors in fully sprinklered smoke
compartments are only required to resist the
passage of smoke. Doors shall be provided with a
means suitable for keeping the door closed.
There is no impediment to the closing of the doors.
Clearance between bottom of door and floor
covering is not exceeding 1 inch. Roller latches are
prohibited by CMS regulations on corridor doors
and rooms containing flammable or combustible
materials. Powered doors complying with 7.2.1.9
are permissible. Hold open devices that release
when the door is pushed or pulled are permitted.
Nonrated protective plates of unlimited height are
permitted. Dutch doors meeting 19.3.6.3.6 are
permitted.
Door frames shall be labeled and made of steel or
other materials in compliance with 8.3, unless the
smoke compartment is sprinklered. Fixed fire
window assemblies are allowed per 8.3. In
sprinklered compartments there are no restrictions
in area or fire resistance of glass or frames in
window assemblies.
19.3.6.3, 42 CFR Parts 403, 418, 460, 482, 483, and 485
Show in REMARKS details of doors such as fire protection ratings, automatics closing devices, etc.
IFC 1105.4.4.2.1 Louvers. IFC 1105.4.4.2.2 Corridor doors. IFC 1105.4.4.2.3 Dutch doors. IFC 1105.4.4.2.4 Self- or automatic-closing doors. IFC 1105.4.4 Openings in corridor walls. IFC 1105.4.4.1 Windows. IFC 1105.4.4.3 Openings in corridor walls and doors. IFC 1105.4.5 Penetrations. IFC 1105.4.6 Joints. IFC 1105.4.7 Ducts and air transfer openings.
IFC, Chapter 11 Although many of the requirements were captured, this section needs monitoring to capture other requirements, and continual monitoring to make sure this chapter stays aligned with federal requirements. This is crucial for the retroactive requirements of this chapter.
K19 6 Vision panels in corridor walls or doors shall be
fixed window assemblies in approved frames. (In
fully sprinklered smoke compartments, there are no
restrictions in the area and fire resistance of glass
and frames.) In other than smoke compartments
containing patient bedrooms, miscellaneous
opening are permitted in vision panels or doors
provided the aggregate area of the opening per
room does not exceed 20 in.2 and the opening is
installed in bottom half of the wall (80 in.2 in fully
sprinklered buildings).
18.3.6.5, 19.3.6.2.3, 19.3.6.3.8, 19.3.6.5
K364 29 Corridor – Openings
Transfer grilles are not used in corridor walls or
doors. Auxiliary spaces that do not contain
flammable or combustible materials are permitted to
have louvers or be undercut.
In other than smoke compartments containing
patient sleeping rooms, miscellaneous openings are
permitted in vision panels or doors, provided the
openings per room do not exceed 20 in² and are at
or below half the distance from floor to ceiling. In
sprinklered rooms, the openings per room do not
exceed 80 in².
Vision panels in corridor walls or doors shall be fixed
window assemblies in approved frames. (In fully
sprinklered smoke compartments, there are no
restrictions in the area and fire resistance of glass
and frames.)
18.3.6.5.1, 19.3.6.5.2, 8.3
IEBC 804.5.2 Transoms. IFC 1105.4.4.2 Doors. IFC 1105.4.4.2.1 Louvers. IFC 1105.4.4.2.2 Corridor doors. IFC 1105.4.4.2.3 Dutch doors. IFC 1105.4.4.2.4 Self- or automatic-closing doors.
See above regarding Chapter 11 requirements.
K23, K24
8 2000 EXISTING
K23
Smoke barriers shall be provided to form at least
two smoke compartments on every sleeping room
floor for more than 30 patients. 19.3.7.1, 19.3.7.2
K24
The smoke compartments shall not exceed
22,500 square feet and the travel distance to and
from any point to reach a door in the required
smoke barrier shall not exceed 200 feet.
18.3.7.1, 19.3.7.1
Detail in REMARKS zone dimensions including length of zones and dead end corridors.
K371 29 Subdivision of Building Spaces – Smoke
Compartments 2012 EXISTING
Smoke barriers shall be provided to form at least two
smoke compartments on every sleeping floor with a
30 or more patient bed capacity. Size of
compartments cannot exceed 22,500 square feet or
a 200-foot travel distance from any point in the
compartment to a door in the smoke barrier.
19.3.7.1, 19.3.7.2
Detail in REMARKS zone dimensions including length of zones and dead-end corridors.
IFC 1105.6 Smoke compartments. IFC 1105.6.1 Design. IFC 1105.6.1.1 Refuge areas. IFC 1105.6.2 Smoke barriers. IFC 1105.6.3 Opening protectives. IFC 1105.6.4 Penetrations. IFC 1105.6.5 Joints. IFC 1105.6.6 Duct and air transfer openings.
Action needs to be taken on this topic. This is a critical piece of the future construction in healthcare. Strides are being made to align federal requirements to this. Next steps will include: Taking into account any provisions passed with the LSC Working with the occupant load for I-2. Due to space requirements and equipment, we need to increase the square footage per occupant to match contemporary standards. This will take a lot of collaboration and interface with fire and building officials to make sure we get things right.
K23, K24
8 2000 NEW
K23
Smoke barriers shall be provided to form at least
two smoke compartments on every floor used by
inpatients for sleeping or treatment, and on every
floor with an occupant load of 50 or more persons,
regardless of use. Smoke barriers shall also be
provided on floors that are usable, but unoccupied.
18.3.7.1, 18.3.7.2
K24
The smoke compartments shall not exceed
22,500 square feet and the travel distance to and
K371 29 Subdivision of Building Spaces – Smoke
Compartments 2012 NEW
Smoke barriers shall be provided to form at least two
smoke compartments on every floor used by
inpatients for sleeping or treatment, and on every
floor with an occupant load of 50 or more persons,
regardless of use.
Size of compartments cannot exceed 22,500 square
feet or a 200-foot travel distance from any point in
the compartment to a door in the smoke barrier.
Smoke subdivision requirements do not apply to any
of the stories or areas described in 18.3.7.2.
18.3.7.1, 18.3.7.2
Detail in REMARKS zone dimensions including
G107-15 (AS) IBC 407.5 Smoke barriers. G107-15 (AS) (G109-15 AMPC1) IBC 407.5.1 Smoke compartment size. G107-15 (AS) IBC 407.5.2 Exit access travel distance. IBC 407.5.3 Refuge area. IBC 407.5.4 Independent egress.
See comments above. These are key provisions to the Defend-In-Place concept, and must be monitored.
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from any point to reach a door in the required
smoke barrier shall not exceed 200 feet.
18.3.7.1, 19.3.7.1
Detail in REMARKS zone dimensions including length of zones and dead end corridors.
length of zones and dead-end corridors.
K25, K104
8, 10
K25: 2000 EXISTING Smoke barriers shall be constructed to provide at least a one half hour fire resistance rating and constructed in accordance with 8.3. Smoke barriers shall be permitted to terminate at an atrium wall. Windows shall be protected by fire-rated glazing or by wired glass panels and steel frames. 8.3, 19.3.7.3, 19.3.7.5 K104: Penetrations of smoke barriers by ducts are protected in accordance with 8.3.5. Dampers are not required in duct penetrations of smoke barriers in fully ducted HVAC systems where a sprinkler system in accordance with 18/19.3.5 is provided for adjacent smoke compartments. 18.3.7.3, 19.3.7.3. Hospitals may apply a 6-year damper testing interval conforming to NFPA 80 & NFPA 105. All other health care facilities must maintain a 4-year damper maintenance interval. 8.3.5 Describe any mechanical smoke control system in REMARKS.
K372 30 Subdivision of Building Spaces – Smoke Barrier
Construction 2012 EXISTING
Smoke barriers shall be constructed to a ½-hour fire
resistance rating per 8.5. Smoke barriers shall be
permitted to terminate at an atrium wall. Smoke
dampers are not required in duct penetrations in
fully ducted HVAC systems where an approved
sprinkler system is installed for smoke
compartments adjacent to the smoke barrier.
19.3.7.3, 8.6.7.1(1)
Describe any mechanical smoke control system in REMARKS.
IFC 1105.6.2 Smoke barriers. Action needs to be taken on this topic. It is important to make sure we monitor the retroactive requirements of Chapter 11, especially when it comes to smoke barriers, a key component of the Defend-In-Place concept.
K25, K104
8, 10
K25: 2000 EXISTING Smoke barriers shall be constructed to provide at least a one half hour fire resistance rating and constructed in accordance with 8.3. Smoke barriers shall be permitted to terminate at an atrium wall. Windows shall be protected by fire-rated glazing or by wired glass panels and steel frames. 8.3, 19.3.7.3, 19.3.7.5 K104: Penetrations of smoke barriers by ducts are protected in accordance with 8.3.5. Dampers are not required in duct penetrations of smoke barriers in fully ducted HVAC systems where a sprinkler system in accordance with 18/19.3.5 is provided for adjacent smoke compartments. 18.3.7.3, 19.3.7.3. Hospitals may apply a 6-year damper testing interval conforming to NFPA 80 & NFPA 105. All other health care facilities must maintain a 4-year damper maintenance interval. 8.3.5Describe any mechanical smoke control system in REMARKS.
K372 30 2012 NEW
Smoke barriers shall be constructed to provide at
least a 1-hour fire resistance rating and
constructed in accordance with 8.5. Smoke
barriers shall be permitted to terminate at an
atrium wall. Smoke dampers are not required in
duct penetrations of fully ducted HVAC systems.
18.3.7.3, 18.3.7.4, 18.3.7.5, 8.3
Describe any mechanical smoke control system in REMARKS.
IBC 407.5 Smoke barriers. IBC 709.8 Ducts and air transfer openings. IBC 717.5.5 Smoke barriers. IMC [BF] 607.5.4 Corridors/smoke barriers.
Action needs to be taken on this topic. Smoke dampers in smoke barriers remains a controversial issue, although not required in federal standards since the early 1990s. great strides have been made between the interested industry groups to focus these requirements on the science, so it is critical the healthcare industry stay at the table to engage on this issue.
K26 8 Space shall be provided on each side of
smoke barriers to adequately
accommodate the total number of
occupants in adjoining compartments.
18.3.7.4, 19.3.7.4
K373 30 Subdivision of Building Spaces – Accumulation Space
Space shall be provided on each side of smoke
barriers to adequately accommodate the total
number of occupants in adjoining compartments
18.3.7.5.1, 18.3.7.5.2, 19.3.7.5.1, 19.3.7.5.2
IBC 407.5.3 Refuge area. IFC 1105.6.1.1 Refuge areas.
Action needs to be taken on this topic. This is an evolving topic in emergency management (not just fire emergencies, but active shooter, biohazard, and other contemporary threats). It is important healthcare stay engaged on this issue.
K27, K28
9 2000 NEW K27 Doors in smoke barriers have at least a 20 minute fi protection rating or are at least 13/4 inch thick solid bonded core wood. Non- rated protective plates that do not exceed 48 inches from the bottom of the door are permitted. Horizontal sliding doors comply with 7.2.1.14. Swinging doors shall be arranged so that each door swings in an opposite direction. Doors shall be self- closing and rabbets, bevels or astragals are required at the meeting edges. Positive latching is not required. 18.3.7.5, 18.3.7.6, 18.3.7.8 K28 Door openings in smoke barriers are installed as swinging or horizontal doors shall provide a minimum clear width as follows: Provider Type Swinging Doors Horizontal Sliding Doors Hospitals and Nursing Facilities 41.5 inches (105 cm) 83 inches (211 cm) Psychiatric Hospitals and Limited Care Facilities 32 inches (81 cm) 64 inches (163 cm) 18.3.7.7
K374 31 Subdivision of Building Spaces – Smoke Barrier
Doors 2012 NEW
Doors in smoke barriers have at least a 20-minute
fire protection rating or are at least 1¾-inch thick
solid bonded core wood. Required clear widths are
provided per 18.3.7.6(4) and (5).
Nonrated protective plates that do not exceed 48
inches from the bottom of the door are permitted.
Horizontal-sliding doors comply with 7.2.1.14.
Swinging doors shall be arranged so that each door
swings in an opposite direction.
Doors shall be self-closing and rabbets, bevels, or
astragals are required at the meeting edges. Positive
latching is not required.
18.3.7.6, 18.3.7.7, 18.3.7.8
G112-15 (AS) IBC 407.6 Automatic closing doors. IBC 709.5 Openings. G112-15 (AS) IBC 709.5.1 Group I-2 and ambulatory care facilities IFC 909.5.3(IMC 513.5.3) Opening protection. IFC 909.5.3.1 (IMC 513.5.3.1) Group I-1 Condition 2, Group I-2 and ambulatory care facilities.
Action needs to be taken on this topic. Door issues become very complicated in the hospital setting, and are key to proper operatins. Although there is alignment on these now, they continually evolve and need maintenance in the future.
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K25 8 2000 EXISTING
Smoke barriers shall be constructed to provide at
least a one half hour fire resistance rating and
constructed in accordance with 8.3. Smoke
barriers shall be permitted to terminate at an
atrium wall. Windows shall be protected by fire-
rated glazing or by wired glass panels and steel
frames. 8.3, 19.3.7.3, 19.3.7.5
K379 31 Smoke Barrier Door Glazing 2012 EXISTING
Openings in smoke barrier doors shall be fire-rated
glazing or wired glass panels in steel frames.
19.3.7.6, 19.3.7.6.2, 8.5
IFC 1105.6.3 Opening protectives. Although aligned, these existing requirements need monitoring in the future.
K25 8 2000 NEW
Smoke barriers shall be constructed to
provide at least a one hour fire resistance
rating and constructed in accordance with
8.3. Smoke barriers shall be permitted to
terminate at an atrium wall. Windows shall be
protected by fire-rated glazing or by wired glass
panels in approved frames. 8.3, 18.3.7.3,
18.3.7.5
K379 31 2012 NEW
Windows in smoke barrier doors shall be installed in
each cross corridor swinging or horizontal-sliding
door protected by fire- rated glazing or by wired
glass panels in approved frames.
18.3.7.9
IBC 716.2.5.3 Glazing in door assemblies in corridors and smoke barriers. IBC 716.2.5.4 Fire door frames with transom lights and sidelights.
Action needs to be taken on this topic. The requirement was IF glass was in the door. Now, windows are required, so action is needed.
K55 17 K55:
2000 EXISTING
Every patient sleeping room shall have an
outside window or outside door. Except for
newborn nurseries and rooms intended for
occupancy for less than 24 hours.
19.3.8
2000 NEW
Every patient sleeping room shall have an outside
window or outside door. The allowable sill height
shall not exceed 36 inches (91 cm) above the floor.
Windows are not required for recovery rooms,
newborn nurseries, emergency rooms, and similar
rooms intended for occupancy for less than 24
hours. Window sill height for limited care facilities
shall not exceed 44 inches (112 cm) above the floor.
18.3.8
K381 31 Sleeping Room Outside Windows and Doors
Every patient sleeping room has an outside
window or outside door. In new occupancies, sill
height does not exceed 36 in. above the floor.
Windows in atrium walls are considered outside
windows. Newborn nurseries and rooms intended
for occupancy less than 24 hours have no outside
window or door requirements. Window sills in
special nursing care areas (e.g., ICU, CCU,
hemodialysis, neonatal) do not exceed 60 inches
above the floor.
42 CFR 403, 418, 460, 482, 483, and 485
Action needs to be taken on this topic. IBC or IFC do not currently address sill height. This is a large impact item, particularly for existing (IFC). Any restriction must not be in IFC Chapter 11 (retroactive).
N/A N/A N/A K400 31 Special Provisions – Other
List in the REMARKS section any LSC Section
18.4 and 19.4 Special Provisions requirements
that are not addressed by the provided K-tags,
but are deficient. This information, along with the
applicable Life Safety Code or NFPA standard
citation, should be included on Form CMS-2567.
N/A N/A N/A K421 32 High-Rise Buildings 2012 EXISTING High-rise buildings are protected throughout by an approved, supervised automatic sprinkler system in accordance with Section 9.7 within 12 years of LSC final rule effective date. 19.4.2
IBC 803.2 Automatic sprinkler systems. IBC 803.2.1 High-rise buildings. IBC 803.2.1.1 Supplemental automatic sprinkler system requirements. IBC 803.2.2 Groups A, B, E, F-1, H, I, M, R-1, R-2, R-4, S-1 and S-2. IBC 803.2.2.1 Mixed uses. F406-(AS) IFC K102.3.2 High rise buildings.
Action needs to be taken on this topic. Although adequately addressed, this item needs to be tracked in terms of implementation based on CMS adoption of the 2012 LSC. It will inform future code changes.
N/A N/A N/A K421 32 High-Rise Buildings 2012 NEW High-rise buildings comply with section 11.8. 18.4.2
IBC SECTION 403 HIGH-RISE BUILDINGS Most hospitals in urban areas are high-rises. All of these requirements must be monitored to ensure the concept of defend-in-place for patients is adequately recognized.
N/A N/A N/A K500 32 Building Services – Other
List in the REMARKS section any LSC Section 18.5
and 19.5 Building Services requirements that are not
addressed by the provided K-tags, but are deficient.
This information, along with the applicable Life
Safety Code or NFPA standard citation, should be
included on Form CMS-2567.
K108, K147
26 K108: 2000 NEW (INDICATE N/A FOR EXISTING) Power for Alarms, emergency communication systems, and illumination of generator set locations are in accordance with essential electrical system of NFPA 99. 18.5.1.2 K147: Electrical wiring and equipment shall be in accordance with National Electrical Code. 9-1.2 (NFPA 99) 18.9.1, 19.9.1
K511 32 Utilities – Gas and Electric
Equipment using gas or related gas piping
complies with NFPA 54, National Fuel Gas Code,
electrical wiring and equipment complies with
NFPA 70, National Electric Code. Existing
installations can continue in service provided no
hazard to life.
18.5.1.1, 19.5.1.1, 9.1.1, 9.1.2
IBC 2701.1 Scope.
IEBC 302.3 Additional codes. IFGC CHAPTER 4 GAS PIPING INSTALLATION
Action needs to be taken on this topic. The k-tag is largely a pointer to the relevant NFPA chapters. Work is needed to align the pointers. Gas: NFPA 54 Electrical: NFPA 70, National Electric Code (OK) Emergency Generators and Standby power: NFPA 110 Stored Electrical: NFPA 111
K67 20 Heating, ventilating, and air conditioning shall
comply with 9.2 and shall be installed in
accordance with the manufacturer’s
specifications.
18.5.2.1, 19.5.2.1, 9.2, NFPA 90A, 18.5.2.2, 19.5.2.2
K521 32 HVAC
Heating, ventilation, and air conditioning shall
comply with 9.2 and shall be installed in
accordance with the manufacturer’s
specifications.
IFC SECTION 603 FUEL-FIRED APPLIANCES IFC 603.1 Installation. IFC 603.1.1 Manufacturer’s instructions. IBC 1203.1 General.
Action needs to be taken on this topic. The k-tag is largely a pointer to the relevant NFPA chapters. Work is needed to align the pointers. HVAC ductwork and related equipment: NFPA 90A or 90B
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18.5.2.1, 19.5.2.1, 9.2 IMC 401.2 Ventilation required. IMC SECTION 407 AMBULATORY CARE FACILITIES AND GROUP I-2 OCCUPANCIES IMC 407.1 General.
Ventillating or Heat-Producing equipment: NFPA 211 chimneys, fireplaces, vents and solid fuel burning appliances NFPA 31 Oil Buring Equipment NFPA 54 Fuel gas Code NFPA 70 – NEC NFPA 96: Commercial Cooking Also, this K-tag is where NFPA 45 is referenced for laboratories using chemicals. Lots of work to be done with the multidisciplinary teams with code changes in the 2018 Cycle. Having the Ad-Hoc for Healthcare Committee is key participation
K68 20 Combustion and ventilation air for boiler,
incinerator and heater rooms is taken from and
discharged to the outside air.
18.5.2.2, 19.5.2.2
K522 32 HVAC – Any Heating Device
Any heating device, other than a central heating
plant, is designed and installed so combustible
materials cannot be ignited by device, and has a
safety features to stop fuel and shut down
equipment if there is excessive temperature or
ignition failure. If fuel fired, the device also:
• is chimney or vent connected
• takes air for combustion from outside
• combustion system separate from occupied area
atmosphere 18.5.2.2, 19.5.2.2
IMC CHAPTER 9 SPECIFIC APPLIANCES, FIREPLACES AND SOLID FUEL-BURNING EQUIPMENT No work needed
N/A N/A N/A K523 33 HVAC – Suspended Unit Heaters
Suspended unit heaters are permitted provided the following are met:
• Not located in means of egress or in patient rooms
• Located high enough to be out of reach of people in the area
• Has a safety feature to stop fuel and shut down
equipment if there is excessive temperature or
ignition failure. 18.5.2.3(1), 19.5.2.3(1)
IMC SECTION 920 UNIT HEATERS IMC 920.1 General. IMC 920.2 Support. IMC 920.3 Ductwork.
No language currently exists specific to the institutional (health care) installation as prescribed under NFPA 101-2012
N/A N/A N/A K524 33 HVAC – Direct-Vent Gas Fireplaces
Direct-vent gas fireplaces, as defined in NFPA 54,
inside of all smoke compartments containing
patient sleeping areas comply with the
requirements of 18.5.2.3(2), 19.5.2.3(2).
18.5.2.3(2), 19.5.2.3(2), NFPA 54
IMC CHAPTER 9 SPECIFIC APPLIANCES, FIREPLACES AND SOLID FUEL-BURNING EQUIPMENT No language currently exists specific to the institutional (health care) installation as prescribed under NFPA 101-2012
N/A N/A N/A K525 33 HVAC – Solid Fuel-Burning Fireplaces
Solid fuel-burning fireplaces are permitted in other than patient sleeping areas provided:
• Areas are separated by 1-hour fire resistance construction
• Fireplace complies with 9.2.2
• Fireplace enclosure resists breakage up to 650°F and has heat-tempered glass
• Room has supervised CO detection per 9.8
18.5.2.3(3) and 19.5.2.3(3)
IMC CHAPTER 9 SPECIFIC APPLIANCES, FIREPLACES AND SOLID FUEL-BURNING EQUIPMENT M12-15 (AS) IMC 901.4 Solid fuel-burning fireplaces and appliances in Group I-2 Condition 2.
No language currently exists specific to the institutional (health care) installation as prescribed under NFPA 101-2012
K160 21 2000 EXISTING
Elevators comply with the provision of 9.4.
Elevators are inspected and tested as specified in
A17.1, Safety Code for Elevators and Escalators.
Fire Fighter’s Service is operated monthly with a
written record.
Existing elevators conform to ASME/ANSI A17.3,
Safety Code for Existing Elevators & Escalators.
All existing elevators, having a travel distance of
25 ft. or more above or below the level that best
serves the needs of emergency personnel for
firefighting purposes, conform with Firefighter’s
Service Requirements of ASME/ANSI A17.3.
9.4.2, 9.4.3, 19.5.3
(Includes firefighters service phase I key recall and
smoke detector automatic recall, firefighters
service phase II emergency in-car key operation,
machine room smoke detectors, and elevator
lobby smoke detectors.)
K531 33 Elevators
2012 EXISTING
Elevators comply with the provision of 9.4. Elevators
are inspected and tested as specified in ASME
A17.1, Safety Code for Elevators and Escalators.
Firefighter’s Service is operated monthly with a
written record.
Existing elevators conform to ASME/ANSI A17.3,
Safety Code for Existing Elevators and Escalators.
All existing elevators, having a travel distance of 25
ft. or more above or below the level that best serves
the needs of emergency personnel for firefighting
purposes, conform with Firefighter’s Service
Requirements of ASME/ANSI A17.3. (Includes
firefighter’s service Phase I key recall and smoke
detector automatic recall, firefighter’s service Phase
II emergency in-car key operation, machine room
smoke detectors, and elevator lobby smoke
detectors.)
19.5.3, 9.4.2, 9.4.3
IBC 3001.3 Referenced standards. G194-15 (AM) IBC TABLE 3001.3 ELEVATORS AND CONVEYING SYSTEMS AND COMPONENTS IEBC 902.1.2 Elevators. IFC SECTION 606ELEVATOR OPERATION, MAINTENANCE AND FIRE SERVICE KEYS IFC 606.1 Emergency operation. IFC 606.2 Standby power. IFC 606.2.1 Manual transfer. IFC 606..2.2 One elevator. IFC 606.2.3 Two or more elevators. IFC 1103.3 Existing elevators. F236-16 (AS) IFC 1103.3.1 Elevators, escalators and moving walks. IFC 1103.3.2 Elevator emergency operation.
All language parallel.
K161 21 and 22
2000 EXISTING
Escalators, dumbwaiters, and moving walks comply with the provisions of 9.4.
All existing escalators, dumbwaiters, and moving walks conform to the requirements of ASME/ANSI A17.3,
K532 34 Escalators, Dumbwaiters, and Moving Walks 2012
EXISTING
Escalators, dumbwaiters, and moving walks comply with the provisions of 9.4.
All existing escalators, dumbwaiters, and
moving walks conform to the requirements of
ASME/ANSI A17.3, Safety Code for Existing
IFC 1103.3 Existing elevators. F236-16 (AS) IFC 1103.3.1 Elevators, escalators and moving walks.
All language parallel.
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Safety Code for Existing Elevators and Escalators. 19.5.3, 9.4.2.2
(Includes escalator emergency stop buttons
and automatic skirt obstruction stop. For power
dumbwaiters includes hoistway door locking to
keep doors closed except for floor where car is
being loaded or unloaded.)
Elevators and Escalators.
(Includes escalator emergency stop buttons and
automatic skirt obstruction stop. For power
dumbwaiters, includes hoistway door locking to
keep doors closed except for floor where car is
being loaded or unloaded.)
19.5.3, 9.4.2.2
K161 21 and 22
2000 NEW
Escalators, dumbwaiters, and moving walks
comply with the provisions of 9.4. All escalators
and conveyors comply with ASME/ANSI A17.1,
Safety Code for Elevators and Escalators. 18.5.3, 9.4.2.1
K532 34 Escalators, Dumbwaiters, and Moving Walks 2012
NEW
Escalators, dumbwaiters, and moving walks comply
with the provisions of 9.4. 18.5.3, 9.4.2.2
IBC SECTION 3004 CONVEYING SYSTEMS IBC 3004.1 General.
K71 20
Rubbish Chutes, Incinerators and Laundry
Chutes. 18.5.4, 19.5.4, 9.5, 8.4, NFPA 82
(1) Any existing linen and trash chute, including
pneumatic rubbish and linen systems, that
opens directly onto any corridor shall be sealed
by fire resistive construction to prevent further
use or shall be provided with a fire door
assembly having a fire protection rating of 1
hour. All new chutes shall comply with 9.5.
(2) Any rubbish chute or linen chute,
including pneumatic rubbish and linen
systems, shall be provided with automatic
extinguishing protection in accordance with
9.7.
(3) Any trash chute shall discharge into a
trash collection room used for no other
purpose and protected in accordance with
8.4
K541 35 Rubbish Chutes, Incinerators, and Laundry Chutes
2012 EXISTING
(1) Any existing linen and trash chute, including
pneumatic rubbish and linen systems, that opens
directly onto any corridor shall be sealed by fire
resistive construction to prevent further use or shall
be provided with a fire door assembly having a fire
protection rating of 1 hour. All new chutes shall
comply with 9.5.
(2) Any rubbish chute or linen chute, including
pneumatic rubbish and linen systems, shall be
provided with automatic extinguishing protection in
accordance with 9.7.
(3) Any trash chute shall discharge into a trash collection room used for no other purpose and protected in accordance with
8.4. (Existing laundry chutes permitted to discharge
into same room are protected by automatic
sprinklers in accordance with 19.3.5.9 or 19.3.5.7.)
(4) Existing fuel-fed incinerators shall be sealed by
fire resistive construction to prevent further use.
19.5.4, 9.5, 8.4, NFPA 82
IEBC 904.1.2 Rubbish and linen chutes. IFC 1103.4.9 Waste and linen chutes. IFC 1103.4.9.1 Enclosure. IFC 1103.4.9.2 Chute intakes. IFC 1103.4.9.2.1 Chute intake direct from corridor. IFC 1103.4.9.2.2 Chute intake via a chute-intake room. IFC 1103.4.9.3 Automatic sprinkler system. IFC 1103.4.9.4 Chute discharge rooms. IFC 1103.4.9.5 Chute discharge protection. IFC 1103.4.10 Flue-fed incinerators.
No language regarding chutes that are not in use and sealing those chutes.
K71 20 Rubbish Chutes, Incinerators and Laundry
Chutes. 18.5.4, 19.5.4, 9.5, 8.4, NFPA 82
(1) Any existing linen and trash chute, including
pneumatic rubbish and linen systems, that
opens directly onto any corridor shall be sealed
by fire resistive construction to prevent further
use or shall be provided with a fire door
assembly having a fire protection rating of 1
hour. All new chutes shall comply with 9.5.
(2) Any rubbish chute or linen chute,
including pneumatic rubbish and linen
systems, shall be provided with automatic
extinguishing protection in accordance with
9.7.
(3) Any trash chute shall discharge into a
trash collection room used for no other
purpose and protected in accordance with
8.4
K541 35 Rubbish Chutes, Incinerators, and Laundry Chutes
2012 NEW
Rubbish chutes, incinerators, and laundry chutes
shall comply with the provisions of Section 9.5,
unless otherwise specified in 18.5.4.2.
• The fire resistance rating of chute charging room shall not be required to exceed 1 hour.
• Any rubbish chute or linen chute shall be provided with automatic extinguishing protection in accordance with Section 9.7.
• Chutes shall discharge into a trash collection
room used for no other purpose and shall be
protected in accordance with 8.7. 18.5.4.2, 8.7,
9.5, 9.7, NFPA 82
IBC 713.13 Waste and linen chutes and incinerator rooms. IBC 713.13.1 Waste and linen. IBC 713.13.2 Materials. IBC 713.13.3 Chute access rooms. IBC 713.13.4 Chute discharge room. IBC 713.13.5 Incinerator room. IBC 713.13.6 Automatic sprinkler system. IFC 903.2.11.2 Rubbish and linen chutes.
N/A N/A N/A K700 36 Operating Features – Other
List in the REMARKS section any LSC Section
18.7 and 19.7 Operating Features requirements
that are not addressed by the provided K-tags, but
are deficient. This information, along with the
applicable Life Safety Code or NFPA standard
citation, should be included in Form CMS-2567.
K48 15 There is a written plan for the protection of all
patients and for their evacuation in the event of
an emergency. 18.7.1.1, 19.7.1.1
K711 36 Evacuation and Relocation Plan
There is a written plan for the protection of all patients and for their evacuation in the event of an emergency.
Employees are periodically instructed and kept
informed with their duties under the plan, and a
copy of the plan is readily available with
telephone operator or with security. The plan
addresses the basic response required of staff
per 18/19.7.2.1.2 and provides for all of the fire
safety plan components per 18/19.2.2.
18.7.1.1 through 18.7.1.3, 18.7.2.1.2, 18.7.2.2,
IBC [F] 1002.2 Fire safety and evacuation plans. IFC 403.8 Group I occupancies. IFC 403.8.1 Group I-1 occupancies. IFC 403.8.1.1 Fire safety and evacuation plan. IFC 403.8.1.1.1 Fire evacuation plan. IFC 403.8.1.1.2 Fire safety plans. IFC 403.8.1.2 Employee training. IFC 403.8.1.3 Resident training. IFC 403.8.1.4 Drill frequency. IFC 403.8.1.5 Drill times. IFC 403.8.1.6 Resident participation in drills. IFC 403.8.1.7 Emergency evacuation drill deferral.
If the IBC continues to maintain chapter 4 (s. 407) should this requirement exist under that section? Understandably the IBC is “building” code and IFC is fire prevention and maintenance…emergency response or evacuation is more operational than building…but,? Definitely need to align the language in 18.7.2.1.1 through 18.7.2.3.2.
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18.7.2.3, 19.7.1.1 through 19.7.1.3, 19.7.2.1.2, 19.7.2.2, 19.7.2.3
IFC 403.8.2 Group I-2 occupancies. IFC 403.8.2.1 Fire evacuation plans. IFC 403.8.2.2 Fire safety plans. IFC 403.8.2.3 Emergency evacuation drills.
K50 15 Fire drills include the transmission of a fire alarm
signal and simulation of emergency fire conditions.
Fire drills are held at unexpected times under
varying conditions, at least quarterly on each shift.
The staff is familiar with procedures and is aware
that drills are part of established routine.
Responsibility for planning and conducting drills is
assigned only to competent persons who are
qualified to exercise leadership. Where drills are
conducted between 9:00 PM and 6:00 AM a coded
announcement may be used instead of audible
alarms.
18.7.1.2, 19.7.1.2
K712 36 Fire Drills
Fire drills include the transmission of a fire alarm
signal and simulation of emergency fire
conditions. Fire drills are held at unexpected
times under varying conditions, at least quarterly
on each shift. The staff is familiar with procedures
and is aware that drills are part of established
routine. Responsibility for planning and
conducting drills is assigned only to competent
persons who are qualified to exercise leadership.
Where drills are conducted between 9:00 PM and
6:00 AM, a coded announcement may be used
instead of audible alarms.
18.7.1.4 through 18.7.1.7, 19.7.1.4 through 19.7.1.7
IFC 403.8.2.3 Emergency evacuation drills. IFC 405.2 Frequency. IFC TABLE 405.2 FIRE AND EVACUATION DRILL FREQUENCY AND PARTICIPATION IFC 405.3 Leadership. IFC 405.4 Time. IFC 406.1 General.
Align language regarding specific hours in lieu of “visiting hours”
K66 19 Smoking regulations shall be adopted and shall include not less than the following provisions: 18.7.4, 19.7.4, 8-
6.4.2 (NFPA 99)
(1) Smoking shall be prohibited in any room, ward,
or compartment where flammable liquids,
combustible gases, or oxygen is used or stored
and in any other hazardous location, and such area
shall be posted with signs that read NO SMOKING
or shall be posted with the international symbol for
no sm ok i ng .
Exception: In facilities where smoking is
prohibited and signs are prominently placed at
all major entrances, secondary signs that
prohibit smoking in use areas are not required.
(Note: This exception is not applicable to
medical gas storage areas.)
8-3.1.11.3 (NFPA 99)
K741 37 Smoking Regulations
Smoking regulations shall be adopted and shall include not less than the following provisions:
(1) Smoking shall be prohibited in any room, ward,
or compartment where flammable liquids,
combustible gases, or oxygen is used or stored
and in any other hazardous location, and such
area shall be posted with signs that read NO
SMOKING or shall be posted with the international
symbol for no smoking.
(2) In health care occupancies where smoking is
prohibited and signs are prominently placed at all
major entrances, secondary signs with language
that prohibits smoking shall not be required.
(3) Smoking by patients classified as not responsible shall be prohibited.
(4) The requirement of 18.7.4(3) shall not apply where the patient is under direct superv ision.
(5) Ashtrays of noncombustible material and safe design shall be provided in all areas where smoking is permi t ted.
(6) Metal containers with self-closing cover
devices into which ashtrays can be emptied shall
be readily available to all areas where smoking is
permitted.
18.7.4, 19.7.4
IFC SECTION 310 SMOKING IFC 310.1 General. IFC 310.2 Prohibited areas. IFC 310.3 “No Smoking” signs. IFC 310.4 Removal of signs prohibited. IFC 310.5 Compliance with “No Smoking” signs. IFC 310.6 Ash trays. IFC 310.7 Burning objects. IFC 310.8 Hazardous environmental conditions.
Additional language required specific to patient care.
K74 22 Draperies, curtains, including cubicle curtains, and
other loosely hanging fabrics and films serving as
furnishings or decorations are flame resistant in
accordance with NFPA 701 except for shower
curtains. Sprinklers in areas where cubical curtains
are installed shall be in accordance with NFPA 13
to avoid obstruction of the sprinkler.
10.3.1, 18.3.5.5, 19.3.5.5, 18.7.5.1,
19.7.5.1, NFPA 13
Newly introduced upholstered furniture shall meet
the char length and heat release criteria specified
when tested in accordance with the methods cited
in 10.3.2 (2) and 10.3.3, 18.7.5.2, 19.7.5.2.
Newly introduced mattresses shall meet the
char length and heat release criteria
specified when tested in accordance with
the method cited in 10.3.2 (3) and 10.3.4.
18.7.5.3,
19.7.5.3
Newly introduced upholstered furniture and mattresses means purchased since March, 2003.
K751 37 Draperies, Curtains, and Loosely Hanging Fabrics
Draperies, curtains including cubicle curtains and
loosely hanging fabric or films shall be in
accordance with 10.3.1. Excluding curtains and
draperies: at showers and baths; on windows in
patient sleeping room located in sprinklered
compartments; and in non-patient sleeping rooms
in sprinklered compartments where individual
drapery or curtain panels do not exceed 48 square
feet or total area does not exceed 20% of the wall.
18.7.5.1, 18.3.5.11, 19.7.5.1, 19.3.5.11, 10.3.1
IFC 807.6 Occupancy-based requirements. IFC 807.6.3 Groups I-1 and I-2. IFC 807.6.3.1 Group I-1 and I-2 Condition 1 within units. IFC 807.6.3.2 In Group I-1 and I-2 Condition 1 for areas other than within units. IFC 807.6.3.3 In Group I-2 Condition 2. IFC 807.6.3.4 Other areas in Groups I-1 and I-2.
Align language based on percentage of cover as well as 48 square foot max…
N/A N/A N/A K752 38 Upholstered Furniture and Mattresses
Newly introduced upholstered furniture meets
Class I or char length, and heat release criteria in
accordance with 10.3.2.1 and 10.3.3, unless the
building is fully sprinklered.
Newly introduced mattresses shall meet char
length and heat release criteria in accordance
with 10.3.2.2 and 10.3.4, unless the building is
fully sprinklered.
F127-16 (AM) IFC 805.2 Group I-2 and Group B ambulatory care facilities. IFC 805.2.1 Upholstered furniture. IFC 805.2.1.1 Ignition by cigarettes. IFC 805.2.1.2 Heat release rate. IFC 805.2.1.3 Identification. IFC 805.2.2 Mattresses. IFC 805.2.2.1 Ignition by cigarettes. IFC 805.2.2.2 Heat release rate. IFC 805.2.2.3 Identification.
Align language specific to newly introduced definition.
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Upholstered furniture and mattresses
belonging to nursing home residents do not
have to meet these requirements as all
nursing homes are required to be fully
sprinklered.
Newly introduced upholstered furniture
and mattresses means purchased on or
after the LSC final rule effective date.
18.7.5.2, 18.7.5.4, 19.7.5.2, 19.7.5.4
IEBC 904.1.3 Upholstered furniture or mattresses.
K73 22 Combustible decorations shall be prohibited
unless they are flame-retardant or in such
limited quantity that hazard of fire
development or spread is not present.
18.7.5.4, 19.7.5.4
K753 38 Combustible Decorations
Combustible decorations shall be prohibited unless one of the following is met:
• Flame retardant or treated with approved fire-retardant coating that is listed and labeled for p r o d u c t .
• Decorations meet NFPA 701
• Decorations exhibit heat release less than 100 kilowatts in accordance with NFPA 289.
• Decorations, such as photographs, paintings and
other art are attached to the walls, ceilings and non-
fire-rated doors in accordance with 18.7.5.6 or
19.7.5.6.
• The decorations in existing occupancies are in
such limited quantities that a hazard of fire is not
present. 18.7.5.6, 19.7.5.6
IFC SECTION 807 DECORATIVE MATERIALS OTHER THAN NATURAL DECORATIVE VEGETATION IN NEW AND EXISTING BUILDINGS IFC 807.1 General. IFC 807.2 Limitations. IFC 807.6.3 Groups I-1 and I-2. IFC 807.6.3.1 Group I-1 and I-2 Condition 1 within units. IFC 807.6.3.2 In Group I-1 and I-2 Condition 1 for areas other than within units. IFC 807.6.3.3 In Group I-2 Condition 2. IFC 807.6.3.4 Other areas in Groups I-1 and I-2.
Align language regarding all percentages… Decorations do not exceed 20 percent of the wall, ceiling, and door areas inside any room or space of a smoke compartment that is not protected throughout by an approved automatic sprinkler system in accordance with Section 9.7.
K75 22, 23
Soiled linen or trash collection receptacles shall
not exceed 32 gal (121 L) in capacity. The
average density of container capacity in a room
or space shall not exceed .5 gal/ft2 (20.4 L/m2). A
capacity of 32 gal (121 L) shall not be exceeded
within any 64-ft2 (5.9-m2) area. Mobile soiled
linen or trash collection receptacles with
capacities greater than 32 gal (121 L) shall be
located in a room protected as a hazardous area
when not attended.
18.7.5.5, 19.7.5.5
K754 39 Soiled Linen and Trash Containers
Soiled linen or trash collection receptacles shall not
exceed 32 gallons in capacity. The average density
of container capacity in a room or space shall not
exceed 0.5 gallons/square feet. A total container
capacity of 32 gallons shall not be exceeded within
any 64 square feet area. Mobile soiled linen or trash
collection receptacles with capacities greater than 32
gallons shall be located in a room protected as a
hazardous area when not attended.
Containers used solely for recycling are permitted to
be excluded from the above requirements where
each container is ≤ 96 gal. unless attended, and
containers for combustibles are labeled and listed as
meeting FM Approval Standard 6921 or equivalent.
18.7.5.7, 19.7.5.7
IFC SECTION 808 FURNISHINGS OTHER THAN UPHOLSTERED FURNITURE AND MATTRESSES OR DECORATIVE MATERIALS IN NEW AND EXISTING BUILDINGS
F137-16 (AM) IFC 808.1 Wastebaskets and linen containers in Group I-1, I-2 and I-3 occupancies and Group B ambulatory care facilities. F138-16 (AM) IFC 808.1 Wastebaskets and linen containers in Group I-1, I-2 and I-3 occupancies. IFC 808.1.1 Capacity density. IFC 808.1.2 Recycling clean waste containers.
IFC only addresses container size but not density of .5 gallons per square foot.
N/A N/A N/A K771 39 Engineer Smoke Control Systems 2012 EXISTING When installed, engineered smoke control systems are tested in accordance with established engineering principles. Test documentation is maintained on the premises. 19.7.7
NFPA 92 referenced standard.
N/A N/A N/A K771 39 Engineer Smoke Control Systems 2012 NEW When installed, engineered smoke control systems are tested in accordance with NFPA 92, Standard for Smoke Control Systems. Test documentation is maintained on the premises. 18.7.7
IFC SECTION 909 SMOKE CONTROL SYSTEMS NFPA 92 referenced standard.
K70 20 Portable space heating devices shall be prohibited
in all health care occupancies. Except it shall be
permitted to be used in non-sleeping staff and
employee areas where the heating elements of
such devices do not exceed 212°F (100°C).
18.7.8, 19.7.8
K781 39 Portable Space Heaters Portable space heating devices shall be prohibited in all health care occupancies. Except, unless used in nonsleeping staff and employee areas where the heating elements do not exceed 212 degrees Fahrenheit (100 degrees Celsius). 18.7.8, 19.7.8
F73-16 (AMPC1) IFC 605.10 604.10 Portable, electric space heaters. IFC 605.10.1 Listed and labeled. IFC 605.10.2 Power supply. IFC 605.10.3 Extension cords. IFC 605.10.4 Prohibited areas. F73-16 (AMPC1) IFC 604.10.5Group I-2 occupancies and ambulatory care facilities.
Proposed IFC amendment aligns the language.
N/A N/A N/A K791 39 Construction, Repair, and Improvement Operations
Construction, repair, and improvement
operations shall comply with 4.6.10. Any means
of egress in any area undergoing construction,
repair, or improvements shall be inspected daily
to ensure its ability to be used instantly in case
of emergency and compliance with NFPA 241.
18.7.9, 19.7.9, 4.6.10, 7.1.10.1
IBC CHAPTER 33 SAFEGUARDS DURING CONSTRUCTION Comprehensive parallel.
N/A N/A N/A K900 40 Health Care Facilities Code - Other
List in the REMARKS section, any NFPA 99
requirements (excluding Chapter 7, 8, 12, and 13)
that are not addressed by the provided K-Tags,
but are deficient. This information, along with the
applicable Health Care Facilities Code or NFPA
standard citation, should be included on Form
CMS-2567.
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K145 25 The Type I EES is divided into the critical branch, life safety
branch and the emergency system and
Type II EES is divided into the emergency
and critical systems in accordance with 3-
4.2.2.2, 3-5.2.2 (NFPA 99)
K901 40 Fundamentals – Building System Categories
Building systems are designed to meet Category 1
through 4 requirements as detailed in NFPA 99.
Categories are determined by a formal and
documented risk assessment procedure performed
by qualified personnel.
Chapter 4 (NFPA 99)
IFC 1105.10 Essential electrical systems. F255-16 (AS) IFC 1105.10.1 Where required. IFC 1105.10.2 Installation and duration. IBC 407.11 Electrical systems. G125-15 (AS) IBC 422.6 Electrical systems. IBC [F] 2702.1.7 Group I-2 occupancies. G125-15 (AS) IBC [F] 2702.2.1 Ambulatory care facilities. IBC [F] 2702.2.7 Group I-2 occupancies.
Risk assessment in accordance with NFPA 99-2012 Risk assessment should follow procedures such as those outlined in ISO/IEC 31010, Risk Management — Risk Assessment Techniques, NFPA 551, Guide for the Evaluation of Fire Risk Assessments, Guide for the Evaluation of Fire Risk Assessments, SEMI S10-0307E, Safety Guideline for Risk Assessment and Risk Evaluation Process, or other formal process. The results of the assessment procedure should be documented and records retained.
K77 24 Piped in medical gas, vacuum and waste anesthetic gas disposal systems comply with NFPA 99, Chapter 4.
K902 40 Gas and Vacuum Piped Systems – Other
List in the REMARKS section, any NFPA 99
Chapter 5 Gas and Vacuum Systems requirements
that are not addressed by the provided K-Tags, but
are deficient. This information, along with the
applicable Life Safety Code or NFPA standard
citation, should be included on Form CMS-2567.
Chapter 5 (NFPA 99)
N/A N/A N/A K903 40 Gas and Vacuum Piped Systems – Categories
Medical gas, medical air, surgical vacuum, WAGD,
and air supply systems in which failure is likely to
cause major injury or death are designated
Category 1. Systems in which failure is likely to cause minor injury to patients are designated
Category 2. Systems in which failure is not likely to cause injury, but can cause discomfort is designated
Category 3. Deep sedation and general anesthesia
are not administered when using a Category 3
medical gas system. 5.1.1.1, 5.2.1, 5.3.1.1, 5.3.1.5
(NFPA 99)
IPC [A] 101.2 Scope. IPC 292 Definitions MEDICAL GAS SYSTEM.
IPC SECTION 1202 MEDICAL GASES IPC [F] 1202.1 Nonflammable medical gases. IEBC 1010.5 Group I-2.
IPC cross reference to NFPA 99.
K140 24 Medical gas warning systems shall be in accordance with NFPA 99, Standard for Health Care Facilities.
(a) Master alarm panels are in two separate locations and have audible and visible signals.
(b) There are high/low alarms for +/- 20% operating pressure.
This section shall be in accordance with NFPA 99, 4-3.1.2.2
(c) Where a level 2 gas system is used, one
alarm panel that complies with 4-3.1.2.2(b)
3a,b,c,d and with 4- 3.1.2.2(c)2,5 shall be
permitted. 4-4.1 (NFPA 99) exception No. 4.
4-3.1.2.2 (NFPA 99)
K904 40 Gas and Vacuum Piped Systems – Warning Systems
All master, area, and local alarm systems used for
medical gas and vacuum systems comply with
appropriate Category warning system requirements,
as applicable.
5.1.9, 5.2.9, 5.3.6.2.2 (NFPA 99)
IFC 5306.5 Medical gas systems. IPC cross reference to NFPA 99.
N/A N/A N/A K905 41 Gas and Vacuum Piped Systems – Central Supply System Identification and Labeling
Containers, cylinders and tanks are designed,
fabricated, tested, and marked in accordance with
5.1.3.1.1 through 5.1.3.1.7. Locations containing
only oxygen or medical air have doors labeled with
"Medical Gases, NO Smoking or Open Flame".
Locations containing other gases have doors labeled
"Positive Pressure Gases, NO Smoking or Open
Flame, Room May Have Insufficient Oxygen, Open
Door and Allow Room to Ventilate before opening.
5.1.3.1, 5.2.3.1, 5.3.10 (NFPA 99)
IFC 1103.10 Medical gases. IFC 5303.4.3 Piping systems.
IFC 1103.10 speaks to storage and transfer, IFC ch 53 does not address labeling but parallels safeguards including room construction and quantities.
K77 24 Piped in medical gas, vacuum and waste anesthetic gas disposal systems comply with NFPA 99, Chapter 4.
K906 41 Gas and Vacuum Piped Systems – Central Supply System Operations
Adaptors or conversion fittings are prohibited.
Cylinders are handled in accordance with 11.6.2.
Only cylinders, reusable shipping containers, and
their accessories are stored in rooms containing
central supply systems or cylinders. No flammable
materials are stored with cylinders. Cryogenic
liquid storage units intended to supply the facility
are not used to transfill.
Cylinders are kept away from sources of heat. Valve
protection caps are secured in place, if supplied,
unless cylinder is in use. Cylinders are not stored in
tightly closed spaces. Cylinders in use and storage
are prevented from exceeding 130°F, and nitrous
oxide and carbon dioxide cylinders are prevented
from reaching temperatures lower than manufacture
recommendations or 20°F. Full or empty cylinders,
when not connected, are stored in locations
complying with 5.1.3.3.2 through 5.1.3.3.3, and are
IFC 5303.1 Containers, cylinders and tanks. IFC 5303.2 Design and construction.
IFC circles back to NFPA 99.
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not stored in enclosures containing motor-driven
machinery, unless for instrument air reserve
headers.
5.1.3.2, 5.1.3.3.17, 5.1.3.3.1.8, 5.1.3.3.4, 5.2.3.2, 5.2.3.3, 5.3.6.20.4, 5.6.20.5, 5.3.6.20.7, 5.3.6.20.8, 5.3.6.20.9 (NFPA 99)
N/A N/A N/A K907 41 Gas and Vacuum Piped Systems – Maintenance Program
Medical gas, vacuum, WAGD, or support gas
systems have documented maintenance programs.
The program includes an inventory of all source
systems, control valves, alarms, manufactured
assemblies, and outlets. Inspection and
maintenance schedules are established through risk
assessment considering manufacturer
recommendations. Inspection procedures and
testing methods are established through risk
assessment. Persons maintaining systems are
qualified as demonstrated by training and
certification or credentialing to the requirements of
AASE 6030 or 6 0 4 0 .
5.1.14.2.1, 5.1.14.2.2, 5.1.15, 5.2.14, 5.3.13.4.2 (NFPA 99)
IFC 5306.5 Medical gas systems.
IFC circles back to NFPA 99.
N/A N/A N/A K908 42 Gas and Vacuum Piped Systems – Inspection and Testing Operations
The gas and vacuum systems are inspected and
tested as part of a maintenance program and
include the required elements. Records of the
inspections and testing are maintained as
required.
5.1.14.2.3, B.5.2, 5.2.13, 5.3.13, 5.3.13.4 (NFPA 99)
IFC 5306.5 Medical gas systems.
IFC circles back to NFPA 99.
K141 24 Medical gas storage areas shall have a
precautionary sign, readable from a distance of 5
ft.,that is conspicuously displayed on each door or
gate of the storage room or enclosure. The sign
shall include the following wording as a minimum:
CAUSION, OXIDIZING GAS(ES) STORED WITHIN, NO SMOKING. 18.3.2.4, 19.3.2.4, 8-3.1.11.3 (NFPA 99)
K909 42 Gas and Vacuum Piped Systems – Information and Warning Signs
Piping is labeled by stencil or adhesive markers
identifying the gas or vacuum system, including the
name of system or chemical symbol, color code
(Table 5.1.11), and operating pressure if other than
standard. Labels are at intervals not more than 20
ft., are in every room, at both sides of wall
penetrations, and on every story traversed by riser.
Piping is not painted. Shutoff valves are identified
with the name or chemical symbol of the gas or
vacuum system, room or area served, and caution
to not use the valve except in emergency.
5.1.14.3, 5.1.11.1, 5.1.11.2, 5.2.11, 5.3.13.3, 5.3.11 (NFPA 99)
IFC Chapter 63 portions are not applicable to the context of this K-tag.
N/A N/A N/A K910 42 Gas and Vacuum Piped Systems – Modifications
Whenever modifications are made that breach
the pipeline, any necessary installer and
verification test specified in 5.1.2 is conducted
on the downstream portion of the medical gas
piping system. Permanent records of all tests
required by system verification tests are
maintained.
5.1.14.4.1, 5.1.14.4.6, 5.2.13, 5.3.13.4.3 (NFPA 99)
IFC 5306.5 Medical gas systems.
I believe the medical gases reference in the IFC to be per NFPA 99 would be applicable here.
N/A N/A N/A K911 42 Electrical Systems – Other
List in the REMARKS section, any NFPA 99
Chapter 6 Electrical Systems requirements that are
not addressed by the provided K-Tags, but are
deficient. This information, along with the applicable
Life Safety Code or NFPA standard citation, should
be included on Form CMS-2567.
Chapter 6 (NFPA 99)
IFC 1105.10 Essential electrical systems. F255-16 (AS) IFC 1105.10.1 Where required. IFC 1105.10.2 Installation and duration. IFC 1203.1.3 Installation. IFC 1203.1.8 Group I-2 occupancies. IFC 1203.2.7 Group I-2 occupancies. F76-16 (AM) IFC 1203.4.1 Group I-2.
IBC 407.11 Electrical systems. IBC [F] 2702.1.7 Group I-2 occupancies. IBC [F] 2702.2.6 2702.2.7 Group I-2 occupancies.
IEBC 1008.1 Special occupancies.
Although these references do apply they only cover the Essential Electrical Systems and a change in occupancy. This is only part of the K-tag requirement since it is referring to the entire electrical system for new and renovated facilities. We may need to do something to properly expand these requirements to include the entire electrical system covered in NFPA 99.
N/A N/A N/A K912 42 Electrical Systems – Receptacles
Power receptacles have at least one, separate,
highly dependable grounding pole capable of
maintaining low-contact resistance with its mating
plug. In pediatric locations, receptacles in patient
rooms, bathrooms, play rooms, and activity rooms,
other than nurseries, are listed tamper-resistant or
IEBC 407.1.4 Group I-2 receptacles. This section of the IEBC doesn’t totally cover the
requirements since it applies to only repairs – this needs to
cover new and renovations as well. We may need to do something to properly expand these requirements to include all receptacles covered by NFPA 99.
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employ a listed cover.
If used in patient care room, ground-fault circuit
interrupters (GFCI) are listed. 6.3.2.2.6.2 (F),
6.3.2.4.2 (NFPA 99)
N/A N/A N/A K913 43 Electrical Systems – Wet Procedure Locations
Operating rooms are considered wet procedure
locations, unless otherwise determined by a risk
assessment conducted by the facility governing
body. Operating rooms defined as wet locations are
protected by either isolated power or ground-fault
circuit interrupters. A written record of the risk
assessment is maintained and available for
inspection.
6.3.2.2.8.4, 6.3.2.2.8.7, 6.4.4.2
IFC 1203.4 Maintenance. F76-16 (AM) IFC 1203.4.1 Group I-2.
These references in the IFC do not cover the context of the K-tag. We will need to look at doing something to address this.
K144 25 Generators inspected weekly and exercised under
load for 30 minutes per month and shall be in
accordance with NFPA 99 and NFPA 110.
3-4.4.1 and 8-4.2 (NFPA 99), Chapter 6 (NFPA 110)
K914 43 Electrical Systems – Maintenance and Testing
Hospital-grade receptacles at patient bed locations
and where deep sedation or general anesthesia is
administered, are tested after initial installation,
replacement or servicing. Additional testing is
performed at intervals defined by documented
performance data. Receptacles not listed as
hospital-grade at these locations are tested at
intervals not exceeding 12 months. Line isolation
monitors (LIM), if installed, are tested at intervals of
≤ 1 month by actuating the LIM test switch per
6.3.2.6.3.6, which activates both visual and audible
alarm. For, LIM circuits with automated self-testing,
this manual test is performed at intervals ≤ 12
months. LIM circuits are tested per 6.3.3.3.2 after
any repair or renovation to the electric distribution
system.
Records are maintained of required tests and
associated repairs or modifications, containing date,
room or area tested, and results.
6.3.4 (NFPA 99)
IFC 1203.4 Maintenance. F76-16 (AM) IFC 1203.4.1 Group I-2. IFC 1203.1.9 Maintenance. IFC 1203.5 Operational inspection and testing. F76-16 (AM) IFC 1203.5.1 Group I-2.
These references in the IFC do not cover the context of the K-tag. We will need to look at doing something to address this
K106, K146
25, 26
K106:
Hospitals and inpatient hospices with life support
equipment have an Type I Essential Electric
System, and nursing homes have a Type II ESS that
are powered by a generator with a transfer switch
and separate power supply in accordance with
NFPA 99. 12-3.3.2, 13-3.3.2.1, 16-3.3.2 (NFPA 99)
K146:
The nursing home/hospice with no life support
equipment shall have an alternate source of
power separate and independent from the normal
source that will be effective for minimum of 1 1/2
hour after loss of the normal source 3-6. (NFPA
99)
K915 43 Electrical Systems – Essential Electric System Categories
Critical care rooms (Category 1) in which electrical
system failure is likely to cause major injury or death
of patients, including all rooms where electric life
support equipment is required, are served by a Type
1 EES.
General care rooms (Category 2) in which electrical
system failure is likely to cause minor injury to
patients (Category 2) are served by a Type 1 or
Type 2 EES.
Basic care rooms (Category 3) in which electrical
system failure is not likely to cause injury to patients
and rooms other than patient care rooms are not
required to be served by an EES. Type 3 EES life
safety branch has an alternate source of power that
will be effective for 1 1/2 hours.
3.3.138, 6.3.2.2.10, 6.6.2.2.2, 6.6.3.1.1 (NFPA 99), TIA 12-3
IFC 1105.10.1 Where required. IFC 1105.10.2 Installation and duration. IFC 1203.4 Maintenance. F76-16 (AM)IFC 1203.4.1 Group I-2.
Need to add the two IFC Sections on essential electrical systems as noted in other column.
N/A N/A N/A K916 44 Electrical Systems – Essential Electric System Alarm Annunciator
A remote annunciator that is storage battery
powered is provided to operate outside of the
generating room in a location readily observed by
operating personnel. The annunciator is hard-wired
to indicate alarm conditions of the emergency power
source. A centralized computer system (e.g.,
building information system) is not to be substituted
for the alarm annunciator.
6.4.1.1.17, 6.4.1.1.17.5 (NFPA 99)
IFC 1206.2.10 Storage batteries and equipment. IFC 1206.2.10.3 Energy management system.
These references in the IFC do not cover the context of the K-tag. We will need to look at doing something to address this
N/A N/A N/A K917 44 Electrical Systems – Essential Electric System Receptacles
Electrical receptacles or cover plates supplied
from the life safety and critical branches have a
distinctive color or marking. 6.4.2.2.6,
6.5.2.2.4.2, 6.6.2.2.3.2 (NFPA 99)
IEBC 407.1.4 Group I-2 receptacles.
Repair requirement This reference in the IEBC does not cover the context of the K-tag. We will need to look at doing something to address this
N/A N/A N/A K918 44 Electrical Systems – Essential Electric System Maintenance and Testing
The generator or other alternate power source and
IFC 1203.4 Maintenance. F76-16 (AM) IFC 1203.4.1 Group I-2.
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associated equipment is capable of supplying
service within 10-seconds. If the 10-second criterion
is not met during the monthly test, a process shall be
provided to annually confirm this capability for the
life safety and critical branches. Maintenance and
testing of the generator and transfer switches are
performed in accordance with NFPA 110.
Generator sets are inspected weekly, exercised
under load 30 minutes 12 times a year in 20-40 day
intervals, and exercised once every 36 months for 4
continuous hours. Scheduled test under load
conditions include a complete simulated cold start
and automatic or manual transfer of all EES loads,
and are conducted by competent personnel.
Maintenance and testing of stored energy power
sources (Type 3 EES) are in accordance with NFPA
111. Main and feeder circuit breakers are inspected
annually, and a program for periodically exercising
the components is established according to
manufacturer requirements.
Written records of maintenance and testing are
maintained and readily available. EES electrical
panels and circuits are marked and readily
identifiable. Minimizing the possibility of damage of
the emergency power source is a design
consideration for new installations.
6.4.4, 6.5.4, 6.6.4 (NFPA 99), NFPA 110, NFPA 111, 700.10 (NFPA 70)
N/A N/A N/A K919 45 Electrical Equipment – Other
List in the REMARKS section, any NFPA 99
Chapter 10, Electrical Equipment, requirements
that are not addressed by the provided K-Tags,
but are deficient. This information, along with
the applicable Life Safety Code or NFPA
standard citation, should be included on Form
CMS-2567.
Chapter 10 (NFPA 99)
We will need to discuss if something to address this type of K-tag (general purpose) is needed.
N/A N/A N/A K920 45 Electrical Equipment – Power Cords and Extension Cords
Power strips in a patient care vicinity are only used
for components of movable patient-care-related
electrical equipment (PCREE) assembles that have
been assembled by qualified personnel and meet
the conditions of 10.2.3.6. Power strips in the patient
care vicinity may not be used for non-PCREE (e.g.,
personal electronics), except in long-term care
resident rooms that do not use PCREE. Power
strips for PCREE meet UL 1363A or UL 60601-1.
Power strips for non-PCREE in the patient care
rooms (outside of vicinity) meet UL 1363. In non-
patient care rooms, power strips meet other UL
standards. All power strips are used with general
precautions. Extension cords are not used as a
substitute for fixed wiring of a structure. Extension
cords used temporarily are removed immediately
upon completion of the purpose for which it was
installed and meets the conditions of 10.2.4.
10.2.3.6 (NFPA 99), 10.2.4 (NFPA 99), 400-8 (NFPA 70), 590.3(D) (NFPA 70), TIA 12-5
F82-16 (AS) 604.5 Extension cords. This references in the IFC does not cover the context of the K-tag. We will need to look at doing something to address this
N/A N/A N/A K921 46 Electrical Equipment – Testing and Maintenance Requirements
The physical integrity, resistance, leakage current,
and touch current tests for fixed and portable
patient-care related electrical equipment (PCREE)
is performed as required in 10.3. Testing intervals
are established with policies and protocols. All
PCREE used in patient care rooms is tested in
accordance with 10.3.5.4 or 10.3.6 before being put
into service and after any repair or modification.
Any system consisting of several electrical
appliances demonstrates compliance with NFPA 99
as a complete system. Service manuals,
instructions, and procedures provided by the
manufacture include information as required by
IFC 604.7 Equipment and fixtures Although close this references in the IFC does not really cover the context of the K-tag. We will need to look at doing something to address this
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10.5.3.1.1 and are considered in the development
of a program for electrical equipment maintenance.
Electrical equipment instructions and maintenance
manuals are readily available, and safety labels
and condensed operating instructions on the
appliance are legible. A record of electrical
equipment tests, repairs, and modifications is
maintained for a period of time to demonstrate
compliance in accordance with the facility's policy.
Personnel responsible for the testing, maintenance
and use of electrical appliances receive continuing
trained.
10.3, 10.5.2.1, 10.5.2.1.2, 10.5.2.5, 10.5.3, 10.5.6, 10.5.8
N/A N/A N/A K922 46 Gas Equipment – Other
List in the REMARKS section, any NFPA 99
Chapter 11 Gas Equipment requirements that are
not addressed by the provided K-Tags, but are
deficient. This information, along with the
applicable Life Safety Code or NFPA standard
citation, should be included on Form CMS-2567.
Chapter 11 (NFPA 99)
IMC [F] 502.9 Hazardous materials—requirements for specific materials. IMC [F] 502.9.1 Compressed gases—medical gas systems. IFC COMBUSTIBLE GAS DETECTOR. IFC COMPRESSED GAS. IFC COMPRESSED GAS CONTAINER. IFC COMPRESSED GAS SYSTEM.
Chapter 11 of NFPA 99 is really about cylinders and their use in healthcare facilities. These references in the IMC & IFC do not cover the context of the K-tag. We will need to discuss if something to address this type of K-tag (general purpose) is needed.
K76 24 K76:
Medical gas storage and administration areas
shall be protected in accordance with NFPA
99, Standard for Health Care Facilities.
(a) Oxygen storage locations of greater than 3,000 cu. ft. are enclosed by a one-hour separation.
(b) Locations for supply
systems of greater than
3,000 cu. ft. are vented to
the outside. 4-3.1.1.2
(NFPA 99), 8-3.1.11.1
(NFPA 99), 18.3.2.4,
19.3.2.4
K923 47 Gas Equipment – Cylinder and Container Storage
≥ 3,000 cubic feet
Storage locations are designed, constructed, and ventilated in accordance with 5.1.3.3.2 and 5.1.3.3.3.
> 300 but <3,000 cubic feet
Storage locations are outdoors in an enclosure or
within an enclosed interior space of non- or limited-
combustible construction, with door (or gates
outdoors) that can be secured. Oxidizing gases are
not stored with flammables, and are separated from
combustibles by 20 feet (5 feet if sprinklered) or
enclosed in a cabinet of noncombustible
construction having a minimum 1/2 hr. fire protection
rating.
≤ 300 cubic feet
In a single smoke compartment, individual cylinders
available for immediate use in patient care areas
with an aggregate volume of ≤ 300 cubic feet are not
required to be stored in an enclosure. Cylinders
must be handled with precautions as specified in
11.6.2
A precautionary sign readable from 5 feet is on each
door or gate of a cylinder storage room, where the
sign includes the wording as a minimum "CAUTION:
OXIDIZING GAS (ES) STORED WITHIN NO
SMOKING".
Storage is planned so cylinders are used in order of
which they are received from the supplier. Empty
cylinders are segregated from full cylinders. When
facility employs cylinders with integral pressure
gauge, a threshold pressure considered empty is
established. Empty cylinders are marked to avoid
confusion. Cylinders stored in the open are
protected from weather. 11.3.1, 11.3.2, 11.3.3,
11.3.4, 11.6.5 (NFPA 99)
IFC 1103.10 Medical gases. IFC 5303.16 Vaults. IFC 5303.16.2 Design and construction. IFC SECTION 5306 MEDICAL GASES F367-16 (AS) IFC 5306.1 General. IFC 5306.2 Interior supply location. IFC 5306.2.1 One-hour exterior rooms. F368-16 (AS) IFC 5306.2.2 One-hour interior room. IFC 5306.2.3 Gas cabinets. IFC 5306.3 Exterior supply locations. IBC (G127-15 AMPC1) SECTION 427 MEDICAL GAS SYSTEMS IBC 427.1 General. IBC 427.2 Interior supply location. IBC 427.2.1 One-hour exterior room. IBC 427.2.2 One-hour interior room. IBC 427.2.3 Gas cabinets.
IFC Sections 5306.2 through 5306.4 and IBC 427.1 through 427.2.3 are very close in context of the K-tag. We will need to look at improving the proper application to the quantities of cubic feet allowed within the standard
N/A N/A N/A K924 47 Gas Equipment – Testing and Maintenance Requirements
Anesthesia apparatus are tested at the final path
to patient after any adjustment, modification or
repair. Before the apparatus is returned to
service, each connection is checked to verify
proper gas and an oxygen analyzer is used to
verify oxygen concentration. Defective equipment
is immediately removed from service. Areas
designated for servicing of oxygen equipment are
clean and free of oil, grease, or other flammables.
Manufacturer service manuals are used to
maintain equipment and a scheduled maintenance
program is followed.
11.4.1.3, 11.5.1.3, 11.6.2.5, 11.6.2.6 (NFPA 99)
IFC 5306.5 Medical gas systems. This references in the IFC does not cover the context of the K-tag since an apparatus is not the same as a system (NFPA 99 Chapter 5 vs Chapter 11). We will need to look at doing something to address this
N/A N/A N/A K925 48 Gas Equipment – Respiratory Therapy Sources of IFGC [M] APPLIANCE. These references in the IFGC do not cover the context of
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Ignition
Smoking materials are removed from patients
receiving respiratory therapy. When a nasal cannula
is delivering oxygen outside of a patient’s room, no
sources of ignition are within in the site of intentional
expulsion (1-foot). When other oxygen deliver
equipment is used or oxygen is delivered inside a
patient’s room, no sources of ignition are within the
area are of administration (15-feet). Solid fuel-
burning appliances is not in the area of
administration. Nonmedical appliances with hot
surfaces or sparking mechanisms are not within
oxygen-delivery equipment or site of intentional
expulsion.
11.5.1.1, TIA 12-6 (NFPA 99)
IFGC 303.3 Prohibited locations. IFC 6303.1.3 Ignition source control. IFC 5003.7.1 Smoking.
the K-tag. We will need to look at doing something to address this
N/A N/A N/A K926 48 Gas Equipment – Qualifications and Training of Personnel
Personnel concerned with the application,
maintenance and handling of medical gases and
cylinders are trained on the risk. Facilities provide
continuing education, including safety guidelines and
usage requirements. Equipment is serviced only by
personnel trained in the maintenance and operation
of equipment.
11.5.2.1 (NFPA 99)
IFC 5303.7.6 Heating. This references in the IFC does not cover the context of the K-tag. We will need to look at doing something to address this
K143 25 Transferring of liquid oxygen from one
container to another shall be accomplished
at a location specifically designated for the
transferring that is as follows:
(a) separated from any portion of a facility wherein
patients are housed, examined, or treated by a
separation of a fire barrier of 1-hour fire-resistive
construction; and
(b) the area that is mechanically ventilated, sprinklered, and has ceramic or concrete flooring; and
(c) in an area that is posted with signs
indicating that transferring is occurring,
and that smoking in the immediate area
is not permitted in accordance with
NFPA 99 and Compressed Gas
Association.
8-6.2.5.2 (NFPA 99)
K927 48 Gas Equipment – Transfilling Cylinders
Transfilling of oxygen from one cylinder to
another is in accordance with CGA P-2.5,
Transfilling of High Pressure Gaseous Oxygen
Used for Respiration. Transfilling of any gas
from one cylinder to another is prohibited in
patient care r o o m s .
Transfilling to liquid oxygen containers or to
portable containers over 50 psi comply with
conditions under 11.5.2.3.1 (NFPA 99).
Transfilling to liquid oxygen containers or to
portable containers under 50 psi comply with
conditions under 11.5.2.3.2 (NFPA 99).
11.5.2.2 (NFPA 99)
IFC 5306.4 Transfilling.
N/A N/A N/A K928 49 Gas Equipment – Labeling Equipment and Cylinders
Equipment listed for use in oxygen-enriched
atmospheres are so labeled. Oxygen metering
equipment and pressure reducing regulators are
labeled "OXYGEN-USE NO OIL". Flowmeters,
pressure reducing regulators, and oxygen-
dispensing apparatus are clearly and permanently
labeled designating the gases for which they are
intended. Oxygen-metering equipment, pressure
reducing regulators, humidifiers, and nebulizers are
labeled with name of manufacturer or supplier.
Cylinders and containers are labeled in accordance
with CGA C-7. Color coding is not utilized as the
primary method of determining cylinder or
container contents. All labeling is durable and
withstands cleaning or disinfecting.
11.5.3.1 (NFPA 99)
IFC 5303.1 Containers, cylinders and tanks. IFC 5303.4 Marking. IFC 5303.4.1 Stationary compressed gas containers, cylinders and tanks. IFC 5303.4.2 Portable containers, cylinders and tanks.
These references in the IFC cover a portion of the context of the K-tag. We will need to look at doing something to address the other requirements such as labeling of equipment and apparatuses and the signage
N/A N/A N/A K929 49 Gas Equipment – Precautions for Handling Oxygen Cylinders and Manifolds
Handling of oxygen cylinders and manifolds is
based on CGA G-4, Oxygen. Oxygen cylinders,
containers, and associated equipment are
protected from contact with oil and grease, from
contamination, protected from damage, and
handled with care in accordance with precautions
provided under 11.6.2.1 through 11.6.2.4 (NFPA
99)
11.6.2 (NFPA 99)
IFC 5303.5 Security. IFC 5303.5.1 Security of areas. IFC 5303.5.2 Physical protection. IFC 5303.5.3 Securing compressed gas containers, cylinders and tanks.
These references in the IFC do address a portion of the context of the K-tag. We will need to look at doing something to address the issues not addressed such as protection from contact with oil or grease, protection from contamination, and proper handling
N/A N/A N/A K930 49 Gas Equipment – Liquid Oxygen Equipment The storage and use of liquid oxygen in base
IFC CHAPTER 63 OXIDIZERS, OXIDIZING GASES AND OXIDIZING CRYOGENIC FLUIDS IFC SECTION 6301 GENERAL
These references in the IFC do not cover the context of the K-tag.
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reservoir containers and portable containers comply with sections 11.7.2 through 11.7.4 (NFPA 99). 11.7 (NFPA 99)
IFC 6301.1 Scope. We will need to look at doing something to address this
K142 25 All occupancies containing hyperbaric facilities
shall comply with NFPA 99, Standard for Health
Care Facilities, Chapter 19.
K931 49 Hyperbaric Facilities
All occupancies containing hyperbaric facilities
comply with construction, equipment, administration,
and maintenance requirements of NFPA 99.
Chapter 14 (NFPA 99)
IFC SECTION 609 HYPERBARIC FACILITIES IFC 609.1 General. IFC 609.2 Records. IBC SECTION 425 HYPERBARIC FACILITIES IBC 425.1 Hyperbaric facilities.
Comparable to CMS 2000 Code K-Tag 142
N/A N/A N/A K932 49 Features of Fire Protection – Other
List in the REMARKS section, any NFPA 99 Chapter
15 Features of Fire Protection requirements that are
not addressed by the provided K-Tags, but are
deficient. This information, along with the applicable
Life Safety Code or NFPA standard citation, should
be included on Form CMS-2567.
Chapter 15 (NFPA 99)
F33-16 (AS) IFC 404.2.3 Lockdown plans. IFC 404.2.3.1 Lockdown plan contents. IFC 404.2.3.2 Drills.
Chapter 15 of NFPA 99 is about fire protection systems within healthcare facilities. These references in the IFC do not cover the context of the K-tag. We will need to discuss if something to address this type of K-tag (general purpose) is needed
N/A N/A N/A K933 50 Features of Fire Protection – Fire Loss Prevention in Operating Rooms
Periodic evaluations are made of hazards that could
be encountered during surgical procedures, and fire
prevention procedures are established. When
flammable germicides or antiseptics are employed
during surgeries utilizing electrosurgery, cautery or
lasers:
• packaging is non-flammable
• applicators are in unit doses
• Preoperative "time-out" is conducted prior the
initiation of any surgical procedure to verify: o
application site is dry prior to draping and use of
surgical equipment
o pooling of solution has not occurred or has been corrected
o solution-soaked materials have been removed from the OR prior to draping and use of surgical devices
o policies and procedures are established outlining
safety precautions related to the use of flammable
germicide or antiseptic use.
Procedures are established for operating room
emergencies including alarm activation, evacuation,
equipment shutdown, and control operations.
Emergency procedures include the control of
chemical spills, and extinguishment of drapery,
clothing and equipment fires. Training is provided to
new OR personnel (including surgeons), continuing
education is provided, incidents are reviewed
monthly, and procedures are reviewed annually.
15.13 (NFPA 99)
We will need to look at doing something to address this
K130 26 Miscellaneous
List in the REMARKS sections, any items that are
not listed previously, but are deficient. This
information, along with the applicable Life Safety
Code or NFPA standard citation, should be
included on Form CMS-2567.
N/A N/A N/A
Not in matrix for new hospitals - No K-tags No relevant K-tags. IBC [BS] WIND-BORNE DEBRIS REGION. IBC 407.10 Secured yards. provided safe dispersal areas shall be located not less than 50 feet (15 240 mm) from the building they serve. Although this could be applicable to academic medical centers there are no relevant K-tags to associate this with
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(F340-16) AMPC IBC SECTION 428 HIGHER EDUCATION LABORATORIES Accessibility is not addressed in the K-tags so although an issue that needs to be addressed by healthcare facilities there are no relevant K-tags to associate with IBC 1104.4 Multistory buildings and facilities. IBC 1106.3 Hospital outpatient facilities. IBC 1106.4 Rehabilitation facilities and outpatient physical therapy facilities.
IBC 1106.7.2 Medical facilities. IBC 1107.5.2 Group I-2 nursing homes.
IBC 1107.5.2.1 Accessible units. IBC 1107.5.2.2 Type B units. IBC 1107.5.3 Group I-2 hospitals. IBC 1107.5.3.1 Accessible units. IBC 1107.5.3.2 Type B units. IBC 1107.5.4 Group I-2 rehabilitation facilities. IBC E106.4.6 Hospitals.
Although addressed in S&C Letter 17-14-LSC this issue is not specifically addressed in any K-tag and not relevant to the matrix. IBC 1202.3 Unvented attic and unvented enclosed rafter assemblies. This issue is not specifically addressed in any K-tag and not relevant to the matrix. IBC TABLE 1607.1 MINIMUM UNIFORMLY DISTRIBUTED LIVE LOADS, L0, AND MINIMUM CONCENTRATED LIVE LOADSg Section 806.1 & 806.2 are relevant to K753 – Combustible Decorations and could be added there IFC SECTION 806 NATURAL DECORATIVE VEGETATION IN NEW AND EXISTING BUILDINGS IFC 806.1 Natural cut trees.
IFC 806.1.1 Restricted occupancies. (F130-16 AS, F132-16 AM, F133-16 AS) IFC 806.2 Artificial vegetation. F130-16 (AS) IFC 806.3 Obstruction of means of egress. No relevant K-tag. F3-16 (AS) IFC CARBON MONOXIDE ALARM. F3-16 (AS) IFC CARBON MONOXIDE DETECTOR. IFC SECTION 915 CARBON MONOXIDE DETECTION IFC 915.1 General.
IFC 915.1.1 Where required. IFC 915.1.2 Fuel-burning appliances and fuel-burning fireplaces.
(Note: There is also IFC Section 915.1.3 through 915.6.1) No relevant K-tag. IFC 5706.6.2.1 Parking near residential, educational and institutional occupancies and other high-risk areas. IFC 6111.2.1 Near residential, educational and institutional occupancies and other high-risk areas.
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K-tag K923 is somewhat relevant and this reference could be included there although K923 is more for all cylinder storage interior and exterior and is not specific to LP-gas containers – My recommendation is to not include this due to its specificity to LP-gas containers. IFC 6109.12 Location of storage outside of buildings. IFC TABLE 6109.12 SEPARATION FROM EXPOSURES OF LP-GAS CONTAINERS AWAITING USE, RESALE OR EXCHANGE STORED OUTSIDE OF BUILDINGS No relevant K-tag. IPC 403.1 (IBC [P] TABLE 2902.1)- MINIMUM NUMBER OF REQUIRED PLUMBING FIXTURES IPC 405.7 Plumbing in mental health centers. (FYI - Entire existing Section 422 deleted) IPC SECTION 422 HEALTH CARE FIXTURES AND EQUIPMENT No relevant K-tag. (P149-15 AM) IPC 608.3 Devices, appurtenances, appliances and apparatus.
IPC 608.3.1 Special equipment, water supply protection. IPC 608.4 Potable water handling and treatment equipment. No relevant K-tag. IPC SECTION 609 HEALTH CARE PLUMBING (FYI - The entire Section 713 deleted.) IPC SECTION 713 HEALTH CARE PLUMBING IPC 802.1 Where required.
IPC 1003.3.1 Grease interceptors and automatic grease removal devices required. No relevant K-tag. IPSDC 604.1 General. IPSDC TABLE 604.1(2) CONVERSION FACTOR
IPSDC 802.7.2 Other buildings. IPSDC TABLE 802.7.2 ADDITIONAL CAPACITY FOR OTHER BUILDINGS No relevant K-tag. IMC 1103.2 Occupancy classification. No relevant K-tag. IECC C403.8.1.1 Allowable fan motor horsepower (Mandatory). IECC C405.3.2 Interior lighting power allowance. IECC TABLE C405.4.2(1) INTERIOR LIGHTING POWER ALLOWANCES:BUILDING AREA METHOD IECC TABLE C405.4.2(2) INTERIOR LIGHTING POWER ALLOWANCES: SPACE-BY-SPACE METHOD IECC C403.8.1.1 Allowable fan motor horsepower (Mandatory IECC C406.7 Reduced energy use in service water heating.
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No relevant K-tag. IZC CONGREGATE RESIDENCE. IZC GROUP CARE FACILITY. IZC HOSPITAL. No relevant K-tag. (Do we want to look at hospitals in the ICCPC? Below are just a few of the references) ICCPC [BG] A103.1.6.2 I-2. ICCPC [BG] TABLE 303.1 PERFORMANCE GROUP CLASSIFICATIONS FOR BUILDINGS AND FACILITIES
Not included for existing hospitals - No K-tags No relevant K-tag. IEBC 502.7 Carbon monoxide alarms in existing portions of a building. IEBC 503.11 Carbon monoxide alarms. IEBC SECTION 805 CARBON MONOXIDE DETECTION IEBC 805.1 Carbon monoxide alarms. IEBC SECTION 1105 CARBON MONOXIDE ALARMS IN GROUPS I-1, I-2, I-4 AND R IEBC 1105.1 Carbon monoxide alarms in existing portions of a building No relevant K-tag. IFC 1103.9 Carbon monoxide alarms. IFC 1104.25 Egress path markings. No relevant K-tag. IEBC 305.8.6 Accessible dwelling or sleeping units. IEBC 305.8.7 Type A dwelling or sleeping units. IEBC 305.8.8 Type B dwelling or sleeping units. K-tag K111 addresses Building Rehabilitation – These references (IEBC 1301.2 & 1301.6) could be included with this K-tag IEBC 1301.2 Applicability. IEBC 1301.6 Evaluation process.
IEBC 1301.6.2 Building area. IEBC 1301.6.4 Tenant and dwelling unit separations. IEBC 1301.6.7 HVAC systems. IEBC 1301.6.8 Automatic fire detection. IEBC 1301.6.16 Mixed occupancies. IEBC 1301.6.17 Automatic sprinklers. IEBC 1301.6.20 Smoke compartmentation.
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IEBC TABLE 1301.6.20 SMOKE COMPARTMENTATION VALUES
IEBC 1301.6.20.1 Categories. IEBC 1301.6.21 Patient ability, concentration, smoke compartment location and ratio to attendant. IEBC 1301.6.21.1 Patient ability for self-preservation. IEBC TABLE 1301.6.21.1 PATIENT ABILITY VALUES
IEBC 1301.6.21.1.1 Categories. IEBC 1301.6.21.2 Patient concentration. IEBC TABLE 1301.6.21.2 PATIENT CONCENTRATION VALUES
IEBC 1.3 1301.6.21.3 Attendant-to-patient ratio. IEBC TABLE 1301.6.21.3 ATTENDANT-TO-PATIENT RATIO VALUES
IEBC 1301.6.21.3.1 Categories.
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