Download - State Fire Marshal WHCA Conference
State Fire Marshal
WHCA Conference
February, 2019
Objectives• Review top 10 violations
• New code changes
• Emergency Plans
Top 10 Violations for 2018K-Tag Description
K918 Electrical System-Essential Electrical
K920 Power Cords and Extension Cords
K353 Sprinkler System Maintenance and Testing
K914 Electrical Systems-Maintenance and Testing
K363 Corridor Doors
K921 Electrical Equipment-Testing and Maintenance
K521 HVAC
K511 Utilities-Gas and Electric
K923 Gas Equipment-Cylinder Storage
K211 Means of Egress-General
Essential Electrical
• Generator must be inspected yearly and there must be no deficiencies.
• There must be weekly inspections and monthly load tests.
• Depending on your facility there are varying fuel requirements.
• Generators are required to be serviced annually. • Generators are required to be inspected by you
weekly and ran at full load for 30 minutes once a month.
• Emergency generator requirements:• Be tested monthly for 30 minutes under load• Have records maintained and available for review• Be engine driven• Automatically start within ten seconds of losing
power• Have an annual certification test to be conducted
with records kept
Generators
• Additional diesel generator requirements:
• Generators shall be tested monthly for 30 minutes under a load at not less than 30 percent of the EPS nameplate kW rating or loading that maintains the minimum exhaust gas temperatures as recommended by the manufacturer
Diesel Generators
• If the diesel generator cannot be tested monthly to meet the required KW rating or exhaust temperature conditions; the generator shall:
• Be exercised annually with supplemental loads at not less than 50 percent of the EPS nameplate kW rating for 30 continuous minutes and at not less than 75 percent of the EPS nameplate kW rating for 1 continuous hour for a total test duration of not less than 1.5 continuous hours.
Diesel Generators
• Generator Maintenance:
• A detailed log of generator operations shall be maintained on the premises.
• The system is required to run UNDER LOAD for a minimum of 30 minutes per month (Including Natural Gas Generators).
• A simple exercise run that DOES NOT activate the transfer switch does NOT meet the code requirement.
• Records will provide adequate detail to differentiate when the system was run under load.
Generators cont:
Power Cords/Extension Cords
• All extension cords are for temporary use. • All power-strips for medical equipment must be
1363A.• All power-strips within 6 feet of a patient bed
must be 1363A.• Never plug appliances into a power-strip unless
the user manual allows this.
Power Cords/Extension Cords
• All extension cords are for temporary use. • All power-strips for medical equipment must be
1363A.• All power-strips within 6 feet of a patient bed
must be 1363A.• Never plug appliances into a power-strip unless
the user manual allows this.
Sprinkler Maintenance• What is required:
• All sprinkler heads are sample tested or replaced as required
• All deficiencies are corrected on sprinkler reports
• Quarterly sprinkler inspections are completed
• All sprinkler heads are clean and escutcheon rings are in place
• There is no high piled storage
Blocked sprinkler heads
15
Electrical Receptacle Testing• New requirement for all Nursing Homes• Different requirement for hospital and non-hospital grade
receptacles.
Corridor Doors
• Doors to resident rooms must close and latch.
• Other requirements depend on the room the door is protecting and the area it is in.
Electrical Patient-Centered Equipment• New requirement for all Nursing Homes• Requires a policy, testing, and continuing education
Fire Smoke Dampers• Fire and smoke dampers must be checked every four years. Six
if it is a hospital.
Fire Door Inspections• Fire and smoke dampers must be checked every four years. Six
if it is a hospital.
Code Update• Quarterly sprinkler inspections
• Fire/smoke dampers
• NICET II
• Fire Wall Annual Inspections-July 1, 2019
Oxygen Cylinder Storage
• Oxygen cylinders must be segregated full versus empty.
• All cylinders must be secured.
Emergency Preparedness
• There are new CMS requirements as of this month:– All facility types must now prepare for infectious diseases
(Ebola, Zika ect)
– There is also clarifying information on what temperatures are required for each facility to maintain.
– There is clarifying information on what happens if two emergencies occur within the facility with one year.
– There is clarifying information on generator requirements.
Emergency Preparedness
• There are numerous helpful websites and documents, please start at the CMS.gov website.
Emergency Preparedness
• This covers all provider types.
• Based on risks associated with your facility. The risks in Washington State are different than those in Florida.
Emergency Preparedness
• There are numerous helpful websites and documents, please start at the CMS.gov website.
Emergency Preparedness
Emergency PreparednessRisk assessment must be based off of an all hazards approach.
This means both natural, man-made, and internal emergencies.
Risk Assessment and Planning
Emergency Preparedness• Policies must include all items for your
provider type.
Policies and Procedures
Emergency Preparedness
• Communication Plan
– Must include names and contact info other facilities, hospitals, state and local officials.
Communication Plan
Emergency Preparedness
• Training and Testing– All staff members must be trained.
– Two drills are required yearly unless an actual emergency takes place.
Training and Testing
Emergency Planning• Make sure that people know how to respond in different scenarios.
Emergency Planning• A great way to be prepared for any emergency is to know what hazards are in your area.
– An assisted living in Seattle would have to prepare for a different set of natural disasters and potential man-made disasters than an assisted living in Walla Walla.
– Each county is required to have a HV assessment completed to sent to the state. You can look at this and you may find out hazards that you were unaware of.
– Be aware of what kind of aid will be available to your facility. If the incident is facility based or local, you can more likely count of outside assistance.
– However, if the incident is regional (The entire west coast) the possibilities of immediate help greatly wanes.
Emergency PlanningNatural disasters are just a few of the many disasters that you should prepare for. Others include, but are not limited to:
• Health emergencies: Measles, Zika, Influenza, Ebola.
• Internal emergencies: suspicious packages, refrigerator breaks, computer system held for ransom.
• Local emergencies: lockdown nearby, active shooter in facility.
• Communication emergencies: 911 is down, phone service is down, cell phone service is down.
Emergency PlanningVolunteer management-how are you going to maintain control over the volunteers that may come and the supplies that they may bring.
Emergency PlanningCommunications
Communications is essential for any good working relationship. It is essential in a disaster
Emergency Planning
Case Studies• A 2005 case study of evacuating or sheltering in place in the event of a hurricane.
ICS• ICS is a system that the federal, state, and local governments use to manage incidents.
• It is important that people understand the different roles that are played and what the different responsibilities are.
ICS
Helpful Website• ASPR TRACIE
Name Counties
Bloor, Kimberly QA, Western Washington
DeGraff, Doug Adams, Asotin, Benton, Columbia, Franklin, Garfield, Grant, Walla Walla, Whitman
Dellsite, Kenneth Clallam, Jefferson, Kitsap, Mason, Grays Harbor, Thurston and Pacific
Magee, Brendan King North , Snohomish South, Edmonds
Maier, Barbara Chelan, Douglas, Okanogan, Kittitas, Klickitat and Yakima
Montgomery, Dylan Northern Pierce, Southern King Fife, Enumclaw, Auburn and Federal Way
Ridley, David Island, San Juan, Skagit, Whatcom and Snohomish
Rogers, David Ferry, Lincoln, Pend Oreille, Spokane and Stevens
West, Donald Pierce
Wolden, Nicholas Clark, Cowlitz, Lewis, Skamania and Wahkiakum
Questions?