Submitter Information Verification - NFPA · ANSI C84.1, Electric Power Systems and Equipment — Voltage Ratings (60 Hertz), 19952011. ANSI Z136.3, Safe Use of Optical Fiber Communication

11/14/12 TerraView™

1/221submittals.nfpa.org/TerraViewWeb/ViewerPage.jsp

First Revision No. 90-NFPA 99-2012 [ Section No. 1.1.11 ]

1.1.11 Security Management.

Chapter 13 covers the performance, maintenance, and testing of security equipment and systems establishes criteria forsecurity management, including management controls, mitigation practices, staff training, and program evaluation inhealth care facilities.

Submitter Information Verification

Submitter Full Name: [ Not Specified ]

Organization: [ Not Specified ]

Submittal Date: Thu Aug 16 21:18:32 PDT 2012

Committee Statement and Meeting Notes

Committee Statement: This has been revised to reflect the contents of Chapter 13.

Response Message: FR-90-NFPA 99-2012

First Revision No. 308-NFPA 99-2012 [ Section No. 1.3.1 [Excluding any Sub-Sections] ]

This code shall apply to all health care facilities other than home care and veterinary care .




Submittal Date: Mon Aug 27 08:42:21 PDT 2012


Committee Statement: This will eliminate the confusion by clearly stating that NFPA 99 does not apply to veterinary care.


Committee Notes:

Date Submitted By

Sep 24, 2012 Comp It looks like a space between the last word and the period.

Public Input No. 179-NFPA 99-2012 [Section No. 1.3.1 [Excluding any Sub-Sections]]

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1.3.4 Patient Care RoomsSpaces .

1.3.4.1

The governing body of the facility or its designee shall establish the following areas in accordance with the type of patientcare anticipated and with the following definitions of the classification (see definition of patient care room spaces inChapter 3):

(1) Critical care rooms

(2) General care rooms

(3) Basic care rooms

Support rooms

(4) Category 1 spaces




1.3.4.2 Anesthesia.

It shall be the responsibility of the governing body of the health care organization to designate anesthetizing locations.

1.3.4.3 Wet Procedure Locations.

It shall be the responsibility of the governing body of the health care organization to designate wet procedure locations.






CommitteeStatement:

Use of the term “room(s)” is normally defined as four walls and a door. This term is too restrictive for designers and willcause confusion for users of the Code. The term “room(s)” may restrict Code requirements or enforcement for perimeterareas that may need be including for patient safety. For example, one room may have many patient care spaces effectingthe installing of branch circuits and receptacles required elsewhere in the code.

ResponseMessage:

FR-310-NFPA 99-2012

Public Input No. 350-NFPA 99-2012 [Section No. 1.3.4]



First Revision No. 317-NFPA 99-2012 [ Section No. 2.1 ]

2.1 *

GeneralGeneral .

The documents

or portions thereof listedreferenced in this chapter , or portions of such documents, are referenced within this code

and, shall be considered part of the requirements of this

document.code, and the following shall also apply:

(1) Documents referenced in this chapter, or portion of such documents, shall only be applicable to the extent called forwithin other chapters of this code.

(2) Where the requirements of a referenced code or standard differ from the requirements of this code, the requirements ofthis code shall govern.

(3) Existing buildings or installations that do not comply with the provisions of the codes or standards referenced in thischapter shall be permitted to be continued in service, provided that the lack of conformity with these documents does notpresent a serious hazard to the occupants as determined by the authority having jurisdiction. [ 101: 2.1]






CommitteeStatement:

This section has been revised to match with the language used in the introduction to Chapter 2 that NFPA 101uses.



2.2 NFPA Publications.



National Fire Protection Association, 1 Batterymarch Park, Quincy, MA 02169-7471.

NFPA 10, Standard for Portable Fire Extinguishers, 2010 edition.

NFPA 13, Standard for the Installation of Sprink ler Systems, 2010 edition.

NFPA 14, Standard for the Installation of Standpipe and Hose Systems, 2010 edition.

NFPA 20, Standard for the Installation of Stationary Pumps for Fire Protection, 2010 edition.

NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems, 2011 edition.

NFPA 30, Flammable and Combustible Liquids Code, 2012 edition.

NFPA 31, Standard for the Installation of Oil-Burning Equipment, 2011 edition.

NFPA 37, Standard for the Installation and Use of Stationary Combustion Engines and Gas Turbines, 2010 edition.

NFPA 45, Standard on Fire Protection for Laboratories Using Chemicals, 2011 edition.

NFPA 54, National Fuel Gas Code, 2012 edition.

NFPA 55, Compressed Gases and Cryogenic Fluids Code, 2010 edition.

NFPA 58, Liquefied Petroleum Gas Code, 2011 edition.

NFPA 70® , National Electrical Code®, 2011 edition.

NFPA 72® , National Fire Alarm and Signaling Code, 2010 edition.

NFPA 82, Standard on Incinerators and Waste and Linen Handling Systems and Equipment, 2009 edition.

NFPA 90A, Standard for the Installation of Air-Conditioning and Ventilating Systems, 2012 edition.

NFPA 91, Standard for Exhaust Systems for Air Conveying of Vapors, Gases, Mists, and Noncombustible ParticulateSolids, 2010 edition.

NFPA 92, Standard for Smoke Control Systems, 2012 edition.

NFPA 99, Health Care Facilities Code, 2012 edition.

NFPA

99B, Standard for Hypobaric Facilities, 2010 edition.

NFPA 101

®

, Life Safety Code

®

, 2012 edition.

NFPA

101A, Guide on Alternative Approaches to Life Safety, 2010 edition. NFPA

110, Standard for Emergency and Standby Power Systems, 2010 edition.

NFPA 111, Standard on Stored Electrical Energy Emergency and Standby Power Systems, 2010 edition.

NFPA 211, Standard for Chimneys, Fireplaces, Vents, and Solid Fuel–Burning Appliances, 2010 edition.

NFPA 259, Standard Test Method for Potential Heat of Building Materials, 2008 edition.

NFPA 286, Standard Methods of Fire Tests for Evaluating Contribution of Wall and Ceiling Interior Finish to Room FireGrowth, 2011 edition.

NFPA 704, Standard System for the Identification of the Hazards of Materials for Emergency Response, 2012 edition.

NFPA 750, Standard on Water Mist Fire Protection Systems

NFPA 1600 ® , Standard on Disaster/Emergency Management and Business Continuity Programs, 2010 edition.

NFPA 5000 ® , Building Construction and Safety Code ® , 2012 edition.






CommitteeStatement:

The use of water mist has been allowed by Chapter 14 for limited applications. The reference to NFPA 99 has beenremoved because there is no reason to reference itself. NFPA 101A was removed as it is not referenced.



ResponseMessage:

FR-311-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 27, 2012 Hart Only 750 was added.

99 and 101a deleted.

Public Input No. 360-NFPA 99-2012 [Section No. 2.2]


2.3.1 ANSI Publications.

American National Standards Institute, Inc., 22 West 43rd Street, 4th Floor, New York, NY 10036.

ANSI C84.1, Electric Power Systems and Equipment — Voltage Ratings (60 Hertz) , 1995 2011 .

ANSI Z136.3, Safe Use of Optical Fiber Communication Systems Utilizing Laser Diode and LED Sources, 2011.

ANSI/NEMA WD 6, Wiring Devices — Dimensional Requirements, 2002 2008 .

ANSI/UL 723, Standard for Test for Surface Burning Characteristics of Building Materials, 2010.

ANSI/AAMI ES 60601–1, Medical Electrical Equipment, 2005 2012 .




Submittal Date: Wed Aug 29 11:23:43 EDT 2012


Committee Statement: These referenced publications have been revised to reflect the most recent editions.





2.3.2 AHSRAE 2 ASHRAE Publications.

American Society of Heating, Refrigerating and Air Conditioning Engineers, Inc., ASHRAE, 1791 Tullie Circle, NE,Atlanta, GA 30329-2305

ASHRAE 170, Ventilation of Health Care Facilities, 2008.

ASHRAE 90.1, Energy Standard for Buildings Except Low-Rise Residential Buildings, 2010.

ASHRAE Guideline 0, The Commissioning Process, 2005.

ASHRAE Guideline 1.1, HVAC&R Technical Requirements for The Commissioning Process, 2007.






CommitteeStatement:

Fixed misspelling. ASHRAE is the official name of this organization. See the linked press release.http://www.ashrae.org/news/2012/return-to-chicago-sees-high-attendance-rebranding-for-ashrae

ResponseMessage:

FR-312-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 29, 2012 Hart The Section title was not change. No reason for legislative text.





2.3.3 ASME Publications.

American Society of Mechanical Engineers, Three Park Avenue, New York, NY 10016-5990.

ASME A.17.1, Safety Code for Elevators and Escalators, 2010.

ASME A.17.3, Safety Code for Existing Elevators and Escalators, 2008 2011 .

ASME B1.20.1, Pipe Threads, General Purpose, Inch, 2001 2006 .

ASME B16.22, Wrought Copper and Copper Alloy Solder-Joint Pressure Fittings, 2001 2010 .

ASME B16.26, Cast Copper Alloy Fittings for Flared Copper Tubes, 2006 2011 .

ANSI/ASME B16.50, Wrought Copper and Copper Alloy Braze-Joint Pressure Fittings, 2001 2008 .

ASME B31.3, Pressure Process Piping, 2002 2010 .

ASME B40.100, Pressure Gauges and Gauge Attachments, 1998 2011 .

ASME Boiler and Pressure Vessel Code, Sections VIII and IX, 2001 2010 .

ANSI/ASME PVHO-1, Safety Standard for Pressure Vessels for Human Occupancy, 2012 . , 1990









2.3.4 ASSE Publications.

American Society of Sanitary Engineering, 901 Canterbury Road, Suite A, Westlake, OH 44145-1480.

ASSE 6010, Professional Qualification Standard for Medical Gas Systems Installers, 2001 2012 .

ASSE 6030, Professional Qualification Standard for Medical Gas Systems Verifiers, 2001 2012 .

ASSE 6040, Professional Qualification Standard for Medical Gas Maintenance Personnel, 2001 2012 .











2.3.5 ASTM Publications.

ASTM International, 100 Barr Harbor Drive, P.O. Box C700, West Conshohocken, PA 19428-2959.

ASTM B 32, Standard Specification for Solder Metal, 1996 2008 .

ASTM B 88, Standard Specification for Seamless Copper Water Tube, 2002 2009 .

ASTM B 280, Standard Specification for Seamless Copper Tubing for Air Conditioning and Refrigeration Field Service,2002 2008 .

ASTM B 819, Standard Specification for Seamless Copper Tube for Medical Gas Systems, 2000 (2011) .

ASTM B 828, Standard Practice for Mak ing Capillary Joints by Soldering of Copper and Copper Alloy Tube and Fittings,2002 (2010) .

ASTM D 5, Standard Test Method for Penetration of Bituminous Materials, 1997 2006 e1 .

ASTM D 1785, Standard Specification for Poly (Vinyl Chloride) (PVC) Plastic Pipe, Schedules 40, 80, and 120,2006 2012 .

ASTM D 2466, Standard Specification for Poly (Vinyl Chloride) (PVC) Plastic Pipe Fittings, Schedule 40, 2006.

ASTM D 2467, Standard Specification for Poly (Vinyl Chloride) (PVC) Plastic Pipe Fittings, Schedule 80, 2006.

ASTM D 2672, Standard Specification for Joints for IPS PVC Pipe Using Solvent Cement, 2010 1996a (2009) .

ASTM D 2846/D 2846M , Standard Specification for Chlorinated Poly (Vinyl Chloride) (CPVC) Plastic Hot- and Cold-WaterDistribution Systems, 2009b e1 .

ASTM D 2863, Standard Test Method for Measuring the Minimum Oxygen Concentration to Support Candle-LikeCombustion of Plastics (Oxygen Index) (ANSI D2863) , 1997 2012 .

ASTM E 84, Standard Test Method for Surface Burning Characteristics of Building Materials, 2010 2012 .

ASTM E 136, Standard Test Method for Behavior of Materials in a Vertical Tube Furnace at 750°C, 1998 2011 .

ASTM F 438, Standard Specification for Socket-Type Chlorinated Poly (Vinyl Chlorinated) (CPVC) Plastic Pipe Fittings,Schedule 40, 2009.

ASTM F 439, Standard Specification for Chlorinated Poly (Vinyl Chlorinated) (CPVC) Plastic Pipe Fittings, Schedule80,

2009

2011 .

ASTM F 441 /F 441M , Standard Specification for Chlorinated Poly (Vinyl Chloride) (CPVC) Plastic Pipe, Schedules 40and 80, 2009.

ASTM F 493, Solvent Cements for CPVC Pipe and Fittings, 2004 2010 .

ASTM E 2652, Standard Test Method forBehavior of Materials in a Tube Furnace with a Cone-shaped AirflowStabilizer, at 750°C, (2009a)






Committee Statement: ASTM standards update. E2652 was added as it is now referenced in Chapter 4 through the action on FR 313.


Committee Notes:

Date Submitted By

Aug 27, 2012 Hart The first 3 of the bottom 4 are not new material.






2.3.6 AWS Publications.

American Welding Society, 550 NW LeJeune Road, Miami, FL 33126.

ANSI/AWS A5.8, Specification for Filler Metals for Brazing and Braze Welding, 1992 2011 .

AWS B2.2, Standard for Brazing Procedure and Performance Qualification, 1991 2010 .









2.3.7 BICSI Publications.

BICSI, 8610 Hidden River Parkway, Tampa, FL 33637-1000.

Telecommunications Distribution Methods Manual,11th 12th edition, 2006 2009 .

The BICSI Information Transport Systems (ITS) Dictionary, 3rd edition.











2.3.9 CGA Publications.

Compressed Gas Association, 4221 Walney Road, 5th Floor 14501 George Carter Way, Suite 103 , Chantilly, VA 20151-2923.

CGA C-

4, Method of Mark ing Portable Compressed Gas Containers to Identify the Material Contained , 1954.

CGA C- 7, Guide to the Preparation of Precautionary Labeling and Mark ing of Compressed Gas Containers, 2004 2011 .

CGA G-4, Oxygen, 2008.

CGA G-4.1, Cleaning Equipment for Oxygen Service, 2009.

CGA G-6.1, Standard for Insulated Carbon Dioxide Systems at Consumer Sites, 2005.

CGA G-6.5, Standard for Small, Stationary, Insulated Carbon Dioxide Supply Systems, 2007.

CGA G-8.1, Standard for Nitrous Oxide Systems at Consumer Sites, 2007.

CGA M-1, Guide for Medical Gas Installations at Consumer Sites, 2007.

CGA O2-DIR, Directory of Cleaning Agents for Oxygen Service, Edition 4.

CGA P-2.5, Transfilling of High Pressure Gaseous Oxygen to be Used for Respiration, 2007 2011 .

CGA P-2.6, Transfilling of Liquid Oxygen to be Used for Respiration, 2008 2011 .

CGA P-2.7, Guide for the Safe Storage, Handling, and Use of Portable Liquid Oxygen Systems in Healthcare Facilities,2008 2011 .

CGA P-18, Standard for Bulk Inert Gas Systems at Consumer Sites, 2006.

CGA V-1, Compressed Gas Association Standard for Compressed Gas Cylinder Valve Outlet and Inlet Connections(ANSI B57.1), 2005.

CGA V-5, Diameter-Index Safety System (Noninterchangeable Low Pressure Connections for Medical Gas Applications),2008.

CGA V-6, Standard Cryogenic Liquid Transfer Connection, 2008.






CommitteeStatement:

CGA C-4, Method of Marking Portable Compressed Gas Containers to Identify the Material Contained, 1954. (Supersededby C-7, American National Standard Method of Marking Portable Compressed Gas Containers to Identify the MaterialContained). Update address and documents to the latest edition throughout the NFPA 99 Code. The address change andsome of the latest edition updates are listed above.

ResponseMessage:

FR-315-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 29, 2012 Hart The legislative text was done strangely on this one. The first "CGA-C" should be struck not the second.





2.3.11 IEC Publications.

International Electrotechnical Commission, 3, rue de Varembé, P.O. Box 131, CH-1211 Geneva 20, Switzerland.

IEC 60601-1-2, Medical Electrical Equipment — Part 1–2: General Requirements for Safety — Collateral Standard:Electromagnetic Compatibility — Requirements and Tests, 2004 2007 .









2.3.12 ISA Publications.

Instrumentation, Systems, and Automation Society (ISA), 67 Alexander Drive, Research Triangle Park, NC 27709.

ANSI/ISA S-7.0.01, Quality Standard for Instrument Air, 1996.

ANSI/ISA RP 12.6, Installation of Intrinsically Safe Systems in Hazardous Locations , 1995 06.01, RecommendedPractice for Wiring Methods for Hazardous (Classified) Locations Instrumentation Part 1: Intrinsic Safety, 2003 .









submittals.nfpa.org/TerraViewWeb/ViewerPage.jsp


2.3.15 TIA Publications.

Telecommunications Industry Association, 2500 Wilson Boulevard, Suite 300, Arlington, VA 22201.

TIA/EIA 568-B, Commercial Building Telecommunications Cabling Standard, 2003 2012 .

TIA/EIA 606-A, Administration Standard for Commercial Telecommunications Infrastructure, 2002 2009 .









2.3.16 UL Publications.

Underwriters Laboratories Inc., 333 Pfingsten Road, Northbrook, IL 60062–2096.

UL 263, Standard for Fire Test of Building Construction and Materials, 2003 2011 .

UL 723, Standard for Test for Surface Burning Characteristics of Building Materials, 2008, Revised 2010 .

UL 1685, Standard for Vertical-Tray Fire-Propagation and Smoke-Release Test for Electrical and Optical-Fiber Cables,2007, Revised 2010 .






Committee Statement: Update referenced standard to most recent edition as indicated.



11/14/12



3.3.1 ACFM.

Actual cubic feet per minute. (PIP)




Submittal Date: Wed Aug 22 09:00:57 PDT 2012


Committee Statement: This definition has been removed as the term is not used within the body of the document.



3.3.6 Ambulatory Health Care Center Occupancy .

A building or portion thereof An occupancy used to provide services or treatment simultaneously to four or more patientsthat (1) provides, on an outpatient basis, one or more of the following: (1) treatment for patients that renders the patientsincapable of taking action for self - preservation under emergency conditions without the assistance of others; or (2)provides, on an outpatient basis, anesthesia that renders the patients incapable of taking action for self-preservationunder emergency conditions without the assistance of others; (3) emergency or urgent care for patients who, due to thenature of their injury or illness, are incapable of taking action for self-preservation under emergency conditions without theassistance of others . [ 101 , 2012] (FUN)






Committee Statement: Extracting this definition from NFPA 101 will provide consistency between the documents.





3.3.7 Ampacity.

The maximum current, in amperes, that a conductor can carry continuously under the conditions of use withoutexceeding its temperature rating. [ 70 , 2011] (ELS)




Submittal Date: Mon Aug 13 12:38:39 EDT 2012


CommitteeStatement:

Coordinate definition with NFPA 70, National Electrical Code, Article 100. Provides clarity for users by indicating themaximum ampacity a conductor can carry continuously. The current definition implies maximum current used undercontinuous use. Adding maximum will correct omission of the word “maximum”.

ResponseMessage:

FR-1-NFPA 99-2012



3.3.9 * Anesthetizing Location.

Any area of a facility that has been designated to be used for the administration of general anesthesia. (MED)






CommitteeStatement:

New definitions of anesthesia were written for the 2012 edition (3.3..63). References to "anesthetizing locations" were tobe removed. This definition is being deleted in accordance with that intent.

ResponseMessage:

FR-91-NFPA 99-2012





3.3.10 Anoxia.

A state of markedly inadequate oxygenation of the tissues and blood, of more marked degree than hypoxia. (HYP)




Submittal Date: Tue Aug 21 13:10:43 PDT 2012


Committee Statement: This definition was removed as the term is not used within the body of the document.


First Revision No. 228-NFPA 99-2012 [ Section No. 3.3.14.1 ]

3.3.14.1 Ambient Atmosphere.

The pressure and composition of the environment surrounding a chamber. (HYP)








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3.3.16 Bathrooms.

An area including a basin with one or more of the following: a toilet, a urinal, a tub, or a shower. a shower, a bidet, orsimilar plumbing fixtures. [ 70 , 2011] (FUN)






CommitteeStatement:

Coordinate definition with NFPA 70, National Electrical Code, Article 100. Revision will clarify plumbing fixtures andfunctions that qualify a room or area as a bathroom. Including the word "or similar plumbing fixtures" allows the definition toremain open ended for coverage of rooms that would qualify as bathrooms when constructed with fixtures typically used inbathrooms.

ResponseMessage:

FR-320-NFPA 99-2012


First Revision No. 376-NFPA 99-2012 [ New Section after 3.3.20 ]

3.3.X* Building Systems Categories.

The classification of building systems in health care facilities according to potential hazards to patients and caregivers.

3.3.X.1* Category 1.

Building systems in which failure of such equipment or system is likely to cause major injury or death of patients or caregivers.

3.3.X.2* Category 2.

Building systems in which failure of such equipment is likely to cause minor injury to patients or caregivers.

3.3.X.3 Category 3.

Building systems in which failure of such equipment is not likely to cause injury to patients or caregivers, but can cause patientdiscomfort.

3.3.X.4 Category 4.

Building systems in which failure of such equipment would have no impact on patient care


Submitter Full Name:Jonathan Hart

Organization: National Fire Protection Assoc

Submittal Date: Mon Sep 24 09:35:16 EDT 2012


Committee Statement: It is useful to provide definitions for building systems categories in Chapter 3 because they are definitions.


Public Input No. 59-NFPA 99-2012 [New Section after 3.3]




3.3.

21 Bulk System.

An assembly of equipment, such as storage containers, pressure regulators, pressure relief devices, vaporizers,manifolds, and interconnecting piping, that terminates at the source valve of oxygen or 1452 kg (3200 lb) of nitrous oxide,including unconnected reserves on the site. (PIP)

3.3.21.1 Bulk Inert Gas System. 21 Bulk System.

An assembly of equipment for supplying compressed gas consisting of, but not limited to, storage containers, pressureregulators, pressure relief devices, vaporizers, manifolds, and

piping, with a storage capacity of more than 20,000 ft 3 (scf) (566 m 3 ) of inert gas including unconnected reserves on hand atthe site. The bulk systeminterconnecting piping, that terminates at the point where the gas

supply, at service pressure, first enters the

supplymain line. The storage containers are either stationary or movable and include unconnected reserves on hand at the site , andthe source gas is stored as a compressed gas or cryogenic fluid.

(PIP)

3.3.21.1 Bulk Inert Gas System.

A bulk system with a storage capacity of more than 566 m 3 (20,000 ft 3 (scf)) of inert gas.

3.3.21.

2 Bulk2 Bulk Nitrous Oxide System .

An assembly of equipment as described in the definition of bulk oxygen system that has

A bulk system with a storage capacity of more than 1452 kg (3200 lb) [approximately 793 m 3 (28,000 ft 3 )

(at normal temperature and pressure

)] of nitrous oxide.

(PIP)

3.3.21.3 *

BulkBulk Oxygen System .

An assembly of equipment such as oxygen storage containers, pressure regulators, pressure relief devices, vaporizers,manifolds, and interconnecting piping that has

A bulk system with a storage capacity of more than 566 m 3 (20,000 ft 3 )

of oxygen (at normal temperature and pressure

), including unconnected reserves on hand at the site. (PIP)of oxygen.






Committee Statement: Definitions have been revised for simplification.


Public Input No. 50-NFPA 99-2012 [Chapter NFPA]

http://codesonline.nfpa.org/a/c.ref/2012_ID00099000351/sec




3.3.24 Cold Room.

A refrigerated area large enough for personnel to enter.






Committee Statement: This term has been removed as it is not used in the code.



3.3.29.3 Liquid Oxygen Home Care Container.

A container used for liquid oxygen not exceeding 60 L (15.8 gal) specifically designed for use as a medical device asdefined by 21 USC Chapter 9, the United States Food, Drug and Cosmetic Act, that is intended to deliver gaseousoxygen for therapeutic use in a home environment. (MED)




Submittal Date: Fri Aug 17 09:58:27 PDT 2012







3.3.31 Critical Care Area.

A room or space in which failure of equipment or a system is likely to cause major injury or death to patients or caregivers(Category 1). ( See 3.3.138

, Patient Care Room

. )






CommitteeStatement:

This definition has been revised to add a definition similar to what a category 1 space is. This prevents changing acommonly used term throughout the document.

ResponseMessage:

FR-321-NFPA 99-2012

First Revision No. 166-NFPA 99-2012 [ Sections 3.3.43.1, 3.3.43.2, 3.3.43.3 ]

Sections 3.3.43.1, 3.3.43.2, 3.3.43.3

3.3.43.1 Active Electrode.

An electrode intended to generate a surgical or physiological effect at its point of application to the patient. (MED)

3.3.43.2 Bipolar Electrode.

An electrode consisting of adjacent contacts (e.g., the two legs of a forceps) such that the current passes between thepair of contacts generating the intended effect. (MED)

3.3.43.3 * Dispersive Electrode.

An electrode intended to complete the electrical path between patient and appliance and at which no surgical effect isintended. (MED)






Committee Statement: These definitions were removed as the terms are not used within the body of the document.





3.3.45 Emergency Oxygen Supply Connection.

An assembly of equipment that permits a gas supplier to make a temporary connection to supply oxygen to a buildingthat has had its normal source of oxygen disconnected interrupted . (PIP)






Committee Statement: The term interrupted better reflects what is happening when the EOSC is used.



3.3.X Facility Fire Plan.

A plan developed by the health care facility to describe the actions to be taken during a fire emergency.






Committee Statement: This defines a term that is used in several places in Chapter 15.



3.3.59.1 Pressure Compensated Flowmeter.

A flowmeter indicating accurate flow of gas whether the gas is discharged into ambient pressure or into a system atnonambient pressure. (MED)











3.3.63* General Anesthesia and Levels of Sedation/Analgesia.

3.3.63.1 Deep 2 Deep Sedation/Analgesia.

A drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposefullyfollowing repeated or painful stimulation. The ability to independently maintain ventilatory function may be impaired.Patients may require assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate.Cardiovascular function is usually maintained. (MED)

3.3.63.2 General 1 General Anesthesia.

A drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation. The ability toindependently maintain ventilatory function is often impaired. Patients often require assistance in maintaining a patentairway, and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induceddepression of neuromuscular function. Cardiovascular function may be impaired. (MED)

3.3.63.3 Minimal 4 Minimal Sedation (Anxlolysis).

A drug-induced state during which patients respond normally to verbal commands. Although cognitive function andcoordination may be impaired, ventilatory and cardiovascular functions are unaffected. (MED)

3.3.63.4 Moderate 3 Moderate Sedation/Analgesia (Conscious Sedation).

A drug-induced depression of consciousness during which patients respond purposefully to verbal commands, eitheralone or accompanied by light tactile stimulation. No interventions are required to maintain a patient airway, andspontaneous ventilation is adequate. Cardiovascular function is usually maintained. (MED)






Committee Statement: This FR puts the levels of sedation from the deepest level to other lower levels.


Committee Notes:

Date Submitted By

Aug 30, 2012 Hart The committee really wants this change regardless of the alphabetical order of the levels.


3.3.64 General Care Area.

See 3.3.138 , Patient Care Room.






Committee Statement: This definition has become circular due to the change to 3.3.138 and has been removed.





3.3.66 Ground-Fault Circuit Interrupter (GFCI).

A device intended for the protection of personnel that functions to de-energize a circuit or portion thereof within anestablished period of time when a current to ground exceeds some predetermined value that is less than that required tooperate the overcurrent protective device of the supply circuit. the values established for a Class A device. [ 70 , 2011](ELS)






Committee Statement: Coordinate definition with NFPA 70, National Electrical Code, Article 100.




3.3.70 * Hazardous Chemical.

A chemical with one or more of the following hazard ratings as defined in NFPA 704, Standard System for theIdentification of the Hazards of Materials for Emergency Response Health — 2, 3, or 4; Flammability — 2, 3, or 4;Reactivity — 2, 3, or 4.











3.3.71* Health Care Facilities.

Buildings, portions of buildings, or mobile enclosures in which human medical, dental, psychiatric, nursing, obstetrical, orsurgical care is provided. (FUN)






Committee Statement: This will eliminate the confusion by clarifying that this does not apply to veterinary care.




3.3.74 Hospital-Based.

In the interpretation and application of this code, physically connected to a hospital. (MED)






Committee Statement: The definition is removed from Chapter 3 as it not used within the document.



3.3.76 Hyperbaric Facility .

Facility Building , building structure , or structure space used to house hyperbaric chambers and all auxiliary serviceequipment for medical applications and procedures at pressures above normal atmospheric pressures pressure . (HYP)






Committee Statement: This definition has been updated to a more accurate description of a hyperbaric facility.


11/14/12



3.3.77 Hyperbaric Oxygenation.

The application of pure oxygen or an oxygen-enriched gaseous mixture to a subject at elevated pressure. (HYP)









3.3.78 Hyperbaric Stand-Alone Oxygen System.

The oxygen system is entirely separate from the hospital’s Level Category 1 Oxygen System or is a freestandinghyperbaric facility. (HYP)






Committee Statement: Editorially revised to align with Chapter 5.



3.3.79 Hypobaric Facility .

Facility Building , building structure , or structure space used to house hypobaric chambers and all auxiliary serviceequipment for medical applications and procedures at pressures below atmospheric pressures pressure . (HYP)






Committee Statement: This definition has been updated to a more accurate description of a hyperbaric facility.





3.3.84 Instrument 84* Instrument Air.

For the purposes of this code, instrument air is air intended for the powering of medical devices unrelated to humanrespiration (e.g., surgical tools, ceiling arms). Medical A medical support gas that falls under the general requirements formedical gases. Medical air and instrument air are distinct systems for mutually exclusive applications. Instrument air is amedical support gas that falls under the general requirements for medical gases. (PIP)






CommitteeStatement:

This FR simplifies the definition of Instrument Air, since the definition of the umbrella term, Medical Support Gas includesthe proper uses of Instrument Air. This simplification reduces any confusion and conflict.

ResponseMessage:

FR-241-NFPA 99-2012



3.3.92 * Laboratory Work Area.

A room or space for testing, analysis, research, instruction, or similar activities that involve the use of chemicals. Thiswork area may or may not be enclosed.











3.3.95 Limited Care Facility.

A building or portion of a building used on a 24-hour basis for the housing of four or more persons who are incapable ofself-preservation because of age; physical limitations due to accident or illness; or limitations such as mentalretardation/developmental disability, mental illness, or chemical dependency. [ 101, 2012] (FUN)









3.3.96* Limited-Combustible (Material).

Refers to a building construction material not complying with the definition of noncombustible material that, in the form inwhich it is used, has a potential heat value not exceeding 8141 kJ/kg (3500 Btu/lb), where tested in accordance withNFPA 259, Standard Test Method for Potential Heat of Building Materials , and includes either of the following: (1)

materials having a structural base of noncombustible material, with a surfacing not exceeding a thickness of 1 ? 8 in.(3.2 mm) that has a flame spread index not greater than 50; or (2) materials, in the form and thickness used, havingneither a flame spread index greater than 25 nor evidence of continued progressive combustion, and of such compositionthat surfaces that would be exposed by cutting through the material on any plane would have neither a flame spread indexgreater than 25 nor evidence of continued progressive combustion, when tested in accordance with ASTM E 84, StandardTest Method for Surface Burning Characteristics of Building Materials , or ANSI/UL 723, Standard for Test for SurfaceBurning Characteristics of Building Materials . [ 90A, 2012] (PIP) See 4.4.1.2.






CommitteeStatement:

This change puts NFPA 99 in line with what was done for NFPA 101 (and many other documents) in the 2012 cycle. NFPArequirements are that definitions cannot contain requirements and the definitions of noncombustible and limited combustiblecontain requirements.

ResponseMessage:

FR-326-NFPA 99-2012





3.3.115 Nasal Catheter.

A flexible tube for insertion through the nose into the nasopharynx to administer oxygen or other therapeutic gases.(MED)









3.3.118.1 Nitrogen NF (Oil-Free, Dry) .

Nitrogen complying as a minimum with oil-free, dry nitrogen NF. (PIP)






CommitteeStatement:

"Oil free, dry" has been removed because oil free dry nitrogen was a part of the nitrogen definition prior to calling it"NF". The addition of “NF” takes care of this now.

ResponseMessage:

FR-233-NFPA 99-2012



First Revision No. 217-NFPA 99-2012 [ Sections 3.3.121, 3.3.122 ]

Sections 3.3.121, 3.3.122

3.3.121 Noncombustible (Hyperbaric).

An adjective describing a substance that will not burn in 95 ±5 percent oxygen at pressures up to 3 ATA (44.1 psia).(HYP)

3.3.122 Noncombustible (Hypobaric).

An adjective describing a substance that will not burn in 95 ±5 percent oxygen at pressures of 101.325 kPa (760 mmHg).(HYP)






Committee Statement: The general definition of Noncombustible (material) is suitable for use in hyperbaric and hypobaric situations.



3.3.127 Nonmedical Compressed Air.

Air that is used for purposes other than patient care or medical devices that provide direct patient care. (MEC)




Submittal Date: Tue Sep 25 08:33:25 EDT 2012


Committee Statement: This relocates the definition from its placement in Chapter 8 to a more appropriate position in Chapter 3.





3.3.133 Oxygen Index.

The minimum concentration of oxygen, expressed as percent by volume, in a mixture of oxygen and nitrogen that will justsupport combustion of a material under conditions of ASTM D 2863, Standard Test Method for Measuring the MinimumOxygen Concentration to Support Candle-Like Combustion of Plastics (Oxygen Index) . (HYP)









3.3.138* Patient Care Room Space .

Any room space of a health care facility wherein patients are intended to be examined or treated. (MED FUN )

3.3.138.1 * Basic Care Room 3 * Category 3 Space .

Room Space in which the failure of equipment or a system is not likely to cause injury to the patients or caregivers butcan cause patient discomfort (Category 3) . (MED FUN )

3.3.138.2 * Critical Care Room 1 * Category 1 Space .

Room Space in which failure of equipment or a system is likely to cause major injury or death of patients or caregivers(Category 1) . (MED FUN )

3.3.138.3 * General Care Room 2 * Category 2 Space .

Room Space in which failure of equipment or a system is likely to cause minor injury to patients or caregivers (Category2) . (MED FUN )

3.3.138.4* Support Room Category 4 Space .

Room Space in which failure of equipment or a system is not likely to have a physical impact on patients or caregivers(Category 4) . (MED FUN )






CommitteeStatement:

The terminology was updated to be consistent with Article 517 of the NEC. The medical equipment technical committee(MED) recommends that control of these definitions is moved to the fundamentals committee (FUN).

ResponseMessage:

FR-92-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 27, 2012 [ Not Specified ] Put in order from Category 1 to Category 4

Public Input No. 264-NFPA 99-2012 [Section No. 3.3.138.1]




30/221


3.3.146 Positive-Negative Pressure Breathing.

Ventilation of the lungs by the application of intermittent positive-negative pressure to the airway. (MED)









3.3.147.7* Working Pressure (Rated) .

A pressure not exceeding 200 psi (11.6 kg/cm 2 ) gauge. (MED

The maximum rated operating pressure for a pipe, tube, or vessel based on its material, its allowable stress in tension,its outside diameter and wall thickness, the operating temperature, the joining method, and industry safety factors. (PIP)

3.3.147.8 Operating Pressure.

The pressure that a particular piping system is set to operate at. (PIP )






CommitteeStatement:

This is to correct an inaccurate definition of working pressure. The terms used in the rest of the document need to beevaluated at the comment stage.

ResponseMessage:

FR-299-NFPA 99-2012

Committee Notes:

Date Submitted By

Sep 24, 2012 Comp The "operating pressure" definition might need to be relocated within 3.3.147 to be alphabetically ordered.




3.3.152 Qualified Person.

A person who, by possession of a recognized degree, certificate, professional standing, or skill, and who, by knowledge, training,and experience, has demonstrated the ability to perform the work. (HYP)






Committee Statement: This adds a definition of the "qualified person" required to perform ITM per Chapter 14 based on action FR 193.


Public Input No. 3-NFPA 99-2012 [Chapter 3]


3.3.153 Reactive Material.

A material that, by itself, is readily capable of detonation, explosive decomposition, or explosive reaction at normal orelevated temperatures and pressures. [ 45 , 2011]








11/14/12



3.3.156 * Refrigerating Equipment.

Any mechanically operated equipment used for storing below normal ambient temperature hazardous materials havingflammability ratings of 3 or 4.









3.3.159 Safety Can.

An approved container, of not more than 18.9 L (5 gal) capacity, having a spring-closing lid and spout cover and sodesigned that it will safely relieve internal pressure when subjected to fire exposure.









3.3.161 SCFM 161 Standard Cubic Feet per Minute (SCFM) .

Abbreviation of Volumetric flow rate of gas in units of standard cubic feet per minute. (PIP)






Committee Statement: Updated to include temperature and pressure at which the flow rate is determined.





3.3.XX Space.

A portion of the health care facility designated by the governing body that serves a specific purpose.






Committee Statement: The term room has been replaced with space in several areas of Chapter 6.



3.3.177.2 * Tracheotomy Tube.

A curved tube for insertion into the trachea (windpipe) below the larynx (voice box) during the performance of anappropriate operative procedure (tracheotomy). (MED)









3.3.178 * Unattended Laboratory Operation.

A laboratory procedure or operation at which there is no person present who is knowledgeable regarding the operation andemergency shutdown procedures. [ 45 , 2011]











3.3.180 * Utility Center (J Box).

A type of terminal enclosure for utilities (e.g., gas power, vacuum, water, electrical power) used in office-basedoccupancies. (PIP)






Committee Statement: This term was removed as it is not used in the code.



3.3.182 Ventilation.

The mechanical or natural movement of air. (MEC)






Committee Statement: This definition has been moved from Chapter 9 to a more appropriate location in Chapter 3.



3.3.182 * WAGD Interface.

A device provided on the anesthesia gas machine that connects the WAGD network to the patient breathing circuit. (PIP)




Submittal Date: Thu Aug 30 12:45:02 EDT 2012


Committee Statement: This definition was removed as the term is not used in the code.





3.3.184 Waste Water.

3.3.184.1 Black Waste Water.

Grossly contaminated and contain pathenogenic, toxigenic, or other harmful agents. (MEC)

3.3.184.2 Gray Waste Water.

Contains significant contamination and has the potential to cause discomfort or sickness if contacted or consumed by humans.Can contain potentially unsafe levels of micro organisms or nutrients for micro organisms, as well as other organic or inorganicmatter (chemical or biological). (MEC)

3.3.184.3 Clear Waste Water.

Originates from a sanitary water source and does not pose substantial risk from dermal, ingestion, or inhallation exposure. (MEC)






CommitteeStatement:

These definitions have been added to clarify what the requirements of Chapter 8 apply to in regards to wastewater.



3.3.184* Wet Procedure Locations.

The area in a patient care room space where a procedure is performed that is normally subject to wet conditions whilepatients are present, including standing fluids on the floor or drenching of the work area, either of which condition isintimate to the patient or staff. (FUN)






CommitteeStatement:

Changed to update the term "room" to "space" to correlate with several other changes made throughout the documentwhich help to correlate with NFPA 70.

ResponseMessage:

FR-309-NFPA 99-2012




4.1* Building System Categories.

Building systems in health care facilities shall be designed to meet system Category 1 through Category 4 requirementsas detailed in this code.

4.1.1* Category 1 System .

Facility systems in which failure of such equipment or system is likely to cause major injury or death of patients orcaregivers shall be designed to meet system Category 1 requirements as defined in this code.

4.1.2* Category 2 System .

Facility systems in which failure of such equipment is likely to cause minor injury to patients or caregivers shall bedesigned to meet system Category 2 requirements as defined in this code.

4.1.3 Category 3 System .

Facility systems in which failure of such equipment is not likely to cause injury to patients or caregivers, but can causepatient discomfort, shall be designed to meet system Category 3 requirements as defined in this code.

4.1.4 Category 4 System .

Facility systems in which failure of such equipment would have no impact on patient care shall be designed to meetsystem Category 4 requirements as defined in this code.






CommitteeStatement:

The term "system" has been added to clarify what the Categories are applying to. This was done because rooms nowhave category definitions as well and the difference. should be clearly identified

ResponseMessage:

FR-327-NFPA 99-2012


4.2* Risk Assessment.

4.2.1

Categories shall be determined by following and documenting a defined risk assessment procedure.

4.2.2

A documented risk assessment shall not be required for Category 1.






CommitteeStatement:

There is no reason to perform a documented risk assessment when the worst case scenario is already beingselected.




First Revision No. 313-NFPA 99-2012 [ New Section after 4.3 ]

4.3 Materials.

4.3.1 Noncombustible Material.

4.3.1.1

A material that complies with any of the following shall be considered a noncombustible material:

(1) A material that, in the form in which it is used and under the conditions anticipated, will not ignite, burn, support combustion,or release flammable vapors when subjected to fire or heat

(2) A material that is reported as passing ASTM E 136, Standard Test Method for Behavior of Materials in a Vertical TubeFurnace at 750 Degrees C

(3) A material that is reported as complying with the pass/fail criteria of ASTM E 136 when tested in accordance with the testmethod and procedure in ASTM E 2652, Standard Test Method for Behavior of Materials in a Tube Furnace with a Cone-shaped Airflow Stabilizer, at 750 Degrees C

4.3.1.2 Where the term limited-combustible is used in this code, it shall also include the term noncombustible.

4.3.2 Limited Combustible Material.

A material shall be considered a limited-combustible material where all the conditions of 4.3.2.1 and 4.3.2.2 and the conditions ofeither 4.3.2.3 or 4.3.2.4 are met.

4.3.2.1

The material shall not comply with the requirements for noncombustible material in accordance with 4.3.1.

4.3.2.2

The material, in the form in which it is used, shall exhibit a potential heat value not exceeding 3500 Btu/lb (8141 kJ/kg) wheretested in accordance with NFPA 259, Standard Test Method for Potential Heat of Building Materials.

4.3.2.3

The material shall have the structural base of a noncombustible material with a surfacing not exceeding a thickness of 1/8 in. (3.2mm) where the surfacing exhibits a flame spread index not greater than 50 when tested in accordance with ASTM E 84, StandardTest Method for Surface Burning Characteristics of Building Materials, or ANSI/UL 723, Standard for Test for Surface BurningCharacteristics of Building Materials.

4.3.2.4

The material shall be composed of materials that, in the form and thickness used, neither exhibit a flame spread index greaterthan 25 nor evidence of continued progressive combustion when tested in accordance with ASTM E 84, Standard Test Method forSurface Burning Characteristics of Building Materials, or ANSI/UL 723, Standard for Test for Surface Burning Characteristics ofBuilding Materials, and shall be of such composition that all surfaces that would be exposed by cuttingthrough the material on any plane would neither exhibit a flame spread index greater than 25 nor exhibit evidence of continuedprogressive combustion when tested in accordance with ASTM E 84 or ANSI/UL 723.

4.3.2.5

Where the term limited-combustible is used in this code, it shall also include the term noncombustible. [101, 2012]






CommitteeStatement:

This change puts NFPA 99 in line with what was done for NFPA 101 (and many other documents) in the 2012 cycle. NFPArequirements are that definitions cannot contain requirements and the definitions of noncombustible and limited combustiblecontain requirements. This has been extracted from NFPA 101 to keep consistency between the documents.

ResponseMessage:

FR-313-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 30, 2012 Hart NFPA 101 extract reference can be added wherever it is need. I just put it at the end to indicate that all of this new language is extracted.

Public Input No. 313-NFPA 99-2012 [New Section after 4.3]




5.1.1.3

Wherever the term medical–surgical vacuum occurs, the provisions shall apply to systems for piped medical–surgicalvacuum and piped waste anesthetic gas disposal (WAGD). Wherever the name of a specific vacuum service occurs, theprovision shall apply only to that vacuum service.






CommitteeStatement:

This section only adds confusion to the user. The different types of vacuum systems are identified throughout theChapter.





Sections 5.1.1.5, 5.1.1.6, 5.1.1.7

5.1.1.5

Subsection

The following sections of this chapter shall apply to the operation, management, and maintenance of Category 1 medicalgas and vacuum systems in existing facilities:

(1) 5.1.2

through

(1)

(2) 5.1.

12.

(1) 3.

14.

(1) 1

(2) 5

and 5

(1) .1.

14

(1) 3 .

4.

(1) 2

shall apply to new health care facilities or facilities making changes that alter the piping.

(1)

(2) 5.1. 3.3. 1.

6



(1) 7

Paragraph

(1) 5.1.

14

(1) 3 .

4.

(1) 3

through 5

(1) .1.

14.4.9 and

(1) 8

(2) 5.1.

13 through 5

(1) 3 .

1.15 shall apply to existing health care facilities.

(1) 3.4

(2) 5.1.

1

(1) 3 .

7

(1) 6.2

Paragraph

(1) 5.1.

14

(1) 3 .

3 and

(1) 8. 5. 2

(2) 5. 1.14

(3) 5 .

4.

(1) 1

shall apply to new and existing health care facilities.

(1) .15






Committee Statement: This revision clearly identifies those sections which apply to existing facilities.


Committee Notes:

Date Submitted By

Aug 22, 2012 Hart I don't know why this mark up looks absolutely terrible.



First Revision No. 382-NFPA 99-2012 [ New Section after 5.1.3.2.11 ]

5.1.3.2.12

Cylinders in use and in storage shall be prevented from reaching temperatures in excess of 52°C (125°F).




Submittal Date: Wed Sep 26 15:02:20 EDT 2012


CommitteeStatement:

This was relocated from 5.1.3.3.1.7 to the operations section as it is something that it is an operational requirement. 125degress is the recommended high storage temp for cylinders. (CGA). Also, this will be harmonized with sections:5.1.3.3.1.8, 9.3.7.7, 9.3.7.8 and A.5.1.14 which all reference 125 drgrees. (Editorial).

ResponseMessage:

FR-382-NFPA 99-2012


5.1.3.2.13

Central supply systems for nitrous oxide and carbon dioxide using cylinders or portable containers shall be prevented fromreaching temperatures lower than the recommendations of the central supply system's manufacturer, but shall never be lowerthan -7°C (20°F) or greater than 51.6°C (125°F).




Submittal Date: Wed Sep 26 15:07:46 EDT 2012


CommitteeStatement:

This was relocated from 5.1.3.3.1.8 as it is an operational consideration. Furthermore, it was revised as temperature vs flowdata was not provided when this change was adopted in the 2012 edition of NFPA 99. To date, temperature vs flow data isnot available. This change will increase patient safety by lowering the likelihood of a gas supply issue.

ResponseMessage:

FR-383-NFPA 99-2012



First Revision No. 244-NFPA 99-2012 [ Section No. 5.1.3.3.1.1 ]

5.1.3.3.1.1

Any of the following systems shall be permitted to be located together in the same outdoor enclosure:

(1) Manifolds for gas cylinders without reserve supply cylinders (see 5.1.3.5.10)

(2) Manifolds for

gas cylinders with reserve supply

(3) Manifolds for cryogenic liquid containers (see 5.1.3.5.12 11 )

(4) Bulk cryogenic liquid systems (see 5.1.3.5.13 12 )






Committee Statement: Manifolds for gas cylinders with reserve supply was removed in the 2012 edition. References were corrected.


Committee Notes:

Date Submitted By

Aug 29, 2012 Hart This would look much neater if item 2 was deleted in the legislative text, rather than having it skip down lines.

Public Input No. 127-NFPA 99-2012 [Section No. 5.1.3.3.1.1]



5.1.3.3.1.2

Any of the following systems shall be permitted to be located together in the same indoor enclosure:

(1) Manifolds for gas cylinders without reserve supply (see 5.1.3.5.10)

(2) Manifolds for

gas cylinders with reserve supply


(4) In-building emergency reserves (see 5.1.3.5.14)

(5) Instrument air standby headers (see 5.1.3.9.5)






Committee Statement: Manifolds for gas cylinders with reserve supply was removed from the 2012 edition. Reference was corrected.







5.1.3.3.1.5

Locations shall be chosen to allow access by delivery vehicles and management of cylinders (e.g., proximity to loadingdocks, access to elevators, and passage of cylinders through public areas).






CommitteeStatement:

This section has been relocated to 5.1.3.3.2 This section fits better under Design and Construction list ofrequirements.




5.1.3.3.1.7

Cylinders in use and in storage shall be prevented from reaching temperatures in excess of 54°C (130°F).






CommitteeStatement:

This was not deleted but rather relocated to the operations section as it is something that it is an operationalrequirement.125 degrees is the recommended high storage temp for cylinders. (CGA). Also, this will be harmonized withsections: 5.1.3.3.1.8, 9.3.7.7, 9.3.7.8 and A.5.1.14 which all reference 125 degrees. (Editorial).

ResponseMessage:

FR-247-NFPA 99-2012





5.1.3.3.1.8

Central supply systems for nitrous oxide and carbon dioxide using cylinders or portable containers shall be preventedfrom reaching temperatures lower than the recommendations of the central supply system's manufacturer, but shall neverbe lower than -29°C (-20°F) or greater than 51.6°C (125°F).






CommitteeStatement:

This was relocated to 5.1.3.2 as it is an operational consideration. Furthermore, it was revised as temperature vs flow datawas not provided when this change was adopted in the 2012 edition of NFPA 99. To date, temperature vs flow data is notavailable. This change will increase patient safety by lowering the likelihood of a gas supply issue.

ResponseMessage:

FR-248-NFPA 99-2012




First Revision No. 249-NFPA 99-2012 [ Section No. 5.1.3.3.2 ]

5.1.3.3.2* Design and Construction.

Locations for central supply systems and the storage of positive-pressure gases shall meet the following requirements:

(1) They shall be constructed with access to move cylinders, equipment, and so forth, in and out of the location on handtrucks complying with 11.4.3.1.1.

(2) They shall be secured provided with lockable doors or gates or otherwise able to be secured.

(3) If outdoors, they shall be provided with an enclosure (wall or fencing) constructed of noncombustible materials.

(4) If outdoors, bulk cryogenic liquid systems shall be provided with a minimum of two entry/exits.

(5) If indoors, they shall be constructed and use have interior finishes of noncombustible or limited-combustiblematerials such that all walls, floors, ceilings, and doors are of a minimum 1 .

(6) If indoors, the room shall be spearated from the rest of the building by walls and floors having a one -hour fireresistance rating with doors and other opening protectives having a 3/4-hour fire protection rating .

(7)

(8) They shall be heated by indirect means (e.g., steam, hot water) if heat is required.

(9) They shall be provided with racks, chains, or other fastenings to secure all cylinders from falling, whether connected,unconnected, full, or empty.

(10)

(11) They shall have racks, shelves, and supports, where provided, constructed of noncombustible materials or limited-combustible materials.

(12) They shall protect electrical devices from physical damage.

(13) They shall allow access by delivery vehicles and management of cylinders (e.g., proximity to loading docks, accessto elevators, and passage of cylinders through public areas).

(14) They shall be designed to meet the operational requirements of 5.1.3.2 with regard to room temperature.






CommitteeStatement:

The requirement for two entry/exits was seperated out into a new item 4 to specify that this is for bulk cryogenic liquidsystems which is where the original concerns were. The addition of the new item (13) relocates 5.1.3.3.1.5 to this section.The type of construction and fire resistance and fire protection ratings required of the construction have been clarified.Specifically, the Code currently uses improper terms and is inconsistent with NFPA 101, NFPA 5000 and the IBC. Interiorfinishes do not have a fire resistance rating and the current wording could be interpreted as requiring such.

ResponseMessage:

FR-249-NFPA 99-2012

Public Input No. 129-NFPA 99-2012 [Section No. 5.1.3.3.2]

* They shall be compliant comply with NFPA 70, National Electrical Code, for ordinary locations.

* They shall be supplied with electrical power compliant with the requirements for essential electrical systems asdescribed in Chapter 6.




5.1.3.3.3.3 Ventilation for Outdoor Locations.

(A)

Outdoor locations surrounded by impermeable walls, except fire barrier walls, shall have protected ventilation openingslocated at the base of each wall to allow free circulation of air within the enclosure.

(B)

Walls that are shared with other enclosures or with buildings shall be permitted to not have openings.

(C)

The fire barrier wall shall not have openings or penetrations, except conduit or piping shall be permitted provided that thepenetration is protected with a firestop system in accordance with the building code.






CommitteeStatement:

Fire walls can not have "open" penetrations per the NFPA 55, 2010 edition section 8.7.2.1.1.1. This will harmonize withthe Compressed Gas and Cryogenic Fluids Code.

ResponseMessage:

FR-377-NFPA 99-2012

Public Input No. 131-NFPA 99-2012 [Section No. 5.1.3.3.3.3(A)]

First Revision No. 292-NFPA 99-2012 [ Section No. 5.1.3.5 [Excluding any Sub-Sections] ]

Central supply systems shall be permitted to consist of the following:

(1) Cylinder manifolds for gas cylinders per 5.1.3.5.10

(2) Manifolds for cryogenic liquid containers per 5.1.3.5.12 11

(3) Bulk cryogenic liquid systems per 5.1.3.5.13 12

(4) Medical air compressor systems per 5.1.3.6

(5) Medical–surgical vacuum producers per 5.1.3.7

(6) WAGD producers per 5.1.3.8

(7) Instrument air compressor systems per 5.1.3.9

(8) Proportioning systems for medical air USP per 5.1.3.6.3.4






Committee Statement: Incorrect references to bulk cryogenic oxygen systems and manifolds have been fixed.




First Revision No. 254-NFPA 99-2012 [ New Section after 5.1.3.5.6.4 ]

5.1.3.5.7 Auxiliary Source Connection.

All source systems shall be provided with an auxiliary source connection point of the same size as the main line, which shall belocated immediately on the patient side of the source valve.

5.1.3.5.7.1

The connection shall consist of a tee, a valve, and a removable plug or cap.

5.1.3.5.7.2

The auxiliary source connection valve shall be normally closed and secured.

5.1.3.5.7.3

On oxygen systems furnished with an emergency oxygen supply connection (EOSC), the EOSC shall be considered to fulfill thisrequirement.






CommitteeStatement:

The addition of an auxiliary connection would simplify: 1. source changeouts 2. major source service 3. connection ofan emergency supply in event of source failure.

ResponseMessage:

FR-254-NFPA 99-2012

Public Input No. 140-NFPA 99-2012 [New Section after 5.1.3.5.5]

Public Input No. 172-NFPA 99-2012 [New Section after 5.1.3.5.6.4]


5.1.3.5.8.1

The following systems shall have local signals located at the source equipment:

(1) Manifolds for gas cylinders without reserve supply (see 5.1.3.5.10)

(2) Manifolds for gas cylinders with reserve supply


(4) Bulk cryogenic liquid systems (see 5.1.3.5.13 12 )

(5) In-building emergency reserves (see 5.1.3.5.14)

(6) Instrument air headers (see 5.1.3.5.9)






Committee Statement: Incorrect reference to bulk cryogenic oxygen systems and manifolds have been fixed.





5.1.3.5.10* Manifolds for Gas Cylinders Without Reserve Supply .

5.1.3.5.10.1

The manifolds in this category shall be located in accordance with 5.1.3.3.1 and shall meet the following:

(1) If located outdoors, they shall be installed in an enclosure used only for this purpose and sited to comply withminimum distance requirements in NFPA 55.

(2) If located indoors, they shall be installed within a room used only for enclosure of such manifolds.

5.1.3.5.10.2

The manifold locations for this category shall be constructed in accordance with 5.1.3.3.2.

5.1.3.5.10.3

The manifold locations for this category shall be ventilated in accordance with 5.1.3.3.3.

5.1.3.5.10.4

The manifolds in this category shall consist of the following:

(1) Two equal headers in accordance with 5.1.3.5.9, each with a sufficient number of gas cylinder connections for anaverage day's supply, but not fewer than two connections, and with the headers connected to the final line pressureregulator assembly in such a manner that either header can supply the system

(2) Vent valves, if fitted on a header, vented outside of the building per 5.1.3.5.6.1(5) through (9) and 5.1.3.5.6.2

(3) Intermediate relief valve(s), piped to the outside in accordance with 5.1.3.5.6.1(5) through (9), that protects thepiping between the header pressure regulator and the line pressure regulator assembly, and protects the linepressure regulators from overpressure in the event of a header regulator failure

5.1.3.5.10.5

The manifolds in this category shall include an automatic means of alternating the two headers to accomplish thefollowing in normal operation:

(1) One header is the primary and the other is the secondary, with either being capable of either role.

(2) When the primary header is supplying the system, the secondary header is prevented from supplying the system.

(3) When the primary header is depleted, the secondary header automatically begins to supply the system.

5.1.3.5.10.6

The manifolds in this category shall have a local signal that visibly indicates the operating status of the equipment andshall activate an indicator at all master alarm panels when or at a predetermined set point before the secondary headerbegins to supply the system, indicating changeover has occurred or is about to occur.

5.1.3.5.10.7

If manifolds are located out of doors, they shall be installed per the manufacturer’s requirements.






CommitteeStatement:

This is an editorial change as there is no need for the wording since provisions for those with reserve were removedin the 2012 edition.

ResponseMessage:

FR-255-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 22, 2012 Hart Only title should be in FR.


First Revision No. 256-NFPA 99-2012 [ Section No. 5.1.3.5.13 [Excluding any Sub-Sections] ]

Emergency oxygen supply connections (EOSCs) shall be installed to allow connection of a temporary auxiliary source ofsupply for emergency or maintenance situations where any either of the following conditions exist:

(1) The bulk cryogenic liquid central supply system is outside of and remote from the building that the oxygen supplyserves

.

(2) There and there is no connected in-building oxygen reserve sufficient for an average day's supply within thebuilding . (see 5.1.3.5.14 for requirements for such reserves).

(3) Multiple freestanding buildings are served from a single oxygen source such that damage to the interconnectingoxygen line could result in one or more buildings losing oxygen supply, in which case each building is required to beprovided with a separate emergency connection.






CommitteeStatement:

Items 1 and 2 were combined to correct an error in the 2012 edition and revert to how this requirement was handledin 2005 and prior editions.

ResponseMessage:

FR-256-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 30, 2012 Hart The legislative text makes it hard to read, but item 1 and item 2 were combined.




5.1.3.5.14 In-Building Emergency Reserves (IBERs) .

5.1.3.5.14.1

In-building emergency reserves IBERs shall not be used as substitutes for the bulk gas reserves reserve system thatare is required in 5.1.3.5.12.4 3 .

5.1.3.5.14.2

When a reserve an IBER is provided inside the building as a substitute for the EOSC or for other purposes, it shall belocated in accordance with 5.1.3.3 as follows:

(1) In a room or enclosure constructed per 5.1.3.3.2

(2) In a room or enclosure ventilated per 5.1.3.3.3

5.1.3.5.14.3

In-building emergency reserves IBERs shall consist of either of the following:

(1) Gas cylinder header per 5.1.3.5.9 with sufficient cylinder connections to provide for at least an average day’s supplywith the appropriate number of connections being determined after consideration of the delivery schedule, theproximity of the facility to alternate supplies, and the facility's emergency plan

(2) Manifold for gas cylinders complying with 5.1.3.5.10

5.1.3.5.14.4

In-building emergency reserves IBERs shall include a check valve in the main line placed on the distribution system sideof the ordinary source's main line valve to prevent flow of gas from the emergency reserve to the ordinary source.

5.1.3.5.14.5

In-building emergency reserves IBERs shall have a local signal that visibly indicates the operating status of theequipment and an alarm at all master alarms when or just before the reserve begins to serve the system.






CommitteeStatement:

To add IBER in Chapter 5. The term IBER is used in Chapter 14 to indicate in-building emergency reserve, similar to EOSCfor emergency oxygen supply connection in Chapters 5 and 14. An incorrect reference was fixed and the terminology wasupdated to better reflect the requirement.

ResponseMessage:

FR-257-NFPA 99-2012

Committee Notes:

Date Submitted By

Sep 24, 2012 hart the 4 is struck through in the first paragraph of this FR.





5.1.3.6.3.3 Air Drying Equipment.

Medical air compressor systems shall preclude the condensation of water vapor in the piping distribution system by theselection of the air drying equipment.






Committee Statement: This section has not been deleted, but rather relocated to 5.1.3.6.3.7.




5.1.3.6.3.7 Medical Air Dryers.

Medical air dryers shall meet the following requirements:

(1) Medical air compressor systems shall preclude the condensation of water vapor in the piping distribution system bythe air drying equipment

(1) They shall be designed to provide air at a maximum dew point that is below the frost point [0°C (32°F)] at 345 kPa to380 kPa (50 psi to 55 psi) at any level of demand.

(2) They shall be sized for 100 percent of the system peak calculated demand at design conditions.

(3) They shall be constructed of materials deemed suitable by the manufacturer.

(4) They shall be provided with antivibration mountings installed as required by equipment dynamics or location and inaccordance with the manufacturer's recommendations.






Committee Statement: This relocates the section from 5.1.3.6.3.3.


Committee Notes:

Date Submitted By

Aug 30, 2012 Hart This section has been moved from another location and should be a new item 1, the rest of the list should be renumbered to reflect this.





5.1.3.6.3.9 * Medical Air Local Alarm.

A local alarm complying with 5.1.9.5 shall be provided for the medical air compressor source.






CommitteeStatement:

This section (and associated annex material) has not been deleted, but rather relocated to 5.1.3.6.3.13 OperatingAlarms and Local Signals.

ResponseMessage:

FR-260-NFPA 99-2012


First Revision No. 262-NFPA 99-2012 [ Section No. 5.1.3.6.3.12(F) ]

(F)

Compressor intake piping shall be permitted to be made of materials and use a jointing joining technique as permittedunder 5.1.10.2 and 5 . 1.10.3 .






CommitteeStatement:

This was a error on the original print (2012 edition). There was no referenced joining technique as listed in 5.1.3.6.3.12.5.1.10.3 references the joining technique needed for this section.

ResponseMessage:

FR-262-NFPA 99-2012

Public Input No. 141-NFPA 99-2012 [Section No. 5.1.3.6.3.12(F)]



First Revision No. 261-NFPA 99-2012 [ Section No. 5.1.3.6.3.13 [Excluding any Sub-Sections] ]

Medical air systems shall be monitored for conditions that can affect air quality during use or in the event of failure, basedon the type of compressor(s) used in the system.

(A)

A local alarm complying with 5.1.9.5 shall be provided for the medical air compressor source.






Committee Statement: Relocated 5.1.3.6.3.9 to this section. (Editorial).


Committee Notes:

Date Submitted By

Sep 24, 2012 Comp Renumber existing (A) through (E) as (B) through (F)

Public Input No. 136-NFPA 99-2012 [Section No. 5.1.3.6.3.13 [Excluding any Sub-Sections]]


5.1.3.7.4 Vacuum Local Alarm.

A local alarm complying with 5.1.9.5 shall be provided for the vacuum source.






Committee Statement: This section is redundant with 5.1.3.7.8






5.1.3.7.7.6

Vacuum exhaust piping shall be permitted to be made of materials and use a joining technique as permitted under 5.1.10.2 and5.1.10.3.






CommitteeStatement:

2012 Log CP2 99-219 inadvertantly took out the exhaust piping section. the NFPA 99, 2012 does not have a section forexahust piping materials or joining techniques (The NFPA 99, 2005 edition section " 5.1.3.6.7.4 The exhaust shall be pipedof materials approved for medical–surgical vacuum piping under 5.1.10.2."

ResponseMessage:

FR-264-NFPA 99-2012




5.1.3.7.7.2

The exhaust shall be located as follows:

(1) Outdoors

(2) At least 3 7 .05 5 m (10 25 ft) from any door, window, air intake, or other openings in buildings or places of publicassembly

(3) At a level different from air intakes

(4) Where prevailing winds, adjacent buildings, topography, or other influences will not divert the exhaust into occupiedareas or prevent dispersion of the exhaust






CommitteeStatement:

The FGI 2.1-8.4.4.2 2010 edition requires 25 ft for exhausts from windows, doors, air intakes,.. The Medical Air intakewas corrected in 2012 edition, but the vacuum exhaust was not.

ResponseMessage:

FR-265-NFPA 99-2012





5.1.3.8.3 WAGD Connections to Vacuum Piping.

If WAGD is joined to vacuum piping, it shall be connected at a minimum distance of 1.5 m (5 ft) from any vacuum inlet.






Committee Statement: This section has not been deleted, but rather relocated to a more appropriate section.




5.1.4.3.2

Valves for vacuum or WAGD service shall be permitted to be ball in accordance with 5.1.4.3 or butterfly type and shallnot be required to be cleaned for oxygen service.






Committee Statement: By reference to 5.1.4.3 this further clarifies the type of valve that is permitted for vacuum or WAGD service.



55/221

First Revision No. 268-NFPA 99-2012 [ Section No. 5.1.4.5 [Excluding any Sub-Sections] ]

A shutoff valve shall be provided in the main supply line inside of the building(s) being served , except where one or more ofthe following conditions exist:

(1) The source and source valve are located inside the building served.

(2) The source system is physically mounted to the wall of the building served, and the pipeline enters the building inthe immediate vicinity of the source valve.






CommitteeStatement:

When there are multiple free standing buildings being served by one central supply source, there will be more thanone main valve.


Public Input No. 148-NFPA 99-2012 [Section No. 5.1.4.5 [Excluding any Sub-Sections]]


5.1.5.12

Factory-installed copper inlet outlet tubes on station inlets extending no further than 205 mm (8 in.) from the body of theterminal shall be not less than DN10 (NPS 3?8 ) ( 1?2 in. O.D.) size, with 10 mm (0.4 in.) minimum inside diameter.






Committee Statement: The wrong term was used in the previous edition.





5.1.6.8

Manufactured Station outlets/inlets installed in manufactured assemblies connected to the pipeline by brazing shall havestation outlets/inlets that comply with 5.1.5 in all respects .






Committee Statement: Clarifies wording. Not all manufactured assemblies contain outlets.




5.1.8.1.7

The rated accuracy of indicators used for testing shall be 1 percent (full scale) or better at the point of reading.






CommitteeStatement:

This section has not been deleted, but rather relocated to 5.1.12 This has nothing to do with the pipeline indicatorsand more to do with testing equipment in 5.1.12.

ResponseMessage:

FR-271-NFPA 99-2012





5.1.9.1 General.

All master, area, and local alarm systems used for medical gas and vacuum systems shall include the following:

(1) Separate visual indicators for each condition monitored, except as permitted in 5.1.9.5.2 for local alarms that aredisplayed on master alarm panels

(2) Visual indicators that remain in alarm until the situation that has caused the alarm is resolved

(3) Cancelable audible indication of each alarm condition that produces a sound with a minimum level of 80 dBA at 0.92m (3 ft)

(4) Means to visually , indicate a lamp or LED failure and audible failure

(5) Visual and audible indication that the communication with an alarm-initiating device is disconnected

(6) Labeling of each indicator, indicating the condition monitored

(7) Labeling of each alarm panel for its area of surveillance

(8) Reinitiation of the audible signal if another alarm condition occurs while the audible alarm is silenced

(9) Power for master, area alarms, sensors, and switches from the life safety branch of the emergency essentialelectrical system as described in Chapter 6

(10) Power for local alarms, dew point sensors, and carbon monoxide sensors permitted to be from the same essentialelectrical branch as is used to power the air compressor system

(11) Where used for communications, wiring from switches or sensors that is supervised or protected as required by517.30(C)(3) of NFPA 70, National Electrical Code, for life safety and critical branches circuits in which protection isany of the following types:

(a) Conduit

(b) Free air

(c) Wire

(d) Cable tray

(e) Raceways

(12) Communication devices that do not use electrical wiring for signal transmission will be supervised such that failure ofcommunication shall initiate an alarm.

(13) Assurance by the responsible authority of the facility that the labeling of alarms, where room numbers ordesignations are used, is accurate and up-to-date

(14) Provisions for automatic restart after a power loss of 10 seconds (e.g., during generator start-up) without giving falsesignals or requiring manual reset

(15) Alarm switches/sensors installed so as to be removable






CommitteeStatement:

Audible failure was added to item (4) to ensure that it will be indicated that the feature has failed. Item (9) was revisedto correlate with changes to Chapter 6 terminology.

ResponseMessage:

FR-272-NFPA 99-2012




5.1.9.2.3.10

Multiple master alarms shall be permitted to monitor a single initiating device.






Committee Statement: This section has been removed as it is redundant to 5.1.9.2.3.4.




5.1.9.4.1

Computer systems used to substitute for alarms shall have the following mechanical and electrical characteristics:

(1) The computer system shall be in continuous uninterrupted operation and provided with power supplies as needed toensure such reliability.

(2) The computer system shall be continuously attended by responsible individuals or shall provide remote signaling ofresponsible parties (e.g., through pagers, telephone autodialers, or other such means).

(3) Where computer systems rely on signal interface devices (e.g., electronic interfaces, other alarm panels, 4 mA to20 mA cards), such interfaces shall be supervised such that failure of the device(s) shall initiate an alarm(s).

(4) If the computer system does not power the signaling switches/sensors from the same power supply required in5.1.9.4.1(1), the power supply for the signaling switches/sensors shall be powered from the life safety branch of theemergency essential electrical system as described in Chapter 6.

(5) Computer systems shall be permitted to communicate directly to the sensors/switches in 5.1.9.2.3 in the samemanner as an alarm panel if operation of another alarm panel(s) is not impaired.

(6) Communication from the computer system to the signaling switches or sensors shall be supervised such that failureof communication shall initiate an alarm.

(7) Computer systems shall be provided with an audio alert per 5.1.9.1(3), except the audio alert shall be permitted tobe only as loud as needed to alert the system operator.

(8) The facility shall ensure compliance with 5.1.9.1(12).






Committee Statement: Revised to correlate with the terminology used in Chapter 6.





5.1.10.2.1 Tubes for Vacuum.

Piping for vacuum systems shall be constructed of any of the following:

(1) Hard-drawn seamless copper tube in accordance with the following:

(a) ASTM B 88, Standard Specification for Seamless Copper Water Tube, copper tube (Type K, Type L, or TypeM)

(b) ASTM B 280, Standard Specification for Seamless Copper Tubing for Air Conditioning and Refrigeration FieldService, copper ACR tube

(c) ASTM B 819, Standard Specification for Seamless Copper Tube for Medical Gas Systems, copper medicalgas tubing (Type K or Type L)

(2) Stainless steel tube

(a) ASTM A 269 TP304L or 316L, Standard Specification for Seamless and Welded Austenitic Stainless Steel Tubing forGeneral Service

(b) ASTM A 312 TP304L or 316L, Standard Specification for Seamless and Welded Austenitic Stainless Steel Pipes

(c) A312 TP 304L/316L, Sch. 5S pipe, and A403 WP304L/316L, Sch. 5S fittings






CommitteeStatement:

Previously, there is were no material/s indicated for the stainless steel piping vacuum system. This creates acceptablematerial/s for stainless steel vacuum piping.

ResponseMessage:

FR-275-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 30, 2012 [ Not Specified ] "Stainless steel tube" should not be underlined as it was there previously.





5.1.10.2.3 WAGD System Piping.

WAGD systems shall be piped as follows:

(1) Using materials compliant with 5.1.10.2.1 or 5.1.10.2.2

(2) In systems operated under 130 mm (5 in.) HgV maximum vacuum only, using any noncorroding tube or ductwork

5.1.10.2.3.1

If joined to the vacuum piping, WAGD system piping shall be connected at a minimum distance of 1.5 m (5 ft) from anyvacuum inlet






Committee Statement: This is a relocation of 5.1.3.8.3 to a more appropriate location.


Committee Notes:

Date Submitted By

Sep 24, 2012 COMP Item number (2) is not new and should not be underlined.



5.1.10.8 Threaded Fittings.

Threaded fittings shall meet the following criteria:

(1) They shall be limited to connections for pressure and vacuum indicators, alarm devices, gas specific demand checkvalves, and source equipment on the source side of the source valve.

(2) They shall be tapered pipe threads complying with ASME B1.20.1, Pipe Threads, General Purpose, Inch.

(3)






CommitteeStatement:

2012 edition required oxygen check valves to have brazed extensions. The only check valve that can be thread on thepipeline is the gas specific demand check valve for sensors.

ResponseMessage:

FR-276-NFPA 99-2012


* They shall be made up with polytetrafluroethylene tape or other thread sealant recommended for oxygen service,with sealant applied to the male threads only and care taken to ensure sealant does not enter the pipe.




5.1.10.11.7.2

Medical gas and vacuum systems with the same contents shall be permitted to be interconnected with an in-line valve installedbetween the systems.






CommitteeStatement:

Where the contents of the systems are the same, then the interconnection of the systems can be acceptably donewith the installation of an in-line valve.

ResponseMessage:

FR-277-NFPA 99-2012




5.1.10.11.7.1

Two or more medical gas or vacuum piping systems shall not be interconnected for installation, testing, or any otherreason except as permitted by 5 .1.10.11.7.2.






Committee Statement: Revised to coordinate with the new allowance that has been added by the new 5.1.10.11.7.2.


Committee Notes:

Date Submitted By

Sep 24, 2012 COMP The reference included in this text is meant to refer to the new section 5.1.10.11.7.2 rather than the one that already existed.


5.1.11* Labeling, Identification, and Identification Operating Pressure .

Color and pressure requirements shall be in accordance with Table 5.1.11.



Color and pressure requirements shall be in accordance with Table 5.1.11.

Table 5.1.11 Standard Designation Colors and Operating Pressures for Gas and Vacuum Systems

Gas ServiceAbbreviated

Name Colors (Background/ Text)

Standard Gauge Pressure

kPa psi

Medical air Med air Yellow/black 345–380 50–55

Carbon dioxide CO 2 Gray/black or gray/white 345–380 50–55

Helium He Brown/white 345–380 50–55

Nitrogen N 2 Black/white 1100–1275 160–185

Nitrous oxide N 2 O Blue/white 345–380 50–55

Oxygen O 2 Green/white or white/green 345–380 50–55

Oxygen/carbon dioxide mixturesO 2 /CO 2 n %

( n = % of CO 2 )Green/white 345–380 50–55

Medical–surgical vacuum Med vac White/black380 mm to 760 mm (15 in. to30 in.) HgV

Waste anesthetic gas disposal WAGD Violet/white Varies with system type

Other mixturesGas A%/GasB%

Colors as above

Major gas for background/minorgas for text

None

Nonmedical air (Category 3 gas-powered device)

Yellow and white diagonalstripe/black

None

Nonmedical and Category 3 vacuumWhite and black diagonalstripe/black boxed

None

Laboratory airYellow and whitecheckerboard/black

None

Laboratory vacuumWhite and blackcheckerboard/black boxed

None

Instrument air Red/white 1100–1275 160–185

5.1.11.1 Pipe Labeling.

5.1.11.1.1

Piping shall be labeled by stenciling or adhesive markers that identify the patient medical gas, the support gas, or thevacuum system and include the following:

(1) Name of the gas or vacuum system or the chemical symbol per Table 5.1.11

(2) Gas or vacuum system color code per Table 5.1.11

(3) Where positive pressure gas piping systems operate at pressures other than the standard gauge pressure in Table5.1.11, the operating pressure in addition to the name of the gas

5.1.11.1.2

Pipe labels shall be located as follows:

(1) At intervals of not more than 6.1 m (20 ft)

(2) At least once in or above every room

(3) On both sides of walls or partitions penetrated by the piping

(4) At least once in every story height traversed by risers

5.1.11.1.3

Medical gas piping shall not be painted.

5.1.11.2 Shutoff Valves.

5.1.11.2.1

Shutoff valves shall be identified with the following:

(1) Name or chemical symbol for the specific medical gas or vacuum system

(2) Room or areas served

(3) Caution to not close or open the valve except in emergency

5.1.11.2.2

Where positive pressure gas piping systems operate at pressures other than the standard gauge pressure of 345 kPa to380 kPa (50 psi to 55 psi) or a gauge pressure of 1100 kPa to 1275 kPa (160 psi to 185 psi) for nitrogen or instrument air,the valve identification shall also include the nonstandard operating pressure.



5.1.11.2.3

Source valves shall be labeled in substance as follows:

SOURCE VALVE

FOR THE (SOURCE NAME).

5.1.11.2.4

Main line valves shall be labeled in substance as follows:

MAIN LINE VALVE FOR THE (GAS/VACUUM NAME) SERVING (NAME OF THE BUILDING).

5.1.11.2.5

The riser valve(s) shall be labeled in substance as follows:

RISER FOR THE (GAS/VACUUM NAME) SERVING (NAME OF THE AREA/BUILDING SERVED BY THEPARTICULAR RISER).

5.1.11.2.6

The service valve(s) shall be labeled in substance as follows:

SERVICE VALVE FOR THE (GAS/VACUUM NAME) SERVING (NAME OF THE AREA/BUILDING SERVED BY THEPARTICULAR VALVE).

5.1.11.3 Station Outlets and Inlets.

5.1.11.3.1

Station outlets and inlets shall be identified as to the name or chemical symbol for the specific medical gas or vacuumprovided.

5.1.11.3.2

Where medical gas systems operate at pressures other than the standard gauge pressure of 345 kPa to 380 kPa (50 psito 55 psi) or a gauge pressure of 1100 kPa to 1275 kPa (160 psi to 185 psi) for nitrogen, the station outlet identificationshall include the nonstandard operating pressure in addition to the name of the gas.

5.1.11.4 Alarm Panels.

Labeling of alarm panels shall comply with the requirements of 5.1.9.1(6) and (7).






CommitteeStatement:

Rename of section to be consistent with the information described in the 5.1.11 Pressure is listed in the section,but not in the heading.

ResponseMessage:

FR-279-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 23, 2012 Hart Make FR only to the Title

Aug 30, 2012 Hart Only the title of the section was changed. The Table remains the same despite legislative text.

Aug 30, 2012 Hart IMPORTANT: The next few FRs are on sections that were dragged in by this FR. If the title can be taken in on its own then I want those to remain on their own. If not we can combine them into this First Revision. The ones below that actually revise the sections are the ones that will be used.





5.1.11.2.7*

Zone valve box assemblies shall be labeled outside of the valve box as to the areas that they control as follows:

ZONE VALVES FOR THE (GAS/VACUUM NAME) SERVING (NAME OF AREA SERVED BY THE PARTICULAR VALVE)






Committee Statement: Zone valves are the only valve not listed in thsi section on labeling.


Committee Notes:

Date Submitted By

Aug 30, 2012 Hart This adds a new section that falls under FR 279 but I want this to stand on its own if possible. If not, this FR will need to be combined with that one by adding it into FR 279.



5.1.11.3.1

Station outlets and inlets shall be identified as to the name or chemical symbol for the specific medical gas or vacuumprovided.

5.1.11.3.1.1

In sleep labs, where the outlet is downstream of a flow control device, the station outlet identification shall include awarning not to use the outlet for ventilating patients.






Committee Statement: Sleep labs are being built with outlets downstream of flow control devices using standard labeling (i.e., Oxygen)

Response Message: FR-281-NFPA 99-2012. Item 2 was deleted as it does not address labeling.

Committee Notes:

Date Submitted By

Aug 30, 2012 Hart This adds a new section that falls under FR 279 but I want this to stand on its own if possible. If not, this FR will need to be combined with that one by adding it into FR 279.

Public Input No. 191-NFPA 99-2012 [Global Input]




5.1.11.4 Alarm Panels.

5.1.11.4.1

Labeling of alarm panels for each indicator shall comply with the requirements of indicate the condition monitored and itsarea of surveilance.

5.1.

9.1(6) and (7).11.4.2*

Area alarm panels shall be identified with the following:

(1) Name or chemical symbol of the specific medical gas or vacuum system being monitored

(2) Area(s) monitored by the alarm panel






Committee Statement: Replaced reference of 5.1.9.1(6) and (7) with section wording for clarity.


Committee Notes:

Date Submitted By

Aug 30, 2012 Hart This revises on section and adds a new section that fall under FR 279 but I want this to stand on its own if possible. If not, this FR will need to be combined with that one by adding it into FR 279.


First Revision No. 283-NFPA 99-2012 [ New Section after 5.1.12.1 ]

5.1.12.1.13

The rated accuracy of indicators used for testing shall be 1 percent (full scale) or better.






Committee Statement: This relocates 5.1.8.1.7 to the more appropriate testing section.


Public Input No. 151-NFPA 99-2012 [New Section after 5.1.12.1]




5.1.12.3.1.6

All tests required under 5.1.12.3 shall be performed after installation of any manufactured assemblies supplied throughtubing or flexible hose or tubing .






Committee Statement: This removes confusion that the term "flexible" might have been meant to apply to the tubing, not just the hose.



5.1.12.3.6.4 Odor.

(A)

All positive pressure gas outlets shall be tested for odor.

(B)

No objectionable odor shall be discernible.






CommitteeStatement:

Odor is presently not required during the verification process, but is seen too frequently when tubing plugs are brazed intothe piping system during installation, causing an offensive odor. Gas odor is at times missed resulting in costly opening ofwalls, etc. and sometimes causing delayed clinical unit openings to remove the piping sections involved. Occasionally theproblem is not noted until patient use, resulting in costly clinical unit(s) unplanned shutdowns.

ResponseMessage:

FR-295-NFPA 99-2012





5.1.12.3.10.6*

Where outlets are being fed with non-standard line pressure, volume, or gas content, for clinical reasons, they shall be labeled inaccordance with 5.1.11.




Submittal Date: Fri Aug 31 15:03:38 EDT 2012




First Revision No. 286-NFPA 99-2012 [ Sections 5.1.13.4.1, 5.1.13.4.2 ]

Sections

5.1.13.4

.1, 5.1.13.4.2

5.1.13.4.1

Requirements for nitrogen support gas outlets shall be in accordance with 5.1.5.1, 5.1.5.2, 5.1.5.4 through 5.1.5.8,5.1.5.11, and 5.1.5.13 through 5.1.5.15.

5.1.13.4.2

Requirements for other support gas outlets shall be in accordance with 5.1.5.1 , 5.1.5.2 , 5.1.5.4 , 5.1.5.5 , 5.1.5.7 ,5.1.5.8 , 5.1.5.11 , and 5.1.5.13 through 5.1.5.15 .






CommitteeStatement:

The requirements are not unique for nitrogen. 5.1.13.4.2 was then deleted because the deletion of "nitrogen" made thefirst section apply to all support gases which would have made the two redundant.

ResponseMessage:

FR-286-NFPA 99-2012


68/221


5.1.14.2.2.5 Qualifications.

(A)

Persons maintaining these systems shall be qualified to perform these operations.

(B)

Appropriate qualification shall be demonstrated by any of the following:

(1) Training and certification through A documented training program acceptable to the health care facility by whichsuch persons are employed or contracted to work with specific equipment as installed in that facility

(2) Credentialing to the requirements of ASSE 6040, Professional Qualification Standard for Medical Gas MaintenancePersonnel , and technically competent on the specific equipment as installed in that facility.

(3) Credentialing to the requirements of ASSE 6030, Professional Qualification Standard for Medical Gas SystemsVerifiers , and technically competent on the specific equipment as installed in that facility.






CommitteeStatement:

These systems have been maintained for several years by trained individuals within the healthcare origination. To use theterm "certification" required the hospital to become a certifying body and goes well beyond a well developed trainingprogram

ResponseMessage:

FR-287-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 23, 2012 Hart Item 1 was changed.

only the end of items 2 and 3 were updated.

Sep 24, 2012 Comp Only "and technically competent on the specific equipment as installed in that facility." should be underlined in items 2 and 3.

Sep 26, 2012 Comp The (A) and (B) are new but not the language following them. They were just separated out.






5.1.14.2.3.1 General.

The elements in 5.1.14.2.2.2 through 5.1.15 shall be inspected or tested as part of the maintenance program asfollows:

(1)

(12)

(13) WAGD source — exhaust location

(14)

(15)

(18) Bulk cryogenic liquid source inspected in accordance with NFPA 55, Compressed Gases and Cryogenic FluidsCode

(19) Final line regulation for all positive pressure systems — delivery pressure

(20)

(21)

(22) Alarms and warning systems, as follows:

(23) Master alarm signal operation

(24) Area alarm signal operation

(25) Local alarm signal operation

(26)


* Medical air source, as follows:

(2) Room temperature

(3) Shaft seal condition

(4) Filter condition

(5) Presence of hydrocarbons

(6) Room ventilation

(7) Water quality, if so equipped

(8) Intake location

(9) Carbon monoxide monitor calibration

(10) Air purity

(11) Dew point

* Medical vacuum source — exhaust location

* Instrument air source — filter condition

* Manifold sources (including systems complying with 5.1.3.5.10 , 5.1.3.5.11 , 5.1.3.5.12 , and 5.1.3.5.13 ),as follows:

(16) Ventilation

(17) Enclosure labeling

* Valves — labeling

* Alarms and warning systems — lamp and audio operation

* Station outlets/inlets, as follows:

(27) Flow

(28) Labeling

(29) Latching/delatching

(30) Leaks







CommitteeStatement:

This material has not been completely deleted, but has been moved to the annex because no criteria is specified for whatthe inspection and testing criteria should be. The testing and maintenance schedules and procedures should be determinedthrough the facilities risk assessment.

ResponseMessage:

FR-284-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 23, 2012 Hart Moved to annex material



5.1.14.3 Medical Gas and Vacuum Systems Information and Warning Signs.

5.1.14.3.1

The gas content of medical gas and vacuum piping systems shall be labeled in accordance with 5.1.11.1.

5.1.14.3.2

Labels for shutoff valves shall be in accordance with 5.1.11.2 and updated when modifications are made changing theareas served.

5.1.14.3.3

Station inlets and outlets shall be identified in accordance with 5.1.11.3.

5.1.14.3.4

Alarm panel labeling shall be in accordance with 5.1.11.4 and updated when modifications are made changing the areasserved.






Committee Statement: This was added to include that the other labeling that is required be inspected.


11/14/12



5.1.15 * Category 1 Maintenance.

Facilities shall have a routine maintenance program for their piped medical gas and vacuum systems.






Committee Statement: This section is redundant to 5.1.14






Sections

5.2.1.

1, 5.2.1.2, 5.2.1.3

5.2.1.1

Section 5.2 through 5.2.12 shall apply to new health care facilities or facilities making changes that alter the piping.

5.2.1.2

Subsection 5.2.13 through 5.2.14 shall apply to existing health care facilities.

5.2.1.3

Subsection 5.2.11 through 5.2.12 shall apply to new and existing health care facilities.

1

The following subsections of this chapter shall apply to the operation, management, and maintenance of Category 2medical gas and vacuum systems in existing health care facilities:

(1) 5.1.3.3.1.7

(2) 5.1.3.3.1.8

(3) 5.1.3.3.4

(4) 5.1.3.6.2

(5) 5.1.3.8.5.2

(6) 5.1.10.11.7.1

(7) 5.2.3.1

(8) 5.2.3.2

(9) 5.2.3.3

(10) 5.2.3.5 (2)

(11) 5.2.3.6 (2)

(12) 5.2.3.7 (2)

(13) 5.2.13

(14) 5.2.14








Committee Notes:

Date Submitted By

Sep 24, 2012 COMP No need for all bold font. It's not bold in the edit screen but shows up bold in the print view.




Sections

5.2.13

, 5.2.14

Category 2 Support Gases.

Category 2 support gas systems shall comply with 5.1.13.

5.2.

13 Category

14 Category 2 Operation and Management.

Category 2 systems shall comply with 5.1.14 .

5.2.14 * Category 2 Maintenance.

Facilities shall have a routine maintenance program for their piped medical gas and vacuum systems.






Committee Statement: This has been done to align the section with Category 1 requirements.


First Revision No. 253-NFPA 99-2012 [ Sections 5.3.1.1.1, 5.3.1.1.2, 5.3.1.1.3 ]

Sections

5.3.1.1.1

, 5

The following sections of this chapter shall apply to the operation, management, and maintenance of Category 3 medicalgas and vacuum systems in existing health care facilities:

(1) 5 .3.1.

1.2, 5

5

(2) 5 .3.1.

1



6

(3) 5 .3 .2

(4) 5.3.

1

6 .

1

19 .

1

4

Subsection

( 5 ) 5 .3.

2 through

6.20.3

(6) 5.3.

11.3 and

6.20.4

(7) 5.3.

12.3 shall apply to new health care facilities or facilities making changes that alter the piping.

6.20.5

(8) 5.3.6.20.6

(9) 5.3.

1

6 .

1

20 .

2 Paragraph

7

(10) 5.3.

12.2 and

6.20.8

(11) 5.3.

13.4 shall apply to existing health care facilities.

6.20.9

(12) 5.3.

1

6 .

1

21 .

3 Paragraph

14

(13) 5.3. 6.23. 1.

1, 5

5

(14) 5 .3.

2,

10

(15) 5.3.12

.1, and

(16) 5.3.13

.3 shall apply to new and existing health care facilities.











Committee Notes:

Date Submitted By

Sep 24, 2012 COMP Only main section number needs to be bold. All of the references show up as bold in some of the views.

First Revision No. 38-NFPA 99-2012 [ Section No. 6.3.1 [Excluding any Sub-Sections] ]

Each hospital health care appliance requiring electrical line power for operation shall be supported by power sources anddistribution systems that provide power adequate for each service.






CommitteeStatement:

Removes reference to distribution as these requirements are found in another section. Also removes reference to hospitaland uses the more general term health care. The term "hospital appliance" was changed to "health care appliance" asrequirements are to be based on category of hazard, not occupancy.

ResponseMessage:

FR-38-NFPA 99-2012



Regular voltage wiring Branch circuit wiring 600V or less shall comply with the requirements in 6.3.2.2.1.1 through6.3.2.2.1.4.






Committee Statement: The phrase 'regular voltage" is imprecise and not suitable for the document.


Public Input No. 327-NFPA 99-2012 [Section No. 6.3.2.2.1 [Excluding any Sub-Sections]]




6.3.2.2.1.2 Critical Care Areas2 Category 1 Areas .

Critical care areas Category 1 areas shall be served by circuits from a critical branch panel(s) served from a singleautomatic transfer switch and a minimum of one circuit served by the normal power distribution system or by a systemoriginating from a second critical branch automatic transfer switch.






CommitteeStatement:

It is confusing to the document to define rooms or areas because the document has changed to a risk baseddocument and the room is defined by risk category.

ResponseMessage:

FR-8-NFPA 99-2012


First Revision No. 9-NFPA 99-2012 [ Section No. 6.3.2.2.2.2(A) ]

(A)

Where used, the reliability of grounding circuits installed to a power receptacle in all patient care rooms shall be at leastequivalent to that provided by an electrically continuous copper conductor of appropriate ampacity run from the receptacleto a grounding bus in the distribution panel.






Committee Statement: 6.3.2.2.2.2 (A) and (B) are redundant. 6.3.2.2.2.2 (B) provides the cleaner, more user friendly alternative.


Committee Notes:

Date Submitted By

Aug 30, 2012 Hart Because it was previously only items (A) and (B), there will need to be a change to the section numbering.


First Revision No. 63-NFPA 99-2012 [ Sections 6.3.2.2.6.1, 6.3.2.2.6.2 ]

Sections

6.3.2.2.6.1

, 6.3.2.2.6.2

6.3.2.2.6.1

* Types of Receptacles.

* Types of Receptacles.

(A)

Each power receptacle shall provide at least one

,

separate, highly dependable grounding pole capable of maintaining low-contact resistance with its mating plug, despiteelectrical and mechanical abuse. The grounding terminal of each receptacle shall be connected to the referencegrounding point by means of an insulated copper equipment grounding conductor.

(B)

Special receptacles, such as the following, shall be permitted:

(1) Four-pole units providing an extra pole for redundant grounding or ground continuity monitoring

(2) Locking-type receptacles

(3) Where required for reduction of electrical noise on the grounding circuit, receptacles in which the groundingterminals are purposely insulated from the receptacle yoke

(C)

All single, duplex, or quadruplex type receptacles, or any combination thereof, located at patent bed locations inCategory 1 spaces shall be listed hospital grade.

6.3.2.2.6.2 Minimum Number of Receptacles.

The number of receptacles shall be determined by the intended use of the patient care rooms in accordance with6.3.2.2.6.2(A) through 6.3.2.2.6.2(

E

F ) .

(A)

Receptacles for Patient Bed Locations in

General Care Areas (

Category 2

)

Spaces . Each patient bed location shall be provided with a minimum of eight receptacles. They shall be permitted to beof the locking or nonlocking type, single, duplex, or quadruplex type, or any combination of the three. All receptaclesshall be listed hospital grade.

(B)

Receptacles for Patient Bed Locations in

Critical Care Areas (

Category 1

)

Spaces . Each patient bed location shall be provided with a minimum of 14 receptacles. They shall be permitted to be ofthe locking or nonlocking type, single, duplex, or quadruplex type, or any combination of the three. All receptacles shallbe listed hospital grade.

(C)

Receptacles for Operating Rooms

(Category 1)

. Operating rooms shall be provided with a minimum of 36 receptacles. They shall be permitted to be of the locking ornonlocking type, single, duplex, or quadruplex type, or any combination of the three. All receptacles shall be listedhospital grade.

(D)

Receptacles for Bathrooms or Toilets. Receptacles shall not be required in bathrooms or toilet rooms.

(E)

Receptacles for Special Rooms. Receptacles shall not be required in rooms where medical requirements mandateotherwise (e.g., certain psychiatric, pediatric, or hydrotherapy rooms).

(F)

Designated

General Care

Pediatric Locations. Receptacles that are located within the patient rooms, bathrooms, playrooms, and activity roomsof pediatric units, or spaces with similar risk as determined by the governing body, other than nurseries, shall be listedtamper-resistant or shall employ a listed tamper-resistant cover.








CommitteeStatement:

In several places, the term "room" or "area" was replaced with "spaces" this has been done to correlate with the NEC inmany places in Chapter 6 under the following substantiation: Use of the term “room(s)” is normally defined as four walls anda door. This term is too restrictive for designers and will cause confusion for users of the Code. The term “room(s)” mayrestrict Code requirements or enforcement for perimeter areas that may need be including for patient safety. For example,one room may have many patient care spaces effecting the installing of branch circuits and receptacles required elsewherein the code. Furthermore, it is confusing for the document to define rooms or areas because the document has changed toa risk based document and the room is defend by risk category. The term of category 1 is not needed. All operation roomhave this requirement. Section 6.3.2.2.6.2 for minimum number of receptacles has been revised to correlate with how it isaddressed within the NEC.

ResponseMessage:

FR-63-NFPA 99-2012

Committee Notes:

Date Submitted By

Sep 27, 2012 COMP Legislative text got all messed up in this one. The last sentence in 6.3.2.2.6.1 (A) needs to be underlined. Item (C) needs to be underlined in its entirety. In 6.3.2.2.6.2 "Spaces" should be only thing underlined in the titles of (A) and (B). The last two sentences of (A) through (C) should be underlined. In item (F) only "or spaces with similar risk as determined by the governing body," should be underlined as new.

Sep 27, 2012 Hart Agreed to editorially remove the "8" "fourteen" and "thirty-six" that we had during the meeting. For MOS compliance.


Public Input No. 271-NFPA 99-2012 [Section No. 6.3.2.2.6.2(B)]

Public Input No. 272-NFPA 99-2012 [Section No. 6.3.2.2.6.2(C)]



6.3.2.2.6.4 Receptacles and Amperage.

(A)

Receptacles for use with 250-V, 50-A, and 60-A ac service shall be designed for use in locations where deep sedation orgeneral anesthesia is administered and shall be so designed that the 60-A receptacle will accept either the 50-A or the60-A plug.

(B)

Fifty-ampere receptacles shall be designed so as not to accept the 60-A attachment plug.

(C)

Both 50-A and 60-A receptacles shall be of the two-pole, three-wire design, with the third contact connecting to thegrounding wire (green or green with yellow stripe) of the electrical system.






CommitteeStatement:

This section requires all 50A and 60A receptacles to be designed for use in a deep sedation or general anesthesialocations, regardless of the nature of the the risk assessment. This language is antiquated and must speak to aninstallation long ago abandoned.

ResponseMessage:

FR-13-NFPA 99-2012




First Revision No. 15-NFPA 99-2012 [ Section No. 6.3.2.2.8.5 [Excluding any Sub-Sections] ]

In existing construction, the requirements of 6.3.2.2.8.1 shall not be required when a written inspection procedure,acceptable to the authority having jurisdiction, is continuously enforced performed by a designated individual at thehospital to indicate that equipment grounding conductors for 120-V, single-phase, 15-A and 20-A receptacles; equipmentconnected by cord and plug; and fixed electrical equipment are installed and maintained in accordance with NFPA 70,National Electrical Code, and the applicable performance requirements of this chapter.






CommitteeStatement:

There is no way to "continuously" enforce any policy. It implies 24x7 coverage and no other duties. The term"enforced" was editorially changed to "performed".

ResponseMessage:

FR-15-NFPA 99-2012

Public Input No. 94-NFPA 99-2012 [Section No. 6.3.2.2.8.5 [Excluding any Sub-Sections]]


6.3.2.2.8.8

Where GFCI protection is used in an operating room, one of the following shall apply:

(1) Each receptacle shall be an individual GFCI device.

(2) Each receptacle shall be individually protected by a single GFCI device.






CommitteeStatement:

It is essential that if a GFCI trips that only one outlet is interrupted. Having the power interrupted to more than one outletwould result in confusion and loss of multiple pieces of equipment. This would create a serious risk to patient safety.

ResponseMessage:

FR-14-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 30, 2012 Hart It is very important that this and all other Newly added sections are underlined or marked in some other way to indicate that it is not existing text.




6.3.2.2.9.1

An isolated power system shall not be required to be installed in any patient care room space , except as specified in6.3.2.2.8.






CommitteeStatement:

The term "room" was changed to "space" to correlate with changes being made to much of Chapter 6 under the followingsubstantiation: Use of the term “room(s)” is normally defined as four walls and a door. This term is too restrictive fordesigners and will cause confusion for users of the Code. The term “room(s)” may restrict Code requirements orenforcement for perimeter areas that may need be including for patient safety. For example, one room may have manypatient care spaces effecting the installing of branch circuits and receptacles required elsewhere in the code.

ResponseMessage:

FR-57-NFPA 99-2012



First Revision No. 16-NFPA 99-2012 [ Sections 6.3.2.2.10.1, 6.3.2.2.10.2, 6.3.2.2.10.3, 6.3.2.2.... ]

Sections

6.3.2.2.10.

1, 6.3.2.2.10.2, 6.3.2.2.10.3, 6.3.2.2.10.4

6.3.2.2.10. 1

Critical care rooms ( Category 1 Room) spaces shall be served only by a Type I EES.

6.3.2.2.10.2

General care rooms ( Category 2 Room) spaces shall be served by a Type I or Type II EES.

6.3.2.2.10.3

A Type I EES serving a critical care room ( Category 1 Room) space shall be permitted to serve general care rooms (Category 2 Room) spaces in the same facility.

6.3.2.2.10.4

Basic care rooms Category 3 or Category 4 spaces shall not be required to be served by an EES.






CommitteeStatement:

It is confusing for the document to define rooms or areas because the document has changed to a risk based documentand the room is defined by risk category. In addition, The term "rooms" was changed to "spaces" to correlate with changesbeing made to much of Chapter 6 under the following substantiation: Use of the term “room(s)” is normally defined as fourwalls and a door. This term is too restrictive for designers and will cause confusion for users of the Code. The term “room(s)”may restrict Code requirements or enforcement for perimeter areas that may need be including for patient safety. Forexample, one room may have many patient care spaces effecting the installing of branch circuits and receptacles requiredelsewhere in the code.

ResponseMessage:

FR-16-NFPA 99-2012






6.3.2.2.10.5

Rooms other than patient care rooms shall not be required to be served by an EES.






Committee Statement: There are other rooms or areas that do need to be served by the EES.






6.3.2.5.1 Applicability.

The requirements of 6.3.2.5.2 shall apply to hospitals and other buildings housing critical care areas housing Category1 areas or utilizing life-support equipment and buildings that provide essential utilities or services for the operation ofcritical-care areas of Category 1 areas or electrical life-support equipment.






CommitteeStatement:

It is confusing for the document to define rooms or areas because the document has changed to a risk baseddocument and the room is defined by risk category.

ResponseMessage:

FR-17-NFPA 99-2012



(A)

The If present, the neutral of the primary winding shall be grounded in an approved manner.






Committee Statement: Not all isolation transformers primary windings require a neutral.



83/221


6.3.2.6.1.3

Wiring of isolated power systems shall be in accordance with 517.62 160 of NFPA 70, National Electrical Code.






Committee Statement: This is an editorial correction to the reference.



6.3.3.1 Grounding System in Patient Care RoomsSpaces .

6.3.3.1.1* Grounding System Testing.

The effectiveness of the grounding system shall be determined by voltage measurements and impedance measurements.

6.3.3.1.1.1

For new construction, the effectiveness of the grounding system shall be evaluated before acceptance.

6.3.3.1.1.2

Small wall-mounted conductive surfaces not likely to become energized, such as surface-mounted towel and soapdispensers, mirrors, and so forth, shall not be required to be intentionally grounded or tested.

6.3.3.1.1.3

Large metal conductive surfaces not likely to become energized, such as windows, door frames, and drains, shall not berequired to be intentionally grounded or periodically tested.

6.3.3.1.1.4*

Whenever the electrical system has been altered or replaced, that portion of the system shall be tested.

6.3.3.1.2 Reference Point.

The voltage and impedance measurements shall be taken with respect to a reference point, which shall be one of thefollowing:

(1) Reference grounding point (see Chapter 3)

(2) Grounding point, in or near the room under test, that is electrically remote from receptacles (e.g., an all-metal cold-water pipe)

(3) Grounding contact of a receptacle that is powered from a different branch circuit from the receptacle under test

6.3.3.1.3* Voltage Measurements.

6.3.3.1.3.1

The voltage measurements shall be made under no-fault conditions between a reference point and exposed fixedelectrical equipment with conductive surfaces in a patient care vicinity.

6.3.3.1.3.2

The voltage measurements shall be made with an accuracy of ±20 percent.

6.3.3.1.3.3

Voltage measurements for faceplates of wiring devices shall not be required.

6.3.3.1.4* Impedance Measurements.

The impedance measurement shall be made with an accuracy of ±20 percent.

6.3.3.1.4.1

For new construction, the impedance measurement shall be made between the reference point and the grounding contactof 10 percent of all receptacles within the patient care vicinity.

6.3.3.1.4.2

The impedance measurement shall be the ratio of voltage developed (either 60 Hz or dc) between the point under test andthe reference point to the current applied between these two points.



6.3.3.1.5 Test Equipment.

Electrical safety test instruments shall be tested periodically, but not less than annually, for acceptable performance.

6.3.3.1.5.1

Voltage measurements specified in 6.3.3.1.3 shall be made with an instrument having an input resistance of 1000 ohms±10 percent at frequencies of 1000 Hz or less.

6.3.3.1.5.2

The voltage across the terminals (or between any terminal and ground) of resistance-measuring instruments used inoccupied patient care rooms shall not exceed 500 mV rms or 1.4 dc or peak to peak.

6.3.3.1.6 Criteria for Acceptability for New Construction.

6.3.3.1.6.1

The voltage limit shall be 20 mV.

6.3.3.1.6.2

The impedance limit shall be 0.2 ohm for systems containing isolated ground receptacles and 0.1 ohm for all others.






CommitteeStatement:


ResponseMessage:

FR-187-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 17, 2012 Hart I want this FR to only be to the Title of Section 6.3.3.1. There's no need t pull in the entire section and make it look like a large change.




6.3.3.2 Receptacle Testing in Patient Care RoomsSpaces .

6.3.3.2.1

The physical integrity of each receptacle shall be confirmed by visual inspection.

6.3.3.2.2

The continuity of the grounding circuit in each electrical receptacle shall be verified.

6.3.3.2.3

Correct polarity of the hot and neutral connections in each electrical receptacle shall be confirmed.

6.3.3.2.4

The retention force of the grounding blade of each electrical receptacle (except locking-type receptacles) shall be not lessthan 115 g (4 oz).






CommitteeStatement:


ResponseMessage:

FR-188-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 17, 2012 Hart I want this FR to only show as being to the title of Section 6.3.3.2. No need to make it look like an FR encompassing the whole section.


6.3.3.3.1 Patient Care RoomsSpaces .

If installed, the isolated power system shall be tested in accordance with 6.3.3.3.2.






CommitteeStatement:

The term "rooms" was changed to "spaces" to correlate with changes being made to much of Chapter 6 under the followingsubstantiation: Use of the term “room(s)” is normally defined as four walls and a door. This term is too restrictive fordesigners and will cause confusion for users of the Code. The term “room(s)” may restrict Code requirements orenforcement for perimeter areas that may need be including for patient safety. For example, one room may have manypatient care spaces effecting the installing of branch circuits and receptacles required elsewhere in the code.

ResponseMessage:

FR-58-NFPA 99-2012




6.3.4.1.2

Additional testing of receptacles in patient care rooms spaces shall be performed at intervals defined by documentedperformance data.






CommitteeStatement:


ResponseMessage:

FR-59-NFPA 99-2012


Dual sources of normal power shall be considered but shall not constitute an alternate source of power as described inthis chapter.






Committee Statement: It is not possible to require someone to consider dual power.






6.4.1.1.3

Generator load-shed circuits designed for the purpose of load reduction or for load priority systems shall not shed lifesafety branch loads, critical branch loads serving critical care areas, medical air compressors, medical–surgical vacuumpumps, fire pumps, the pressure maintenance (jockey) pump(s) for water-based fire protection systems, generator fuelpumps, or other generator accessories.






CommitteeStatement:

Currently, paragraph 6.4.1.1.7.1 implies that if a multiple paralleled generator system has only one remaining operationalgenerator, then the remaining generator must have the capacity to support the fire pump plus the loads identified inparagraph 6.4.1.1.3 that shall not be shed.

ResponseMessage:

FR-20-NFPA 99-2012



6.4.1.1.7 Fuel Cell Systems.

Fuel cell systems shall be permitted to serve as the alternate source for all or part of an essential electrical system, provided thefollowing conditions apply:

6.4.1.1.7.1

Installation shall comply with NFPA 853, Standard for Installation of Stationary Fuel Cell Power Systems.

6.4.1.1.7.2

N+1 units shall be provided where N units have sufficient capacity to supply the demand load of the portion of the system served.

6.4.1.1.7.3*

System shall be able to assume loads within 10 seconds of loss of normal power source.

6.4.1.1.7.4

System shall have continuing source of fuel supply, together with sufficient on-site fuel storage for the essential system type.

6.4.1.1.7.5

A connection shall be provided for a portable diesel generator to supply life safety and critical portions of the distribution system(if present).






CommitteeStatement:

This has been added to address a new technology and to ensure that where it is used, there is a minimum level ofsafety requirements added.

ResponseMessage:

FR-47-NFPA 99-2012




6.4.1.1.9* Capacity and Rating.

The generator set(s) shall have sufficient the capacity and proper rating to meet the maximum actual demand likely tobe produced by the connected load of the essential electrical system(s).






Committee Statement: This has been changed to correlate with NFPA 70.


First Revision No. 45-NFPA 99-2012 [ New Section after 6.4.2.2.1.4(B) ]

6.4.2.2.1.5

For the purposes of this code, Article 700 of NFPA 70, National Electrical Code, shall only be applied to the life safety branch.

6.4.2.2.1.6

The following portions of Article 700 of NFPA 70 shall be amended as follows:

(A)

700.4 shall not apply.

(B)

700.10 (D) 1 through 3 shall not apply.

(C)

700.17 Branch Circuits for Emergency Lighting. Branch circuits that supply emergency lighting shall be installed to provide servicefrom a source complying with 700.12 when the normal supply for lighting is interrupted or where single circuits supply luminairescontaining secondary batteries.

(D)







Committee Statement: This clarifies the relationship between Chapter 6 of NFPA 99 and Article 700 of the NEC.





6.4.2.2.3.2

The life safety branch shall supply power for lighting, receptacles, and equipment as follows:

(1) Illumination of means of egress in accordance with NFPA 101, Life Safety Code

(2) Exit signs and exit directional signs in accordance with NFPA 101, Life Safety Code

(3)

(4) Generator set location as follows:

(a) Task illumination

(b) Battery charger for emergency battery-powered lighting unit(s)

(c) Select receptacles at the generator set location and essential electrical system transfer switch locations

(5) Elevator cab lighting, control, communications, and signal systems

(6) Electrically powered doors used for building egress

(7) Fire alarms and auxiliary functions of fire alarm combination systems complying with NFPA 72, National Fire Alarmand Signaling Code






Committee Statement: The phrase "...for lighting, receptacles and equipment..." is redundant and may confuse the end user.




* Hospital communications systems, where used for issuing instruction during emergency conditions



6.4.2.2.4.2

The critical branch shall supply power for task illumination, fixed equipment, select receptacles, and select power circuitsserving the following areas and functions related to patient care:

(1) Critical care areas that utilize anesthetizing gases, task illumination, select receptacles, and fixed equipment

(2) Isolated power systems in special environments

(3) Task illumination and select receptacles in the following:

(a) Patient care rooms spaces , including infant nurseries, selected acute nursing areas, psychiatric bed areas(omit receptacles), and ward treatment rooms

(b) Medication preparation areas

(c) Pharmacy dispensing areas

(d) Nurses’ stations (unless adequately lighted by corridor luminaires)

(4) Additional specialized patient care task illumination and receptacles, where needed

(5) Nurse call systems

(6) Blood, bone, and tissue banks

(7)

(8) Task illumination, select receptacles, and select power circuits for the following areas:

(a) General care beds with at least one duplex receptacle per patient bedroom, and task illumination as requiredby the governing body of the health care facility

(b) Angiographic labs

(c) Cardiac catheterization labs

(d) Coronary care units

(e) Hemodialysis rooms or areas

(f) Emergency room treatment areas (select)

(g) Human physiology labs

(h) Intensive care units

(i) Postoperative recovery rooms (select)

(9) Additional task illumination, receptacles, and select power circuits needed for effective facility operation, includingsingle-phase fractional horsepower motors, which are permitted to be connected to the critical branch






CommitteeStatement:


ResponseMessage:

FR-60-NFPA 99-2012

* Telephone equipment rooms and closets




6.5.2.2.1.2

The essential electrical system shall be divided into the following two branches:

(1) Life safety branch

(2) Equipment branch






Committee Statement: This will clarify the requirment of the branches neeeded and will match the format in 6.4.2.2.1.1 for type 1 EES




6.5.2.2.1.4

For the purposes of this code, Article 700 shall only be applied to the Life Safety Branch.

6.5.2.2.1.5

The following portions of Article 700 of NFPA 70 shall be ammeded as follows:

(A)


(B)

700.10 (D) 1 through 3 shall not apply.

(C)

700.17 Branch Circuits for Emergency Lighting. Branch circuits that supply emergency lighting shall be installed to provideservice from a source complying with 700.12 when the normal supply for lighting is interrupted or where single circuits supplyluminaires containing secondary batteries.

(D)







Committee Statement: This has been added to clarify the relationship between Chapter 6 of NFPA 99 and the NEC.


11/14/12



6.5.2.2.2.1

The life safety and critical branches branch shall supply power for lighting, receptacles, and equipment as follows:

(1) Illumination of means of egress in accordance with NFPA 101A, Guide on Alternative Approaches to Life Safety

(2) Exit signs and exit directional signs in accordance with NFPA 101, Life Safety Code

(3) Alarm and alerting systems, including the following:

(a) Fire alarms

(b) Alarms required for systems used for the piping of nonflammable medical gases as specified in Chapter 5

(4)

(5) Sufficient lighting in dining and recreation areas to provide illumination to exit ways of a minimum of 5 ft-candles

(6) Task illumination and select receptacles at the generator set location

(7) Elevator cab lighting, control, communications, and signal systems






Committee Statement: This is an editiorial correction to remove the reference to critical branch in Type 2 EES.


Committee Notes:

Date Submitted By

Sep 6, 2012 Hart The reference in (1) to NFPA 101A needs to be changed to NFPA 101 as referenced in the Errata (99-12-1)


(A)

The equipment branch shall be installed and connected to the alternate power source such that equipment listed in6.5.2.2.3.2 is automatically restored to operation at appropriate time-lag intervals following the restoration of the life safetyand equipment branches safety branch to operation.






Committee Statement: This was editorially revised.


* Communications systems, where used for issuing instructions during emergency conditions

93/221


6.5.2.2.3.3 Delayed-Automatic Connections to Equipment Branch.

The following equipment shall be permitted to be connected to the equipment branch and shall be arranged for delayed-automatic connection to the alternate power source:

(1) Task illumination and select receptacles in the following:

(a) Patient care rooms

(b) Medication preparation areas

(c) Pharmacy dispensing areas

(d) Nurses’ stations (unless adequately lighted by corridor luminaires)

(2) Supply, return, and exhaust ventilating systems for airborne infectious isolation rooms

(3) Sump pumps and other equipment required to operate for the safety of major apparatus and associated controlsystems and alarms

(4) Smoke control and stair pressurization systems

(5) Kitchen hood supply or exhaust systems, or both, if required to operate during a fire in or under the hood

(6) Nurse call systems






CommitteeStatement:

Rationale: Nurse call systems are described to be powered by the Critical Branch circuit of a Type 1 EES but, there is noreference to powering nurse call systems for a Type 2 EES. Therefore, for Type 2 EES, it is indeterminate as to whichbranch circuit should be used for powering the nurse call system. The recommendation is to add nurse call systems asitem (6) on the Equipment Branch of a Type 2 EES. Doing so will be consistent with the functions described for the Type 1EES critical branch (i.e., compare 6.5.2.2.3.3 with 6.4.2.2.4.2 and add additional systems, equipment items and functionsthat are missing in the former.)

ResponseMessage:

FR-24-NFPA 99-2012



6.6 Essential Electrical System Requirements — Type 3.

6.6.1 Sources (Type 3 EES).

The alternate source of power for the system shall be specifically designed for this purpose and shall be either agenerator, battery system, or self-contained battery integral with the equipment.

6.6.1.1

Generators shall conform to 6.4.1.1 and 6.4.1.1.6.2 .

6.6.1.2

Battery systems shall conform to 6.4.1.2 .

6.6.2 Distribution (Type 3 EES).

6.6.2.1 General.

The distribution requirements for Type 3 essential electrical systems shall conform to those listed in 6.4.2.1 .

6.6.2.1.1 * Selective Coordination.

6.6.2.1.1.1

Overcurrent protective devices serving the essential electrical system shall selectively coordinate for the period of timethat a fault’s duration extends beyond 0.1 second.

11/14/12


6.6.2.1.1.2

Selective coordination shall not be required as follows:

(1) Between transformer primary and secondary overcurrent protective devices, where only one overcurrent protectivedevice or set of overcurrent protective devices exists on the transformer secondary. [ 70 : 700.27]

(2) Between overcurrent protective devices of the same size (ampere rating) in series. [ 70 : 700.27]

6.6.2.2 Specific Requirements.

6.6.2.2.1 * General.

6.6.2.2.2 Connection to the Essential Electrical System.

The system shall supply power for task illumination that is related to the safety of life and that is necessary for the safecessation of procedures in progress.

6.6.2.2.3 Wiring Requirements.

6.6.2.2.3.1 General.

The design, arrangement, and installation of the system shall be in accordance with NFPA 70 , National ElectricalCode .

6.6.2.2.3.2 * Receptacles.

The cover plates for the electrical receptacles or the electrical receptacles themselves supplied from the life safety andcritical branches shall have a distinctive color or marking so as to be readily identifiable.

6.6.3 Performance Criteria and Testing (Type 3 EES).

6.6.3.1 Source.

6.6.3.1.1

The life safety and critical branches shall have an alternate source of power separate and independent from the normal

source that will be effective for a minimum of 1 1 ? 2 hours after loss of the normal source.

6.6.3.1.2

The life safety and critical branches shall be so arranged that, in the event of failure of the normal power source, thealternate source of power shall be automatically connected to the load within 10 seconds.

6.6.3.2 Transfer Switches with Engine Generator Sets.

6.6.3.2.1

The operation of the equipment shall be arranged such that the load will be served by the normal source until the normalsource is interrupted or when the voltage drops below the setting of the voltage-sensing device.

6.6.3.2.2

The settings of the voltage-sensing relays shall be determined by careful study of the voltage requirements of the load.

6.6.3.2.3

When the normal source is restored, and after a time delay as described in 6.4.2.1.5.7 , the automatic transfer switchshall disconnect the alternate source of power and connect the loads to the normal power source.

6.6.3.2.4

If the alternate power source fails and the normal power source has been restored, retransfer to the normal source ofpower shall be immediate.

6.6.3.3 Transfer Switches with Battery System.

6.6.3.3.1

Failure of the normal source shall automatically transfer the load to the battery system.

6.6.3.3.2

Retransfer to the normal source shall be automatic upon restoration of the normal source.

6.6.4 Administration (Type 3 EES).

6.6.4.1 Maintenance and Testing.

6.6.4.1.1 Maintenance and Testing of Alternate Power Source and Transfer Switches.

6.6.4.1.1.1 Maintenance of Alternate Power Source.

The generator set or other alternate power source and associated equipment, including all appurtenance parts, shall beso maintained as to be capable of supplying service within the shortest time practicable and within the 10-second intervalspecified in 6.4.1.1.10 and 6.6.3.1.2 .

6.6.4.1.1.2 Inspection and Testing.

Generator sets shall be inspected and tested in accordance with 6.4.4.1.1.3 .

6.6.4.1.1.3 Stored Energy Power Source.

Maintenance and testing of stored energy power supply systems shall be in accordance with NFPA 111, Standard onStored Electrical Energy Emergency and Standby Power Systems , Section 6.1 through 6.4.5.

6.6.4.1.2 Maintenance and Testing Circuitry.

Circuitry shall be maintained and tested in accordance with 6.4.4.1.2 .

6.6.4.1.3 Maintenance of Batteries.

Batteries shall be maintained in accordance with 6.4.4.1.3 .



6.6.4.2 Record Keeping.

A written record of inspection, performance, exercising period, and repairs shall be regularly maintained and available forinspection by the authority having jurisdiction.






Committee Statement: There is nowhere in NFPA 99 that requires or permits the use of a Type III essential electrical system.






First Revision No. 379-NFPA 99-2012 [ Chapter 7 [Title Only] ]

Information Technology and Communications Systems for Health Care Facilities






CommitteeStatement:

The title of Chapter 7 has been revised as there is no need to include "for Health Care Facilities" in the document.This correlates with the rest of NFPA 99.

ResponseMessage:

FR-379-NFPA 99-2012





(A)

The EF shall be permitted to be located with the emergency telecommunications equipment room (ER TER ).

(B)

Where the EF is combined with the

ER

TER , the space and electrical power and cabling shall be added to the

ER

TER to accommodate the telecommunications service provider’s space and access requirements.






CommitteeStatement:

The current section includes two requirements in one numbered section. It is easier to follow if they are separated and is inaccordance with the NFPA Manual of Style. Incorrect reference to emergency room was resolved.

ResponseMessage:

FR-27-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 30, 2012 Hart The legislative text needs some real work for this section.


First Revision No. 39-NFPA 99-2012 [ Section No. 7.3.1.2.1.4(B) ]

(B)

The EF shall be dedicated to the telecommunications function and related support facilities low voltage communicationsystems .






CommitteeStatement:

The EF and other data closets are widely used to house and distribute systems that use either Cat5/6, Coax ortwisted pair low voltage systems.

ResponseMessage:

FR-39-NFPA 99-2012

Committee Notes:

Date Submitted By

Sep 25, 2012 Comp will need to be renumbered based on action on previous FR.




First Revision No. 28-NFPA 99-2012 [ Section No. 7.3.1.2.1.4(E) ]

(E)

Other underground utilities, such as electrical, water, gas, and sewer, shall not be located below the EF.






CommitteeStatement:

Underground utilities should not affect the operation of equipment in the EF. This area should not be treated anydifferently than other areas near utility entrance.

ResponseMessage:

FR-28-NFPA 99-2012

Public Input No. 346-NFPA 99-2012 [Section No. 7.3.1.2.1.4(E)]

First Revision No. 29-NFPA 99-2012 [ Section No. 7.3.1.2.1.4(F) ]

(F)

The EF shall be located not less than 3.66 m (12 ft) from any permanent source of electromagnetic interference, such asmedical imaging equipment, transformers, motors, variable frequency drives, induction heaters, arc welders, radio andradar systems, or other sources of electromagnetic interference .






CommitteeStatement:

These examples, while useful, better belong as annex material as they do not change what the requirement is. Anotherinput has been submitted to add this to the annex.

ResponseMessage:

FR-29-NFPA 99-2012




First Revision No. 31-NFPA 99-2012 [ Section No. 7.3.1.2.1.4(G) ]

(G)

The EF shall be located in an area not subject to flooding and .

(H)

The EF shall be as close as practicable to the building communications service entrance point.






CommitteeStatement:

The current section includes two requirements in on numbered section. It is easier to follow if they are separated andis in accordance with the NFPA Manual of Style.

ResponseMessage:

FR-31-NFPA 99-2012

Public Input No. 290-NFPA 99-2012 [Section No. 7.3.1.2.1.4(G)]


7.3.1.2.1.5 Security.

Access to EFs shall be restricted and controlled.






Committee Statement: Security is addressed for both the TER and TR, it makes sense to require security for the EF as well.


Committee Notes:

Date Submitted By

Sep 25, 2012 COMP I would like for this to the new 7.3.1.2.1.5 and for the current one to be renumbered 7.3.1.2.1.6. I don't have it aligned like that currently.





(B)*

Circuits serving equipment in the EF shall be connected to the critical power branch of the emergency essentialelectrical system.






CommitteeStatement:

This change adds clarity to the Code. As used in this section, the word “emergency” was changed to “essential” in theprevious edition of NFPA 99. This correction should be made for continuity of the document.

ResponseMessage:

FR-33-NFPA 99-2012




7.3.1.2.1.7 Fire Suppression Systems.

Sprinkler heads shall Sprinklers shall be provided with wire cages or shall be recessed to prevent accidental operation.






Committee Statement: The appropriate phrase is "sprinklers" and not "sprinkler heads."





First Revision No. 41-NFPA 99-2012 [ Sections 7.3.1.2.2.1, 7.3.1.2.2.2 ]

Sections

7.3.1.2.2.

1, 7.3.1.2.2.2

7.3.1.2.2.

1 General.

The telecommunications equipment room (TER) houses the main networking equipment and shall be permitted to alsohouse application servers and data storage devices that serve the health care facility

if the TER is being utilized as a data center. In addition, central

.

7.3.1.2.2.2

Central equipment for other communications systems shall be permitted to be housed in the TER.

7.3.1.2.2.

2 * The TER shall be a separate space and shall not be used for any other purposes besides networking, data storage,and processing, except that the telecommunications

3

The entrance facility (

TEF

EF )

can

shall be permitted to be combined with the TER space.






CommitteeStatement:

This breaks the two “shall” requirements in the section into two separate sections and correct the abbreviation for theentrance facility to (EF) as used throughout the chapter.

ResponseMessage:

FR-41-NFPA 99-2012

Committee Notes:

Date Submitted By

Sep 25, 2012 COMP Legislative text is not correctly showing





First Revision No. 48-NFPA 99-2012 [ Section No. 7.3.1.2.2.5(E) ]

(E)

The TER shall be located not less than 3.66 m (12 ft) from any permanent source of electromagnetic interference, suchas medical imaging equipment, transformers, motors, variable frequency drives, induction heaters, arc welders, radiotransmission systems, or other sources of electromagnetic interference .






CommitteeStatement:

These examples, while useful, better belong as annex material as they do not change what the requirement is. Anotherinput has been submitted to add this to the annex

ResponseMessage:

FR-48-NFPA 99-2012

Public Input No. 294-NFPA 99-2012 [Section No. 7.3.1.2.2.5(E)]

First Revision No. 49-NFPA 99-2012 [ Section No. 7.3.1.2.2.7(C) ]

(C)

Circuits serving other communications equipment in the TER shall be connected to the essential electrical system. Thisequipment shall include the telephone system, nurse call, staff assistance call, and code systems.






CommitteeStatement:

Revise this section to provide clarity for code for users and enforcement authority. The equipment in these rooms shall beconnected to the essential electrical system. Providing a list of items, as currently shown, is not necessary as otherequipment may be installed in the TER that is not on the list leading to confusion of the intent of this section.

ResponseMessage:

FR-49-NFPA 99-2012

Public Input No. 348-NFPA 99-2012 [Section No. 7.3.1.2.2.7(C)]



First Revision No. 50-NFPA 99-2012 [ Section No. 7.3.1.2.3.6(D) ]

(D)

The TR shall be located a minimum of 3.66 m (12 ft) from any permanent source of electromagnetic interference, such asmedical imaging equipment, transformers, motors, variable frequency drives, induction heaters, arc welders, radiotransmission systems, or other sources of electromagnetic interference .






CommitteeStatement:

These examples, while useful, better belong as annex material as they do not change what the requirement is. Anotherinput has been submitted to add this to the annex.

ResponseMessage:

FR-50-NFPA 99-2012

Public Input No. 296-NFPA 99-2012 [Section No. 7.3.1.2.3.6(D)]


(B)

Circuits serving the TR shall be connected to the critical power branch of the emergency the essential electrical system.






Committee Statement: Revised to coincide with the terms now used in the code.







(B)

Sprinkler heads Sprinklers shall be provided with wire cages to or shall be recessed to prevent accidental discharge.






CommitteeStatement:

The appropriate phrase is "sprinklers" not "sprinkler heads." The inclusion of recessed sprinklers has been includedto be consistent with 7.3.1.2.1.7.

ResponseMessage:

FR-51-NFPA 99-2012



7.3.1.2.5.1 General.

Outside plant (OSP) infrastructure consists shall consist of the conduits, vaults, and other pathways and cabling used toconnect buildings on a campus and to provide services from off-campus service providers.






Committee Statement: This current section was not a requirement. It has been revised to be an enforceable statement.






8.1 Applicability.

8.1.1

This chapter shall apply to construction of new health care facilities, except as noted in 8.1.2 and 8.1.3.

8.1.2

This chapter shall also apply to the altered, renovated, or modernized portions of existing systems or individualcomponents.

8.1.3

Existing construction or equipment shall be permitted to be continued in use when such use does not constitute adistinct hazard to life.

8.1.4 Definitions.

8.1.4.1 Nonmedical Compressed Air.

Air that is used for purposes other than patient care or medical devices that provide direct patient care.






CommitteeStatement:

This language is being added back into NFPA 99 as a part of the acceptance of language from TIA 99-12-1. Definitionwas not deleted but rather moved to chapter 3 with all other definitions.

ResponseMessage:

FR-89-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 30, 2012 Hart IMPORTANT: All of Chapter 8 (and 9) had to be added back in because they were only in the document due to a TIA. So some sections look like they've just been turned into FRs with no edits, which I believe is how it needs to be handled.


8.2 System Category Criteria.

The health care facility’s governing body that has the responsibility for the building system components as identified in thischapter shall designate, in accordance with the function of each space, building system categories in accordance with Sections4.1 and 4.2.

8.2.1*

The category of risk applied to each plumbing system serving a space shall be independent of the category of risk applied toother systems serving that same space.






Committee Statement: This language is being added back into NFPA 99 as a part of the acceptance of language from TIA 99-12-1.




First Revision No. 87-NFPA 99-2012 [ Sections 8.3.1, 8.3.2, 8.3.3 ]

Sections 8.3.1, 8.3.2, 8.3.3

8.3.1 Potable Water.

Potable water systems shall comply with applicable plumbing codes and FGI Guidelines .

8.3.2 Nonpotable Water.

Nonpotable water systems shall comply with applicable plumbing codes and FGI Guidelines .

8.3.3* Water Heating.

Maximum hot water temperatures shall comply with applicable plumbing codes and FGI Guidelines .






CommitteeStatement:

The FGI guidelines provide the user with a specific document that provides requirements for these areas. Although titled asa guideline, it is written in mandatory text. These Sections are added back into NFPA 99 as a part of the acceptance oflanguage from TIA 99-12-1.

ResponseMessage:

FR-87-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 16, 2012 HART Addd FGI title


8.3.4 Water Conditioning.

Water shall be treated or heated to control pathogens in the water.











8.3.5.1

Nonmedical air compressors shall be listed or approved.









8.3.5.3

Nonmedical compressed air shall meet the quality and pressure requirements of the equipment connected to the system






CommitteeStatement:

A healthcare facility has many compressed air needs. Whereas a Medical Support Gas is well defined for a very high levelof quality and a specific pressure, the variety of requirements for this general support gas can not be easily be defined inthis code without being overly restrictive. This Public Input requires the designer to consider all uses of the system anddesign appropriately.

ResponseMessage:

FR-80-NFPA 99-2012

Public Input No. 398-NFPA 99-2012 [New Section after 8.3.6]




8.3.5.2

Nonmedical compressed air shall not be used for powering medical instruments or for human respiration.






CommitteeStatement:

This specifies that nonmedical compressed gas is not to be used for powering instruments but can be used for cleaning orother purposes. This basis for this language is that it is being added back into NFPA 99 as a part of the acceptance oflanguage from TIA 99-12-1.

ResponseMessage:

FR-79-NFPA 99-2012



8.3.6 Special Use Water Systems.

When special use water systems are required, application of standards shall be provided in accordance with FGIGuidelines or other appropriate publicly reviewed nationally published standards shall be followed .






CommitteeStatement:

A specific standard has now been referenced in this section. Although titled a guideline, the document is written inmandatory language. The language is added back into NFPA 99 as a part of the acceptance of language from TIA 99-12-1.

ResponseMessage:

FR-81-NFPA 99-2012



8.3.7.1

Sizing for grease interceptors shall be permitted per in accordance with local plumbing codes on or an engineeredcalculation factoring meals served per day.






CommitteeStatement:

This was updated to indicate that this includes two separate options for the sizing of grease interceptors rather than one.UPC uses a legacy system and has been accepting the alternative. This section is added back into NFPA 99 as a part ofthe acceptance of language from TIA 99-12-1.

ResponseMessage:

FR-82-NFPA 99-2012



8.3.7.2

Grease interceptors shall be sized to capture grease from kitchen cooking and cleaning functions and shall prohibitintroduction of grease into the sanitary sewer system.






CommitteeStatement:

Grease interceptors can not "capture grease", particularly from cleaning functions due to the emulsification by detergent.They certainly do not "prohibit introduction of grease into the sanitary sewer system". Grease interceptors are a method toREDUCE the amount of grease entering the sewer, but they are not 100% effective. Besides, "comply with applicablecodes" of the previous sentence is sufficient.

ResponseMessage:

FR-83-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 17, 2012 Hart Do I need to even put this in since it isn't being taken?





8.3.8 Fixtures.

Plumbing fixtures shall be suitable for the intended use in accordance with the FGI Guidelines for Design andConstruction of Health Care Facilities .






CommitteeStatement:

This provides a specific reference to the user. Although titled a guideline, it is written in mandatory language. This sectionis added back into NFPA 99 as a part of the acceptance of language from TIA 99-12-1.

ResponseMessage:

FR-84-NFPA 99-2012



Sections 8.3.9, 8.3.10

8.3.9 Black Waste Water.

Black waste water shall be discharged to a sanitary sewer or private on-site waste treatment system as permitted by applicableplumbing codes.

8.3.10 Gray Waste Water.

8.3.10.1

Gray waste water shall be permitted to be stored on-site and used for nonpotable water systems as permitted by applicableplumbing codes.

8.3.10.2

Gray waste water shall not be used for any system that aerosolizes the water in a breathing zone or has direct contact withhumans.

8.3.10.3

Excess gray waste water shall be discharged to a sanitary sewer or private on-site waste treatment system as permitted byapplicable plumbing codes.






Committee Statement: These sections are added back into NFPA 99 as a part of the acceptance of language from TIA 99-12-1.



Sections 8.3.11.1, 8.3.11.2, 8.3.11.3

8.3.11.1

Clear waste water shall be permitted to be stored on-site and used for nonpotable water systems as permitted by applicableplumbing codes.

8.3.11.2

Clear waste water that has been treated to potable water standards shall be permitted to be used as nonpotable water.

8.3.11.3

Clear waste water that has not been treated to potable water standards shall not be used for any system that aerosolizes thewater in a breathing zone or has direct contact with humans.






Committee Statement: This section is added back into NFPA 99 as a part of the acceptance of language from TIA 99-12-1.



8.4 Category 1. (Reserved)








CommitteeStatement:

Theses Sections for categories have been added back into the document. These are reserved for possible futureneeds in health care facilities.

ResponseMessage:

FR-76-NFPA 99-2012




8.3.12 Drainage Systems

Drainage systems shall comply with applicable plumbing codes and FGI Guidelines.






CommitteeStatement:

Health care drainage systems are a necessary part of plumbing systems that should be addressed in NFPA 99. The FGIguidelines provide the specifics for health care facilities and should be followed.

ResponseMessage:

FR-88-NFPA 99-2012


8.3.11.4

Excess clear waste water shall be discharged to a storm sewer, held in detention ponds, or recharged into the watertable as permitted by applicable plumbing codes.

Chapter 9 was added by a tentative interim amendment (TIA). See page 1.






Committee Statement: This Section is added back into NFPA 99 as a part of the acceptance of language from TIA 99-12-1.


Committee Notes:

Date Submitted By

Aug 17, 2012 Hart This should be combined with all of Section 8.3.11 as one FR.

Sep 25, 2012 COMP The deleted line is not a part of the chapter and should not be shown.




Sections 9.1.1, 9.1.2, 9.1.3

Chapter 9 Heating, Ventilation, and Air Conitioning (HVAC)

9.1 Applicability.

9.1.1

This chapter shall apply to construction of new health care facilities, except as noted in 9.1.2 and 9.1.3.

9.1.2

This chapter shall also apply to the altered, renovated, or modernized portions of existing systems or individualcomponents.

9.1.3

Existing construction or equipment shall be permitted to be continued in use when such use does not constitute adistinct hazard to life.






Committee Statement: This material is being added back into NFPA 99 as a part of the acceptance of language from TIA 99-12-2.


Committee Notes:

Date Submitted By

Aug 30, 2012 Hart IMPORTANT: This is the same as Chapter 8. All of it had to be added back into the document. In this FR I simply put the title in to show that it needs to be a part of it.


9.1.4 Definitions.

9.1.4.1 Ventilation.

The mechanical or natural movement of air.






CommitteeStatement:

Definition moved to Chapter 3. This material is being added back into NFPA 99 as a part of the acceptance oflanguage from TIA 99-12-2 and then modified as shown.

ResponseMessage:

FR-67-NFPA 99-2012




9.2* System Category Criteria.

The health care facility’s governing body that has the responsibility for the building system components as identified in thischapter shall designate, in accordance with the function of each space, building system categories in accordance with Sections4.1 and 4.2.

9.2.1*

The category of risk applied to each HVAC system serving a space shall be independent of the category of risk applied to othersystems serving that same space.









9.3.1.1

Heating, cooling, ventilating, and process systems serving spaces or providing health care functions covered by this codeor listed within ASHRAE 170, Ventilation of Health Care Facilities, shall be provided in accordance with ASHRAE 170and as ammended by Sections 9 .4 through 9.6.






CommitteeStatement:

Some section of ASHRAE 170 may need to be ammended within NFPA 99. This material is being added back into NFPA99 as a part of the acceptance of language from TIA 99-12-2 and modified as shown.

ResponseMessage:

FR-64-NFPA 99-2012

11/14/12



9.3.1.3* Windowless Anesthetizing Locations.

Anesthetizing locations shall not be required to have a smoke purge system.






CommitteeStatement:

Previous editions had required smoke purge systems in these locations. The elimination of flammable anesthetics andlimited use of combustible material in modern ORs makes this requirement obsolete.

ResponseMessage:

FR-72-NFPA 99-2012


9.3.1.2

Laboratories shall comply with NFPA 45, Standard on Fire Protection for Laboratories Using Chemicals.











Sections 9.3.2, 9.3.3

9.3.2 Energy Conservation.

Heating, cooling, and ventilating systems serving spaces or providing health care functions covered by this code shall complywith ASHRAE 90.1, Energy Standard for Buildings Except Low-Rise Residential Buildings, or another locally adopted energycode.

9.3.3 Commissioning.

9.3.3.1

Heating, cooling, ventilating, and process systems serving spaces or providing health care functions covered by this code shallbe commissioned in accordance with ASHRAE 90.1, Energy Standard for Buildings Except Low-Rise Residential Buildings.

9.3.3.2

Commissioning shall follow ASHRAE Guideline 0, The Commissioning Process, and ASHRAE Guideline 1.1, HVAC&RTechnical Requirements for the Commissioning Process, or any other publically reviewed document acceptable to the authorityhaving jurisdiction.









9.3.4 Piping.

Heating, cooling, ventilating, and process systems serving spaces or providing health care functions covered by this codeshall utilize piping systems complying with applicable plumbing mechanical codes.






CommitteeStatement:

HVAC and Process piping is covered in Mechanical Codes, not Plumbing Codes. This material is being added back intoNFPA 99 as a part of the acceptance of language from TIA 99-12-2 and modified as shown.

ResponseMessage:

FR-68-NFPA 99-2012





9.3.5 Ductwork.

Heating, cooling, ventilating, and process systems serving spaces or providing health care functions covered by this codeshall utilize ductwork systems complying with NFPA 90A, Standard for the Installation of Air-Conditioning and VentilatingSystems, or applicable mecanical codes.









9.3.6 * Acoustics.

Heating, cooling, ventilating, and process systems serving spaces or providing health care functions covered by this codeshall not exceed approved noise criteria.






CommitteeStatement:

No standard are referenced. Unenforceable. This material would have been added back into NFPA 99 as a part of theacceptance of language from TIA 99-12-2 but was deleted as shown.

ResponseMessage:

FR-74-NFPA 99-2012



Sections 9.3.7, 9.3.8, 9.3.9

9.3.7 Medical Gas Storage or Transfilling.

9.3.7.1

All gases, other than medical gases, shall be provided with ventilation per NFPA 55, Compressed Gases and CryogenicFluids Code.

9.3.7.2

Outdoor storage/installations for medical gases and cryogenic fluids shall be provided with ventilation per NFPA 55,Compressed Gases and Cryogenic Fluids Code.

9.3.7.3*

Medical gases and cryogenic fluids that are in use per Chapter 11 shall not require special ventilation.

117/221

9.3.7.4

Transfilling area shall be provided with ventilation in accordance with NFPA 55, Compressed Gases and Cryogenic FluidsCode.

9.3.7.5

Indoor storage or manifold areas and storage or manifold buildings for medical gases and cryogenic fluids shall be providedwith natural ventilation or mechanical exhaust ventilation in accordance with 9.3.7.5.1 through 9.3.7.8.

9.3.7.5.1*

For the purposes of this section the volume of fluid (gas and liquid) to be used in determining the ventilation requirementsshall be the volume of the stored fluid when expanded to standard temperature and pressure (STP) of either the largestsingle vessel in the enclosed space or of the entire volume of the connected vessels that are on a common manifold inthe enclosed space, whichever is larger.

9.3.7.5.2 Natural Ventilation.

9.3.7.5.2.1

Natural ventilation shall consist of two nonclosable louvered openings, each having an aggregate free opening area of at

least 155 cm2/35 L (24 in.2/1000 ft3) of the fluid designed to be stored in the space and in no case less than 465 cm2 (72

in.2).

9.3.7.5.2.2

One opening shall be located within 30 cm (1 ft) of the floor, and one shall be located within 30 cm (1 ft) of the ceiling.

9.3.7.5.2.3

The openings shall be located to ensure cross ventilation.

9.3.7.5.2.4

Natural ventilation openings shall be directly to the outside atmosphere without ductwork.

9.3.7.5.2.5

Mechanical ventilation shall be provided if natural ventilation requirements cannot be met.

9.3.7.5.3 Mechanical Ventilation.

9.3.7.5.3.1

Mechanical exhaust to maintain a negative pressure in the space shall be provided continuously, unless an alternativedesign is approved by the authority having jurisdiction.

9.3.7.5.3.2

Mechanical exhaust shall be at a rate of 1 L/sec of airflow for each 300 L (1 cfm per 5 ft3 of fluid) designed to be stored inthe space and not less than 24 L/sec (50 cfm) nor more than 235 L/sec (500 cfm).

9.3.7.5.3.3

Mechanical exhaust inlets shall be unobstructed and shall draw air from within 300 mm (1 ft) of the floor and adjacent tothe cylinder or containers.

9.3.7.5.3.4

Mechanical exhaust air fans shall be supplied with electrical power from the essential electrical system.

9.3.7.5.3.5

Dedicated exhaust systems shall not be required, provided that the system does not connect to spaces that containcombustible or flammable materials.

9.3.7.5.3.6

The exhaust duct material shall be noncombustible.

9.3.7.5.3.7

A means of make-up air shall be provided according to one of the following:

(1) Air shall be permitted via noncombustible ductwork to be transferred from adjacent spaces, from outside thebuilding, or from spaces that do not contain combustible or flammable materials

(2) Air shall be permitted to be transferred from a corridor under the door up to the greater of 24 L/sec (50 cfm) or 15percent of the room exhaust in accordance with NFPA 90A, Standard for the Installation of Air-Conditioning andVentilating Systems.

(3) Supply air shall be permitted to be provided from any building ventilation system that does not contain flammable orcombustible vapors.

9.3.7.6

Discharge from the natural and mechanical ventilation systems shall be sited by a minimum separation distance inaccordance with NFPA 55, Compressed Gases and Cryogenic Fluids Code.

9.3.7.7

A storage room shall maintain a temperature not greater than 52°C (125°F).

9.3.7.8

A transfer or manifold room shall maintain a temperature not greater than 52°C (125°F) and not less than -7°C (20°F).

9.3.8 Waste Gas.

9.3.8.1

Removal of excess anesthetic gases from the anesthesia circuit shall be accomplished by waste anesthetic gas disposal(WAGD), as described in Chapter 5, or by an active or passive scavenging ventilation system.



9.3.8.1.1 Active Systems.

A dedicated exhaust system with an exhaust fan shall be provided to interconnect all of the anesthesia gas circuits toprovide sufficient airflow and negative pressure in the gas disposal tubing so that cross contamination does not occur inthe other circuits connected to the system.

9.3.8.1.2 Passive Systems.

9.3.8.1.2.1

A dedicated exhaust system with an exhaust fan shall be provided to exhaust snorkels at all of the anesthesia gascircuits to provide sufficient airflow to capture the gases, vapors, and particles expelled from the gas disposal tubing.

9.3.8.1.2.2

The snorkel shall include a minimum 25.4 mm (1 in.) diameter tubing connected to the exhaust system.

9.3.8.2

All the exhausted air shall be vented to the external atmosphere.

9.3.8.3

The excess anesthetic gases shall be deposited into the exhaust stream either at the exhaust grille or furtherdownstream in the exhaust duct.

9.3.9 Medical Plume Evacuation.

Plumes from medical procedures, including the use of lasers, shall be captured by one of the following methods:

(1) Direct connection to an unfiltered dedicated exhaust system that discharges outside the building

(2) HEPA filtering and direct connection to a return or exhaust duct

(3) Chemical and thermal sterilization and return to the space.









9.3.10 Emergency Power System Room.

9.3.10.1

Heating, cooling, and ventilating of the emergency power system shall be in accordance with NFPA 110,Standard for Emergency and Standby Power Systems .

9.3.10.2 Maintenance of Temperature.

The EPS shall be heated as necessary to maintain the water jacket and battery temperature determined by the EPSmanufacturer for cold start and load acceptance for the type of EPSS. [ 110: 5.3.1]

9.3.10.3 Heating, Cooling, and Ventilating.

9.3.10.3.1 *

With the EPS running at rated load, ventilation air flow shall be provided to limit the maximum air temperature in the EPSroom to the maximum ambient air temperature required by the EPS manufacturer. [ 110: 7.7.1]

9.3.10.3.1.1

Consideration shall be given to all the heat emitted to the EPS equipment room by the energy converter, uninsulated orinsulated exhaust pipes, and other heat-producing equipment. [ 110: 7.7.1.1]

9.3.10.3.2

Air shall be supplied to the EPS equipment for combustion. [ 110: 7.7.2]

9.3.10.3.2.1

For EPS supplying Level 1 EPSS, ventilation air shall be supplied directly from a source outside of the building by anexterior wall opening or from a source outside the building by a 2-hour fire-rated air transfer system. [ 110: 7.7.2.1]

9.3.10.3.2.2

For EPS supplying Level 1 EPSS, discharge air shall be directed outside of the building by an exterior wall opening or toan exterior opening by a 2-hour fire-rated air transfer system. [ 110: 7.7.2.2]



9.3.10.3.2.3

Fire dampers, shutters, or other self-closing devices shall not be permitted in ventilation openings or ductwork for supplyor return/discharge air to EPS equipment for Level 1 EPSS. [ 110: 7.7.2.3]

9.3.10.3.3

Ventilation air supply shall be from outdoors or from a source outside of the building by an exterior wall opening or from asource outside the building by a 2-hour fire-rated air transfer system. [ 110: 7.7.3]

9.3.10.3.4

Ventilation air shall be provided to supply and discharge cooling air for radiator cooling of the EPS when running at ratedload. [ 110: 7.7.4]

9.3.10.3.4.1

Ventilation air supply and discharge for radiator-cooled EPS shall have a maximum static restriction of 125 Pa (0.5 in. ofwater column) in the discharge duct at the radiator outlet. [ 110: 7.7.4.1]

9.3.10.3.4.2

Radiator air discharge shall be ducted outdoors or to an exterior opening by a 2-hour rated air transfer system.[ 110: 7.7.4.2]

9.3.10.3.5

Motor-operated dampers, when used, shall be spring operated to open and motor closed. Fire dampers, shutters, or otherself-closing devices shall not be permitted in ventilation openings or ductwork for supply or return/discharge air to EPSequipment for Level 1 EPSS. [ 110: 7.7.5]

9.3.10.3.6

The ambient air temperature in the EPS equipment room or outdoor housing containing Level 1 rotating equipment shallbe not less than 4.5°C (40°F). [ 110: 7.7.6]

9.3.10.3.7

Units housed outdoors shall be heated as specified in 5.3.1 [of NFPA 110, Standard for Emergency and Standby PowerSystems ]. [ 110: 7.7.7]

9.3.10.3.8

Design of the heating, cooling, and ventilation system for the EPS equipment room shall include provision for factorsincluding, but not limited to, the following:

(1) Heat

(2) Cold

(3) Dust

(4) Humidity

(5) Snow and ice accumulations around housings

(6) Louvers

(7) Remote radiator fans

(8) Prevailing winds blowing against radiator fan discharge air [ 110: 7.7.8]






CommitteeStatement:

We already reference NFPA 110 in 9.3.10.1, there is no reason to repeat the requirements in NFPA 99. This material isadded back into NFPA 99 as a part of the acceptance of language from TIA 99-12-2 but has been modified as shown.

ResponseMessage:

FR-69-NFPA 99-2012

Committee Notes:

Date Submitted By

Sep 26, 2012 COMP The one remaining sentence should not be underlined












CommitteeStatement:

These sections have been reserved for the possibility of amending ASHRAE 170 for different categories of systemsas needed in the future.

ResponseMessage:

FR-65-NFPA 99-2012


9.3.11* Ventilation During Construction.

Ventilation during construction shall comply with the applicable mechanical codes FGI Guidelines for Design andConstruction of Health Care Facilities .






CommitteeStatement:

There are no mechanical codes that address ventilation of buildings under construction. While this is titled a guideline, it iswritten in mandatory language. This material is being added back into NFPA 99 as a part of the acceptance of languagefrom TIA 99-12-2 with modification as shown.

ResponseMessage:

FR-70-NFPA 99-2012





10.1.3 Electrical Equipment Categories.

Electrical equipment in health care facilities shall be installed, inpsected, tested, and maintained to meet the system Category 1through Categroy 4 requirements as detailed in this code.

10.1.3.1 Category 1.

Permament or portable, corded or non-corded electrical equipment that provides direct pathway to the heart in which failure ofsuch equipment is likely to cause major injury or death of patients shall meet Category 1 equipment requirements as defined inthis code.


Permament or portable, corded or non-corded electrical equipment that is directly connected to the patient for treatmentpurposes that failure of such equipment is likely to prevent treatment or to cause minor injury to patients shall meet Category 2equipment requirements as defined in this code.


Non-corded electrical equipment that comes in direct contact with the patient in which failure of such equipment is not likely tocause injury to patients shall be designed to meet Category 3 requirements as defined in this code.


Permament or portable, corded or non-corded electrical equipment that has no direct contact with the patient and would have noimpact on patient care shall meet Category 4 equipment requirements as defined in this code






CommitteeStatement:

Revise chapter 10 to include electrical equipment categories. Chapter 10 and 11 don't currently address the risk categorieswhich creates confusion on its application. Many of the requirements within this chapter are not suitable to all pieces ofelectrical equipment used within a healthcare facility, but AHJ's require healthcare facilities to treat all equipment the same,they expect the same documentation and prev. maint. for TV remote control as they do for a cardiac catheter. For example10.5.3.1.1 lists 13 items required illustrations schematics, wiring diagrams, mechanical layouts, part lists and many otherrecords that need to be kept for each device, but not all devices need this level of documentation - a thermometer forexample. In most cases, a healthcare facility would opt to simply replace the device if it was faulty, there is no intention oftaking it apart and trying to diagnose and fix it. this is true will almost all low voltage / battery operated health careequipment. To make it clearer for AHJ's use the risk category system system established in Chapter 4 and apply toelectrical equipment. The intention of the proposed electrical equipment categories is: Cat. 1 - all elec. equipment, pathwayto heart which will likely cause death if faulty (example Cardiac Catheter) Cat. 2 all elec. equipment that a patient will touch(i.e. not direct pathway to heart) Cat. 3 all battery operated equipment, typically used for diagnostic or treatment that wouldnot result in injury, but could prevent / delay treatment from being given (until equipment is replaced or fixed- example:thermometer, digital sphygmomanometers) Cat. 4 no direct patient contact. (example, patient TV) The quantity anddefinitions of the proposed categories may be modified at the comment stage. The intent is to reorganize the existingrequirements to better address medical equipment in accordance with these categories, not to introduce new requirementsin this cycle.

ResponseMessage:

FR-93-NFPA 99-2012





10.2.5 Leakage Current — Fixed Equipment.

The leakage current flowing through the ground conductor of the power supply connection to ground of permanantly wiredappliances installed in general or critical care areas shall not exceed 10.0 mA (ac or dc) with all grounds lifted.

10.2.6* Touch Current — Portable Equipment.

The touch current for cord connected equipment shall not exceed 500 µA with normal polarity and the ground wire disconnected(if a ground wire is provided).






CommitteeStatement:

These sections provide performance criteria which belong in section 10.2. They have been moved from 10.3.4.2 and 10.3.5.1in the 2012 edition. For the 2012 edition, the committee removed the requirement to test the device with ground intact (seesection 10.3.5.4 and Figure 10.3.5.4). Because of this, the 100 microamp limit when ground is intact is a relic. In the 2012edition, the term "leakage current" was changed to "touch current." This change was never applied to these sections.

ResponseMessage:

FR-94-NFPA 99-2012



10.3.3.4* Leakage and Touch Current Limits.

The leakage and touch current limits in 10. 3 2 . 4 5 and 10. 3 2 . 5 6 shall be followed.






CommitteeStatement:

This is editorial as the change should have been made when touch current term was introduced in 2012 edition. Thereference to sections were updated according to other revisions.

ResponseMessage:

FR-95-NFPA 99-2012



10.3.4.2

The leakage current flowing through the ground conductor of the power supply connection to ground of permanently wiredappliances installed in general or critical care areas shall not exceed 10.0 mA (ac or dc) with all grounds lifted.






Committee Statement: This section was moved to 10.2.5.



10.3.5.1 * Touch Current Limits.

The touch current for cord-connected equipment shall not exceed 100 ?A with the ground wire intact (if a ground wire isprovided) with normal polarity and shall not exceed 500 ?A with the ground wire disconnected.






Committee Statement: This was moved to Section 10.2.6.




First Revision No. 98-NFPA 99-2012 [ Sections 10.3.5.2, 10.3.5.3 ]

Sections 10.3.5.2, 10.3.5.3

10.3.5.2

If multiple devices are connected together and one power cord supplies power, the leakage touch current shall bemeasured as an assembly.

10.3.5.3

When multiple devices are connected together and more than one power cord supplies power, the devices shall beseparated into groups according to their power supply cord, and the leakage touch current shall be measuredindependently for each group as an assembly.






CommitteeStatement:

In the 2012 edition, the term "leakage current" was changed to "touch current." This change was never applied tothese sections.


Public Input No. 160-NFPA 99-2012 [Sections 10.3.5.2, 10.3.5.3]




10.3.5.4 Touch Leakage Test Procedure.

Measurements shall be made using the circuit, as illustrated in Figure 10.3.5.4, with the appliance ground broken in twomodes of appliance operation as follows:

(1) Power plug connected normally with the appliance on

(2) Power plug connected normally with the appliance off (if equipped with an on/off switch)

Figure 10.3.5.4 Test Circuit for Measuring Touch Leakage Current.

10.3.5.4.1

If the appliance has fixed redundant grounding (e.g., permanently fastened to the grounding system), the touch leakagecurrent test shall be conducted with the redundant grounding intact.

10.3.5.4.2

Test shall be made with Switch A in Figure 10.3.5.4 closed.

Supplemental Information

File Name Description

99f10-3-5-4FR369.jpg Jpg of how the figure needs to be revised to remove switch A.






CommitteeStatement:

Switch A is now superfluous. The reference to this switch is deleted from the text and from Figure 10.3.5.4 aswell.


Committee Notes:

Date Submitted By

Aug 31, 2012 Hart The Figure needs to be revised to remove Switch A.

Oct 11, 2012 Attachment hasfigure.





10.3.6.2

An acceptable test configuration shall be as illustrated in Figure 10.3. 5.4. 6.2 .

*Insert Figure 10.3.6.2 taken from Figure 8.4.1.3.6.1 in the 2005 edition of NFPA 99*



FR-100_NewFigure.docx This is a Figure from the 2005 edition of NFPA 99. Art may already have it archived?

99f10-3-6-2FR100.jpg This is a jpg of the Figure.






CommitteeStatement:

The 2005 figure (8.4.1.3.6.1) is totally gone from 2012 edition. 2012 section 10.3.6.2 refers to Figure 10.3.5.4 which is notrelevant to the requirement in 10.3.6.2 because no patient leads are depicted.

ResponseMessage:

FR-100-NFPA 99-2012



10.4.2 Cord- and Plug-Connected — Portable Equipment in Patient Care Room Vicinity .

10.4.2.1

Nonpatient care–related electrical equipment, including facility- or patient-owned appliances that are used in the patientcare vicinity and will, in normal use, contact patients, shall be visually inspected by the patient’s care staff or otherpersonnel.

10.4.2.2

Any equipment that appears not to be in proper working order or in a worn condition shall be removed from service orreported to the appropriate maintenance staff.

10.4.2.3

Household or office appliances not commonly equipped with grounding conductors in their power cords shall be permitted,provided that they are not located within the patient care vicinity. Double-insulated appliances shall be permitted in thepatient care vicinity.






CommitteeStatement:

The term Patient Care Room has been changed to Patient Care Space. Patient Care Vicinity is a more narrow term,which is more appropriate for this location.

ResponseMessage:

FR-176-NFPA 99-2012


10.5.2.1.2

All patient care–related electrical equipment used in the patient care rooms vicinity shall be tested in accordance with10.3.5.4 or 10.3.6 before being put into service for the first time and after any repair or modification that might havecompromised electrical safety.






CommitteeStatement:


ResponseMessage:

FR-177-NFPA 99-2012




10.5.3.

1.1

2

The documents specified in 10.5.3.1 shall include the following, where applicable:

(1) Illustrations that show the location of controls

(2) Explanation of the function of each control

(3) Illustrations of proper connection to the patient or other equipment, or both

(4) Step-by-step procedures for testing and proper use of the appliance

(5) Safety considerations in use and servicing of the appliance

(6) Precautions to be taken if the appliance is used on a patient simultaneously with other electric appliances

(7) Schematics, wiring diagrams, mechanical layouts, parts lists, and other pertinent data for the appliance

(8) Instructions for cleaning, disinfection, or sterilization

(9) Utility supply requirements (electrical, gas, ventilation, heating, cooling, and so forth)

(10) Explanation of figures, symbols, and abbreviations on the appliance

(11) Technical performance specifications

(12) Instructions for unpacking, inspection, installation, adjustment, and alignment

(13) Preventive and corrective maintenance, inspection, and repair procedures






CommitteeStatement:

Although many people believe inspection is preventive maintenance (PM), extensive experience in healthcare and otherindustries indicate these two maintenance activities are fundamentally different. As its name indicates, PM is performed toprevent failures, typically by replacing wearable parts, components or supplies, regardless of the existence of any failure.Inspection is performed to detect failures that already happened but may not be noticeable to the user (hidden failure) or notreported by the user (evident failure), as well as failures that are in the process of occurring (potential failure). PM is uselessfor solid-state electronic devices and assemblies due to the statistical nature of those failures, whereas mechanical,chemical and pneumatic devices and assemblies often can benefit from PMs. The specific mention of "inspection" in thisclause is to avoid confusion and allegations that some manufacturers have made that "there is no PM required" even thoughsome inspections could be very useful to detect and, thus, reduce the probability of serious injuries to patients and users.

ResponseMessage:

FR-101-NFPA 99-2012





10.5.3.1.2

Service manuals, instructions, and procedures provided by the manufacturer shall be considered in the development of aprogram for maintenance of equipment

3*

A scheduled preventative maintenance program shall be followed .






CommitteeStatement:

The current statement of "service manuals, instruction, and procedure provided by the manufacturer shall considered in themaintenance of equipment" could be misinterpreted by the reader as manufacturer's recommendations must be followedverbatim instead of considered. The experience accumulated by the facility an others "evidence based maintenance" shouldbe used to adjust manufacturer's recommendations whenever and wherever appropriate

ResponseMessage:

FR-102-NFPA 99-2012


10.5.5.2 *

The physical integrity of the power cord, attachment plug, and cord-strain relief shall be confirmed at least annually byvisual inspection and other appropriate tests.






CommitteeStatement:

Section 10.5.5.2 is superfluous. Laboratories are not unique. The need for testing laboratory equipment is coveredadequately in section 10.5.5.1

ResponseMessage:

FR-103-NFPA 99-2012





11.1.4 Gas Equipment Categories.

Gas equipment in health care facilities shall be installed, inspected, tested, and maintained to meet the system Category 1through Categroy 4 requirements as detailed in this code.


Gas equipment in which failure of such equipment is likely to cause major injury or death of patients shall meet Category 1equipment requirements as defined in this code.


Gas equipment in which failure of such equipment is likely to prevent treatment or to cause minor injury to patients shall meetCategory 2 equipment requirements as defined in this code.


Gas equipment in which failure of such equipment is not likely to cause injury to patients shall be designed to meet Category 3requirements as defined in this code.


Gas equipment that has no direct contact with the patient and would have no impact on patient care shall meet Category 4equipment requirements as defined in this code.






CommitteeStatement:

The gas equipment chapter needs to address different categories similar to other chapters. Not all gas equipment needs tobe treated the same, for example, anesthetic apparatus should require more attention than a nebulizer. Although bothcritical to patient care, faulty anesthetic apparatus could cause immediate injury or death where a faulty nebulizer wouldtake considerable more time to result in major injury. testing equipment should be treated even differently. The quantity anddefinitions of the proposed categories may be modified at the comments stage. The intent is to reorganize the existingrequirements to better address gas equipment in accordance with these categories, not to introduce new requirements inthis cycle.

ResponseMessage:

FR-104-NFPA 99-2012





11.3.2.3

Oxidizing gases such as oxygen and nitrous oxide shall be separated from combustibles or flammable materials by oneof the following:

(1) Minimum distance of 6.1 m (20 ft)

(2) Minimum distance of 1.5 m (5 ft) if the entire storage location is protected by an automatic sprinkler systemdesigned in accordance with NFPA 13, Standard for the Installation of Sprink ler Systems

(3) Enclosed cabinet of noncombustible construction having a minimum fire protection rating of 1 ? 2 hour constructedper NFPA 30, Flammable and Combustible Liquids Code, or NFPA 55, Compressed Gases and Cryogenics FluidsCode , if the entire storage location is protected by an automatic sprinkler system designed in accordance withNFPA 13, Standard for the Installation of Sprink ler Systems.






CommitteeStatement:

The enclosed cabinets requirements were updated to reference existing documents. No standard exists for achievinga 1/2 hour rating for storage cabinets.

ResponseMessage:

FR-105-NFPA 99-2012



First Revision No. 106-NFPA 99-2012 [ Sections 11.4.3.2, 11.4.3.3 ]

Sections 11.4.3.2, 11.4.3.3

11.4.3.

2 Gas Equipment — Laboratory.

11.4.3.2.1

Gas appliances shall be of an approved design and installed in accordance with NFPA 54, National Fuel Gas Code .

11.4.3.2.2

Shutoff valves shall be legibly marked to identify the material they control.

11.4.3.3 *

2 * Medical Devices.

Medical devices not for patient care and requiring oxygen USP shall meet the following:

(1) Be listed for the intended purpose by the United States Food & and Drug Administration

(2) Be under the direction of a licensed medical professional, if connected to the piped distribution system

(3) Not be permanently attached to the piped distribution system

(4) Be installed and used per the manufacturer's instructions

(5) Be equipped with a backflow prevention device






CommitteeStatement:

11.4.3.2 was deleted since laboratories are no longer covered by NFPA 99. A title was added to 11.4.3.3 (now11.4.3.2) editorially.

ResponseMessage:

FR-106-NFPA 99-2012



11.5.1.1.3*

Sparking toys shall not be permitted in any patient care room vicinity .






CommitteeStatement:


ResponseMessage:

FR-178-NFPA 99-2012




11.5.1.3 Servicing and Maintenance of Equipment.

11.5.1.3.1

Defective equipment shall be immediately removed from service.

11.5.1.3.

2

Defective electrical apparatus shall not be used.

11.5.1.3.3

2

Areas designated for the servicing of oxygen equipment shall be clean and free of oil, grease, or other flammablesubstances.

11.5.1.3.

4

Service manuals, instructions, and procedures provided by the manufacturer shall be used in the maintenance ofequipment.

11.5.1.3.5

3*

A scheduled preventive maintenance program shall be followed.






CommitteeStatement:

Deleted 11.5.1.3.2 to eliminate redundancy with 11.5.1.3.1. Moved 11.5.1.3.4 to the Annex as a recommendation to11.5.13.5. The current statement of "service manuals, instruction, and procedure provided by the manufacturer shall be usedin the maintenance of equipment" could be misinterpreted by the reader as manufacturer's recommendations must befollowed verbatim instead of considered. The experience accumulated by the facility an others "evidence basedmaintenance" should be used to adjust manufacturer's recommendations whenever and wherever appropriate.

ResponseMessage:

FR-107-NFPA 99-2012



11.5.2.2.3

Transfilling of any gases from one cylinder to another in the patient care rooms of health care facilities vicinity shall beprohibited.






CommitteeStatement:


ResponseMessage:

FR-179-NFPA 99-2012




11.5.2.4* Filling Cylinders From Oxygen Concentrators

Filling cylinders from oxygen concentrators shall be in accordance with the manufacturer's instructions, not to exceed the limitsin 11.5.2.4.1 through 11.5.2.4.3.

11.5.2.4.1

The cylinder contents shall not exceed 700 L (25 ft3).

11.5.2.4.2

The flow shall not exceed 5 L/min (0.2 ft3/min)

11.5.2.4.3

The pressure shall not exceed the DOT rating of the cylinder or 20,700 kPa (3000 psi), whichever is less.






CommitteeStatement:

The oxygen concentrator based refilling systems are FDA approved and have been in use in the home care market for manyyears already with excellent safety records. The inherent risks associated with typical transfilling do not exist with oxygenconcentrator based refilling compressors. Limitations were placed on these systems in order to prevent the risks associatedwith larger, higher flow or higher pressure systems being introduced into the patient environment. The cylinder size waslimited to cylinders normally used for patient ambulation. The filling rate was limited to prevent excessive heating of thecylinder contents. The filling pressure was limited based on the existing industry practice.

ResponseMessage:

FR-108-NFPA 99-2012

Public Input No. 355-NFPA 99-2012 [Sections 11.5.2.2.2, 11.5.2.2.3]




11.7.3.5* Liquid Oxygen Portable Containers.

11.7.3.5.1

Liquid oxygen portable containers shall be kept in an upright position.

11.7.3.5.2

Liquid oxygen portable containers shall not be carried under clothing or other covering.

11.7.3.5.3

Liquid oxygen portable containers shall be kept away from ignition sources, electrical hazards, and high temperature devicesduring filling and use.






CommitteeStatement:

Adds 3 specific requirements that are not included anywhere else. When CGA P-2.7 was removed from the NFPA 99 2012edition, several critical safety items were omitted. This proposal add a key safety criteria from CGA P-2.7, 2011. Annexmaterial was also added to provide references to CGA P-2.7 which contains recommended precautions and safetyprocedures.

ResponseMessage:

FR-109-NFPA 99-2012


11.7.4 Maximum Quantity.

The maximum total quantity of liquid oxygen permitted in storage and in use in a patient bed location or patient care roomvicinity shall be 120 L (31.6 gal), provided that the patient bed location or patient care room vicinity , or both, areseparated from the remainder of the facility by fire barriers and horizontal assemblies having a minimum fire resistancerating of 1 hour in accordance with the adopted building code.






CommitteeStatement:


ResponseMessage:

FR-180-NFPA 99-2012

136/221


12.1* Scope Applicability .

This chapter shall provide those with the responsibility for emergency management in apply to new and existing healthcare facilities with the criteria to develop an emergency management program .

12.1.1 *

General.

12.1.1.1

This chapter shall provide those with the responsibility for emergency management in health care facilities with thecriteria to assess, mitigate, prepare for, respond to, and recover from emergencies of any origin.

12.1.1.2 2

This chapter shall be the source for emergency management in health care facilities and is based on the foundations ofNFPA 1600, Standard on Disaster/Emergency Management and Business Continuity Programs.

12.1.1.3 3

This chapter shall aid in developing, maintaining, and evaluating effective emergency management programs in new andexisting facilities.

12.1.2 Applicability.

This chapter shall be applicable to any health care facility that is intended to provide medical care during an emergency ormaintain services for patients during a disaster and for the protection of visitors and staff.






CommitteeStatement:

This section was revised to be consistent with the format of other chapters per request of the correlating committee.the scope of the Chapter is provided in chapter 1.

ResponseMessage:

FR-110-NFPA 99-2012




12.3 Matrix 3 Emergency Management Categories.

The application of requirements in this chapter shall be based on the emergency management category of the healthcare facility as defined in Table 12.3.

Table 12. 3 Application Matrix 3 Emergency Management Categories

EmergencyManagement

Category Definition

1Those inpatient facilities that remain operable to provide advanced life support services to injuredresponders and disaster victims. These facilities manage the existing inpatient load as well as plan forthe influx of additional patients as a result of an emergency.

2Those inpatient or outpatient facilities that augment the critical mission. These facilities manage theexisting inpatient or outpatient loads but do not plan to receive additional patients as a result of anemergency or do not plan to remain operable should essential utilities or services be lost .






CommitteeStatement:

Acknowledges post emergency realities of some provider types. Category naming convention was updated to preventconfusion with building system categories as defined in Chapter 4.

ResponseMessage:

FR-111-NFPA 99-2012


12.4.3

The medical facility, in combination with the local or federal authorities, or both, shall establish the required emergencymanagement category as defined in Table 12.3.






CommitteeStatement:

Category naming convention was updated to prevent confusion with building system categories as defined inChapter 4.





12.5 Emergency Managment Category 1 and Emergency Management Category 2 Requirements .

12.5. 1

All emergency management Category 1 and emergency management Category 2 health care facilities shall be requiredto develop and maintain an emergency management program that addresses all program elements as prescribed in12.5.2 and 12.5.3.






CommitteeStatement:



Committee Notes:

Date Submitted By

Aug 31, 2012 Hart The title of 12.5 needs to change. I revised it here but not to the real one so that I could pull in the one section only.




12.5.3.3.6.4 Clinical Support Activities.

The facility shall plan for the following during an emergency:

(1) Clinical activities that could need modification or discontinuation during an emergency, such as patient scheduling,triage, assessment, treatment, admission, transfer, discharge, and evacuation

(2) Clinical services for special needs populations in the community, such as pediatric, geriatric, disabled, andchronically ill patients, and those with addictions (Emergency Management Category 1 only)

(3) Patient cleanliness and sanitation

(4) Behavioral needs of patients

(5) Mortuary services

(6) Evacuation both horizontally and, when required by circumstances, vertically, when the environment cannot supportcare, treatment, and services

(7) Transportation of patients, and their medications and equipment, and staff to an alternative care site(s) when theenvironment cannot support care, treatment, and services

(8) Transportation of pertinent patient information, including essential clinical and medication-related information, to analternative care site(s) when the environment cannot support care, treatment, and services

(9) Documentation and tracking of patient location and patient clinical information






CommitteeStatement:




12.5.3.3.6.6 Exterior Connections.

For essential utility systems in Emergency Management Category 1 facilities only, and based on the facility’s HVA,consideration shall be given to the installation of exterior building connectors to allow for the attachment of portableemergency utility modules.






CommitteeStatement:






12.5.3.3.7 Staff Education.

12.5.3.3.7.1

Each facility shall implement an educational program in emergency management.

12.5.3.3.7.2

The educational program shall include an overview of the components of the emergency management program andconcepts of the ICO incident command system (ICS) .

12.5.3.3.7.3

Individuals who are expected to perform as incident commanders or to be assigned to specific positions within thecommand structure shall be trained in and familiar with the ICO ICS and the particular levels at which they are expectedto perform.

12.5.3.3.7.4

Education concerning the staff’s specific duties and responsibilities shall be conducted.

12.5.3.3.7.5

General overview education of the emergency management program and the ICO ICS shall be conducted at the time ofhire.

12.5.3.3.7.6

Department-/staff-specific education shall be conducted upon appointment to department/staff assignments or positionsand annually thereafter.






Committee Statement: Updated the terminology used for incident command system.



12.5.3.3.8.3

For Emergency Management Category 1 only, an influx of volunteer or simulated patients shall be tested annually, eitherthrough a functional or full-scale exercise or an actual event. (See Table 12.3.)






CommitteeStatement:






12.5.3.3.8.4

Annual table top, functional, or full-scale exercises shall include the following:

(1) Community integration

(2) Assessment of stand-alone capability sustainability






Committee Statement: The term "sustainability" is now commonly used in lieu of the term "stand-alone capability."




12.5.3.3.8.5

For Emergency Management Category 1 only, if so required by the community designation to receive infectious patients,the facility shall conduct at least one exercise a year that includes a surge of infectious patients. (See Table 12.3.)






CommitteeStatement:






12.5.3.3.9.8

The facility shall modify its EOP in response to critiques of exercises.






Committee Statement: This requirement was not deleted, but rather moved to 12.5.3.6.1. See FR 125.



12.5.3.3.9.9*

Improvements made to the EOP emergency management program shall be evaluated in subsequent exercises.






CommitteeStatement:

The scope of the requirement was expanded to encompass other components of the emergency managementprogram.





12.5.3.4.5.2

Prior to beginning work, efforts shall be made to verify identities the identity of other volunteers offering to assist duringresponse activities shall be verified .






CommitteeStatement:

Verification of the identity of non-clinical volunteers is mandatory. Previous wording could be interpreted that this isan optional activity.

ResponseMessage:

FR-122-NFPA 99-2012


First Revision No. 123-NFPA 99-2012 [ Sections 12.5.3.4.9, 12.5.3.4.10, 12.5.3.4.11 ]

Sections 12.5.3.4.9, 12.5.3.4.10, 12.5.3.4.11

12.5.3.4.9

Planning efforts shall minimize to the greatest extent feasible the planned reduction of clinical care

9*

Crisis standards of care shall be developed through a community-wide approach .

12.5.3.4.10

The decision to reduce medical implement crisis standards of care shall be conducted coordinated with the fullknowledge and concurrence of community leadership.

12.5.3.4.11

Upon implementation of a controlled reduction in medical care crisis standards of care in a community , the following shallbe considered:

(1) The triage process shall be modified during an emergency.

Medical services shall be allocated to prevent the most deaths in the entire population of patients.

(2)

(3) The allocation of medical services across the population






Committee Statement: The new terminology is more commonly used within the industry.





12.5.3.4.12 Surge Capacity of Victims12 Medical Surge Capacity and Capability .

The requirements of 12.5.3.4.12.1 and 12.5.3.4.12.2 shall apply only to those facilities designated as EmergencyManagement Category 1 as defined by the HVA.

12.5.3.4.12.1 1*

The facility shall plan for medical surge capacity and capability .

12.5.3.4.12.2

The triage process shall be implemented as follows:

(1) The arriving victim shall be assessed into the following cohorts:

(a) Risk to others, as follows:

i. Mentally unstable

ii. Contaminated

iii. Infectious

(b) Risk to self, as follows:

i. Emotionally impaired

ii. Suicidal

(c) Risk of death or permanent injury, as follows:

i. Walking wounded

ii. Severely injured but stable

iii. Suffering from life-threatening injury

iv. Beyond care

(2) Patients shall be admitted for treatment depending on facility capacity, the facility’s specialty, and clinical need.

(3) Creation of ancillary clinical space shall have adequate utility support for the following:

(a) HVAC

(b) Sanitation

(c) Lighting

(d) Proximity to operating room (OR)






CommitteeStatement:

The new text uses the current terminology and philosophy that surge capacity is more encompassing thanvictims alone.





12.5.3.6.1

The facility shall update its emergency management program annually, which shall include the following:

(1) Updates to the facility HVA

(2) Updates to the facility EOP

modify its HVA, EOP, supply chain (including the current emergency supplies inventory), and other components of theemergency management program, as a result of excercises, real event, and annual review.






CommitteeStatement:

Various accredited and regulatory organizations require these updates as part of the evaluation process. The revised textalso consolidates the updates previously required by 12.5.3.3.9.8.

ResponseMessage:

FR-125-NFPA 99-2012



13.1* Scope Applicability .

This chapter shall provide those with the responsibility for security in apply to new and existing health care facilities withthe criteria to develop a security management program .

13.1.1 * 2 * Security Management Plan.

13.2.1

A health care facility shall have a security management plan.

13.1 2 .2*

The scope, objectives, performance, and effectiveness of the security plan shall be tested at a frequency shown to benecessary by review of the security vulnerability assessment (SVA) in accordance with Section 13.2 3 .






CommitteeStatement:

Scope is covered in Chapter 1. Section 13.1 was changed to be consistent with other chapters. A new section 13.2 wascreated to separate the security management plan requirement from the applicability statement.

ResponseMessage:

FR-126-NFPA 99-2012

Public Input No. 64-NFPA 99-2012 [Section No. 13.1 [Excluding any Sub-Sections]]




13.2.1*

The At least annually, the health care facility shall conduct a security vulnerability assessment (SVA).






Committee Statement: It is important to reassess the security vulnerabilities at least annually.





13.3.2

The duties of the person assigned as required by 13.3.1 shall include, but not be limited to, the following, as identified inthe SVA:

(1) Provide identification for patients, staff, and other people entering the facility

(2) Control access in and out of security-sensitive areas

(3) Define and implement procedures as follows:

(a) Security incident

(b) Hostage situation

(c)

(d) Criminal threat

(e) Labor action

(f) Disorderly conduct

(g) Workplace violence

(h) Restraining order

(i) Prevention of, and response to, infant or pediatric abduction

(j) Situations involving VIPs or the media

(k) Maintenance of access to emergency areas

(l) Civil disturbance

(m) Forensic patients

(n) Patient elopement

(o) Homeland Security advisory system (threat level changes)

Suspicious powder or substance

(p) National Terrorism Advisory System (NTAS) or equivalent

(q) Suspicious material or package

(r) Use of force policy

(s) Security staffing augmentation

(t) Active shooter

(4) Provide security at alternate care sites or vacated facilities

(5) Control vehicular traffic on the facility property

(6) Protect the facility assets, including property and equipment

(7) Provide policy for interaction with law enforcement agencies

(8) Comply with applicable laws, regulations, and standards regarding security management operations

(9) Educate and train the facility security force to address the following:

(a) Customer service

(b) Use of physical restraints

(c) Use of force

(d) Response criteria

(e) Fire watch procedures

(f) Lockdown procedures

(g) Emergency notification procedures

(h) Emergency communications procedures






CommitteeReplaced "homeland security advisory system" with NTAS which is the replacement system. Changed "suspicious powder

* Bomb (explosive device or threat)



Statement: or substance" to "suspicious material or package" to be more encompassing. Added active shooter policy to addressrecent developments in the industry.

ResponseMessage:

FR-128-NFPA 99-2012



13.11 Program Evaluation.

13.11.1*

Periodic drills shall be conducted at various times and locations.

13.11.2

The drills shall be critiqued for plan effectiveness and to identify opportunities for improvement.

13.11.3

Identified opportunities for improvement shall be incorporated into the security plan.

13.11.4

The SVA and security plan shall be evaluated at least annually.

13.11.5

The evaluation of the security management plan shall include a review of laws, regulations, and standards applicable tothe security program.






CommitteeStatement:

The annual evaluation was limited to the security plan. An annual update of the SVA is addressed in 13.2.1 asrevised.






14.1.3 Category of Care.

14.1.3.1 Category 1 Care. Where interuption or failure of medical gas supply is likely to cause injury or death of patients orcaregivers, the level of care shall be considered Category 1 in the requirements for medical gas systems in hyperbaric facilities.

14.1.3.2 Category 2 Care. Where interruption or failure of medical gas supply is not likely to cause injury to patients orcaregivers, the level of care shall be considered Category 2 in the requirements for medical gas systems in hyperbaric facilities.

14.1.3.3 Category 3 Care. (Reserved)

14.1.3.4 Category 4 Care. (Reserved)






CommitteeStatement:

This section has been added defining levels of care as Categories of Care. The past use of acute care and non-acute carewere vague. Those terms have been revised to Category 1 and Category 2 respectively. This section tells the user howthese are to be applied.

ResponseMessage:

FR-192-NFPA 99-2012


14.2.1.2*

A hydraulically calculated automatic wet pipe sprinkler system meeting the requirements of NFPA 13, Standard for theInstallation of Sprink ler Systems, or an automatic water mist fire protection system installed in accordance with NFPA750, Standard on Water Mist Fire Protection Systems , shall be installed in the room housing a Class A, Class B, orClass C chamber and in any ancillary equipment rooms.

14.2.1.2.1

Class A, Class B, or Class C chambers not contiguous to a health care facility and located in a mobile vehicle-mountedfacility shall not be required to be protected as specified in 14.2.1.2.

14.2.1.2.2 *

Chamber room sprinkler heads shall be an approved type equipped with fusible elements.

14.2.1.2.3

The element temperature ratings shall be as low as possible, consistent with the requirements against false operation inNFPA 13.






CommitteeStatement:

The option to provide a water mist system has been added to this section. Sections 14.2.1.2.2 and 14.2.1.2.3 have beenremoved as these are adequately addressed in NFPA 13 and building and life safety codes.

ResponseMessage:

FR-221-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 21, 2012 Hart Bring the annex note for 14.2.1.2.2 to the A.14.2.1.2




14.2.1.4.4.1

Hyperbaric oxygen systems for acute and non-acute Category 1 and Category 2 care connected directly to a hospital’soxygen system shall comply with Section 5.1, as applicable, except as noted in 14.2.1.4.4.2.






CommitteeStatement:

The terms "acute" and "non-acute" care have been replaced with "Category 1" and "Category 2" respectively. Thisintroduces the ideas of risk Categories into chapter 14 in regards to medical gas.

ResponseMessage:

FR-195-NFPA 99-2012


14.2.1.4.4.3

Hyperbaric stand-alone oxygen systems for acute Category 1 care shall comply with Section 5.1, as applicable, exceptas noted in 14.2.1.4.4.4.






CommitteeStatement:


ResponseMessage:

FR-196-NFPA 99-2012




14.2.1.4.4.5 Warning Systems.

(A)

Oxygen systems shall comply with 5.1.9 , as applicable, except that warning systems shall be permitted to be a singlemaster/area alarm panel.

(B)

The alarm panel shall be located in the room housing the chamber(s) to allow for easy audio and visual monitoring by thechamber operator.






CommitteeStatement:

The chamber operator should be immediately aware of any medical gas alarm condition that may affect the safeoperation of the hyperbaric treatment he/she is responsible for.

ResponseMessage:

FR-203-NFPA 99-2012. The term "close proximity" is not enforceable language and subject to interpretation.

Committee Notes:

Date Submitted By

Sep 25, 2012 [ Not Specified ] Only the (A) in the first line should be underlined. The rest of that one is existing. All of (B) is new.



14.2.1.4.4.6

Hyperbaric stand-alone oxygen systems for non-acute Category 2 care shall comply with Section 5.2, as applicable,except as noted in 14.2.1.4.4.7.






CommitteeStatement:


ResponseMessage:

FR-197-NFPA 99-2012




14.2.1.6.4.1

Hyperbaric medical air systems for acute Category 1 and nonacute Category 2 care connected directly to a hospital'smedical air system shall comply with Section 5.2, as applicable.






CommitteeStatement:


ResponseMessage:

FR-198-NFPA 99-2012


14.2.1.6.4.3

Hyperbaric stand-alone medical air systems for acute Category 1 care shall comply with Section 5.2, as applicable.






CommitteeStatement:


ResponseMessage:

FR-199-NFPA 99-2012

11/14/12



14.2.1.6.4.5

Medical air systems for acute Category 1 care shall comply with Section 5.2, as applicable, except that warningsystems shall be permitted to be a single master/area alarm panel.






CommitteeStatement:


ResponseMessage:

FR-200-NFPA 99-2012


14.2.1.6.4.6

Hyperbaric stand-alone medical systems for nonacute Category 2 care shall comply with Section 5.2, as applicable,except as noted in 14.2.1.6.4.7.






CommitteeStatement:


ResponseMessage:

FR-201-NFPA 99-2012




14.2.1.6.4.7

Medical air systems shall comply with Section 5.2 as applicable, except as follows:

(1) Area and master alarms are not required for nonacute Category 2 care.

(2) A gas cylinder header per Section 5.2 with sufficient cylinder connections to provide for at least an average day'ssupply with the appropriate number of connections being determined after consideration of delivery schedule,proximity of the facility to alternate supplies, and the facility's emergency plan are is permitted.






CommitteeStatement:


ResponseMessage:

FR-202-NFPA 99-2012


14.2.2.4.2

If the procedures to be carried out in the Class A hyperbaric chamber require antistatic flooring, the flooring shall beinstalled in accordance with the provisions of 13.3.1 .






CommitteeStatement:

This section has been removed as NFPA 99 no longer provides provisions for antistatic flooring. The issue isadequately addressed on 14.2.2.4.4.

ResponseMessage:

FR-222-NFPA 99-2012




14.2.2.5*

The interior of Class A chambers shall be unfinished or treated with a finish that is in accordance with 14.2.2.5.1.14.2.2.5.1* The interior finish for Class A chambers shall be one of the following:

High quality epoxy

Noncombustible material as defined in(1) A material that meets Class A interior finish rating in accordance with NFPA 101, Life Safety Code .

(2) A noncombustible material in accordance with 3.3.123

14.2.2.5.1 2

If the interior of a Class A chamber is treated (painted) with a finish listed described in 14.2.2.5.1 , the cure procedureand minimum duration for each coat of finish to off-gas shall be in accordance with the manufacturer’s applicationinstructions and material safety data sheets .

14.2.2.5.2 3 *

If sound-deadening materials are employed within a hyperbaric chamber, they shall be limited-combustible materials asdefined in accordance with 3.3. 98 96 .






CommitteeStatement:

The TC has replaced the term "high quality epoxy" with a requirement to meet a Class A interior finish rating in accordancewith NFPA 101. Material safety data sheets were removed as they do not provide curing or off-gassing information.

ResponseMessage:

FR-210-NFPA 99-2012. The option for limited combustible material for finish was not included as the flame spreadcharacteristics (50) are greater than a Class A rating. Sound deadening materials are permitted to be limited combustiblebecause commonly used materials are not available as noncombustible.



14.2.4.1.3.4

In the event of a fire within a chamber, provision shall be made to simultaneously switch all breathing apparatus to an airsupply that is independent of the chamber atmosphere.






CommitteeStatement:

The addition of the word "simultaneously" prevents a gas system design that would require the operator to switchmultiple valves during a fire deluge or any emergency requiring an air switch over.

ResponseMessage:

FR-204-NFPA 99-2012





The use of conventional oil-lubricated compressors shall be permitted, provided that they are fitted with air treatmentpackages designed to produce medical air and they meet the monitoring requirements of 14.2.8.6.






Committee Statement: Clarifies that the use of oil-lubricated compressors are to produce Grade E air.



Whenever the Class A chamber is used as an operating room, it shall be ventilated, and the air supply theretoatmosphere shall be conditioned according to the minimum requirements for temperature for in hospital operating roomsas specified in 13 . 3.1.






Committee Statement: An outdated reference was removed.



14.2.4.5.3*

A source of breathable gas means for respiratory and eye protection from combustion products allowing unrestrictedmobility shall be available outside a Class A or Class B chamber for use by personnel in the event that the air in thevicinity of the chamber is fouled by smoke or other combustion products of fire .






Committee Statement: This section has been revised to clarify the requirement for protection and allow for alternatives.





14.2.5.1.6

Booster pumps, control circuitry, and other electrical equipment involved in fire suppression system operation shall bepowered from a critical branch of the emergency essential electrical system as specified in 14.2.7.2.2.2.






Committee Statement: Revised to correlate with changes to Chapter 6 that occurred last cycle.



14.2.5.4.3

The system shall be powered from the critical branch of the emergency essential electrical system or shall haveautomatic battery backup.






Committee Statement: Revised to correlate with changes to Chapter 6 that occurred last cylce.





14.2.5.5.5

Inspection, testing, and maintenance of hyperbaric fire suppression systems shall be performed by a qualified person.






CommitteeStatement:

Hyperbaric fire suppression systems are unique and should be inspected, tested and maintained (ITM) by a person orcompany that understands these systems. A definition for "qualified person" has been added in Chapter 3.

ResponseMessage:

FR-208-NFPA 99-2012

Public Input No. 2-NFPA 99-2012 [New Section after 14.2.5.5]


14.2.6 Pneumatic Controls for Class A Chambers.

Class A chambers that utilize pneumatically operated controls that are related to fire suppression system operation, breathinggases, or rapid exhaust valves shall be equipped with a means to operate such controls or intended function in the event that thepneumatic supply fails.






CommitteeStatement:

NFPA 99 requires two independent sources of electrical supply, two types of fire suppression systems in class 'A'chambers as well as backup breathing gasses and communications. Similar requirements for those affected systems thatutilize air pressure as a power source for functions related to life safety should be applied.

ResponseMessage:

FR-209-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 31, 2012 Hart This is a new 14.2.6





14.3.1.5.4.5

The fire performance of matresses, pillows, and cushions shall be tested to one of the following:

(a) NFPA 260, Standard Methods of Tests and Classification System for Cigarette Ignition Resistance of Components ofUpholstered Furniture,

(b) California Technical Bulletin 117, Requirements, Test Procedure and Apparatus for Testing the Flame Retardance of ResilientFilling Materials Used in Upholstered Furniture,

(c) California Technical Bulletin 133, Flammability Test Procedure for Seating Furniture for Use in Public Occupancies,






CommitteeStatement:

This provides actual guidance on the fire performance of materials for mattresses, pillows, and cushions used in hyperbaricchambers. It is acknowledged that specific acceptable test outcomes (pass/fail, Class 1or 2, etc. ) will need to be added inthe comment period.

ResponseMessage:

FR-213-NFPA 99-2012



14.3.1.5.4.1

Except where permitted in 14.3.1.5.4.2 3 , silk, wool, or synthetic textile materials, or any combination thereof, shall beprohibited in Class A or Class B chambers.






Committee Statement: 14.3.1.5.4.3 is the appropriate reference for the exception permitted by this section.





14.3.1.5.4.2

Garments fabricated of 100 percent cotton or a blend of cotton and polyester fabric, containing no more than 50 percentpolyester, shall be permitted in Class A chambers equipped with fire protection as specified in 14.2.5 and in Class Bchambers.






Committee Statement: This revision provides specific detail on what is considered an acceptable blend for material selection.


Committee Notes:

Date Submitted By

Aug 21, 2012 Hart This should be FR


14.3.1.5.6

All other fabrics used in the chamber, such as sheets, drapes pillow cases , and blankets, shall conform to 14.3.1.5.4.1and 14.3.1.5.4.2.

14.3.1.5.7

Drapes used within the chamber shall meet the requirements of NFPA 701.






CommitteeStatement:

Drapes have been pulled out of Section 14.3.1.5.6 and put into their own separate section as they should beevaluated differently.


Committee Notes:

Date Submitted By

Aug 31, 2012 Hart This adds a new 14.3.1.5.7. The previous one must be renumbered.




15.1.1

This chapter shall apply to all new and existing health care facilities, as specified in Section 1 . 3.






CommitteeStatement:

This is intended to clear up any confusion that this may be a circular argument in its reference back to Section1.3.



15.3.1

The storage and handling of flammable liquids or gases shall be in accordance with the following applicable standards:

(1) NFPA 30, Flammable and Combustible Liquids Code

(2) NFPA 54, National Fuel Gas Code

(3) NFPA 58, Liquefied Petroleum Gas Code [101 :8.7.3.1]

(4) NFPA 55, Cryogenic and Compressed Gas Code






CommitteeStatement:

The Code for compressed gases and cryogenic gases is NFPA 55. You will find gases such as Flammables (Hydrogen).The scope of the code includes: This code shall apply to the installation, storage, use, and handling of compressed gasesand cryogenic fluids in portable and stationary containers, cylinders, equipment, and tanks in all occupancies.

ResponseMessage:

FR-330-NFPA 99-2012





15.6 Rubbish 6 Waste Chutes, Incinerators, and Laundry and Linen Chutes.

Rubbish chutes Waste chutes , laundry linen chutes, and incinerators shall be installed and maintained in accordancewith NFPA 82, Standard on Incinerators and Waste and Linen Handling Systems and Equipment, unless suchinstallations are approved existing installations, which shall be permitted to be continued in service.

15.6.1

Any rubbish Any waste chute, including pneumatic rubbish and linen systems, shall be provided with automaticextinguishing protection in accordance with Section 9.7. [101 :19.5.4.3]






Committee Statement: The proposed language is consistent with the verbiage used in NFPA 82.




15.8.1.1

Automatic sprinkler system shall Buildings or structures housing a health care facility shall meet the automatic sprinklersystem requirements of the applicable building code, NFPA 101, Life Safety Code , or fire code acceptable to theauthority of jurisdiction.

15.8.1.2

Where provided, automatic sprinkler systems shall be installed in accordance with NFPA 13, Standard for theInstallation of Sprink ler Systems .






CommitteeStatement:

The current language requires an automatic sprinkler system in ALL health care facilities within the scope of NFPA 99.This revised language follows the concept in 15.7 for fire alarm systems.

ResponseMessage:

FR-332-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 31, 2012 Hart The end of this section should not be underlined. "be in accordance with...." was all in the previous edition.




First Revision No. 370-NFPA 99-2012 [ Section No. A.3.3.9 ]

A.3.3.9 Anesthetizing Location.

Areas used exclusively for sedation are not included in this definition.






CommitteeStatement:

Section 3.3.9 was deleted by the action on FR 91, therefore the associated annex material must be deleted aswell.


First Revision No. 169-NFPA 99-2012 [ Section No. A.3.3.43.3 ]

A.3.3.43.3 Dispersive Electrode.

A dispersive electrode is often called the grounding electrode, the “indifferent electrode,” the “return electrode,” the “patientground plate,” or the “neutral electrode.”






Committee Statement: The related definition was removed from Chapter 3 as it was not used within the document.


First Revision No. 342-NFPA 99-2012 [ New Section after A.3.3.48 ]

A.3.3.X Facility Fire Plan.

This plan can be either a stand-alone plan or be a part of the emergency operations plan.






Committee Statement: This information was added to define and provide extra information on a term that is widely used in Chapter 15.





A.3.3.59 Flowmeter.

A pressure compensated flowmeter should be used to indicated an accurate flow of gas whether the gas is discharged intoambient pressure or into a system at nonambient pressure. (MED)






Committee Statement: This adds information that a pressure compensated flow meter should be used.



A.3.3.66 Ground-Fault Circuit Interupter (GFCI).

Class A ground-fault circuit interrupters trip when the current to ground is 6 mA or higher and do not trip when the current toground is less than 4 mA. For further information, see UL 943, Standard for Ground-Fault Circuit Interupters. [70, 2011] (ELS)






Committee Statement: This annex material has been added in relation with FR-2 to correlate with the NEC.





A.3.3.70 Hazardous Chemical.

For hazard ratings of many chemicals, see NFPA 49, Hazardous Chemicals Data , and NFPA 325, Guide to Fire HazardProperties of Flammable Liquids, Gases, and Volatile Solids , both available in NFPA’s Fire Protection Guide toHazardous Materials .









A.3.3.84 Instrument Air.

Instrument air is intended for the powering of medical devices unrelated to human respiration (e.g., to remove excess moisturefrom instruments before further processing, or to operate medical–surgical tools, air-driven booms, pendants, or similarapplications).






CommitteeStatement:

The definition of instrument air was simplified in Chapter 3. This FR keeps some of the material that was removed asan annex not for the user.

ResponseMessage:

FR-242-NFPA 99-2012

11/14/12



A.3.3.92 Laboratory Work Area.

See NFPA 45, Standard on Fire Protection for Laboratories Using Chemicals .











A.3.3.125 Nonflammable Anesthetic Agent.

It is possible to halogenate a compound and render it partially or totally nonflammable by the substitution of one or morehalogens (e.g., fluorine, chlorine, bromine) for hydrogen. Thus, halothane (CF 3 CHClBr) is almost completely halogenated

and is nonflammable. Methoxyflurane (CHF 2 CCl 2 OCH 3 ) is partially halogenated and is nonflammable in conditions

encountered during clinical anesthesia (if it is heated, its vapor concentration will increase enough to burn). Fluroxene(CF 3 CH 2 OCHCH 2 ) is halogenated even less; it is flammable in concentrations of 4 percent or greater.

The following agents are considered flammable during conditions of clinical use in anesthesia:

(1) Cyclopropane

(2) Divinyl ether

(3) Ethyl chloride

(4) Ethylene

(5) Ethyl ether

Fluroxene is an agent that is flammable during use in clinical anesthesia in higher concentrations. Because fluroxene isflammable under certain conditions of use, it is listed as a flammable agent. Concentrations required for induction ofanesthesia generally exceed 4 percent and are flammable. However, maintenance of fluroxene anesthesia can beaccomplished with concentrations of less than 4 percent.

The following agents are nonflammable during conditions of use in clinical anesthesia:

(1) Chloroform

(2) Halothane

(3) Methoxyflurane

(4) Nitrous oxide

(5) Trichloroethylene

(6) Enflurane










First Revision No. 130-NFPA 99-2012 [ Sections A.3.3.138, A.3.3.138.1, A.3.3.138.2, A.3.3.138.3, ... ]

Sections A.3.3.138, A.3.3.138.1, A.3.3.138.2, A.3.3.138.3, A.3.3.138.4

A.3.3.138 Patient Care Room Space .

Business offices, corridors, lounges, day rooms, dining rooms, or similar areas typically are not classified as patient carerooms spaces .

A.3.3.138.1 Basic Care Room 3 Category 3 Space .

These spaces, formerly known as basic care rooms, are typically where basic medical or dental care, treatment, orexaminations are performed. Examples include, but are not limited to, examination or treatment rooms in clinics, medicaland dental offices, nursing homes, and limited care facilities. (MED FUN )

A.3.3.138.2 Critical Care Room 1 Category 1 Space .

These spaces, formerly known as critical care rooms, are typically where patients are intended to be subjected toinvasive procedures and connected to line-operated, patient care–related appliances. Examples include, but are notlimited to, special care patient rooms used for critical care, intensive care, and special care treatment rooms such asangiography laboratories, cardiac catheterization laboratories, delivery rooms, operating rooms, post-anesthesia careunits, trauma rooms, and other similar rooms. (FUN)

A.3.3.138.3 General Care Room 2 Category 2 Space .

These spaces were formerly known as general care rooms. Examples include, but are not limited to, inpatient bedrooms,dialysis rooms, in vitro fertilization rooms, procedural rooms, and similar rooms. (FUN)

A.3.3.138.4 Support Room 4 Category 4 Space .

These spaces were formerly known as support rooms. Examples of support rooms spaces include, but are not limitedto, anesthesia work rooms, sterile supply, laboratories, morgues, waiting rooms, utility rooms, and lounges. (FUN)






Committee Statement: Revised to correlate with the changes to the terms in Chapter 3.


Committee Notes:

Date Submitted By

Aug 27, 2012 hart put in order




A.3.3.147.

7 Working

8 Operating Pressure.

A pipeline working pressure of 2.9 kg/cm 2 to 3.2 kg/cm 2

The operating pressure for patient medical gases is typically 345 kPA to 380 kPa (50 psig to 55 psig)

is conventional because medical gas equipment is generally designed and calibrated for use at this pressure

. The operating pressure for medical support gases is typically 1100 kPa to 1275 kPA (160 psig to 185 psig) .






CommitteeStatement:

In Chapter 3 an inaccurate definition of working pressure was corrected. This is provided for additional information onoperating pressure for different gases.

ResponseMessage:

FR-302-NFPA 99-2012


A.3.3.156 Refrigerating Equipment.

Refrigerating equipment includes refrigerators, freezers, and similar equipment.











A.3.3.177.2 Tracheotomy Tube.

A tracheotomy tube can be equipped with an inflatable cuff.









A.3.3.178 Unattended Laboratory Operation.

Absence for lunch, telephone calls, and so forth, without coverage by a knowledgeable person, constitutes an unattendedlaboratory operation. [ 45, 2011]









A.3.3.180 Utility Center (J Box).

A utility center typically includes an electrical receptacle(s), compressed air, nitrogen, vacuum, and water.











A.3.3.182 WAGD Interface.

Interfaces are provided with overpressure, underpressure, overflow, and underflow compensation to ensure the breathingcircuit is isolated from the WAGD system.








First Revision No. 333-NFPA 99-2012 [ New Section after A.4.2 ]

A.4.4.1

The provisions of 4.4.1 do not require inherently noncombustible materials to be tested in order to be classified asnoncombustible materials.

A.4.4.2

Materials subject to increase in combustibility or flame spread index beyond the limits herein established through the effects ofage, moisture, or other atmospheric condition are considered combustible. (See NFPA 259, Standard Test Method for PotentialHeat of Building Materials, and NFPA 220, Standard on Types of Building Construction.) [101: A.4.6.14]






CommitteeStatement:

This change puts NFPA 99 in line with what was done for NFPA 101 (and many other documents) in the 2012cycle.


Committee Notes:

Date Submitted By

Aug 27, 2012 Hart Extract from 101

Public Input No. 314-NFPA 99-2012 [New Section after A.4.2]



First Revision No. 371-NFPA 99-2012 [ Section No. A.4.2 ]

A.4.2

Risk assessment should follow procedures such as those outlined in ISO/IEC 31010, Risk Management — RiskAssessment Techniques, NFPA 551, Guide for the Evaluation of Fire Risk Assessments, Guide for the Evaluation ofFire Risk Assessments, SEMI S10-0307E, Safety Guideline for Risk Assessment and Risk Evaluation Process, or otherformal process. The results of the assessment procedure should be documented and records retained. Figure A.4.2 is asimple risk assessment model that can be used to evaluate the categories.

***Add Figure A.4.2 here ***


FileName

Description

FigureA.4.2(New).docxPlease see the other note under the statement tab for update that needs to be made to the Figure.

99fA-04-2FR371.jpg Jpg showing needed revisions.






CommitteeStatement:

This figure has been added to show a very simplified thought process and way to look at the risk assessment thatis required by Section 4.2.

ResponseMessage:

FR-371-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 31, 2012 Hart Art needs to modify the last line of the figure to go straight to Category 4. There should be no Yes/No decision under "no impact"

First Revision No. 296-NFPA 99-2012 [ New Section after A.5.1.3.3.2 ]

A.5.1.3.3.2(4)

The test for walls and floors is ASTM E119, Standard Test Methods for Fire Tests of Building Construction and Materials, or UL263, Fire Resistance Ratings. The test for doors is NFPA 252, Standard Methods of Fire Tests of Door Assemblies.






CommitteeStatement:

This was added to the annex to help the user of the document understand what tests are typically used to determinethese ratings but to keep it from over complicating the code.

ResponseMessage:

FR-296-NFPA 99-2012




First Revision No. 290-NFPA 99-2012 [ Section No. A.5.1.3.5.13 ]

A.5.1.3.5.13

See Figure A.5.1.3.5.13.

If the relief valve on the emergency oxygen supply connection is moved downstream from the check valve in theemergency oxygen line, it should be connected to the system with a demand check fitting.

The emergency oxygen supply connection (EOSC) can be used as a part of the emergency operation plan (EOP) for anunplanned loss of oxygen supply. However, a risk assessment should be conducted by the facility to determine thecontingency plan for vital life support and critical care areas. There might need to be interim measures for dealing withthe loss of oxygen (e.g., high pressure oxygen cylinders available for back feeding critical care areas).

Figure A.5.1.3.5.13 Emergency Oxygen Supply Connection.






CommitteeStatement:

There is a common misconception that the EOSC can be utilized for Emergency Preparedness and is a viable way to feedthe health care facility in the event of an unplanned loss of the oxygen supply system. In reality bulk gas suppliers are notable to provide a temporary oxygen supply trailer as quickly as would be needed for this type of event. There usually needsto be another interim measure for dealing with the loss of oxygen (i.e. high pressure cylinders back feeding critical careareas). Most bulk suppliers will not guarantee they will be able to respond quickly in an emergency event. Thisnomenclature leads facility managers to assume that the EOSC is the best option for dealing with an emergency situation,but in fact it is not.

ResponseMessage:

FR-290-NFPA 99-2012

Public Input No. 169-NFPA 99-2012 [Global Input]


A.5.1.9.2

See Table A.5.1.9.2.

Table A.5.1.9.2 Requirements for Category 1 Master Alarms for Gas and Vacuum Systems

Alarm Condition Manifold for Gas Cylinders

Without Reserve

(5.1.3.

4

5 .10) Manifold for Cryogenic Liquid Cylinders with Reserve (5.1.3.



4

5 .

12

11 ) Cryogenic Bulk with Cryogenic Reserve (5.1.3.

4

5 .

13

12 ) Cryogenic Bulk with Cylinder Reserve (5.1.3.

4

5 .

13

12 ) Medical Air Proportioning System (5.1.3.6.3.15) Medical Air Compressors (5.1.3.

5

6 ) Instrument Air Compressors (5.1.3.

8

9 ) Medical– Surgical Vacuum Pumps (5.1.3.

6

7 ) WAGD Producers (5.1.3.

7

8 )

Nitrogen main line pressure high 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7)

Nitrogen main line pressure low 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7)

Nitrogen changeover to secondary supply 5.1.3.

4

5 .10.6

5.1.9.2.4(1)

5.1.3.5.11.9 (1) 5.1.9.2.4(1)

Nitrogen main supply less than1 day (low contents)

5.1.9.2.4(2) 5.1.3.5.12.4(1)

5.1.9.2.4(2)5.1.3.5.12.4(1)

Nitrogen reserve in use5.1.3.5.11.9(3) 5.1.9.2.4(3)

5.1.9.2.4(3)5.1.3.5.12.4(2)

5.1.9.2.4(3)5.1.3.5.12.4(2)

Nitrogen reserve supply lessthan 1 day (low contents)

5.1.3.5.11.9(4) 5.1.9.2.4(5)5.1.3.5.12.4(3)

5.1.9.2.4(5)5.1.3.5.12.4(3)

Nitrogen reserve pressure low(not functional)

5.1.9.2.4(6)5.1.3.5.12.4(4)

Carbon dioxide main linepressure high

5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7)

Carbon dioxide main linepressure low

5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7)

Carbon dioxide changeover tosecondary supply

5.1.3.

4

5 .10.6

5.1.9.2.4(1)

5.1.3.5.11.9(1) 5.1.9.2.4(1)

CarbonDioxide mainsupply lessthan 1 day (lowcontents)

5.1.9.2.4(2)5.1.3.5.12.4(1) 5.1.9.2.4(2)5.1.3.5.12.4(1)

CarbonDioxide reservein use

5.1.3.5.11.9(3) 5.1.9.2.4(3)

5.1.9.2.4(3)5.1.3.5.12.4(2) 5.1.9.2.4(3)5.1.3.5.12.4(2)

CarbonDioxide reservesupply lessthan 1 day (lowcontents)

5.1.3.5.11.9(4) 5.1.9.2.4(5)5.1.3.5.12.4(3) 5.1.9.2.4(5)5.1.3.5.12.4(3)

CarbonDioxide reservepressure low

5.1.9.2.4(6)5.1.3.5.12.4(3)



(not functional)

Medical airmain linepressure high

5.1.9.2.4(7) 5.1.9.2.4(7)

Medical airmain linepressure low

5.1.9.2.4(7) 5.1.9.2.4(7)

Medical airchangeover tosecondarysupply

5.1.3.

4

5 .10.6

5.1.9.2.4(1)

Medical air dew point high 5.1.3.

5

6 .

15

3.14 (1)

5.1.9.2.4(10)

Medical air production stop 5.1.9.2.4(13)

Oxygen main line pressure high 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7)

Oxygen main line pressure low 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7)

Oxygen changeover to secondary supply5.1.3.5.10.6

5.1.9.2.4(1)

5.1.3.5.11.9 (1)

.

5.1.9.2.4(1)

Oxygen main supply less than 1 day (low contents) 5.1.9.2.4(

1

2 )

5.1.

9

3 .

2

5 . 12. 4(1)

Oxygen main supply less than 1 day (low contents)

5.1.9.2.4(2)

5.1.

9

3 .

2

5 . 12. 4(

2

1 )

Oxygen reserve in use 5.1.3.

4

5 .

12

11 .9(3)

5.1.3.5.14.5

5.1.9.2.4(3)

5.1.3.5.

14.5

12.4(2) 5.1.9.2.4(3) 5.1.3.5.12.4(2)



Oxygen reserve supply less than 1 day (low contents) 5.1.3.5.11.9(4)

.

5.1.9.2.4(5) 5.1.3.5.12.4(3) 5.1.9.2.4(5) 5.1.3.5.12.4(3)

Oxygen reserve pressure low (notfunctional)

5.1.9.2.4(6) 5.1.3.5.12.4(3)

Nitrous oxide main line pressure high 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7)

Nitrous oxide main line pressure low 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7) 5.1.9.2.4(7)

Nitrous oxide changeover to secondarysupply

5.1.3.5.10.6

5.1.9.2.4(1)

5.1.3.5.11.9(1)

5.1.9.2.4(1)

Nitrous oxide main supply less than 1day (low contents)

5.1.9.2.4(

1

2 )

5.1.

9

3 .

2

5 . 12. 4(1)

Nitrous oxide main supply less than 1 day (low contents)

5.1.9.2.4(2)

5.1.

9

3 .

2

5 . 12. 4(

2.

1 )

Nitrous oxide reserve in use

5.1.3.5.14.5

5.1.9.2.4(3)

5.1.3.5.11.9(3) 5.1.9.2.4(3)

5.1.3.5.

11

12 .

9

4 (

3

2 ) 5.1.

3.

9.2.4(3) 5.

14

1 .

5

3 .

5.

1

12 .

9.2.

4(

3

2 )

Nitrous oxide reserve supply less than 1 day (low contents) 5.1.3.5.

12



11 . 9( 4

(3

) 5.1.9.2.4(5) 5.1.3.5.12.4(3) 5.1.9.2.4(5) 5.1.3.5.12.4(3)

Nitrousoxidereservepressurelow (notfunctional)

5.1.9.2.4(6) 5.1.3.5.12.4(3)

Medical–surgicalmain linevacuumlow

5.1.9.2.4(8)

WAGDmain linevacuumlow

5.1.9.2.4(

8

11 )

Local alarm 5.1. 9.2.4(9) 5.1.9.5.2 5.1. 3.6.3. 15 (C)(9)

5.1.3.6.3. 13

5.1.9.2.4(9)

5.1.9.5.2

5.1.3.9.10

5.1.9.2.4(9)

5.1.9.5.2

5.1.3.7.8

5.1.9.2.4(9)

5.1.9.5.2

5.1.3.8.4

.1

5.1.9.2.4(9)

5.1.9.5.2

Instrument air main line pressure high 5.1.9.2.4(7)

Instrument air main line pressure low 5.1.9.2.4(7)

Instrument air dew point high5.1.3.9.10.1

5.1.9.2.4(12)

Instrument air cylinder reserve in use (if provided) 5.1.3.9.10.2(1)

Instrument air cylinder reserve less than 1 hour supply 5.1.3.9.10.2(2)



99_L138_A.5.1.9.2_PI#159.docx Table that is reference for FR.






Committee Statement: This Table has been editorially updated.


Committee Notes:

Date Submitted By

Aug 31, 2012 Hart This came from a PI that should be used to see what the changes to the table actually were.

Sep 6, 2012 Hart The table was also revised by Errata that needs to be included where not fixed by this FR.

Public Input No. 159-NFPA 99-2012 [Section No. A.5.1.9.2]



First Revision No. 303-NFPA 99-2012 [ Section No. A.5.1.10.8(3) ]

A.5.1.10.8(3)

One example of this type of tape is Teflon™. It is intended that the "reccommended for oxygen service" apply to bothpolytetrafluroethylene tape as well as the "other thread sealant."






Committee Statement: This annex note was added to clarify the intent of the requirement.



A.5.1.11.2.7

It is not intended that every room be listed on the label, but an area that is easily identifiable by staff needs to be indicated. Thiscan be accomplished with text or by graphical means such as a map or color coding. The label should be permanently affixedoutside and near valve box. The label should not be affixed to a removable cover.






CommitteeStatement:

This annex material has been added to provide additional information regarding the labeling of zone valve boxassemblies.





A.5.1.11.4.2

It is not intended that every room be listed on the label, but an area that is easily identifiable by staff needs to be indicated. Thiscan be accomplished with text or by graphical means such as a map or color coding.






CommitteeStatement:

This annex material has been added to provide additional information regarding the labeling of area alarmpanels.



A.5.1.12.3.10.6

Sleep laboratories are an example of where gas flow and concentration are frequently modified.








First Revision No. 378-NFPA 99-2012 [ New Section after A.5.1.14.2.2.2 ]

11/14/12


A.5.1.14.2.3

The following should be considered in a routine testing, maintenance and inspection program:

(1)

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)

(i)

(j)

(2)

(3) WAGD source — exhaust location

(4)

(5)

(a)

(b)

(6) Bulk cryogenic liquid source inspected in accordance with NFPA 55, Compressed Gases and Cryogenic Fluids Code

(7) Final line regulation for all positive pressure systems — delivery pressure

(8)

(9)

(10) Alarms and warning systems, as follows:

(a) Master alarm signal operation

(b) Area alarm signal operation

(c) Local alarm signal operation

(11)

(a)

(b)

(c)

(d)

(12) Medical gas quality

(a) Purity Percent Concentration

(b) Permanent particulates and contaminants

(c) Odor and moisture






CommitteeStatement:

This has been moved to the annex because no criteria is specified for what the inspection and testing criteria should be.The testing and maintenance schedules and procedures should be determined through the facility's risk assessment.

ResponseMessage:

FR-378-NFPA 99-2012

* Medical air source, as follows:

Room temperature

Shaft seal condition

Filter condition

Presence of hydrocarbons

Room ventilation

Water quality, if so equipped

Intake location

Carbon monoxide monitor calibration

Air purity

Dew point

* Medical vacuum source — exhaust location

* Instrument air source — filter condition

* Manifold sources (including systems complying with 5.1.3.5.10, 5.1.3.5.11, 5.1.3.5.12, and 5.1.3.5.13), as follows:

Ventilation

Enclosure labeling

* Valves — labeling

* Alarms and warning systems — lamp and audio operation

* Station outlets/inlets, as follows:

Flow

Labeling

Latching/delatching

Leaks

—




A.5.1.15

Medical gas and vacuum systems should be surveyed at least annually for the items that follow and deficient itemscorrected. Survey of medical air and instrument air sources should include, but not be limited to, the following:

(1) Dew point monitor (operation and calibration)

(2) Carbon monoxide monitor (medical air only) (operation and calibration)

(3) Aftercoolers (condition, operation of drains)

(4) Operating pressures (cut-in, cut-out, and control pressures)

(5) All local alarms (verify presence of required alarms, perform electrical test, test lag alarm)

(6) Receiver elements (auto drain, manual drain, sight glass, pressure gauge)

(7) Filters (condition)

(8) Pressure regulators (condition, output pressure)

(9) Source valve (labeling)

(10) Intake (location and condition)

(11) Housekeeping around compressors

Survey of the medical vacuum and the WAGD source(s) should include, but not be limited to, the following:

(1) Operating vacuum (cut-in, cut-out, and control pressures)

(2) All local alarms (verify presence of required alarms, perform electrical test, test lag alarm)

(3) Receiver elements (manual drain, sight glass, vacuum gauge)


(5) Exhaust (location and condition)

(6) Housekeeping around pump

Survey of the medical gas manifold source(s) should include, but not be limited to, the following:

(1) Number of cylinders (damaged connectors)

(2) Cylinder leads (condition)

(3) Cascade (switching from one header to another)

(4) All local alarms (verify presence of required alarms, perform electrical test, test all alarms)


(6) Relief valves (discharge location and condition)

(7) Leaks

(8) Security (door or gate locks and signage)

(9) Ventilation (general operation, housekeeping)

(10) Housekeeping around manifolds

Survey of medical gas area alarms should include, but not be limited to, the following:

(1) Locations (visible to staff)

(2) Signals (audible and visual, use test function)

(3) Activation at low pressure

(4) Housekeeping around alarm

Survey of medical gas master alarms should include, but not be limited to, the following:



(1) Locations (visible to appropriate staff)

(2) Signals (audible and visual, use test function)

(3) Activation at low pressure


Survey of zone valves should include, but not be limited to, the following:

(1) Locations (relationship to terminals controlled)

(2) Leaks

(3) Labeling


Survey of medical gas outlet/inlets should include, but not be limited to, the following:

(1) Flow and function

(2) Latching/delatching

(3) Leaks

(4) General condition (noninterchangeable indexing)

The facility should retain a written or an electronic copy of all findings and any corrections performed.






Committee Statement: Section 5.1.15 was removed from the body of the code, so this annex material is no longer referenced.





A.6.3.2.2.1

At the time of installation of regular voltage branch circuit wiring, 600V or less, steps should be taken to ensure that theinsulation on each conductor intended to be energized, and on the equipment grounding conductor in systems containingisolated ground receptacles, has not been damaged in the process of installation. When disconnected and unenergized,the resistance should be at least 20 megohms when measured with an ohmmeter having an open-circuit test voltage of atleast 500 V dc.

Consideration should be given to providing reasonable accessibility to branch-circuit switching and overcurrent protectiondevices by the hospital staff in the patient care room space . Consideration should also be given to providing labels ateach receptacle and on installed equipment indicating the location and identity of the distribution panel serving that poweroutlet or equipment, especially where the location or identity might not be readily apparent.






CommitteeStatement:

This has been updated to correspond to the changes made by FR-5. In addition the term "room" was changed to "space" tomatch what is being done in several other areas of the document based on the following substantiation: "Use of the term“room(s)” is normally defined as four walls and a door. This term is too restrictive for designers and will cause confusion forusers of the Code. The term “room(s)” may restrict Code requirements or enforcement for perimeter areas that may need beincluding for patient safety. For example, one room may have many patient care spaces effecting the installing of branchcircuits and receptacles required elsewhere in the code."

ResponseMessage:

FR-6-NFPA 99-2012

First Revision No. 10-NFPA 99-2012 [ Section No. A.6.3.2.2.2.2 ]

A.6.3.2.2.2.2

This requirement is usually met by appropriate mounting hardware and not by wire jumpers.






Committee Statement: The change in FR-9 makes this section no longer relevant.





A.6.3.2.2.4.2

Listed Class A ground-fault circuit interrupters trip when a fault current to ground is 6 mA or more.






Committee Statement: Language was added to A.3.3.66 in FR-2 that would make this redundant.


First Revision No. 4-NFPA 99-2012 [ Section No. A.6.3.2.2.8.2(2) ]

A.6.3.2.2.8.2(2)

Class A GFCIs trip at currents between 4 mA and 6 mA.






Committee Statement: Language was added to A.3.3.66 in FR-2 that would make this redundant.


Committee Notes:

Date Submitted By

Aug 13, 2012 [ Not Specified ] The annex material will be in a different FR




A.6.3.2.6.2.1

It is desirable to limit the size of the isolation transformer to 10 kVA or less and to use conductor insulation with low leakage tomeet the impedance requirements. Keeping branch circuits short and using insulation with a dielectric constant less than 3.5and insulation resistance constant greater than 6100 megohmmeters at 16°C (20,000 megohm-ft at 60°F) reduces leakage fromline to ground.

To correct milliammeter reading to line impedance, use the following equation:

where:

V = isolated power system voltage

I = milliammeter reading made during impedance test



RevisedFigureA.6.3.2.6.2.1.docx I revised the Equation in a word document.

99fEquationFR61.jpg Jpeg of the revised equation.






Committee Statement: This is an editorial fix of the equation.


Committee Notes:

Date Submitted By

Oct 11, 2012 Hart The 100 in the equation has been changed to 1000. This is shown in the attached file.

First Revision No. 368-NFPA 99-2012 [ New Section after A.6.4.1.1.1.2(5) ]

A.6.4.1.1.7.3

This can be accomplished by operating the system continuously.






Committee Statement: This has been added to provide additional information on the new section on fuel cell systems.


Committee Notes:

Date Submitted By

Aug 30, 2012 Hart This is for the new Section 6.4.1.1.7



First Revision No. 189-NFPA 99-2012 [ Sections A.6.6.2.1.1, A.6.6.2.2.1, A.6.6.2.2.3.2 ]

Sections A.6.6.2.1.1, A.6.6.2.2.1, A.6.6.2.2.3.2

A.6.6.2.1.1

It is important that the various overcurrent devices be coordinated, as far as practicable, to isolate faulted circuits and toprotect against cascading operation on short-circuit faults. In many systems, however, full coordination could compromisesafety and system reliability. Primary consideration also should be given to prevent overloading of equipment by limitingthe possibilities of large current inrushes due to instantaneous reestablishment of connections to heavy loads.

A.6.6.2.2.1

Type 3 essential electrical systems are comprised of a system capable of supplying a limited amount of lighting andpower service that is considered essential for life safety and orderly cessation of procedure during the time normalelectrical service is interrupted for any reason.

A.6.6.2.2.3.2

If color is used to identify these receptacles, the same color should be used throughout the facility.






CommitteeStatement:

The requirements for Type 3 essential electrical systems have been removed from the document. The annex materialhas therefore also been removed as it is no longer being referenced.

ResponseMessage:

FR-189-NFPA 99-2012

First Revision No. 32-NFPA 99-2012 [ New Section after A.7.3.1.2.1.3(B) ]

A.7.3.1.2.1.4(F)

Such sources of electromagnetic interference include, but are not limited to, medical imaging equipment, transformers, motors,variable frequency drives, induction heaters, arc welders, radios, and radar systems.




Submittal Date: Tue Aug 14 00:35:07 EDT 2012


CommitteeStatement:

This informational material was previously located in the body of the code. It better belongs here as annexmaterial.


Public Input No. 289-NFPA 99-2012 [New Section after 7.3.1.2.1.4(F)]



First Revision No. 40-NFPA 99-2012 [ New Section after A.7.3.1.2.1.3(B) ]

A.7.3.1.2.1.4(B)

Such systems can include security, nurse call, cable television, patient education, voice, data, head end equipment for clinicalsystems, and similar low voltage systems.






CommitteeStatement:

This has been added to support the changes in the body. The EF and other data closets are widely used to house anddistribute systems that use either Cat5/6, Coax or twisted pair low voltage systems. It is not clear if items other than thephone system and IT systems are included in this chapter.

ResponseMessage:

FR-40-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 31, 2012 Hart The order needs to be changed with this FR and the one immediately above it.


A.7.3.1.2.2.5(E)

Such sources of electromagnetic interference include, but are not limited to, medical imaging equipment, transformers, motors,variable frequency drives, induction heaters, arc welders, radios, and radar systems.






CommitteeStatement:

This informational material was previously located within the body of the code. It better belongs here as annexmaterial.


Public Input No. 295-NFPA 99-2012 [New Section after 7.3.1.2.2.5(E)]

11/14/12



A.7.3.1.2.3.6(D)

Such sources can include medical imaging equipment, transformers, motors, variable frequency drives, induction heaters, arcwelders, radio transmission systems, or other sources of electromagnetic interference.






CommitteeStatement:

This informational material was previously located within the body of the code. It better belongs here as annexmaterial.


Public Input No. 297-NFPA 99-2012 [New Section after 7.3.1.2.3.6(D)]


A.7.3.1.2.2.2 3

In combined spaces, care should be taken to provide separation of, and adequate service access for, service providerequipment.






Committee Statement: Revised to align with changes to the text in Chapter 7.



A.8.2. 1 1



There are no interdependencies for each type of system (e.g., medical gas, electrical, potable water, nonpotable water,nonmedical compressed air, heating). A risk assessment of each system should be conducted to evaluate the risk to thepatient, staff, and visitors. Table A.8.2.1 is one tool that can possibly be used for the risk assessment required in Chapter4. It is possible when applying this section to identify multiple categories of systems serving a single patient. Forexample see and Table A. 8 4 . 2. 1 and Table A. 4 8 . 2. 1 .

Table A.8.2.1 Category Designation by Function — Plumbing

Function Potable Nonpotable SpecialUse

Water

Conditioning

Water

Heating Process Air Fuel

Airborne infection isolation room

2 NA NA NA 3 NA NA

Burn patient care rooms

2 NA NA NA 3 NA NA

Business offices/administration

4 4 4 4 4 4 4

Central sterile room

2 NA NA NA 3 2 NA

Class A surgical procedures

2 NA NA NA 3 NA NA

Class B surgical procedures

2 NA NA NA 3 NA NA

Class C surgical procedures

2 NA NA NA 3 NA NA

Critical care rooms (Category 1 room)

2 NA NA NA 3 NA NA

Emergency department trauma room

2 NA NA NA 3 NA NA

Hemodialysis

2 NA 2 NA 3 NA NA

Intensive care

2 NA NA NA 3 NA NA

Medical records

4 4 4 4 4 4 4

Morgue

2 NA NA NA 3 NA NA

PACU

2 NA NA NA 3 NA NA

Patient education

4 4 4 4 4 4 4

Pharmacy

2 NA NA NA 3 NA NA

Protective environment room

2 NA NA NA 3 NA NA

Radiology

2 NA NA NA 3 NA NA

Speech therapy

4 4 4 4 4 4 4

Waiting rooms

4 4 4 4 4 4 4

NA: Not applicable

Note: This is a sample table. The numbers represented in this table might not be consistent with the health care facilityscenario.

11/14/12







CommitteeStatement:

The categories have been reserved, so there is no specific requirements for each Category. This table is an example ofwhat might be produced when filled in after conducting a risk assessment in accordance with Chapter 4.

ResponseMessage:

FR-86-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 31, 2012 Hart The legislative text should be much cleaner in the Table. All that was done inside was that all of the numbers or "NA" were deleted.

Aug 31, 2012 Hart I want the new (blank) table to have lines if that is possible to show the user that they should be filling in each line with some sort of number if that is what is needed.


A.8.3.3

Another source of maximum hot water temperatures would be FGI Guidelines for Design and Construction of Health CareFacilities.






Committee Statement: This section has been added back into the document as a part of acceptance of TIA 1031.


First Revision No. 66-NFPA 99-2012 [ Section No. A.9.2 ]

A.9.2

Table A.9.2 represents a typical analysis for a health care facility. The governing body, or its designate, should completea system analysis based on its functional program. A table similar to Table A.9.2 is one possible tool that can bedeveloped completed for the risk assessment required in Chapter 4 to transfer information from the governing body todesigners or authorities having jurisdiction, or both.

Table A.9.2 Category Designation by Function — Heating

Category

Function Heating Cooling Ventilating Process

Airborne infection isolation room

2 2 2 NA

Ambulance garage

NA NA 3 NA

Biomedical waste holding

2 3 2 2

Bone marrow transplants



2 2 1 NA

Burn patient care rooms

2 2 2 NA

Business office/administration

4 4 4 4

Central sterile room

3 2 2 2

Class A surgical procedures

3 3 2 3

Class B surgical procedures

2 2 2 2

Class C surgical procedures

1 1 1 1

Critical care rooms (Category 1 room)

2 2 2 2

Emergency department trauma room

2 2 2 2

Intensive care

2 2 2 2

Medical-gas storage room

2 2 2 NA

Medical records

4 4 4 4

Morgue

3 3 2 NA

Occupation therapy

4 4 4 4

Oxygen transfilling

2 2 2 NA

PACU

2 2 2 2

Patient education

4 4 4 4

Pharmacy

2 2 2 2

Physical therapy

4 4 4 4

Protective environment room

2 2 2 NA

Radiology

2 2 2 2

Speech therapy

4 4 4 4

Waiting rooms

4 4 4 4

NA: Not applicable

Note: This is a sample table. The numbers represented in this table might not be consistent with the health care facilityscenario.









CommitteeStatement:

The categories have been reserved, so there is no specific requirements for each Category. This table is an example ofwhat might be produced when filled in after conducting a risk assessment in accordance with Chapter 4.

ResponseMessage:

FR-66-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 31, 2012 Hart Legislative text - The numbers in the Table were deleted, this SHOULD be easy to show clearly.

Aug 31, 2012 Hart Like the new (blank) Table 8.2, I want this table to have lines indicating the different places numbers should be able to be filled in by the user.


A.9.3.1.3

Previous editions had required smoke purge systems in these locations. The elimination of flammable anesthetics and limited useof combustible material in modern ORs makes this requirement obsolete.






CommitteeStatement:

This has been added as information material for why the code no states that smoke purge systems are notneeded in these areas.

ResponseMessage:

FR-73-NFPA 99-2012


A.9.2.1

There are no interdependencies for each type of system (e.g., medical gas, electrical, potable water, nonpotable water,nonmedical compressed air, plumbing). A risk assessment of each system should be conducted to evaluate the risk tothe patient, staff, and visitors. It is possible when applying this section to identify multiple categories of systems serving asingle patient. For example see A.4.1 and Table A.9.2 and A . 4.1.






Committee Statement: Revised for clarity.





A.9.3.6

A source for determining acceptable noise criteria is the ASHRAE Handbook.






Committee Statement: This text was deleted as there is no longer related text in Chapter 9.


First Revision No. 372-NFPA 99-2012 [ Sections A.9.3.7.3, A.9.3.7.5.1, A.9.3.10.3.1, A.9.3.11 ]

Sections A.9.3.7.3, A.9.3.7.5.1, A.9.3.10.3.1, A.9.3.11

A.9.3.7.3

Paragraph 9.3.7.3 only covers fluids that are stored in enclosed spaces.

A.9.3.7.5.1

Table A.9.3.7.5.1 shows the cylinder volumes and weights of typical medical gas cylinders.



Table A.9.3.7.5.1 shows the cylinder volumes and weights of typical medical gas cylinders.

Table A.9.3.7.5.1 Typical Medical Gas Cylinders’ Volume and Weight of Available Contents [All Volumes at 21.1°C (70°F) and101.325 kPa (14.696 psi)]

Name of Gas

Cylinder Style andDimensions

NominalVolume [L

(in.3)] Contents AirCarbonDioxide Helium Nitrogen

NitrousOxide Oxygen

Mixtures ofOxygen

Helium CO2

B 1.43 (87) kPa (psig) 5778 (838)13100(1900)

8.89 × 33 cm L (ft3) 370 (13) 200 (7)

(3 1?2 in. O.D. × 13in.)

kg (lb-oz) 0.68 (1–8) —

D 2.88 (176) kPa (psig)13100(1900)

5778 (838)11032(1600)

13100(1900)

5137(745)

13100(1900)

* *

10.8 × 43 cm L (ft3) 375 (13) 940 (33) 300 (11) 370 (13) 940 (33) 400 (14) 300 (11)400(14)

(4 1?4 in. O.D. × 17in.)

kg (lb-oz) — 1.73 (3–13) — —1.73 (3–

13)— * *

E 4.80 (293) kPa (psig)13100(1900)

5778 (838)11032(1600)

13100(1900)

5137(745)

13100(1900)

* *

10.8 × 66 cm L (ft3) 625 (22) 1590 (56) 500 (18) 610 (22) 1590 (56) 660 (23) 500 (18)660(23)

(4 1?4 in. O.D. × 26in.)

kg (lb-oz) — 2.92 (6–7) — —2.92 (6–

7)— * *

M 21.9 (1337) kPa (psig)13100(1900)

5778 (838)11032(1600)

15169(2200)

5137(745)

15169(2200)

* *

17.8 × 109 cm

(7 in. O.D. × 43 in.) L (ft3)2850(101)

7570 (267)2260(80)

3200(113)

7570(267)

3450(122)

2260(80)

3000(106)

kg (lb-oz) —13.9 (30–

10)— —

13.9 (30–10)

* *

G 38.8 (2370) kPa (psig)13100(1900)

5778 (838)11032(1600)

15169(2200)

5137(745)

15169(2200)

* *

21.6 × 130 cm

(8 1?2 in. O.D. × 51in.)

L (ft3)5050(178)

12300(434)

4000(141)

5000(176)

13800(487)

6000(211)

4000(141)

5330(188)

kg (lb-oz) — 22.7 (50–0) — —25.4 (56–

0)— * *

H or K 43.6 (2660) kPa (psig)15169(2200)

5778 (838)15169(2200)

15169(2200)

5137(745)

15169†(2200†)

* *

23.5 × 130 cm

(9 1?4 in. O.D. × 51in.)

L (ft3)6550(231)

15840(559)

6000(212)

6400(226)

15800(558)

6900(244)

6000(212)

15840(559)

kg (lb-oz) — 29.1 (64) — — 29.1 (64) * *

Notes: These are computed contents based on nominal cylinder volumes and rounded to no greater variance than ±1 percent.

* The pressure and weight of mixed gases will vary according to the composition of the mixture.

†275 ft3/7800 L cylinders at 2490 psig are available upon request.

Source: Compressed Gas Association, Inc.

A.9.3.10.3.1

During operation, EPS and related equipment reject considerable heat that needs to be removed by proper ventilation or air-cooling. In some cases, outdoor installations rely on natural air circulation, but enclosed installations need properly sized,properly positioned ventilation facilities, to prevent recirculation of cooling air. The optimum position of air-supply louvers andradiator air discharge is on opposite walls, both to the outdoors. [110: A.7.7.1]

195/221

A.9.3.11

Another source of acceptable ventilation rates during construction would be FGI Guidelines for Design and Construction ofHealth Care Facilities.






Committee Statement: Each of these Sections have been added back into the document as a part of acceptance of TIA 1032.


First Revision No. 131-NFPA 99-2012 [ New Section after A.10.2.3.6(5) ]

A.10.2.6

Where exisitng equipment exceeds 500 µA, methods to reduce leakage current, such as the addition of small isolationtransformers to that equipment, or methods that provide equivalent safety by adding redundant equipment ground, arepermissible.






Committee Statement: The section was moved from A10.3.5.1 to coordinate with other revisions.


Committee Notes:

Date Submitted By

Sep 25, 2012 COMP The symbol for Micro (the funky lowercase u) is getting lost once in a while.




A.10.3.3.4

The limits for nonsinusoidal periodic, modulated, and transient waveforms remain to be determined.

For complex leakage current waveforms, a single reading from an appropriate metering system can represent thephysiologically effective value of the composite waveform, provided that the contribution of each component to the totalreading is weighted in accordance with 10.3.3.4 . This weighting can be achieved by a frequency response–shapingnetwork that precedes a flat-response meter, or by a meter whose own frequency response characteristic matches that of10.3.3.4 .






Committee Statement: The information in this section was redundant to the information contained in A.10.3.3.



A.10.3.5.1

Where existing equipment exceeds 500 ?A, methods to reduce leakage current, such as the addition of small isolationtransformers to that equipment, or methods that provide equivalent safety by adding redundant equipment ground arepermissible.






Committee Statement: The section was moved to A.10.2.6 to coordinate with other revisions.





A.10.3.6

Although the chassis leakage touch current value is 300 ?A 500 µA , the patient lead leakage current limit fornonisolated input has been intentionally limited to 100 ?A µA . This decision is in recognition of the need for a greater levelof electrical safety for those portions of devices that make direct electrical patient connection.






CommitteeStatement:

Editorial - "chassis leakage current" is now "touch current." The touch current level is now 500 ua. Consistencywith 2012 requirements

ResponseMessage:

FR-134-NFPA 99-2012

Public Input No. 15-NFPA 99-2012 [Section No. A.10.3.6]

First Revision No. 135-NFPA 99-2012 [ New Section after A.10.5.2.5 ]

A.10.5.3.3

Service manuals, instructions, and procedures provided by the manufacturer should be considered in the development of aprogram for maintenance of equipment. The experience accumulated by the facility and others (evidence-based maintenance)should be used to adjust manufacturer's recommendations whenver and wherever appropriate, even if they indicate nomaintenance program is required.






CommitteeStatement:

The current statement of "service manuals, instruction, and procedure provided by the manufacturer shall considered in themaintenance of equipment" could be misinterpreted by the reader as manufacturer's recommendations must be followedverbatim instead of considered. The experience accumulated by the facility an others "evidence based maintenance" shouldbe used to adjust manufacturer's recommendations whenever and wherever appropriate

ResponseMessage:

FR-135-NFPA 99-2012



First Revision No. 136-NFPA 99-2012 [ Sections A.10.5.5.1, A.10.5.5.2 ]

Sections A.10.5.5.1, A.10.5.5.2

A.10.5.5.1

As a guideline, 500 ?A is recommended as the maximum allowable leakage current limit for laboratory equipment.

One reason for requiring testing of all electrical equipment used in the laboratory is to provide minimum assurance againstelectrical macroshock hazards.

A.10.5.5.2

Most laboratory fires involve biomedical or other electronic equipment failures. The most common ignition factors are shortcircuits or ground faults. Electrical wire or cable insulation is the material most likely to first ignite in a clinical laboratoryfire. (See Hoeltge, G.A., Miller, A., Klein, B.R., Hamlin, W.B., “Accidental fires in clinical laboratories.”)






CommitteeStatement:

The 500 uA limit is no longer valid for laboratory equipment. The annex material from A.10.5.5.2 was retained toprovide additional explanation on 10.5.5.1.

ResponseMessage:

FR-136-NFPA 99-2012





A.11.3.1

See Table A.11.3.1.

Table A.11.3.1 Typical Medical Gas Cylinder Volume and Weight of Available Contents [All Volumes at 21.1°C(70°F)]

Gas Cylinder Style and Dimensions Nominal Volume (in. 3 /L) Contents Air Carbon Dioxide Cyclo-

propane Helium Nitrogen Mixtures of Oxygen Nitrous Oxide Oxygen Helium CO 2 B 87/1.43 psig 838 75 1900 3 1 ? 2 in.

O.D. × 13 in. L 370 375 200 8.89 × 33 cm lb-oz 1–8 1–7 1 ? 4 — kg 0.68 0.66 — D 176/2.88 psig 1900 838 75 1600 1900 745 1900

*

*

4 1 ? 2 in. O.D. × 17 in. L 375 940 870 300 370 940 400 300 400 10.8 × 43 cm lb-oz — 3–13 3–5 1 ? 2— — 3–13 — * * kg — 1.73 1.51 — — 1.73 — * * E 293/ 4.80 psig 1900 838 1600 1900 745 1900 * * 41 ? 2 in. O.D. × 26 in. L 625 1590 500 610 1590 660 500 660 10.8 × 66 cm lb-oz — 6–7 — — 6–7 — * * kg — 2.92 — — 2.92 — * * M 1337/21.9 psig 1900 838 1600 2200 7.45 2200 * * 7 in. O.D. × 43in. L 2850 7570 2260 3200 7570 3450 2260 3000 17.8 × 109 cm lb-oz — 30–10 — — 30–

10 122 * * kg — 13.9 — — 13.9 — * * G 2370/38.8 psig 1900 838 1600 745 * * 8 1 ? 2 in. O.D. × 51in. L 5050 12,300 4000 13,800 4000 5330 21.6 × 130 cm lb-oz — 50–0 — 56–0 * * kg — 22.7 — 25.4 * * H or

K 2660/43.6 psig 2200 2200 2200 745 2200† 9 1 ? 4 in. O.D. × 51 in. 23.5 × 130cm L 6550 6000 6400 15,800 6900 lb-oz — — — 64 244 kg — — — 29.1

Notes: These are computed contents based on nominal cylinder volumes and rounded to a variance not greater than ±1percent.

* The pressure and weight of mixed gases will vary according to the composition of the mixture.

† 275 ft 3 /7800 L cylinders at 2490 psig are available upon request.

Source: Compressed Gas Association, Inc.

*Add new Table A.11.3.1 here (Current table A.9.3.7.5.1)***






CommitteeStatement:

Table A.9.3.7.5.1 was updated in the previous cycle and is more complete. The TC recommends to delete Table A.9.3.7.5.1and to retain this information in one location. It is better suited in the gas equipment chapter than the mechanical systemschapter.

ResponseMessage:

FR-137-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 31, 2012 Hart Table A.9.3.7.5.1 will be duplicated here as a replacement for A.11.3.1 and be numbered A.11.3.1. It will now appear twice in the Annex. The Correlating Committee will determine where it best fits and the issue will be resolved in the comment stage.

Aug 31, 2012 Hart To further clarify the other Note, this is not moving Table A.9.3.7.5.1, it is duplicating it.


A.11.3.2

When determining the volume of storage, do not consider cylinders and containers that are in use. There is no limit on theamount of nonflammable gas cylinders or containers that can be stored within a smoke compartment, provided

nonflammable gas cylinders and containers Only the volume of stored gas that is in excess of 300 ft3 are stored isrequired to be located in an enclosure that meets the requirements of , since 11.3. 2.1 through 11.3.2.3 3 already

permits up to 300 ft 3 without any special storage requirements .






CommitteeStatement:

Many AHJs are misinterpreting this requirement and are requiring health care facilities to meet the requirements of 11.3.2.1for storing cylinders in an interior space of noncombustible or limited construction. This is in conflict with 11.3.3 whichpermits up to 300 ft3 of cylinders of storage without any special precautions. As an example, assuming each e-cylinder ofoxygen contains 25 ft3 by volume, whenever 13 e-cylinders of oxygen are stored within a smoke compartment, AHJs arerequiring all 13 cylinders to be stored per 11.3.2, when only the 13th cylinder needs to meet this requirements, since 11.3.3permits 12 to be stored anywhere within a smoke compartment. This language, or something similar is needed in order toclarify the intent of 11.3.2 and 11.3.3. The second sentence was deleted because it conflicted with the requirement in thebase paragraph. The upper limit is 3000 ft3, it is not unlimited even when in an enclosure.

ResponseMessage:

FR-138-NFPA 99-2012



A.11.5.1.3.3

Service manuals, instructions, and procedures provided by the manufacturer should be considered in the development of aprogram for maintenance of equipment. The experience accumulated by the facility and others (evidence-based maintenance)should be used to adjust manufacturer's recommendations whenever and wherever appropriate, even if they indicate nomaintenance program is required.






CommitteeStatement:

Moved 11.5.1.3.4 to the Annex as a recommendation to 11.5.13.5. The experience accumulated by the facility an others"evidence based maintenance" should be used to adjust manufacturer's recommendations whenever and whereverappropriate

ResponseMessage:

FR-139-NFPA 99-2012




A.11.5.2.4

Oxygen concentrator filling systems are FDA approved and have been in use for many years with excellent safety records. Theinherrent risks associated with typicall transfilling do not apply to oxygen concentrator filling compressors.

Limitations were placed on these systems in order to prevent the risks associated with larger, higher flow, or higher pressuresystems being introduced into the patient environment. The cylinder size was limtied to cylinders normally used for patientambulation. The filling rate was limited to prevent excessive heating of the cylinder contents. The filling pressure was limitedbased on the existing industry practice.






Committee Statement: The explanatory material was added for the newly added section on oxygen concentrator filling systems.


Public Input No. 357-NFPA 99-2012 [New Section after A.11.5.3.2]


A.11.7.3.1

The seller has a responsibility to provide written instructions to the user in accordance with 11.7.2. In fulfilling thisresponsibility, the seller should explain to the user the use of the equipment being delivered and precautions that are tobe taken. The seller’s written instructions are intended to make the user aware of the hazards of the material and toprovide recommendations that will address the location, restraint, movement, and refill of ambulatory containers whenthese containers are to be refilled by the user. However, the user has the responsibility to receive, read, and understandthe written material regarding storage and use of liquid oxygen and the containers and equipment that are furnished bythe seller. In addition to specific information or instructions provided by the seller or equipment manufacturer regarding thestorage or use of the equipment and of the liquid oxygen or the containers used, the user remains responsible to see thatthe containers are used or maintained in accordance with the seller's instructions to ensure that they are as follows:

(1) Located and maintained in accordance with the requirements of 11.7.3.2

(2) Restrained in accordance with the requirements of 11.7.3.3

(3) Handled or transported in accordance with the requirements of 11.7.3.4

(4) Refilled in accordance with the requirements of 11.7.3. 5 6 and the manufacturer’s instructions when liquid oxygenambulatory containers are to be refilled by the user

CGA P-2.7 Guide for the Safe Storage, Handling, and Use of Small Portable Liquid Oxygen Systems in Health CareFacilities, describes the recommended precautions and safety procedures to be followed when liquid oxygen systems are usedwithin health care facilities. Mishandling of oxygen presents potential hazards to both trained and untrained persons. It is,therefore, important that personnel who assume responsibility for oxygen equipment and its use be familiar with the hazards ofoxygen, the operational characterisitec of the equipment, and the precautions to be observed while using it.






CommitteeStatement:

References CGA P-2.7 that contains recommended precautions and safety procedures. The reference to CGA P-2.7 wasremoved (in the previous edition) and should be added back as an additional resource.

ResponseMessage:

FR-141-NFPA 99-2012




A.11.7.3.5

CGA P-2.7, Guide for the Safe Storage, Handling, and Use of Small Portable Liquid Oxygen Systems in Health Care Facilities,describes the recommended precautions and safety procedures to be followed when liquid oxygen systems are used within healthcare facilities, such as a 5 ft separation from electrical appliances during filling and use.

Mishandling of oxygen presents potential hazards to both trained and untrained persons. It is therefore important that personellwho assume responsibility for oxygen equipment and its use be familiar with the hazards of oxygen, the operationalcharacterisitec of the equipment, and the precautions to be observed while using it.






Committee Statement: References CGA P-2.7 that contains recommended precautions and safety procedures.


Committee Notes:

Date Submitted By

Aug 31, 2012 Hart I was having a hard time with the text in this section becoming Bolded.


A.12.1.1

Throughout this chapter, wherever the term hospital is used, the term should also apply to other types of health carefacilities. Applicable facilities include, but are not limited to, hospitals, convalescent or nursing homes, and emergencyreceiving stations. A government authority could formally designate such facilities as disaster treatment centers. Suchfacilities would not normally include doctors’ or dentists’ offices, medical laboratories, or school nurseries, unless suchfacilities are used for treatment of disaster victims. National bioterrorism preparedness efforts call for the use of schoolsand other large public facilities to provide facilities for mass immunization. An emergency management program (formerlyknown as a disaster plan or internal/external plan) encompasses activities across four phases: mitigation, preparedness,response, and recovery. Mitigation activities are those designed to reduce or eliminate the impact of hazards.Preparedness activities include those that build organizational and individual capabilities to deal with disasters. Responseactivities include all necessary actions to stop ongoing negative effects of a disaster. Recovery activities are those thatrestore the organization, its employees, and the community back to normal.

The Joint Commission has incorporated Comprehensive Emergency Management Plan, Annex G for The JointCommission publications.

NFPA 1600 , Standard on Disaster/Emergency Management and Business Continuity Programs , is an internationallyaccepted framework for an emergency program. NFPA 99, Health Care Facilities Code , Chapter 12 , recognizes thisoverall structure and provides additional information useful to health care organizations. Table A.12.1.1 illustrates therelationship between the elements of NFPA 99,, Chapter 12 , and NFPA 1600 .

Table A.12.1.1 How NFPA 99, Chapter 12, Relates to NFPA 1600

NFPA 1600 NFPA 99, Chapter 12

Introduction —

Scope 12.1.

1

2 Applicability

Purpose 12.1.

2

1.1 Framework



Program Management —

Policy 12.2.1 Authority Having Jurisdiction

Program Coordinator 12.2.2 Senior Management

Program Committee 12.2.3 Emergency Management Committee

Program Assessment 12.2.3 Emergency Management Committee

Program Elements

—

12.5.3 Program Elements

General —

Laws and Authority —

Hazard Identification and Risk Management A.12. 5. 3.1 .2 Hazard Identification

Hazard Management (Mitigation)

—

12.5.3.2 Mitigation

Resource Management

A.

12. 5. 3.3.

5

6.2 Resource Assessment

Planning 12. 5. 3.3 .5 Emergency

Management

Operations Plan

Direction, Control, and Coordination A.12.2.3 .3 Incident Command System

Communications and Warning A.12. 5. 3.3.

2

6.1 (

7

5 ) Communications

Operations and Procedures A. 12. 5. 3.3.

1

6.3 Identification of Personnel

12. 5. 3.3.

2 Continuity of Essential Systems

6.5 Essential Utilities

12. 5. 3.3.

3

6.7 Staff

Management

Roles

12.

3

5 .3.4

Patient Management

.12 Surge Capacity of Victims

12. 5. 3.3.6 .3 Safety and Security

12.



3

5 .3.

10 Operational

5 Recovery

Logistics and Facilities 12.

3

5 .3.

5 Logistics

4 Response

Training 12. 5. 3.3.

8

7 Staff Education

Exercises, Evaluations, and Corrective Actions 12. 5. 3.3.

9 Drills

8 Testing Emergency Plans and Operations

Public Education and Information

12.3.3.7 Public Affairs

—

Finance and Administration —






Committee Statement: The sentence removed is unclear.


Committee Notes:

Date Submitted By

Aug 31, 2012 Hart Only one Sentence was deleted from the Text portion. There was no addition, so it should not be underlined.

Aug 31, 2012 Hart All of the changes made to the Table are from an Errata so it should show up as unchanged text. The errata is how the last edition was written, so the changes I made should be applied to the table but they should not appear as a revision.


206/221


A.12.5.3.1.2

By basing the planning of health care emergency management on realistic conceptual events, the program reflects thoseissues or events that are predictable for the environment in which the organization operates. Thus, such conceptualplanning should focus on issues, such as severe weather typical in the locale, situations that can occur due to closeproximity of industrial, government, or transportation complexes, or earthquake possibilities due to local seismic activity.Planning should also incorporate knowledge available in the emergency management research about how individuals,small groups, organizations, communities, and societies behave during emergencies.






Committee Statement: Proximity to government buildings is a significant vulnerability.


Public Input No. 207-NFPA 99-2012 [Section No. A.12.5.3.1.2]



First Revision No. 151-NFPA 99-2012 [ Section No. A.12.5.3.3.6.1(5) ]

A.12.5.3.3.6.1(5)

Emergency internal and external communications systems should be established to facilitate communication withsecurity forces and other authorities having jurisdiction, as well as internal patient care and service units in the eventnormal communications methods are rendered inoperative. The basic form of communication in a disaster is thetelephone system. As part of the contingency plan to maintain communication, a plan for restoring telephone systems orusing alternate systems is necessary. Typically, the first line of internal defense for a system outage is strategicallyplaced power-failure telephones that are designed to continue to function in the event of system failure (e.g., dedicatedlines, fax lines). Plans for external outages and load control should include the use of pay phones, where available, thathave first priority status in external system restoration. Facilities should preplan restoration activities and prioritizationwith their telephone service providers. A review with the state and other communications agencies (GovernmentEmergency Telecommunications Service, Wireless Priority Service, Health and Homeland Alert Network) should beconducted.

Contingency plans should also contain strategies for the use of radio frequency communications to supplement landlineusage. The plan should include a means to distribute and use two-way radio communication throughout the facility. Aplan for the incorporation and use of amateur radio operators should also be considered.

It should be recognized that single-channel radio communication is less desirable than telephone system restoration dueto the limited number of messages that can be managed. Cellular telephones, although useful in some disastersituations, should not be considered a contingency that has high reliability due to their vulnerability to the load controlschemes of telephone companies. Portable Text messaging has been proven to be more reliable than cellular phonecalls. Social media can be an important tool for emergency communication, but it must be managed so that responsesto inquiries can be provided. Portable e-mail devices, satellite telephones, and audio- and video-conferencing servicesare useful tools to link key staff and organizations.






CommitteeStatement:

Additional information provided about current communication methods, which have proven to be successful inrecent disasters.


Public Input No. 212-NFPA 99-2012 [Section No. A.12.5.3.3.6.1(5)]


A.12.5.3.4.9

For additional information see "Crisis Standards of Care: A Systems Framework for Catestrophic Disaster Response," 2012Institute of Medicine (IOM) Report.






CommitteeStatement:

This document provides the industry standard guidance for making emergency management decisions in healthcare facilities.





A.12.5.3.4.12.1

For additional information see "Medical Surge Capacity and Capability Handbook"(htttp://www.phe.gov/preparedness/planning/mscc/pages/default.aspx).






Committee Statement: This resource provides additional information on medical surge capacity and capability.


First Revision No. 154-NFPA 99-2012 [ Section No. A.13.3.2(3)(c) ]

A.13.3.2(3)(c)

The emergency potential inherent in the telephoned bomb threat warrants inclusion of this contingency in the health careemergency operations plan. Experience has shown that facility personnel have to accompany police or military bombdemolition personnel in searching for the suspected bomb, because speed is of the essence, and only individuals familiarwith a given area can rapidly spot unfamiliar or suspicious objects or conditions in the area. This is particularly true inhealth care facilities. The facility switchboard operator has to be provided with should have a checklist, to be keptavailable at all times, in order to obtain as much information as possible from the caller concerning the location of thesupposed bomb, time of detonation, and other essential data, which have to should be considered in deciding whether ornot to evacuate all or part of the facility.






Committee Statement: Revised text to non-mandatory language as is required in the manual of style.


Public Input No. 214-NFPA 99-2012 [Section No. A.13.3.2(3)(c)]

Public Input No. 72-NFPA 99-2012 [Section No. A.13.3.2(3)(c)]




A.13.4.4

Video surveillance and motion detection can be used as additional protection for these areas. Some controlled drugsmight need to should be stored in safes.






Committee Statement: Updated to be in in accordance with the manual of style.






A.13.8.3

Key cards are preferable to traditional keys because they can be immediately deactivated if lost or not returned by aterminated employee.

Facility keys should not be identified in any manner such that a person finding a lost key could trace it back to thefacility. A policy should be established to restrict duplication of keys without written permission. All keys should bemarked “DO NOT DUPLICATE” to deter the unauthorized copying of keys.

There should be a log of keys issued to employees and vendors maintained at the facility. A responsible individual shouldbe in charge of issuing keys and maintaining complete, up-to-date records of the disposition of keys, including copies.The records should show the issuance and return of keys, including the name of the person to whom the key was issued,as well as the date and time. Records of key issuance should be secured and kept separate from keys.

Keys should be restricted to those who need them, and extra copies of keys should be kept locked in a secure cabinetwith access control.

Procedures should be established for collecting keys from terminated employees, employees on vacation, and vacatedtenants. Lost keys should be reported immediately and procedures established for the rekeying or replacement of theaffected locks.

A master key system should be designed so that the grandmaster key is the only key that will open every restricted areaof the facility. A master key system is used to limit the number of keys carried by personnel requiring access to multipleareas of the building. It is important that such a system not be designed so that the loss of a single key could provide anunauthorized individual unrestricted access to all areas of the building. The sophistication of the master key systemshould depend upon an assessment of employees' or tenants' needs and the criticality, risk, and sensitivity of restrictedareas.

The number of grandmaster keys should be limited to the least number necessary for operation of the health care facility.Master key distribution should be limited to the personnel requiring access to multiple restricted areas. A log should bemaintained showing who is in possession of master keys.






CommitteeStatement:

This input updates the material to include current technology commonly in use that would eliminate many of theconcerns that are subsequently identified in this section.

ResponseMessage:

FR-156-NFPA 99-2012





A.13.11.1

The effectiveness of the security plan is tested by performing drills. Drills should be conducted on all work schedules .Drills during all shifts are necessary so that all personnel are familiar with the plan. Practicing the plan helps personnelreact as needed during a security incident.






Committee Statement: This removes redundant language.



First Revision No. 231-NFPA 99-2012 [ Sections A.14.2.1.2, A.14.2.1.2.2 ]

Sections A.14.2.1.2, A.14.2.1.2.2

A.14.2.1.2

When the area to be covered is small (six sprinklers or less), 9.7.1.2 of NFPA 101, Life Safety Code, permits firesprinkler systems required to be installed in accordance with NFPA 13, Standard for the Installation of Sprink lerSystems, to be supplied from the local domestic water system, provided that the local domestic water system hassufficient pressure and flow capacity.

A.14.2.1.2.2

In addition to the functions of building protection, the chamber room sprinkler system should be designed to ensure adegree of protection to chamber operators and occupants who likely will not be able to immediately evacuate thepremises in the event of a fire.






CommitteeStatement:

Section 14.2.1.2.2 was deleted from the body of the Code, but the annex material still provides useful information. Forthis reason it was combined into A.14.2.1.2 to be retained in the document.

ResponseMessage:

FR-231-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 21, 2012 Hart Despite the markup of legislative text, the only change is the deletion of the numbering for A.14.2.1.2.2. The text previoulst in that section is not new, it is simply being put into A.14.2.1.2.




A.14.2.2.5.1

In past editions of this code, “high quality epoxy” was specified as interior finish in these chambers, without a specific fireperformance. Although not the only option, this type of material offers suitable physical properties. The interior finish of a Class A chamber should be smooth, impermeable, durable, provide corrosion resistance, and be compatible with infection controlprocedures.






CommitteeStatement:

The term "high quality epoxy" was removed from the body of the Code. This annex language explains its past use andprovides additional guidance on interior finish selection.

ResponseMessage:

FR-211-NFPA 99-2012

Public Input No. 319-NFPA 99-2012 [New Section after A.14.2.2.5]


A.14.2.2.5.2 3

Many commercial sound-deadening materials that might be nonflammable are porous and will absorb water fromactivation of the fire-suppression system and retain odor. Metallic panels that contain a large quantity of small holes orare made of wire mesh and are installed about 2.5 cm (1 in.) away from the chamber wall can be used to form anacoustic baffle. These panels should be made from corrosive-resistant materials, such as stainless steel or aluminum,and are permitted to be painted in accordance with 14.2.2.5.1.






Committee Statement: Revision is to correlate with renumbering in the body of the code.


Public Input No. 320-NFPA 99-2012 [Section No. A.14.2.2.5.2]




A.15.8.1.3

Although this exception is currently not recognized by NFPA 13, Standard for the Installation of Sprink ler Systems , aproposal has been submitted for consideration by the NFPA 13 Technical Committee on Sprinkler System InstallationCriteria. This exception is limited to hospitals as nursing homes and many limited care facilities can have morecombustibles within the closets. The limited amount of clothing found in the small clothes closets in hospital patientrooms is typically far less than the amount of combustibles in casework cabinets that do not require sprinkler protectionsuch as nurse servers. In many hospitals, especially new hospitals, it is difficult to make a distinction between clothesclosets and cabinet work. This exception is far more restrictive than similar exceptions for hotels and apartmentbuildings. NFPA 13 NFPA 13, Standard for the Installation of Sprink ler Systems, already permits the omission ofsprinklers in wardrobes [see 8.1.1(7) of NFPA 13]. It is not the intent of this paragraph to affect the wardrobe provisions ofNFPA 13. It is the intent that the sprinkler protection in the room covers the closet as if there was no door on the closet(see 8.5.3.2.3 of NFPA 13). [101 : A.18.3.5.8]






CommitteeStatement:

The first sentence is no longer applicable based upon the 2013 Edition of NFPA 13. Whereas NFPA 13 now permits theomission of sprinklers in such closets of hospitals there is no need to compare the language to a similar exception forhotels and apartment buildings.

ResponseMessage:

FR-334-NFPA 99-2012




First Revision No. 294-NFPA 99-2012 [ Sections B.5.2.2, B.5.2.3, B.5.2.4 ]

Sections B.5.2.2, B.5.2.3, B.5.2.4

B.5.2.2 [5.1.3.5.12 11 ]

These systems should be checked daily to ensure that proper pressure is maintained and that the changeover signal hasnot malfunctioned. Periodic retesting of the routine changeover signal is not required. Annual retesting of the operation ofthe reserve and activation of the reserve-in-use signal should be performed.

B.5.2.3 [5.1.3.5.12 11 ]

If the system has an actuating switch and signal to monitor the contents of the reserve, it should be retested annually.

B.5.2.4 [5.1.3.5.13 12 ]

Maintenance and periodic testing of the bulk system is the responsibility of the owner or the organization responsible forthe operation and maintenance of that system.

The staff of the facility should check the supply system daily to ensure that medical gas is ordered when the content'sgauge drops to the reorder level designated by the supplier. Piping system pressure gauges and other gauges designatedby the supplier should be checked regularly, and gradual variation, either increases or decreases, from the normal rangeshould be reported to the supplier. These variations might indicate the need for corrective action.

Periodic testing of the master signal panel system, other than the routine changeover signal, should be performed.Assistance should be requested from the supplier or detailed instruction if readjustment of bulk supply controls isnecessary to complete these tests.






Committee Statement: Incorrect references to bulk cryogenic oxygen systems and manifolds have been fixed.




First Revision No. 158-NFPA 99-2012 [ Section No. B.12.1.1.4 ]

B.12.1.1.4 Develop, Publish, and Distribute the Emergency Operations Plan (EOP).

NFPA 1600 , Standard on Disaster/Emergency Management and Business Continuity Programs, Section 3.6, describesfour types of planning: strategic administrative (preparedness) planning, mitigation planning, recovery planning, andemergency operations planning.

The Federal Emergency Management Agency, now part of the Department of Homeland Security, issues guidance on thedevelopment of emergency operations plans, or EOPs. The EOP is designed to address all hazards, and it accomplishesthis through its organization by functions, not departments, hazards, or individuals. Flexibility is a key feature of this typeof format, as only the functions needed to address the problems are activated, not the entire plan. This type of EOPformat (a basic plan and functional annexes) is that used by communities, states, and the Federal Response Plan. (SeeAnnex D.)

Hard copies of the EOP need not be widely distributed. Staff members need access to incident-specific plans, but notthe entire dorcument. Several copies of the full EOP should be available in the Hospital Command Center, theadministrative offices, and with the chair of the Emergency Management Committee. Posting the EOP on the hospitalintranet with linkages to enhance movement through the plan can also be very effective; however, a few hard copiesshould still be available in the event of computer failure.






CommitteeStatement:

The current version of this section addresses distribution but does not identify to whom the plan should be distributed.This input limits the distribution of the EOP.

ResponseMessage:

FR-158-NFPA 99-2012

Public Input No. 250-NFPA 99-2012 [Section No. B.12.1.1.4]

First Revision No. 160-NFPA 99-2012 [ Section No. B.12.3.2.8 ]

B.12.3.2.8 Staff Issues.

The following staff issues were found to be important to address:

(1) Transportation, including knowledge of which roads are open and actually transporting staff to the facility. The healthcare organization should work with the state and local agences to identify qualified volunteer groups or otherorganizations that could provide transportation services to staff.

(2) Addressing the safety of families of staff.

(3) Provision of food, liquids, and lodging for staff and family members.






Committee Statement: The amended text provides guidance on accessing transportation services in an emergency.


11/14/12


First Revision No. 159-NFPA 99-2012 [ Section No. B.12.3.3 [Excluding any Sub-Sections] ]

Evacuation can be partial or total. It might involve moving from one story to another, from one lateral section or wing toanother, or moving out of the structure. Even partial evacuations can involve all categories of patients. Where patients arethose who would not routinely be moved, extraordinary measures might be required to support life. It is also necessary toensure movement of supplies in conjunction with any evacuation. Decisions to evacuate might be made as a result ofinternal problems or under the menace of engulfing external threats. In all cases, the following considerations shouldgovern:

(1) Move to predesignated areas, whether in the facility, nearby, or in remote zones. Evacuation directives will normallyindicate destinations. Note that it is recommended to predesign a mutual aid evacuation plan with other health carefacilities in the community. (See Annex D, U.S. Government Publication 3152 , Hospitals and CommunityEmergency Response — What you Need to Know, on the subject of health care community mutual aid andevacuation planning. ) Receiving facilities can also be designated based on the scope of the event, activation of stateor federal resources, or by local emergency medical services (EMS), based on availability.

(2) Ensure movement of equipment, supplies, and medical records to accompany or meet patients and staff in the newlocation.

(3) Execute predetermined staffing plans. Some staff will accompany patients; others will rendezvous in the newlocation. Maintenance of shifts is more complex than normal, especially when some hard-to-move patients staybehind in the threatened location, and when staff might be separated from their own relocated families.

(4) Protect patients and staff (during and after movement) against the threatening environment.

(5) When planning, consider transportation arrangements and patient tracking.






CommitteeStatement:

This revision recognizes that predetermined mutual aid agreement may not be necessary in communities whereEMS manages the evacuation.

ResponseMessage:

FR-159-NFPA 99-2012

Public Input No. 259-NFPA 99-2012 [Section No. B.12.3.3 [Excluding any Sub-Sections]]

First Revision No. 336-NFPA 99-2012 [ Section No. D.1.2.2 ]

D.1.2.2 ASHRAE Publications.

American Society of Heating, Refrigerating and Air Conditioning Engineers, Inc., ASHRAE, 1791 Tullie Circle, NE,Atlanta, GA 30329-2305.

ASHRAE Handbook of Fundamentals, 2001.






Committee Statement: ASHRAE is the official name of this organization





D.1.2.5 ASTM Publications.

ASTM International, 100 Barr Harbor Drive, P.O. Box C700, West Conshohocken, PA 19428-2959.

ASTM D 92, Standard Test Method for Flash and Fire Points by Cleveland Open Cup Tester, 2002 2012 .

ASTM D 323, Standard Test Method for Vapor Pressure of Petroleum Products (Reid Method) , 2008.

ASTM G 63, Standard Guide for Evaluating Nonmetallic Materials for Oxygen Service, 1998.

ASTM G 88, Standard Guide for Designing Systems for Oxygen Service, 1990.

ASTM G 93, Standard Practice for Cleaning Methods and Cleanliness Levels for Material and Equipment Used in Oxygen-Enriched Environments, 1996 1999 (2007) .

ASTM G 94, Standard Guide for Evaluating Metals for Oxygen Service, 1992 2005 .

QQ-N-290, ASTM B689, Federal Standard Specification : Nickel Plating (Electro Deposited), July 2009 forElectroplated Engineering Nickel Coatings , 1997 (2008) .






Committee Statement: ASTM standards update.


Public Input No. 310-NFPA 99-2012 [Section No. D.1.2.5]


D.1.2.13 U.S. Government Publications.

U.S. Government Printing Office, Washington, DC 20402.

Biological Threat Interrogatories, http://www.va.gov/emshg/page.cfm?ID=BioThreatInterr.

Title 29, Code of Federal Regulations, Part 1910, Subpart 1030, Bloodborne Pathogens.

Title 29, Code of Federal Regulations, Part 910, Subpart 1910, Occupational Exposures to Chemical Laboratories.

Title 49, Code of Federal Regulations, Parts 171 through 190 (U.S. Dept. of Transportation, Specifications forTransportation of Explosives and Dangerous Articles). (In Canada, the regulations of the Board of TransportCommissioners, Union Station, Ottawa, Canada, apply.)

Title 49, Code of Federal Regulations, Part 173, Shippers — General Requirements for Shipments and Packagings.

Commercial Standard 223-59, Casters, Wheels, and Glides for Hospital Equipment.

Environmental Protection Agency, Chemical Emergency Preparedness and Prevention,http://yosemite.epa.gov/oswer/ceppoweb.nsf/content/homelandSecurity.htm?OpenDocument.

National Research Council Publication 1132, Diesel Engines for Use with Generators to Supply Emergency and ShortTerm Electric Power. (Also available as Order No. O.P.52870 from University Microfilms, P.O. Box 1366, Ann Arbor, MI48106.)

U.S. Department of Defense:

U.S. Army Medical Research Institute of Chemical Defense (USAMRICD), http://chemdef.apgea.army.mil/.

U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID),http://www.usamriid.army.mil/general/index.html.

U.S. Army Soldier and Biological Chemical Command (SBCCOM), http://hld.sbccom.army.mil/ip/detectors.

U.S. Department of Health and Human Services:

Centers for Disease Control and Prevention: HHS Publication No. 93–8395, Biosafety in Microbiological and Biomedical

Laboratories.



Laboratories.

Centers for Disease Control and Prevention, Public Health Preparedness and Response for Bioterrorism Program,http://www.bt.cdc.gov/planning/continuationguidance/index.asp.

Health Resources and Services Administration, Hospital Bioterrorism Preparedness Program, www.hrsa.gov/bioterrorism.

National Institute for Occupational Health and Safety, Personal Protection Equipment,http://www.cdc.gov/niosh/topics/emres/ppe.html.

Protecting Building Environments from Airborne Chemical, Biologic and Radiologic Agents (page 9).http://www.cdc.gov/mmwr/PDF/wk/mm5135.pdf.

U.S. Department of Homeland Security:

Capability Assessment for Readiness, http://www.fema.gov/pdf/rrr/car.pdf.

Exercise Design Course, http://training.fema.gov/emiweb/IS/is120.asp.

Federal Response Plan/National Response Plan/National Incident Management System, www.fema.gov/rnr/frp.

Guide for All-Hazard Emergency Operations Planning , http://www.fema.gov/pdf/rrr/slg101.pdf.

Metropolitan Medical Response System

,

Resources, http://mmrs.hhs.gov/main/Resources.aspx.

National Disaster Medical System, Conference Library,http://ndms.dhhs.gov/NDMS%20Conference/conf2k3/previous_confe_03/previous_confe_03.html.

Strategic National Stockpile, http://www.bt.cdc.gov/stockpile/index.asp.

U.S. Department of Justice, Office of Domestic Preparedness, Publications Library,http://www.ojp.usdoj.gov/odp/library/bulletins.htm.

U.S. Department of Labor, Occupational Health and Safety Administration, Washington, DC:

Title 29, Code of Federal Regulations, Part 1910:

Employee Protection Plans , 1910.38

Hazardous Materials

Subpart H – Hazardous Materials (1910.101-126), specifically 1910.120 – Hazardous Waste Operations and EmergencyResponse (HAZWOPER) and Appendices A-E.

Subpart I – Personal Protective Equipment (1910.132-139 and Appendix B), specifically:

1910.132, General Provisions

1910.133, Eye and Face Protection

1910.134, Respiratory Protection (and appendices A-D)

1910.136, Occupational Foot Protection

1910.138, Hand Protection

Subpart Z - Toxic and Hazardous Substances (1910.1000-1450 and Appendix B), specifically 1910.1200– HazardCommunication (and Appendices A-E).

Publication 3114, Hazardous Waste Operations and Emergency Response ,http://www.osha.gov/Publications/OSHA3114/osha3114.html.

Publication 3152, Hospitals and Community Emergency Response – What You Need to Know ,http://www.osha.gov/Publications/OSHA3152/osha3152.html.

U.S. Department of Veterans Affairs, Veterans Health Administration, http://www.va.gov/emshg/emp/emp.htm,Emergency Management Program Guidebook , Health Care Facility.






Committee Statement: The deleted references are obsolete.


Committee Notes:

Date Submitted By

Aug 17, 2012 Hart The only change is 3 deleted items. no additions, underlines are not correct.



First Revision No. 162-NFPA 99-2012 [ Section No. D.2.3 ]

D.2.3 Addresses of Other Organizations that Publish Standards or Guidelines.

American Conference of Governmental Industrial Hygienists, 1330 Kemper Meadow Drive, Cincinnati, OH 45240-1634.

American Industrial Hygiene Assoc., 475 Wolf Ledges Parkway, Akron, OH 44311.

College of American Pathologists, 325 Waukegan Road, Northfield, IL 60003.

Department of Health and Human Services, ASPR, National Disaster Medical System (NDMS),http://www.phe.gov/preparedness/responders/ndms/pages/default.aspx.

George Washington University, School of Engineering and Applied Sciences, Institute for Crisis, Disaster and RiskManagement. Medical and Health Incident Management (maHim) System: A Comprehensive Functional SystemDescription for Mass Casually Medical and Health Incident Management ,http://www.seas.gwu.edu/~icdm/MaHIM%20V2%20final%20report%20sec%202.pdf.

National Emergency Management Association, Council of State Governments, Lexington, KY, Emergency ManagementAssistance Compact, http://www.emacweb.org/emac/index.cfm?CFID=5327&CFTOKEN=28115803.

Scientific Apparatus Makers Assoc., 1101 16th Street, NW, Washington, DC 20036.

University of Colorado, Natural Hazards and Information Applications Center, Disaster Research Clearinghouse,www.colorado.edu/hazards.

University of Delaware, Disaster Research Center, http://www.udel.edu/DRC/.

American Society for Healthcare Engineering (www.ashe.org), 155 North Wacker Drive, Chicago, IL 60606.






CommitteeStatement:

Deleted the reference to College of American Pathologists, as there is no longer a laboratories chapter in NFPA 99.Additional resource information was added. ASHE is one of the developers of ANSI/ASHRAE/ASHE Standard 170:Ventilation of Health Care Facilities, and in 2010 ASHE published the Health Facility Commissioning Guidelines

ResponseMessage:

FR-162-NFPA 99-2012

Committee Notes:

Date Submitted By

Aug 31, 2012 [ Not Specified ] ASHE and Department of Health and Human Services were the only additions, other underlines are incorrect. Pathologists was deleted.

Public Input No. 120-NFPA 99-2012 [Section No. D.2.3]


220/221

D.2.4.1 Publications.

National Fire Protection Association, 1 Batterymarch Park, Quincy, MA 02169-7471.

American Health Care Association, 1201 L Street, Washington, DC 20005.

American Hospital Association, 840 North Lake Shore 155 N. Wacker Drive, Suite 400, Chicago, IL 60611 60606 .

American Medical Association, 515 N. State Street, Chicago, IL 60610.

American Red Cross, National Headquarters, 2025 E Street, NW, Washington, DC 20006.

American Nurses’ Association, 8515 Georgia Avenue, Suite 400, Silver Spring, MD 20910.

American Red Cross:

Family Disaster Planning http://www.redcross.org/services/disaster/beprepared/familyplan.html Disaster Preparedness forPeople with Disabilities http://www.redcross.org/services/disaster/beprepared/disability.html

Association of American Railroads, 50 F Street, Washington, DC 20001-1564.

Charles C. Thomas Publisher, 2600 South First Street, Springfield, IL 62704.

Dun-Donnelley Publishing Corp., 666 Fifth Avenue, New York, NY 10019.

Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472.

Florida Health Care Association, 307 W. Park Avenue, P.O. Box 1459, Tallahassee, FL 32301.

Helicopter Association International, 1635 Prince Street, Alexandria, VA 22314-2818.

Hospital Emergency Incident Command System, State of California Emergency Medical Services Authority, 1930 9thStreet, Sacramento, CA 95814. http://www.emsa.ca.gov/dms2/heics3.htm

International Association of Fire Chiefs, 4025 Fair Ridge Drive, Suite 300, Fairfax, VA 22033-2868.

Joint Commission on Accreditation of Healthcare Organizations (JCAHO), One Renaissance Blvd., Oakbrook Terrace, IL60181.

National Interagency Incident Management System, Incident Command System, National Interagency Fire CoordinationCenter, Boise, ID. http://www.nwcg.gov/pms/forms/ics_cours/ics_courses.htm

Pan American Health Organization, 525 23rd Street, NW, Washington, DC 20037 (Attn.: Editor, Disaster Preparedness inthe Americas).

Standardized Emergency Management System, State of California Governor’s Office of Emergency Services, 3650Schreiber Avenue, Mather, CA 95655.http://www.oes.ca.gov/Operational/OESHome.nsf/Content/B49435352108954488256C2A0071E038?OpenDocument

University of Delaware, Disaster Research Center (Publications), Newark, DE 19716.

U.S. Department of Transportation (available from U.S. Government Printing Office, Washington, DC 20402).






CommitteeStatement:

Corrected street address for American Hospital Association: http://www.aha.org/ Note the address in the "locations"section of the website's footer.

ResponseMessage:

FR-337-NFPA 99-2012

Public Input No. 104-NFPA 99-2012 [Section No. D.2.4.1]

First Revision No. 163-NFPA 99-2012 [ New Section after D.2.4.2 ]

D.2.5 Additional U.S. Government Informational Sources.

Kidney Community Emergency Response Coalition www.kcercoalition.com

Health Professional Predisaster Identification (ESAR-VHP) www.phe.gov/esarvhp

Hospital Available Beds for Emergencies and Disasters HAvBED havbedhhs.gov

National Response Framework www.fema.gov/national-response-framework

National Recovery Framework www.fema.gov/recovery-framework

Department of Health and Human Services, ASPR National Health Security Strategyhttp://www.phe.gov/Preparedness/planning/authority/nhss/Pages/default.aspx

Department of Health and Human Services, ASPR Hospital Preparedness Programhttp://www.phe.gov/preparedness/planning/hpp/pages/default.aspx






Committee Statement: These are additional resources for guidance for emergency response by multiple types of healthcare facilities.


First Revision No. 164-NFPA 99-2012 [ New Section after D.2.4.2 ]

D.2.6 Additional Resources for Emergency Management.

Emergency Management Principles and Practices for Health Care Systems, Institute of Crisis, Disaster and Risk Management,The George Washington University, Washington, DC, 2010, for the Veterans Health Administration, Principal Investigator JosephBarbera, MD; http://www.gwu.edu/ZX??IL??X?X?][??L??[? ?̂[ L??????L??L??IL?IL??L?? L?ILIL??L??]?L?ILIL?? L?ILIL??L?? L?IL






Committee Statement: The document brings additional valuable information to the industry.


Committee Notes:

Date Submitted By

Sep 25, 2012 COMP The link at the end should read as follow: http://www.gwu.edu/~icdrm/publications/index.html#books.

http://www.kcercoalition.com/

http://www.phe.gov/esarvhp

http://www.fema.gov/national-response-framework

http://www.fema.gov/national-response-framework

http://www.phe.gov/Preparedness/planning/authority/nhss/Pages/default.aspx

http://www.phe.gov/preparedness/planning/hpp/pages/default.aspx

http://www.gwu.edu/~icdrm/publications/index.html#books