Doug Hohbein Assistant State Fire Marshal Nebraska State .
Doug HohbeinAssistant State Fire MarshalNebraska State Fire Marshal Agencydoug.hohbein@nebraska.gov402-471-2027
Most often citeddeficiencies New coderequirements Q&A
NFPA 101 – 2012NFPA 99 – 2012NFPA 72 – 2010NFPA 13 – 2010NFPA 96 – 2011NFPA 90A – 2012NFPA 80 – 2010NFPA 110 – 2010
Fire Sprinklers painted,corroded, loaded etc.Fire Sprinkler in freezerSprinkler cabinet musthave at least 6 sprinklers,2 of each type andtemperature rating.Sprinkler wrenches
Unacceptable use of PowerStripsPower strips used in apatient care vicinity fornon-patient care relatedequipmentDaisy-chainedOverloadedNo covers on junction box orlight switch
Properly listed power strips (UL60601-1, 1363A) must be used whenplaced within 6 feet of a patient bedor patient care equipment such as PTequipment (Patient Care Vicinity)Only medical-related devices can beplugged into listed power strips in aPatient Care VicinityPower Strips used outside of thePatient Care Vicinity can be used forpersonal devices, but must be listed(UL 60601-1, 1363A, or UL1363)Surge suppressors used in offices forcomputers are permitted to meet anyof the above listings or UL1449
Audit and Documentation A written audit of all power strips shall be conducted bythe facility annually. The audit shall list: The specific location and listing identification of all powerstrips in the facility. Changes to the number/location/listing from the previousaudit. Specific appliances/equipment connected to each powerstrip. No High-Draw appliances ( no motors/75% rule) If the facility chooses not to conduct annual audits,documentation from the power strip manufacturer shall beprovided that will confirm a different testingprocedure/schedule.Audit and Documentation
Non-PCREE used in a patient care vicinity that will come intocontact with patients shall be visually inspected and documentedannually. This includes personal items used and owned by thepatient. Any appliances or equipment that appears not to be inproper working order or in a worn condition shall be removedfrom service. Note that these devices cannot be connected to apower strip. Household appliances and equipment located in a patientcare vicinity shall have a grounding conductor (three-prongplug) or the device must be double-insulated. The facility shall establish written polices for the control ofelectrical appliances not provided by the facility (incominginspection, periodic checks). Potential questions to address with the policy: Is the appliance patient-care related? Is the appliance to be used by the facility staff on thepatient? Is the appliance to be used by the patient only? Is the appliance properly listed?Area 6 feet around a patient bed ortreatment area and 7’6” above.
Device has a plastic casing that willnot energize the device if a barewire inside the device contacts thecase.
Inspection Visual Check Testing Physical Check Maintenance Scheduled orunscheduled workto PreventBreakdown,Upgrade or RepairIt is important to know these termsand how they are used in the codes
When is Certification Required? Fire Extinguishers Maintenance or Recharging (not inspections) Manufacturer NAFED (www.nafed.org)* Must have manufacturers manuals Kitchen Exhaust Hood/Ducts Inspection Testing and MaintenanceNFPA codes require personsconducting certainInspections/Testing/Maintenance ofsafety equipment to be certified IKECA (www.ikeca.org) Kitchen Fire-Extinguishing Systems Inspection Testing and Maintenance Manufacturer NAFED (www.nafed.org)* *Must have manufacturer manuals Fire Alarm and Fire Sprinkler Certified through StateFire Marshal’s OfficeLocal jurisdictions may have specificlicensing requirements
Hoods and ducts must be inspected twice a year Not required to be certified If found contaminated, hood and ducts must becleaned by a certified person Cooking equipment that collects grease below and/orbehind the cooking surface or in the flue gas exhaustmust be inspected annually by a trained and qualifiedperson Not required to be certified Typically griddlesor charbroilersNote that you are NOT required toCLEAN hoods and ducts, only toINSPECT them.If found dirty, then cleaning isrequired.
Corrective Action – How was the deficiencycorrected? System Change – How will the facility ensure thedeficiency doesn’t repeat in the future? Monitoring Process – How does the facility make surethe System Change is effective? Example: Sprinklers in Laundry covered in lint Corrective Action: Clean sprinklers in Laundry System Change: Implement a program to inspect 25% ofall sprinklers in the facility quarterly Monitoring Process: Give to QAPI Committee for them toreview follow through at monthly meetingsWhat is required to be included in aPlan of Correction?
Plans of Correction must include supportingdocumentation. Required for all deficiencies Can include: Copies of Receipts Invoices Verifiable Photos Auditing Tools Education Information Copy of signature sheet (inservice, fire drill etc.) Revised or New Policies and Procedures ITM Schedules/Reports Starting January 1, 2020 PoC’s withoutsupporting documentation will not beapproved!Attach with ePOC or email with PoC sent toDHHSOR email to:sfm.LSCdocumentation@nebraska.gov
Tests are required for all patient care-related equipment used inpatient rooms. Nebulizers O2 Concentrators Monitors 10.5.2.1.1 The facility shall establish policies and protocols forthe type of test and intervals of testing for patient care–relatedelectrical equipment. 10.5.2.1.2 All patient care–related electrical equipment used inpatient care rooms shall be tested in accordance with 10.3.5.4 or10.3.6 before being put into service for the first time and after anyrepair or modification that might have compromised electricalsafety. 10.3.5.4 Touch Leakage Test Procedure. 10.3.6* Lead Leakage Current Tests and Limits — Portable Equipment.From NFPA 99, 10.5.2.1
Existing – 1 hour firerated OR fire sprinklerprotectedDoor Closers 50 s.f.New – 1 hour fire ratedAND fire sprinklerprotected for higherhazard, bulk laundry andstorage rooms 100 sq. ft.Door Closers 50 s.f.
Outside wall tooutside wall, floor toroof deckProper firestoppingListed foamDoors have astragalSmoke Barrier notproperly identified
Weekly Visual Inspections (Preventative Maintenance) Monthly Load Tests (Operational Testing) Annual Load Bank Test If monthly load tests for diesel generators do not meetminimum criteria Annual Maintenance Documentation of all testing!!What does not meetrequirements Weekly run test ofgenerator Single line item statingvisual inspectionsconducted Incomplete list ofvisual inspections
NFPA 110, Figure A-8.4.1(a) contains ten components Fuel, Lubrication System, Cooling System, ExhaustSystem, Battery System, Electrical System, Prime Mover,Generator Each component has subcomponents At least one subcomponent of each component requires aweekly visual inspection Examples: Fuel level, oil level, cooling system hoses, batteryelectrolyte level, service room/housing housekeeping8.4.2* Diesel generator sets in service shall beexercised at least once monthly, for a minimum of 30minutes, using one of the following methods:(1) Loading that maintains the minimum exhaust gastemperatures as recommended by the manufacturer(2) Under operating temperature conditions and atnot less than 30 percent of the EPS nameplate kWratingVisual inspection only. Nocertification of licensing required.
8.4.2.3 Diesel-powered EPS installations that donot meet the requirements of 8.4.2 shall beexercised monthly with the available EPSS loadand shall be exercised annually with supplementalloads at not less than 50 percent of the EPSnameplate kW rating for 30 continuous minutesand at not less than 75 percent of the EPSnameplate kW rating for 1 continuous hour for atotal test duration of not less than 1.5 continuoushours. A minimum time delay of 5 minutes shall beprovided for unloaded running of the EPS priorto shutdown to allow for engine cooldown. The time delay on the prime mover cooldown periodand shutdown shall be recorded.Load Bank and cooldown timeperiod
Q: I have two questions regarding spark-ignited emergency powergenerators:1. What maintenance tests are required for natural gas or propanegenerators?2. Are load bank tests required for natural gas or propane gas poweredgenerators?A:1. Monthly tests are required, but since they are spark-ignited generatorsthey do not have to meet a particular load. They just have to operate withthe available EPSS load for a minimum of 30 minutes or until the watertemperature and oil pressure have stabilized.(See section 8.4.2.4 of NFPA 110-2010).2. No, spark-ignited generators (natural gas) are not required to have anannual load bank test. An annual load bank test is required when dieselpowered generators cannot meet the minimum load of 30% of thenameplate rating (in kW) during each monthly load test. Spark-ignitedgenerators are exempt from having to meet this requirement. (Diesel onlyper 8.4.2.3)For Level 1 EPSS, (hospitals) a 3-year, 4-hour load test is required for allgenerators, including spark-ignited generators. But you are not permittedto use a load bank on spark-ignited generators. The 3-year, 4-hour loadtest must operate using the load from the ATS. For spark-ignitedgenerators, the load is permitted to be the available load. (See section8.4.9.5.3 of the NFPA 110-2010.) Load banks are not permitted for the 3year 4-hour load test for spark-ignited generator.An annual load bank test is notrequired.
Requirements intended to maintainflow to generator at all times.
NFPA 110 8.3.8 A fuel quality test shall beperformed at least annually using testsapproved by ASTM standards. A.8.3.7 Limited fuel quality testing performed annually usingappropriate ASTM standard test methods is recommended as ameans to determine that existing fuel inventories are suitable forcontinued long-term storage. Special attention should be paid tosampling the bottom of the storage tank to verify that the storedfuel is as clean and dry as practicable and that water, sediment, ormicrobial growth on the tank bottom is minimized. ASTM D 975,Standard Specification for Diesel Fuel Oils, contains test methodsfor existing diesel fuel. (NFPA 110, 2016)
Level egress on bothsides of an exterior door1 step acceptable forexistingProperly functioningdelayed-egressMandatory signageon door leafClear and unobstructedexterior
1/shift/quarter Conducted at varying times (1 hour between drillseach quarter) Are these drills compliant?1.2.3.4.January 12, 7:00amApril 2, 10:45amAugust 20, 1:15pmNovember 9, 7:45am Documentation!!!
No obstruction (lights,ducts ) 18” from storage Removed ceilings Overhangs, canopies
(1) No open holes or breaks exist in surfaces of either the door or frame.(2) Glazing, vision light frames, and glazing beads are intact and securelyfastened in place, if so equipped.(3) The door, frame, hinges, hardware, and noncombustible threshold aresecured, aligned, and in working order with no visible signs of damage.(4) No parts are missing or broken.(5) Door clearances do not exceed clearances listed in 4.8.4 and 6.3.1.7.(6) The self-closing device is operational; that is, the active door completelycloses when operated from the full open position.(7) If a coordinator is installed, the inactive leaf closes before the active leaf.(8) Latching hardware operates and secures the door when it is in the closedposition.(9) Auxiliary hardware items that interfere or prohibit operation are notinstalled on the door or frame.(10) No field modifications to the door assembly have been performed thatvoid the label.(11) Gasketing and edge seals, where required, are inspected to verify theirpresence and integrity.
Patient room doors and doors in Smoke Barriers mustbe inspected routinely Not required to conduct the full 11 point inspectionsfor fire rated doors Simple inspection Confirm door operation (doesn’t drag on floor) Gaps between door and frame are not excessive Doors with latching hardware positively latch Does not take excessive force to open or close Documentation!Mandated by CMS S & CMemo 17-38-LSC
Which receptacles must be tested and how often? All new receptacles in patient care areas must be testedprior to use. Existing receptacles Hospital-grade receptacles: 6.3.4.1.1 Where hospital-grade receptacles are required atpatient bed locations and in locations where deep sedation orgeneral anesthesia is administered, testing shall beperformed after initial installation, replacement, or servicingof the device. 6.3.4.1.2 Additional testing of receptacles in patient carerooms shall be performed at intervals defined bydocumented performance data. What is ‘Documented Performance Data’? Manufacturer’s recommendation Historical testing data from similar receptacles helpdetermine frequency of testing Nonhospital-grade receptacles: 6.3.4.1.3 Receptacles not listed as hospital-grade, atpatient bed locations and in locations where deepsedation or general anesthesia is administered, shall betested at intervals not exceeding 12 months.
What tests are required? (Hospital-grade and Nonhospital-grade) 6.3.3.2 Receptacle Testing in Patient Care Rooms. 6.3.3.2.1 The physical integrity of each receptacle shall beconfirmed by visual inspection. 6.3.3.2.2 The continuity of the grounding circuit in each electricalreceptacle shall be verified. 6.3.3.2.3 Correct polarity of the hot and neutral connections ineach electrical receptacle shall be confirmed. 6.3.3.2.4 The retention force of the grounding blade of eachelectrical receptacle (except locking-type receptacles) shall be notless than 115 g (4 oz.).
Personnel applying, handling and maintaining medicalgases shall be trained on the associated risks. Typically includes physicians, nurses, CNA’s, RespiratoryTherapists, Technicians, Maintenance etc. Policies and Procedures Purchase specifications CylindersNFPA 99, 11.5.2 and 11.6 Marking Connections TrainingMost of these requirements apply topiped systems in hospitals Piped systems Use and transport Verification of content/connection Policies Storage and handling Evaluation of warning signals Capability to cope with complete gas system loss Documentation of testing/verification Bulk O2 locationUnderlined apply to Nursing homesusing oxygen cylinders/containers
Are treated the same as tobacco cigars/cigarettes forLSC enforcement. No Smoking/vaping where oxygen orflammable/combustible liquids/gases are stored/used Proper ashtrays and self-closing containers for ashes. (!)
Doors required to resist the passageof smoke (patient room doors) mustnot have excessive gaps betweenthe door and stops.Fire Rated doors must meet the morerestrictive requirements of NFPA 80. Max. 1/8 inch gap betweenmeeting edges of a pair of doorsand the top and vertical edges ofa single door
One of the following Four (4) options must be met whencombustible decorations are used1. Decorations must be flame-retardant or are treated with approved fireretardant coating that is listed and labeled for the application to which it isapplied.2. The decorations meet the requirements of NFPA 701 Standard Methods ofFire Tests for Flame Propagation of textiles and films.3. The decorations exhibit a heat release rate not exceeding 100 kw whentested in accordance with NFPA 289 Standard Method of Fire Test forIndividual Fuel Packages, using the 20 kW ignition source.4. Decorations, such as photographs, paintings, and other art, (not fireretardant) are attached directly to the walls, ceiling, and non fire-rated doorsin accordance with the following:Decorations on non-fire rated doors do not interfere with the operation orany required latching of the doorDecorations do not exceed 20 percent of the wall, ceiling, and door areasinside any room or space of a smoke compartment that is not protectedthroughout by approved automatic sprinkler system.
Decorations do not exceed 30 percent of the wall,ceilings, and door areas inside any room or space of asmoke compartment that is protected throughout byapproved supervised automatic sprinkler system. Decorations do not exceed 50 percent of the wall,ceiling, and door areas inside patient sleeping rooms,having a capacity not exceeding four persons, in asmoke compartment that is protected by approvedsupervised automatic sprinkler system.
6-inch, non-continuous projections above handrail heightare permitted Wheeled Equipment permitted in corridors: Does not reduce corridor width below 5 feet The facility fire safety and training plans addressthe relocation of carts in an emergency Wheeled equipment is limited to: Equipment and carts in use Medical emergency equipment not in use Patient lift and transport equipment
Furniture, securely attached to the wall or floor is permitted in a corridor: The corridor must be at least 8 ft. in width The furniture does not reduce the corridor width to less than 6 ft. Fixed furniture is limited to one side of the corridor Each ‘group’ of furniture does not exceed 50 sq. ft. Furniture groupings are separated by at least 10 ft. Fixed furniture shall not obstruct access to building service and fireprotection equipment Corridors must have smoke detection, OR direct staff supervision offixed furniture from a nurse station
Containers used solely for recycling clean trash or forpatient records awaiting destruction are not required tomeet the same requirements as soiled linen or normal trashcollection bins where all the following conditions are met:(1) Each container shall be limited to a maximum capacityof 96 gallons, except as permitted by numbers (2) and (3)below.(2) Containers with capacities greater than 96 gallons shallbe located in a room protected as a hazardous area whennot attended.(3) Container size shall not be limited in hazardous areas.(4) Containers for combustibles shall be labeled and listedas meeting the requirements of FM Approval Standard 6921,Containers for Combustible Waste; however, such testing,listing, and labeling shall not be limited to FM Approvals. Can they be in the corridor?
Up to 45,000 SF non-sprinkled,90,000 SF sprinkledReduced requirements for:Number of means of egressWidthHeightLightingWill still require Fire Alarmcoverage when providedNo Fuel-fired equipment or storagepermitted
Doug Hohbeindoug.hohbein@nebraska.gov
NFPA 101 – 2012 NFPA 99 – 2012 NFPA 72 – 2010 NFPA 13 – 2010 NFPA 96 – 2011 NFPA 90A – 2012 NFPA 80 – 2010 NFPA 110 – 2010. Fire Sprinklers painted, corroded, loaded etc. Fire Sprinkler in freezer Sprinkler cabinet must have at least 6 sprinklers, 2 of each type and temperature rating.
Austin Fire Department Accomplishments Fire Chief Rhoda Mae Kerr Executive Team: Assistant Chief/Chief of Staff Harry Evans Assistant Chief Richard Davis Assistant Chief Doug Fowler Assistant Chief Matt Orta Assistant Chief Brian Tanzola Assistant Director Dr. Ronnelle Paulsen As
FIRE TOPPER Fire Bowl User Manual Home » FIRE TOPPER » FIRE TOPPER Fire Bowl User Manual Contents [ hide 1 FIRE TOPPER Fire Bowl 2 Setting Up Your Fire Topper Fire Bowl 2.1 Set-Up 3 Placement and Location 3.1 Liquid Propane Tank 4 Using your Fire Topper Fire Bowl - For your safety, read before lighting. 5 Cleaning, Maintenance, Storage 6 .
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