Doug Hohbein Assistant State Fire Marshal Nebraska State Fire - PowerPoint PPT Presentation

Doug Hohbein Assistant State Fire Marshal Nebraska State Fire Marshal Agency doug.hohbein@nebraska.gov 402-471-2027

 Most often cited deficiencies  New code requirements  Q & A

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. Sprinkler wrenches

Unacceptable use of Power Strips Power strips used in a patient care vicinity for non-patient care related equipment Daisy-chained Overloaded No covers on junction box or light switch

Properly listed power strips (UL 60601-1, 1363A) must be used when placed within 6 feet of a patient bed or patient care equipment such as PT equipment (Patient Care Vicinity) Only medical-related devices can be plugged into listed power strips in a Patient Care Vicinity Power Strips used outside of the Patient Care Vicinity can be used for personal devices, but must be listed (UL 60601-1, 1363A, or UL1363) Surge suppressors used in offices for computers are permitted to meet any of the above listings or UL1449

 Audit and Documentation  A written audit of all power strips shall be conducted by the facility annually. The audit shall list:  The specific location and listing identification of all power strips in the facility. Audit and Documentation  Changes to the number/location/listing from the previous audit.  Specific appliances/equipment connected to each power strip.  No High-Draw appliances ( no motors/75% rule)  If the facility chooses not to conduct annual audits, documentation from the power strip manufacturer shall be provided that will confirm a different testing procedure/schedule.

 Non-PCREE used in a patient care vicinity that will come into contact with patients shall be visually inspected and documented annually. This includes personal items used and owned by the patient. Any appliances or equipment that appears not to be in proper working order or in a worn condition shall be removed from service. Note that these devices cannot be connected to a power strip.  Household appliances and equipment located in a patient Area 6 feet around a patient bed or care vicinity shall have a grounding conductor (three-prong treatment area and 7’6” above. plug) or the device must be double-insulated.  The facility shall establish written polices for the control of electrical appliances not provided by the facility (incoming inspection, 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 the  patient? Is the appliance to be used by the patient only?  Is the appliance properly listed? 

Device has a plastic casing that will not energize the device if a bare wire inside the device contacts the case.

 Inspection  Visual Check It is important to know these terms and how they are used in the codes  Testing  Physical Check  Maintenance  Scheduled or unscheduled work to Prevent Breakdown, Upgrade or Repair

When is Certification Required?  Fire Extinguishers  Maintenance or Recharging (not inspections)  Manufacturer  NAFED (www.nafed.org)*  Must have manufacturers manuals NFPA codes require persons conducting certain  Kitchen Exhaust Hood/Ducts Inspections/Testing/Maintenance of  Inspection Testing and Maintenance safety equipment to be certified  IKECA (www.ikeca.org) Local jurisdictions may have specific licensing requirements  Kitchen Fire-Extinguishing Systems  Inspection Testing and Maintenance  Manufacturer  NAFED (www.nafed.org)*  *Must have manufacturer manuals  Fire Alarm and Fire Sprinkler Certified through State Fire Marshal’s Office

 Hoods and ducts must be inspected twice a year  Not required to be certified  If found contaminated, hood and ducts must be cleaned by a certified person Note that you are NOT required to CLEAN hoods and ducts, only to  Cooking equipment that collects grease below and/or INSPECT them. behind the cooking surface or in the flue gas exhaust must be inspected annually by a trained and qualified If found dirty, then cleaning is person required.  Not required to be certified  Typically griddles or charbroilers

 Corrective Action – How was the deficiency corrected?  System Change – How will the facility ensure the deficiency doesn’t repeat in the future?  Monitoring Process – How does the facility make sure the System Change is effective? What is required to be included in a Plan of Correction?  Example: Sprinklers in Laundry covered in lint  Corrective Action: Clean sprinklers in Laundry  System Change: Implement a program to inspect 25% of all sprinklers in the facility quarterly  Monitoring Process: Give to QAPI Committee for them to review follow through at monthly meetings

 Plans of Correction must include supporting documentation.  Required for all deficiencies  Can include:  Copies of Receipts Attach with ePOC or email with PoC sent to  Invoices DHHS  Verifiable Photos OR email to:  Auditing Tools sfm.LSCdocumentation@nebraska.gov  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 without supporting documentation will not be approved!

 Tests are required for all patient care-related equipment used in patient rooms.  Nebulizers  O2 Concentrators  Monitors  10.5.2.1.1 The facility shall establish policies and protocols for From NFPA 99, 10.5.2.1 the type of test and intervals of testing for patient care–related electrical equipment.  10.5.2.1.2 All patient care–related electrical equipment used in patient care rooms shall be tested in accordance with 10.3.5.4 or 10.3.6 before being put into service for the first time and after any repair or modification that might have compromised electrical safety.  10.3.5.4 Touch Leakage Test Procedure.  10.3.6* Lead Leakage Current Tests and Limits — Portable  Equipment.

Existing – 1 hour fire rated OR fire sprinkler protected Door Closers >50 s.f. New – 1 hour fire rated AND fire sprinkler protected for higher hazard, bulk laundry and storage rooms >100 sq. ft. Door Closers >50 s.f.

Outside wall to outside wall, floor to roof deck Proper firestopping Listed foam Doors have astragal Smoke Barrier not properly identified

 Weekly Visual Inspections (Preventative Maintenance)  Monthly Load Tests (Operational Testing)  Annual Load Bank Test  If monthly load tests for diesel generators do not meet minimum criteria  Annual Maintenance What does not meet  Documentation of all testing!! requirements Weekly run test of • generator Single line item stating • visual inspections conducted Incomplete list of • visual inspections

 NFPA 110, Figure A-8.4.1(a) contains ten components  Fuel, Lubrication System, Cooling System, Exhaust System, Battery System, Electrical System, Prime Mover, Generator  Each component has subcomponents  At least one subcomponent of each component requires a weekly visual inspection Visual inspection only. No  Examples: Fuel level, oil level, cooling system hoses, battery certification of licensing required. electrolyte level, service room/housing housekeeping 8.4.2* Diesel generator sets in service shall be exercised at least once monthly, for a minimum of 30 minutes, using one of the following methods: (1) Loading that maintains the minimum exhaust gas temperatures as recommended by the manufacturer (2) Under operating temperature conditions and at not less than 30 percent of the EPS nameplate kW rating

 8.4.2.3 Diesel-powered EPS installations that do not meet the requirements of 8.4.2 shall be exercised monthly with the available EPSS load and shall be exercised annually with supplemental loads at not less than 50 percent of the EPS nameplate kW rating for 30 continuous minutes and at not less than 75 percent of the EPS Load Bank and cooldown time nameplate kW rating for 1 continuous hour for a period total test duration of not less than 1.5 continuous hours.  A minimum time delay of 5 minutes shall be provided for unloaded running of the EPS prior to shutdown to allow for engine cooldown.  The time delay on the prime mover cooldown period and shutdown shall be recorded.