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NFPA 99, Health Care Facilities Code 2021

NFPA 99, Health Care Facilities Code 2021

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NFPA 99, Health Care Facilities Code

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NFPA 2021 375
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PDF Pages PDF Title
1 Copyright
Edition
Origin and Development
3 Committee Lists for NFPA-99-2021
17 Chapter 1 : Administration
1.1 Scope. 1.1.1
1.1.2 Fundamentals.
1.1.3 Gas and Vacuum Systems.
18 1.1.3.1
1.1.3.2
1.1.3.3
1.1.3.4
1.1.4 Electrical Systems. 1.1.4.1
1.1.4.2
1.1.5 Information Technology and Communications Systems.
1.1.6 Plumbing.
1.1.7 HVAC Systems.
1.1.8 Electrical Equipment.
1.1.9 Gas Equipment.
1.1.10 * Emergency Management.
1.1.11 Security Management.
1.1.12 * Hyperbaric Facilities.
1.1.13 Dental Gas and Vacuum System.
1.1.14 Features of Fire Protection.
19 1.2 Purpose.
1.3 Application. 1.3.1
1.3.1.1
1.3.1.2
1.3.1.3 *
1.3.2
1.3.2.1
1.3.2.2
1.3.2.3
1.3.2.4
1.3.3 Policies. 1.3.3.1
1.3.3.2
1.3.4 Patient Care Spaces. 1.3.4.1
1.3.4.2 Anesthesia.
1.3.4.3 Wet Procedure Locations.
1.4 Equivalency.
20 1.4.1
1.4.2
1.4.3
1.5 * Units.
1.6 Code Adoption Requirements. 1.6.1
1.6.2 Enforcement.
Chapter 2 : Referenced Publications
2.1 * General.
2.2 NFPA Publications.
21 2.3 Other Publications. 2.3.1 AAMI Publications.
2.3.2 ANSI Publications.
2.3.3 ASHRAE Publications.
22 2.3.4 ASME Publications.
2.3.5 ASSE Publications.
2.3.6 ASTM Publications.
23 2.3.7 AWS Publications.
2.3.8 BICSI Publications.
2.3.9 CDA Publications.
2.3.10 CGA Publications.
24 2.3.11 CSA Group Publications.
2.3.12 FGI Publications.
2.3.13 ISA Publications.
2.3.14 MSS Publications.
2.3.15 State of California Publications.
2.3.16 TC Publications.
2.3.17 TIA Publications.
2.3.18 USP Publications.
2.3.19 UL Publications.
2.3.20 U.S. Government Publications.
25 2.3.21 Other Publications.
2.4 References for Extracts in Mandatory Sections.
Chapter 3 : Definitions
3.1 General.
3.2 NFPA Official Definitions. 3.2.1 * Approved.
3.2.2 * Authority Having Jurisdiction (AHJ).
3.2.3 * Code.
3.2.4 Guide.
3.2.5 Labeled.
26 3.2.6 * Listed.
3.2.7 Shall.
3.2.8 Should.
3.2.9 Standard.
3.3 General Definitions. 3.3.1 Adiabatic Heating.
3.3.2 Aerosol.
3.3.3 Alarm System. (PIP) 3.3.3.1
3.3.3.2
3.3.3.3
3.3.3.4
3.3.4 Alternate Power Source.
3.3.5 Ambulatory Health Care Occupancy.
3.3.6 Ampacity.
3.3.7 Anesthetic.
3.3.8 Appliance.
3.3.9 Applicable Code.
27 3.3.10 * Applicator.
3.3.11 Area of Administration.
3.3.12 * Atmosphere.
3.3.12.1
3.3.12.2 *
3.3.12.3
3.3.13 Automatic.
3.3.14 Bathrooms.
3.3.15 Battery-Powered Lighting Units.
3.3.16 Bends.
3.3.17 Branch Circuit.
3.3.18 Branch Line.
3.3.19 Bulk System.
3.3.19.1
3.3.19.2
3.3.19.3 *
3.3.20 Category 3 Vacuum System.
3.3.21 * Central Supply System.
3.3.22 Clean Agent.
3.3.23 * Clinical IT Network.
28 3.3.24 Combustible.
3.3.25 * Combustible Liquid.
3.3.26 * Combustion.
3.3.27 Compact Storage.
3.3.28 * Compressed Medical Gases (CMG).
3.3.29 Container.
3.3.29.1
3.3.29.2
3.3.30 Critical Branch.
3.3.31 Critical Equipment.
3.3.32 Cryogenic Fluid Central Supply System.
3.3.32.1
3.3.33 Cylinder.
3.3.34 Decompression Sickness.
3.3.35 * Defend in Place.
3.3.36 Demand Check.
3.3.37 Dental Air.
3.3.38 Dental Office.
3.3.39 Dental Vacuum/Scavenging.
29 3.3.40 Detonation.
3.3.41 * Direct Electrical Pathway to the Heart.
3.3.42 * Disaster.
3.3.43 D.I.S.S. Connector.
3.3.44 * Double-Insulated Appliances.
3.3.45 Electrical Life Support Equipment.
3.3.46 Electrical Preventive Maintenance (EPM).
3.3.47 Electrode.
3.3.48 Emergency Management.
3.3.49 Emergency Oxygen Supply Connection (EOSC).
3.3.50 Equipment Branch.
3.3.51 Equipment Grounding Bus.
3.3.52 * Essential Electrical System.
3.3.53 Evacuation — Waste Gas.
3.3.54 Exposed Conductive Surfaces.
3.3.55 * Facility Fire Plan.
3.3.56 Fault Current.
3.3.57 Feeder.
3.3.58 * FGI Guidelines.
3.3.59 * Flammable.
30 3.3.60 Flammable Gas.
3.3.61 Flammable Liquid.
3.3.62 * Flash Point.
3.3.63 Flow-Control Valve.
3.3.64 * Flowmeter.
3.3.65 * Frequency.
3.3.66 * Fume Hood.
3.3.67 Gas-Powered System.
3.3.68 * General Anesthesia and Levels of Sedation/Analgesia. 3.3.68.1
3.3.68.2
3.3.68.3
3.3.68.4
3.3.69 * Ground-Fault Circuit Interrupter (GFCI).
3.3.70 Grounding.
3.3.71 * Grounding System.
3.3.72 Hazard Current.
3.3.72.1
3.3.72.2
3.3.72.3
31 3.3.73 * Health Care Facilities.
3.3.74 * Health Care Facility’s Governing Body.
3.3.75 * Health Care Microgrid.
3.3.76 Health Care Microgrid Control System.
3.3.77 * Home Care.
3.3.78 Hospital.
3.3.79 Humidifier.
3.3.80 Hyperbaric Facility.
3.3.81 * Hyperbaric Operations.
3.3.82 Hyperbaric Stand-Alone Oxygen System.
3.3.83 Hypobaric Facility.
3.3.84 Hypoxia.
3.3.85 Immediate Restoration of Service.
3.3.86 * Impedance.
3.3.87 Incident Command System (ICS).
3.3.88 * Instrument Air.
3.3.89 Intermittent Positive-Pressure Breathing (IPPB).
3.3.90 * Intrinsically Safe.
3.3.91 Invasive Procedure.
3.3.92 Isolated Patient Lead.
3.3.93 * Isolated Power System.
32 3.3.94 Isolation Transformer.
3.3.95 * Laboratory.
3.3.96 Leak Detectant.
3.3.97 Life Safety Branch.
3.3.98 * Limited-Combustible (Material).
3.3.99 Line Isolation Monitor.
3.3.100 * Liquid.
3.3.101 * Local Signal.
3.3.102 mA.
3.3.103 Manifold.
3.3.104 * Manufactured Assembly.
3.3.105 Mask.
3.3.106 * Medical Air.
3.3.106.1
3.3.107 Medical Air Compressor.
3.3.108 Medical Gas.
3.3.109 Medical Gas System.
3.3.110 * Medical Office.
3.3.111 Medical Support Gas.
33 3.3.112 Medical–Surgical Vacuum.
3.3.113 Medical–Surgical Vacuum System.
3.3.114 Multiple Treatment Facility.
3.3.115 mV.
3.3.116 Nasal Cannula.
3.3.117 Nebulizer.
3.3.118 Negative Pressure.
3.3.119 Nitrogen.
3.3.119.1
3.3.120 Nitrogen Narcosis.
3.3.121 Nitrous Oxide.
3.3.122 Noncombustible (Material).
3.3.123 Nonflammable.
3.3.124 Nonflammable Anesthetic Agent.
3.3.125 * Nonflammable Medical Gas System.
3.3.126 Nonmedical Compressed Air.
3.3.127 Nursing Home.
3.3.128 Opportunity for Improvement.
3.3.129 * Oxidizing Gas.
3.3.130 * Oxygen.
3.3.130.1
34 3.3.130.2 *
3.3.131 Oxygen Concentrator Unit.
3.3.132 * Oxygen Delivery Equipment.
3.3.133 * Oxygen Hood.
3.3.134 Oxygen 93 USP.
3.3.135 * Oxygen Toxicity (Hyperbaric).
3.3.136 Oxygen USP.
3.3.137 Oxygen-Enriched Atmosphere (OEA).
3.3.138 Patient Bed Location.
3.3.139 Patient Care–Related Electrical Equipment.
3.3.140 * Patient Care Space.
3.3.140.1 *
3.3.140.2 *
3.3.140.3 *
3.3.140.4 *
3.3.141 Patient Care Vicinity.
3.3.142 Patient Equipment Grounding Point.
3.3.143 * Patient Lead.
3.3.144 Patient Medical Gas.
3.3.145 Piped Distribution System.
35 3.3.146 Piping.
3.3.146.1
3.3.146.2
3.3.146.3
3.3.147 Plug (Attachment Plug, Cap).
3.3.148 Plume (Medical).
3.3.149 Pressure. 3.3.149.1
3.3.149.2
3.3.149.3
3.3.149.4
3.3.149.5 *
3.3.149.6 *
3.3.149.7
3.3.149.8
3.3.150 * Pressure-Reducing Regulator.
3.3.151 Procedure Room.
3.3.152 * Producer.
3.3.153 psia.
3.3.154 * psig.
3.3.155 Qualified Person.
36 3.3.156 Reactance.
3.3.157 Receptacle.
3.3.158 Reference Grounding Point.
3.3.159 Relocatable Power Tap (RPT).
3.3.160 * Remote.
3.3.161 Reserve Supply.
3.3.162 Risk Categories. (FUN) 3.3.162.1
3.3.162.2
3.3.162.3
3.3.162.4
3.3.163 Scavenging.
3.3.164 Selected Receptacles.
3.3.165 Self-Extinguishing.
3.3.166 Semipermanent Connection.
3.3.167 Service Inlet.
3.3.168 Service Outlet.
3.3.169 * Single Treatment Facility.
3.3.170 * Site of Intentional Expulsion.
3.3.171 Space.
3.3.172 Standard Cubic Feet per Minute (SCFM).
37 3.3.173 Station Inlet.
3.3.174 Station Outlet.
3.3.175 Supply Source.
3.3.175.1
3.3.175.2
3.3.175.3
3.3.175.4
3.3.176 * Surface-Mounted Medical Gas Rail Systems.
3.3.177 Task Illumination.
3.3.178 Terminal.
3.3.179 Touch Current.
3.3.180 Transfilling.
3.3.181 Tube. 3.3.181.1 *
3.3.182 Use Point.
3.3.183 Vaporizer.
3.3.184 Ventilation.
3.3.185 Waste Anesthetic Gas Disposal (WAGD).
3.3.186 Waste Water. (MEC) 3.3.186.1
3.3.186.2
3.3.186.3
38 3.3.187 * Wet Procedure Locations.
3.4 BICSI Definitions.
3.4.1 Telecommunications Entrance Facility (EF).
3.4.2 Telecommunications Equipment Room (TER).
3.4.3 Telecommunications Room (TR).
Chapter 4 : Fundamentals
4.1 * Risk Categories.
4.1.1 * Category 1.
4.1.2 * Category 2.
4.1.3 Category 3.
4.1.4 Category 4.
4.1.5 *
4.2 * Risk Assessment. 4.2.1
4.2.1.1
4.2.2 *
4.2.2.1
4.2.3
39 4.3 Application.
4.4 Materials. 4.4.1 * Noncombustible Material. 4.4.1.1
4.4.1.2
4.4.2 * Limited-Combustible Material.
4.4.2.1
4.4.2.2
4.4.2.3
4.4.2.4
4.4.2.5
4.4.2.6
Chapter 5 : Gas and Vacuum Systems
5.1 Category 1 Piped Gas and Vacuum Systems.
40 5.1.1 * Applicability. 5.1.1.1
5.1.1.2
5.1.1.3 *
5.1.1.4 *
5.1.1.5
5.1.1.6
5.1.2 Nature of Hazards of Gas and Vacuum Systems.
5.1.3 * Category 1 Sources. 5.1.3.1 Central Supply System Identification and Labeling. 5.1.3.1.1 *
5.1.3.1.2 *
5.1.3.1.3
5.1.3.1.4
5.1.3.1.5
5.1.3.1.6
5.1.3.1.7
41 5.1.3.1.8
5.1.3.1.8.1
5.1.3.1.9
5.1.3.1.9.1
5.1.3.2 Central Supply System Operations. 5.1.3.2.1
5.1.3.2.2
5.1.3.2.3
5.1.3.2.4
5.1.3.2.5 *
5.1.3.2.6
5.1.3.2.7
5.1.3.2.8
5.1.3.2.9
5.1.3.2.10
5.1.3.2.11
5.1.3.2.12
5.1.3.3 * Central Supply System Locations. 5.1.3.3.1 General.
42 5.1.3.3.1.1
5.1.3.3.1.2
5.1.3.3.1.3
5.1.3.3.1.4
5.1.3.3.1.5
5.1.3.3.1.6
5.1.3.3.1.7
5.1.3.3.1.8
5.1.3.3.1.9
5.1.3.3.1.10 *
43 5.1.3.3.2 * Design and Construction. 5.1.3.3.2.1
5.1.3.3.2.2
5.1.3.3.3 Ventilation. 5.1.3.3.3.1 Ventilation for Indoor Locations.
5.1.3.3.3.2 Venting of Relief Valves.
5.1.3.3.3.3 Ventilation for Motor-Driven Equipment.
5.1.3.3.3.4 Ventilation for Outdoor Locations.
5.1.3.3.4 Storage. 5.1.3.3.4.1
5.1.3.3.4.2 *
5.1.3.4 Control Equipment.
5.1.3.4.1
44 5.1.3.4.2
5.1.3.5 * Central Supply Systems.
5.1.3.5.1 General.
5.1.3.5.2 Permitted Locations for Medical Gases.
5.1.3.5.3 Medical Support Gases.
5.1.3.5.4 * Materials.
5.1.3.5.5 Controls for Line Pressure. 5.1.3.5.5.1 *
5.1.3.5.5.2
5.1.3.5.6 Relief Valves. 5.1.3.5.6.1
45 5.1.3.5.6.2
5.1.3.5.6.3
5.1.3.5.6.4
5.1.3.5.6.5
5.1.3.5.7 Multiple Pressures.
5.1.3.5.8 Local Signals. 5.1.3.5.8.1
5.1.3.5.8.2
5.1.3.5.9 * Headers.
46 5.1.3.5.10 * Manifolds for Gas Cylinders. 5.1.3.5.10.1
5.1.3.5.10.2
5.1.3.5.10.3
5.1.3.5.10.4
5.1.3.5.10.5
5.1.3.5.10.6
5.1.3.5.10.7
5.1.3.5.11 Manifolds for Cryogenic Liquid Containers. 5.1.3.5.11.1
47 5.1.3.5.11.2
5.1.3.5.11.3
5.1.3.5.11.4
5.1.3.5.11.5
5.1.3.5.11.6
5.1.3.5.11.7
5.1.3.5.11.8
5.1.3.5.11.9
5.1.3.5.12 Cryogenic Fluid Central Supply Systems.
5.1.3.5.13 * Emergency Oxygen Supply Connection (EOSC).
5.1.3.5.13.1
48 5.1.3.5.13.2
5.1.3.5.14 In-Building Emergency Reserves (IBERs). 5.1.3.5.14.1
5.1.3.5.14.2
5.1.3.5.14.3
5.1.3.5.14.4
5.1.3.5.14.5
5.1.3.6 * Category 1 Medical Air Central Supply Systems. 5.1.3.6.1 * Quality of Medical Air.
5.1.3.6.2 * Uses of Medical Air.
5.1.3.6.3 * Medical Air Compressor Supply Sources. 5.1.3.6.3.1 Location.
5.1.3.6.3.2 Required Components.
49 5.1.3.6.3.3 Air Drying Equipment.
5.1.3.6.3.4 Compressors for Medical Air. (A) *
(B)
(C)
(D)
(E)
(F)
5.1.3.6.3.5 Aftercoolers. (A)
(B)
(C)
(D)
5.1.3.6.3.6 Medical Air Receivers.
50 5.1.3.6.3.7 Medical Air Dryers.
5.1.3.6.3.8 Medical Air Filters.
5.1.3.6.3.9 Piping Arrangement and Redundancies. (A)
(B)
(C)
(D) *
(E)
(F) *
(G)
(H)
(I)
51 (J)
(K)
(L)
(M)
5.1.3.6.3.10 * Electrical Power and Control. (A)
(B)
(C)
(D)
(E)
(F)
5.1.3.6.3.11 Compressor Intake. (A)
(B)
(C)
(D)
52 (E)
(F)
(G)
(H)
(I)
5.1.3.6.3.12 Operating Alarms and Local Signals.
(A)
(B)
(C)
(D)
(E)
(F)
5.1.3.6.3.13 Medical Air Quality Monitoring.
5.1.3.6.3.14 Category 1 Medical Air Proportioning Supply Sources. (A) General.
53 (B)
(C)
5.1.3.7 * Medical–Surgical Vacuum Central Supply Systems. 5.1.3.7.1 Medical–Surgical Vacuum Central Sources.
54 5.1.3.7.1.1
5.1.3.7.2 Vacuum Pumps. 5.1.3.7.2.1
5.1.3.7.2.2
5.1.3.7.2.3
5.1.3.7.2.4
5.1.3.7.3 Vacuum Receivers.
5.1.3.7.4 Vacuum Filtration.
5.1.3.7.5 Piping Arrangement and Redundancies. 5.1.3.7.5.1
55 5.1.3.7.5.2
5.1.3.7.5.3
5.1.3.7.6 Electrical Power and Control. (A)
(B)
(C)
(D)
(E)
(F)
5.1.3.7.7 Medical–Surgical Vacuum Exhaust. 5.1.3.7.7.1
5.1.3.7.7.2
5.1.3.7.7.3
5.1.3.7.7.4
5.1.3.7.7.5
56 5.1.3.7.7.6
5.1.3.7.7.7
5.1.3.7.8 Operating Alarms.
5.1.3.8 * Waste Anesthetic Gas Disposal (WAGD) Central Supply Systems. 5.1.3.8.1 * Supply Sources.
5.1.3.8.1.1
5.1.3.8.1.2
5.1.3.8.1.3
5.1.3.8.1.4
5.1.3.8.1.5
5.1.3.8.1.6
5.1.3.8.1.7
57 5.1.3.8.2 WAGD Producers. 5.1.3.8.2.1
5.1.3.8.2.2
5.1.3.8.3 WAGD Alarms. 5.1.3.8.3.1
5.1.3.8.3.2
5.1.3.8.4 Electrical Power and Control. 5.1.3.8.4.1
5.1.3.8.4.2
5.1.3.8.4.3
5.1.3.8.4.4
5.1.3.8.4.5
5.1.3.8.4.6
58 5.1.3.8.5 WAGD Exhaust.
5.1.3.9 * Oxygen Central Supply Systems Using Concentrators.
5.1.3.9.1 * Oxygen Concentrator Supply Units. 5.1.3.9.1.1
5.1.3.9.1.2
5.1.3.9.1.3
5.1.3.9.1.4
5.1.3.9.1.5
5.1.3.9.1.6
5.1.3.9.1.7
5.1.3.9.1.8
5.1.3.9.1.9
5.1.3.9.1.10
5.1.3.9.1.11
5.1.3.9.1.12
5.1.3.9.1.13
59 5.1.3.9.2 Location.
5.1.3.9.3 Arrangement and Redundancies.
5.1.3.9.4 Operating Controls.
5.1.3.9.5 Operating Alarms and Local Signals.
60 5.1.3.9.5.1
5.1.3.9.5.2
5.1.3.9.5.3
5.1.3.9.5.4
5.1.3.10 * Cryogenic Fluid Central Supply Systems. 5.1.3.10.1 General. 5.1.3.10.1.1 *
5.1.3.10.1.2 Applicability. (A)
(B)
(C)
5.1.3.10.2 Cryogenic Fluid Central Supply Systems Installation. 5.1.3.10.2.1
5.1.3.10.2.2
5.1.3.10.2.3
61 5.1.3.10.2.4
5.1.3.10.2.5
5.1.3.10.2.6
5.1.3.10.2.7
5.1.3.10.2.8
5.1.3.10.3 Cryogenic Fluid Central Supply Systems Operation. 5.1.3.10.3.1
5.1.3.10.3.2
5.1.3.10.3.3
5.1.3.10.3.4
62 5.1.3.10.4 Main Supply System.
5.1.3.10.5 Reserve Supply System. 5.1.3.10.5.1
5.1.3.10.5.2
5.1.3.10.5.3
5.1.3.10.6 Cryogenic Fill System.
5.1.3.10.7 Vaporizers. 5.1.3.10.7.1
5.1.3.10.7.2
63 5.1.3.10.7.3
5.1.3.10.7.4
5.1.3.10.7.5
5.1.3.10.7.6
5.1.3.10.8 High-Pressure Manifolds. 5.1.3.10.8.1
5.1.3.10.8.2
5.1.3.10.8.3 *
5.1.3.10.9 Pressure Control Devices.
5.1.3.10.10 Pressure Relief Devices. 5.1.3.10.10.1
5.1.3.10.10.2
64 5.1.3.10.10.3
(A)
(B)
5.1.3.10.11 Tubing and Valves. 5.1.3.10.11.1
(A)
(B)
5.1.3.10.11.2 (A)
(B)
5.1.3.10.11.3
5.1.3.10.11.4 (A) *
(B)
5.1.3.10.12 * Alarms.
5.1.4 * Valves. 5.1.4.1 General. 5.1.4.1.1 Gas and Vacuum Shutoff Valves.
5.1.4.1.2 Security.
65 5.1.4.1.3 Labeling.
5.1.4.1.4 Accessibility. (A)
(B)
5.1.4.1.5 Flammable Gases.
5.1.4.1.6 Valve Types.
66 5.1.4.2 Source Valve. 5.1.4.2.1
5.1.4.2.2
5.1.4.3 * Main Line Valve. 5.1.4.3.1
5.1.4.3.2
5.1.4.4 Riser Valve.
5.1.4.5 Service Valves. 5.1.4.5.1
5.1.4.5.2
5.1.4.5.3
5.1.4.6 Zone Valves. 5.1.4.6.1
67 5.1.4.6.2
5.1.4.6.3
5.1.4.6.4
5.1.4.7 In-Line Shutoff Valves.
5.1.4.8 Valves for Future Connections. 5.1.4.8.1
5.1.4.8.2
5.1.4.9 In-Line Check Valves.
5.1.4.10 Auxiliary Source Connection.
5.1.4.10.1
5.1.4.10.2
5.1.5 * Station Outlets/Inlets. 5.1.5.1
5.1.5.2
5.1.5.3
5.1.5.4
68 5.1.5.5
5.1.5.6
5.1.5.7
5.1.5.8
5.1.5.9
5.1.5.10
5.1.5.11
5.1.5.12
5.1.5.13
5.1.5.14
5.1.5.15
5.1.5.16
5.1.5.16.1
5.1.5.17
5.1.6 * Manufactured Assemblies. 5.1.6.1
69 5.1.6.2
5.1.6.3
5.1.6.4
5.1.6.5
5.1.6.6
5.1.6.7
5.1.6.8
5.1.6.9
5.1.6.10
5.1.6.11
5.1.7 * Surface-Mounted Medical Gas Rails (MGR). 5.1.7.1
5.1.7.2
5.1.7.3
5.1.7.4
5.1.7.5
5.1.7.6
70 5.1.7.7
5.1.7.8
5.1.7.9
5.1.7.10
5.1.8 Pressure and Vacuum Indicators. 5.1.8.1 General. 5.1.8.1.1
5.1.8.1.2
5.1.8.1.3 *
5.1.8.1.4
5.1.8.1.5
5.1.8.1.6
5.1.8.2 Locations. 5.1.8.2.1
5.1.8.2.2
5.1.8.2.3
5.1.8.2.3.1
5.1.8.2.4
5.1.9 Category 1 Warning Systems. 5.1.9.1 General.
71 5.1.9.2 * Master Alarms.
5.1.9.2.1
5.1.9.2.2
5.1.9.2.3
5.1.9.2.3.1
(A)
(B)
(C)
(D)
5.1.9.2.3.2
(A)
(B)
72 5.1.9.2.3.3
5.1.9.2.3.4
5.1.9.2.3.5
5.1.9.2.3.6
5.1.9.2.3.7
5.1.9.2.3.8
5.1.9.2.4
5.1.9.2.5
5.1.9.3 Master Alarms by Computer Systems.
5.1.9.3.1
73 5.1.9.3.2
5.1.9.4 * Area Alarms.
5.1.9.4.1 *
5.1.9.4.2
5.1.9.4.3
5.1.9.4.4 *
5.1.9.4.5
5.1.9.4.6
5.1.9.5 * Local Alarms.
5.1.9.5.1
5.1.9.5.2
5.1.9.5.3
5.1.9.5.4
74 5.1.10 Category 1 Distribution. 5.1.10.1 Piping Materials for Field-Installed Positive Pressure Medical Gas Systems. 5.1.10.1.1
5.1.10.1.2
5.1.10.1.3
5.1.10.1.4 *
5.1.10.1.5
5.1.10.1.6
5.1.10.1.7
5.1.10.1.8
5.1.10.2 Piping Materials for Field-Installed Medical–Surgical Vacuum and WAGD Systems. 5.1.10.2.1 Tubes for Vacuum.
75 5.1.10.2.2 Vacuum Tube Marking Where Required. 5.1.10.2.2.1
5.1.10.2.2.2
5.1.10.2.3 WAGD System Piping.
5.1.10.2.3.1
5.1.10.2.3.2 *
5.1.10.3 Joints. 5.1.10.3.1 *
5.1.10.3.2
5.1.10.3.3
5.1.10.3.4
5.1.10.3.5
5.1.10.4 Brazed Joints. 5.1.10.4.1 General Requirements. 5.1.10.4.1.1
5.1.10.4.1.2
76 5.1.10.4.1.3
5.1.10.4.1.4
5.1.10.4.1.5
5.1.10.4.1.6
5.1.10.4.1.7
5.1.10.4.1.8
5.1.10.4.1.9
5.1.10.4.1.10
5.1.10.4.2 Cutting Tube Ends. 5.1.10.4.2.1
5.1.10.4.2.2
5.1.10.4.2.3
5.1.10.4.3 Cleaning Joints for Brazing. 5.1.10.4.3.1
5.1.10.4.3.2
5.1.10.4.3.3
5.1.10.4.3.4
5.1.10.4.3.5
5.1.10.4.3.6
5.1.10.4.3.7
5.1.10.4.3.8
5.1.10.4.3.9
77 5.1.10.4.3.10
5.1.10.4.3.11
5.1.10.4.3.12
5.1.10.4.3.13
5.1.10.4.4 Brazing Dissimilar Metals. 5.1.10.4.4.1
5.1.10.4.4.2
5.1.10.4.4.3
5.1.10.4.4.4
5.1.10.4.4.5
5.1.10.4.4.6
5.1.10.4.5 * Nitrogen Purge. 5.1.10.4.5.1
5.1.10.4.5.2
5.1.10.4.5.3
5.1.10.4.5.4
5.1.10.4.5.5
5.1.10.4.5.6
5.1.10.4.5.7
5.1.10.4.5.8
78 5.1.10.4.5.9
5.1.10.4.5.10
5.1.10.4.5.11
5.1.10.4.5.12 *
5.1.10.4.6 Assembling and Heating Brazed Joints. 5.1.10.4.6.1
5.1.10.4.6.2
5.1.10.4.6.3
5.1.10.4.6.4
5.1.10.4.7 Inspection of Brazed Joints. 5.1.10.4.7.1
5.1.10.4.7.2
5.1.10.4.7.3
5.1.10.4.7.4
5.1.10.4.7.5
5.1.10.4.7.6
5.1.10.5 Welded Joints. 5.1.10.5.1 Gas Tungsten Arc Welding (GTAW) for Copper and Stainless Tube. 5.1.10.5.1.1
79 5.1.10.5.1.2
5.1.10.5.1.3
5.1.10.5.1.4
5.1.10.5.1.5 *
5.1.10.5.1.6
5.1.10.5.1.7
5.1.10.5.1.8
5.1.10.5.1.9
5.1.10.5.1.10
5.1.10.5.2 Welding for Stainless Tube. 5.1.10.5.2.1
5.1.10.5.2.2
5.1.10.6 Memory Metal Fittings. 5.1.10.6.1
5.1.10.6.2
5.1.10.7 Axially Swaged Fittings. 5.1.10.7.1
5.1.10.7.2
5.1.10.8 Threaded Fittings.
5.1.10.9 Special Fittings. 5.1.10.9.1
80 5.1.10.9.2 Dielectric Fittings.
5.1.10.10 Prohibited Joints.
5.1.10.11 Installation of Piping and Equipment. 5.1.10.11.1 Pipe Sizing. 5.1.10.11.1.1
5.1.10.11.1.2
5.1.10.11.1.3
5.1.10.11.1.4
5.1.10.11.1.5
5.1.10.11.2 Protection of Piping.
5.1.10.11.2.1
5.1.10.11.2.2
5.1.10.11.3 Location of Piping. 5.1.10.11.3.1
5.1.10.11.3.2
5.1.10.11.3.3
5.1.10.11.3.4
5.1.10.11.4 Pipe Support.
81 5.1.10.11.4.1
5.1.10.11.4.2
5.1.10.11.4.3
5.1.10.11.4.4 *
5.1.10.11.4.5
5.1.10.11.4.6
5.1.10.11.4.7
5.1.10.11.5 Underground Piping Outside of Buildings. 5.1.10.11.5.1
5.1.10.11.5.2
5.1.10.11.5.3
5.1.10.11.5.4
5.1.10.11.5.5
82 5.1.10.11.5.6
5.1.10.11.5.7
5.1.10.11.5.8
5.1.10.11.5.9
5.1.10.11.5.10
5.1.10.11.6 Hose and Flexible Connectors. 5.1.10.11.6.1
5.1.10.11.6.2
5.1.10.11.6.3
5.1.10.11.6.4
5.1.10.11.7 Prohibited System Interconnections. 5.1.10.11.7.1
5.1.10.11.7.2
5.1.10.11.7.3
5.1.10.11.8 Manufacturer’s Instructions. 5.1.10.11.8.1
5.1.10.11.8.2
5.1.10.11.8.3
5.1.10.11.9 Changes in System Use. 5.1.10.11.9.1
5.1.10.11.9.2
83 5.1.10.11.10 Qualification of Installers. 5.1.10.11.10.1
5.1.10.11.10.2
5.1.10.11.10.3
5.1.10.11.10.4
5.1.10.11.10.5
5.1.10.11.10.6
5.1.10.11.10.7
5.1.10.11.11 Qualification of Brazing Procedures and Brazing. 5.1.10.11.11.1
5.1.10.11.11.2
5.1.10.11.11.3
5.1.10.11.11.4
5.1.10.11.11.5
5.1.10.11.11.6
5.1.10.11.11.7
5.1.10.11.12 Breaching or Penetrating Medical Gas Piping. 5.1.10.11.12.1
84 5.1.10.11.12.2
5.1.11 * Labeling, Identification, and Operating Pressure.
5.1.11.1 Pipe Labeling. 5.1.11.1.1
5.1.11.1.2
5.1.11.1.3
5.1.11.1.4
85 5.1.11.1.5
5.1.11.1.6
5.1.11.2 Shutoff Valves. 5.1.11.2.1
5.1.11.2.2
5.1.11.2.3 *
5.1.11.2.4
5.1.11.2.5
5.1.11.2.6
5.1.11.2.7
5.1.11.2.8 *
86 5.1.11.3 Station Outlets and Inlets. 5.1.11.3.1
5.1.11.3.1.1
5.1.11.3.2
5.1.11.4 Alarm Panels. 5.1.11.4.1
5.1.11.4.2 *
5.1.11.4.3
5.1.11.4.4
5.1.11.5 Source Equipment. 5.1.11.5.1
5.1.11.5.2
5.1.12 * Performance Criteria and Testing — Category 1 (Gases, Medical–Surgical Vacuum, and WAGD). 5.1.12.1 General. 5.1.12.1.1
5.1.12.1.2
5.1.12.1.3
5.1.12.1.4
87 5.1.12.1.5
5.1.12.1.6
5.1.12.1.7
5.1.12.1.8
5.1.12.1.9
5.1.12.1.10
5.1.12.1.11
5.1.12.1.12
5.1.12.1.12.1
5.1.12.1.12.2
5.1.12.1.13
5.1.12.2 Installer-Performed Tests. 5.1.12.2.1 General. 5.1.12.2.1.1
5.1.12.2.1.2
5.1.12.2.1.3
5.1.12.2.2 Initial Piping Blowdown.
88 5.1.12.2.3 Initial Pressure Test. 5.1.12.2.3.1
5.1.12.2.3.2
5.1.12.2.3.3
5.1.12.2.3.4
5.1.12.2.3.5 *
5.1.12.2.3.6
5.1.12.2.4 Initial Cross-Connection Test.
5.1.12.2.4.1
5.1.12.2.4.2
5.1.12.2.4.3
5.1.12.2.4.4
5.1.12.2.4.5
5.1.12.2.4.6
5.1.12.2.5 Initial Piping Purge Test.
5.1.12.2.5.1
5.1.12.2.5.2
5.1.12.2.6 Standing Pressure Test for Positive Pressure Medical Gas Piping.
5.1.12.2.6.1 *
5.1.12.2.6.2
89 5.1.12.2.6.3
5.1.12.2.6.4
5.1.12.2.6.5 *
5.1.12.2.6.6
5.1.12.2.6.7
5.1.12.2.7 Standing Vacuum Test for Vacuum Piping.
5.1.12.2.7.1
5.1.12.2.7.2
5.1.12.2.7.3
5.1.12.2.7.4
5.1.12.2.7.5 *
5.1.12.2.7.6
5.1.12.2.7.7
5.1.12.3 System Inspection. 5.1.12.3.1 General. 5.1.12.3.1.1
5.1.12.3.1.2
5.1.12.3.1.3
5.1.12.3.1.4
5.1.12.3.1.5
5.1.12.3.2 Inspections.
90 5.1.12.3.2.1
5.1.12.3.2.2
5.1.12.4 System Verification. 5.1.12.4.1 General. 5.1.12.4.1.1
5.1.12.4.1.2
5.1.12.4.1.3
5.1.12.4.1.4
5.1.12.4.1.5
5.1.12.4.1.6
5.1.12.4.1.7
5.1.12.4.1.8
5.1.12.4.1.9
5.1.12.4.2 * Standing Pressure Test.
5.1.12.4.3 Cross-Connection Test.
5.1.12.4.3.1 Individual Pressurization Method. (A)
(B)
91 (C)
(D)
(E)
(F)
5.1.12.4.3.2 Pressure Differential Method. (A)
(B)
(C)
(D)
(E)
(F)
(G)
5.1.12.4.4 Valve Test.
5.1.12.4.4.1
92 5.1.12.4.4.2
5.1.12.4.5 Alarm Test. 5.1.12.4.5.1 General. (A)
(B)
(C)
(D)
(E)
(F)
(G)
5.1.12.4.5.2 Master Alarms. (A)
(B)
(C)
(D)
5.1.12.4.5.3 Area Alarms.
5.1.12.4.6 Piping Purge Test.
5.1.12.4.6.1
5.1.12.4.6.2
5.1.12.4.6.3
5.1.12.4.6.4 *
5.1.12.4.7 Piping Particulate Test.
93 5.1.12.4.7.1
5.1.12.4.7.2
5.1.12.4.7.3
5.1.12.4.7.4
5.1.12.4.7.5
5.1.12.4.8 * Verifier Piping Purity Test.
5.1.12.4.8.1
5.1.12.4.8.2
5.1.12.4.8.3
5.1.12.4.8.4
5.1.12.4.8.5
5.1.12.4.8.6
5.1.12.4.9 Final Tie-In Test. 5.1.12.4.9.1
5.1.12.4.9.2
5.1.12.4.9.3
5.1.12.4.9.4
5.1.12.4.9.5
5.1.12.4.9.6
5.1.12.4.10 Operational Flow Pressure Drop Test.
5.1.12.4.10.1
94 5.1.12.4.10.2
5.1.12.4.10.3
5.1.12.4.10.4
5.1.12.4.10.5
5.1.12.4.10.6 *
5.1.12.4.11 Medical Gas Concentration Test.
5.1.12.4.12 Medical Air Purity Test for Compressor Sources. 5.1.12.4.12.1
5.1.12.4.12.2
5.1.12.4.12.3
95 5.1.12.4.13 Labeling.
5.1.12.4.14 Source Equipment Verification. 5.1.12.4.14.1 General.
5.1.12.4.14.2 Gas Supply Sources. (A)
(B)
(C)
(D)
(E)
5.1.12.4.14.3 Medical Air Compressor Systems. (A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
5.1.12.4.14.4 Oxygen Central Supply System Using Concentrators.
96 5.1.12.4.14.5 Proportioning Systems for Medical Air USP. (A)
(B)
(C)
(D)
5.1.12.4.14.6 Medical–Surgical Vacuum Systems.
5.1.13 Category 1 Medical Support Gases. 5.1.13.1 * Applicability. 5.1.13.1.1
5.1.13.1.2 *
5.1.13.1.3
5.1.13.2 Nature of Hazards.
5.1.13.3 Medical Support Gas Central Supply Systems. 5.1.13.3.1 General.
5.1.13.3.2 Design and Construction. 5.1.13.3.2.1
5.1.13.3.2.2
5.1.13.3.3 Ventilation.
5.1.13.3.4 Storage.
5.1.13.3.5 Control Equipment.
5.1.13.3.6 Nitrogen NF Central Supply Systems.
97 5.1.13.3.6.1 General. (A)
(B)
5.1.13.3.6.2 Medical Support Gases.
5.1.13.3.6.3 Materials.
5.1.13.3.6.4 Controls for Line Pressure.
5.1.13.3.6.5 Relief Valves.
5.1.13.3.6.6 Multiple Pressures.
5.1.13.3.6.7 Local Signals. (A)
(B)
5.1.13.3.6.8 Headers.
5.1.13.3.6.9 Nitrogen NF Manifolds for Gas Cylinders.
5.1.13.3.6.10 Nitrogen NF Manifolds for Cryogenic Liquid Containers.
5.1.13.3.6.11 Nitrogen NF Cryogenic Fluid Central Supply Systems.
5.1.13.3.7 * Instrument Air Supply Systems. 5.1.13.3.7.1 Quality of Instrument Air.
98 5.1.13.3.7.2
5.1.13.3.7.3
5.1.13.3.7.4
5.1.13.3.7.5
5.1.13.3.7.6 Instrument Air Standby Headers.
5.1.13.3.7.7 * Intake Air.
5.1.13.3.7.8 Instrument Air Filters.
5.1.13.3.7.9 Instrument Air Accessories.
5.1.13.3.7.10 Instrument Air Piping Arrangement and Redundancies.
5.1.13.3.7.11 Instrument Air Monitoring and Alarms. (A)
99 (B)
5.1.13.3.7.12 Electrical Power and Control. (A)
(B)
(C)
(D)
(E)
(F)
5.1.13.4 Valves.
5.1.13.5 Outlets.
5.1.13.6 Manufactured Assemblies.
5.1.13.7 Pressure Indicators.
5.1.13.8 Line Pressure Control.
100 5.1.13.9 Warning Systems. 5.1.13.9.1
5.1.13.9.2
5.1.13.9.3
5.1.13.9.4
5.1.13.10 Distribution.
5.1.13.11 Labeling and Identification.
5.1.13.12 Performance Testing.
5.1.14 * Category 1 Operation and Management. 5.1.14.1 Responsible Facility Authority. 5.1.14.1.1 General.
5.1.14.1.2 Responsibilities. 5.1.14.1.2.1
5.1.14.1.2.2
5.1.14.1.3 Qualifications. 5.1.14.1.3.1
5.1.14.1.3.2
101 5.1.14.2 Permit-to-Work System. 5.1.14.2.1 *
5.1.14.2.2
5.1.14.3 Special Precautions — Patient Gas, Vacuum, WAGD, and Medical Support Gas Systems. 5.1.14.3.1 *
5.1.14.3.2
5.1.14.3.3 *
5.1.14.3.4 *
5.1.14.3.5 *
5.1.14.4 Maintenance of Medical Gas, Vacuum, WAGD, and Medical Support Gas Systems. 5.1.14.4.1 * General.
5.1.14.4.2 Maintenance Programs. 5.1.14.4.2.1 Inventories.
5.1.14.4.2.2 * Inspection Schedules.
5.1.14.4.2.3 Inspection Procedures.
5.1.14.4.2.4 Maintenance Schedules.
5.1.14.4.2.5 Qualifications. (A)
(B)
102 5.1.14.4.3 * Inspection and Testing Operations. 5.1.14.4.3.1 Manufactured Assemblies Employing Flexible Connection(s) Between th
(B)
(C)
(D)
(E)
(F)
5.1.14.5 Medical Gas and Vacuum Systems Information and Warning Signs. 5.1.14.5.1
5.1.14.5.2
5.1.14.5.3
5.1.14.5.4
5.1.14.6
5.1.14.7 Medical Gas and Vacuum Systems Maintenance and Record Keeping. 5.1.14.7.1
5.1.14.7.2
5.1.14.7.3
5.1.14.7.4
103 5.1.14.7.5
5.1.14.7.6
5.1.14.7.7
5.1.14.7.8
5.1.14.7.9
5.1.14.7.10
5.1.14.7.11 *
5.2 Category 2 Piped Gas and Vacuum Systems. 5.2.1 * Applicability. 5.2.1.1
5.2.1.2
5.2.1.3
104 5.2.1.4
5.2.2 Nature of Hazards of Gas and Vacuum Systems.
5.2.3 Sources. 5.2.3.1 Central Supply System Identification and Labeling.
5.2.3.2 Central Supply Operations.
5.2.3.3 Central Supply System Locations.
5.2.3.4 Central Supply Systems.
5.2.3.5 Medical Air Supply Systems.
5.2.3.6
5.2.3.7 Medical–Surgical Vacuum.
5.2.3.8 WAGD.
5.2.3.9 Instrument Air Supply Systems.
5.2.4 Valves.
105 5.2.5 Station Outlets and Inlets.
5.2.6 Manufactured Assemblies.
5.2.7 Surface-Mounted Medical Gas Rails.
5.2.8 Pressure and Vacuum Indicators.
5.2.9 Warning Systems.
5.2.10 Distribution.
5.2.11 Labeling and Identification.
5.2.12 Performance Criteria and Testing — Gas, Medical–Surgical Vacuum, and WAGD.
5.2.13 Medical Support Gases.
5.2.14 * Operation and Management.
5.3 Category 3 Piped Gas and Vacuum Systems. 5.3.1 * Applicability. 5.3.1.1
5.3.1.2
5.3.1.3
5.3.1.4
106 5.3.2 Nature of Hazards of Gas and Vacuum Systems.
5.3.3 Sources. 5.3.3.1 Central Supply System Identification and Labeling.
5.3.3.2 Central Supply Operations. 5.3.3.2.1
5.3.3.2.2
5.3.3.3 Central Supply System Locations.
5.3.3.4 Control Equipment.
5.3.3.5 Central Supply Systems.
5.3.3.5.1 General.
5.3.3.5.2 Permitted Locations for Medical Gases.
5.3.3.5.3 Support Gases.
5.3.3.5.4 Materials.
5.3.3.5.5 Controls for Line Pressure.
5.3.3.5.6 Relief Valves.
5.3.3.5.7 Auxiliary Source Connection.
5.3.3.5.8 Multiple Pressures.
5.3.3.5.9 Local Signals.
107 5.3.3.5.10 Gas Cylinder or Cryogenic Liquid Container Header.
5.3.3.5.11 Oxygen Central Supply Systems Using Concentrators.
5.3.3.5.12 Manifolds for Gas Cylinders.
5.3.3.5.13 Manifolds for Cryogenic Liquid Containers.
5.3.3.5.14 Cryogenic Fluid Central Supply Systems.
5.3.3.6 Medical Air. 5.3.3.6.1 Medical Air Compressor Systems.
5.3.3.6.2 Proportioning Air Systems.
5.3.3.7 Medical–Surgical Vacuum Systems.
5.3.3.8 Waste Anesthetic Gas Disposal Systems (WAGDs).
5.3.3.9 Instrument Air Compressor Systems.
5.3.4 Valves.
5.3.5 Station Outlets and Inlets.
108 5.3.6 Manufactured Assemblies.
5.3.7 Surface-Mounted Medical Gas Rails.
5.3.8 Pressure and Vacuum Indicators.
5.3.9 Warning Systems.
5.3.10 Distribution.
5.3.11 Labeling and Identification.
5.3.12 Performance Criteria and Testing — Gas, Medical–Surgical Vacuum, and WAGD.
5.3.13 Medical Support Gases.
5.3.14 Operation and Management.
Chapter 6 : Electrical Systems
6.1 * Applicability. 6.1.1 Electrical Installation.
6.1.2
6.1.3
109 6.1.4
6.2 Nature of Hazards. 6.2.1 * Fire and Explosions. 6.2.2 Shock. (Reserved) 6.2.3 Thermal. (Reserved) 6.2.4 * Location of Essent
6.2.4.2
6.2.4.3
6.3 General. 6.3.1 Sources.
6.3.1.1 Power/Utility Company. (Reserved) 6.3.1.2 On-Site Generator Set. (Reserved) 6.3.2 Distribution. 6.3.2.1 *
6.3.2.2 Receptacles. 6.3.2.2.1 * Types of Receptacles. (A)
(B)
(C)
(D)
110 6.3.2.2.2 Minimum Number of Receptacles.
(A) Receptacles Serving Patient Bed Locations in Category 2 Spaces.
(B) Receptacles Serving Patient Bed Locations in Category 1 Spaces Other than Operating Rooms.
(C) Receptacles in Operating Rooms.
(D) Receptacles in Bathrooms or Toilet Rooms.
(E) Receptacles for Special Rooms.
6.3.2.2.3 Polarity of Receptacles.
6.3.2.2.4 Other Services Receptacles.
6.3.2.2.5 * Use of Isolated Ground Receptacles. (A)
(B)
(C)
(D)
6.3.2.2.6 Special-Purpose Outlets.
6.3.2.2.7 * Clinical Laboratories.
6.3.2.3 Wet Procedure Locations. 6.3.2.3.1 *
6.3.2.3.2
111 6.3.2.3.3
6.3.2.3.4 *
6.3.2.3.5
6.3.2.3.6
(A)
(B)
6.3.2.3.7
6.3.2.3.8 *
6.3.2.3.9
6.3.2.4 * Circuits. 6.3.2.4.1
6.3.2.4.2
6.3.2.4.3
6.3.2.4.4
6.3.2.4.5
6.3.2.4.6
6.3.2.5 Grounding. 6.3.2.5.1
112 6.3.2.5.1.1 Grounding Circuitry Integrity.
6.3.2.5.1.2 Reliability of Grounding.
6.3.2.5.1.3 Separate Grounding Conductor.
6.3.2.5.1.4 Grounding of Receptacles and Fixed Electrical Equipment in Patient Care Spaces. (A) Wiring Methods.
(B) Insulated Equipment Grounding Conductors and Insulated Equipment Bonding Jumpers.
6.3.2.5.1.5 * Grounding Interconnects.
6.3.2.5.2 Patient Equipment Grounding Point.
6.3.2.5.3 * Special Grounding in Patient Care Rooms.
6.3.2.6 Battery-Powered Lighting Units. 6.3.2.6.1
6.3.2.6.2
6.3.2.6.3
6.3.2.6.4
6.3.2.6.5
6.3.2.6.6
6.3.2.6.7
113 6.3.2.6.8
6.3.2.7 Other Non-Patient Care Areas. (Reserved) 6.3.2.8 Ground Fault Protection. 6.3.2.8.1 Applicability.
6.3.2.8.2
6.3.2.8.3
6.3.2.8.4 * Equipment Protection.
6.3.2.8.5 Personnel Protection.
6.3.2.9 * Isolated Power Systems. 6.3.2.9.1 Isolation Transformer.
6.3.2.9.1.1
6.3.2.9.1.2
(A)
(B)
6.3.2.9.1.3
6.3.2.9.2 Impedance of Isolated Wiring. 6.3.2.9.2.1 *
6.3.2.9.2.2
6.3.2.9.3 Line Isolation Monitor. 6.3.2.9.3.1 *
6.3.2.9.3.2
114 6.3.2.9.3.3 *
6.3.2.9.3.4 *
6.3.2.9.3.5
6.3.2.9.3.6
6.3.2.9.3.7
6.3.2.9.4 Identification of Conductors for Isolated (Ungrounded) Systems.
6.3.3 Performance Criteria and Testing. 6.3.3.1 Grounding System in Patient Care Spaces. 6.3.3.1.1 * Grounding System Testing.
6.3.3.1.1.1
6.3.3.1.1.2
6.3.3.1.1.3
6.3.3.1.1.4 *
6.3.3.1.2 Reference Point.
6.3.3.1.3 * Voltage Measurements. 6.3.3.1.3.1
115 6.3.3.1.3.2
6.3.3.1.3.3
6.3.3.1.4 * Impedance Measurements.
6.3.3.1.4.1
6.3.3.1.4.2
6.3.3.1.5 Test Equipment.
6.3.3.1.5.1
6.3.3.1.5.2
6.3.3.1.6 Criteria for Acceptability for New Construction. 6.3.3.1.6.1
6.3.3.1.6.2
6.3.3.2 Receptacle Testing in Patient Care Spaces. 6.3.3.2.1
6.3.3.2.2
6.3.3.2.3
6.3.3.2.4
6.3.3.2.5
6.3.3.2.6
6.3.3.2.7
6.3.3.3 Isolated Power Systems. 6.3.3.3.1 Patient Care Spaces.
6.3.3.3.2 Line Isolation Monitor Tests.
116 6.3.3.3.3
6.3.3.3.4
6.3.3.4 Ground-Fault Protection Testing.
6.3.4 Administration of Electrical System. 6.3.4.1 Record Keeping. 6.3.4.1.1 *
6.3.4.1.2
6.3.4.1.3 Isolated Power System (Where Installed).
6.4 Category 1 Spaces. 6.4.1
6.4.2
6.4.3
6.4.4
6.5 Category 2 Spaces. 6.5.1
6.5.2
6.6 Category 3 and 4 Spaces. 6.6.1
6.7 * Essential Electrical Systems. 6.7.1 Sources. 6.7.1.1 * Design Considerations.
117 6.7.1.1.1
6.7.1.1.2
6.7.1.1.3
6.7.1.2 General.
6.7.1.2.1 * Power Source.
6.7.1.2.2 Use for Essential Electrical System. 6.7.1.2.2.1
6.7.1.2.2.2 *
6.7.1.2.2.3 * (A)
(B)
(C)
6.7.1.2.2.4
6.7.1.2.3 Location. 6.7.1.2.3.1 Indoor EPS Installations.
(A)
(B)
(C)
6.7.1.2.3.2 Outdoor EPS Installations. (A)
(B)
118 (C)
6.7.1.2.3.3
6.7.1.2.3.4
6.7.1.2.3.5
6.7.1.2.3.6
6.7.1.2.4 * Capacity and Rating.
6.7.1.2.5 Load Pickup.
6.7.1.2.6 Heating, Cooling, and Ventilating.
6.7.1.2.7 Alarm Annunciator. 6.7.1.2.7.1
6.7.1.2.7.2
(A)
(B) *
(C)
(D)
119 (E)
(F)
(G)
(H) *
(I)
6.7.1.3 Generator Set. 6.7.1.3.1 General.
6.7.1.3.2 Location.
6.7.1.3.3 Maintenance of Temperature.
6.7.1.3.4 * Heating, Cooling, and Ventilating.
6.7.1.3.4.1
6.7.1.3.4.2 *
(A)
(B)
(C)
6.7.1.3.4.3
6.7.1.3.4.4
120 (A)
(B)
6.7.1.3.4.5
6.7.1.3.4.6
6.7.1.3.5 * Energy Converters.
6.7.1.3.6 Compressed Air Starting Devices.
6.7.1.3.7 Fuel Supply.
6.7.1.3.8 Requirements for Safety Devices. 6.7.1.3.8.1 Internal Combustion Engines.
6.7.1.3.8.2 Safety Indications and Shutdowns.
121 6.7.1.3.8.3
122 6.7.1.4 Battery.
6.7.1.5 Fuel Cell Systems. 6.7.1.5.1
6.7.1.5.2
6.7.1.6 Health Care Microgrid.
6.7.2 * Distribution. 6.7.2.1 General Requirements. 6.7.2.1.1 * Coordination. 6.7.2.1.1.1
6.7.2.1.1.2
6.7.2.1.2 Automatic Transfer Switch Features. 6.7.2.1.2.1 Source Monitoring. (A) *
(B)
(C)
(D)
(E)
6.7.2.1.2.2 Interlocking.
6.7.2.1.2.3 * Manual Operation.
6.7.2.1.2.4 * Time Delay on Starting of EPS.
6.7.2.1.2.5 Time Delay at Engine Control Panel.
123 6.7.2.1.2.6 Time Delay on Transfer to EPS.
(A) Time Delay Commencement.
(B) Time Delay at Engine Control Panel.
6.7.2.1.2.7 * Time Delay on Retransfer to Primary Source.
6.7.2.1.2.8 Time Delay Bypass If EPS Fails.
(A)
(B)
6.7.2.1.2.9 Time Delay on Engine Shutdown.
(A)
(B)
6.7.2.1.2.10 Test Switch.
6.7.2.1.2.11 * Indication of Transfer Switch Position.
6.7.2.1.2.12 Motor Load Transfer.
6.7.2.1.2.13 * Isolation of Neutral Conductors.
6.7.2.1.2.14 Retransfer.
6.7.2.1.2.15 Switch Rating.
6.7.2.1.2.16 Automatic Transfer Switch.
6.7.2.1.2.17 * Nonautomatic Transfer Switch Features.
(A) Interlocking.
(B) Indication of Switch Position.
6.7.2.1.3 Nonautomatic Transfer Device Classification.
124 6.7.2.1.4 Nonautomatic Transfer Device Features. 6.7.2.1.4.1 General.
6.7.2.1.4.2 Interlocking.
6.7.2.1.4.3 Indication of Switch Position.
6.7.2.1.5 Bypass and Isolating Transfer Switches.
6.7.2.1.5.1 Bypass-Isolation Switch Rating.
6.7.2.1.5.2 Bypass-Isolation Switch Classification.
6.7.2.1.5.3 * Operation.
6.7.2.1.5.4 Reconnection of Transfer Switch.
6.7.2.2 Branches. 6.7.2.2.1
6.7.2.2.2
6.7.2.2.3
6.7.2.2.3.1
6.7.2.2.3.2
6.7.2.2.3.3
6.7.2.2.4 Feeders from Alternate Power Source. 6.7.2.2.4.1
6.7.2.2.4.2
6.7.2.2.5 Receptacles.
(A)
(B) *
125 6.7.2.2.6 Switches.
6.7.2.2.7
6.7.3 Performance Criteria and Testing. 6.7.3.1 Transfer Switches.
6.7.3.2
6.7.3.3
6.7.3.4
6.7.3.5
6.7.3.6
6.7.3.7
6.7.4 Administration. 6.7.4.1 Maintenance and Testing of Essential Electrical System. 6.7.4.1.1 Maintenance and Testing of Alter
6.7.4.1.1.2
6.7.4.1.1.3
6.7.4.1.1.4
6.7.4.1.1.5 Inspection and Testing.
(A) * Test Criteria.
(B) Test Conditions.
(C) Test Personnel.
126 6.7.4.1.2 Maintenance and Testing of Circuitry. 6.7.4.1.2.1 * Circuit Breakers.
6.7.4.1.2.2 Insulation Resistance.
6.7.4.1.2.3 Maintenance of Batteries.
6.7.4.2 Record Keeping.
6.7.5 * Type 1 Essential Electrical System Requirements. 6.7.5.1 * Branches. 6.7.5.1.1
6.7.5.1.2 Life Safety Branch. 6.7.5.1.2.1
6.7.5.1.2.2
6.7.5.1.2.3
6.7.5.1.2.4
6.7.5.1.2.5
6.7.5.1.2.6
127 6.7.5.1.2.7
6.7.5.1.3 * Critical Branch. 6.7.5.1.3.1
6.7.5.1.3.2
6.7.5.1.4 Equipment Branch. 6.7.5.1.4.1 General.
6.7.5.1.4.2 Connection to Alternate Power Source. (A)
(B)
6.7.5.1.4.3 * Equipment for Delayed-Automatic Connection. (A)
128 (B)
6.7.5.1.4.4 * Equipment for Delayed-Automatic or Manual Connection.
6.7.5.1.5
6.7.5.2 Wiring Requirements. 6.7.5.2.1 * Separation from Other Circuits.
6.7.5.2.2 Mechanical Protection of the Life Safety and Critical Branches.
6.7.5.2.3
6.7.5.3 Performance Criteria and Testing. 6.7.5.3.1 Source.
6.7.6 * Type 2 Essential Electrical System Requirements. 6.7.6.1 Sources.
6.7.6.2 Distribution. 6.7.6.2.1 * Branches. 6.7.6.2.1.1
6.7.6.2.1.2
6.7.6.2.1.3
129 6.7.6.2.1.4
6.7.6.2.1.5 Life Safety Branch. (A)
(B)
(C)
(D)
6.7.6.2.1.6 Equipment Branch. (A)
(B)
(C) AC Equipment for Nondelayed-Automatic Connection.
(D) Delayed-Automatic Connections to Equipment Branch.
(E) * Delayed-Automatic or Manual Connections to Equipment Branch.
130 6.7.6.3 Wiring Requirements. 6.7.6.3.1 * Separation from Other Circuits.
6.7.6.3.2 * Receptacles.
6.7.6.4 Performance Criteria and Testing. 6.7.6.4.1 Source.
6.8 Site Acceptance Testing. 6.8.1 *
6.8.1.1
6.8.2 *
6.8.3 Site Acceptance Testing Records. 6.8.3.1
6.8.3.2
6.8.3.3 Record Medium. 6.8.3.3.1
6.8.3.3.2
6.8.3.4 Record Reporting and Archiving. 6.8.3.4.1
6.8.3.4.2
6.9 Electrical Preventive Maintenance (EPM). 6.9.1 EPM Program.
131 6.9.1.1 *
6.9.1.2
6.9.2 EPM Records. 6.9.2.1
6.9.2.2
6.9.2.3 EPM Record Medium. 6.9.2.3.1
6.9.2.3.2
6.9.2.4 EPM Record Reporting and Archiving. 6.9.2.4.1
6.9.2.4.2
6.9.3 Corrective Measures. 6.9.3.1 * Analysis of Inspection, Testing, and Maintenance Reports.
6.9.3.2
6.9.4 EPM Intervals. 6.9.4.1 *
132 6.9.4.2 * Alternative Equipment Maintenance (AEM) Program. 6.9.4.2.1
6.9.4.2.2
6.10 Health Care Microgrids. 6.10.1 General Requirements. 6.10.1.1 Applicability. (Reserved) 6.10.1.2 * Purpose.
6.10.1.3 * Campuses.
6.10.1.4 Non–Health Care Buildings.
6.10.2 Sources. 6.10.2.1
133 6.10.2.2
6.10.3 Reliability. 6.10.3.1
6.10.3.2 *
6.10.4 Interconnection to an Electrical Utility.
6.10.5 Distribution System. (Reserved) 6.10.6 * Control System.
6.10.6.1 * Network Segregation. 6.10.6.1.1
6.10.6.1.2
6.10.6.2 Source Monitoring. (Reserved) 6.10.6.3 Design.
6.10.6.4 Controller Backup Power.
6.10.6.5 Annunciation. 6.10.6.5.1
6.10.6.5.2
6.10.6.6 Security. (Reserved) 6.10.7 Commissioning.
6.10.7.1 Verification of Means and Methods.
6.10.7.2 Commissioning Plan.
134 6.10.7.3 Commissioning Report.
6.10.7.3.1
6.10.7.3.2
6.10.7.3.3
6.10.8 Inspection, Testing, and Maintenance. 6.10.8.1
6.10.8.2
6.10.8.3
6.10.8.4
6.11 Classification of Emergency Power Supply Systems (EPSSs). 6.11.1 General.
135 6.11.2 Class.
6.11.3 Type.
6.11.4 Level.
6.11.4.1
6.11.4.2
6.11.4.3
6.11.4.4
Chapter 7 : Information Technology and Communications Systems
7.1 * Applicability.
7.2 Reserved. 7.3 Category 1 Systems. 7.3.1 Information Technology and Communications Systems Infrastructure. 7.3.1.1 Premises D
7.3.1.1.2
7.3.1.2 * Telecommunications Systems’ Spaces and Pathways. 7.3.1.2.1 Entrance Facility (EF). 7.3.1.2.1.1 General.
136 7.3.1.2.1.2
7.3.1.2.1.3 Remote Primary Data Center.
7.3.1.2.1.4 Location Requirements and Restrictions. (A)
(B)
(C) *
(D)
(E)
(F)
(G)
7.3.1.2.1.5 Working Space. (Reserved) 7.3.1.2.1.6 Security.
7.3.1.2.1.7 Power Requirements. (A)
(B)
(C)
7.3.1.2.1.8 Environmental Requirements. (A)
(B) *
(C) *
(D)
7.3.1.2.1.9 Other Requirements. (Reserved) 7.3.1.2.2 Telecommunications Equipment Room (TER).
137 7.3.1.2.2.1 General. (A)
(B)
7.3.1.2.2.2 *
7.3.1.2.2.3 Reserved. 7.3.1.2.2.4 Location Requirements and Restrictions. (A)
(B)
(C)
(D)
(E)
7.3.1.2.2.5 Working Space.
7.3.1.2.2.6 Security.
7.3.1.2.2.7 Power Requirements. (A)
(B)
(C)
7.3.1.2.2.8 Environmental Requirements. (A)
(B)
(C)
7.3.1.2.2.9 Other Requirements. (Reserved) 7.3.1.2.3 Telecommunications Room (TR). 7.3.1.2.3.1 General.
138 7.3.1.2.3.2
7.3.1.2.3.3 Reserved. 7.3.1.2.3.4 Location Requirements and Restrictions. (A)
(B)
(C)
(D)
(E)
7.3.1.2.3.5 Working Space.
7.3.1.2.3.6 Security.
7.3.1.2.3.7 Power Requirements. (A)
(B)
(C)
7.3.1.2.3.8 Environmental Requirements. (A)
(B)
7.3.1.2.3.9 Other Requirements.
7.3.1.2.4 Cabling Pathways and Raceway Requirements. 7.3.1.2.4.1 Backbone Distribution.
7.3.1.2.4.2
7.3.1.2.5 Outside Plant (OSP) Infrastructure. 7.3.1.2.5.1 General.
7.3.1.2.5.2 Pathways.
139 (A)
(B)
(C)
(D)
7.3.1.3 Antennas. (Reserved) 7.3.2 Voice, Data, Communications, and Cable Television Systems. 7.3.2.1 Voice/Telecommunications.
7.3.3.1.1.1
7.3.3.1.1.2
7.3.3.1.1.3 *
7.3.3.1.1.4
7.3.3.1.1.5 *
7.3.3.1.2 Patient Area Call Stations.
7.3.3.1.2.1 *
7.3.3.1.2.2 *
7.3.3.1.2.3 *
7.3.3.1.2.4
140 7.3.3.1.2.5
7.3.3.1.2.6
7.3.3.1.3 Staff Emergency Call.
7.3.3.1.3.1 *
7.3.3.1.4 * Code Call.
7.3.3.1.4.1 *
7.3.3.1.5
7.3.3.1.6
7.3.3.1.7
7.3.3.1.8 Notification Signals.
7.3.3.1.8.1
7.3.3.1.8.2
7.3.3.2 Patient Tracking. (Reserved) 7.3.3.3 Equipment and Asset Tracking. (Reserved) 7.3.3.4 Staff and Visitor Tracking. (Reser
141 7.3.3.5.2 *
7.3.3.6 Patient and Equipment Monitoring Systems. (Reserved) 7.3.3.7 Clinical Information Systems. 7.3.3.7.1 *
7.3.3.7.2 *
7.3.3.7.3 *
7.3.3.7.3.1
7.3.3.7.4
7.3.3.7.5 *
7.3.3.7.6
7.3.3.8 Pharmacy. (Reserved) 7.3.3.9 Material Management Information Systems. (Reserved) 7.3.3.10 Electronic Medical Records and
142 7.3.4.6 ID Badging Systems Integrated with Point of Sales Systems. (Reserved) 7.3.4.7 Threat Protection Systems. (Reserved) 7.3.
7.4.1.1.1
7.4.2 Voice, Data, Communications, and Cable Television Systems. 7.4.2.1 Voice/Telecommunications. (Reserved) 7.4.2.2 Local Area
7.4.3.1.2
7.4.3.2 Patient Tracking. (Reserved) 7.4.3.3 Equipment and Asset Tracking. (Reserved) 7.4.3.4 Staff and Visitor Tracking. (Reser
7.4.3.6 Patient and Equipment Monitoring Systems. (Reserved) 7.4.3.7 Clinical Information Systems.
7.4.3.8 Electronic Medical Records and Dictation Systems. (Reserved) 7.4.3.9 Medical Imaging Systems. (Reserved) 7.4.3.10 Archiv
143 7.4.4.4 Sitewide Monitoring. (Reserved) 7.4.4.5 Access Control Systems. (Reserved) 7.4.4.6 ID Badging Systems Integrated with Po
7.5.1.1.1
7.5.1.1.2
7.5.1.1.3
7.5.1.1.4
7.5.2 Voice, Data, Communications, and Cable Television Systems. 7.5.2.1 Voice/Telecommunications. (Reserved) 7.5.2.2 Local Area
Chapter 8 : Plumbing
8.1 Applicability.
144 8.1.1
8.1.2
8.1.3
8.2 System Category Criteria.
8.2.1 *
8.3 General Requirements. 8.3.1 Potable Water.
8.3.2 Nonpotable Water.
8.3.3 Water Heating.
8.3.4 Water Conditioning.
8.3.5 Nonmedical Compressed Air. 8.3.5.1
8.3.5.2
8.3.5.3
8.3.6 Special Use Water Systems.
8.3.7 Grease Interceptors. 8.3.7.1
8.3.8 Fixtures.
8.3.9 Black Waste Water.
8.3.10 Gray Waste Water. 8.3.10.1
145 8.3.10.2
8.3.10.3
8.3.11 Clear Waste Water. 8.3.11.1
8.3.11.2
8.3.11.3
8.3.11.4
8.3.12 Drainage Systems.
8.4 Category 1. (Reserved) 8.5 Category 2. (Reserved) 8.6 Category 3. (Reserved)
Chapter 9 : Heating, Ventilation, and Air Conditioning (HVAC)
9.1 Applicability. 9.1.1
9.1.2
9.1.3
9.2 System Category Criteria.
9.2.1 *
9.3 General.
146 9.3.1 Heating, Cooling, Ventilating, and Process Systems. 9.3.1.1
9.3.1.2
9.3.1.3 * Anesthetizing Locations.
9.3.2 Energy Conservation.
9.3.3 Commissioning. 9.3.3.1
9.3.3.2 *
9.3.4 Piping.
9.3.5 Ductwork.
9.3.6 Medical Gas Storage or Transfilling. 9.3.6.1
9.3.6.2
9.3.6.3 *
9.3.6.4
9.3.6.5
9.3.6.5.1 *
9.3.6.5.2 Natural Ventilation. 9.3.6.5.2.1
9.3.6.5.2.2
9.3.6.5.2.3
147 9.3.6.5.2.4
9.3.6.5.2.5
9.3.6.5.3 Mechanical Ventilation. 9.3.6.5.3.1
9.3.6.5.3.2
9.3.6.5.3.3
9.3.6.5.3.4
9.3.6.5.3.5
9.3.6.5.3.6
9.3.6.5.3.7
9.3.6.6
9.3.6.7
9.3.6.8
9.3.7 Waste Gas. 9.3.7.1
9.3.7.1.1 Active Systems.
9.3.7.1.2 Passive Systems. 9.3.7.1.2.1
9.3.7.1.2.2
9.3.7.2
9.3.7.3
148 9.3.8 Medical Plume Evacuation. 9.3.8.1 *
9.3.8.2
9.3.9 Emergency Power System Room.
9.3.10 Ventilation During Construction.
9.4 Category 1. (Reserved) 9.5 Category 2. (Reserved) 9.6 Category 3. (Reserved)
Chapter 10 : Electrical Equipment
10.1 * Applicability. 10.1.1
10.1.2
10.1.3 * Reserved. 10.2 Performance Criteria for Patient Care–Related Electrical Appliances and Equipment. 10.2.1 Permanently Co
10.2.2 Cordand Plug-Connected — Portable Equipment. 10.2.2.1 Grounding of Appliances.
149 10.2.2.1.1
10.2.2.1.2
10.2.2.2 Attachment Plugs.
10.2.2.3 Construction and Use.
10.2.2.3.1
10.2.2.3.2
10.2.2.3.3
10.2.2.3.4
10.2.2.3.5
10.2.2.3.6
10.2.2.3.7 Strain Relief.
10.2.2.3.7.1
10.2.2.3.7.2
10.2.2.3.7.3
10.2.2.3.8 Testing.
10.2.3 Power Cords. 10.2.3.1 Material and Gauge. 10.2.3.1.1
10.2.3.1.2
10.2.3.2 Grounding Conductor. 10.2.3.2.1
10.2.3.2.2
150 10.2.3.2.3
10.2.3.2.4 *
10.2.3.3 Detachable Power Cords. 10.2.3.3.1
10.2.3.3.2
10.2.3.3.3
10.2.3.4 Connection to Circuit and Color Codes. 10.2.3.4.1
10.2.3.4.2
10.2.3.4.3
10.2.3.5 Cord Strain Relief. 10.2.3.5.1
10.2.3.5.2
10.2.3.6 * Relocatable Power Taps (RPTs).
10.2.4 Adapters and Extension Cords. 10.2.4.1
10.2.4.2
10.2.4.2.1
10.2.4.2.2
151 10.2.4.2.3
10.2.4.3
10.3 Testing Requirements — Patient Care–Related Electrical Appliances and Equipment. 10.3.1 * Physical Integrity.
10.3.2 * Resistance. 10.3.2.1
10.3.2.2
10.3.3 * Leakage Current Tests. 10.3.3.1 General. 10.3.3.1.1
10.3.3.1.2
10.3.3.2 Resistance Test.
10.3.3.3 * Techniques of Measurement.
10.3.3.4 Leakage and Touch Current Limits.
10.3.4 Leakage Current — Fixed Equipment. 10.3.4.1
10.3.4.2
10.3.5 Touch Current — Portable Equipment. 10.3.5.1 Single Power Cord Supplying Power.
10.3.5.2 Multiple Power Cords Supplying Power.
152 10.3.5.3 Touch Leakage Test Procedure.
Figure 10.3.5.3 Example Test Circuit for Measuring Touch Leakage Current. 10.3.5.3.1
10.3.5.4 * Touch Current — Portable Equipment.
10.3.6 * Lead Leakage Current Tests and Limits — Portable Equipment. 10.3.6.1
10.3.6.2
10.3.6.3
Figure 10.3.6.3 Test Circuit for Measuring Leakage Current Between Patient Leads and Ground — Nonisolated. 10.3.6.4
153 10.4 Nonpatient Electrical Appliances and Equipment. 10.4.1 Permanently Connected — Fixed. (Reserved) 10.4.2 Cordand Plug-Connec
10.4.2.2
10.4.2.3
10.5 Administration. 10.5.1 Responsibilities of the Health Care Facility’s Governing Body. (Reserved) 10.5.2 Policies. 10.5.2.1
10.5.2.1.2
10.5.2.2 * Protection of Patients with Direct Electrical Pathways to the Heart.
10.5.2.3 Adapters and Extension Cords. 10.5.2.3.1
10.5.2.3.2
10.5.2.3.3
10.5.2.4 Devices Likely to Be Used During Defibrillation.
10.5.2.5 * System Demonstration.
10.5.2.6 Appliances Not Provided by the Facility.
10.5.3 Servicing and Maintenance of Equipment.
154 10.5.3.1
10.5.3.2
10.5.4 Administration of Oxygen Therapy. 10.5.4.1 Electrical Equipment in Oxygen-Enriched Atmospheres.
Figure 10.5.4.1(a) Resistance Circuits (L < 1 mH): Minimum Igniting Currents, Applicable to All Circuits Containing Cadmium, Zin
155 Figure 10.5.4.1(b) Resistance Circuits (L < 1 mH): Minimum Igniting Currents, Applicable to Circuits Where Cadmium, Zinc, or Mag
156 Figure 10.5.4.1(c) Inductance Circuits (L > 1 mH): Minimum Igniting Currents at 24 V, Applicable to All Circuits Containing Cadm
157 Figure 10.5.4.1(d) Inductance Circuits (L > 1 mH): Minimum Igniting Currents for Various Voltages, Applicable to All Circuits Co
158 Figure 10.5.4.1(e) Inductance Circuits (L > 1 mH): Minimum Igniting Currents at 24 V, Applicable Only to Circuits Where Cadmium,
159 Figure 10.5.4.1(f) Capacitance Circuits Minimum Ignition Voltages. (The curves correspond to values of current-limiting resistan
is applicable only where cadmium, zinc, or magnesium can be excluded.)
160 10.5.4.2
10.5.4.3
10.5.4.4
10.5.4.5 *
10.5.4.6 *
10.5.5 Laboratory. 10.5.5.1 *
10.5.6 Record Keeping — Patient Care Appliances.
161 10.5.6.1 Instruction Manuals. 10.5.6.1.1
10.5.6.1.2
10.5.6.1.3
10.5.6.2 * Documentation. 10.5.6.2.1
10.5.6.2.2
10.5.6.3 Records Retention.
10.5.7 Use. (Reserved) 10.5.8 Qualification and Training of Personnel. 10.5.8.1 *
10.5.8.1.1
10.5.8.1.2
10.5.8.2
10.5.8.3 *
Chapter 11 : Gas Equipment
11.1 Applicability. 11.1.1
11.1.2 *
162 11.1.3
11.1.4 *
11.1.5 * Reserved. 11.2 Portable Cylinder and Container Source. 11.2.1
11.2.2
11.2.3
11.2.4
11.2.5
11.2.6
11.2.7 *
11.2.8
11.2.9
11.3 Cylinder and Container Storage Requirements. 11.3.1
11.3.2
11.3.3
11.3.4
11.3.5 * Design and Construction. 11.3.5.1
163 11.3.5.2
11.3.6 *
11.3.6.1
11.3.6.2
11.3.6.3
11.3.6.4
11.3.6.5
11.3.6.6
11.3.6.7
11.3.6.8
11.3.7
11.3.7.1
11.3.7.2
11.3.8 *
164 11.3.9
11.3.10
11.3.11
11.3.12 Signs. 11.3.12.1
11.3.12.2
11.3.12.2.1
11.3.12.3
11.3.12.3.1
11.3.12.4
11.3.12.4.1
11.3.12.5
11.4 Performance Criteria and Testing. 11.4.1 Portable Patient Care Gas Equipment.
165 11.4.1.1 *
11.4.1.2 *
11.4.1.3 Testing. 11.4.1.3.1
11.4.1.3.2
11.4.1.3.3
11.4.1.3.4
11.4.1.4 *
11.4.2 Apparatus for Administering Respiratory Therapy. 11.4.2.1
11.4.2.2
11.4.2.3
11.4.2.4
11.4.2.5
11.4.2.6
11.4.3 Nonpatient Gas Equipment. 11.4.3.1 Carts and Hand Trucks. 11.4.3.1.1 Construction.
11.4.3.2 Medical Devices.
166 11.5 Administration. 11.5.1 Policies. 11.5.1.1 Elimination of Sources of Ignition. 11.5.1.1.1
11.5.1.1.2 *
11.5.1.1.3 *
11.5.1.1.4 *
11.5.1.1.5 *
11.5.1.1.6
11.5.1.2 Misuse of Flammable Substances. 11.5.1.2.1
11.5.1.2.2
11.5.1.2.3
11.5.1.3 Servicing and Maintenance of Equipment. 11.5.1.3.1
11.5.1.3.2
11.5.1.3.3 *
11.5.2 Gases in Cylinders and Liquefied Gases in Containers. 11.5.2.1 Qualification and Training of Personnel. 11.5.2.1.1 *
11.5.2.1.2
11.5.2.1.3
167 11.5.2.1.4
11.5.2.1.5
11.5.2.2 Transfilling Cylinders. 11.5.2.2.1
11.5.2.2.2 *
11.5.2.2.3
11.5.2.3 Transfilling Liquid Oxygen.
11.5.2.3.1
11.5.2.3.2 *
11.5.2.4 * Filling Cylinders from Oxygen Concentrators.
11.5.2.4.1
11.5.2.4.2
11.5.2.4.3
11.5.2.4.4
11.5.2.5 Ambulatory Patients.
11.5.3 Use (Including Information and Warning Signs). 11.5.3.1 Labeling. 11.5.3.1.1
11.5.3.1.2
168 11.5.3.1.3
11.5.3.1.4
11.5.3.1.5
11.5.3.1.6
11.5.3.1.7
11.5.3.2 * Signs. 11.5.3.2.1
11.5.3.2.2
11.5.3.2.3
11.5.3.2.4
11.5.3.3 Transportation, Storage, and Use of Equipment. 11.5.3.3.1
11.5.3.3.2
11.5.3.3.3
11.5.3.3.4
11.5.3.3.5
11.6 Operation and Management of Cylinders. 11.6.1 Administration.
11.6.1.1
169 11.6.1.2
11.6.1.3
11.6.2 Special Precautions for Handling Oxygen Cylinders and Manifolds.
11.6.2.1
11.6.2.2
11.6.2.3
11.6.2.4
170 11.6.2.5
11.6.2.6
11.6.3 Special Precautions for Making Cylinder and Container Connections. 11.6.3.1
11.6.3.2
11.6.4 Special Precautions for the Care of Safety Mechanisms. 11.6.4.1
11.6.4.2
11.6.5 Special Precautions — Storage of Cylinders and Containers. 11.6.5.1
11.6.5.2
11.6.5.2.1
11.6.5.3
11.6.5.4
171 11.6.5.5 *
11.7 Liquid Oxygen Equipment. 11.7.1 General.
11.7.2 Information and Instructions.
11.7.3 Container Storage, Use, and Operation. 11.7.3.1 *
11.7.3.2
11.7.3.3 *
11.7.3.4
11.7.3.5 * Liquid Oxygen Portable Containers. 11.7.3.5.1
11.7.3.5.2
11.7.3.5.3
11.7.3.6
11.7.3.6.1
11.7.3.6.1.1 *
11.7.3.6.2
172 11.7.4 Maximum Quantity. 11.7.4.1
11.7.4.2
Chapter 12 : Emergency Management
12.1 * Applicability.
12.1.1 *
12.1.2
12.1.3
12.2 Responsibilities. 12.2.1 * Authority Having Jurisdiction. 12.2.1.1
12.2.1.2
12.2.2 Senior Management. 12.2.2.1
12.2.2.2
12.2.2.3
12.2.2.4
12.2.2.5
12.2.3 * Emergency Management Committee.
12.2.3.1 *
173 12.2.3.2
12.2.3.3 *
12.3 Emergency Management Categories.
12.4 General. 12.4.1 *
12.4.1.1 *
12.4.1.2
12.4.2 *
12.4.3
12.5 Emergency Management Category 1 and Emergency Management Category 2 Requirements. 12.5.1
12.5.2
12.5.3 Program Elements. 12.5.3.1 Hazard Vulnerability Analysis (HVA). 12.5.3.1.1
174 12.5.3.1.2 *
12.5.3.1.3
12.5.3.1.4
12.5.3.2 Mitigation. 12.5.3.2.1
12.5.3.2.2
12.5.3.2.3
12.5.3.3 Preparedness. 12.5.3.3.1
12.5.3.3.2
12.5.3.3.3
12.5.3.3.4
175 12.5.3.3.5
12.5.3.3.6 Critical Function Strategies.
12.5.3.3.6.1 Communications.
12.5.3.3.6.2 Resources and Assets.
12.5.3.3.6.3 * Safety and Security.
12.5.3.3.6.4 Clinical Support Activities.
176 12.5.3.3.6.5 * Essential Utilities and Systems.
12.5.3.3.6.6 Exterior Connections.
12.5.3.3.6.7 Staff Roles. (A)
(B)
(C)
(D)
(E)
(F)
12.5.3.3.6.8
12.5.3.3.7 Staff Education. 12.5.3.3.7.1
177 12.5.3.3.7.2
12.5.3.3.7.3
12.5.3.3.7.4
12.5.3.3.7.5
12.5.3.3.7.6
12.5.3.3.8 * Testing Emergency Plans and Operations. 12.5.3.3.8.1
12.5.3.3.8.2
12.5.3.3.8.3
12.5.3.3.8.4
12.5.3.3.8.5
12.5.3.3.8.6
12.5.3.3.9 Scope of Exercises. 12.5.3.3.9.1
12.5.3.3.9.2
12.5.3.3.9.3
12.5.3.3.9.4
12.5.3.3.9.5
12.5.3.3.9.6
12.5.3.3.9.7
12.5.3.3.9.8 *
178 12.5.3.4 Response. 12.5.3.4.1 *
12.5.3.4.2
12.5.3.4.3
12.5.3.4.4
12.5.3.4.5 *
12.5.3.4.5.1
12.5.3.4.5.2
12.5.3.4.5.3
12.5.3.4.5.4
12.5.3.4.6
12.5.3.4.7
12.5.3.4.8
12.5.3.4.9 * Crisis Standards of Care.
12.5.3.4.9.1
12.5.3.4.9.2
12.5.3.4.9.3
12.5.3.4.10 Medical Surge Capacity and Capability.
12.5.3.4.10.1 *
12.5.3.4.10.2
179 12.5.3.4.11
12.5.3.4.12
12.5.3.5 * Recovery. 12.5.3.5.1
12.5.3.5.2
12.5.3.5.3
12.5.3.5.4
12.5.3.5.5
12.5.3.6 Administration. 12.5.3.6.1
12.5.3.6.2
Chapter 13 : Security Management
13.1 * Applicability.
180 13.2 * Security Management Plan. 13.2.1
13.2.2 *
13.3 Security Vulnerability Assessment (SVA). 13.3.1 *
13.3.2
13.3.3
13.3.4
13.4 Responsible Person. 13.4.1
13.4.2
181 13.5 Security-Sensitive Areas. 13.5.1
13.5.2
13.5.3
13.5.4 *
13.5.5
182 13.5.6
13.5.7
13.5.8
13.6 Access and Egress Security Measures. 13.6.1
13.6.2
13.6.3
13.6.3.1 *
13.7 * Media Control. 13.7.1
13.7.1.1 *
13.7.2 *
13.7.3
13.7.4
183 13.8 * Crowd Control. 13.8.1
13.8.2
13.8.3
13.9 Access Control Equipment. 13.9.1
13.9.2
13.9.3
13.9.4 *
13.10 * Employment Practices.
13.11 * Security Operations. 13.11.1 *
13.11.2
13.12 Program Evaluation. 13.12.1 *
13.12.2
13.12.3
184 13.12.4
13.12.5
Chapter 14 : Hyperbaric Facilities
14.1 * Scope.
14.1.1 Applicability. 14.1.1.1
14.1.1.2
14.1.1.3
14.1.1.4
14.1.2 Classification of Chambers. 14.1.2.1 General.
185 14.1.2.2 Occupancy.
14.1.3 Category. 14.1.3.1 Category 1 Hyperbaric Care. 14.1.3.1.1
14.1.3.1.2
14.1.3.2 Category 2 Hyperbaric Care. 14.1.3.2.1
14.1.3.2.2
14.1.3.3 Category 3 Hyperbaric Care. 14.1.3.3.1
14.1.3.3.2
14.1.3.4 Category 4 Hyperbaric Care. (Reserved) 14.1.4 Applicable Code.
14.2 Construction and Equipment. 14.2.1 Housing for Hyperbaric Facilities. 14.2.1.1
14.2.1.1.1 *
14.2.1.1.2
14.2.1.1.3
14.2.1.1.4
14.2.1.1.5
14.2.1.1.6 *
186 14.2.1.1.7
14.2.1.1.8
14.2.1.1.9
14.2.1.1.9.1
14.2.1.2 *
14.2.1.2.1
14.2.1.2.2
14.2.1.3 Hyperbaric Piping Requirements. 14.2.1.3.1 *
14.2.1.3.2
14.2.1.3.3
14.2.1.3.3.1
14.2.1.3.3.2
14.2.1.4 Hyperbaric Medical Oxygen System Requirements. 14.2.1.4.1
14.2.1.4.2
14.2.1.4.3
14.2.1.4.4
14.2.1.4.4.1 Central Supply Systems.
187 14.2.1.4.5
14.2.1.4.5.1 Central Supply Systems.
14.2.1.4.6 Warning Systems. 14.2.1.4.6.1
14.2.1.4.6.2
14.2.1.4.7
14.2.1.4.7.1 Central Supply Systems.
14.2.1.5 Hyperbaric Medical Air System Requirements. 14.2.1.5.1
14.2.1.5.2
14.2.1.5.3
14.2.1.5.4
14.2.1.5.4.1
14.2.1.5.4.2 Reserved. 14.2.1.5.4.3
14.2.1.5.4.4 Reserved. 14.2.1.5.4.5
14.2.1.5.4.6
14.2.1.5.4.7
188 14.2.1.6 Storage and Handling of Medical Gases.
14.2.2 Fabrication of the Hyperbaric Chamber. 14.2.2.1 *
14.2.2.1.1
14.2.2.1.2
14.2.2.2
14.2.2.3
14.2.2.4 *
14.2.2.5
14.2.2.5.1
14.2.2.5.2
14.2.2.5.3
14.2.2.6
14.2.2.6.1 *
14.2.2.6.2 *
14.2.2.6.3
14.2.2.6.4 *
14.2.2.7 *
14.2.2.7.1
189 14.2.2.7.2
14.2.3 Illumination. 14.2.3.1
14.2.3.2
14.2.4 Chamber Ventilation. 14.2.4.1 Ventilation of Class A Chambers. 14.2.4.1.1
14.2.4.1.1.1
14.2.4.1.1.2
14.2.4.1.2 *
14.2.4.1.3
14.2.4.1.3.1
14.2.4.1.3.2
14.2.4.1.3.3
14.2.4.1.3.4
14.2.4.2 Sources of Air for Chamber Atmospheres. 14.2.4.2.1 *
14.2.4.2.2
14.2.4.2.3
14.2.4.2.4
14.2.4.2.5
190 14.2.4.2.5.1
14.2.4.2.6
14.2.4.2.7
14.2.4.3 Temperature and Humidity Control. 14.2.4.3.1
14.2.4.3.2
14.2.4.3.3
14.2.4.3.4
14.2.4.4 Ventilation of Class B Chambers. 14.2.4.4.1 *
14.2.4.4.2
14.2.4.4.3
14.2.5 Emergency Depressurization. 14.2.5.1
14.2.5.2
14.2.5.3
14.2.5.4 *
14.2.6 Fire Protection in Class A Chambers. 14.2.6.1 General. 14.2.6.1.1
14.2.6.1.2
14.2.6.1.3
191 14.2.6.1.3.1
14.2.6.1.4
14.2.6.1.4.1
14.2.6.1.4.2
14.2.6.1.5 *
14.2.6.1.6
14.2.6.1.7
14.2.6.1.8
14.2.6.2 Deluge System.
14.2.6.2.1
14.2.6.2.2
14.2.6.2.3
14.2.6.2.4 *
14.2.6.2.4.1
14.2.6.2.5
14.2.6.2.6 *
14.2.6.2.7
14.2.6.2.7.1
14.2.6.2.8
192 14.2.6.2.9
14.2.6.2.10
14.2.6.3 Handline System.
14.2.6.3.1
14.2.6.3.2
14.2.6.3.3
14.2.6.3.4
14.2.6.3.5
14.2.6.3.5.1
14.2.6.3.6
14.2.6.3.7
14.2.6.3.7.1
14.2.6.4 Automatic Detection System.
14.2.6.4.1
14.2.6.4.1.1
14.2.6.4.2 *
14.2.6.4.3
14.2.6.4.4
14.2.6.4.5
14.2.6.4.6
14.2.7 Pneumatic Controls for Class A Chambers.
193 14.2.8 Fire Protection in Class B and Class C Chambers.
14.2.8.1
14.2.8.2
14.2.8.2.1
14.2.8.2.2
14.2.9 Electrical Systems. 14.2.9.1 General. 14.2.9.1.1
14.2.9.1.2
14.2.9.1.3
14.2.9.1.4
14.2.9.1.5
14.2.9.1.6
14.2.9.2 Electrical Service. 14.2.9.2.1 *
194 14.2.9.2.1.1
14.2.9.2.1.2
14.2.9.2.2
14.2.9.2.3
14.2.9.2.3.1
14.2.9.2.3.2
14.2.9.2.4
14.2.9.2.5
14.2.9.2.6
14.2.9.3 * Wiring and Equipment Inside Class A Chambers.
14.2.9.3.1
14.2.9.3.2
14.2.9.3.3
14.2.9.3.4
14.2.9.3.5 Wires and Cables.
14.2.9.3.5.1
14.2.9.3.5.2
14.2.9.3.6 Wiring Methods. 14.2.9.3.6.1
195 14.2.9.3.6.2
14.2.9.3.6.3
14.2.9.3.6.4
14.2.9.3.6.5
14.2.9.3.6.6
14.2.9.3.7 Drainage.
14.2.9.3.8 Flexible Electrical Cords.
14.2.9.3.8.1
14.2.9.3.9 * Receptacles Installed Inside the Chamber. 14.2.9.3.9.1
14.2.9.3.9.2
14.2.9.3.9.3
14.2.9.3.9.4
14.2.9.3.9.5
14.2.9.3.10 Switches.
14.2.9.3.10.1 *
14.2.9.3.11 * Temperature.
14.2.9.3.12 Exposed Live Electrical Parts.
196 14.2.9.3.12.1
14.2.9.3.12.2
14.2.9.3.13 * Motors.
14.2.9.3.14 * Lighting. 14.2.9.3.14.1
14.2.9.3.14.2
14.2.9.3.14.3
14.2.9.3.14.4
14.2.9.3.15 Low-Voltage, Low-Power Equipment.
14.2.9.3.15.1 *
14.2.9.3.15.2
14.2.9.3.15.3
14.2.9.3.15.4
14.2.9.3.15.5
14.2.9.3.16 Portable Patient Care–Related Electrical Appliances. 14.2.9.3.16.1
14.2.9.3.16.2
197 14.2.9.3.16.3
14.2.9.3.16.4 Battery-Operated Devices.
14.2.9.3.16.5 Cord-Connected Devices.
14.2.9.3.17 * Gas Purging.
14.2.9.4 Grounding and Ground-Fault Protection. 14.2.9.4.1
14.2.9.4.1.1
14.2.9.4.1.2
14.2.9.4.1.3
14.2.9.4.2
14.2.9.4.2.1
14.2.9.4.2.2
14.2.9.4.3
14.2.9.5 Wiring Outside the Chamber.
14.2.9.5.1
14.2.9.5.2 *
14.2.9.6 Additional Wiring and Equipment Requirements Inside Class B and Class C Chambers.
198 14.2.9.6.1
14.2.9.6.1.1 *
14.2.9.6.1.2
14.2.9.6.1.3
14.2.9.6.2
14.2.9.6.3
14.2.10 Communications and Monitoring. 14.2.10.1 General. 14.2.10.1.1
14.2.10.1.2
14.2.10.1.3
14.2.10.1.4
14.2.10.2 * Intercommunications. 14.2.10.2.1 *
14.2.10.2.2 *
14.2.10.2.3
14.2.10.3 Combustible Gas Detection. 14.2.10.3.1
14.2.10.3.1.1
14.2.10.4 Oxygen Monitoring. 14.2.10.4.1
199 14.2.10.4.1.1
14.2.10.4.1.2
14.2.10.4.2 *
14.2.10.4.2.1
14.2.10.4.2.2 *
14.2.10.5 Carbon Dioxide Monitoring.
14.2.10.6 * Chamber Gas Supply Monitoring. 14.2.10.6.1 *
14.2.10.6.2
14.2.10.6.3
14.2.11 Other Equipment and Fixtures. 14.2.11.1
14.2.11.2 *
14.2.11.2.1
14.2.11.2.2
14.2.11.2.3
14.2.11.2.4
14.2.11.2.5 *
14.3 Administration and Maintenance. 14.3.1 General. 14.3.1.1 Purpose.
14.3.1.2 * Recognition of Hazards.
200 14.3.1.3 Responsibility. 14.3.1.3.1
14.3.1.3.2 *
14.3.1.3.2.1
14.3.1.3.2.2
14.3.1.3.2.3
14.3.1.3.3 *
14.3.1.3.4 *
14.3.1.3.4.1
14.3.1.3.5 *
14.3.1.4 Rules and Regulations. 14.3.1.4.1 * General.
14.3.1.4.1.1
14.3.1.4.2
14.3.1.4.3
14.3.1.4.4
14.3.1.4.5
14.3.1.4.6 *
14.3.1.5 Emergency Procedures. 14.3.1.5.1
201 14.3.1.5.2 *
14.3.1.5.3
14.3.1.5.4 *
14.3.1.5.4.1
14.3.1.5.4.2
14.3.1.6 General. 14.3.1.6.1 Potential Ignition Sources. 14.3.1.6.1.1 *
14.3.1.6.1.2
14.3.1.6.1.3 *
14.3.1.6.2 Flammable Gases and Liquids. 14.3.1.6.2.1
14.3.1.6.2.2
14.3.1.6.2.3
14.3.1.6.3 * Personnel. 14.3.1.6.3.1
14.3.1.6.3.2
202 14.3.1.6.3.3
14.3.1.6.4 * Textiles. 14.3.1.6.4.1
14.3.1.6.4.2 *
14.3.1.6.4.3 *
14.3.1.6.4.4
14.3.1.6.4.5 Upholstered Furniture. (A)
(B)
14.3.1.6.4.6 Mattresses. (A)
(B)
14.3.1.6.4.7
14.3.1.6.4.8
14.3.1.6.4.9
203 14.3.1.6.5
14.3.1.6.5.1
14.3.1.6.5.2
14.3.1.6.6
14.3.1.6.7
14.3.1.6.8
14.3.1.6.9 *
14.3.2 Equipment. 14.3.2.1
14.3.2.1.1
14.3.2.1.2
14.3.2.1.3
14.3.2.1.4
14.3.2.1.5
14.3.2.2 *
204 14.3.2.3
14.3.2.4
14.3.2.4.1
14.3.2.5 *
14.3.2.6 *
14.3.2.6.1
14.3.3 Handling of Gases. 14.3.3.1
14.3.3.2
14.3.3.3
14.3.3.4 *
14.3.4 Inspection, Testing, and Maintenance. 14.3.4.1 General. 14.3.4.1.1
14.3.4.1.1.1
14.3.4.1.2
14.3.4.1.3
14.3.4.1.4
14.3.4.1.4.1
205 14.3.4.1.5
14.3.4.1.6 *
14.3.4.2 Maintenance Logs. 14.3.4.2.1
14.3.4.2.1.1
14.3.4.2.2
14.3.4.2.2.1
14.3.4.2.3
14.3.4.3 Fire Protection Equipment for Class A Hyperbaric Chambers. 14.3.4.3.1
14.3.4.3.1.1
14.3.4.3.1.2
14.3.4.3.2
14.3.4.3.2.1
14.3.4.3.3
14.3.4.3.4
14.3.4.3.5 *
14.3.4.3.5.1
14.3.4.3.5.2
14.3.4.3.5.3
14.3.4.3.5.4
206 14.3.4.3.5.5
14.3.4.4 Electrical Safeguards. 14.3.4.4.1
14.3.4.4.1.1
14.3.4.4.1.2
(A)
14.3.4.5 Furniture and Grounding. 14.3.4.5.1
14.3.4.5.2 *
14.3.4.5.3
14.3.4.5.4
14.3.4.5.5
14.3.4.6 * Electrostatic Safeguards. 14.3.4.6.1
14.3.4.6.2 *
14.3.4.6.3 *
14.3.4.6.4
14.3.4.6.5 *
14.3.4.7 * Housekeeping.
14.3.4.7.1
207 Chapter 15 : Dental Gas and Vacuum Systems
15.1 Applicability.
15.1.1
15.1.2
15.1.3
15.1.4
15.1.5
15.1.6
15.1.7
15.1.8
15.1.9
15.2 Nature of Hazards of Gas and Vacuum Systems.
15.3 Category 1 Dental Gas and Vacuum Systems. 15.3.1 General.
208 15.3.2 Category 1 Medical Gas Systems (Dental). 15.3.2.1 Medical Gas and Vacuum Sources. 15.3.2.1.1 Central Supply System Identi
15.3.2.1.2 Central Supply Operations.
15.3.2.1.3 Central Supply System Locations.
15.3.2.1.4 Central Supply Systems.
15.3.2.1.5 Medical Air Supply Systems.
15.3.2.1.6
15.3.2.1.7 Medical–Surgical Vacuum Systems.
15.3.2.1.8 WAGD Systems.
15.3.2.2 Valves.
15.3.2.3 Station Outlets and Inlets.
15.3.2.4 Manufactured Assemblies.
15.3.2.5 Surface-Mounted Medical Gas Rails.
15.3.2.6 Pressure and Vacuum Indicators.
15.3.2.7 Warning Systems.
15.3.2.8 Medical Gas Distribution.
209 15.3.2.9 Labeling and Identification.
15.3.2.10 Performance Criteria and Testing (Medical Gas, Medical–Surgical Vacuum, and WAGD).
15.3.2.11 Support Gases.
15.3.2.12 Medical Gas and Vacuum Operation and Management.
15.3.3 Category 1 Dental Air and Vacuum Piping Systems. 15.3.3.1 General. 15.3.3.1.1
15.3.3.1.2
15.3.3.2 Equipment Locations for Dental Air and Vacuum Systems. 15.3.3.2.1 General.
15.3.3.2.2 Cylinders and Containers.
15.3.3.2.3 Ventilation.
15.3.3.3 Dental Gas and Vacuum Source Equipment. 15.3.3.3.1 General. 15.3.3.3.1.1
210 15.3.3.3.1.2
15.3.3.4 * Dental Air. 15.3.3.4.1 General. 15.3.3.4.1.1
15.3.3.4.1.2
15.3.3.4.2 Dental Air Compressor Units. 15.3.3.4.2.1
15.3.3.4.2.2
15.3.3.5 * Dental Vacuum. 15.3.3.5.1 General. 15.3.3.5.1.1
15.3.3.5.1.2
15.3.3.5.2 Dental Vacuum Units. 15.3.3.5.2.1
15.3.3.5.2.2
15.3.3.6 Nitrous Oxide Scavenging. 15.3.3.6.1 General. 15.3.3.6.1.1
15.3.3.6.1.2
15.3.3.6.1.3
15.3.3.6.2 Connection to Dental Vacuum.
15.3.3.7 Piping for Dental Air and Vacuum Systems. 15.3.3.7.1 General. 15.3.3.7.1.1
15.3.3.7.1.2
211 15.3.3.7.2 Piping for Dental Air Systems. 15.3.3.7.2.1 General.
15.3.3.7.2.2 Pipe.
15.3.3.7.2.3
15.3.3.7.2.4 Fittings.
15.3.3.7.2.5 Joints.
15.3.3.7.3 Piping for Dental Vacuum Systems and Scavenging Systems. 15.3.3.7.3.1 General.
15.3.3.7.3.2 Copper Piping.
(A) Copper Tube.
(B)
(C) Copper Fittings.
(D) Joints for Copper Piping.
212 15.3.3.7.3.3 PVC Plastic Piping.
15.3.3.7.3.4 CPVC Plastic Piping.
15.4 Category 2 Dental Gas and Vacuum Systems. 15.4.1 General. 15.4.1.1
15.4.1.2
15.4.1.3
15.4.1.4
15.4.1.5
15.4.1.6
15.4.1.7
15.4.2 Medical Gas Systems (Oxygen and Nitrous Oxide). 15.4.2.1 Installer Qualifications (Oxygen and Nitrous Oxide). 15.4.2.1.1
15.4.2.1.2
213 15.4.2.1.3
15.4.2.1.4
15.4.2.2 Central Supply System Identification and Labeling (Oxygen and Nitrous Oxide). 15.4.2.2.1
15.4.2.2.2
15.4.2.2.3
15.4.2.2.4
15.4.2.2.5
15.4.2.2.6
15.4.2.2.7
15.4.2.2.8
15.4.2.2.9
15.4.2.3 Central Supply System Operations (Oxygen and Nitrous Oxide). 15.4.2.3.1
15.4.2.3.2
15.4.2.3.3
15.4.2.3.4
15.4.2.3.5
15.4.2.3.6
214 15.4.2.3.7
15.4.2.3.8
15.4.2.3.9
15.4.2.3.10
15.4.2.3.11
15.4.2.3.12
15.4.2.3.13
15.4.2.4 Locations of Medical Gas Source Equipment (Oxygen and Nitrous Oxide). 15.4.2.4.1
15.4.2.4.2 *
15.4.2.4.3
15.4.2.4.4
15.4.2.4.5
15.4.2.4.6 *
15.4.2.4.7
15.4.2.4.8
15.4.2.4.9
15.4.2.4.10
15.4.2.4.11
15.4.2.4.12
15.4.2.4.13
215 15.4.2.5 Medical Gas Source Equipment (Oxygen and Nitrous Oxide). 15.4.2.5.1
15.4.2.5.2
15.4.2.5.3
15.4.2.5.4
15.4.2.5.5
15.4.2.5.6
15.4.2.5.7
15.4.2.5.8
15.4.2.5.9
15.4.2.5.9.1
15.4.2.5.10
15.4.2.5.11
15.4.2.5.12
15.4.2.5.13
15.4.2.5.14
15.4.2.6 Emergency Shutoff Valves (Oxygen and Nitrous Oxide). 15.4.2.6.1 *
15.4.2.6.2
216 15.4.2.6.3
15.4.2.6.4
15.4.2.6.4.1
15.4.2.6.4.2
15.4.2.7 Station Outlets and Risers (Oxygen and Nitrous Oxide). 15.4.2.7.1
15.4.2.7.2
15.4.2.7.3
15.4.2.7.4
15.4.2.7.5
15.4.2.8 Manufactured Assemblies (Oxygen and Nitrous Oxide).
15.4.2.9 Pressure and Vacuum Indicators (Oxygen and Nitrous Oxide).
15.4.2.10 Warning Systems (Oxygen and Nitrous Oxide).
15.4.2.11 Labeling and Identification.
15.4.3 Category 2 Dental Air and Vacuum Piping Systems. 15.4.3.1 General. 15.4.3.1.1
217 15.4.3.1.2
15.4.3.2 Equipment Locations for Dental Air and Vacuum Systems. 15.4.3.2.1 General.
15.4.3.2.2 Cylinders and Containers.
15.4.3.2.3 Ventilation for Motor-Driven Equipment.
15.4.3.3 Dental Gas and Vacuum Source Equipment. 15.4.3.3.1 General. 15.4.3.3.1.1
15.4.3.3.1.2
15.4.3.3.2 Dental Air. 15.4.3.3.2.1 General. (A)
(B)
15.4.3.3.2.2 Dental Air Compressor Units. (A)
(B)
15.4.3.3.3 Dental Vacuum. 15.4.3.3.3.1 General. (A)
(B)
218 15.4.3.3.3.2 Dental Vacuum Units. (A)
(B)
15.4.3.3.4 Nitrous Oxide Scavenging. 15.4.3.3.4.1 General. (A)
(B)
(C)
15.4.3.3.4.2 Connection to Dental Vacuum.
15.4.3.4 Category 2 Warning Systems (Oxygen and Nitrous Oxide). 15.4.3.4.1 General. 15.4.3.4.1.1
15.4.3.4.1.2
15.4.3.4.2 Master Alarm Panels. 15.4.3.4.2.1
15.4.3.4.2.2
15.4.3.4.3 Area Alarm Panels. 15.4.3.4.3.1
15.4.3.4.3.2
15.4.3.4.4 Local Alarms. 15.4.3.4.4.1
15.4.4 Piping for Category 2 Medical Gas, Dental Air, and Vacuum Systems.
219 15.4.4.1 General. 15.4.4.1.1
15.4.4.1.2
15.4.4.1.3
15.4.4.2 Piping for Oxygen and Nitrous Oxide Systems. 15.4.4.2.1 Cleaning for Oxygen Service.
15.4.4.2.2 Pipe.
15.4.4.2.3 Fittings. 15.4.4.2.3.1
15.4.4.2.3.2
15.4.4.2.3.3
15.4.4.2.3.4
15.4.4.2.3.5
15.4.4.2.4 Joints. 15.4.4.2.4.1 Brazed.
15.4.4.2.4.2 Threaded.
15.4.4.2.4.3 Prohibited Joints.
220 15.4.4.3 Piping for Dental Air Systems. 15.4.4.3.1 General.
15.4.4.3.2 Pipe.
15.4.4.3.2.1
15.4.4.3.3 Fittings.
15.4.4.3.4 Joints.
15.4.4.3.4.1
15.4.4.3.4.2
15.4.4.3.4.3
15.4.4.4 Piping for Dental Vacuum Systems and Scavenging Systems. 15.4.4.4.1 General.
15.4.4.4.2 Copper Piping.
15.4.4.4.2.1 Copper Tube.
15.4.4.4.2.2 Copper Fittings.
15.4.4.4.2.3 Joints for Copper Piping.
221 15.4.4.4.3 PVC Plastic Piping.
15.4.4.4.4 CPVC Plastic Piping.
15.4.4.5 Piping for Nitrogen.
15.4.5 Installation of Medical Gas, Dental Air, and Vacuum Piping. 15.4.5.1 General. 15.4.5.1.1
15.4.5.1.2
15.4.5.2 Pipe Sizing.
15.4.5.3 Minimum Pipe Sizes.
15.4.5.4 Location of Piping.
15.4.5.5 Protection of Piping. 15.4.5.5.1
15.4.5.5.2
15.4.5.6 Pipe Support. 15.4.5.6.1
222 15.4.5.6.2
15.4.5.6.3
15.4.5.6.4
15.4.5.6.5
15.4.5.6.6
15.4.5.7 Underground Piping Outside of Buildings. 15.4.5.7.1
223 15.4.5.7.2
15.4.5.7.3
15.4.5.7.4
15.4.5.7.5
15.4.5.7.6
15.4.5.7.7
15.4.5.7.8
15.4.5.7.9
15.4.5.7.10
15.4.5.8 Underground Piping Within Buildings. 15.4.5.8.1
15.4.5.8.2
15.4.5.8.3
15.4.5.9 Piping Within Floor Slabs Prohibited.
15.4.5.10 Hose and Flexible Connectors. 15.4.5.10.1
15.4.5.10.2
15.4.5.10.3
15.4.5.10.4
15.4.5.10.5
224 15.4.6 Brazing Copper Tubing. 15.4.6.1 Qualification of Brazing Procedures and Brazers. 15.4.6.1.1
15.4.6.1.2
15.4.6.1.3
15.4.6.1.4
15.4.6.1.5
15.4.6.1.6
15.4.6.1.7
15.4.6.2 Brazed Joints. 15.4.6.2.1
15.4.6.2.2
15.4.6.2.3
15.4.6.2.4
15.4.6.2.5
15.4.6.2.6
15.4.6.3 Cutting Tube Ends. 15.4.6.3.1
15.4.6.3.2
225 15.4.6.3.3
15.4.6.4 Cleaning Joints for Brazing. 15.4.6.4.1
15.4.6.4.2
15.4.6.4.3
15.4.6.4.4
15.4.6.4.5
15.4.6.4.6
15.4.6.4.7
15.4.6.4.8
15.4.6.4.9
15.4.6.5 Brazing Dissimilar Metals. 15.4.6.5.1
15.4.6.5.2
15.4.6.5.3
15.4.6.5.4
15.4.6.5.5
15.4.6.5.6
15.4.6.5.7
15.4.6.6 Nitrogen Purge. 15.4.6.6.1
15.4.6.6.2
15.4.6.6.3
226 15.4.6.6.4
15.4.6.6.5
15.4.6.6.6
15.4.6.6.7
15.4.6.6.8
15.4.6.6.9
15.4.6.7 Assembling and Heating Brazed Joints. 15.4.6.7.1
15.4.6.7.2
15.4.6.7.3
15.4.6.7.4
15.4.6.8 Inspection of Brazed Joints. 15.4.6.8.1
15.4.6.8.2
15.4.6.8.3
15.4.6.8.4
15.4.6.8.5
15.4.6.8.6
227 15.4.7 Performance Criteria and Testing (Oxygen and Nitrous Oxide). 15.4.7.1 Testing and Verification. 15.4.7.1.1 General. 15.4.
15.4.7.1.1.2
15.4.7.1.1.3
15.4.7.1.1.4
15.4.7.1.1.5
15.4.7.2 Required Testing and Verification. 15.4.7.2.1 Category 2 Medical Gas Systems (Oxygen and Nitrous Oxide).
15.4.7.2.2
15.4.7.3 Qualification of System Testers and Verifiers (Oxygen and Nitrous Oxide). 15.4.7.3.1
15.4.7.3.2
15.4.7.4 Initial Testing of Piping Systems (Oxygen and Nitrous Oxide). 15.4.7.4.1 General. 15.4.7.4.1.1
15.4.7.4.1.2
15.4.7.4.1.3
15.4.7.4.1.4
228 15.4.7.4.1.5
15.4.7.4.1.6
15.4.7.4.2 Initial Piping Blowdown (Oxygen and Nitrous Oxide).
15.4.7.4.3 Initial Cross-Connection Test for Copper Piping Systems. 15.4.7.4.3.1
15.4.7.4.3.2
15.4.7.4.3.3
15.4.7.4.3.4
15.4.7.4.3.5
15.4.7.4.3.6
15.4.7.4.3.7
15.4.7.4.3.8
15.4.7.4.3.9
15.4.7.4.4 Initial Pressure Test. 15.4.7.4.4.1
15.4.7.4.4.2
15.4.7.4.4.3
15.4.7.4.4.4
15.4.7.4.4.5 *
15.4.7.4.4.6
229 15.4.7.4.5 Initial Piping Purge Test. 15.4.7.4.5.1
15.4.7.4.5.2
15.4.7.4.5.3
15.4.7.4.6 Standing Pressure Test for Oxygen and Nitrous Oxide Piping. 15.4.7.4.6.1
15.4.7.4.6.2
15.4.7.4.6.3
15.4.7.4.6.4
15.4.7.4.6.5
15.4.7.4.6.6
15.4.7.4.6.7
15.4.7.4.6.8
15.4.7.5 Verification of Piping Systems (Oxygen and Nitrous Oxide). 15.4.7.5.1 General. 15.4.7.5.1.1
15.4.7.5.1.2
15.4.7.5.1.3
15.4.7.5.1.4
15.4.7.5.1.5
15.4.7.5.1.6
15.4.7.5.1.7
230 15.4.7.5.1.8
15.4.7.5.1.9
15.4.7.5.2 Verifier Standing Pressure Test.
15.4.7.5.3 Verifier Cross-Connection Test.
15.4.7.5.4 Verifier Piping Purge Test. 15.4.7.5.4.1
15.4.7.5.4.2
15.4.7.5.4.3
15.4.7.5.4.4
15.4.7.5.4.5
15.4.7.5.5 Verifier Piping Particulate Test. 15.4.7.5.5.1
15.4.7.5.5.2
15.4.7.5.5.3
15.4.7.5.5.4
15.4.7.5.5.5
15.4.7.5.5.6
15.4.7.5.6 Verifier Piping Purity Test.
231 15.4.7.5.6.1
15.4.7.5.6.2
15.4.7.5.6.3
15.4.7.5.6.4
15.4.7.5.6.5
15.4.7.5.6.6
15.4.7.5.6.7
15.4.7.5.7 Verifier Final Tie-in Test. 15.4.7.5.7.1
15.4.7.5.7.2
15.4.7.5.7.3
15.4.7.5.7.4
15.4.7.5.7.5
15.4.7.5.8 Verifier Operational Pressure Test. 15.4.7.5.8.1
15.4.7.5.8.2
15.4.7.5.8.3
15.4.7.5.9 Verifier Gas Concentration Test.
15.4.8 Performance Criteria and Testing (Dental Air and Vacuum).
232 15.4.8.1 Dental Air and Vacuum Systems Testing. 15.4.8.1.1 General. 15.4.8.1.1.1
15.4.8.1.1.2
15.4.8.1.1.3
15.4.8.1.1.4
15.4.8.1.1.5
15.4.8.1.2 Category 2 Dental Air and Vacuum Systems. 15.4.8.1.2.1
15.4.8.1.2.2
15.4.8.1.3 Initial Testing of Piping Systems. 15.4.8.1.3.1 General. (A)
(B)
15.4.8.1.4 Initial Cross-Connection Test for Plastic Vacuum and Plastic Scavenging Piping Systems. 15.4.8.1.4.1
15.4.8.1.4.2
15.4.8.1.4.3
15.4.8.1.4.4
15.4.8.1.4.5
15.4.8.1.4.6
15.4.8.1.4.7
233 15.4.8.1.4.8
15.4.8.1.4.9
15.4.8.1.5 Initial Pressure Test. 15.4.8.1.5.1
15.4.8.1.5.2
15.4.8.1.5.3
15.4.8.1.5.4
15.4.8.1.5.5
15.4.8.1.5.6
15.4.8.1.6 Initial Piping Purge Test. 15.4.8.1.6.1
15.4.8.1.6.2
15.4.8.1.6.3
15.4.8.1.7 Standing Pressure Test for Dental Air and Copper Vacuum Piping. 15.4.8.1.7.1
15.4.8.1.7.2
15.4.8.1.7.3
15.4.8.1.7.4
15.4.8.1.7.5
15.4.8.1.7.6
15.4.8.1.7.7
234 15.4.8.1.8 Standing Vacuum Test for Plastic Vacuum Piping. 15.4.8.1.8.1
15.4.8.1.8.2
15.4.8.1.8.3
15.4.8.1.8.4
15.4.8.1.8.5
15.4.8.1.8.6
15.4.8.1.8.7
15.4.9 Operation and Management. 15.4.9.1 System Shutdowns. 15.4.9.1.1
15.4.9.1.2
15.4.9.2 Prohibited Interconnections.
15.4.9.3 Manufacturer’s Instructions. 15.4.9.3.1
15.4.9.3.2
15.4.9.4 Maintenance. 15.4.9.4.1
15.4.9.4.2
15.4.9.5 Periodic Testing. 15.4.9.5.1
15.5 Category 3 Dental Gas and Vacuum Systems. 15.5.1 General.
235 15.5.1.1
15.5.1.2
15.5.1.3
15.5.1.4
15.5.2 Category 3 Dental Air and Vacuum Piping Systems. 15.5.2.1 General.
15.5.2.2 Vacuum Systems.
15.5.3 Equipment Locations for Dental Air and Vacuum Systems. 15.5.3.1 General.
15.5.3.2 Cylinders and Containers.
15.5.3.3 Ventilation for Motor-Driven Equipment.
15.5.4 Dental Gas and Vacuum Source Equipment. 15.5.4.1 General. 15.5.4.1.1
15.5.4.1.2
15.5.4.2 Dental Air. 15.5.4.2.1 General. 15.5.4.2.1.1
15.5.4.2.1.2
15.5.4.2.2 Dental Air Compressor Units. 15.5.4.2.2.1
15.5.4.2.2.2
236 15.5.4.3 Dental Vacuum. 15.5.4.3.1 General. 15.5.4.3.1.1
15.5.4.3.1.2
15.5.4.3.2 Dental Vacuum Units. 15.5.4.3.2.1
15.5.4.3.2.2
15.5.5 Piping for Category 3 Dental Gas and Vacuum Systems. 15.5.5.1 General. 15.5.5.1.1
15.5.5.1.2
15.5.5.2 Piping for Dental Air Systems. 15.5.5.2.1 General.
15.5.5.2.2 Pipe.
15.5.5.2.2.1
15.5.5.2.3 Fittings.
15.5.5.2.4 Joints.
15.5.5.3 Piping for Dental Vacuum Systems and Scavenging Systems.
237 15.5.5.3.1 General.
15.5.5.3.2 Copper Piping.
15.5.5.3.2.1 Copper Tube. (A)
(B)
15.5.5.3.2.2 Copper Fittings.
15.5.5.3.2.3 Joints for Copper Piping.
15.5.5.3.3 PVC Plastic Piping.
15.5.5.3.4 CPVC Plastic Piping.
15.5.6 Installation of Dental Air and Vacuum Piping. 15.5.6.1 General. 15.5.6.1.1
15.5.6.1.2
238 15.5.6.2 Pipe Sizing.
15.5.6.3 Protection of Piping. 15.5.6.3.1
15.5.6.3.2
15.5.6.4 Pipe Support. 15.5.6.4.1
15.5.6.4.2
15.5.6.4.3
15.5.6.4.4
15.5.6.4.5
239 15.5.6.5 Underground Piping Outside of Buildings. 15.5.6.5.1
15.5.6.5.2
15.5.6.5.3
15.5.6.5.4
15.5.6.5.5
15.5.6.5.6
15.5.6.5.7
15.5.6.5.8
15.5.6.5.9
15.5.6.5.10
15.5.6.6 Underground Piping Within Buildings. 15.5.6.6.1
15.5.6.6.2
15.5.6.7 Piping Within Floor Slabs Prohibited.
15.5.7 Performance Criteria and Testing (Dental air and Vacuum). 15.5.7.1 Dental Air and Vacuum Systems Testing. 15.5.7.1.1 Gene
240 15.5.7.1.1.2
15.5.7.1.1.3
15.5.7.1.1.4
15.5.7.1.1.5
15.5.7.1.2 Required Testing. 15.5.7.1.2.1 Category 3 Dental Air and Vacuum Systems. (A)
(B)
15.5.7.1.3 Initial Testing of Piping Systems. 15.5.7.1.3.1 General. (A)
(B)
15.5.7.1.3.2 Initial Pressure Test. (A)
(B)
(C)
(D)
(E)
(F)
15.5.7.1.3.3 Initial Piping Purge Test.
241 (A)
(B)
(C)
15.5.7.1.3.4 Standing Pressure Test for Dental Air and Copper Vacuum Piping. (A)
(B)
(C)
(D)
(E)
(F)
(G)
15.5.7.1.3.5 Standing Vacuum Test for Plastic Vacuum Piping. (A)
(B)
(C)
(D)
(E)
(F)
(G)
15.5.8 Operation and Management. 15.5.8.1 System Shutdowns.
15.5.8.2 Manufacturer’s Instructions. 15.5.8.2.1
242 15.5.8.2.2
15.5.8.3 Maintenance.
Chapter 16 : Features of Fire Protection
16.1 Applicability. 16.1.1
16.1.2
16.2 Construction and Compartmentation.
16.3 Special Hazard Protection for Flammable Liquids and Gases. 16.3.1
16.3.2 *
16.4 Laboratories.
16.5 Utilities. 16.5.1 General.
16.5.1.1 Gas.
16.5.1.2 Electrical Systems.
16.5.1.3 Emergency Generators and Standby Power Systems.
16.5.1.4 Stored Electrical Energy Systems.
16.5.2 Heating, Ventilating, and Air-Conditioning.
243 16.5.2.1 * Heating, Ventilating, and Air Conditioning.
16.5.2.2 Ventilating or Heat-Producing Equipment.
16.5.2.3 Commercial Cooking Operations.
16.5.2.4 Ventilating Systems in Laboratories Using Chemicals.
16.5.3 Elevators, Escalators, and Conveyors.
16.5.3.1 Code Compliance.
16.5.3.1.1
16.5.3.1.2
16.5.3.2 Fire Fighters’ Emergency Operations.
16.5.3.2.1
16.5.3.2.2
16.5.3.3 * Elevator Machine Rooms.
16.5.3.4 Elevator Testing.
16.6 Waste Chutes, Incinerators, and Linen Chutes.
16.6.1
16.7 Fire Detection, Alarm, and Communications Systems.
16.7.1 * General.
16.7.1.1
244 16.7.1.2
16.7.1.3
16.7.1.4
16.7.2 Signal Initiation. 16.7.2.1
16.7.2.2
16.7.2.2.1
16.7.2.3
16.7.2.4 *
16.7.2.5
16.7.2.5.1
16.7.2.6
16.7.2.7
16.7.3 Smoke Alarms. 16.7.3.1
16.7.3.2
16.7.3.3
16.7.4 Occupant Notification.
16.7.4.1
16.7.4.2
245 16.7.4.2.1 *
16.7.4.2.2 *
16.7.4.3 Defend in Place.
16.7.4.3.1 *
16.7.4.3.2 *
16.7.4.3.3
16.7.4.3.4
16.7.4.3.5 *
16.7.4.3.6
16.7.4.3.7
16.8 * Heliports. 16.8.1
16.8.2
16.9 Automatic Sprinklers and Other Extinguishing Equipment. 16.9.1 Automatic Sprinklers. 16.9.1.1
16.9.1.2
16.9.1.3 * Defend in Place.
16.9.1.4 * Closets.
246 16.10 Manual Extinguishing Equipment. 16.10.1 *
16.10.1.1
16.10.1.1.1 *
16.10.1.2
16.10.1.3 *
16.10.1.4 *
16.10.1.5
16.10.2
16.10.2.1
16.10.2.2 *
16.11 * Compact Storage.
16.12 Compact Mobile Storage. 16.12.1
16.12.2
16.12.3 *
16.13 Maintenance and Testing. 16.13.1
16.13.2
16.14 Fire Loss Prevention in Operating Rooms.
247 16.14.1 Hazard Assessment. 16.14.1.1
16.14.1.2
16.14.1.3
16.14.2 Fire Prevention Procedures.
16.14.3 Germicides and Antiseptics. 16.14.3.1
16.14.3.2 *
16.14.3.3
16.14.3.4
16.14.3.5
16.14.3.6
16.14.3.7
16.14.3.8
16.14.3.9 Emergency Procedures. 16.14.3.9.1
16.14.3.9.2
16.14.3.9.3
16.14.3.9.4
248 16.14.3.10 Orientation and Training. 16.14.3.10.1
16.14.3.10.2
16.14.3.10.3
Annex A : Explanatory Material
A Explanatory Material
A. 1.1.10
A. 1.1.12
A. 1.3.1.3
A. 1.5
A. 2.1
A. 3.2.1 Approved.
249 A. 3.2.2 Authority Having Jurisdiction (AHJ).
A. 3.2.3 Code.
A. 3.2.6 Listed.
A. 3.3.10 Applicator.
A. 3.3.12 Atmosphere.
A. 3.3.12.2 Atmosphere of Increased Burning Rate.
Figure A. 3.3.12.2 Burning Rates of Filter Paper Strips at an Angle of 45 Degrees in N2–O2 Mixtures. (Adapted from Figure 4 of “
250 A. 3.3.19.3 Bulk Oxygen System.
A. 3.3.21 Central Supply System.
251 A. 3.3.23 Clinical IT Network.
A. 3.3.25 Combustible Liquid.
A. 3.3.26 Combustion.
A. 3.3.28 Compressed Medical Gases (CMG).
A. 3.3.35 Defend in Place.
A. 3.3.41 Direct Electrical Pathway to the Heart.
A. 3.3.42 Disaster.
A. 3.3.44 Double-Insulated Appliances.
A. 3.3.52 Essential Electrical System.
A. 3.3.55 Facility Fire Plan.
252 A. 3.3.58 FGI Guidelines.
A. 3.3.59 Flammable.
A. 3.3.62 Flash Point.
A. 3.3.64 Flowmeter.
A. 3.3.65 Frequency.
A. 3.3.66 Fume Hood.
A. 3.3.68 General Anesthesia and Levels of Sedation/Analgesia.
A. 3.3.69 Ground-Fault Circuit Interrupter (GFCI).
A. 3.3.71 Grounding System.
A. 3.3.73 Health Care Facilities.
A. 3.3.74 Health Care Facility’s Governing Body.
A. 3.3.75 Health Care Microgrid.
253 A. 3.3.77 Home Care.
A. 3.3.81 Hyperbaric Operations.
A. 3.3.86 Impedance.
A. 3.3.88 Instrument Air.
A. 3.3.90 Intrinsically Safe.
A. 3.3.93 Isolated Power System.
A. 3.3.95 Laboratory.
A. 3.3.98 Limited-Combustible (Material).
A. 3.3.100 Liquid.
A. 3.3.101 Local Signal.
A. 3.3.104 Manufactured Assembly.
254 A. 3.3.106 Medical Air.
A. 3.3.110 Medical Office.
A. 3.3.125 Nonflammable Medical Gas System.
A. 3.3.129 Oxidizing Gas.
A. 3.3.130 Oxygen.
A. 3.3.130.2 Liquid Oxygen.
A. 3.3.132 Oxygen Delivery Equipment.
A. 3.3.133 Oxygen Hood.
A. 3.3.135 Oxygen Toxicity (Hyperbaric).
A. 3.3.140 Patient Care Space.
A. 3.3.140.1 Category 1 Space.
A. 3.3.140.2 Category 2 Space.
255 A. 3.3.140.3 Category 3 Space.
A. 3.3.140.4 Category 4 Space.
A. 3.3.143 Patient Lead.
A. 3.3.149.5 Operating Pressure.
A. 3.3.149.6 Partial Pressure.
A. 3.3.150 Pressure-Reducing Regulator.
A. 3.3.152 Producer.
A. 3.3.154 psig.
A. 3.3.160 Remote.
A. 3.3.169 Single Treatment Facility.
Figure A. 3.3.169 Examples of Treatment Facilities.
256 A. 3.3.170 Site of Intentional Expulsion.
A. 3.3.176 Surface-Mounted Medical Gas Rail Systems.
A. 3.3.181.1 Endotracheal Tube.
A. 3.3.187 Wet Procedure Locations.
A. 4.1
257 A. 4.1.1
A. 4.1.2
A. 4.1.5
A. 4.2
Figure A. 4.2 Sample Risk Assessment.
258 A. 4.2.2
A. 4.4.1
A. 4.4.2
A. 5.1.1
A. 5.1.1.3
A. 5.1.1.4
259 A. 5.1.3
Figure A. 5.1.3 Legend for Typical Category 1 Source Drawings.
260 A. 5.1.3.1.1
A. 5.1.3.1.2
261 A. 5.1.3.2.5
A. 5.1.3.3
A. 5.1.3.3.1.1(4)
A. 5.1.3.3.1.2(5)
A. 5.1.3.3.1.3(6)
A. 5.1.3.3.1.10
A. 5.1.3.3.2
A. 5.1.3.3.2.1(6)
A. 5.1.3.3.2.1(7)
A. 5.1.3.3.2.1(8)
262 A. 5.1.3.3.2.1(11)
A. 5.1.3.3.2.1(14)
A. 5.1.3.3.4.2
A. 5.1.3.5
Figure A. 5.1.3.5 Typical Arrangement for Line Controls at Pressure Sources. A. 5.1.3.5.4
263 A. 5.1.3.5.5.1
A. 5.1.3.5.9
Figure A. 5.1.3.5.9(a) Header for Gas in Cylinders. Figure A. 5.1.3.5.9(b) Header for Cryogenic Gas in Containers.
264 A. 5.1.3.5.9(1)
A. 5.1.3.5.10
Figure A. 5.1.3.5.10 Manifold for Gas Cylinders.
265 A. 5.1.3.5.11
Figure A. 5.1.3.5.11 Typical Source of Supply for Cryogenic Gas in Containers.
266 A. 5.1.3.5.13
Figure A. 5.1.3.5.13 Emergency Oxygen Supply Connection.
267 A. 5.1.3.5.13.2(8)
A. 5.1.3.6
Figure A. 5.1.3.6 Elements of a Typical Duplex Medical Air Compressor Source System (Category 1 Gas Systems).
269 A. 5.1.3.6.1
A. 5.1.3.6.2
A. 5.1.3.6.3
A. 5.1.3.6.3.4(A)
A. 5.1.3.6.3.9(D)
Figure A. 5.1.3.6.3.9(D) Receiver Valving Arrangement.
270 A. 5.1.3.6.3.9(F)
Figure A. 5.1.3.6.3.9(F) Alternate Valving Sequences for Line Controls in Medical Air.
271 A. 5.1.3.6.3.10
A. 5.1.3.6.3.14(A)(1)
A. 5.1.3.6.3.14(A)(9)
272 A. 5.1.3.6.3.14(C)(9)
A. 5.1.3.7
Figure A. 5.1.3.7 Elements of Typical Duplex Vacuum Source System (Category 1 Vacuum Systems).
273 A. 5.1.3.8
274 A. 5.1.3.8.1
A. 5.1.3.9
Figure A. 5.1.3.9(a) Elements of an Oxygen Concentrator Central Supply Source. Figure A. 5.1.3.9(b) Elements of an Oxygen Concen
275 Figure A. 5.1.3.9(c) One Example of an Oxygen Concentrator Central Supply Source in Practice.
276 A. 5.1.3.9.1
Figure A. 5.1.3.9.1 Elements of an Oxygen Concentrator Supply Source. A. 5.1.3.9.2(2)
277 A. 5.1.3.9.2(5)
A. 5.1.3.10
Figure A. 5.1.3.10(a) Distance Between Bulk Oxygen Systems and Exposures.
278 Figure A. 5.1.3.10(b) Typical Source of Supply for Cryogenic Gas in Bulk.
280 A. 5.1.3.10.1.1
A. 5.1.3.10.8.3
A. 5.1.3.10.11.4(A)
A. 5.1.3.10.12
A. 5.1.4
Figure A. 5.1.4 Arrangement of Pipeline Components.
281 A. 5.1.4.3
282 A. 5.1.4.6.1(2)
A. 5.1.4.6.1(3)
A. 5.1.5
A. 5.1.6
Figure A. 5.1.6 Terminals in Manufactured Assemblies.
283 A. 5.1.7
A. 5.1.8.1.3
A. 5.1.9.2
287 A. 5.1.9.4
A. 5.1.9.4(2)
A. 5.1.9.4.1
A. 5.1.9.4.4
288 A. 5.1.9.4.4(1)
A. 5.1.9.4.4(2)
A. 5.1.9.5
289 A. 5.1.10.1.4
A. 5.1.10.1.4(2)
A. 5.1.10.2.3.2
A. 5.1.10.3.1
290 A. 5.1.10.4.5
A. 5.1.10.4.5.12
A. 5.1.10.5.1.5
A. 5.1.10.8(3)
A. 5.1.10.11.4.4
A. 5.1.11
A. 5.1.11.2.3
291 A. 5.1.11.2.8
A. 5.1.11.4.2
A. 5.1.12
A. 5.1.12.2.3.5
A. 5.1.12.2.6.1
A. 5.1.12.2.6.5
292 A. 5.1.12.2.7.5
A. 5.1.12.4.2
A. 5.1.12.4.6.4
A. 5.1.12.4.8
293 A. 5.1.12.4.10.6
A. 5.1.12.4.11(3)
A. 5.1.13.1
A. 5.1.13.1.2
A. 5.1.13.3.7
Figure A. 5.1.13.3.7 Elements of Typical Instrument Air Source.
294 A. 5.1.13.3.7.7
A. 5.1.14
A. 5.1.14.2.1
A. 5.1.14.2.2(4)
A. 5.1.14.3.1
295 A. 5.1.14.3.3
A. 5.1.14.3.4
A. 5.1.14.3.5
A. 5.1.14.4.1
A. 5.1.14.4.2.2
A. 5.1.14.4.3
296 A. 5.1.14.7.11
A. 5.1.14.7.11(2)(a)
A. 5.2.1
A. 5.2.14
297 A. 5.3.1
A. 5.3.3.5.10(3)
A. 6.1
298 A. 6.2.1
A. 6.2.4
A. 6.3.2.1
A. 6.3.2.2.1
A. 6.3.2.2.5
A. 6.3.2.2.7
A. 6.3.2.3.1
A. 6.3.2.3.4
A. 6.3.2.3.8
A. 6.3.2.4
299 A. 6.3.2.5.1.5
A. 6.3.2.5.3
A. 6.3.2.8.4
A. 6.3.2.9
A. 6.3.2.9.2.1
A. 6.3.2.9.3.1
A. 6.3.2.9.3.3
300 A. 6.3.2.9.3.4
A. 6.3.3.1.1
A. 6.3.3.1.1.4
301 A. 6.3.3.1.3
Figure A. 6.3.3.1.3(a) Circuit Used to Measure Leakage Current with High Source Impedance.
Figure A. 6.3.3.1.3(b) Circuit Used to Measure Leakage Current with Low Source Impedance.
302 A. 6.3.3.1.4
A. 6.3.4.1.1
A. 6.7
A. 6.7.1.1
A. 6.7.1.2.1
A. 6.7.1.2.2.2
A. 6.7.1.2.2.3
303 A. 6.7.1.2.4
A. 6.7.1.2.7.2(B)
A. 6.7.1.2.7.2(H)
A. 6.7.1.3.4
A. 6.7.1.3.4.2
A. 6.7.1.3.5
A. 6.7.2
304 A. 6.7.2.1.1
A. 6.7.2.1.2.1(A)
A. 6.7.2.1.2.1(A)(2)
A. 6.7.2.1.2.3
A. 6.7.2.1.2.4
A. 6.7.2.1.2.7
A. 6.7.2.1.2.11
A. 6.7.2.1.2.13
A. 6.7.2.1.2.17
A. 6.7.2.1.5.3
A. 6.7.2.2.5(B)
A. 6.7.4.1.1.5(A)
305 A. 6.7.4.1.2.1
A. 6.7.5
A. 6.7.5.1
A. 6.7.5.1.2.4(3)
A. 6.7.5.1.3
A. 6.7.5.1.3.2(6)
A. 6.7.5.1.4.3
A. 6.7.5.1.4.4
A. 6.7.5.1.4.4(2)
A. 6.7.5.1.4.4(9)
306 A. 6.7.5.2.1
A. 6.7.6
A. 6.7.6.2.1
A. 6.7.6.2.1.5(C)(4)
A. 6.7.6.2.1.6(E)
A. 6.7.6.2.1.6(E)(1)(a)
A. 6.7.6.2.1.6(E)(2)
A. 6.7.6.3.1
A. 6.7.6.3.2
A. 6.8.1
A. 6.8.2
307 A. 6.9.1.1
A. 6.9.3.1
A. 6.9.4.1
A. 6.9.4.2
308 A. 6.9.4.2.2(1)
A. 6.9.4.2.2(4)
A. 6.10.1.2
A. 6.10.1.3
A. 6.10.3.2
A. 6.10.6
A. 6.10.6.1
A. 6.10.7.2(2)
A. 7.1
A. 7.3.1.2
A. 7.3.1.2.1.4(C)
A. 7.3.1.2.1.8(B)
A. 7.3.1.2.1.8(C)
309 A. 7.3.1.2.2.2
A. 7.3.3.1.1
A. 7.3.3.1.1.3
A. 7.3.3.1.1.5
A. 7.3.3.1.2.1
A. 7.3.3.1.2.2
A. 7.3.3.1.2.3
A. 7.3.3.1.3.1
A. 7.3.3.1.4
A. 7.3.3.1.4.1
310 A. 7.3.3.5.2
A. 7.3.3.7.1
A. 7.3.3.7.2
A. 7.3.3.7.3
A. 7.3.3.7.5
A. 8.2.1
A. 9.2.1
A. 9.3.1.3
311 A. 9.3.3.2
A. 9.3.6.3
A. 9.3.6.5.1
A. 9.3.8.1
A. 9.3.8.1(1)
A. 10.1
A. 10.1.3
A. 10.2.3.2.4
A. 10.2.3.6
A. 10.2.3.6(1)
A. 10.2.3.6(2)
312 A. 10.2.4.3(2)
A. 10.3.1
A. 10.3.2
Figure A. 10.3.2(a) Two-Wire Resistance Technique. Figure A. 10.3.2(b) Four-Wire Resistance Technique. Figure A. 10.3.2(c) AC Cu
313 Figure A. 10.3.3 Leakage Current Measurements (1.0 Millivoltmeter Reading Corresponds to Input Current of 1.0 Microampere). A. 1
A. 10.3.5.4
A. 10.3.6
A. 10.5.2.2
A. 10.5.2.5
A. 10.5.4.5
314 A. 10.5.4.6
A. 10.5.5.1
A. 10.5.6.2
A. 10.5.8.1
A. 10.5.8.3
A. 11.1.2
A. 11.1.4
315 A. 11.1.5
A. 11.2.7
A. 11.3.5
3 2
316 A. 11.3.5.2(5)
A. 11.3.5.2(6)
A. 11.3.5.2(7)
A. 11.3.5.2(12)
A. 11.3.5.2(13)
A. 11.3.6
317 A. 11.3.8
A. 11.4.1.1
A. 11.4.1.2
A. 11.4.1.4
A. 11.5.1.1.2
A. 11.5.1.1.3
A. 11.5.1.1.4
A. 11.5.1.1.5
318 A. 11.5.1.3.3
A. 11.5.2.1.1
A. 11.5.2.2.2
A. 11.5.2.3.2
A. 11.5.2.4
A. 11.5.3.2
Figure A. 11.5.3.2 Suggested Minimum Text for Precautionary Signs.
319 A. 11.6.5.5
A. 11.7.3.1
A. 11.7.3.3
A. 11.7.3.5
A. 11.7.3.6.1.1
A. 12.1
A. 12.1.1
320 A. 12.2.1
A. 12.2.3
321 A. 12.2.3.1
A. 12.2.3.3
A. 12.4.1
322 A. 12.4.1.1
A. 12.4.2
A. 12.5.3.1.2
A. 12.5.3.1.3(1)
A. 12.5.3.2.3(7)
A. 12.5.3.3.6.1(5)
A. 12.5.3.3.6.3
323 A. 12.5.3.3.6.5
A. 12.5.3.3.6.8(1)
A. 12.5.3.3.8
A. 12.5.3.3.9.8
A. 12.5.3.4.1
A. 12.5.3.4.5
A. 12.5.3.4.9
A. 12.5.3.4.10.1
324 A. 12.5.3.5
A. 13.1
A. 13.2
A. 13.2.2
A. 13.3.1
A. 13.4.2(3)(c)
A. 13.5.2(1)
A. 13.5.3(5)
A. 13.5.4
A. 13.5.6(3)
A. 13.5.7(1)
325 A. 13.6.3.1
A. 13.7
A. 13.7.1.1
A. 13.7.2
A. 13.8
A. 13.9.4
A. 13.10
A. 13.11
326 A. 13.11.1
A. 13.12.1
A. 14.1
A. 14.2.1.1.1
A. 14.2.1.1.6
A. 14.2.1.2
A. 14.2.1.2(1)
A. 14.2.1.2(3)
A. 14.2.1.3.1
A. 14.2.2.1
A. 14.2.2.4
327 A. 14.2.2.6.1
A. 14.2.2.6.2
A. 14.2.2.6.4
A. 14.2.2.7
A. 14.2.4.1.2
A. 14.2.4.2.1
A. 14.2.4.4.1
A. 14.2.5.4
A. 14.2.6.1.5
A. 14.2.6.2.4
328 A. 14.2.6.2.6
A. 14.2.6.4.2
A. 14.2.9.2.1
A. 14.2.9.2.1(1)
A. 14.2.9.2.1(2)
A. 14.2.9.2.1(3)
A. 14.2.9.2.1(4)
A. 14.2.9.2.1(5)
A. 14.2.9.2.1(6)
A. 14.2.9.3
A. 14.2.9.3.9
329 A. 14.2.9.3.10.1
A. 14.2.9.3.11
A. 14.2.9.3.13
A. 14.2.9.3.14
A. 14.2.9.3.15.1
A. 14.2.9.3.16
A. 14.2.9.3.17
A. 14.2.9.5.2
A. 14.2.9.6.1.1
A. 14.2.10.2
A. 14.2.10.2.1
A. 14.2.10.2.2
330 A. 14.2.10.4.2
A. 14.2.10.4.2.2
A. 14.2.10.6
A. 14.2.10.6.1
A. 14.2.11.2
A. 14.2.11.2.5
Figure A. 14.2.11.2.5 Fire Safety Symbols from NFPA 170.
331 A. 14.3.1.2
A. 14.3.1.3.2
332 A. 14.3.1.3.3
A. 14.3.1.3.4
A. 14.3.1.3.5
A. 14.3.1.4.1
A. 14.3.1.4.6
A. 14.3.1.5.2
A. 14.3.1.5.4
A. 14.3.1.6.1.1
A. 14.3.1.6.1.3
333 A. 14.3.1.6.2.2(2)
A. 14.3.1.6.3
A. 14.3.1.6.4
A. 14.3.1.6.4.2
334 A. 14.3.1.6.4.3
Figure A. 14.3.1.6.4.3 Risk Assessment Process.
336 A. 14.3.1.6.9
A. 14.3.2.2
A. 14.3.2.5
A. 14.3.2.6
A. 14.3.3.4
A. 14.3.4.1.6
A. 14.3.4.3.5
A. 14.3.4.5.2
A. 14.3.4.6
A. 14.3.4.6.2
A. 14.3.4.6.3
A. 14.3.4.6.5
A. 14.3.4.7
337 A. 15.3.3.4
Figure A. 15.3.3.4 Dental Air Supply System.
338 A. 15.3.3.5
Figure A. 15.3.3.5(a) Typical Wet or Dry Piping System with Single Vacuum Pump Source. Figure A. 15.3.3.5(b) Typical Wet or Dry
Liquid Separator.
339 Figure A. 15.3.3.5(c) Typical Wet or Dry Piping System with Single Vacuum Source. Figure A. 15.3.3.5(d) Typical Wet or Dry Pipin
A. 15.4.2.4.6
340 Figure A. 15.4.2.4.6 Examples of Storage/Supply Enclosures. A. 15.4.2.6.1
Figure A. 15.4.2.6.1 Examples of Single Treatment Locations.
341 A. 15.4.7.4.4.5
A. 16.3.2
A. 16.5.2.1
A. 16.5.3.3
A. 16.7.1
A. 16.7.2.4
342 A. 16.7.4.2.1
A. 16.7.4.2.2
A. 16.7.4.3.1
A. 16.7.4.3.2
A. 16.7.4.3.5
A. 16.8
A. 16.9.1.3
A. 16.9.1.4
A. 16.10.1
A. 16.10.1.1.1
343 Figure A. 16.10.1.1.1 Example of a Label on an Extinguisher for an MRI Environment. A. 16.10.1.3
A. 16.10.1.4
A. 16.10.2.2
A. 16.11
A. 16.12.3
A. 16.14.3.2
Annex B : Additional Explanatory Notes
B Additional Explanatory Notes
B. 1 Reserved.
344 B. 2 Reserved. B. 3 Reserved. B. 4 Reserved. B. 5 Additional Information on Chapter 5.
B. 5.1 General.
345 B. 5.2 Retesting and Maintenance of Nonflammable Medical Piped Gas Systems (Category 1 Systems). B. 5.2.1 [5.1.3.5.9]
B. 5.2.2 [5.1.3.5.10]
B. 5.2.3 [5.1.3.5.10]
B. 5.2.4 [5.1.3.5.11]
B. 5.2.5 [5.1.8.2.3]
B. 5.2.6 [5.1.3.6.3.14]
B. 5.2.7 [5.1.3.6.3.14]
B. 5.2.8 [5.1.3.6]
346 B. 5.2.9 [5.1.9]
B. 5.2.10 [5.1.9.2.4] Changeover Warning Signals.
B. 5.2.11 [5.1.9.2.4] Reserve-In-Use Warning Signal.
B. 5.2.12 [5.1.9.2.4] Reserve Supply Low (Down to an Average One-Day Supply) High Pressure Cylinder or Liquid Reserve.
B. 5.2.13 [5.1.9.2.4]
B. 5.2.14 [5.1.8.2.2(1)]
B. 5.2.15 [5.1.9]
B. 5.2.16 [5.1.9]
B. 5.2.17 [5.1.4]
B. 5.2.18 [5.1.5]
B. 5.3 Oxygen Service–Related Documents.
B. 6 Additional Information on Chapter 6. B. 6.1 Typical Hospital Wiring Arrangement.
Figure B. 6.1 Typical Hospital Wiring Arrangement.
347 B. 6.2 Maintenance Guide for an Essential Electrical System.
Figure B. 6.2 Maintenance Guide for Essential Electrical System.
349 B. 6.3 Suggested Format for Listing Functions to Be Served by the Essential Electrical System in a Hospital.
350 Figure B. 6.3 Essential Electrical Systems.
351 B. 7 Reserved. B. 8 Reserved. B. 9 Reserved. B. 10 Reserved.
352 B. 11 Additional Information on Chapter 11. B. 11.1 Medical Safeguards — Respiratory Therapy. B. 11.1.1 General. B. 11.1.1.1
B. 11.1.1.2
B. 11.1.1.3
B. 11.2 Glossary of Respiratory Therapy Terminology. B. 11.2.1 Arrhythmia.
B. 11.2.2 Asphyxia.
B. 11.2.3 Aspiration.
B. 11.2.4 Bronchi.
B. 11.2.5 CPAP.
B. 11.2.6 CPR.
B. 11.2.7 Croup Tent.
B. 11.2.8 Cyanosis.
B. 11.2.9 Defibrillate.
B. 11.2.10 Diffusion.
B. 11.2.11 EKG, ECG.
B. 11.2.12 Hemoglobin.
B. 11.2.13 Hypoxia.
B. 11.2.14 IMV.
B. 11.2.15 IPPB.
353 B. 11.2.16 PEEP.
B. 11.2.17 Respiration.
B. 11.2.18 Retrolental Fibroplasia.
B. 11.2.19 Thorax.
B. 11.2.20 Trachea.
B. 11.2.21 Ultrasonic Nebulizer.
B. 11.2.22 Ventilation.
B. 11.2.23 Ventilator.
B. 11.3 Suggested Fire Response — Respiratory Therapy.
B. 11.3.1 General.
B. 11.3.2 Steps to Take in Event of Fire. B. 11.3.2.1
B. 11.3.3 Closing Off of Oxygen Supply. B. 11.3.3.1
B. 11.3.3.1.1
B. 11.3.3.2
B. 11.3.4 Extinguishment or Containment of Fire. B. 11.3.4.1
354 B. 11.3.4.1.1
B. 11.3.4.1.2
B. 11.3.4.1.3
B. 11.3.4.2
B. 11.3.5 Protection of Patients and Personnel. B. 11.3.5.1
B. 11.3.5.2
B. 11.3.5.2.1
B. 11.3.6 Indoctrination of Personnel.
B. 11.4 Typical Gas Cylinders.
B. 12 Additional Information on Chapter 12. B. 12.1 Emergency Management Program Development.
Figure B. 12.1 Emergency Management Program Development Process.
355 B. 12.1.1 Program Development Steps and Activities. B. 12.1.1.1 Review the Hazard Vulnerability Analysis (HVA) and Determine Pri
Figure B. 12.1.1.1 Sample Standard Operating Procedure Format.
356 B. 12.1.1.2 Implement Mitigation and Preparedness Strategies.
B. 12.1.1.3 Report Results of Mitigation and Preparedness Activities to the Emergency Management Committee.
357 B. 12.1.1.4 Develop, Publish, and Distribute the Emergency Operations Plan (EOP).
B. 12.1.1.5 Train Staff on the EOP.
B. 12.1.1.6 Delegate the Emergency Management Committee (EMC), Identify Department Roles, and Assign Responsibilities.
B. 12.1.1.7 Test and Evaluate the EOP in Response to a Drill or Actual Event.
B. 12.2 Personnel Notification and Recall.
B. 12.3 Special Considerations and Protocols. B. 12.3.1 Fire and Explosion.
B. 12.3.2
B. 12.3.2.1 Alert.
B. 12.3.2.2 Isolation Survival for up to 96 Hours.
B. 12.3.2.3 Wind.
B. 12.3.2.4 Flooding.
358 B. 12.3.2.5 Power Loss.
B. 12.3.2.6 Loss of Communications.
B. 12.3.2.7 Loss of Water.
B. 12.3.2.8 Staff Issues.
B. 12.3.2.9 Civil Disturbance.
B. 12.3.2.10 Influx of Patients.
B. 12.3.2.11 Evacuation.
B. 12.3.3 Evacuation.
359 B. 12.3.3.1
Figure B. 12.3.3.1(a) Sample Hazard Vulnerability Analysis (HVA) Format.
360 Figure B. 12.3.3.1(b) Sample Operating Unit Template.
361 B. 12.3.4 Activation of Emergency Utility Resources.
B. 12.3.5 Civil Disturbance.
362 B. 12.3.6 Hazardous Materials.
B. 12.3.7 Volcanic Eruptions.
B. 12.3.8 Weapons of Mass Destruction.
B. 12.4 Continuing Operations Plan and Recovery.
363 B. 13 Reserved. B. 14 Additional Information on Chapter 14. B. 14.1 Nature of Hazards. B. 14.1.1 Fire and Explosion. B. 14.1.1.1
B. 14.1.1.2
B. 14.1.1.2.1
B. 14.1.1.3 Sources of Fuel. B. 14.1.1.3.1
B. 14.1.1.3.2
B. 14.1.1.3.3
B. 14.1.1.3.4
B. 14.1.1.3.5
B. 14.1.1.4 Sources of Ignition. B. 14.1.1.4.1
B. 14.1.1.4.2
364 B. 14.1.1.4.3
B. 14.1.2 Mechanical Hazards. B. 14.1.2.1 General. B. 14.1.2.1.1
B. 14.1.2.1.2
B. 14.1.2.2
B. 14.1.2.2.1
B. 14.1.2.2.2
B. 14.1.2.3
B. 14.1.2.4
B. 14.1.2.4.1
B. 14.1.2.5
B. 14.1.3 Pathophysiological, Medical, and Other Related Hazards. B. 14.1.3.1
B. 14.1.3.2
B. 14.1.3.2.1
B. 14.1.3.2.2
B. 14.1.3.2.3
365 B. 14.1.3.2.4
B. 14.1.3.2.5
B. 14.1.3.3
B. 14.1.3.3.1
B. 14.1.3.3.2
B. 14.1.3.4
B. 14.1.3.4.1
B. 14.1.3.4.2
B. 14.1.3.4.3
B. 14.1.3.4.4
B. 14.1.3.5
B. 14.2 Suggested Procedures to Follow in Event of Fire in Class A Chambers. B. 14.2.1 Fire Inside Chamber.
366 B. 14.2.2 Fire Outside Chamber.
B. 14.3 Suggested Fire Procedures for Facilities with Class B Chambers. B. 14.3.1
B. 14.3.2
B. 14.4
367 B. 14.5 Gas Purging.
Annex C : Sample Ordinance Adopting NFPA 99
C Sample Ordinance Adopting NFPA 99
C. 1
368 Annex D : Informational References
D. 1 Referenced Publications.
D. 1.1 NFPA Publications.
369 D. 1.2 Other Publications. D. 1.2.1 AAMI Publications.
D. 1.2.2 ASHE Publications.
D. 1.2.3 ASHRAE Publications.
D. 1.2.4 ASME Publications.
D. 1.2.5 ASSE Publications.
370 D. 1.2.6 ASTM Publications.
D. 1.2.7 CGA Publications.
D. 1.2.8 FGI Publications.
D. 1.2.9 IEC Publications.
D. 1.2.10 IEEE Publications.
D. 1.2.11 NEMA Publications.
371 D. 1.2.12 NETA Publications.
D. 1.2.13 Ocean Systems, Inc., Publications.
D. 1.2.14 SFPE Publications.
D. 1.2.15 TIA Publications.
D. 1.2.16 UL Publications.
D. 1.2.17 U.S. Government Publications.
D. 1.2.18 USP Publications.
D. 1.2.19 Other Publications.
372 D. 2 Informational References.
D. 2.1 Published Articles on Fire Involving Respiratory Therapy Equipment and Related Incidents.
D. 2.2 References for A. 14.3.1.6.4.3.
D. 2.3 Other Organizations that Publish Standards or Guidelines.
D. 2.4 Addresses of Organizations and Agencies That Provide Health Care Emergency Preparedness Educational Materials. D. 2.4.1 P
373 D. 2.4.2 Audiovisual Materials.
D. 2.5 Additional U.S. Government Informational Sources.
374 D. 2.6 Additional Resources for Emergency Management.
D. 2.7 Other Publications.
375 D. 3 References for Extracts in Informational Sections.

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NFPA 99, Health Care Facilities Code 2021
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