NFPA 99, Health Care Facilities Code is frequently misunderstood or misapplied. For those in planning, design and construction of health care facilities, the risk is too high to not have a thorough understanding of NFPA 99 for proper application of the code.
Chapter 4 of NFPA 99 code establishes categories of building systems in health care facilities based on the risk of injury to the patients and caregivers. These risk categories are critically important to proper application of NFPA 99, just as occupancy classifications are in NFPA 101, Life Safety Code.
Health care facilities should define their risk assessment methodology to ensure coordination is happening in the planning/early design phases. As stated in the CMS Final Rule, submitting a formal risk assessment of a healthcare facility is not required, but CMS will confirm that facilities are using risk assessment methodologies. The Final Rule further clarifies that they do not require the use of any particular risk assessment procedure.
Our team at Jensen Hughes helps health care facilities with risk management and includes members on the NFPA 99 committee. Learn more about how Jensen Hughes can support your project or healthcare organization with emergency preparedness and implementing risk assessments.
This risk assessment tool has been developed to help health care facility staff comply with the risk-based, patient-focused approach described by the 2021 version of NFPA 99: Health Care Facilities Code. This completed risk assessment should be used to determine the steps needed to respond to the identified risks as outlined in NFPA 99. It should be kept as a record of the decisions made and updated annually.
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ASHE authorizes the copy, use and customization of this template, by health care facilities for non-commercial use only. In consideration of this authorization, the user agrees that any copy of this document which the user makes shall retain all copyright and other proprietary notices that may be contained therein. ASHE accepts no responsibility or liability for the accuracy or the completeness of the information in this document.
NFPA 70E directly addresses only two types of hazards: electrical shock and arc flash burns. The provisions in NFPA 70E are not designed to protect workers against an actual arc blast or exploding electrical components.
Human error is a big factor when employees disregard safety procedures or fail to notice poor equipment condition or even if they take their eyes of the task at hand to make a phone call or send a text.
(1) Elements of a Risk Assessment Procedure. The risk assessment procedure shall address employee exposure to electrical hazards and shall identify the process to be used by the employee before work is started to carry out the following:
(3) Hierarchy of Risk Control Methods. The risk assessment procedure shall require that preventive and protective risk control methods be implemented in accordance with the following hierarchy:
The new edition of NFPA 99 instead features a risk-based approach to protection and safety requirements. Types of equipment and systems are evaluated based on the risks posed to the patients by the procedures being provided, rather than the building occupancy type. This change is designed to provide better protection and safety for patients and healthcare providers and allows for flexibility and cost savings for hospitals. This updated Health Care Facilities Code breaks types of equipment and systems into four risk categories, based on how system failure will affect the patient or caregiver.
The new edition of NFPA 99 requires a risk assessment for any new construction or equipment, and existing construction and equipment will need to follow inspection, testing, and maintenance (ITM) guidelines associated with the risk category of the existing system or equipment. Risk assessments should be designed to help users assign one of the four risk categories to systems and equipment:
When users have assigned a risk category to systems and equipment, they can apply appropriate protection according to the guidelines laid out in NFPA 99. Though this is a different method for healthcare facilities, it puts the safety of patients and caregivers front and center, and provides the opportunity for more flexible and cost-effective life safety and protection systems for many facilities.
Healthcare facilities may be wondering, then, how to conduct that risk assessment. The NFPA does not mandate any specific method but instead leaves it up to the provider to choose any risk-assessment method that their facility is comfortable with, so long as it is a documented and defined procedure.
The risk-based approach of the NFPA 99 is particularly relevant as hospitals and other health care locations are repurposing buildings and putting up temporary structures to meet impending demands due to the COVID-19 crisis. The NFPA published a statement in April acknowledging the impossibility of constructing or modifying health care spaces in strict compliance with fire and life safety codes when health care facilities are under such stress of capacity and time.
The NFPA has also offered a range of resources for health care facilities working hard to keep patients healthy during the extreme demand of the pandemic. Their fact sheet, Maintaining Safe Health Care Facilities in Extraordinary Times is a good place to start if your facility is looking for ways to implement safety measures in new and temporary healthcare structures built to serve patients during the COVID-19 crisis.
Fire protection and facility safety requirements are constantly changing for hospitals and health care locations, especially now, as your facility works to meet shifting demand associated with the pandemic. If you have more questions about these updated requirements for healthcare facilities or are looking for fire protection or safety systems for your facility, the team at Vanguard is happy to help.
East Coast Lightning Equipment, Inc has developed an online risk calculator which automates the calculations in NFPA 780. After entering the criteria for a specific structure, the tool will generate a two-page report showing the results of the risk assessment.
NFPA 780 states, There are some cases where the need for protection should be given serious consideration regardless of the risk assessment. Examples are those applications where the following are factors:
Design professionals should discuss the risk assessment report with the building's owner. If calculations or special considerations recommend a lightning protection system yet the owner decides against using it, the designer should get the decision in writing.
To weigh the benefits of a lightning protection system against costs, see our cost study for preliminary cost guidelines. Or, contact ECLE to be put in touch with a certified local lightning protection specialist.
New Buildings: Conduct a lightning risk assessment based on the overall size and shape of the structure early in the design process. This will allow for the lightning protection system to be included in your cost estimates. It will also allow for the most flexibility in terms of aesthetics and creativity in the lightning protection system design.
Existing Buildings: Make a lightning risk assessment part of standard due diligence activities before purchasing an existing building, building an addition, remodeling major building systems, structural renovations or reroofing.
If a lightning protection system is recommended: A certified lightning protection specialist can help address special architectural concerns and unique requirements.Most projects can be specified by citing recognized industry standards and delegating design to a Lightning Protection Institute certified lightning protection specialist.
Conducting a proper risk assessment helps you ensure your people stay safe, but it can be difficult to assess risks in the moment. To make it easier for you and your team, we developed a risk assessment tool to help you conduct risk assessments quickly. It is a complete framework designed to help you and your organization identify risks and choose PPE accordingly.
Risk assessments are also required as part of compliance with NFPA 1851 Standard on Selection, Care and Maintenance of Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting, NFPA 1250 Recommended Practice in Fire and Emergency Service Organization Risk Management, and NFPA 1500 Standard on Fire Department Occupational Safety and Health Program.
Today, we would like to explore the basics of these assessments, discussing the importance of completing an arc flash risk assessment, the process of completing one, and the steps to mitigating risk after one is completed.
Part of a much larger safety program and culture of safety, assessments provide insight into the steps a workplace needs to take to protect workers. With the results of these analyses, employers can follow the recently highlighted hierarchy of controls central to update of the 2018 Edition Of NFPA 70E, which is to eliminate or substitute risk (de-energization), raise awareness (labeling), provide training, or select the proper equipment for the job.
These assessments should be completed every five years or any time a major modification is made to the facility that may result in increased risk or severity in the event of an incident. Today, we will explore the basics of arc flash risk assessments as part of a much larger electrical safety initiative.
While risk assessments can be completed for any process and/or hazard; for arc flash, these studies are guided by NFPA 70E and IEEE 1584, which in turn inform NEC Article 110 and OSHA 1910.132(d). NFPA 70E states that the goal of an arc flash risk assessment is a three-step process:
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