Current through Register No. 40, October 3, 2024
(a) All FMRTF shall
have:
(1) Smoke detectors on every level that
are interconnected and either hardwired, powered by the FMRTF's electrical
service, or wireless, as approved by the state fire marshal.
(2) At least one UL Listed, ABC type portable
fire extinguisher, with a minimum rating of 2A-10BC, installed on every level
of the building, and which meets the following requirements:
a. Maximum travel distance to each
extinguisher shall not exceed 50 feet;
b. Fire extinguishers shall be inspected
either manually or by means of an electronic monitoring device or system at
least once per calendar month, at intervals not exceeding 31 days;
c. Records for manual inspection or
electronic monitoring shall be kept to demonstrate that at least 12 monthly
inspections have been performed for the most recent 12-month period;
d. Annual maintenance shall be performed on
each extinguisher by trained personnel, and each extinguisher shall have a tag
or label securely attached that indicates that maintenance was performed;
and
e. The components of the
electronic monitoring device or system shall be tested and maintained annually
in accordance with the manufacturer's listed maintenance manual; and
(3) An approved carbon monoxide
monitor on every level.
(b) A fire safety program shall be developed
and implemented to provide for the safety of patients and personnel.
(c) Immediately following any fire or
emergency situation, licensees shall notify the department by phone to be
followed by written notification within 72 hours, with the exception of:
(1) A false alarm or emergency medical
services (EMS) transport for a non-emergent reason; or
(2) Emergency EMS transport related to
pre-existing conditions.
(d) The written notification required by (c)
above shall include:
(1) The date and time of
the incident;
(2) A description of
the location and extent of the incident, including any injury or
damage;
(3) A description of events
preceding and following the incident;
(4) The name of any personnel or patients who
were evacuated as a result of the incident, if applicable;
(5) The name of any personnel or patients who
required medical treatment as a result of the incident, if applicable;
and
(6) The name of the individual
the licensee wishes the department to contact if additional information is
required.
(e) The fire
safety plan shall be reviewed and approved as follows:
(1) A copy of the fire safety plan shall be
made available, annually and whenever changes are made, to the local fire chief
for review and approval;
(2) The
local fire chief shall give written approval initially to all fire safety
plans; and
(3) If changes are made
to the plan, they shall be submitted to the local fire chief for review and
approval, as appropriate, prior to the change.
(f) Fire drills shall be conducted as
follows:
(1) For buildings constructed to the
health care occupancy chapter of the life safety code and to the rules and
regulations adopted and enforced by the state fire marshal's office and/or the
municipality, or which have been physically evaluated, rehabilitated, and
approved by a New Hampshire licensed fire protection engineer, the state fire
marshal's office, and the department to meet the health care occupancy chapter,
the following shall be required:
a. The
facility shall develop a fire safety plan, which provides for the following:
1.Use of alarms;
2.Transmission of alarms to fire department;
3.Emergency phone call to fire department;
4.Response to alarms;
5.Isolation of fire;
6.Evacuation of immediate area;
7.Evacuation of smoke compartment;
8.Preparation of floors and building for evacuation;
9.Extinguishment of fire; and
10.Written emergency telephone numbers for key staff, fire
and police departments, poison control center, 911, and ambulance
service(s);
b. Fire drills
shall be conducted quarterly on each shift to familiarize facility personnel
including, but not limited to, medical personnel, maintenance engineers, and
administrative staff, with the signals and emergency action required under
varied conditions;
c. Fire drills
shall include the transmission of a fire alarm signal and simulation of
emergency fire conditions;
d.
Buildings that have a shelter in place, also known as defend in place, shall
have this plan approved by the department and their local fire chief and shall
be constructed to meet the health care occupancy chapter of the life safety
code;
e. Facilities shall complete
a written record of fire drills and include the following:
1.The date and time including AM/PM the drill was conducted
and if the actual fire alarm system was used;
2.The location of exits used;
3.The number of people, including patients, personnel, and
visitors, participating at the time of the drill;
4.The amount of time taken to completely evacuate the
facility or to an approved area of refuge or through a horizontal exit;
5.The name and title of the person conducting the
drill;
6.A list of problems and issues encountered during the
drill;
7.A list of improvements and resolution to the issues
encountered during the fire drill; and
8.The names of all staff members participating in the
drill; and
f. At no time
shall a staff member who has not participated in a fire drill be the only staff
member on duty within the facility; and
(2) The facility shall conduct a fire drill
in the presence of a representative of the department, state fire marshal's
office, or the local fire department upon request.
(g) For the use and storage of oxygen and
other related gases, a FMRTF shall comply with NFPA 99 as adopted by the
commissioner of the department of safety under Saf-C 6000, as amended pursuant
to
RSA 153:5,
I, by the state fire marshal with the board
of fire control, including, but not limited to, the following:
(1) All freestanding compressed gas cylinders
shall be firmly secured to the adjacent wall or secured in a stand or
rack;
(2) Storage locations shall
be outdoors in an enclosure or within an enclosed interior space of
noncombustible or limited-combustible construction, with doors, or with gates
if outdoors, that can be secured against unauthorized entry;
(3) Oxidizing gases, such as oxygen and
nitrous oxide, shall:
a. Not be stored with
any flammable gas, liquid, or vapor;
b. Be separated from combustibles or
incompatible materials by:
1.A minimum distance of 20 ft. (6.1 m);
2.A minimum distance of 5 ft. (1.5 m) if the entire storage
location is protected by an automatic sprinkler system designed in accordance
with NFPA 13, Standard for the Installation of Sprinkler Systems; or
3.An enclosed cabinet of noncombustible construction having
a minimum fire protection rating of 1/2 hour; and
c. Shall be secured in an upright position,
such as with racks or chains;
(4) A precautionary sign, readable from a
distance of 5 ft. (1.5 m), shall be conspicuously displayed on each door or
gate of the storage room or enclosure, and shall include, at a minimum, the
following: "CAUTION, OXIDIZING GAS(ES) STORED WITHIN - NO SMOKING";
and
(5) Precautionary signs,
readable from a distance of 5 ft. (1.5 m), and with language such as "OXYGEN IN
USE, NO SMOKING", shall be conspicuously displayed wherever supplemental oxygen
is in use and in aisles and walkways leading to the area of use, and shall be
attached to adjacent doorways or to building walls or be supported by other
appropriate means.
