NFPA 99 HEALTH CARE FACILITIES CODE 2024 Edition

NFPA 99 Health Care Facilities Code 2024 Edition

Access the Latest Information to Help Safeguard Lives and Property in Health Care Facilities.

To help ensure healthcare professionals can treat patients in a safe and efficient environment, it’s critical to help protect their facilities from fire, electrical, and related hazards. NFPA 99, Health Care Facilities Code, offers the latest performance criteria for health care facilities and appliances, including medical gas and vacuum systems, electrical systems, gas equipment, and features of fire protection.

The code features provisions for the installation, inspection, maintenance, and testing of all healthcare facilities—including hospitals, nursing homes, and limited care settings.

The 2024 edition has several major changes, including:

• Added reference to ASSE/IAPMO/ANSI 6060, Professional Qualifications Standard for Medical Gas Systems Designers
• Changes to the maximum allowable quantity (MAQ) limits for medical gas and cryogenic fluid central supply systems
• Revised requirements for medical gas and vacuum system auxiliary connections to facilitate emergency preparedness, maintenance, and supplementation
• New pressure-drop calculations and limits
• A new section on the withdrawal of cryogenic liquids from containers for use in liquid form
• New emergency management requirements
• Revisions to hyperbaric chamber pressure relief requirements
• Revisions to dental gas and vacuum system requirements

NFPA 99 Health Care Facilities Code: 2024 Edition Highlights

The 2024 edition of the NFPA 99 Health Care Facilities Code brings forth significant changes and updates aimed at enhancing safety and efficiency within healthcare facilities. Here are some of the key highlights:

1. Reference to ASSE/IAPMO/ANSI 6060: The inclusion of ASSE/IAPMO/ANSI 6060, Professional Qualifications Standard for Medical Gas Systems Designers, reflects the importance of ensuring that those involved in designing medical gas systems possess the necessary qualifications and expertise.
2. Changes to Maximum Allowable Quantity (MAQ) Limits: Revised MAQ limits for medical gas and cryogenic fluid central supply systems aim to optimize safety and regulatory compliance while addressing evolving healthcare needs.
3. Revised Requirements for Medical Gas and Vacuum System Auxiliary Connections: Updates to auxiliary connections facilitate emergency preparedness, maintenance, and supplementation, ensuring the reliability and functionality of medical gas and vacuum systems.
4. New Pressure-Drop Calculations and Limits: The introduction of pressure-drop calculations and limits enhances the accuracy and effectiveness of system design, promoting optimal performance and patient care.
5. New Section on Withdrawal of Cryogenic Liquids: The inclusion of a new section addressing the withdrawal of cryogenic liquids from containers for use in liquid form ensures safe handling and utilization of these substances in healthcare settings.
6. New Emergency Management Requirements: The addition of new emergency management requirements underscores the importance of preparedness and response strategies in mitigating risks and ensuring the continuity of healthcare services during emergencies.
7. Revisions to Hyperbaric Chamber Pressure Relief Requirements: Updates to hyperbaric chamber pressure relief requirements enhance safety measures, aligning with industry best practices and standards.
8. Revisions to Dental Gas and Vacuum System Requirements: Revised requirements for dental gas and vacuum systems aim to address specific hazards and challenges associated with these systems, ensuring compliance and safety in dental settings.

Table of Contents

For a comprehensive overview of the NFPA 99 Health Care Facilities Code: 2024 Edition, here’s the table of contents outlining the various chapters and sections covering a wide range of topics:

Chapter 1 Administration

1.1 Scope.
1.2 Purpose.
1.3 Application.
1.4 Equivalency.
1.5 Units.
1.6 Code Adoption Requirements.

Chapter 2 Referenced Publications

2.1 General.
2.2 NFPA Publications.
2.3 Other Publications.
2.4 References for Extracts in Mandatory Sections.

Chapter 3 Definitions

3.1 General.
3.2 NFPA Official Definitions.
3.3 General Definitions.
3.4 BICSI Definitions.

Chapter 4 Fundamentals

4.1 Risk Categories.
4.2 Risk Assessment.
4.3 Application.
4.4 Materials.

Chapter 5 Gas and Vacuum Systems

5.1 Category 1 Piped Gas and Vacuum Systems.
5.2 Category 2 Piped Gas and Vacuum Systems.
5.3 Category 3 Piped Gas and Vacuum Systems.
5.4 Liquid Withdrawal and Piping.

Chapter 6 Electrical Systems

6.1 Applicability.
6.2 Nature of Hazards.
6.3 General.
6.4 Category 1 Spaces.
6.5 Category 2 Spaces.
6.6 Category 3 and 4 Spaces.
6.7 Essential Electrical Systems.
6.8 Site Acceptance Testing.
6.9 Electrical Maintenance Program (EMP).
6.10 Health Care Microgrids.
6.11 Classification of Emergency Power Supply Systems (EPSSs).

Chapter 7 Information Technology and Communications Systems

7.1 Applicability.
7.2 Reserved.
7.3 Category 1 Systems.
7.4 Category 2 Systems.
7.5 Category 3 Systems.

Chapter 8 Plumbing

8.1 Applicability.
8.2 System Category Criteria.
8.3 General Requirements.
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.
9.2 System Category Criteria.
9.3 General.
9.4 Category 1. (Reserved)
9.5 Category 2. (Reserved)
9.6 Category 3. (Reserved)

Chapter 10 Electrical Equipment

10.1 Applicability.
10.2 Performance Criteria for Patient Care–Related Electrical Appliances and Equipment.
10.3 Testing Requirements — Patient Care–Related Electrical Appliances and Equipment.
10.4 Nonpatient Electrical Appliances and Equipment.
10.5 Administration.

Chapter 11 Gas Equipment

11.1 Applicability.
11.2 Portable Cylinder and Container Source.
11.3 Cylinder and Container Storage Requirements.
11.4 Performance Criteria and Testing.
11.5 Administration.
11.6 Operation and Management of Cylinders.
11.7 Liquid Oxygen Equipment.

Chapter 12 Emergency Management

12.1 Applicability.
12.2 Responsibilities.
12.3 Emergency Management Categories.
12.4 General.
12.5 Emergency Management Category 1 and Emergency Management Category 2 Requirements.

Chapter 13 Security Management

13.1 Applicability.
13.2 Security Management Plan.
13.3 Security Vulnerability Assessment (SVA).
13.4 Responsible Person.
13.5 Security-Sensitive Areas.
13.6 Access and Egress Security Measures.
13.7 Media Control.
13.8 Crowd Control.
13.9 Access Control Equipment.
13.10 Employment Practices.
13.11 Security Operations.
13.12 Program Evaluation.

Chapter 14 Hyperbaric Facilities

14.1 Scope.
14.2 Construction and Equipment.
14.3 Administration and Maintenance.

Chapter 15 Dental Gas and Vacuum Systems

15.1 Applicability.
15.2 Nature of Hazards of Gas and Vacuum Systems.
15.3 Category 1 Dental Gas and Vacuum Systems.
15.4 Category 2 Dental Gas and Vacuum Systems.
15.5 Category 3 Dental Gas and Vacuum Systems.

Chapter 16 Features of Fire Protection

16.1 Applicability.
16.2 Construction and Compartmentation.
16.3 Special Hazard Protection for Flammable Liquids and Gases.
16.4 Laboratories.
16.5 Utilities.
16.6 Waste Chutes, Incinerators, and Linen Chutes.
16.7 Fire Detection, Alarm, and Communications Systems.
16.8 Heliports.
16.9 Automatic Sprinklers and Other Extinguishing Equipment.
16.10 Manual Extinguishing Equipment.
16.11 Compact Storage.
16.12 Compact Mobile Storage.
16.13 Maintenance and Testing.
16.14 Fire Loss Prevention in Operating Rooms.

Annex A Explanatory Material
Annex B Additional Explanatory Notes
Annex C Sample Ordinance Adopting NFPA 99
Annex D Informational References

From administration and definitions to specific system categories and emergency management, each chapter offers valuable insights and guidelines for ensuring safety, reliability, and compliance in healthcare facilities.

As healthcare environments continue to evolve, the NFPA 99 Health Care Facilities Code remains an essential resource for stakeholders seeking to uphold the highest standards of safety and quality of care.

Chapter 1: Administration

1.1 Scope: The scope outlines the applicability of the NFPA 99 Health Care Facilities Code, defining the boundaries of its regulations and standards within healthcare facilities.

1.2 Purpose: This section elucidates the overarching purpose of the code, emphasizing its role in promoting safety, reliability, and quality of care in healthcare environments.

1.3 Application: Here, the code’s application is delineated, specifying the types of healthcare facilities and systems to which its regulations and standards are applicable.

1.4 Equivalency: The concept of equivalency is discussed, allowing for alternative approaches that achieve the same level of safety and compliance as outlined in the code.

1.5 Units: Standard units of measurement are established to ensure consistency and clarity in the interpretation and application of the code’s requirements.

1.6 Code Adoption Requirements: This section outlines the procedures and requirements for the adoption and enforcement of the NFPA 99 Health Care Facilities Code by regulatory authorities and healthcare organizations.

Chapter 2: Referenced Publications

2.1 General: This section provides an overview of the referenced publications within the NFPA 99 Health Care Facilities Code, outlining their significance and applicability.

2.2 NFPA Publications: Here, specific NFPA publications referenced in the code are listed, including standards, handbooks, and other relevant documents that complement and support the requirements of NFPA 99.

2.3 Other Publications: In addition to NFPA publications, this section includes references to external standards, guidelines, and publications from organizations such as ANSI, ASSE, and IAPMO, which contribute to the comprehensive regulatory framework of the code.

2.4 References for Extracts in Mandatory Sections: For mandatory sections of the code that contain extracts from other publications, this section provides detailed references to the sources, ensuring transparency and traceability in the code’s requirements.

Chapter 3: Definitions

3.1 General: This section lays the groundwork for understanding the terminology used throughout the NFPA 99 Health Care Facilities Code by providing general guidance on definitions.

3.2 NFPA Official Definitions: The code incorporates official definitions established by the NFPA, ensuring consistency and clarity in the interpretation of terms within the healthcare facility context.

3.3 General Definitions: In addition to NFPA official definitions, this section includes general definitions relevant to healthcare facilities, offering further clarification on key terms and concepts.

3.4 BICSI Definitions: Specific definitions related to information technology and communications systems, as provided by BICSI (Building Industry Consulting Service International), are included to address the unique requirements of these systems within healthcare facilities.

Chapter 4: Fundamentals

4.1 Risk Categories: This section introduces the concept of risk categorization within healthcare facilities, outlining different levels of risk associated with various systems, activities, and environments.

4.2 Risk Assessment: Here, the process of conducting risk assessments within healthcare facilities is discussed, emphasizing the importance of identifying and mitigating potential hazards to ensure the safety and well-being of patients, staff, and visitors.

4.3 Application: The application of risk assessment principles within the context of the NFPA 99 Health Care Facilities Code is elucidated, guiding how to integrate risk management practices into facility design, operation, and maintenance.

4.4 Materials: This section addresses the selection and use of materials in healthcare facility construction and operation, emphasizing the importance of materials that meet regulatory requirements and standards for safety, durability, and infection control.

Chapter 5: Gas and Vacuum Systems

5.1 Category 1 Piped Gas and Vacuum Systems: This section outlines requirements for Category 1 piped gas and vacuum systems, which are essential for providing medical gases and vacuum services to patient care areas within healthcare facilities.

5.2 Category 2 Piped Gas and Vacuum Systems: Here, requirements for Category 2 piped gas and vacuum systems are detailed, addressing the needs of ancillary services and support areas within healthcare facilities.

5.3 Category 3 Piped Gas and Vacuum Systems: This section covers requirements for Category 3 piped gas and vacuum systems, which serve non-patient care areas and support functions such as laboratory services and facility maintenance.

5.4 Liquid Withdrawal and Piping: The requirements for liquid withdrawal systems and piping within healthcare facilities are discussed, focusing on safety, reliability, and regulatory compliance in the handling and distribution of cryogenic liquids.

Chapter 6: Electrical Systems

6.1 Applicability: This section defines the scope of the electrical systems requirements within healthcare facilities, outlining the areas and systems to which the regulations apply.

6.2 Nature of Hazards: Here, the potential electrical hazards present in healthcare facilities are identified and categorized, highlighting the importance of safety measures to protect patients, staff, and visitors.

6.3 General: General requirements for electrical systems within healthcare facilities are outlined, including installation practices, equipment standards, and safety protocols to ensure compliance with regulatory requirements and industry best practices.

6.4 Category 1 Spaces: Requirements specific to Category 1 spaces, which encompass areas where patient care is provided and life support systems are located, are detailed to ensure the safety and reliability of electrical systems in critical healthcare environments.

6.5 Category 2 Spaces: This section addresses requirements for Category 2 spaces, including areas where patient care is provided but life support systems are not present, focusing on maintaining safety and functionality in non-critical healthcare environments.

6.6 Category 3 and 4 Spaces: Requirements for Category 3 and 4 spaces, which encompass non-patient care areas and administrative spaces within healthcare facilities, are outlined to ensure the safety and efficiency of electrical systems in these environments.

6.7 Essential Electrical Systems: The importance of essential electrical systems, including emergency power supply systems and life safety systems, is emphasized to maintain continuity of operations and patient care during power outages or emergencies.

6.8 Site Acceptance Testing: Procedures for conducting site acceptance testing of electrical systems within healthcare facilities are provided, ensuring that installed systems meet regulatory requirements and performance standards.

6.9 Electrical Maintenance Program (EMP): The establishment of an electrical maintenance program is discussed, outlining requirements for routine maintenance, inspections, and testing to ensure the ongoing safety and reliability of electrical systems.

6.10 Health Care Microgrids: The concept of healthcare microgrids is introduced, highlighting their role in enhancing the resilience and reliability of electrical systems within healthcare facilities, particularly in the face of power grid disruptions or emergencies.

6.11 Classification of Emergency Power Supply Systems (EPSSs): Criteria for classifying emergency power supply systems are outlined, including requirements for design, installation, testing, and maintenance to ensure the availability and functionality of backup power in critical healthcare environments.

Chapter 7: Information Technology and Communications Systems

7.1 Applicability: This section defines the scope of information technology (IT) and communications systems requirements within healthcare facilities, outlining the areas and systems to which the regulations apply.

7.2 Reserved:

7.3 Category 1 Systems: Requirements for Category 1 IT and communications systems, which encompass critical infrastructure supporting patient care and life support systems, are detailed to ensure the reliability, security, and functionality of these systems in healthcare environments.

7.4 Category 2 Systems: This section addresses requirements for Category 2 IT and communications systems, including administrative and non-critical infrastructure supporting facility operations, focusing on maintaining efficiency and reliability in non-patient care areas.

7.5 Category 3 Systems: Requirements for Category 3 IT and communications systems, which encompass general infrastructure supporting non-patient care functions and ancillary services, are outlined to ensure the availability and functionality of these systems in support areas within healthcare facilities.

Chapter 8: Plumbing

8.1 Applicability: This section outlines the scope of plumbing requirements within healthcare facilities, defining the areas and systems to which the regulations apply.

8.2 System Category Criteria: Criteria for categorizing plumbing systems within healthcare facilities are provided, including requirements for patient care areas, support spaces, and non-patient care areas.

8.3 General Requirements: General requirements for plumbing systems within healthcare facilities are detailed, covering aspects such as materials, installation practices, and maintenance protocols to ensure compliance with regulatory standards and industry best practices.

Chapter 9: Heating, Ventilation, and Air Conditioning (HVAC)

9.1 Applicability: This section defines the scope of HVAC requirements within healthcare facilities, specifying the areas and systems to which the regulations apply.

9.2 System Category Criteria: Criteria for categorizing HVAC systems within healthcare facilities are provided, including requirements for patient care areas, support spaces, and non-patient care areas.

9.3 General: General requirements for HVAC systems within healthcare facilities are outlined, covering aspects such as system design, installation, operation, and maintenance to ensure compliance with regulatory standards and industry best practices.

Chapter 10: Electrical Equipment

10.1 Applicability: This section outlines the scope of electrical equipment requirements within healthcare facilities, specifying the types of equipment and systems covered by the regulations.

10.2 Performance Criteria for Patient Care–Related Electrical Appliances and Equipment: Requirements for patient care-related electrical appliances and equipment are detailed, focusing on safety, reliability, and compatibility with healthcare facility environments.

10.3 Testing Requirements — Patient Care–Related Electrical Appliances and Equipment: Procedures for testing patient care-related electrical appliances and equipment are provided, ensuring compliance with regulatory standards and performance criteria.

10.4 Nonpatient Electrical Appliances and Equipment: Requirements for non-patient care-related electrical appliances and equipment are outlined, covering aspects such as installation, operation, and maintenance to ensure safety and reliability in healthcare facility environments.

10.5 Administration: Administrative requirements related to electrical equipment within healthcare facilities are discussed, including documentation, record-keeping, and regulatory compliance to support effective management and oversight of electrical systems and equipment.

Chapter 11: Gas Equipment

11.1 Applicability: This section outlines the scope of gas equipment requirements within healthcare facilities, specifying the types of equipment and systems covered by the regulations.

11.2 Portable Cylinder and Container Source: Requirements for portable cylinder and container sources of gas equipment are detailed, focusing on safety, handling, and storage practices to prevent hazards and ensure compliance with regulatory standards.

11.3 Cylinder and Container Storage Requirements: Procedures for the storage of cylinders and containers are provided, addressing aspects such as ventilation, separation, and signage to mitigate risks and ensure safe handling of gas equipment.

11.4 Performance Criteria and Testing: Performance criteria and testing requirements for gas equipment are outlined, including pressure testing, leak detection, and operational checks to verify compliance with regulatory standards and safety requirements.

11.5 Administration: Administrative requirements related to gas equipment within healthcare facilities are discussed, covering aspects such as documentation, record-keeping, and regulatory compliance to support effective management and oversight of gas systems and equipment.

11.6 Operation and Management of Cylinders: Procedures for the operation and management of cylinders are provided, including handling, transportation, and disposal practices to ensure the safety and integrity of gas equipment throughout its lifecycle.

11.7 Liquid Oxygen Equipment: Requirements for liquid oxygen equipment are outlined, covering aspects such as storage, handling, and safety precautions to prevent hazards and ensure compliance with regulatory standards.

Chapter 12: Emergency Management

12.1 Applicability: This section defines the scope of emergency management requirements within healthcare facilities, specifying the types of emergencies and incidents covered by the regulations.

12.2 Responsibilities: The responsibilities of healthcare facility personnel, including administrators, staff, and emergency response teams, are outlined, emphasizing the importance of coordinated efforts in emergency preparedness, response, and recovery.

12.3 Emergency Management Categories: Different categories of emergencies, such as natural disasters, medical emergencies, and security incidents, are identified and categorized based on their potential impact and severity, guiding the development of emergency management plans and procedures.

12.4 General: General requirements for emergency management within healthcare facilities are outlined, covering aspects such as emergency planning, training, drills, communication, and coordination to ensure readiness and resilience in the face of emergencies.

12.5 Emergency Management Category 1 and Emergency Management Category 2 Requirements: Specific requirements for emergency management categories 1 and 2, which encompass high-risk and critical emergencies requiring immediate response and mitigation efforts, are detailed to ensure effective preparedness and response strategies.

Chapter 13: Security Management

13.1 Applicability: This section defines the scope of security management requirements within healthcare facilities, specifying the areas and systems covered by the regulations.

13.2 Security Management Plan: Requirements for developing a security management plan are outlined, emphasizing the importance of risk assessment, threat identification, and mitigation strategies to ensure the safety and security of patients, staff, and visitors.

13.3 Security Vulnerability Assessment (SVA): Procedures for conducting security vulnerability assessments are provided, including identification of potential threats, vulnerabilities, and protective measures to enhance security posture and resilience against security risks.

13.4 Responsible Person: The designation of a responsible person for overseeing security operations and implementation of security measures within healthcare facilities is discussed, ensuring accountability and effective management of security resources.

13.5 Security-Sensitive Areas: Identification and designation of security-sensitive areas within healthcare facilities, such as restricted access zones, critical infrastructure, and high-risk areas, are outlined to prevent unauthorized access and mitigate security risks.

13.6 Access and Egress Security Measures: Requirements for access control and egress security measures, including physical barriers, electronic access controls, and surveillance systems, are detailed to prevent unauthorized entry and ensure controlled movement within healthcare facilities.

13.7 Media Control: Procedures for managing media access and communications during security incidents and emergencies are provided, ensuring timely and accurate dissemination of information while safeguarding patient privacy and confidentiality.

13.8 Crowd Control: Measures for crowd control and management during events, emergencies, or incidents within healthcare facilities are outlined, focusing on maintaining order, safety, and security in crowded or high-traffic areas.

13.9 Access Control Equipment: Specifications for access control equipment, including locks, keys, card readers, and biometric systems, are provided to support effective access control and security management within healthcare facilities.

13.10 Employment Practices: Guidelines for employment practices, including background checks, training, and supervision of personnel with access to sensitive areas or information, are outlined to mitigate insider threats and ensure the integrity of security operations.

13.11 Security Operations: Procedures for security operations, including monitoring, patrols, incident response, and coordination with law enforcement agencies, are detailed to maintain a proactive and effective security posture within healthcare facilities.

13.12 Program Evaluation: Requirements for program evaluation and continuous improvement of security management practices within healthcare facilities are discussed, emphasizing the importance of feedback, analysis, and adaptation to emerging threats and evolving security risks.

Chapter 14: Hyperbaric Facilities

14.1 Scope: This section outlines the scope of hyperbaric facilities requirements within healthcare facilities, specifying the types of facilities and equipment covered by the regulations.

14.2 Construction and Equipment: Requirements for the construction and equipment of hyperbaric facilities are detailed, including specifications for pressure vessels, control systems, ventilation, and safety features to ensure the safe and effective operation of hyperbaric chambers.

14.3 Administration and Maintenance: Procedures for the administration and maintenance of hyperbaric facilities are provided, covering aspects such as personnel training, equipment inspection, testing, and certification to ensure compliance with regulatory standards and safety requirements.

Chapter 15: Dental Gas and Vacuum Systems

15.1 Applicability: This section defines the scope of dental gas and vacuum systems requirements within healthcare facilities, specifying the areas and systems covered by the regulations.

15.2 Nature of Hazards of Gas and Vacuum Systems: Potential hazards associated with dental gas and vacuum systems are identified and categorized, highlighting the importance of safety measures to protect patients, staff, and visitors in dental care environments.

15.3 Category 1 Dental Gas and Vacuum Systems: Requirements for Category 1 dental gas and vacuum systems are outlined, focusing on safety, reliability, and compliance with regulatory standards to ensure the delivery of high-quality dental care.

15.4 Category 2 Dental Gas and Vacuum Systems: This section addresses requirements for Category 2 dental gas and vacuum systems, including ancillary services and support areas within dental care facilities, to ensure the availability and functionality of these systems.

Chapter 16: Features of Fire Protection

16.1 Applicability: This section defines the scope of fire protection requirements within healthcare facilities, specifying the areas and systems covered by the regulations.

16.2 Construction and Compartmentation: Requirements for the construction and compartmentation of healthcare facilities to prevent the spread of fire and smoke are outlined, including specifications for fire-rated walls, doors, and barriers to protect occupants and property.

16.3 Special Hazard Protection for Flammable Liquids and Gases: Measures for the protection of flammable liquids and gases within healthcare facilities are provided, including storage, handling, and ventilation requirements to mitigate fire and explosion hazards.

16.4 Laboratories: Requirements for fire protection in laboratories within healthcare facilities are detailed, covering aspects such as chemical storage, handling, and emergency response procedures to ensure the safety of laboratory personnel and occupants.

16.5 Utilities: Guidelines for the protection of utility systems, including electrical, water, and gas supply systems, are outlined to prevent disruptions and mitigate fire hazards that may arise from utility failures or malfunctions.

16.6 Waste Chutes, Incinerators, and Linen Chutes: Requirements for the design and operation of waste chutes, incinerators, and linen chutes within healthcare facilities are provided to prevent the spread of fire and smoke between floors and compartments.

16.7 Fire Detection, Alarm, and Communications Systems: Specifications for fire detection, alarm, and communications systems within healthcare facilities are outlined, including requirements for detection devices, alarm notification methods, and emergency communication protocols to ensure timely and effective response to fire incidents.

16.8 Heliports: Guidelines for the design and operation of heliports within healthcare facilities are provided, covering aspects such as landing pad construction, lighting, and firefighting equipment to ensure safe helicopter operations during emergencies.

16.9 Automatic Sprinklers and Other Extinguishing Equipment: Requirements for automatic sprinkler systems and other extinguishing equipment within healthcare facilities are detailed, including installation, maintenance, and testing procedures to provide reliable fire protection throughout the facility.

16.10 Manual Extinguishing Equipment: Specifications for manual extinguishing equipment, such as portable fire extinguishers and hose reels, are outlined to supplement automatic systems and provide additional fire protection capabilities for healthcare facility occupants.

16.11 Compact Storage: Guidelines for the storage of materials in compact storage systems, such as high-density shelving and automated storage and retrieval systems, are provided to ensure compliance with fire protection requirements and mitigate fire hazards associated with storage practices.

16.12 Compact Mobile Storage: Requirements for the design and operation of compact mobile storage systems, such as movable shelving units and carousels, are outlined to prevent fire hazards and ensure safe access to stored materials in healthcare facilities.

16.13 Maintenance and Testing: Procedures for the maintenance and testing of fire protection systems and equipment within healthcare facilities are provided, including regular inspections, functional tests, and record-keeping to verify compliance with regulatory standards and ensure the reliability of fire protection measures.

16.14 Fire Loss Prevention in Operating Rooms: Measures for fire loss prevention in operating rooms within healthcare facilities are detailed, covering aspects such as surgical fire safety protocols, equipment selection, and staff training to minimize the risk of surgical fires and ensure patient safety during medical procedures.

Annex A: Explanatory Material

This annex provides additional explanatory material to supplement the requirements and provisions outlined in the main body of the NFPA 99 Health Care Facilities Code. It offers further clarification, examples, and guidance to assist users in understanding and implementing the code’s provisions effectively.

Annex B: Additional Explanatory Notes

In this annex, additional explanatory notes are provided to address common questions, concerns, and issues related to the application and interpretation of specific code provisions. These notes offer valuable insights and practical advice to support users in navigating the complexities of healthcare facility design, construction, and operation.

Exploring FAQs About Sign Language

Annex C: Sample Ordinance Adopting NFPA 99

A sample ordinance for adopting the NFPA 99 Health Care Facilities Code is provided in this annex, offering guidance to authorities having jurisdiction (AHJs) on the process of incorporating the code’s requirements into local regulations and ordinances. This sample ordinance serves as a template for jurisdictions seeking to adopt and enforce the NFPA 99 code to enhance safety and compliance in healthcare facilities.

Annex D: Informational References

This annex contains informational references cited throughout the NFPA 99 Health Care Facilities Code, including relevant standards, guidelines, publications, and resources. These references provide additional context, background information, and sources for further reading on topics related to healthcare facility design, construction, operation, and maintenance.

Conclusion: Key Highlights of the NFPA 99 Health Care Facilities Code 2024 Edition

The 2024 edition of the NFPA 99 Health Care Facilities Code introduces several significant changes and updates to enhance safety, reliability, and compliance in healthcare facilities. Some of the key highlights include:

1. Incorporation of ASSE/IAPMO/ANSI 6060: The addition of a reference to ASSE/IAPMO/ANSI 6060, Professional Qualifications Standard for Medical Gas Systems Designers, reflects the importance of professional qualifications and expertise in the design of medical gas systems to ensure their safety and effectiveness.
2. Changes to Maximum Allowable Quantity (MAQ) Limits: Revisions to the MAQ limits for medical gas and cryogenic fluid central supply systems reflect updated safety considerations and regulatory requirements, ensuring appropriate storage and handling practices to mitigate risks associated with these materials.
3. Revised Requirements for Auxiliary Connections: Updates to requirements for medical gas and vacuum system auxiliary connections aim to facilitate emergency preparedness, maintenance, and supplementation, ensuring the readiness and reliability of these systems during emergencies and routine operations.
4. Introduction of New Pressure-Drop Calculations and Limits: The introduction of new pressure-drop calculations and limits enhances the accuracy and effectiveness of gas and vacuum system design, ensuring optimal performance and compliance with regulatory standards.
5. New Section on Cryogenic Liquids Withdrawal: The addition of a new section on the withdrawal of cryogenic liquids from containers for use in liquid form addresses specific safety considerations and requirements for handling and using these materials in healthcare facilities.
6. Enhanced Emergency Management Requirements: The inclusion of new emergency management requirements reflects the evolving landscape of emergency preparedness and response in healthcare facilities, ensuring comprehensive planning, coordination, and mitigation strategies to address a range of potential emergencies and incidents.
7. Revisions to Hyperbaric Chamber Pressure Relief Requirements: Revisions to hyperbaric chamber pressure relief requirements aim to enhance the safety and integrity of hyperbaric facilities, ensuring compliance with regulatory standards and best practices for the operation of these specialized environments.
8. Updates to Dental Gas and Vacuum System Requirements: Revisions to dental gas and vacuum system requirements reflect updated safety considerations and best practices for dental care environments, ensuring the safety, reliability, and effectiveness of these systems in supporting patient care.

Overall, the NFPA 99 Health Care Facilities Code 2024 edition incorporates significant changes and updates to address emerging challenges, enhance safety, and improve compliance in healthcare facilities. By staying abreast of these revisions and implementing them effectively, healthcare facilities can ensure the highest standards of safety, reliability, and quality of care for patients, staff, and visitors.

Frequently Asked Questions (FAQs) about the NFPA 99 Health Care Facilities Code:

1. What is the NFPA 99 Health Care Facilities Code?
   • The NFPA 99 Health Care Facilities Code is a set of regulations and standards developed by the National Fire Protection Association (NFPA) to establish minimum requirements for the design, installation, operation, and maintenance of healthcare facilities. It covers a wide range of topics, including medical gas systems, electrical systems, fire protection, and emergency management.
2. Who is responsible for enforcing the NFPA 99 Health Care Facilities Code?
   • The enforcement of the NFPA 99 Health Care Facilities Code typically falls under the jurisdiction of local authorities having jurisdiction (AHJs), such as building code officials, fire marshals, and healthcare facility regulators. These authorities are responsible for ensuring compliance with the code’s requirements through inspections, permits, and enforcement actions.
3. What types of healthcare facilities are covered by the NFPA 99 Health Care Facilities Code?
   • The NFPA 99 Health Care Facilities Code applies to a wide range of healthcare facilities, including hospitals, clinics, nursing homes, ambulatory surgical centers, and medical offices. It encompasses both new construction and existing facilities, addressing the unique safety and regulatory considerations associated with healthcare environments.
4. Are there any specific training requirements for personnel working in healthcare facilities covered by the NFPA 99 Health Care Facilities Code?
   • Yes, the NFPA 99 Health Care Facilities Code includes provisions for training and qualifications of personnel involved in the design, installation, operation, and maintenance of healthcare facility systems and equipment. Training requirements may vary depending on the specific roles and responsibilities of personnel, such as medical gas system designers, facility managers, and emergency responders.
5. How often is the NFPA 99 Health Care Facilities Code updated, and how can healthcare facilities stay informed about changes?
   • The NFPA 99 Health Care Facilities Code is typically updated regularly to incorporate new technologies, best practices, and regulatory requirements. Healthcare facilities can stay informed about changes to the code by subscribing to NFPA updates, attending training seminars and conferences, and consulting with industry experts and regulatory authorities.
6. What are some common challenges faced by healthcare facilities in complying with the NFPA 99 Health Care Facilities Code?
   • Common challenges faced by healthcare facilities in complying with the NFPA 99 Health Care Facilities Code include ensuring adequate training and resources for personnel, managing complex systems and equipment, maintaining compliance with evolving regulations, and addressing budgetary constraints for upgrades and renovations.

Summary: Key Points Covered in this Article

In this article, we explored the NFPA 99 Health Care Facilities Code, focusing on its 2024 edition and highlighting key changes, updates, and provisions. Here are the key points covered:

1. Introduction to NFPA 99: We provided an overview of the NFPA 99 Health Care Facilities Code, emphasizing its importance in establishing minimum requirements for the design, installation, operation, and maintenance of healthcare facilities.
2. Highlights of the 2024 Edition: We discussed the major changes introduced in the 2024 edition of the NFPA 99 code, including references to professional qualifications standards, revisions to MAQ limits, updates to emergency management requirements, and enhancements to fire protection measures.
3. Table of Contents: We presented a detailed table of contents for the NFPA 99 Health Care Facilities Code 2024 edition, outlining its chapters, sections, and annexes to provide a comprehensive overview of its structure and organization.
4. Exploration of Key Chapters: We delved into specific chapters of the NFPA 99 code, including plumbing, HVAC, electrical equipment, gas equipment, emergency management, security management, hyperbaric facilities, dental gas and vacuum systems, and features of fire protection, highlighting their requirements and provisions.
5. Explanatory Annexes: We explored the annexes of the NFPA 99 code, including additional explanatory material, sample ordinance adopting the code, and informational references, to provide further guidance and resources for users.
6. Frequently Asked Questions (FAQs): We addressed common questions and concerns related to the NFPA 99 Health Care Facilities Code, covering topics such as enforcement, training requirements, updates, challenges, and compliance issues faced by healthcare facilities.

By understanding and adhering to the requirements of the NFPA 99 Health Care Facilities Code, healthcare facilities can ensure the safety, reliability, and compliance of their operations, ultimately enhancing the quality of care and safety for patients, staff, and visitors.