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What codes apply for State and Federal healthcare facility surveys?

If your facility receives Medicaid or Medicare funding the following is important:

The NFPA 101, Life Safety Code,2000 edition was adopted by the US Department Of Health & Human Services, Centers for Medicare & Medicaid Services with the publication on January 10, 2003, of the Federal Register (68 FR 1374) of a final rule entitled �Medicare and Medicaid Programs; Fire Safety Requirements for Certain Health Care Facilities.� Facilities in existence at the time were given until September 11, 2003to comply with the regulations.

Included in the NFPA 101, Life Safety Code, requirement you will find NFPA 70, 110, 99, and 37 are also applicable. The correct editions will be year 2000 or earlier.

NFPA 110, Standard for Emergency and Standby Power Systems, 1999 Editionis the code most often used by surveyors. It deals with engine driven on-site generators. The most often cited section is Chapter 6, �Routine Maintenance and Operational Testing�.

NFPA 99, Health Care Facilities, 1999 Editionis the next most commonly used code. Chapter 3 outlines the requirements for hospitals and nursing homes. Of particular interest, this chapter tells you what must be connected to the generator.

NFPA 70, National Electric Code,1999 Editionalso covers emergency generators in Article 700 and Article 517, �Health Care Facilities�.

NFPA 70E, Standard for Electrical Safety in the Workplaceis about operator safety and is most often applied by OSHA.

NFPA 37, Standard for the Installation and Use of Stationary Combustion Engines and Gas Turbinescovers the placement and clearances for the engine.

The codes listed above are required by CMS as of this writing, 6-12-13. Requirements will change in the near future to later editions when Congress updates from these codes which were written more than ten years age. Other jurisdictions like your state or city may require later editions as well as other codes like IBC and IFC.

Your city or state government has most likely adopted International Building Code and International Fire Code. These generally require compliance with the above codes, but usually a later edition. Fortunately most editions are very similar.

Other organizations like The Joint Commission or the VA may have other or additional rules.

Be Careful!

Generators and automatic transfer switches as well as their appurtenant devices employ high voltages that can hurt you. Do not attempt to work with this equipment unless you are qualified. Observe all rules and cautions found in the manufacturer�s manuals as well as NFPA 70E, Standard for Electrical Safety in the Workplace.

The assistance I provide is based on the questions you ask and the accuracy of the information you provide about your equipment or project. I cannot guarantee you will like or agree with my response.

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