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GUESTSNAMEREPRESENTINGChad BeebeWashington State Department ofHealthAmy CarpenterWallace, Roberts & ToddMarty FarraherSiemensRobert FullerEVISPhil JoseP.R. Jose & AssociatesBonnie KantorPioneer NetworkMasoud SabounchiAdvanced Consulting EngineeringTECHNICAL COMMITTEE MEMBERS NOT PRESENTNAMEREPRESENTINGWayne Carson, PrincipalCarson Associates, Inc.Donald Harris, PrincipalCalifornia Office of Health Planning& DevelopmentGeorge Stevens, PrincipalUS Department of Health & HumanServices/Indian Health ServicesPeter Tately, PrincipalSiemens Building Technologies3. Approval of Minutes.The minutes of the December 10-11, 2009 meeting were approved as written anddistributed.4. The Revision Process.Staff addressed the actions that the committee could take at the ROC meeting;described the “e-mail” letter ballot for recording the written vote on thecommittee actions on the comments; and highlighted significant changes made tothe core chapters during the ROC meetings held two weeks earlier.5. Defining AHC “Outpatient”.Drop subject from agenda.BLD/SAF-HEA 10-2010 ROC Meeting Minutes / Page 3Page 9 of 184

6. Smoke Barrier Door Latching.Subject addressed by Comment 101-226a and 101-258a.7. Corridor Clutter Task Group.The task group (consisting of Tom Jaeger – Chair, Ken Bush, Amy Carpenter,Buddy Dewar, David Hood, Bill Koffel, Brian Prediger, and David Sine)reported. The issue was addressed via the action on the public comments. Thetask group was discharged. See Comments 101-188 through 101-191.8. Closet Sprinkler Exemption.Issue addressed via Comment 101-217.9. Health Care Summit – Subjects Identified.Retain subject on agenda. Republish staff notes from health care summit inagenda for next meeting.10. NFPA 101 ROC Preparation.All comments were addressed. See the ROC letter ballot.11. NFPA 5000 ROC Preparation.All comments were addressed. See the ROC letter ballot.12. Other Business.Correlation of NFPA 101/5000 Provisions. A task group was formed to addressneeded correlation between NFPA 101 Chapters 18-21 and NFPA 5000 Chapters19-20 as many changes made to NFPA 101 have not been made to NFPA 5000.The task group includes Mike Crowley – Chair, Chad Beebe, Tom Jaeger, HenryKowalenko, Jim Lathrop, and Dan O’Connor. Retain subject on agenda.ABHR. The committee generated and accepted Comment 101-211a to exemptlimited alcohol-based hand-rub dispensers in patient/resident rooms from beingincluded in the maximum permitted aggregate quantity.13. Future Meetings.The committee asked to meet in a special 1.5-day, pre-ROP meeting in October2011 in the Dallas-Fort Worth area, with task groups to meet the previous day.The committee will need to meet in the Fall of 2012 to prepare the Reports onProposals (ROPs) for the 2015 editions of NFPA 101 and NFPA 5000. Thecommittee asked that the ROP meeting be scheduled for 1.5 days withadjournment planned for noon on the second day.BLD/SAF-HEA 10-2010 ROC Meeting Minutes / Page 4Page 10 of 184

14. Adjournment.On Tuesday, October 19 the meeting was recessed at 5:35 PM. On Wednesday,October 20 the meeting was recovened at 8:00 AM and adjourned at 11:25 AM.Minutes prepared by Ron Coté and Linda MacKayBLD/SAF-HEA 10-2010 ROC Meeting Minutes / Page 5Page 11 of 184

MINUTESNFPA Life Safety Technical Committee on Health Care OccupanciesJuly 26, 2011 Pre-ROP Planning Teleconference1. Call to Order.The meeting was called to order by Chair David Klein at 1:00 p.m. on July 26, 2011 viateleconference.2. Roll Call of Committee Members.The following Committee Members participated in the teleconference:Technical Committee Members Who Participated:NAMEREPRESENTINGDavid Klein, ChairUS Department of Veterans AffairsRon Coté, Nonvoting SecretaryNFPAJames Ambrose, PrincipalCode Consultants, Inc.Kenneth Bush, PrincipalMaryland State Fire Marshal’s OfficeRep. International Fire MarshalsAssociationMichael Crowley, PrincipalThe RJA Group, Inc.Buddy Dewar, PrincipalNational Fire Sprinkler Association, Inc.Alice Epstein, PrincipalCNA InsuranceDavid Hood, PrincipalRussell Phillips & Associates, LLCPhillip Hoge, Alternate(to Brian Prediger)US Army Corps of EngineersPage 12 of 184

Richard Horeis, PrincipalHDR Architecture, Inc.Thomas Jaeger, PrincipalJaeger and Associates, LLCRep. American Health Care AssociationWilliam Koffel, Alternate(to Doug Erickson)Koffel Associates, Inc.Peter Larrimer. Alternate(to David Klein)US Department of Veterans AffairsJames Merrill, PrincipalUS Department of Health and HumanServices/ CMSDaniel O’Connor, PrincipalAon Fire Protection EngineeringBen Pethe, PrincipalHealth Care ConsultantJohn Rickard, PrincipalOlicon DesignRichard Roberts, PrincipalHoneywell Life SafetyRep. Automatic Fire Alarm Association,Inc.Terry Schultz, Alternate(to Jim Ambrose)Code Consultants, Inc.Saundra Stevens, PrincipalAdams County Regional Medical CenterGeza Szakats, PrincipalArup North America Ltd.Peter Tately, PrincipalSiemens Building TechnologiesTechnical Committee Members Who Did Not Participate:NAMEREPRESENTINGWayne (Chip) Carson, PrincipalCarson Associates, Inc.Samuel Dannaway, PrincipalS.S. Dannaway Associates, Inc.Rep. American Society of Safety EngineersJohn Fishbeck, PrincipalThe Joint CommissionPage 13 of 184

Gary Furdell, PrincipalState of Florida – Agency for HealthcareAdministrationRobert Harmeyer, PrincipalMSKTD & AssociatesRep. American Institute of ArchitectsDonald Harris, PrincipalCalifornia Office of Health, Planning &DevelopmentFacilities Development DivisionHenry Kowalenko, PrincipalIllinois Department of Public HealthGeorge Stevens, PrincipalUS Department of Health and HumanServices/IHSMichael Widdekind, PrincipalZurich Services Corporation3. Reviewing Short- and Long-Term Action Items from July 2010 Health CareSummit.A. Revising NFPA 101 to Reflect Risk-Based Approach.Thoughts expressed: The committee is concerned with the line between limited carefacilities and residential board and care (B&C). Should address the transition whereresident’s needs change. State licensure currently dictates that bed ridden imposes healthcare requirements. Licensure follows common set of rules in all 50 states for hospitalsand nursing homes, but not for B&C. Need to avoid creating conflicts with licensuregroups. Evacuation capability dictates when changes in B&C are needed. NFPA 99’srecent changes are related to risk to patient. When is a “doctor-in-a-box” (i.e., WalMartclinic) ambulatory health care (AHC) and when is it a business occupancy?The committee agreed to work toward defining occupancies relative to patient/residentneeds rather than the surroundings of the building. The related task group should includeproviders, advocates and clinicians. The task group also received responsibility for theseparate subject of health care in retail spaces.Risk-Based Occupancy Task Group formed: John Rickard – Chair, Ken Bush, MikeCrowley, Buddy Dewar, David Hood, Tom Jaeger, Bill Koffel, Ben Pethe, SaundraStevens, to-be-named rep from B&C TC (SAF-BCF), and a provider (to be identified byTom Jaeger).B. Person-Directed / Person-Centered Care.John Rickard agreed to serve as a task group of one to identify code issues related toperson-directed / person-centered care before asking for a summit presentation on thesubject. John offered that he would work to convene the right people for a teleconferencediscussion of the subject.Page 14 of 184

C. Permitting Fire Safety Risk to Increase in Order to Better the Quality of Life.Thoughts expressed: Some of the changes made for NFPA 101-2012 do slightly increasethe risk to occupants as an accommodation to better quality of life. It is not thecommittee’s job to promote home health care, but to establish guidelines for proper care.Should NFPA write a home health care standard? There’s probably not enough publicinterest for a new document.The committee agreed to monitor the subject so as to be able to recognize additionalhome health care that is promoted by others; and to react by writing needed requirements.The monitoring should take the form of seeking out providers; asking what is being done;asking what care is being provided; asking where the care is being provided; and askingwhat is coming for the future.Alice Epstein provided two documents: Health Care Comes Home: The Human Factors,and State Operators Manual – Guide to Surveyors: Home Health Agencies. Thedocuments appear as attachments to these minutes.Home Health Care Study (and Misc. Items) Task Group formed: Ken Bush – Chair, TomJaeger, Pete Larrimer, and Saundra Stevens (John Rickard to assist as able).The task group was also asked to look at the residential cooking and fireplace fireexperience; and available reports for open kitchen fires in long term facilities.The task group was asked to monitor fire statistics, in coming years, related to UL 300versus UL 300A kitchen systems. As possible, the task group was asked to prod UL tofinalize its UL 300A investigative report into a standard.D. Changes in Cooking Risks as a Person’s Abilities Change.The committee agreed that the subject is a clinical issue that is not related to the physicalplant.E. Antifreeze Sprinkler Systems.The committee asked if it needs to be concerned about the use of antifreeze solutions inhealth care occupancy NFPA 13 sprinkler systems given the recent FPRF work onantifreeze solutions in residential sprinkler systems. Buddy Dewar offered to workthrough Russ Fleming of NFSA to learn what is being done to address NFPA 13 systems.4. New Issue – Maximum Permitted Suite Size.Mike Crowley asked that the committee address increasing the allowable size of requiredsmoke compartments. The allowable size of sleeping suites was increased in NFPA 1012012 from 7500 ft2 to 10,000 ft2. The committee took no action. Mike agreed to studyand monitor the subject.Page 15 of 184

5. NFPA 101 and NFPA 5000 Correlation.Mike Crowley, chair of the task group on correlation of NFPA 101 and NFPA 5000requirements for health care and ambulatory health care occupancies, advised that he willconvene the task group via teleconference. Not all changes made to NFPA 101 Chapters18–22 appear in NFPA 5000 Chapters 19-20.6. Next Meeting.The committee expressed interest in participating in another Health Care Summit. Therewas agreement that a March-April 2012 timeframe would work well. The committeeasked that the summit date avoid: March 5 (NFPA Board of Directors Meeting), April 8Easter period including the week prior, and April 6-14 Passover period.The committee asked that a pre-ROP meeting be held to follow the 2012 Summit. Taskgroups would meet in the morning of the day after the summit; the full committee wouldconvene in the afternoon.7. Adjournment.The meeting was adjourned at 2:45 p.m.Attachments:Health Care Comes Home: The Human FactorsState Operators Manual – Guide to Surveyors: Home Health AgenciesMinutes Prepared by Ron Coté and Linda MacKayPage 16 of 184

NFPA 101/5000 First Draft (Public Input)MeetingHealth Care Occupancies1NFPA 101 / 5000First Draft (Public Input)Technical Committee MeetingMeeting General Guidelines2 Fire Safety – If alarm sounds Members,Members please make changes to your contactinformation on roster sheets accompanying the signin list Use of tape recorders or other means capable ofreproducing verbatim transcriptions of this meeting isnot permittedp Guests Members representing another interest category Page 1Page 17 of 184

NFPA 101/5000 First Draft (Public Input)MeetingNFPA First Draft Meeting33 General Procedureso FollowRobert’s Rules of Order.o Discussion requires a motion.NFPA First Draft Meeting4 Motions for Ending Debate Previous Question orCall the QuestionQuestion”“CallooooNot in order when another has the floorRequires a secondThis motion is not debatable and DOES NOTautomatically stop debateA 2/3 affirmative vote will immediately close debate andreturn to the original motion on the floor. Less then 2/3will allow debate to continue.Page 2Page 18 of 184

NFPA 101/5000 First Draft (Public Input)MeetingNFPA First Draft Meeting5 Committee member actions:ooooMember addresses the chair.Receives recognition from the chair.Introduces the motion.Another member seconds the motion.NFPA First Draft Meeting6 Committee chair actions:States the motion.o Calls for discussion.o Ensures all issues have been heard.o Takes the vote.o Announces the result of the vote.oPage 3Page 19 of 184

NFPA 101/5000 First Draft (Public Input)MeetingNFPA First Draft Meetings7 Technical Committee on Health Care Occupancies(29) Enforcers, 8 Members: 28%Insurance, 3 Members: 10%Manufacturers, 3 Members: 10%Special Experts, 9 Members: 31%Users, 6 Members: 21%NFPA 101/NFPA 5000 – New Process8Timeline Public Input Stage (First Draft): PI Closing Date: May 4, 2012 First Draft Meeting: Core Chapters: May 21-25, 2012Occupancy Chapters: August 12-16, 2012Correlating Committees: November 5-7, 2012Posting of First Draft for Balloting Date: Varies by TCPosting of First Draft for Public Comment: February 22, 2013 Comment Stage (Second Draft): Public Comment Closing Date: May 3,3 2013 Second Draft Meeting: Core Chapters: May 20-23, 2013Occupancy Chapters: June 24-27, 2013Correlating Committees: October, 2013Posting of Second Draft for Balloting Date: Varies by TCPosting of Final Second Draft for NITMAM: January 3, 2014Page 4Page 20 of 184

NFPA 101/5000 First Draft (Public Input)MeetingNFPA 101/NFPA 5000 – New Process9Timeline Tech Session Preparation: NITMAMClosing Date: February 7, 2014 NITMAM /CAM Posting Date: April 4, 2014 NFPA Annual Meeting: June 9-12, 2014 Standards Council Issuance: IssuanceIoff DDocumentst withith CAM:CAM AugustAt 14,142014 with 2015 edition dateNFPA 101/NFPA 5000New Process – Terms10 Changes in Terms:New TermOld TermInput StageROP StagePublic InputProposalFirst Draft MeetingROP MeetingCommittee InputCommittee Proposal that FailedBallot or “Trial Balloon”Committee Statement (CS)Committee StatementFirst Revision (FR)Committee Proposal or AcceptedPublic ProposalFirst Draft ReportROPFirst DraftROP DraftPage 5Page 21 of 184

NFPA 101/5000 First Draft (Public Input)MeetingNFPA 101/NFPA 5000New Process – Terms11 Changes in Terms:New TermOld TermComment StageROC StagePublic CommentPublic CommentSecond Draft MeetingROC MeetingCommittee CommentCommittee Comment that FailedBallot or “Trial Balloon”Second RevisionCommittee Comment or AcceptedPublic CommentSecond Draft ReportROCSecond DraftROC DraftNFPA 101/NFPA 5000New Process – Actions12NEW Committee Actions and Motions:Resolve Public Inputo Create a First Revisiono Create a Committee Input (Trial Balloon)oPage 6Page 22 of 184

NFPA 101/5000 First Draft (Public Input)MeetingNFPA 101/NFPA 5000New Process – Actions13 Resolve a Public Inputoooo(No Change to Text):Committee does not want to incorporate the PublicInput (PI) as a revision.Committee develops a Committee Statement (CS)to respond to (resolve) a Public Input.Committee must indicate, in CS, reasons for notacceptingti ththe recommendationd ti ((more on SlidSlide 16)16).CS does not get balloted.NFPA 101/NFPA 5000New Process – Actions14 Create a First Revision (FR)ooooCommittee details the change (in legislative text) itis making to current document.Committee develops a Committee Statement (CS)substantiating the change.If the revision is associated with one or moreP bli Input,PublicIt theth CCommitteeitt ddevelopsla CS ttorespond to each PI.Each FR gets balloted.Page 7Page 23 of 184

NFPA 101/5000 First Draft (Public Input)MeetingNFPA 101/NFPA 5000New Process – Actions15 Create a Committee Input (TrialB llBalloon))oooCommittee wants to receive Public Comment on atopic, but not ready to incorporate it into the draft.Need to provide a Committee Statement.Does not get balloted.NFPA 101/NFPA 5000New Process – Actions16 Committee Response (CS) to Public Input:All PI mustt receivei a response (CS).(CS)o Advise submitter of flaws.o Provide reasons why committee disagreed.o Provide direction relative to refinementneeded for securing committee’s supportsupport.o Explain how the submitter’s substantiationis inadequate.oPage 8Page 24 of 184

NFPA 101/5000 First Draft (Public Input)MeetingNFPA 101/NFPA 5000New Process – Actions17 Committee Response (CS) to Public Input:oShouldShld referencefththe FiFirstt RRevisioni i if itaddresses the intent of the Submitter’sPublic Input.NFPA 101/NFPA 5000New Process – Voting18 Formal votingVoting during meeting is used to establisha sense of agreement (simple majority),and move First Revisions to letter ballot.o Secured by letter ballot (2/3 agreement).o Only the results of the formal ballotdetermine the official position of thecommittee on the First Draft.oPage 9Page 25 of 184

NFPA 101/5000 First Draft (Public Input)MeetingNFPA 101/NFPA 5000New Process – Voting19 Ballots are on the First Revisions (FR) ONLY Public Input and Committee Input not ballotedReference materials are available: First Draft, PI, CI, CS Ballot form allows you to vote:ooAffirmative on all FRAffirmative on all FR with exceptions specifically noted Ballot form provides a column for affirmativewith commentoNote: This box only needs to be checked if there is anaccompanying comment. Reject or abstain requires a reason.NFPA 101/NFPA 5000New Process – Voting20 Initial ballotballot. Circulation of negatives and comments. Members may change votes duringcirculation. First Revision that fails letter ballotbecomes Committee Input (CI) – just likethe trial balloon version of CI – so as tosolicit Public Comment.Page 10Page 26 of 184

NFPA 101/5000 First Draft (Public Input)MeetingNFPA 101/NFPA 5000New Process – Voting21 BallotingBalloting will be webweb-based,based onon-lineline format.formato Alternates encouraged to return ballots.o22TC Struggleswith an Issue TC needs dataon a newtechnology oremergingissue Two opposingviews on anissue with noreal data Datapresented isnot trusted bycommitteeCode Fund Lendsa Hand TC rep and/orstaff liaisonsubmits aCode FundRequest Requests arereviewed by aPanel andchosen basedon need /feasibilityResearch ProjectCarried Out Funding forproject isprovided bythe CodeFund and/orindustrysponsors Project iscompletedand data isavailable toTCwww.nfpa.org/codefundPage 11Page 27 of 184

NFPA 101/5000 First Draft (Public Input)MeetingLegal23Antitrust: the single most important provisionFederal law prohibits contracts,contracts combinationscombinations,or conspiracies which unreasonably restraintrade or commerce. Section 1 of the Sherman ActPatent: Disclosures of essential patent claimsshould be made by the patent holder, but othe

Daniel J. O'Connor Principal Aon Fire Protection Engineering 1000 Milwaukee Avenue, 5th Floor Glenview, IL 60025-2423 I 1/1/1991 BLD-HEA Ben Pethe Principal Health Care Consultant 3224 Fountain Boulevard Tampa, FL 33609 SE 10/20/2010 BLD-HEA G. Brian Prediger Principal U.S. Army Medical Command Headquarters Director, Facilities Engineering Division