Welcome to the Interim Fire and Life Safety Course for Contractors and Consultants

1
Welcome to the Interim Fire and Life Safety
Course for Contractors and Consultants

• Jeff Combs
• Cleveland Clinic Fire Marshal
• 216-444-6617 Fax [phone]
• Cell Phone [phone]
• E-mail CombsJ_at_ccf.org

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Sowhy are we here?

• To review and acquaint CC contractors and
  consultants with requirements, guidelines and
  specific protocol while working at Cleveland
  Clinic facilities. Refresher required every 2
  years.

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Definitions

1. Project Manager All contractors will have a
   Cleveland Clinic project manager assigned to
   their project and should know who they are.
2. Job Board All projects require job boards which
   should post all applicable permits, floor plan of
   project including location of sprinkler shut off
   valves, extinguishers, fire alarm boxes, exits,
   etc. Some jobs may be small. A clipboard will
   suffice for the job board in such cases.
3. Permits CRRAS OBP, HSP, FRZP, CTP, FSPP

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Example of Job Board
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Permits, Permits, Permits!

• A. CRRAS-Construction Renovation Risk
  Assessment Subcommittee
• 1.There are five possible types of fire
  permits that you may need to acquire
• a. Open burning
• b. Hazardous substance
• (City of Cleveland)
• c. Fire retardant zipwall
• d. Ceiling tile
• e. Firestop penetration
• Please call Tara at 216-445-3438 to set up an
  appointment for obtaining these. Appointments
  will be granted for 15 minutes
• PER PERMIT.

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Hotwork (Open Burning)

• CC Contractors are required to obtain an Open
  Burning permit from CC Fire Marshal for use with
  any Open Flame device. Any open flame operation
  being performed without a permit, will be
  shutdown until the permit is secured. Requests
  for permits should be at least 24 hours in
  advance of the work performed.

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Example of Open Burning Permit
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Hotwork Procedures

• Parties are responsible to call the Inspector
  daily no earlier than 700am. Please call
  216-445-3432 and provide your name, company,
  location, permit number, a reliable contact phone
  number and the nature of the hotwork. When
  calling in hotwork, you must wait for
  pre-inspection before starting hotwork. CC Fire
  Marshal office reserves right to randomly
  inspect. Parties are also responsible for
  calling when ending hotwork, before 230pm, and
  must wait for post-inspection before leaving
  jobsite. Any exceptions must be approved by
  Cleveland Clinic Fire Marshal (Jeff Combs), and
  must be inspected by Cleveland Clinic Police
  before leaving jobsite. Unannounced site visits
  may occur, and citations may occur if not
  compliant. Please fax City of Cleveland Hazardous
  Substance permits to Cleveland Clinic Fire
  Marshal at 216-444-2419.

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Fire Blankets
Fire blankets for hotwork will be FM approved. To
the right is an example of the symbol
representing FM Approval.
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Hazardous Substances

• The Cleveland Fire Prevention and Building Code,
  section 385 Permit required, states that a permit
  is required by contractors for the use, storage,
  and handling of flammable gases, compressed gases
  and flammable liquids in quantities gt 5 lbs/ 5
  gals as applicable . No size quantity for LPG.
• Contractors will provide Material Safety Data
  Sheets (MSDS) at the job site for all Hazardous
  Chemicals used. Questions can be directed to the
  CC Hazardous Materials Coordinator at
  [phone].

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Example of Hazardous Substance Permit
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Common Examples of Hazardous Substances

• Flammable Liquids 5 lbs/5 gallons
• Gas, Solvents, Alcohols, Mineral Spirits,
  Sealers, Aerosols, Paints, Glues.
• Combustible Liquids 5 lbs/5 gallons
• Diesel, Solvents, Sealers, Paints, Glues.
• Liquified Petroleum Gas Any Quantity
• Propane, Butane
• Compressed Gases 5 lbs/5 gallons
• Oxygen, Argon, Nitrogen, Acetylene

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Examples of Diamonds
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Example of LPG Cylinder
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Fire Retardant Zipwall

• Only Fire retardant zipwall plastic is acceptable
  for ensuring that all temporary construction
  partitions are smoketight and non-combustible.
  It is not considered a fire barrier. Permit for
  this zipwall is required.
• http//www.americover.com//Products/ZipWall.html

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Ceiling Tile Permits

• If at anytime or place, any project work requires
  that a ceiling must be entered for any purpose
  the following protocol will be followed
• The following information will need to be
  available Company, Requester, Workers, Reason to
  Enter, CC Project Manager, Project, Specific
  Area, How many tiles?, and how long the activity
  will take.
• Permits must be available and displayed at all
  locations on site where tiles are out. Make many
  copies if needed. Posting permits on ladders is
  not permitted but only on all metal ceiling tile
  grid exposed.

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Firestopping Permit

• Never firestop without a permit!!
• Before firestopping, you must take a the 4-hour
  firestopping course. Call Tara at
• [phone] to register for class.

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3 Types of Fire Protection

• 1. Sprinklers
• 2. Smoke Detectors
• 3. Rated Barriers

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Restoring the integrity of a rated barrier is
known as

• Firestopping

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Firestopping MEP

• 2 Types
• 1. Through
• 2. Membrane

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Firestopping Non-MEP Joints
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Background-Plans

• 1. ARCHITECTS
• a. Life Safety Drawing
• b. UL Firestop System for Joints
• 2. ENGINEERS
• a. UL Firestop System for Through/Membrane
• Penetrations.
• 3. MANUFACTURER
• a. Train
• b. Certify
• c. Assist
• 1. On site
• 2. Engineering Judgments
• 4. CONTRACTOR
• a. Trained
• b. Certified
• c. Do Homework

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Life Safety Drawing
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Electronic Firestopping Instructions

• 1. Prepare electronic FSPP with table by filling
  in all required information. Information for the
  table will come from field contractor who filled
  it out by hand. (Sample on next slide)
• 2. Compile a list of UL firestop systems from
  the table.
• 3. Go to website for STI etc to do a UL search at
  http//sti.fmpdata.net/system_search.html or
  equivalent.
• 4. Acquire an electronic pdf for each system
  compiled and save in your computer.
• 5. Send and email to Cleveland Clinic Fire
  Marshal at combsj_at_ccf.org and attach the filled
  out FSPP and all pdfs compiled.
• 6. Once FSPP is received, make sure that workers
  in the field have a copy of the permit and all
  printed copies of pdfs. Permits in the field
  without the printed pdfs attached are considered
  non-compliant.

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Example of Firestopping Tag
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Identification

• Contractors working only a few days maximum
  require the paper ID card which will be filled
  out completely.
• Contractors who are working at CC for more than a
  few days are required to get a Temporary ID badge
  (plastic) from the Chester Conference Center.
  Attendance of this course mandatory for badge.

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Temporary ID Badge
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• When working in any CC Patient Care Facility,
  Joint Commission for the Accreditation of
  Hospitals Interim Life Safety Measures will
  apply.
• These are as follows

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Ensuring that Exits are free from obstruction

• The Fire Code will not permit exit capacity or
  condition to be reduced from original design
  levels.

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Ensuring that fire related alarm, detection, and
suppression systems are not impaired

• In case of impairment, it will be the
  responsibility of the contractor to coordinate
  with CC Construction Management, CC Facilities
  Engineering, and Management companies to provide
  fire watch as required.

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• Bagging of smoke detectors is not permitted.
  Contact CC Construction Management, CC Facilities
  Engineering, and Management companies to initiate
  a shutdown of fire alarm devices.
• Unnecessary Fire Alarms activated by contractors
  which lead to a City of Cleveland Fire Department
  fine will be backcharged to the contractor

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To Initiate Shutdown, please follow these
procedures

• 1. The contractor requests shutdown from project
  manager.
• 2. Project manager initiates shutdown notice.
• 3. Cleveland Clinic Fire Marshal will
  approve/disapprove and provide conditions (ex
  fire watch)
• 4. Facilities will initiate shutdown.
• 5. Facilities will communicate to contractor that
  the shutdown is accomplished.

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• 6. Contractor will perform work.
• 7. Contractor will do fire watch as required.
• 8. Contractor will advise facilities when
  complete.
• 9. Facilities will turn back on.
• 10. Facilities will communicate to contractor
  that fire protection is back on.
• 11. The contractor, being relieved of fire watch,
  as applicable, is free to discontinue.
• 12. Contractor will fax fire watch in real time
  within 30 minutes of being advised of being
  turned back on to 216-444-2419.

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3 conditions where fire watch is required even if
fire sprinklers are still on.

• 1. Smoke detectors shutdown in elevator lobbies.
• 2. Smoke detectors shutdown in smoke management
  systems.
• 3. Smoke detectors shutdown that control fire
  doors.

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Ensuring that all temporary construction
partitions are smoketight and non-combustible.

• Only fire retardant visquene plastic is
  acceptable. It is not considered a fire barrier.
  Permit for visquene is required.

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Fire Extinguishers

• Providing fire extinguishers to be used within
  the perimeter of the job site as required. Also
  required for hotwork per each torch assembly. CC
  Fire Safety will monitor our existing units so
  it is important to have contractor provided units
  in place.

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To Operate Fire Extinguisher(Just think of the
word PASS)

• PULLthe safety pin at the top of the
  extinguisher, (but let them knowCODE RED!!)
• AIMthe nozzle or hose at the base of the flames.
  Stay between 6-8 ft. away from the flames.
• SQUEEZEor press the handle (do not turn your
  back)
• SWEEPwith wind in your favor from side to side
  at the base of the fire until it goes out.

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4 Key Variables of All Fire Plans

1. How the fire alarm works in the facility.
2. Knowing location of ALL fire exits on the floor
   where youre working.
3. Knowing the location of 2 fire extinguishers.
4. Knowing the location of 2 fire alarm boxes

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Smash the Ash!

• Contractors are to ensure that the CC No Smoking
  policy is followed. Smoking is not permitted on
  the CC campus or adjacent property.

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Clean up after yourself!

• Ensuring that storage, housekeeping, and
  debris-removal procedures are strictly followed
  as required.

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Fire Drills

• The CC Fire Marshal conducts ILSM fire drills at
  the Midtown campus, and conducts spot check
  drills at Off Campus job sites in order to test
  worker training.
• Fire drills are required monthly, quarterly, and
  annually on various shifts.
• Procedure
• 1. DO NOT move real patients, but rescue dolls.
• 2. DO NOT USE wet materials
• 3. PULL fire alarm box
• 4. DO NOT discharge fire extinguisher

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Fire Plan

• In case of fire say CODE RED SOMEBODY PULL THE
  ALARM!!
• Rescue
• Close the door
• Pull alarm
• Report fire to 42222 or 911
• Fight fire with extinguisher if possible
• Seal door with towels, blankets, etc.
• Close all other doors
• Await Code Red Team and Fire Dept.

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In Case Of Alarm

• 1.) Patient Care Facilities, Ascertain Location
  of Alarm
• 2.) If Alarm is Adjacent, Floor Above, or Below
• -Send one person to area with extinguisher to
  help and advise that doors are closed.
• 3.) Non-Patient Care facilities evacuate
  immediately

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Non-Coded Fire Alarm System

• If your area is not listed under the fire alarm
  coded system, then it is non-coded. Occupied
  areas included are
• Patient Care Voice Systems A, C, E, I (Eye), P,
  R
• Patient Care Interior Coded Systems U
• Non-Patient Care BB, CC, DD, EE, GG, JJ, L,
  NA-NE, UA, UU, W

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Fire Evacuation Levels

• Single room by first responder.
• More than one room by first responder
• Horizontal one smoke zone to another by nurse
  manager.
• Building sector (Floor above, below) by HEICS
• Entire facility evacuation by incident command.
• Note All oxygen zone valve shutdown will be by
  the
• CCF Code-Red Team
• Area Of Refuge
• C-Clear all ambulatory out of stairs
• C-Call incident command and provide information
• S-Stage patients on stair landing
• W-Wait in stair for emergency responders

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ILSM SURVEY CITATIONS
01. Exit(s) or Corridor(s) were obstructed?
Exits obstructed a. Equipment/tools
/debris blocking exit or corridor b.
Inadequate exit signage c. Job to be
shutdown while immediate issue is fixed. 02. Fire
alarm and/or Fire Suppression system was impaired
(firewatch)? Inadequate fire watch a.
Fire watch log not filled out at survey b.
Fire watch not occurring. c. Fire watch log
not faxed in realtime 03. ILSM barrier was not
satisfactory or approved? Inadequate ILSM
barrier a. Door open to the site. b.
Door does not latch c. Opening in
barrier wall d. Opening in fire retardant
zipwall, except when approved negative air vent
e. Lack of barrier or zipwall where called
for f. No rated fire door barrier
when it is required 04. Inadequate fire
extinguishers on job site? Inadequate fire
protection a. No fire extinguishers on
site b. No fire extinguisher for hot work
c. Fire extinguisher is inaccessible d.
Fire extinguisher has no charge e. In
house fire extinguisher being used in project
f. Fire extinguisher out of date g.
Fire extinguisher have not received monthly
visual quick check 05. Violation of CCF Smoking
Policy? Smoking on site a. Worker
smoking at job site. b. Worker smoking on
campus and adjacent spaces to it.
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06. Workers not trained in fire safety or ILSM
(job board 8 items/ID)? No fire or ILSM
training a. Worker has no ID badge b.
Worker has no temp paper ID card c.
Worker does not have temp paper ID card filled
out d. Worker using temp paper ID card
with an old date indicating they have not
attended the Tuesday Class e.
No job board for the project f. Job
board floor plan incomplete 1.
Missing sprinkler shut off valve 2.
Missing sprinkler shut off tool 3.
Missing all exits 4. Missing fire
alarm boxes 5. Missing fire
extinguishers 6. Missing barriers if
applicable 7. Missing fire alarm
display device if applicable 8.
Missing fire plan 9. Permit not
posted on the job board 10. Worker
unaware of job board and cannot relate to
inspector 11. Job board not organized
for ready emergency use 07. Construction
storage, housekeeping and debris removal
unsatisfactory? Poor housekeeping a.
Debris and material being moved through halls
without a hard flip hinged cover b. Debris
found at job site 24 hours after originally
found c. Area in need of clean up d.
Unauthorized storage of construction materials
and equipment
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08. No permit (open burning, ceiling tile,
hazardous substance)? fire protection system
impaired a. No CRRAS permit posted on
job board b. No OBP posted on job board
c. No OBP posted at direct site of hotwork
d. No HSP posted on job board e. No HSP
posted at direct site of where such are
used/stored. f. No NFPA 704 posted at site
where Hazardous material is used and stored
g. No labels or cans, boxes, tanks, etc
duplicating OBP number h. No OBP for
use/storage non hot work related hazardous
materials i. No FRZP posted where zipwall
is hung, all locations j. No FRZP posted
on the job board k. No CTP posted on job
board l. No CTP posted at all locations
where tiles are out. m. Permits expired or
for the wrong location n. No FSPP posted on
job board. o. No FSPP available where the
firestopping work is occurring p. No
temporary firestop where required. q. No
city building or other city permits posted on job
board r. No city fire alarm or sprinkler
system installation permits posted on job
board as applicable 09. Unsafe condition tool
unattended, electrical, etc.? a. Tool
left unattended in open grid ceiling.
Confiscated b. Tool left unattended and
plugged in on ground level. Confiscated c.
Unsafe electrical. Remove from site d.
Long materials being moved in the house without a
spotter or flag. e. Unsecured compressed gas
tanks f. Miscellaneous Hazard 10. No
items noted (1-9 above)? None