NFPA 99: Health Care Facilities Code
Current Edition: 2012 Next Edition: 2015

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NFPA 99:
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What is NFPA 99?
NFPA 99: Document Scope
1.1 Scope. 1.1.1 The scope of this code is to establish minimum criteria as follows in 1.1.2 through 1.1.13. 1.1.2 Fundamentals. Chapter 4 establishes criteria for levels of health care services or systems based on risk to the patients, staff, or visitors in health care facilities. 1.1.3 Gas and Vacuum Systems. 1.1.3.1 Chapter 5 covers the performance, maintenance, installation, and testing of the following: (1) Nonflammable medical gas systems with operating pressures below a gauge pressure of 2068 kPa (300 psi) (2) Vacuum systems in health care facilities (3) Waste anesthetic gas disposal (WAGD) systems, also referred to as scavenging (4) Manufactured assemblies that are intended for connection to the medical gas, vacuum, or WAGD systems (also referred to as scavenging) 1.1.3.2 Requirements for portable compressed gas systems are covered in Chapter 11. 1.1.4 Electrical Systems. 1.1.4.1 Chapter 6 covers the performance, maintenance, and testing of electrical systems (both normal and essential) in health care facilities. 1.1.4.2 The following areas are not addressed in this code, but are addressed in other NFPA documents: (1) Specific requirements for wiring and installation of equipment are covered in NFPA 70, National Electrical Code. (2) Requirements for illumination and identification of means of egress in health care facilities are covered in NFPA 101, Life Safety Code. (3) Requirements for installation, testing, and maintenance of fire protection signaling systems are covered in NFPA 72, National Fire Alarm and Signaling Code. (4) Requirements for installation of fire pumps are covered in NFPA 20, Standard for the Installation of Stationary Pumps for Fire Protection, except that the alternate source of power are permitted to be the essential electrical system. (5) Requirements for installation of stationary engines and gas turbines are covered in NFPA 37, Standard for the Installation and Use of Stationary Combustion Engines and Gas Turbines. 1.1.5 Information Technology and Communications Systems. Chapter 7 covers the performance, maintenance, and testing of information technology and communications systems in health care facilities. 1.1.6 Plumbing. Chapter 8 covers the performance, maintenance, and testing of plumbing systems in health care facilities. 1.1.7 HVAC Systems. Chapter 9 covers the performance, maintenance, and testing of heating, cooling, and ventilating in health care facilities. 1.1.8 Electrical Equipment. Chapter 10 covers the performance, maintenance, and testing of electrical equipment in health care facilities. 1.1.9 Gas Equipment. Chapter 11 covers the performance, maintenance, and testing of gas equipment in health care facilities. 1.1.10* Emergency Management. Chapter 12 establishes criteria for emergency management in the development of a program for effective disaster preparedness, response, mitigation, and recovery in health care facilities. A.1.1.10 Because no single model of an emergency management plan is feasible for every health care facility, this chapter is intended to provide criteria for the preparation and implementation of an individual plan. The principles involved are universally applicable; the implementation needs to be tailored to the specific facility. 1.1.11 Security Management. Chapter 13 covers the performance, maintenance, and testing of security equipment and systems in health care facilities. 1.1.12* Hyperbaric Facilities. Chapter 14 covers the recognition of, and protection against, hazards of an electrical, explosive, or implosive nature, as well as fire hazards associated with hyperbaric chambers and associated facilities that are used, or intended to be used, for medical applications and experimental procedures at gauge pressures from 0 kPa to 690 kPa (0 psi to 100 psi). A.1.1.12 During the past 20 years, there has been a widespread interest in the use of oxygen at elevated environmental pressure to increase the partial pressure of oxygen in a patient’s tissues in order to treat certain medical conditions or to prepare a patient for surgery. These techniques are also employed widely for the treatment of decompression sickness (e.g., bends, caisson worker’s disease) and carbon monoxide poisoning. Recently, however, the level of knowledge and expertise has increased so dramatically that the codes are in need of updating. By the end of 1988, there were 218 hyperbaric facilities in operation in the United States and Canada. These facilities supported hyperbaric medical treatments for 62,548 patients between 1971 and 1987. As these facilities provide therapy for disorders indicated for treatment, these numbers will continue to increase. As the number of facilities increases, the number of patients treated will also increase. Such treatment involves placement of the patient, with or without attendants, in a hyperbaric chamber or pressure vessel, the pressure of which is raised above ambient pressure. In the course of the treatment, the patient breathes up to 100 percent oxygen. In addition to being used for patient care, these chambers also are being employed for research purposes using experimental animals and, in some instances, humans. The partial pressure of oxygen present in a gaseous mixture is the determinate factor in the amount of available oxygen. This pressure will rise if the volume percentage of oxygen present increases, if the total pressure of a given gas mixture containing oxygen increases, or if both these factors increase. Because the sole purpose of the hyperbaric technique of treatment is to raise the total pressure within the treatment chamber, an increased partial pressure of oxygen always is available during treatment, unless positive means are taken to limit the oxygen content. In addition, the patient is often given an oxygen-enriched atmosphere to breathe. The need for human diligence in the establishment, operation, and maintenance of hyperbaric facilities is continual. The chief administrator of the facility possessing the hyperbaric chamber is responsible to adopt and enforce appropriate regulations for hyperbaric facilities. In formulating and administering the program, full use should be made of technical personnel highly qualified in hyperbaric chamber operations and safety. It is essential that personnel having responsibility for the hyperbaric facility establish and enforce appropriate programs to fulfill the provisions of Chapter 14. Potential hazards can be controlled only when continually recognized and understood by all pertinent personnel. The purpose of Chapter 14 is to set forth minimum safeguards for the protection of patients or others subject to, and personnel who administer, hyperbaric therapy and experimental procedures. Its purpose is also to offer some guidance for rescue personnel who are not ordinarily involved in hyperbaric chamber operation, but who could become so involved in an emergency. Requirements cited in 1.1.12 are minimum requirements. Discretion on the part of chamber operators and others might dictate the establishment of more stringent regulations. 1.1.13 Features of Fire Protection. Chapter 15 covers the performance, maintenance, and testing of fire protection equipment in health care facilities.
NFPA 99 establishes criteria for levels of health care services or systems based on risk to the patients, staff, or visitors in health care facilities to minimize the hazards of fire, explosion, and electricity. Official document scope
What does NFPA 99 address?
Requirements address installation, inspection, testing, maintenance, performance, and safe practices for facilities, material, equipment, and appliances, including medical gas and vacuum systems.Table Of Contents.
NFPA 99, 2012 Edition: Archived Revision Information
Report on Proposals (ROP)
Report on Proposals (ROP)
Proposals can be submitted for text to be amended or included in NFPA Codes and Standards. Following the Call for Proposals period, the responsible Technical Committee or Panel holds a meeting to consider and act on all submitted proposals. The committee or panel may also develop its own proposals. A document known as the Report on Proposals (ROP) is prepared containing all the Public Proposals, Technical Committees' action on each Proposal, as well as all Committee-generated proposals. The ROP for the document in question is submitted for the approval of the responsible TC or Panel by a formal written ballot. If the ROP does not receive approval via written ballot in accordance with NFPA rules, the Report is returned to the committee for further consideration and is not published. If the necessary approval is received, the ROP is published in a compilation of Reports on Proposals issued by NFPA twice yearly for public review and comment, and the process continues to the next step. The ROP is published and widely distributed and anyone may download or request a copy.
The ROP Preprint has been appended to the ROP above.
ROP Meeting Notice
ROP Meeting Notice
Note: Please contact the appropriate staff liaison (listed on the Technical Committee tab) for information on attending an NFPA Technical Committee meeting as a guest. Read NFPA"s Regulations Governing Committee Projects (Section 3.3.3.3) for further information.
ROP Meeting Agenda
Technical Correlating, March 24, 2010
ROP Meeting Minutes
ROP Ballot
ROP Ballot
The ballots posted on this page are for public information only. Voting on ballots is permitted by committee members only. See NFPA Regulations Governing Committee Projects, Section 3.3.4.
Report on Comments (ROC)
Report on Comments (ROC)
Once the ROP becomes available, there is a 60-day comment period during which time anyone may submit a public comment on the proposed changes documented in the ROP. The committee or panel reconvenes at the end of the comment period and acts on all public comments. This committee or panel may also develop its own comments. As before, approval obtained via written ballot in accordance with NFPA's Regulations is required on all committee and panel actions. All of this information is compiled into a second Report, called the Report on Comments (ROC), which like the ROP, is published and made available for public review for a seven-week period.
ROC Meeting Notice
ROC Meeting Notice
Note: Please contact the appropriate staff liaison (listed on the Technical Committee tab) for information on attending an NFPA Technical Committee meeting as a guest. Read NFPA"s Regulations Governing Committee Projects (Section 3.3.3.3) for further information.
ROC Meeting Agenda
ROC Meeting Minutes
ROC Ballot
ROC Ballot
The ballots posted on this page are for public information only. Voting on ballots is permitted by committee members only. See NFPA Regulations Governing Committee Projects, Section 3.3.4.
Motions Committee Report (NITMAM)
Motions Committee Report (NITMAM)
Proposed NFPA documents will be presented for action at the applicable Annual (June) Association Technical Meeting only when proper Amending Motions (Notice of Intent to Make a Motion - NITMAM) have been certified by the Motions Committee of the Standards Council as a proper amending motion. Documents that receive no motions will not be presented at the meeting and instead will be forwarded directly to the NFPA Standards Council for action on issuance. More about the codes and standards making process including NITMAM.
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Association Technical Meeting
Final Results (PDF, 96 KB)
Transcript (PDF, 304 KB)
Standards Council Decisions
Archived revision information
NFPA 99, 2012 Edition: Archived Revision Information
View archived proposals, comments and other records related to the development of this edition.
Read the archived revision information
Tentative Interim Amendment (TIA)
Tentative Interim Amendment (TIA)
Tentative Interim Amendments (TIAs) are amendments to an NFPA document processed in accordance with Section 5 of the Regulations Governing Committee Projects. They have not gone through the entire codes and standards-making process of being published in a ROP and ROC for review and comment. TIAs are effective only between editions of the Document. A TIA automatically becomes a proposal of the proponent for the next edition of the Document, as such is then subject to all of the procedures of the codes and standards making process. TIAs are published in NFPA News , NFCSS, and any further distribution of the document after being issued by the Standards Council.

Requests for TIAs shall be clearly worded to provide the recommended revision and the reason as to why it is of an emergency nature requiring prompt action. Submissions shall be in writing, addressed to the Standards Council Secretary, NFPA, 1 Batterymarch Park, Quincy, MA 02169-7471. The submitter must also provide the appropriate endorsments in writing of two members of the applicable technical committee or technical correlating committee. For further information on submitting a TIA, please contact Codes and Standards Administration.

TIA 12-1 (issued 8/11/2011) (PDF, 28 KB)
TIA 12-2 (issued 8/11/2011) (PDF, 44 KB)
TIA 12-3 (issued 8/9/2012) (PDF, 20 KB)
TIA 12-4 (issued 3/7/2013) (PDF, 20 KB)
TIA 12-5 (issued 8/1/2013) (PDF, 19 KB)
Errata
Errata
Errata are corrections issued to an NFPA document, published in NFPA News, the National Fire Codes Subscription Service (NFCSS), and included in any further distribution of the document.

For previously issued Erratas (not listed below), e-mail the NFPA Library, call +1 617 984-7445, or fax +1 617 984-7060.

Errata 99-12-1 (issued 4/20/2012) (PDF, 43 KB)
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