Att 06 - ITM of Fire Protection and Life Safety Systems_072123.pdf

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3 INSPECTION, TESTING, AND MAINTENANCE OF

4 FIRE PROTECTION & LIFE SAFETY SYSTEMS

7 NIST S 7401.02 Approval 8 Date: 07/21/2023 9 Effective Date:1 04/01/2019

12 1. PURPOSE

13 The purpose of this suborder is to establish requirements and associated roles and responsibilities related to 14 inspection, testing, and maintenance (ITM) of fire protection and life safety systems on NIST-owned and 15 operated sites.

18 2. BACKGROUND

19 a. NIST Policy (P) 7400.00: Fire and Life Safety, articulates NIST’s commitment to making fire and life 20 safety an integral core value and vital part of the NIST culture, in part by complying with applicable 21 laws, regulations, and other promulgated fire and life safety requirements.

23 b. NIST Order (O) 7401.00: Fire and Life Safety, details the duties and powers of the NIST Authority 24 Having Jurisdiction (AHJ)2 with respect to inspection, testing, and maintenance of fire protection and 25 life safety systems.

28 3. APPLICABILITY

29 a. The provisions of this suborder apply to the following fire protection and life safety systems on NIST- 30 owned and operated sites:

32 i. Fire alarm systems;

34 ii. Fixed fire suppression systems;

36 iii. Handheld fire extinguishing systems;

1 For revision history, see Appendix A.

2 The NIST AHJ may delegate the authority to carry out any AHJ responsibilities to other Fire Protection Engineers in the Office of Safety, Health, and Environment.

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38 iv. Fire and smoke control (and compartmentation) systems;

40 v. Emergency and standby power systems;

42 vi. Explosion prevention and control systems;

44 vii. Commercial cooking suppression systems;

46 viii. Elevator emergency operation systems;

48 ix. Means of egress and associated systems;

50 x. Monitored life safety systems; and 52 xi. Local (non-monitored) life safety systems.

55 4. REFERENCES

56 a. International Building Code- Chapter 17: Special Inspections and Tests 58 b. American Society of Mechanical Engineers (ASME) A17.1, Safety Code for Elevators and Escalators 60 c. National Fire Protection Association (NFPA) 3, Recommended Practice for Commissioning of Fire 61 Protection and Life Safety Systems.

63 d. NFPA 4, Standard for Integrated Fire Protection and Life Safety System Testing.

65 e. NFPA 10, Standard for Portable Fire Extinguishers.

67 f. NFPA 11, Low, Medium, and High-Expansion Foam.

69 g. NFPA 12, Standard for Carbon Dioxide Extinguishing Systems.

71 h. NFPA 13, Standard for Installation of Sprinkler Systems.

73 i. NFPA 15, Water Spray Fixed Systems for Fire Protection.

75 j. NFPA 16, Installation of Foam-Water Sprinkler and Foam-Water Spray Systems.

77 k. NFPA 17, Standard for Dry Chemical Extinguishing Systems.

79 l. NFPA 17A, Wet Chemical Extinguishing Systems.

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80 m. NFPA 20, Standard for the Installation of Stationary Pumps for Fire Protection.

82 n. NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection 83 Systems.

85 o. NFPA 45, Standard on Fire Protection for Laboratories Using Chemicals.

87 p. NFPA 68, Standard on Explosion Protection by Deflagration Venting.

89 q. NFPA 69, Standard on Explosion Prevention Systems.

91 r. NFPA 72, National Fire Alarm and Signaling Code.

93 s. NFPA 80, Standard for Fire Doors and Other Opening Protectives.

95 t. NFPA 90A, Standard for Installation of Air-Conditioning and Ventilating Systems.

97 u. NFPA 90B, Standard for the Installation of Warm Air Heating and Air-Conditioning Systems.

99 v. NFPA 92, Standard for Smoke Control Systems.

101 w. NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial Cooking Operations.

103 x. NFPA 101, Life Safety Code.

105 y. NFPA 105, Standard for Smoke Door Assemblies and Other Opening Protectives.

107 z. NFPA 110, Standard for Emergency and Standby Power Systems.

109 aa. NFPA 111, Standard for Stored Electrical Energy Emergency and Standby Power Systems.

111 bb. NFPA 204, Standard for Smoke and Heat Venting.

113 cc. NFPA 291, Recommended Practice for Fire Flow Testing and Marking of Hydrants.

115 dd. NFPA 720, Standard for the Installation of Carbon Monoxide (CO) Detection and Warning Equipment.

117 ee. NFPA 750, Water Mist Fire Protection Systems.

119 ff. NFPA 2001, Clean Agent Fire Extinguishing Systems.

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122 5. APPLICABLE NIST DIRECTIVES

123 a. NIST P 7400.00: Fire and Life Safety 125 b. NIST O 7401.00: Fire and Life Safety

127 c. NIST S 7401.01: Fire Protection & Life Safety Systems for Design and Construction 129 d. NIST S 7401.03: Impairment of Fire Protection and Life Safety Systems 131 e. NIST S 7101.52: Cryogen Safety 133 f. NIST S 7101.60: Chemical Management 135 g. NIST S 7101.61: Compressed Gas Safety

138 6. REQUIREMENTS

139 a. System Commissioning (i.e., Acceptance Testing) 141 (1) Newly installed and modified existing fire protection and life safety systems shall undergo pre- 142 functional testing in accordance with the relevant codes identified in Section 6b of this document, 143 prior to acceptance testing.

145 (2) Pre-testing documentation shall be provided to the NIST AHJ at least one (1) week prior to 146 scheduling final acceptance testing.

148 (a) Shorter notification periods are acceptable for projects lasting less than 30 days.

150 (3) Newly installed and modified existing fire protection and life safety systems shall undergo 151 acceptance testing in accordance with:

153 (a) NFPA 3, Recommended Practice for Commissioning of Fire Protection and Life Safety Systems;

154 and 156 (b) System specific codes identified in Section 6.b of this document.

158 (4) The NIST AHJ shall witness acceptance testing of all newly installed and modified existing fire 159 protection and life safety systems.

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161 (a) A written (including electronic) notice of the acceptance testing shall be provided to the NIST 162 AHJ and should be sent at least two (2) weeks3 prior to the scheduled date.

163 i. The acceptance testing notice shall include an updated set of as-built drawings of the 164 system(s) to be tested.

166 (b) Where feasible, acceptance testing shall be conducted during normal business hours (8:00 am to 167 5:00 pm), Monday through Friday.

169 b. Fire Protection and Life Safety System Inspection, Testing, and Maintenance (see Appendix B for a 170 consolidated list of ITM requirements from the NIST adopted codes and standards4).

172 (1) Fire Alarm Systems 174 (a) Fire alarm systems (e.g., smoke detectors, heat detectors, UV/IR detectors, beam detectors, 175 strobes, horns, speakers, control panels) shall be inspected, tested, and maintained in accordance 176 with NFPA 72, National Fire Alarm and Signaling Code.

178 i. The following requirements shall apply for acceptance testing of fire alarm systems:

180 (i) Pre-functional testing shall include 100% of new devices and the accuracy of 181 graphics and labels shall be verified.

183 (ii) Final graphics and device labels shall be completed and provided to the NIST 184 AHJ prior to acceptance testing.

186 (iii) Graphics and labels at all three (3) NIST Graphical Command Centers in 187 Gaithersburg shall be verified during acceptance testing when new fire alarm 188 panels are placed onto the system.

190 (iv) The fire alarm control panel(s) shall be free and clear of trouble conditions for 7- 191 days prior to NIST network connection.

193 (v) The Fire Alarm Control Panel batteries shall undergo standby testing to ensure 194 that they are capable of supporting the system for the standby duration 195 requirements set forth in NIST S 7401.01: Fire Protection & Life Safety Systems 196 for Design and Construction.

3 Where necessary and feasible, a shorter notification period may be approved by the NIST AHJ.

4 Some ITM frequencies, as specified within the codes, have been modified by the NIST AHJ; 24/7 remote monitoring of system trouble, supervisory, and alarm statuses replaces the need for high frequency inspection cycles .

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198 (vi) All smoke detectors shall be field tested using either a listed canned aerosol 199 smoke approved by the manufacturer or other method approved by the 200 manufacturer. Detectors shall not be tested using magnets.

202 (vii) All duct-mounted smoke detectors shall be field tested by introducing smoke 203 directly into the sampling tube within the ductwork or according to 204 manufacturer’s recommendations. Detectors shall not be tested using magnets.

206 (viii) All heat detectors shall be tested using a heat gun for rate-of-rise following 207 manufacturer’s recommended temperature setting and distance between the heat 208 gun and detector head. Detectors shall not be tested using magnets.

210 (ix) Prerecorded messages and voice announcements shall be verified as intelligible 211 per the testing methods outlined in Annex D of NFPA 72.

213 ii. Modifications to the programming of fire alarm systems shall meet the requirements set 214 forth in Section 14.4.2.5 of NFPA 72, National Fire Alarm and Signaling Code, which 215 states “Changes to the system executive software shall require a 10 percent functional 216 test of the system, including a test of at least one device on each input and output circuit 217 to verify critical system functions such as notification appliances, control functions, and 218 off-premises reporting.”

220 (b) Life safety systems monitored on the fire alarm system shall be inspected, tested, and 221 maintained in accordance with NFPA 4, Standard for Integrated Fire Protection and Life Safety 222 System Testing, as well as the requirements listed below for each specific device.

224 i. Carbon monoxide detectors shall be inspected, tested, maintained in accordance with:

226 (i) NFPA 72, National Fire Alarm and Signaling Code; and 228 (ii) NFPA 720, Standard for the Installation of Carbon Monoxide (CO) Detection 229 and Warning Equipment.

231 ii. Combustible gas detectors (e.g., hydrogen, natural gas, propane) shall be inspected, 232 tested, and maintained in accordance with:

234 (i) NFPA 72, National Fire Alarm and Signaling Code; and 236 (ii) Manufacturer instructions.

238 iii. Oxygen depletion sensors shall be inspected, tested, and maintained in accordance with:

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240 (i) NFPA 72, National Fire Alarm and Signaling Code; and 242 (ii) Manufacturer instructions.

245 iv. Toxic gas detectors shall be inspected, tested, and maintained in accordance with:

247 (i) NFPA 72, National Fire Alarm and Signaling Code; and 249 (ii) Manufacturer instructions.

251 v. Automated external defibrillator (AED) cabinet alarms shall be inspected, tested, and 252 maintained in accordance with NFPA 72, National Fire Alarm and Signaling Code.

254 (c) Mechanical and electrical devices monitored on the fire alarm system (e.g., water detection, 255 freeze stat, pumps, heaters, fans, breakers) shall be inspected, tested, and maintained in 256 accordance with manufacturer instructions and shall be maintained in such a manner that the 257 fire alarm system is kept free of reoccurring or standing trouble conditions and nuisance alarms 258 resulting from a failure of the device.

260 i. Only mechanical and electrical devices that are deemed “critical” for monitoring shall be 261 approved by the NIST AHJ to be added to the fire alarm system.

263 (2) Fixed Fire Suppression Systems 265 (a) Water-Based Fire Protection Systems 267 i. Sprinkler systems shall be inspected, tested, and maintained in accordance with:

269 (i) NFPA 13, Standard for Installation of Sprinkler Systems; and 271 (ii) NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water- 272 Based Fire Protection Systems.

274 ii. Standpipe and hose systems shall be inspected, tested, and maintained in accordance 275 with NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water-Based 276 Fire Protection Systems.

278 iii. Private fire service mains shall be inspected, tested, and maintained in accordance with:

280 (i) NFPA 291, Recommended Practice for Fire Flow Testing and Marking of 281 Hydrants; and

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283 (ii) NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water- 284 Based Fire Protection Systems.

287 iv. Fire pumps shall be inspected, tested, and maintained in accordance with:

289 (i) NFPA 20, Standard for the Installation of Stationary Pumps for Fire Protection;

290 and 292 (ii) NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water- 293 Based Fire Protection Systems.

295 v. Water spray fixed systems shall be inspected, tested, and maintained in accordance with:

297 (i) NFPA 15, Water Spray Fixed Systems for Fire Protection; and 299 (ii) NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water- 300 Based Fire Protection Systems.

302 vi. Foam-water sprinkler systems shall be inspected, tested, and maintained in accordance 303 with:

305 (i) NFPA 11, Standard for Low-, Medium-, and High-Expansion Foam; or 307 (ii) NFPA 16, Installation of Foam-Water Sprinkler and Foam-Water Spray 308 Systems; and 310 (iii) NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water- 311 Based Fire Protection Systems.

313 vii. Water mist systems shall be inspected, tested, and maintained in accordance with:

315 (i) NFPA 750, Water Mist Fire Protection Systems; and 317 (ii) NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water- 318 Based Fire Protection Systems.

320 viii. Valves (e.g., control, alarm, check, pre-action, deluge, dry pipe, relief, backflow, fire 321 department connections), valve components, trim, and piping shall be inspected, tested, 322 and maintained in accordance with NFPA 25, Standard for the Inspection, Testing, and 323 Maintenance of Water-Based Fire Protection Systems.

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324 (b) Non-Water-Based Fire Protection Systems 326 i. Carbon dioxide extinguishing systems shall be inspected, tested, and maintained in 327 accordance with NFPA 12, Standard for Carbon Dioxide Extinguishing Systems.

328 ii. Dry chemical extinguishing systems shall be inspected, tested, and maintained in 329 accordance with NFPA 17, Standard for Dry Chemical Extinguishing Systems.

331 iii. Wet chemical extinguishing systems shall be inspected, tested, and maintained in 332 accordance with NFPA 17A, Standard for Wet Chemical Extinguishing Systems.

334 iv. Clean agent extinguishing systems shall be inspected, tested, and maintained in 335 accordance with NFPA 2001, Standard for Clean Agent Fire Extinguishing Systems.

(c) Commercial Cooking Suppression Systems

339 i. Commercial cooking systems shall be inspected, tested, and maintained in accordance 340 with NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial 341 Cooking Operations.

343 (3) Handheld Fire Extinguishing Systems 345 (a) Handheld fire extinguishers (e.g., water-type, dry chemical, wet chemical, carbon dioxide, 346 halogen agent) shall be maintained in accordance with NFPA 10, Standard for Portable Fire 347 Extinguishers.

349 (4) Fire and Smoke Control (and Compartmentation) Systems 351 (a) Fire doors shall be inspected, tested, and maintained in accordance with NFPA 80, Standard for 352 Fire Doors and Other Opening Protectives.

354 (b) Air-conditioning, heating, ventilating ductwork, and related equipment, including smoke 355 dampers and combination fire and smoke dampers shall be inspected, tested, and maintained in 356 accordance with:

358 i. NFPA 90A, Standard for Installation of Air-Conditioning and Ventilating Systems; and 360 ii. NFPA 90B, Standard for the Installation of Warm Air Heating and Air-Conditioning 361 Systems.

363 (c) Smoke control systems shall be inspected, tested, and maintained in accordance with NFPA 92, 364 Standard for Smoke Control Systems.

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366 (d) Smoke dampers and combination fire and smoke dampers shall be inspected, tested, and 367 maintained in accordance with NFPA 105, Standard for Smoke Door Assemblies and Other 368 Opening Protectives.

370 (e) Smoke and heat venting systems shall be inspected, tested, and maintained in accordance with 371 NFPA 204, Standard for Smoke and Heat Venting.

373 (5) Emergency and Standby Power Systems 375 (a) Emergency and standby power systems providing secondary power to fire protection and life 376 safety systems shall be inspected, tested, and maintained in accordance with:

378 i. NFPA 110, Standard for Emergency and Standby Power Systems; or 380 ii. NFPA 111, Standard on Stored Electrical Energy Emergency and Standby Power 381 Systems.

383 (6) Explosion Prevention and Control Systems 385 (a) Deflagration vents shall be inspected, tested, and maintained in accordance with NFPA 68, 386 Standard on Explosion Protection by Deflagration Venting.

388 (b) Explosion prevention systems shall be inspected, tested, and maintained in accordance with 389 NFPA 69, Standard on Explosion Prevention Systems.

391 (7) Elevator Emergency Operation Systems 393 (a) Elevator emergency operations (e.g., firefighter operation, recall, and shunt trip) shall be 394 inspected, tested, and maintained in accordance with:

396 i. NFPA 101, Life Safety Code; and 398 ii. ASME A17.1, Safety Code for Elevators and Escalators.

400 (8) Means of Egress and Associated Systems

402 (a) Means of egress (e.g., corridors5, hallways, stairwells, vestibules, walkways) and associated 403 systems (e.g., doors, turnstiles, locks, latches, stairs, railings, exit signs, emergency lights, 404 elevators) shall be inspected, tested, maintained in accordance with Chapter 7 of NFPA 101, 405 Life Safety Code, as interpreted by the NIST AHJ, and in accordance with the following (All

5 Laboratory Service Galleys are not considered a corridor, but a support space for the labs, thus the requirements of 6.b.(8) do not apply to these spaces.

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406 allowances provided in this Suborder are subject to review and approval by the NIST AHJ):

408 i. Building corridors shall be inspected semi-annually for compliance with the 409 requirements identified in this section.

411 ii. Minimum Corridor Width

A minimum 44-inch width of clear and unobstructed egress must be maintained in all corridors that serve an occupant load of 50 or more in all NIST buildings.

Corridors serving less than 50 occupants are permitted to have a minimum width of 36 inches.

a. In some corridors, the minimum clear width of 44-inches may not be sufficient for emergency egress due to the existing occupant load of the building. In these cases, the NIST AHJ has the authority to require a greater corridor clear width to be maintained

The use of the required clear width for temporary storage of construction material, equipment scheduled for installation, supplies pending movement into labs or offices, surplus materials or similar items which would jeopardize area occupants is prohibited.

Bulletin or chalkboards or similar items attached to the wall may extend into the clear space; however, displays which extend into the clear space by more than 4 inches are not permitted.

Temporary parking of an occasional utility cart, which may be quickly moved by the occupants to provide full access, is permitted. Locations for such equipment shall be provided on the side of the corridor authorized for equipment or storage.

436 iii. Allowances, Restrictions and Requirements for Corridor Use6 438 (i) All items permitted to be stored in the corridor must be noncombustible or 439 located in a noncombustible cabinet.

441 a. This requirement permits storage in standard file cabinets and similar 442 metal furnishings. Combustible materials (e.g., paper, wood, plastic or 443 similar materials) are to be stored within the cabinets. Storage on top of 444 cabinets is not allowed in order to eliminate potential injury from material

6 The requirements of this section do not apply to vestibules or lobbies that are clearly distinctive from the corridor.

413 (i) 423 (ii) 428 (iii) 432 (iv)

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445 or equipment that may become accidentally dislodged.

447 (ii) Any storage permitted in corridors by this document is restricted to one side of 448 the corridor. The same side should be utilized in all corridors on the same floor.

450 a. In general, the side of the corridor designated for storage or equipment 451 use shall be the side of the corridor opposite the stairwell door to ensure 452 that, under emergency conditions, there will be no impediments to 453 reaching the stairwell. However, in some corridors, projections may 454 already exist due to structural building elements such as columns 455 projecting from the side of the corridor normally preferred as the "clear" 456 side. Where this condition exists, utilization is limited to the side with the 457 permanent existing projections.

459 b. In buildings where access to a stairwell or horizontal exit is in the end 460 wall of the corridor, the OU which owns the spaces served by the corridor 461 shall establish which side will be used for materials or equipment. The 462 selected side shall be uniform throughout all connecting corridors on the 463 same floor. Where multiple OUs own spaces served by these corridors, a 464 mutual agreement should be made. If necessary, OSHE may be consulted 465 to make the determination.

467 (iii) Location of material or equipment shall not prevent emergency access to exit 468 doorways.

470 a. A 60-inch clear space shall be provided on both sides of all exit doors, 471 including stairwell doors. A 12-inch clear space shall be provided on both 472 sides of all non-exit doors serving an occupied space. All doors must be 473 provided with adequate clear space to open the door to full swing.

475 (iv) Location of material or equipment shall not prevent emergency access to 476 emergency equipment.

478 a. All emergency equipment; including safety showers, eyewashes, 479 sprinkler valves, fire alarm pull stations, fire alarm panels, and fire 480 extinguishers, must be maintained with full and unobstructed access at all 481 times.

483 b. Storage or equipment placement shall not visually block fire alarm 484 devices or exit signage.

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486 (v) Location of material or equipment shall not impede upon clear spaces for 487 electrical panels established by OSHA in 29 CFR 1910.303(g).

489 (vi) Storage and use, as specified, of the items listed below is prohibited in 490 corridors. Nothing in this section prohibits the incidental use of the corridor for 491 delivery of restricted materials, the movement of such items from room to room, 492 or similar activities.

494 a. Combustible Furniture: Combustible furniture shall not be stored or used 495 in the corridor. Furniture constructed of noncombustible or factory- 496 applied fire retardant treated materials are permitted. Temporary storage 497 of combustible furniture during office or lab renovations may be 498 permitted with prior approval by NIST Fire and Facilities Safety Group

499 (FFSG).

501 b. Flammable or combustible liquids: Flammable or combustible liquids 502 shall not be stored or used in the corridor. This includes flammable or 503 combustible liquids located within a flammable liquid storage cabinet.

505 c. Hazardous chemicals: The manipulation or storage of the following types 506 of chemicals in the corridor is prohibited: (1) chemicals that are reactive 507 or may become reactive; (2) explosive compounds; (3) compounds that 508 are capable of creating a single, acute toxic exposure if released; (4) 509 highly corrosive or strong oxidizers that may react violently with other 510 materials; (5) known chemical carcinogens that could easily contaminate 511 an area or unnecessarily expose personnel; (6) temperature sensitive; and 512 (7) waste chemicals of any nature. The NIST Chemical/Regulated Waste 513 Pickup Request System describes specific disposal procedures for the 514 following types of waste: chemical, biohazardous, and battery.

516 d. Compressed gas cylinders (all sizes): Compressed gas cylinders shall not 517 be stored or used in the corridor.

519 e. Liquefied gases: Liquified gases shall not be stored or used in the 520 corridor.

522 f. Radioactive materials: Use or storage of radioactive materials in corridors 523 is specifically prohibited. Radioactive wastes are not to be placed in 524 corridors in preparation for pick up by disposal personnel. Nothing in this 525 section would preclude the transportation of sources or radioactive 526 specimens through the corridors; however, such activities are to be 527 conducted in a manner which minimizes the chances of contamination https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.303 https://nistsafety.nist.gov/CWP/PickupRequest/ https://nistsafety.nist.gov/CWP/PickupRequest/

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528 through spillage or breakage and maintains radiation levels within 529 acceptable limits.

531 g. Materials or equipment which present a significant physical, mechanical, 532 or electrical hazard to occupants using the corridor shall not be stored or 533 used in the corridor.

535 h. Construction Materials: Construction materials may be 536 stored temporarily in the corridor during the workday, as long as the 537 minimum prescribed clear corridor width is maintained. Construction 538 materials shall not remain in the corridor overnight. Equipment and 539 supplies shall not, under any circumstances, be stored in stairwells.

541 i. Excess Property: Equipment and supplies cannot be abandoned in 542 corridors or stairwells. Transfer or dispose of unneeded property by 543 notifying the organization’s designated Property Custodian of the desired 544 action. Refer to NIST’s Personal Property Disposal Office’s (PPDO) 545 procedure for guidance on reporting excess property. Per PPDO policy, 546 all excess property that is scheduled for removal must be placed in a 547 secured area.

549 (1) In cases where a corridor is considered a “secured area”, the 550 following shall apply: Combustible excess property shall not be 551 stored in the corridor while awaiting removal, except on the day 552 of scheduled pick up. Noncombustible excess property is 553 permitted to be stored in the corridor for a maximum of 3 days.

554 The property should be labeled with the scheduled date of pick up 555 and the owner’s contact information. Any property that is not 556 labeled will be assumed to have been in the corridor for more than 557 3 days and the owner will be requested to immediately remove the 558 item(s). In all cases, the minimum required width of the corridor 559 shall be maintained at all times.

561 j. Trash and Recycling Bins: Large containers for the storage/disposal of 562 trash or recyclable materials, other than those provided by OFPM, shall 563 not be stored in the corridor. Rolling trash bins or carts are permitted 564 temporarily in corridors. Trash or recycling bins that have a capacity of 7 565 gallons or less may be temporarily placed in corridors outside of offices 566 and labs for pick-up by NIST custodial staff.

568 k. Combustible Crates and Boxes: Empty combustible crates and boxes, 569 assembled or disassembled, shall not be stored in the corridor. Equipment https://inet.nist.gov/ofpm/report-excess-property https://inet.nist.gov/ofpm/report-excess-property

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570 located in crates or boxes and pending movement into labs is permitted to 571 be stored temporarily in corridors for a maximum of 7 days, provided the 572 minimum corridor width is not reduced. Each individual crate or box 573 should be labeled with the date it was received and the owner’s contact 574 information. Any crate or box that is not labelled will be assumed to have 575 been in the corridor for more than 7 days and the owner will be requested 576 to immediately remove the crate or box.

578 l. Combustible Pallets: Empty combustible pallets shall not be stored in the 579 corridor. Items pending movement into labs or offices may be located on 580 pallets, provided the items are not prohibited by other sections of this 581 document.

583 m. Items that encourage the congregation of people, such as food or vendor 584 tables, are prohibited in corridors, unless the corridor has been 585 specifically designed for this purpose. The corridors adjacent to Building 586 101’s Red and Green auditoriums are examples of areas that have been 587 designed to support the use of the auditoriums and are therefore exempt 588 from this requirement.

590 (vii) Combustible items are permitted in break areas, provided these items serve the 591 purpose of the break area. Break areas are permitted to be open to a corridor, 592 within alcoves, within recessed areas, or within rooms with cased openings.

594 (viii) Printers, scanners, and copy machines which do not utilize flammable liquids are 595 permitted within recessed areas of a corridor. Replacement paper supply in 596 excess of two full printer replacements shall not be stored at these locations.

598 iv. Organizational Unit Guides and Restrictions 600 (i) An Organizational Unit (OU) that occupies an entire building, or an entire floor 601 of a building may establish additional guides and restrictions for corridor use in 602 buildings or areas under its control, providing such guides and restrictions do not 603 conflict with this NIST suborder. Local guides and restrictions must be reviewed 604 and approved by NIST FFSG prior to becoming effective.

606 (9) Local (Non-Monitored) Life Safety Systems 608 (a) The following local (non-monitored) detectors/sensors shall be inspected, tested, and 609 maintained in accordance with manufacturer instructions:

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612 i. Carbon monoxide detectors;

614 ii. Combustible gas detectors (e.g., hydrogen, natural gas, propane);

616 iii. Oxygen depletion sensors; and 618 iv. Toxic gas detectors 620 (i) The criteria set forth in Section 7.9.6.3 of NFPA 55, Compressed Gases and 621 Cryogenic Fluids, must be met for a locally monitored systems to be deemed 622 acceptable.

624 (10) Equipment Safety Systems and Interlocks 626 (a) Equipment safety systems and interlocks designed to stop the flow of hazard chemicals to 627 equipment or tools upon detection of smoke or fire shall be inspected, tested, and maintained in 628 accordance with manufacturer instructions.

630 (b) Systems providing inputs to the fire alarm systems shall also be inspected, tested, and 631 maintained in accordance with:

633 i. NFPA 4, Standard for Integrated Fire Protection and Life Safety System Testing; and 635 ii. NFPA 72, National Fire Alarm and Signaling Code.

637 (11) Fire-Resistant and Firestop Systems 639 (a) Newly installed intumescent fire-resistant coatings, mastic fire-resistant coatings, sprayed fire- 640 resistant materials shall be inspected and tested in accordance with Chapter 17 of the 641 International Building Code.

643 (b) Newly installed firestopping systems shall be inspected and tested in accordance with Chapter 644 17 of the International Building Code.

646 i. The NIST AHJ shall be consulted prior to the start of any work to determine the 647 percentage of witnessed installations or destructive testing required for the project.

649 (c) Existing fire-resistant or firestop systems shall not be disturbed or altered from their original 650 installed condition. If work requires removal of an existing fire-resistant or firestop system, the 651 NIST AHJ shall be consulted.

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654 (12) Other Safety Systems 656 (a) Chemical fume hoods, chemical fume hood exhaust systems, and laboratory special exhaust 657 systems shall be inspected, tested, and maintained in accordance with NFPA 45, Standard on 658 Fire Protection for Laboratories Using Chemicals, and NIST S 7101.60, Chemical 659 Management.

661 (b) The NIST AHJ shall be consulted for initial acceptance testing/commissioning requirements for 662 these systems.

664 c. Fire Protection and Life Safety System Impairments

(1) Impairment of any fire or life safety system shall comply with the requirements set forth in NIST S 7401.03: Impairment of Fire Protection and Life Safety Systems.

669 d. Performance of Inspection, Testing, and Maintenance 671 (1) Inspection, testing, and maintenance of fire protection and life safety systems shall be performed by 672 an individual that meets the requirements set forth in the system-specific codes and standards 673 referenced in Section 6b.

675 e. Recordkeeping 677 (1) ITM records shall be maintained per the requirements established within the relevant system- 678 specific codes or for a minimum of two (2) years from the date of ITM completion where not 679 specified within the code.

681 (2) ITM records shall be readily available for review by the NIST AHJ upon request.

684 7. DEFINITIONS

685 a. Acceptance Testing – Testing performed on an installation to confirm compliance with applicable 686 manufacturers’ installation specifications, applicable codes and standards, and the project Basis of 687 Design and Owner’s Project Requirements (NFPA Glossary of Terms).

689 b. Alcove – A recessed space within a corridor that is of sufficient size to be used for the storage of 690 materials.

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692 c. Authority Having Jurisdiction (AHJ) – A qualified Fire Protection Engineer7 in Office of Safety Health 693 and Environment designated by the NIST Chief Safety Officer to enforce8 the NIST-adopted codes and 694 standards relevant to fire, electrical, and life safety on NIST-owned and operated sites.

696 d. Combustible Material - A material that, in the form in which it is used and under the conditions 697 anticipated, will ignite and burn; a material that does not meet the definition of noncombustible or 698 limited-combustible.

700 e. Commissioning – A systematic process that provides documented confirmation that fire protection and 701 life safety systems function according to the intended design criteria set forth in the project documents 702 and satisfy the owner’s operational needs, including compliance with any applicable laws, regulations, 703 codes, and standards requiring fire protection and life safety systems (NFPA Glossary of Terms).

705 f. Commissioning Record – The complete set of commissioning documentation for a project that is turned 706 over to the owner at the end of the construction phase.

708 g. Compartmentation – The interposing of a physical barrier that is not required to be fire or explosion 709 resistant to limit combustible particulate solid migration and hence to control the size of a hazard area 710 (NFPA Glossary of Terms).

712 h. Compliance – Meeting or exceeding all applicable requirements of the NIST adopted code(s) and 713 standard(s).

715 i. Corridor - An enclosed exit access component that defines and provides a path of egress travel.

717 j. Delegated Authority Having Jurisdiction – A qualified engineer in Office of Safety Health and 718 Environment designated by the NIST AHJ to enforce the NIST-adopted codes and standards that fall 719 within their relevant discipline(s).

721 k. Emergency Power System – A system designed to provide secondary power to fire protection and life 722 safety systems.

724 l. Exit Access – That portion of a means of egress system that leads from any occupied portion of a 725 building or structure to an exit.

727 m. Fire Alarm System – A system or portion of a combination system that consists of components and 728 circuits arranged to monitor and annunciate the status of fire alarm or supervisory signal-initiating 729 devices and to initiate the appropriate response to those signals (NFPA Glossary of Terms).

7 See requirements for Office of Personnel Management Fire Protection Engineering Series 0804.

8 Nature of enforcement is dependent upon the severity of the violation, e.g. stop work order, revocation of work permit, denial of use and occupancy.

https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/0800/fire-protection-engineering-series-0804/

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731 n. Fire and Life Safety – The protection of life and property by minimizing fire and related hazards 732 through the incorporation of and maintenance of building features, fire protection systems, and egress 733 components, and the implementation of safe work practices.

735 o. Fire Protection System – Any fire alarm device or system or fire-extinguishing device or system, or 736 combination thereof, that is designed and installed for detecting, controlling, or extinguishing a fire or 737 otherwise alerting occupants, or the fire department, or both, that a fire has occurred.

739 p. Fixed Fire Suppression System – A total flooding or local application system consisting of a fixed 740 supply of extinguishing agent permanently connected for fixed agent distribution to fixed nozzles that 741 are arranged to discharge an extinguishing agent into an enclosure (total flooding), directly onto a 742 hazard (local application), or a combination of both; or an automatic sprinkler system (NFPA Glossary 743 of Terms).

745 q. Impairment – Temporary shutdown (in whole or in part) of a Fire Protection System where the system 746 is damaged, disabled, or out of order. The resulting condition is that the Fire Protection System does 747 not function as intended in the event of a fire or other emergency.

749 r. Inspection – A visual examination of a system or portion thereof to verify that it appears to be in 750 operating condition and is free of physical damage (NFPA Glossary of Terms).

752 s. Life Safety Systems – Those systems that enhance or facilitate evacuation, smoke control, 753 compartmentalization, and/or isolation.

755 t. Local (Non-Monitored) Systems – Fire protection and life safety systems that, when a change of state 756 occurs, result in an audible and/or visual alarm at the device only; the change of state is not monitored 757 at a supervised central station.

758 u. Monitored Systems – Fire protection and life safety systems connected to the NIST fire alarm system 759 that, when a change of state occurs, result in a trouble, supervisory, and/or alarm signal at a supervised 760 central station.

762 v. Means of Egress – A continuous and unobstructed way of travel from any point in a building or 763 structure to a public way consisting of three separate and distinct parts: (1) the exit access, (2) the exit, 764 and (3) the exit discharge (NFPA Glossary of Terms).

766 w. Noncombustible Material- A material that complies with any of the following shall be considered a 767 noncombustible material:

769 (1) A material that, in the form in which it is used and under the conditions anticipated, will not ignite, 770 burn, support combustion, or release flammable vapors when subjected to fire or heat

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772 (2) A material that is reported as passing ASTM E 136, Standard Test Method for Behavior of 773 Materials in a Vertical Tube Furnace at 750 Degrees C, or 775 (3) A material that is reported as complying with the pass/fail criteria of ASTM E 136 when tested in 776 accordance with the test method and procedure in ASTM E 2652, Standard Test Method for 777 Behavior of Materials in a Tube Furnace with a Cone-shaped Airflow Stabilizer, at 750 Degrees C.

779 x. Pre-Functional Testing – Testing performed prior to acceptance testing to confirm compliance with 780 manufacturers’ specifications, applicable codes and standards, and the project documents (NFPA 781 Glossary of Terms).

783 y. Private Fire Service Main – Private fire service main is that pipe and its appurtenances on private 784 property:

786 (1) Between a source of water and the base of the system riser for water-based fire protection systems;

788 (2) Between a source of water and inlets to foam-making systems;

790 (3) Between a source of water and the base elbow of private hydrants or monitor nozzles;

792 (4) Used as fire pump suction and discharge piping; or 794 (5) Beginning at the inlet side of the check valve on a gravity or pressure tank (NFPA Glossary of 795 Terms).

797 z. Shall/Should/May – 798 • Shall (Must or Will): Indicates that the performance of an item is mandatory.

800 • Should: Indicates that the performance of an item is not mandatory, but the full implications of not 801 performing that item must be understood and either justified or carefully weighed before choosing a 802 different course.

804 • May: Indicates that the performance of an item is at the discretion of the individual responsible for 805 the action.

807 aa. Testing – A procedure used to determine the operational status of a component or system by conducting 808 periodic physical checks, such as water flow tests, fire pump tests, alarm tests, and trip tests of dry pipe, 809 deluge, or pre-action valves (NFPA Glossary of Terms).

811 bb. Underwriters Laboratories (UL) - Independent, non-profit product safety testing and certification 812 organization

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814 8. ACRONYMS

815 a. AHJ – Authority Having Jurisdiction 817 b. BSHED –Boulder Safety Health and Environment Division 819 c. FFSG – Fire and Facilities Safety Group 821 d. GSHED – Gaithersburg Safety Health and Environment Division 823 e. ITM – Inspection, Testing, and Maintenance 825 f. NFPA – National Fire Protection Association 827 g. OFPM – Office of Facilities and Property Management 829 h. OSHE – Office of Safety Health and Environment 831 i. UL- Underwriters Laboratories

834 9. RESPONSIBILITIES

835 a. Organizational Unit (OU) Directors are responsible for:

837 (1) Ensuring that the Inspection, Testing, and Maintenance of Fire Protection and Life Safety Systems 838 Suborder is adapted and used in their spaces; and 840 (2) Ensuring that any fire protection and life safety systems owned by the OU are inspected, tested, and 841 maintained in accordance with Section 6.

843 (3) Ensuring that individuals performing the inspection, testing, and maintenance of any fire protection 844 and life safety systems owned by the OU are qualified per the requirements set forth in the system- 845 specific codes and standards referenced in Section 6.

847 (4) Ensuring that all ITM records for any fire protection and life safety systems owned by the OU are 848 maintained per the requirements of Section 6d.

850 b. First-Level Supervisors 852 (1) Ensuring that the employees and covered associates they supervise comply with the corridor storage 853 requirements outlined in Section 6.

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856 c. Chief Facilities Management Officer is responsible for:

858 (1) Ensuring that fire protection and life safety systems owned by NIST are inspected, tested, and 859 maintained in accordance with Section 6;

861 (2) Ensuring that individuals performing the inspection, testing, and maintenance of fire protection and 862 life safety systems owned by NIST are qualified per the requirements set forth in the system- 863 specific codes and standards referenced in Section 6.

865 (3) Ensuring that new and modified fire protection and life safety systems owned by NIST undergo:

867 (a) Pre-functional testing; and 869 (b) Acceptance testing and commissioning;

871 (4) Ensuring that acceptance and commissioning records are:

873 (a) Received from the commissioning agent;

875 (b) Provided to the NIST AHJ in electronic or hard copy form; and 877 (c) Maintained by OFPM for the life of the system; and 879 (5) Ensuring that all ITM records for fire protection and life safety systems owned by NIST are 880 maintained per the requirements of Section 6e.

882 d. NIST-Gaithersburg Fire Protection Group (i.e., NIST Fire Department) is responsible for (Gaithersburg 883 only):

885 (1) Ensuring that handheld fire extinguishers are inspected, tested, and maintained in accordance with 886 the requirements of this suborder;

888 (a) Ensuring that all extinguishers are barcoded to allow for tracking of annual maintenance 889 requirements; and 891 (2) Ensuring that all ITM records are maintained per the requirements of Section 6e.

893 e. NIST AHJ is responsible for:

895 (1) Ensuring that the requirements of this suborder are enforced;

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897 (2) Providing additional guidance and interpretation of the provisions within this suborder and 898 applicable codes.

900 (3) Witnessing acceptance testing of all new and modified fire protection and life safety systems; and 902 (4) Annually auditing ITM records to ensure that program requirements are being met and records are 903 being appropriately maintained.

905 f. OSHE BSHED and GSHED Division Chiefs are responsible for:

907 (1) Assigning corridor inspection responsibilities to OSHE staff who meet the requirments of OU 908 Workplace Inspectors.

910 (2) Ensuring that building corridors are inspected in accordance with Section 6b.

912 g. OSHE Staff Who Meet the Requirements of OU Workplace Inspectors are responsible for:

914 (1) Conducting semi-annual inspections of building corridors.

916 (2) Advising each OU of conditions requiring corrective action; and 918 (3) Immediately notifying the appropriate OU personnel to bring about the removal of items that would 919 prevent safe egress of building occupants.

922 10. AUTHORITIES

923 a. The NIST AHJ may delegate the authority to carry out any AHJ responsibilities to Fire Protection 924 Engineers in the Office of Safety, Health, and Environment.

926 b. If a fire protection and life safety is owned by an OU, the OU is ultimately responsible for ITM of the 927 system(s). However, the OU may transfer the responsibilities for conducting ITM or managing a 928 contract for ITM to another entity, such as OFPM or OSHE, provided this agreement is formalized in 929 writing and a copy of this agreement is provided to the NIST AHJ.

931 c. As overseer of fire protection and life safety systems owned by NIST, OFPM is ultimately responsible 932 for ITM of those systems. However, OFPM may transfer a portion of these responsibilities to another 933 entity, such as the NIST-Gaithersburg Fire Protection Group (i.e., NIST Fire Department) or OSHE, 934 provided this agreement is formalized in writing and a copy of this agreement is provided to the NIST

935 AHJ.

937 .

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939 11. DIRECTIVE OWNER

940 Chief Safety Officer

943 12. APPENDICES

944 A. Revision History

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948 Appendix A. Revision History

Version No.

Approval Date

Effective Date

Brief Description of Change; Rationale

1 03/28/18 04/01/19 • None – Initial document

04/22/21

TBD

• Removed references to specific code edition years in order to align with the F&LS Order

• Removed classifications of building systems and research-specific systems;

• Added NIST specific requirements for fire alarm acceptance testing;

• Added requirements for maintaining safe egress corridors;

• Added requirements for firestopping and fire-resistance systems;

• Assigned corridor inspection responsibilities to OSHE;

• Revised required inspection frequencies to align with the demands, resources, and infrastructure of NIST facilities.

07/21/23

TBD

• Section 9.d and Section 10.c – “NIST Fire Department” was added to clarify who the “NIST Fire Protection Group” is.

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955 Appendix B. ITM Requirements Extracted from NIST Adopted Codes and Standards

Fire Alarm Systems Component Periodic

Frequency Method NFPA Reference

1. All equipment Annual Inspection NFPA 72- Chapter 14

2. Control equipment

(a) Fire alarm systems monitored for alarm, supervisory, and trouble signals

NFPA 72- Chapter 14

(1) Functions Annual Test

(2) Fuses Annual Inspection/Test

(3) Interfaced Equipment Annual Inspection/Test

(4) Lamps and LEDs Annual Inspection/Test

(5) Primary (main) power supply Annual Inspection/Test

(6) Trouble Signals Semiannual Inspection

i. Audible and visual Annual Test

ii. Disconnect switches Annual Test

iii. Ground-fault monitoring circuit Annual Test

iv. Transmission of signals to off-premises location Annual Test

(b) Fire alarm systems unmonitored for alarm, supervisory, and trouble signals

(1) Function Annual Test

(2) Fuses Annual Test

(3) Interfaced Equipment Annual Test

(4) Lamps and LEDs Annual Test

(5) Primary (main) power supply Annual Test

(6) Trouble Signals Annual Test

3. Supervising station alarm systems-transmitters

(a) All equipment

Annual

Inspection/Test

NFPA 72- Chapter 14

(b) Digital alarm communicator transmitter (DACT) Annual Inspection/Test

(c) Digital alarm radio transmitter (DART) Annual Inspection/Test

(d) McCulloh transmitter Annual Inspection/Test

(e) Radio alarm transmitter (RAT) Annual Inspection/Test

(f) All other types of communicators Annual Inspection/Test

4. In-building fire emergency voice/alarm communications equipment

Annual Inspection NFPA 72- Chapter 14

(a) Amplifier/tone generators Annual Test

(b) Call-in signal silence Annual Test

(c) Off-hook indicator (ring down) Annual Test

(d) Phone jacks Annual Test

(e) Phone set Annual Test

(f) System performance Annual Test

5. Engine-driven generator Annual Test NFPA 72-Chapter 14

6. Secondary (standby) power supply Annual Test NFPA 72-Chapter 14

7. Uninterruptible power supply (UPS) Annual Test NFPA 72-Chapter 14

8. Batteries NFPA 72-Chapter 14

(a) Lead-acid Annual Inspection

(1) Battery replacement Annual Test

(2) Charger test Annual Test

NIST S 7401.02 Ver.