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REQUIREMENTS AND POLICIES MANUAL

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Fire Prevention and Protection

    Title:

    Fire Prevention and Protection

    Publication date:

    7/18/2014

    Effective date:

    3/5/2009

    BRIEF

    Policy Summary

    The Fire Prevention and Protection Program ensures that Berkeley Lab employees, visitors, and the surrounding public are not harmed by unauthorized, unplanned, or unregulated fires. This is achieved by:

    • Adhering to applicable laws, regulations, and codes
    • Developing and maintaining emergency procedures
    • Providing fire protection equipment
    • Overseeing the Hot Work Permit Program
    • Reviewing and approving all construction and renovation projects
    • Properly managing flammable and hazardous chemicals and materials

    Who Should Read This Policy

    This policy applies to Berkeley Lab employees, visitors, affiliates, and subcontractors.

    To Read the Full Policy, Go To:

    The POLICY tab on this wiki page

    To Read the Program Details, Go To:

    The ES&H Manual, Fire Prevention and Protection

    Contact Information

    Berkeley Lab Fire Marshal
    Protective Services Department

    Title:

    Fire Prevention and Protection

    Publication date:

    7/18/2014

    Effective date:

    3/5/2009

    POLICY

    A. Purpose

    The Fire Prevention and Protection Program ensures that Lawrence Berkeley National Laboratory (Berkeley Lab) employees, visitors, and the surrounding public are not harmed by unauthorized, unplanned, or unregulated fires. This is achieved by:

    • Adhering to applicable laws, regulations, and codes
    • Developing and maintaining emergency procedures
    • Providing fire protection equipment
    • Overseeing the Hot Work Permit Program
    • Reviewing and approving all construction and renovation projects
    • Properly managing flammable and hazardous chemicals and materials

    B. Persons Affected

    This policy applies to Berkeley Lab employees, visitors, affiliates, and subcontractors.

    C. Exceptions

    Exceptions to this policy must be processed in accordance to Section D.2 of this Policy

    D. Policy Statement

    D.1 General

    Berkeley Lab is committed to providing a level of fire protection that meets DOE requirements and applicable federal, state, and local requirements consistent with the goals of the highly protected risk philosophy of the insurance industry. An effective fire prevention and protection program is essential to protect the Laboratory and the surrounding community from injuries, death, property loss, and business interruption, and to ensure a safe workplace for employees, affiliates, subcontractors, and visitors.

    This policy requires adherence to and compliance with all applicable laws, orders, regulations, codes, standards, guides, policies, and good practices pertaining to fire prevention and protection.

    The Laboratory Director is responsible for ensuring a comprehensive and integrated fire protection program. The Protective Services Department is charged with developing and administering the Fire Prevention and Protection Program and serves as the liaison to external fire- and life-safety agencies. It is the primary responsibility of every employee, affiliate, and subcontractor to place the highest priority on safety to minimize the possibility of a fire or life-safety threat.

    The Laboratory's Fire Prevention and Protection Program covers fire prevention, fire protection, emergency response, technical rescue, hazmat mitigation, emergency medical assistance, construction and design review, safety education and training, and the maintenance of all fire-detection, suppression, and life-safety systems.

    1. Berkeley Lab develops and maintains emergency procedures for fire prevention and protection (Work Process A).
    2. The Berkeley Lab Fire Marshal oversees inspection and maintenance of fire protection equipment (Work Process B).
    3. The Fire Marshal with the EHS Division ensures that special hazards are identified and addressed (Work Process C)
    4. The Fire Marshal defines the training requirements for fire prevention and protection (Work Process D)
    5. Inspection, test and maintenance of the Laboratory's fire protection systems are conducted by the Facilities Division under the guidance of the Fire Marshal (Work Process E)
    6. Divisions are responsible for proper storage, dispensing, and use of combustibles and hazardous materials (Work Process F) within the limits of the building design.  
    7. Divisions are responsible for reporting accurate quantities and hazardous material types on-hand (Work Process G).
    8. The Fire Marshal defines and implements the Hot Work Permit Program (Work Process H) for work with open flames, spark producing machinery, and welding not otherwise controlled by facility design.
    9. The Fire Marshal defines and implements the Impairment Program (Work Process I) which is applied to properly manage and correct the risks associated with impairing fire protection and alarm systems when they are damaged or taken out of service.
    10. Personnel may only use and maintain safe portable space heaters and other portable heating devices (Work Process J).
    11. The Fire Marshal ensures that Fire Hazard Analyses and Fire Protection Assessments of the Laboratory's structures are performed as prescribed by code, and together with Facilities, EHS and funding approved by Sr. Lab Management drives for correction of shortcomings (Work Process K).
    12. The Fire Marshal must review and approve all designs for construction and renovation projects.  The Facilities Division has responsibility to carry out the Fire Marshal's instructions. (Work Process L)
    13. The Fire Marshal manages requests for and records of equivalencies and exemptions for the Laboratory (see Section D.2 for policy and Work Process M for procedure).
    14. The Fire Marshal defines and manages the Manual Fire Suppression Program (Work Process N). 
    15. The Fire Marshal develops and implements the wildland fire management plan for the Laboratory (Work Process O).
    16. The Facilities Division, in collaboration with the EHS Environmental Services Group, establishes and implements liquid run-off controls (Work Process P).
    17. The Facilities Division must maintain mechanical equipment and fan rooms (Work Process Q) for fire protection.
    18. The Fire Marshal has responsibility for management of the halon fixed-fire suppression systems including development of a plan to phase out dependency on such systems.

    D.2. Exemptions and Equivalencies

    Exemptions and equivalencies for situations governed by DOE fire safety requirements or mandatory codes or standards must follow specific processes set forth in DOE Order 420.1C.  Those exemptions and equivalencies for situations falling under only UC fire safety requirements or mandatory codes or standards may be addressed by the Laboratory Fire Marshal. 

    An exemption is written authority to deviate from a DOE fire safety requirement or mandatory codes or standards, because compliance cannot be achieved directly or via equivalency (defined below). Fire protection exemptions must be processed in accordance with Berkeley Lab's Fire Protection Program, Work Process M.  The exemption for situations governed by DOE requirements must be submitted to the Laboratory Fire Marshal and to the Laboratory’s Authority Having Jurisdiction (AHJ) for fire safety.  Two completed exemption request applications must be submitted for review.  Requests are analyzed for completeness and sent to the Director of Fire Protection Engineering at the Department of Energy for a final decision.

    An equivalency is an approved, alternate means of satisfying the technical provisions of the applicable fire protection code or standard. Fire protection equivalencies must be processed in accordance with Berkeley Lab's Fire Protection Program, Work Process M.  For situations governed by DOE requirements, the proposed facility design or operations equivalency must demonstrate an equivalent or higher level of safety (e.g. meets or exceeds the level of protection) and must have the concurrence of the Berkeley Lab Fire Marshal and the approval of the Laboratory’s Authority Having Jurisdiction for fire safety. 

    E. Roles and Responsibilities

    Role

    Responsibility

    Laboratory Director

    • Sets Berkeley Lab fire prevention and protection policy consistent with applicable codes, regulations, and DOE orders
    • Provides and maintains the necessary fire protection program/services to maintain an adequate level of fire and life safety as well as property protection

    Protective Services Department

    • Is charged by the Laboratory Director to develop and administer the Laboratory's fire prevention and protection program
    • Establishes and defines the requirements that will provide an acceptable degree of life safety to protect Laboratory personnel and the public from fires at Berkeley Lab or any off-site facility
    • Serves as the liaison to external fire- and life-safety agencies
    • Provides technical expertise to achieve DOE fire protection goals and requirements
    • Provides and maintains the necessary staff and resources to ensure the implementation and documentation of the fire protection program

    Fire Marshal

    • Is responsible for the overall Fire Prevention and Protection program
    • Enforces, interprets, applies, and implements the Berkeley Lab Fire Prevention and Protection program
    • Has the authority to suspend unsafe operations or activities
    • Ensures Laboratory-wide compliance with fire prevention and protection requirements
    • Delegates to members of the Berkeley Lab Fire Department responsibility and authority for enforcement of the Berkeley Lab Fire Prevention and Protection policy
    • Along with his or her authorized representatives, serves in cooperation with the DOE-Authority Having Jurisdiction (AHJ) in the enforcement and application of the Berkeley Lab Fire Prevention and Protection policy. The DOE Berkeley Site Office (BSO) retains authority to grant equivalencies, exemptions, or variances.
    Authority Having Jurisdiction (AHJ)
    • Is assigned to the DOE Field Office (that is, DOE Berkeley Site Office) by DOE Order 420.1C.  The AHJ roles and responsibilities may be delegated by the Field Office.
    • Determines the interpretation and application of fire prevention and protection requirements
    • Has the authority to grant equivalencies and variances.
    • Collaborates with the Berkeley Lab Fire Marshal and staff on fire prevention and protection matters.

    Fire Department

    • Prevents and controls fires
    • Provides emergency response services to protect people and property from fires, explosions, and other hazardous events
    • Investigates the cause, origin, and circumstances of fires and explosions
    • Responds to all calls received by the Berkeley Lab Fire Dispatch Center
    • Provides first-response rescue and transportation services in medical emergencies
    • Conducts fire-safety inspections
    • Inspects fire extinguishers
    • Develops and maintains up-to-date pre-fire plans to effectively prepare and respond to building emergencies
    • Trains employees in fire safety and fire extinguisher operation

    Fire Protection Engineer

    • Reviews Facilities Division projects to ensure Berkeley Lab's compliance with fire- and life-safety requirements for the storage, handling, and use of explosives and flammable, combustible, toxic, corrosive, and other hazardous materials
    • Provides guidance for fire safety in the design, processes, and equipment used in experiments and research projects
    • Conducts fire-risk surveys and fire-hazard analyses, and makes recommendations based on findings
    • Inspects and supervises the testing, repair, and maintenance of automatic fire protection and alarm systems
    • Manages the maintenance and testing program for fire extinguisher and fixed fire-suppression systems
    • Supports the Fire Marshal in ensuring Laboratory-wide compliance with Fire Prevention and Protection program and policy

    Facilities Division Management

    • Ensures compliance with all fire safety, inspection, and protection requirements for planning, designing, constructing, and installing buildings, structures, systems, and utilities
    • Ensures that all architectural and engineering projects are reviewed by the appropriate EHS Division authorities, including the Fire Marshal
    • Inspects, tests, and maintains the water supply, fire alarms, and fixed fire extinguishing systems

    Supervisors

    • Notify the Fire Department when changes in operation increase the risk of fire or related perils
    • Ensure their employees receive appropriate fire-safety training to work safely and protect Berkeley Lab assets

    Employees

    • Complete all requisite training before working without supervision
    • Conduct operations with minimum risk of fire
    • Report fires, smoke, and potential fire hazards to the Fire Department immediately

    EHS

    • Provides the chemical inventory system and tools to enable the divisions to effectively manage hazardous materials inventories and the Fire Marshal to track compliance with fire control area limits.

    F. Definitions/Acronyms

    Term

    Definition

    Authority Having Jurisdiction (AHJ)

    An organization, office, or individual responsible for enforcing the requirements of a code or standard or for approving equipment, materials, an installation or a procedure.

    Equivalency An alternative means of providing an equal or greater degree of safety than that afforded by strict conformance to prescribed codes and standards
    Exemption The process mandated by DOE to request deviation from compliance to DOE Order 420.1C or established national and state codes and standards.  The process pertains to buildings or situations governed by DOE requirements.

    Fixed equipment

    Detectors and alarms, automatic fire sprinklers, fire doors and dampers, attached fire hoses, and fire hydrants

    Hot work

    Work with open flames or sparks

    ITM

    Inspection, test, maintenance. Fire protection systems must undergo ITM on a periodic basis, set forth by NFPA and other standards.

    NFPA

    National Fire Protection Association

    Portable equipment

    Fire extinguishers

    G. Recordkeeping Requirements

    The following records must be maintained and be accessible to persons supporting the Laboratory's Fire Protection Program:

    • Hot work permits
    • Impairment records
    • Fire extinguisher records
    • ITM records
    • Records of exemptions and equivalencies

    H. Implementing Documents

    Document Number

    Title

    Type

    07.11.001.001

    Fire Prevention and Protection

    Program

    07.11.001.002

    Work Process A - Emergency Procedures for Fire Prevention and Protection

    Work Process

    07.11.001.003

    Work Process B - Fire Protection Equipment

    Work Process

    tbd

    Work Process C - Special Hazards

    Work Process

    07.11.001.004

    Work Process D - Fire Prevention and Protection Training Requirements

    Work Process

    07.11.001.005

    Work Process E - Fire Protection Systems and Inspection, Test, Maintenance (ITM)

    Work Process

    07.11.001.006

    Work Process F – Storage, Dispensing, Use of Combustibles and Hazardous Materials for Fire Prevention and Protection

    Work Process

    07.11.001.007

    Work Process G – Reporting On-hand Quantities of Combustibles and Hazardous Materials for Fire Prevention and Protection

     

    07.11.001.008

    Work Process H - Hot Work Permit Standard Operating Procedure

    Work Process

    07.11.001.009

    Work Process I - Impairment Program and Standard Operating Procedure

    Work Process

    07.11.001.010

    Work Process J - Safe Use of Space Heaters and Portable Heating Devices

    Work Process

    07.11.001.011

    Work Process K - Fire Hazard Analysis and Fire Protection Assessments

    Work Process

    07.11.001.012

    Work Process L - Fire Prevention and Protection Design Review and Approval of Construction and Renovation Projects

    Work Process

    07.11.001.013

    Work Process M - Exemptions and Equivalencies

    Work Process

    07.11.001.014

    Work Process N - Manual Fire Suppression

    Work Process

    07.11.001.015

    Work Process O - Wildland Fire Plan

    Work Process

    07.11.001.016

    Work Process P - Liquid Run-Off Control Standard Operating Procedure

    Work Process

    07.11.001.017

    Work Process Q - Maintenance of Mechanical Equipment and Fan Rooms

    Work Process

    I. Contact Information

    Berkeley Lab Fire Marshal
    Protective Services Department

    J. Revision History

    Date

    Revision

    By Whom

    Revision Description

    Section(s) Affected

    Change Type

    1/2/2012

    0

    G. Piermattei

    Rewrite for wiki (brief)

    All

    Minor

    11/18/2013

    1

    G. Aus

    Rewrite for wiki (policy)

    All

    Minor

    7/18/2014 1.1 G. Aus Update to include Equivalency, Exemption, and definition for AHJ Sections C, D.1, D.2, E, F Minor

    DOCUMENT INFORMATION

    Title:

    Fire Prevention and Protection

    Document number

    07.11.001.000

    Revision number

    1.1

    Publication date:

    7/18/2014

    Effective date:

    3/5/2009

    Next review date:

    11/18/2016

    Policy Area:

    Fire Protection

    RPM Section (home)

    ESH

    RPM Section (cross-reference)

    none

    Functional Division

    Protective Services

    Prior reference information (optional)

    PUB-3000, Chapter 12

    Source Requirements Documents

    • 10 CFR 851, Worker Health and Safety Program
    • DOE Order 420.1C, Facility Safety, Attachment 2, Chapter II, Fire Protection

    Other Driving Requirements

    • CAC, Title 24, Part 2, California Building Code
    • National Fire Codes, National Fire Protection Association
    • CAC, Title 24, Part 9, California Fire Code
    • CCR Title 8, California Construction Safety Orders
    • 29 CFR 1910, General Industry Safety Orders
    • 29 CFR 1926, OSHA Construction Industry Standards

    Implementing Documents

    Document Number

    Title

    Type

    07.11.001.001

    Fire Prevention and Protection

    Program

    07.11.001.002

    Work Process A - Emergency Procedures for Fire Prevention and Protection

    Work Process

    07.11.001.003

    Work Process B - Fire Protection Equipment

    Work Process

    tbd

    Work Process C - Special Hazards

    Work Process

    07.11.001.004

    Work Process D - Fire Prevention and Protection Training Requirements

    Work Process

    07.11.001.005

    Work Process E - Fire Protection Systems and Inspection, Test, Maintenance (ITM)

    Work Process

    07.11.001.006

    Work Process F – Storage, Dispensing, Use of Combustibles and Hazardous Materials for Fire Prevention and Protection

    Work Process

    07.11.001.007

    Work Process G – Reporting On-hand Quantities of Combustibles and Hazardous Materials for Fire Prevention and Protection

     

    07.11.001.008

    Work Process H - Hot Work Permit Standard Operating Procedure

    Work Process

    07.11.001.009

    Work Process I - Impairment Program and Standard Operating Procedure

    Work Process

    07.11.001.010

    Work Process J - Safe Use of Space Heaters and Portable Heating Devices

    Work Process

    07.11.001.011

    Work Process K - Fire Hazard Analysis and Fire Protection Assessments

    Work Process

    07.11.001.012

    Work Process L - Fire Prevention and Protection Design Review and Approval of Construction and Renovation Projects

    Work Process

    07.11.001.013

    Work Process M - Exemptions and Equivalencies

    Work Process

    07.11.001.014

    Work Process N - Manual Fire Suppression

    Work Process

    07.11.001.015

    Work Process O - Wildland Fire Plan

    Work Process

    07.11.001.016

    Work Process P - Liquid Run-Off Control Standard Operating Procedure

    Work Process

    07.11.001.017

    Work Process Q - Maintenance of Mechanical Equipment and Fan Rooms

    Work Process

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