MIL-HDBK-1191
FIGURE 1-3
CHECKLIST FOR MEDICAL FACILITY UPGRADE SURVEYS
(Select one "Type of Survey" and any "Special Studies" required)
A.
TYPES OF SURVEY.
Survey will address compliance
YES
NO
1. BASIC LIFE SAFETY SURVEY.
with the following standards:
a. NFPA 101, Chapter 13, "Existing Health Care
Occupancies". Use exception allowed in NFPA 101, para. 7-
1.2, so that the survey will not evaluate general compliance
with referenced NFPA standards.
b. NFPA 99, Chapter 3, "Electrical Systems" as it
relates to Essential Electrical System - Life Safety Branch
only.
2. LIFE SAFETY AND UTILITY SYSTEMS SURVEY. Survey will
YES
NO
address compliance with the following standards:
a. NFPA 101, Chapter 13, "Existing Health Care
Occupancies" including general compliance with referenced
standards per NFPA 101, paragraph 7-1.2.
b. The building utility systems will be surveyed in relation
to: MIL-HDBK-1191, "DoD Medical and Dental Treatment
Facilities Design and Construction Criteria"; and Military
Department Criteria. The following systems will be
addressed:
YES
NO
Electrical systems.
YES
NO
Communication and signal systems.
YES
NO
HVAC.
YES
NO
Plumbing.
YES
NO
Medical gas systems.
YES
NO
Transportation and material handling systems.
YES
NO
Other. Provide list.
________________________
________________________
________________________
3. FACILITY MODERNIZATION SURVEY. Survey will address
YES
NO
compliance with the following standards:
a. NFPA 101, Chapter 13, "Existing Health Care
Occupancies" including general compliance with referenced
standards per NFPA 101, paragraph 7-1.2.
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