Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 7 § 30.90
Exhibits
30.90 - Exhibits
(Rev. 38, Issued: 05-26-06, Effective: 06-26-06, Implementation: 06-26-06)
Exhibit 1.
Preprinted Container Label
Exhibit 2.
Minimum Label Data Required for Unlabeled Boxes
Exhibit 3.
Records Transmittal and Receipt - Standard Form 135
Exhibit 4.
Reference Request - Federal Records Center - Optional Form 11
Exhibit 5.
Certificate of Authenticity - Start
Exhibit 6.
Certificate of Authenticity - End
Exhibit 7.
Correction Card
Exhibit 8.
Start of Retake or Addition Certificate
Exhibit 9.
Retake or Addition Certification
Exhibit 10.
Resolution Test Chart
Exhibit 11.
Witness Disposal Certification (Sample)
Exhibit 12.
Roll Report
Exhibit 13
Report of Medicare Records
Exhibit 14
Inspection Checklist -- Standards for Record Storage Facilities
Exhibit 1 - Preprinted Container Label
(Rev.124, Issued: 05-17-19, Effective: 06-18-19, Implementation: 06-18-19
ACCESSION NO.
CARTON NO. of
AGENCY
MAJOR SUBDIVISION
DESCRIPTION OF RECORDS (BRIEF)
Instructions for Completing Label
Accession No. - Control number you assign to each shipment of records.
Carton No. - Show the box number and also the total number of boxes in the same shipment,
e.g., 5 of 60.
Agency - Enter CMS
Major Subdivision - Enter the name of the MAC in this block.
Description of Records - Enter “Part A A/B MAC (A) or (HHH) or Part B A/B MAC (B) or
DME MAC - Medicare bills and related claims records received, processed and paid (including
dates),” or “Part A A/B MAC (A) or (HHH) - Medicare Fiscal Records, canceled checks and
related records (including dates).”
Also, for each box, show the inclusive claims numbers, dates, etc., depending on arrangement of
records.
Exhibit 2 - Minimum Label Data Required for Unlabeled Boxes
(Rev. 124, Issued: 05-17-19, Effective: 06-18-19, Implementation: 06-18-19
For boxes not having a preprinted label (see Exhibit 1 above), enter the label as shown:
CARTON _____ OF ______ CARTONS
CMS
MAC NAME
CITY, STATE
MAC - PAID MEDICARE BILLS
DATE TO DATE
(086-12-8462A--093-14-2362T)
Instructions For Labeling Boxes
Use broad-point felt tip marker to facilitate shelf reference.
Minimum Label Data
Accession Number - Control number assigned to each shipment of records.
Carton No. - Show the box number and also total boxes in the shipment, e.g., 5 of 60.
Agency - Show "CMS."
Office - Show the name of MAC with city and State address.
Description of Records - For Medicare bills and related records, show: "MAC name - Paid
Medicare Bills (inclusive dates)." For fiscal records, canceled checks, and related records, show:
" MAC - Medicare Fiscal Records (inclusive dates)."
First and Last Entry in Box - Show the inclusive claim number, terminal digit numbers, check
numbers, or other designated key numbers.
Exhibit 3 - Records Transmittal and Receipt - Standard Form 135
(Rev. 38, Issued: 05-26-06, Effective: 06-26-06, Implementation: 06-26-06)
Click on the link below then scroll down and click on “Records Transmittal and Receipt Form -
SF135”.
http://www.archives.gov/records_center_program/forms/sf_135_intro.html
Exhibit 4 - Reference Request - Federal Records Center - Optional Form 11
(Rev. 38, Issued: 05-26-06, Effective: 06-26-06, Implementation: 06-26-06)
Click on the link below to access Optional Form 11
http://www.gsa.gov/forms
Exhibit 5 - Certificate of Authenticity - START
(Rev. 124, Issued: 05-17-19, Effective: 06-18-19, Implementation: 06-18-19
The term Medicare beneficiary identifier (Mbi) is a general term describing a beneficiary's
Medicare identification number. For purposes of this manual, Medicare beneficiary identifier
references both the Health Insurance Claim Number (HICN) and the Medicare Beneficiary
Identifier (MBI) during the new Medicare card transition period and after for certain business
areas that will continue to use the HICN as part of their processes.
CONTRACTOR NAME AND ADDRESS
CERTIFICATE OF AUTHENTICITY
START
THIS IS TO CERTIFY THAT THE MICROPHOTOGRAPHIC IMAGES APPEARING ON
THIS ROLL OF MICROFILM:
STARTING WITH (e.g., control number, Medicare beneficiary identifier)
ARE ACCURATE REPRODUCTIONS OF THE RECORDS OF:
AND WERE MICROFILMED IN THE REGULAR COURSE OF BUSINESS PURSUANT TO
ESTABLISHED ROUTINE COMPANY POLICY FOR SYSTEMS UTILIZATION AND OR
FOR THE MAINTENANCE AND PRESERVATION OF SUCH RECORDS THROUGH THE
STORAGE OF SUCH MICROFILMS IN PROTECTED LOCATIONS.
IT IS FURTHER CERTIFIED THAT THE PHOTOGRAPHIC PROCESSES USED FOR
MICROFILMING OF THE ABOVE RECORDS WERE ACCOMPLISHED IN A MANNER
AND ON MICROFILM THAT MEETS THE RECOMMENDED REQUIREMENTS OF THE
NATIONAL BUREAU OF STANDARDS FOR PERMANENT MICROPHOTOGRAPHIC
REPRODUCTIONS.
Date Microfilmed
Camera Operator
Location
Authorized Signature
Exhibit 6 - Certificate of Authenticity - END
(Rev. 38, Issued: 05-26-06, Effective: 06-26-06, Implementation: 06-26-06)
CONTRACTOR NAME AND ADDRESS
CERTIFICATE OF AUTHENTICITY
END
THIS IS TO CERTIFY THAT THE MICROPHOTOGRAPHIC IMAGES APPEARING ON
THIS ROLL OF MICROFILM:
ENDING WITH
ARE ACCURATE REPRODUCTIONS OF THE RECORDS OF:
AND WERE MICROFILMED IN THE REGULAR COURSE OF BUSINESS PURSUANT TO
ESTABLISHED ROUTINE COMPANY POLICY FOR SYSTEMS UTILIZATION AND OR
FOR THE MAINTENANCE AND PRESERVATION OF SUCH RECORDS THROUGH THE
STORAGE OF SUCH MICROFILMS IN PROTECTED LOCATIONS.
IT IS FURTHER CERTIFIED THAT THE PHOTOGRAPHIC PROCESSES USED FOR
MICROFILMING OF THE ABOVE RECORDS WERE ACCOMPLISHED IN A MANNER
AND ON MICROFILM THAT MEETS THE RECOMMENDED REQUIREMENTS OF THE
NATIONAL BUREAU OF STANDARDS FOR PERMANENT MICROPHOTOGRAPHIC
REPRODUCTIONS.
Date Microfilmed
Camera Operator
Location
Authorized Signature
Exhibit 7 - Correction Card
(Rev. 38, Issued: 05-26-06, Effective: 06-26-06, Implementation: 06-26-06)
CORRECTION CARD
CORRECTION
THIS DOCUMENT
HAS BEEN REPHOTOGRAPHED
TO ASSURE LEGIBILITY
Exhibit 8 - Start of Retake or Addition Certificate
(Rev. 38, Issued: 05-26-06, Effective: 06-26-06, Implementation: 06-26-06)
RETAKE OR ADDITION CARD
START OF RETAKE OR ADDITION
The images appearing between this point and the "End of Retake or Addition" are true
copies of records, which were missing or provide unsatisfactory on inspection of the
original microfilm reel.
For a description of rephotographed material, see operator's "Retake or Addition
Certificate" at the end of this section.
Exhibit 9 - Retake or Addition Certificate
(Rev. 38, Issued: 05-26-06, Effective: 06-26-06, Implementation: 06-26-06)
CONTRACTOR NAME AND ADDRESS
CERTIFICATE OF AUTHENTICITY
RETAKES OR ADDITIONS
THIS IS TO CERTIFY THAT THE MICROPHOTOGRAPHIC IMAGES APPEARING ON
THIS ROLL OF MICROFILM:
ENDING WITH
ARE ACCURATE REPRODUCTIONS OF THE RECORDS OF:
AND WERE MICROFILMED IN THE REGULAR COURSE OF BUSINESS PURSUANT TO
ESTABLISHED ROUTINE COMPANY POLICY FOR SYSTEMS UTILIZATION AND OR
FOR THE MAINTENANCE AND PRESERVATION OF SUCH RECORDS THROUGH THE
STORAGE OF SUCH MICROFILMS IN PROTECTED LOCATIONS.
IT IS FURTHER CERTIFIED THAT THE PHOTOGRAPHIC PROCESSES USED FOR
MICROFILMING OF THE ABOVE RECORDS WERE ACCOMPLISHED IN A MANNER
AND ON MICROFILM THAT MEETS THE RECOMMENDED REQUIREMENTS OF THE
NATIONAL BUREAU OF STANDARDS FOR PERMANENT MICROPHOTOGRAPHIC
REPRODUCTIONS.
Date Microfilmed
Camera Operator
Location
Authorized Signature
Exhibit 10 - Resolution Test Chart
(Rev. 38, Issued: 05-26-06, Effective: 06-26-06, Implementation: 06-26-06)
The resolution test chart can also be viewed at the following link:
http://www.efg2.com/Lab/ImageProcessing/TestTargets/#Microcopy
Exhibit 11 - Witness Disposal Certification (Sample)
(Rev. 38, Issued: 05-26-06, Effective: 06-26-06, Implementation: 06-26-06)
WITNESSED DISPOSAL CERTIFICATION
Disposal Date:
_____________________
Medicare Contractor: ________________________________________
Address:
________________________________________
________________________________________
Disposal Location:
________________________________________
_____________________________________________________________
Volume by Cubic Feet (e.g., number of boxes):
____________________
Description & Year(s) of Records Destroyed:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
I certify that I witnessed the proper destruction of CMS Medicare records approved for disposal
on the date and location named in this document.
Print Name: __________________________________
Title:
__________________________________
Signature:
__________________________________
Date:
________________
Exhibit 12 - Roll Report
(Rev. 38, Issued: 05-26-06, Effective: 06-26-06, Implementation: 06-26-06)
ROLL REPORT
CAMERA NO.
LIGHT LEVEL
IRIS
REDUCTION
PROCESSING DEPARTMENT
DATE PROC.
DEV. TIME
CHEM. TEMP
REMARKS
PROCESSOR
INSPECTION DEPARTMENT
APPROVED
RESHOOTS
FOOTAGE
INSPEC.
TIME
INSPECTORS
INTIALS
DENSITY
RESHOOTS WILL BE FOUND ON
THIS ROLL FOR ROLL NUMBERS
THEIR ROLL
NO.
AGENCY
NAME
OUR ORDER
NUMBER
FILMING TIME
LUNCH
TIME
BREAK
TIME
PREP
TIME
WAITING
TIME
SET-UP
TIME
TRAVEL
TIME
REMARKS
OPERATOR’S INITIALS
Exhibit 13 – Report of Medicare Records
(Rev. 38, Issued: 05-26-06, Effective: 06-26-06, Implementation: 06-26-06)
ANNUAL REPORT OF MEDICARE RECORDS
Name & Address of Medicare
Contractor
Name, Title and Phone # of the
Person Submitting the Report
Type of Medicare Contractor
(Carrier/Intermediary/DMERC, etc.)
Current File
Room
Offsite
Storage
Storage
Costs
1. Total Records on Hand at the End of
the Reporting Period
a. Magnetic Tape Included in Line 1
b. Microfilm Included in Line 1
c. CDs included in Line 1
d. Paper included in Line 1
2. Records Transferred to Storage
During Reporting Period (provide the
number of boxes)
a. To Offsite Storage Included in Line
2
$
b. To Onsite Storage Included in Line
2
$
TOTAL STORAGE COSTS (Add
2a+b)
$
3. Total Records in Offsite Storage
During the Contract Period
For the purpose of this report, volume may be calculated according to the following table of
cubic foot equivalents:
1 record storage box………………1 cubic foot
Letter-size filing cabinet………….1½ cubic feet per drawer
Legal-size filing cabinet…………..2 cubic feet per drawer
Magnetic Tape…………………….1 cubic foot per 7 reels
Microfilm………………………….1 cubic foot per 108 rolls
CDs………………………………..¼ cubic foot per 12” case holder
Exhibit 14 - Inspection Checklist - Facility Standards for Records Storage
Facilities
(Rev. 38, Issued: 05-26-06, Effective: 06-26-06, Implementation: 06-26-06)
Facility Standards for Records Storage Facilities
Inspection Checklist (Effective date of checklist September 2005)
Agency:
Facility:
Common
Name:
Facility: Street
Address
Facility: City,
State & Zip
Facility
Director or
Representative:
<<Typed name>>
<<Typed Title>>
□
Comments explaining or disagreeing with inspection findings are attached.
Inspector:
<<Typed name>> Date
<<Typed Title>>
Facility
Description:
Compliance with 36 CFR 1228.228 Facility Requirements
§1228.228
paragraph:
Requirement
OK
No
Other
(a)
The facility must be constructed with non-combustible
materials and building elements, including walls, columns,
and floors.
(a)
exception 1
If the roof is constructed of combustible material it is
protected by a properly installed and maintained wet-pipe
automatic sprinkler system.
(a)
exception 2
Existing records storage facility with combustible building
elements has an approved waiver from NAS that allows
continued use until October 1, 2009 provided
documentation has been submitted that indicates a fire-
suppression system designed to mitigate the risk is present.
(b)
A facility with two or more stories must be designed or
certified by a licensed fire protection engineer and
civil/structural engineer to avoid catastrophic failure of the
structure due to an uncontrolled fire on one of the
intermediate levels.
(c)
The building must be sited a minimum of five feet above
and 100 feet from any 100 year flood plain areas, or be
protected by an appropriate flood wall (see FEMA flood
maps)
(d)
The facility must be designed in accordance with national,
regional, state or local building codes (whichever is most
stringent) to provide protection from building collapse or
failure of essential equipment from earthquake hazards,
tornadoes, hurricanes, and other natural disasters.
(e)
Roads, fire lanes, and parking areas must permit
unrestricted access for emergency vehicles.
(f)
A floor load limit must be established for the records
storage area by a licensed structural engineer. … The
allowable load limit must be posted in a conspicuous place
and must not be exceeded.
(g)
The facility must ensure that the roof membrane does not
permit water to penetrate the roof. (New buildings: effective
9/28/2005; existing buildings: effective 10/1/2009)
§1228.228
paragraph:
Requirement
OK
No
Other
(h)
Piping (with the exception of sprinkler piping and storm
water roof drainage piping) must not be run through the
records storage area unless supplemental measures … are
used to prevent water leaks …. (New buildings: effective
9/28/2005; existing buildings: effective 10/1/2009)
(i)(1)
All storage shelving must be designed and installed to
provide seismic bracing that meets the requirements of the
applicable state, regional, and local building code
(whichever is most stringent).
(i)(2)
Racking systems, steel shelving, or other open-shelf records
storage equipment must be braced to prevent collapse under
full load. Each shelving unit must be industrial style
shelving rated at least 50 lbs per cubic foot supported by the
shelf.
(i)(3)
Compact shelving, if used, must be designed to permit
proper air circulation and fire protection …
(j)
The records storage area must be equipped with an anti-
intrusion alarm system … meeting the requirements of UL
1076, Proprietary Burglar Alarm Units and Systems (level
AA) …. The alarm system must be monitored in accordance
with UL 611, Central Station Burglar Alarm Systems.
(k)
The facility must comply with the requirements for a Level
III facility. (Appendix A -- see separate checklist)
(l)
Records contaminated by hazardous materials … must be
stored in separate areas having separate air handling
systems from other records.
(m)
The facility must have an Integrated Pest Management
program.
(n)
The following additional requirements apply only to new
facilities:
(n)(1)
(1) No mechanical equipment containing motors in excess
of 1 HP within records storage areas (excluding material
handling and conveyance equipment that have operating
thermal breakers on the motor).
(n)(2)
(2) No high-voltage electrical distribution equipment (i.e.,
13.2kv or higher) in records storage areas.
§1228.228
paragraph:
Requirement
OK
No
Other
(n)(3)
(3) A redundant source of primary electrical service …
should be provided … . Manual switching between sources
of service is acceptable. (See text in rule; applies to HVAC,
fire and security alarms.)
(n)(4)
(4) For new facilities that store permanent records:
(n)(4)a
a. A facility storing permanent records must be kept under
positive pressure.
(n)(4)b
b. No intake louvers in loading dock areas, parking or other
areas subject to vehicle traffic.
(n)(4)c
c. Separate air supply and exhaust system for loading docks.
Compliance with 36 CFR 1228.230 Fire Safety Requirements
§1228.230
paragraph:
Requirement
OK
No
Other
(a)
The fire detection and protection system must be designed
or reviewed by a licensed fire protection engineer.
Review requires submission of a report under the seal of a
licensed fire protection engineer; see rule text for
minimum requirements.
(b)(1)
All walls separating records storage areas from each other
and from storage areas within the building must be 3-hour
fire resistant.
(b)(2)
The quantity of Federal records stored in a single fire
compartment shall not exceed 250,000 cubic feet.
(c)(1)
For existing records storage facilities, at least 1-hour rated
fire barrier walls must be provided between the records
storage area(s) and other auxiliary spaces.
(c)(2)(a)
For new records storage facility, 2-hour-rated fire barrier
walls must be provided between the records storage
area(s) and other auxiliary spaces.
§1228.230
paragraph:
Requirement
OK
No
Other
(c)(2)(b)
For new facilities, at least one exterior wall of each stack
area must be designed with a maximum fire resistive
rating of one-hour, or, if rated more than one-hour, there
must be at least one knock-out panel in one exterior wall
of each stack.
(d)
Penetrations in the walls must not reduce the specified fire
resistance ratings.
(e)
The fire resistive rating of the roof must be a minimum of
½ hour.
(e)
alternate
Unrated roof is protected in accordance with NFPA 13.
(f)
Openings in fire barrier walls must be protected by self-
closing or automatic Class A fire doors, or equivalent
doors that maintain the same rating as the wall.
(g)
Roof support structures that cross or penetrate fire barrier
walls must be cut and independently supported on each
side of the fire barrier wall.
(h)
If fire barrier walls are erected with expansion joints, the
joints must be protected to their full height.
(i)
Building columns in records storage areas must be 1-hour
fire resistant.
(i)
alternate
Unrated columns are protected in accordance with NFPA
13.
(j)(1)
Automatic roof vents for routine ventilation purposes must
not be designed into new records storage facilities.
(j)(2)
Automatic roof vents, designed solely to vent in the case
of a fire, with a temperature rating of at least twice that of
the sprinkler heads are acceptable.
(k)
Where lightweight steel roof or floor supporting members
are present, they must be protected either by applying a
10-minute fire resistive coating to the top chords of the
joists, or by retrofitting the sprinkler system with large
drop sprinkler heads. (see rule text)
§1228.230
paragraph:
Requirement
OK
No
Other
(l)
Open flame (oil or gas) unit heaters or equipment, if used,
must be installed or used in any records storage area in
accordance with NFPA 54 and the UMC.
(m)
For existing records storage facilities, boiler rooms or
rooms containing equipment operating with a fuel supply
… must be separated from records storage areas by a 2-
hour rated fire barrier wall with no openings directly from
those rooms to the records storage area(s). Such areas
must be vented directly outside to a location where fumes
will not be drawn back into the facility.
(n)
For new records storage facilities, boiler rooms or rooms
containing equipment operating with a fuel supply … must
be separated from records storage areas by a 4-hour rated
fire barrier wall with no openings directly from those
rooms to the records storage area(s). Such areas must be
vented directly outside to a location where fumes will not
be drawn back into the facility.
(o)
For new records storage facilities, fuel supply lines must
not be installed in areas containing records, and must be
separated from such areas with 4-hour-rated construction.
(p)
Equipment rows running perpendicular to the wall must
comply with NFPA 101 Life Safety Code, with respect to
egress requirements.
(q)(1)
No oil-type transformers, except thermally protected
devices included in light ballasts, may be installed in
records storage areas.
(q)(2)
All electrical wiring must be in metal conduit, except that
armored cable may be used where flexible wiring
connections to light fixtures are required
(q)(3)
Battery charging areas for electric forklifts must be
separated from records storage areas with at least a 2-hour
rated fire barrier wall.
(r)
Hazardous materials … must not be stored in records
storage areas.
§1228.230
paragraph:
Requirement
OK
No
Other
(s)
All records storage and adjoining areas must be protected
by a professionally designed fire-safety detection and
suppression system that is designed to limit the maximum
anticipated loss from any single fire event to a maximum
of 300 cubic feet of records destroyed.
For systems in accordance with App. B, attach checklist.
For other designs, see § 1228.242 for documentation
requirements.
Compliance with 36 CFR 1228.232, Environmental Control Requirements
§1228.232
Paragraph:
Requirement
OK
No
Other
(a)
Paper-based temporary records must be stored under
environmental conditions that prevent the active growth of
mold. (See rule text)
(b)
Nontextual temporary records, including microforms and
audiovisual and electronic records, must be stored in
records storage space that will ensure their preservation
for their full retention period. Effective 9/28/2005 for new
records storage facility and 10/1/2009 for existing
facilities. (See rule text)
(c)
Paper-based permanent, unscheduled, and sample/select
records must be stored in records storage space that
provides 24 hour/365 days per year air conditioning
equivalent to that required for office space. (See rule text)
Effective date: New facilities, 9/28/2005; existing facilities
10/1/2009
(d)
Nontextual permanent, unscheduled and/or sample/select
records: see parts 1230, 1232, and/or 1234 of 36 CFR
Chapter XII.
List of Attachments
Description
Yes
N/A
Minimum Security Requirements Check List (Appendix A)
Description
Yes
N/A
Fire-Safety Check List (Appendix B)
Certification of fire-safety detection and suppression system (36 CFR 1228.242)
Exceptions caused by Code Conflicts (36 CFR 1228.234)
Waiver request(s) (36 CFR 1228.236)
Other: (Describe)
Notes
Reference (§ and ¶)
Comments
Facility Standards for Records Storage Facilities
Supplemental Check Lists: Appendix A and Appendix B
Compliance with Federal Facility Security Standards, Level III
(36 CFR Part 1228 Appendix A) (Complete for ALL facilities)
Citation
Requirement
OK
No
Part
S1
Control of facility parking
S2
Receiving/shipping procedures
S3
Intrusion detection system with central monitoring
S4
Meets Life Safety Standards
S5
Adequate exits from records storage areas
Citation
Requirement
OK
No
Part
S6
High security locks on entrances/exits
S7
Visitor control/screening system
S8
Prevent unauthorized access to utility areas
S9
Provide emergency power to critical systems
S10
Conduct background security checks and/or establish
security control procedures for service contract personnel
Compliance with 36 CFR Part 1228 Appendix B
(Complete this section ONLY if the facility claims to be using the system described in
Appendix B)
Paragraph
Requirement
OK
No
Part
2a.
The records storage height must not exceed the nominal
15 feet (+/-3 inches) records storage height.
2b.
All records storage and adjoining areas must be protected
by automatic wet pipe sprinklers.
2c.1
1. The sprinkler system must be rated at no higher than
285 degrees Fahrenheit utilizing quick response (QR)
fire sprinkler heads.
2c.2
2. The sprinkler system must be designed by a licensed
fire protection engineer to provide the specified density
for the most remote 1,500 square feet of floor area at the
most remote sprinkler head in accordance with NFPA 13
(1996), Standard for the Installation of Sprinkler
Systems.
2c.3
3. Installation of the sprinkler system must be in
accordance with NFPA 13 (1996), Standard for the
Installation of Sprinkler Systems.
2c.4
4. Contractor’s Material and Test Certificates per NFPA
13 chapter 8.
2c.5
5. Hydraulic Calculations.
2d.1
1. Maximum spacing of the sprinkler heads must be on a
10-foot grid.
Paragraph
Requirement
OK
No
Part
2d.2
2. The positioning of the heads must provide complete,
unobstructed coverage, with a clearance of not less than
18 inches, but not more than 60 inches, from the top of
the highest stored materials.
2e.
The sprinkler system must be equipped with a water-
flow alarm connected to a continuously staffed fire
department or central station, with responsibility for
immediate response.
2f.1
1. A manual fire alarm system must be provided with
central station services or other automatic means of
notifying the municipal fire department.
2f.2
2. A manual alarm pull station must be located adjacent
to each exit.
2g.
All water cutoff valves in the sprinkler system must be
equipped with automatic closure alarm connected to a
continuously staffed station, with responsibility for
immediate response.
2h.
A dependable water supply free of interruption must be
provided. This normally requires a backup supply
system having sufficient pressure and capacity to meet
both fire hose and sprinkler requirements for 2 hours.
2i.
Interior stand-pipe stations equipped with 1 ½ inch
diameter hose may be provided in the records storage
areas if required by the local fire department, enabling
any point in the records storage area to be reached by a
50-foot hose stream from a 100-foot hose lay. If hose is
provided, the cabinets must be marked “For Fire
Department Use Only.”
2j.
Where fire hose cabinets are not required, stand-pipes
must be provided at each floor landing in the building
core or stair shaft. Hose outlets must have easily
removable adapter and cap. Threads and valves must be
compatible with the local fire department’s equipment.
Spacing must be so that any point in the records storage
area can be reached with a 50-foot hose stream from a
100-foot hose lay.
2k.
In addition to the designated sprinkler flow demand, 500
gpm must be provided for hose stream demand. The
hose stream demand must be calculated into the system
at the base of the main sprinkler riser.
Paragraph
Requirement
OK
No
Part
2l.1
1. Fire hydrants must be located within 250 feet of each
exterior entrance or other access to the records center
that could be used by fire-fighters.
2l.2
2. All hydrants must be at least 50 feet away from the
building walls and adjacent to a roadway usable by fire
apparatus. Fire hydrants must have at least two 2-½ inch
hose outlets and a pumper connection. All threads must
be compatible with local standards.
2m.
Portable water-type fire extinguishers (2½ gallon stored-
pressure type) must be provided at each fire alarm
striking station (see also NFPA 10).
2n.1
1. Where provided, the walking surface of the catwalks
must be of expanded metal at least 0.09-inch thickness
with a 2-inch mesh length. The surface opening ratio
must be equal or greater than 0.75.
2n.2
2. The sprinkler water demand for protection over bays
with catwalks where records are not oriented
perpendicular to the aisles must be calculated to give 0.3
gpm per square foot for the most remote 2,000 square
feet.
Notes
Reference
Comments
Reference
Comments