1. Lifts Usage Considerations in Health Care Buildings
Fire Safety In Healthcare
Services Conference
23 May 2019
Lifts Usage Considerations  in Health Care Buildings
in the event of Fire and/or Evacuation

2. INTRODUCTION Max Guijt Senior Lift & Escalator Consultant
Fire Safety In Healthcare Services Conference 23 May 2019
Max Guijt
Senior Lift & Escalator Consultant
OWNER OF
Shanderry Elevator Escalator Consultants Ltd.
INTRODUCTION
OFFICES AT
HQ, Portarlington, Co. Offaly
London, UK
Lyon, France
Amsterdam, Netherlands

3. INTRODUCTION Career background Company background
Fire Safety In Healthcare Services Conference 23 May 2019
Career background
Maritime Engineer and specialised in Lifts & Escalators
20 years Dutch Royal Navy
Formerly a Director with ThyssenKrupp Elevator
15 years experience as a Lift & Escalator Consultant
INTRODUCTION
Company background
The largest lift & escalator consultancy in the Irish State.
We currently operate in 13 European Countries, North Africa and the USA.
Our partner is Liftinstituut in the Netherlands who are the only dedicated Notified Body in the world specialised in Lifts & Escalators only and are a permanent member on the European CEN/TC 10 technical committee for Lift & Escalator regulations in Europe.

4. Fire Safety In Healthcare Services Conference 23 May 2019
Lifts Usage Considerations  in Health Care Buildings in the event of Fire and/or Evacuation
HTM 05-03: Part E
Behaviour of Lifts in the event of Fire in General
What is a Fire Fighters Lift
What is an Evacuation Lift
Development of a Fire and/or Evacuation Plan incorporating Lifts
Management of Evacuation when using Lifts
Lift considerations for developing a Fire or Evacuation Plan
Applicable Regulations, Guidance Documents and Standards
HSE Standard Specifications
Q&A 
TOPICS
Using lifts during a fire emergency
For many years, the public has been trained to avoid using lifts during fire emergencies, with warning signs telling people not to use the lifts during fire evacuations. The dangers of using lifts during fire are well known and accepted by both lay persons and experts. However, assuming that there are no insurmountable
technological hurdles, there are good reasons for using lifts during a fire emergency:
• lifts could be used to evacuate persons who for clinical reasons, or physical disabilities, would be unable to descend stairs without assistance or significant risk of additional injury;
• lifts, used in conjunction with stairs, would reduce the amount of time needed to evacuate large buildings;
• even for persons without disabilities, descending many flights of stairs is an onerous
task in very tall buildings;
• fire-fighters could use fire-safe lifts to move personnel and equipment over long vertical distances with greatly enhanced safety and reliability;
• where it is not possible to practice evacuation by stairs sufficiently often to ensure
competence.

5. Health Technical Memorandum (HTM)
Fire Safety In Healthcare Services Conference 23 May 2019
Health Technical Memorandum (HTM)
HSE has adopted the Health Technical Memoranda of the UK
HTM 05-03: Operational provisions, Part E: Escape Lifts in Healthcare Premises
This document should be considered, when incorporating Lifts in a Health Care Facility
The document details the following considerations:
Objectives of Escape Lift Provisions
Fire safety strategies utilising Escape Lifts
Priority of Use
Phases of Evacuation with Lifts
Alternatives
Physical requirements for Escape Lifts
Service required for Escape Lifts
Operating Escape Lifts

6. Behaviour of Lifts in the event of Fire
Fire Safety In Healthcare Services Conference 23 May 2019
Behaviour of Lifts in the event of Fire
 I.S. EN81-73: Behaviour of Lifts in the Event of Fire
Lifts should be connected to the Fire Alarm system with a dual signal.
In the event of an Fire Alarm the behaviour of the Lift:
Lift Returns to the Designated EXIT floor
Releases all passenger when Exit floor is reached
Lift will go out of use and closes doors to ensure fire integrity of the shaft enclosure
In the Lift Car the door open button and alarm button remain active.
The Landing Call Button on the Designated Exit floor will open the doors only to enable Fire Fighters to check for trapped passengers.

7. Behaviour of Lifts in the event of Fire (Continuation)
Fire Safety In Healthcare Services Conference 23 May 2019
Behaviour of Lifts in the event of Fire (Continuation)
2. In case of a Fire Alarm on the Designated EXIT floor
The Lift will travel to an alternative Exit floor
Releases all passenger when the alternative Exit floor is reached
Lift will go out of use and closes doors to ensure fire integrity of the shaft enclosure
In the Lift Car, the door open button and alarm button remain active
The Landing Call Button on the Exit floor will open the doors only to enable Fire Fighters to check for trapped passengers.

8. What is a Fire Fighters Lift
Fire Safety In Healthcare Services Conference 23 May 2019
What is a Fire Fighters Lift
A Lift which has protection, controls and signals which enable it to be used under the exclusive control of the firefighters are used to bring the firefighters and their equipment to the required floors.
When is a Fire Fighters Lift required
Technical Guidance Document B – Fire – Article 5.3.2
Buildings with a floor at more than 20 m above ground level or with a basement at more than 10 m below ground level, should be provided with firefighting shafts containing firefighting lifts.

9. Behaviour of a Fire Fighters Lift
Fire Safety In Healthcare Services Conference 23 May 2019
Behaviour of a Fire Fighters Lift
Phase 1
On activation of a Fire Alarm:
I.S. EN Behaviour of Lifts in the Event of Fire
After releasing the passengers:
Lift parks with doors open and will be out of service if the designated landing is the Fire Personnel access landing, or;
Lift travels further to designated Fire Personnel access landing and parks with doors open and will be out of service.

10. Behaviour of a Fire Fighters Lift (Continued)
Fire Safety In Healthcare Services Conference 23 May 2019
Behaviour of a Fire Fighters Lift (Continued)
Phase 2
Fire Fighters can activate the Lift in Fire Fighters Mode by means of dedicated fire fighters switch on the fire fighters access landing.
The lift will only operate on car buttons and all landing call buttons are disabled.
Door opening will only be activated by constant pressure on the door open button in the car. When the door open button is released the doors will close automatically, except when the door has reached its fully open position.

11. Requirements for a Fire Fighters Lift
Fire Safety In Healthcare Services Conference 23 May 2019
Requirements for a Fire Fighters Lift
2-hour fire rated Shaft Enclosure
2- hour Fire Protected Lobby
Dual Power Supply with Switch-over panel in Fire Fighting Lobby
2 – Hour Fire Rate Supply Cables
External Rescue facility for trapped Fire Fighters
Communication Device on all Landings and in Car
Prevention of Water entering into the shaft by means Raised Lift Landing Doors.
Sump Pumps in Lift Pits are not permitted
Power Supply
Switch Panel

12. Typical Power Supply Fire Fighters Lift
Fire Safety In Healthcare Services Conference 23 May 2019
Typical Power Supply Fire Fighters Lift
The switch over panel needs to be in the Lift Lobby
Supply Cables need to be 2-hour Fire Rated and running different routes
Applicable Standards
- TDG Part – B Fire
- I.S. EN Fire Fighters Lifts
- BS Fire Pre-Cautions
Note: TDG Part-B is under review and requirements might change

13. What is an Evacuation Lift
Fire Safety In Healthcare Services Conference 23 May 2019
What is an Evacuation Lift
A Lift which has protection, controls and signals which enable it to be used under the exclusive control of management to evacuate people in case of fire.
When is a Evacuation Lift required
TDG Part B Evacuation lifts
In some circumstances a lift may be needed as part of a management plan for evacuating people with disabilities.
In such cases the lift installation needs to be appropriately sited and protected, and needs to contain a number of safety features that are intended to ensure that the lift may remain usable for evacuation purposes during the fire.
Guidance on the necessary measures is given in
BS 5588: Part 8 and HTM part E.

14. Requirements for an Evacuation Lift
Fire Safety In Healthcare Services Conference 23 May 2019
Requirements for an Evacuation Lift
2-hour fire rated Shaft Enclosure
2- hour Fire Protected Lobby
Dual Power Supply 30 minute fire rated running different routes
Communication Device on all Landings and in Car
Is a so-called managed Lift
Due consideration needs to given to the available refuge space requirements

15. Typical Power Supply Evacuation Lift
Fire Safety In Healthcare Services Conference 23 May 2019
Typical Power Supply Evacuation Lift
Supply Cables need to be Fire Rated and running different routes
Applicable Standards
- TDG Part – B Fire
- TS Evacuation Lifts
BS Fire Pre-Cautions
HTM part E – Escape Lift in Health Care premises
Note: TDG Part-B is under review and requirements might change

16. Development of a Fire and/or Evacuation Plan incorporating Lifts
Fire Safety In Healthcare Services Conference 23 May 2019
Development of a Fire and/or Evacuation Plan incorporating Lifts
 Design Team should consist of:
Health Service Management
Rescue or Fire Services
Architect
Fire Consultant
Lift Consultant
M&E Consultant

17. Development of a Fire and/or Evacuation Plan incorporating Lifts
Fire Safety In Healthcare Services Conference 23 May 2019
Development of a Fire and/or Evacuation Plan incorporating Lifts
Consideration should be given to when lifts are incorporated in the Fire/Evacuation plan (this list is not exhaustive) :
Compartmentalisation
Refuge Space and Holding areas
No. of Lifts required
Size of Lifts required
Management of the Lifts during an evacuation

18. Development of a Fire and/or Evacuation Plan incorporating Lifts
Fire Safety In Healthcare Services Conference 23 May 2019
Development of a Fire and/or Evacuation Plan incorporating Lifts
Compartmentalisation & Refuge Space and Holding areas
European research has shown that the probability of survival of disabled people depends on the smoke protection and fire protection of the Refuge Spaces and Holding areas in Lift Lobbies.

19. Management of Evacuation when using Lifts
Fire Safety In Healthcare Services Conference 23 May 2019
Management of Evacuation when using Lifts
Fire Fighters Lifts can also be used as Evacuation Lifts, but this needs to be coordinated and agreed with the Fire Rescue Services.
During Evacuation, Lifts only operate on car control buttons and therefore cannot be called on the landing.
Dedicated persons need to be appointed to operate the lift and is under managed control.
The principal of evacuation with lifts is:
Firstly the floor where the fire originates is evacuated
On completion of evacuation of fire level, the level above the fire level is evacuated.
Then the level below where the fire originated .
Then 2 levels above the fire level
Then 2 levels below fire level
And so on.
The above depends on the circumstances, bearing in mind that smoke and fire mainly travel upwards.
It is a management decision based on the circumstances which floor have priority in case of evacuation.

20. Lift considerations for developing a Fire or Evacuation Plan
Fire Safety In Healthcare Services Conference 23 May 2019
Lift considerations for developing a Fire or Evacuation Plan
Type & Capacity  of Lifts to be considered
Bed Patients
Persons with impaired mobility
No. of Lifts required for an Evacuation of a Health Care Building

21. Type & Capacity of Lifts to be considered
Fire Safety In Healthcare Services Conference 23 May 2019
Type & Capacity  of Lifts to be considered
Bed Patients
Hospital Beds (2500kg/33person Lifts)
Trolleys (1250kg/16-person Lifts to 1600kg/21 person Lifts)
Persons with impaired mobility
Impaired Mobility and cannot descend stairs. (800kg/10-person Lifts)
Wheel Chair Users
Wheel Chairs Type A or B (800kg/10-person Lifts to 1250kg/16-person Lifts)
Wheel Chair Type C (1250kg/16-person Lifts)
ELISAHA GRAVES
In 1852 Elisaha Graves Otis invents a safety catch for Lifts. (Safety Gear)
This prevents the lift falling if the ropes fail.

22. No. of Lifts required for an Evacuation in a Health Care Building
Fire Safety In Healthcare Services Conference 23 May 2019
No. of Lifts required for an Evacuation in a
Health Care Building
 The number of lifts depend on the evacuation plan, method and the type of patients or persons that are depending on lifts.
Approach Consideration Examples:
Evacuation of an ICU ward can need a different approach than a day-clinic, or:
Evacuation of a Nursing home with less able people can have the requirement for a full evacuation by means of Lifts only.

23. Applicable Regulations, Guidance Documents and Standards
Fire Safety In Healthcare Services Conference 23 May 2019
Applicable Regulations, Guidance Documents and Standards
Safety, Health & Welfare at Work Act
Safety, Health & Welfare at Work (General Application) Regulations
Safety, Health & Welfare at Work Construction Regulations
European Directive 2014/33/EU
European Directive 2006/42/EC
Building Regulations
Building Control (Amendment) Regulations
ET101 National Rules for Electrical Installations (Currently being transposed to I.S :2018)
ISO Class I, II, III & VI Lifts
ISO Class IV Lifts
ISO General principles and specific procedures for assessing risk for Lifts
I.S. EN Safety rules for Construction and Installation of Lifts
I.S. EN Remote alarm on lifts
I.S. EN Safety rules for Construction and Installation of Lifts

24. Applicable Regulations, Guidance Documents and Standards
Fire Safety In Healthcare Services Conference 23 May 2019
Applicable Regulations, Guidance Documents and Standards
I.S. EN Lift Doors Fire resistance
I.S. EN Accessibility to lift for people with reduced mobility
I.S. EN Vandal resistance for lifts
I.S. EN Fire Fighters Lifts
I.S. EN Behaviour of Lifts in the event of fire
CEN/TS EN Evacuation Lifts
I.S. EN Ladders
I.S. EN Manual Wheel Chairs
I.S. EN Electrically powered Wheel Chairs and Scooters
I.S. EN Maintenance for Lifts
I.S Emergency Lightning
I.S Fire Alarm Systems
BS Fire precautions in the design, construction and use of buildings. Access and
facilities for fire-fighting

25. Applicable Regulations, Guidance Documents and Standards
Fire Safety In Healthcare Services Conference 23 May 2019
Applicable Regulations, Guidance Documents and Standards
BS Fire precautions in the design, construction and use of buildings – Code of Practise
for means of escape for Disabled People
HIQA National Standards for the prevention and control of healthcare-associated
infections in acute healthcare services
Department of Health (UK) Health Technical Memorandum 08-02: Lifts
Department of Health (UK) Health Technical Memorandum 03-05: Part E - Escape Lifts in healthcare premises

26. HSE Standard Specifications
Fire Safety In Healthcare Services Conference 23 May 2019
HSE Standard Specifications
HSE L-01 General Passenger Lift 800kg / 10 person (Wheelchair class A & B)
HSE L-02 Public Passenger Lift 1250kg / 16 person (Wheelchair class A, B & C)
HSE L-03 Trolley / Stretcher Lift 1600kg / 21 person
HSE L-04 Bed Lift kg / 33 person
HSE L-05 Goods / Service Lift 2000kg / 26 person
HSE L-06 House Keeping Lift 1600kg / 21 person

27. Design Considerations
Type of Building Application
Primary Health Care
A&E, Hospitals & Elderly Patient Care
All
Type of Lift Application
General Passenger Lift
Public Passenger Lift
Trolley / Stretcher Lift
Bed Lift
Goods / Service Lift (Dirty)
House Keeping Lift (Clean)
HSE document reference
HSE_L-01
HSE_L-02
HSE_L-03
HSE_L-04
HSE_L-05
HSE_L-06
Type of Lift
General Public Lift
Trolleys & Stretchers
Beds Lifts only and should preferably be segregated from General Public
Staff & Maintenance only
Can be General Passenger if house keeping activities are scheduled outside general passenger demands
Wheel Chair Class Accessibility
Wheel Chair Accessible Class A & B only
Wheel Chair Accessible Class A, B & C
Wheel Chair Accessible Class A, B & C
Type of Application
For smaller Health Care Buildings for example Community Hospital, GP surgery & walk-in Health Centers
General Passenger Traffic including TGD Part M compliant
Intended for carrying on a trolley or a patient on a stretcher with staff or standard empty extended hospital bed
Intended for carrying a patient on a standard extended bed with necessary staff and equipment.
Furniture/equipment/building materials/equipment maintenance supplies/waste/etc.
Intended for the movement of clean items such as mail, stationary, medical supplies, food, linen, etc.
Operating Theatre Lifts
N/A
Where possible provide a dedicated operating theatre lift(s) to segregate occupants from theatre patients.
Fire Fighting Lift
To be considered as part of building design
Evacuation Lift
Principal lift details 
Type of Lift Drive
MRL Traction
Capacity
800
1250
1600
2500
2000 10 16 21 33 26
High Light the different applications and where lifts can or cannot combined.
For instance and operating theater lifts should not be used for general waste.

28. Thank You Contact Us: Shanderry Elevator Escalator Consultants LTD
Fire Safety In Healthcare Services Conference 23 May 2019
Thank You
Contact Us:
Shanderry Elevator Escalator Consultants LTD
T: +353 (0) E: W: