Office of the Fire Marshal |
OFM-TG-01-2007 |
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Hotel Retrofit Building Audit (Comprehensive) |
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January 2007 |
3.1 Building Regulated By Other Retrofit Sections
3.2 Building One Storey In Building Height With Limited Building Area
3.3 All Other Buildings
4.1 Determine The Building Height
4.2 Determine The Building Area
4.3 Calculating Building Area
6.1 Attached Buildings Fire Separated By A
Noncombustible Fire Separation Having A 2-Hr Fire Resistance Rating
6.2 Attached Buildings Fire Separated By A Combustible Fire Separation Having A
2 Hr Fire Resistance Rating
6.3 Buildings Connected By An Above Ground Walkway
6.4 Buildings Connected By An Underground Walkway
January 2007
OFM Section: Fire Safety Standards at (416) 325-3100
The reproduction of this guideline for non-commercial
purposes is permitted and encouraged. Permission to reproduce the guideline for
commercial purposes must be obtained from the Office of the Fire Marshal,
Ontario.
This guideline is intended to assist hotel operators and owners, including
their agents, to conduct an audit of a hotel establishment building that is
regulated under Retrofit, Section 9.9 of the Fire Code. The purpose of
conducting an audit is to identify and describe the existing building features
in relation to Section 9.9 requirements. Completing an audit will help to
determine the degree of compliance or non-compliance. The guideline is
subdivided into sections. Each section is designed for use as a template
suitable for documenting the degree of compliance or non compliance with
applicable requirements based upon review and analysis of the subject matter.
Many of the sections also contain explanatory information (commentary) relating
to the requirement under consideration. The guideline is intended for guidance
only and is not to be considered a statement of law in this area.
A separate audit guideline is available at
www.ofm.gov.on.ca for use involving a one storey residential building that:
is
a hotel establishment or is part of a hotel establishment, and
contains
guest suites, other residential accommodations and/or building services, and
does
not contain any other major occupancies, and
does
not have a basement.
Retrofit Section 9.9 Hotels, was introduced in May 2006 as an amendment to the
Ontario Fire Code under Ontario Regulation 144/06 made under the
Fire Protection and Prevention Act, 1997. The
regulation’s effective date is January 1, 2007. A number of the requirements
become effective on that date. However there are different intervals of up to 5
years in some instances to comply with various provisions.
Other portions of Parts 1, 2, 6, 7 and 8 of the Fire Code also apply to the
subject building where applicable. However, unless referred to specifically in
the guideline, these provisions are not part of this building audit process. It
is the responsibility of the owner to comply with the Fire Code. The Fire Code
may be accessed and downloaded from the Ontario Government e-Laws web site at
http://www.e-laws.gov.on.ca/.
Owners of buildings falling within the scope of the Section 9.9 Hotels are
responsible for bringing their building(s) into compliance within the time
frames as specified. These time frames are outlined in Article 9.1.3.1. A
compliance schedule is provided in Appendix G –
Regulation Compliance Schedule.
In some instances the work required may result in material alterations to the
building structure or to its systems, and may affect temporarily the use of
spaces in instances where installations or alterations must be made within these
areas. Building construction, including additions, renovations and/or demolition
are always subject to the Building Code Act and its regulations. For this
reason, should construction be necessary, a building permit may be required
prior to undertaking remedial measures to comply.
Article 9.9.1.2. requires the owner to prepare and retain a separate Building
Audit for each building that is part of a
hotel establishment. The Building
Audit must identify and describe the existing building features in relation to
the requirements in Section 9.9. The Building Audit must be completed by January
1, 2008. Completing a Building Audit will help an owner identify those areas of
the building audited that comply while also identifying those areas that may be
deficient and require upgrading. Once the Building Audit is completed; it must
be retained and be made available to an Assistant to the Fire Marshal upon
request.
1.1 Instructions For Using The Audit Guideline
There are 40 sections in this Building Audit guideline. Each section reflects
certain elements of the regulation’s requirements. It is intended that this
guideline be followed sequentially. Using the audit guideline sequentially will
ensure that the fire safety elements regulated under Section 9.9 will be
appropriately assessed and the results where applicable will be suitably
documented.
Following the guideline instructions as intended will help the user to determine
those portions of the regulation that apply to the building so that appropriate
analysis and documentation can be achieved. Every effort has been made to ensure
that this guideline incorporates all the provisions of Retrofit, Section 9.9.
Some portions of the regulation and guideline will not apply to the hotel
establishment building being audited. In these instances, by following the
directions in the guideline you will be directed to proceed to the next section
or specified portion in the guideline. This will allow you to disregard those
portions of the guideline that are not applicable to the building being audited.
The Building Audit can be prepared using a computer and Microsoft Word in a
manner similar to working on any Microsoft Word document. To complete the
guideline on a computer, download the Microsoft Word file to your computer.
Identify and save the file so that you can access it easily to work on. After
working on the Building Audit save the changes you have made before closing the
file. When you return to work on it, simply open the file and carry on from
where you last left off.
To conduct the Building Audit, carefully review each statement and examine the
corresponding feature(s) in the building. After completing the analysis,
document the appropriate response by checking (Yes
or No
) and where
necessary describe or list additional information as directed in the text form
field provided following the asterisk (*███).
When inserting text immediately after the asterisk (*) the form field will expand as necessary to accommodate
all text. Inserted text will be printed in the colour red. Form fields located
in the tables are not identified by an asterisk.
To check a box using your computer, simply double left click your mouse while
the cursor is on the box. Then select ‘Checked’ under the default value, then
OK. The box is checked.

The Building Audit can also be prepared using a printed copy of this
document/file. When using this format, print the Building Audit guideline on
single-sided, 3-hole punched paper. Place the printed pages in a 3 ring binder.
Also obtain a notebook containing more than 50 pages. It would be preferable for
the notebook to be bound in some manner and also be 3-hole punched for inserting
into the 3-ring binder. When documenting your analysis if you encounter
insufficient space after an asterisk (*) to insert the necessary details, the
information can be written in the notebook. It is suggested that a separate page
in the notebook be used for documenting each applicable section as you work your
way through the audit process and guideline.
The guideline provides qualifying statements intended to determine if the
section or subsection applies to the building being audited. By completing these
qualifying statements, in some instances you will be directed to proceed to the
next section or specified portion in the guideline. When you encounter this
using the computer, a hyperlink is provided that you can click on with the left
mouse button. Using this hyperlink will take you to the next section or area in
the Building Audit. To return to your original place in the audit guideline,
click on the forward key (Þ) or return key (Ü) located on the computer screen
tool bar.
Once all applicable sections of the guideline have been completed, it is
necessary to retain only those portions of the guideline that were applicable to
the building in order to satisfy the provisions of Article 9.9.1.2. pertaining
to the building audit.
| Hotel Municipal Address |
███ |
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| Hotel Name and/or name of the building within a hotel
establishment |
███ |
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| Owner |
███ |
Phone # ███ |
| Owner’s Municipal Address |
███ |
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| Owner’s Agent (Where applicable) |
███ |
Phone # ███ |
| Agent’s Municipal Address |
███ |
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| Fire Department Name |
███ |
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| Fire Department Municipal Address |
███ |
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| Fire Department Contact |
███ |
Phone # ███ |
Complete the table above to provide basic information about the hotel building that is the subject of the audit.
The purpose of Section 3 is to determine which sections of this guideline will apply to the building that is going to be audited.
3.1 Building Regulated By Other Retrofit Sections
[9.9.1.1.(3)] The building containing a hotel, or a portion of the building, is regulated by Section 9.2, 9.3, 9.5 or 9.6 of the Fire Code on December 31, 2006 and the use of the building is unchanged since that date. (To determine if the circumstances in your situation apply, refer to the Application Subsections found in Appendix F – Retrofit 9.2, 9.3, 9.5 and 9.6 Application Sections.
Agree: Yes
No
NOTE: For example, many bed and breakfast establishments have been/are regulated under the provisions of Section 9.3 or 9.5 of the Fire Code. Where the use of the building has remained the same since December 31, 2006, the buildings continue to be regulated by these sections of Retrofit.
Where ‘Yes’ was the response to the statement above (Retrofit 9.2, 9.3, 9.5 or 9.6 applies to the building), the only portions of this audit guideline that will apply to the building or portion of the building include Section 7.0, Subsection 14.3 and Section 39.0, where applicable. Complete these portions of the Building Audit guideline. Refer to Appendix G – Regulation Compliance Schedule to determine the time lines for compliance where deficiencies have been noted. Take steps to correct the deficiencies within the timeline allotted.3.2 Building One Storey In Building Height With Limited Building Area
The building containing a hotel
Agree: Yes
No
Where the response is ‘No’ proceed to
Subsection 3.3.
Where ‘Yes’ was the response to the statement above, the
only portion of this audit guideline that applies to this building is
Section 7.0. Complete this Section of the Building Audit guideline. Refer
to Appendix G – Regulation Compliance Schedule to determine the time line for
compliance where deficiencies have been noted. Take steps to correct the
deficiencies within the timeline allotted.
3.3 All Other Buildings
For all other buildings, use the following table to identify those sections in the audit guideline that apply to the building under consideration. Review the qualifying factors in each segment of the table to determine if that particular section will apply to the building under consideration. Column 1 in the table identifies the section number. Column 2 is used to identify whether the section is applicable or not. Column 2 is also to be used to keep track of those portions of the guideline that have been completed. Simply check or click on the appropriate box as applicable. Column 3 describes the qualifying factors that must be considered to determine applicability of the section.
Once the information in the table has been completed, the
table can be used for future reference as a Table of Contents and guide you
through the audit process. As each applicable section of the audit guideline is
completed, check the ‘Completed
’ form field box in Column 2.
NOTE: Where applicable, each section or subsection in the guideline also provides one or more qualifying statements to ensure that only applicable portions of the guideline are to be completed. Where those portions of the guideline do not apply to the building being audited, you will be directed to proceed to the next appropriate section or subsection.
| Col. 1 | Column 2 | Column 3 |
| SECTION | APPLICABLE& STATUS | FACTORS TO DETERMINE APPLICABILITY OF SECTION TEMPLATE |
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All |
Introduction and instructions for using the guideline | |
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All |
Building identification and information | |
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All |
Determine which sections of the guideline apply to the building being audited | |
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All |
Determine building height and building area | |
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All |
Determine type of building construction – ( combustible construction or noncombustible construction) | |
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All |
Fire separating the building from an
adjoining building not containing a hotel The building being audited does not contain a hotel. Agree: Yes |
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All |
Smoke alarms in guest suites | |
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Yes
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Fire alarm and detection The building is 3 storeys or less in building height, and each guest suite
Agree: Yes
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Yes
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Voice communication system The height of the building measured vertically between the floor of the top storey and grade is ███m. The height of the building as determined above is less than 36 m. Agree: Yes |
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Yes
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Access routes for fire fighting The building is 3 storeys or less in building height and the building area is less than 600 m². Agree: Yes |
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Yes
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Standpipe system The building is 3 storeys or less in building height: Agree: Yes |
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Yes
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Elevators for firefighters’ use The height of the building measured vertically between the floor of the top storey and grade is ███. The height of the building as determined above is less than 18 m. Agree: Yes |
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Yes
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Identify and assess the quality of structural floor
assemblies and supporting assemblies |
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All as applicable Completed
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Identify and assess the quality of required fire separations within floor areas | |
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All |
Protection of openings in required fire separations (closures) | |
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Yes
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Pipes, ducts and plenums serving heating and air handling systems The building contains
Agree: Yes
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All as applicable Completed
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Means of egress | |
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Yes
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Determining occupant loads The building is
Agree: Yes
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All as applicable Completed
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Determine the number of exits required | |
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All as applicable Completed
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Rooms and other spaces requiring two or more egress doorways | |
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Yes
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Determine the suitability of dead end corridors The building is
Agree: Yes
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Yes
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Requirements for access to exits The building is
Agree: Yes
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Yes
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Occupant load restrictions resulting from limited
means of egress widths
available The building is
Agree: Yes
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Yes
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Additional occupant load restrictions in floor areas and rooms of
assembly occupancy requiring two or more
means of egress doorways The building is
Agree: Yes
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Yes
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Requirements for travel distance to an exit The building is
Agree: Yes
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Yes
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Determine the adequacy of exit stairway
fire separations The building is only one storey in building height and does not have a basement. Agree: Yes |
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Yes
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Exterior stairways and fire escapes The building is only one storey in building height and does not have a basement. Agree: Yes The building has an exterior
Where ‘No’ applies in all instances above this section does not apply. |
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All as applicable Completed
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Doors in an access to exit and exit doors | |
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Yes
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Emergency access to floor areas from
exit stairs The building is only one storey in building height. Agree: Yes |
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All |
Exit signs | |
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Yes
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Floor number signs The building is only one storey in building height and does not contain a basement. Agree: Yes |
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Yes
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Interior finishes The building is
Agree: Yes
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Yes
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Lighting The building is
Agree: Yes
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Yes
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Emergency Lighting The building is 3 storeys or less in building height, and each guest suite
Agree: Yes
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Yes
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Emergency power supply (Generator) The building is
Agree: Yes
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Yes
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Unit equipment for emergency lighting The building is
Agree: Yes
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Yes
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Commercial cooking equipment Commercial cooking equipment such as that used in a restaurant(s) or used for other commercial food preparation purposes (banquet facility, etc.) is present in the building. Agree: Yes |
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Yes
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Requirements for interconnected floor spaces This building contains an interconnected floor space as defined in Section 39. Agree: Yes |
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Yes
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Smoke control measures The height of the building measured vertically between the floor of the top storey and grade is ███. The height of the building as determined above is less than 18 m. Agree: Yes |
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As applicable Completed
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Sprinkler system requirements |
Many of the requirements in Retrofit are determined by the
building size and the nature of its construction. The requirements are based
upon building height and building area and whether the building is of
combustible construction or
noncombustible construction.
4.1 Determine The Building Height
This subsection involves determining the building height of the building being
audited. It is important to note that the words, storey,
first storey and grade
all have assigned meanings and are used in their defined sense in the context of
the definition.
Examine the building from the outside and inside. Identify the first
storey of
the building. Next, determine the building height in
storeys. Storeys below
grade are not included when determining building height.
The building is *███ storeys in
building height.
4.2 Determine The Building Area
In this subsection it will be necessary to determine the
building area of the
building being audited.
For the purpose of determining the building area, Retrofit Section 9.9 permits a
building containing a hotel to be separated from another connected building not
containing a hotel, provided the buildings are separated from each other by
Where the building is separated from another connected building
using one of these methods then the building area includes the building
containing the hotel only.
4.3 Calculating Building Area
The building is
a single detached building. Agree:
Yes
No
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subdivided from another building by a firewall,
Agree: Yes
No
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subdivided from another building
not containing a hotel by an above ground
walkway. Agree:
Yes
No
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subdivided from another building not containing a
hotel by an
underground walkway. Agree: Yes
No
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For guidance on how to determine building area proceed to Appendix B – Determining The Building Area.
CONCLUSION: The building area of the building is *███ m².
Refer to Appendix C – Determine Type of Building Construction
for guidance in determining whether the building is considered to be of
combustible construction,
noncombustible construction or of
heavy timber construction.
NOTE: A building of
heavy timber construction is also
considered to be a building of combustible construction.
The building is of:
noncombustible construction Yes:
No
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Where ‘Yes’ briefly provide details of the existing building construction:*███
combustible construction Yes:
No
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Where ‘Yes’ briefly provide details of the existing building construction:*███
heavy timber construction Yes:
No
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Where ‘Yes’ briefly provide details of the existing building construction:*███
COMPILED CONCLUSIONS OF SECTIONS 4 AND 5.
The building is *███ storeys in
building height.
The building is *███ m² in building area.
The building is of heavy timber construction and
combustible construction.
Agree: Yes
No
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The building is of combustible construction.
Agree: Yes
No
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The building is of noncombustible construction.
Agree: Yes
No
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In this section it is necessary to determine the adequacy of
features that fire separate a building containing a hotel from an adjoining
building that does not contain a hotel.
The building being audited does not contain a hotel. Agree:
Yes
No
If ‘Yes’ this section does not apply, therefore proceed to Section 7.
The subject building is not attached, or connected by a covered
walkway or
underground walkway, to another building. Agree: Yes
No
If ‘Yes’ this section does not apply, therefore proceed to Section 7.
The building containing the hotel is connected to a building that does not
contain a hotel by (NOTE: More than one of the following points may apply.)
a fire separation of noncombustible construction.
Agree: Yes
No
If ‘Yes’ proceed to Section 6.1
a fire separation of combustible construction .
Agree: Yes
No
If ‘Yes’ proceed to Section 6.2.
an above ground covered walkway.
Agree: Yes
No
If ‘Yes’ proceed to Section 6.3.
an underground walkway.
Agree: Yes
No
If ‘Yes’ proceed to Section 6.4.
6.1 Attached Buildings Fire Separated By A
Noncombustible Fire Separation Having A 2-Hr Fire Resistance Rating
[9.9.2.6.(1)] The building containing a hotel is required to be fire separated
from an attached building that does not contain a hotel, by a
fire separation of
noncombustible construction having a 2-hr
fire-resistance rating.
The existing wall assemblies (fire separation referred to above) consist of
reinforced concrete. Agree: Yes
No
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masonry. Agree: Yes
No
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clay tile with plaster or gypsum board finish on both sides.
Agree: Yes
No
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Where the wall assembly does not correspond with one of the wall
assemblies described above, proceed to Subsection 6.2.
All existing openings in the fire separation are protected with
closures having
1.5-hr fire protection rating. The door and frame has a permanent label affixed
to it indicating that the door has the required 1.5-hr
fire protection rating.
Agree: Yes
No
Where ‘No’ list the openings. *███
6.2 Attached Buildings Fire Separated By A Combustible Fire
Separation Having A 2 Hr Fire Resistance Rating
[9.9.2.6. (2)] As an alternative, the building containing a
hotel is required to
be fire separated from an attached building that does not contain a
hotel, by a
fire separation having a 2-hr
fire resistance rating constructed as a fire
separation.
In this instance the existing fire separation has been purposefully designed and
constructed as a fire separation having a 2-hr
fire resistance rating.
Agree: Yes
No
Provide relevant information to support this conclusion. (i.e. Building permit
information, original construction details, assessment by a structural engineer,
etc.) *███
All existing openings in the fire separation are protected with
closures having
1.5-hr fire-protection rating. The door and frame has a permanent label affixed
to it indicating that the door has the required 1.5-hr fire-protection rating.
Agree: Yes
No
Where
‘No’ list the openings. *███
6.3 Buildings Connected By An Above Ground Walkway
For the purpose of the following statement a walkway means a covered or roofed
pedestrian thoroughfare used to connect 2 or more buildings.
The building containing a
hotel is connected to another building not containing
a
hotel by an aboveground walkway.
Agree: Yes
No
Where ‘No’ proceed to Section 6.4. Where ‘Yes’ continue.
[9.9.2.6.(3)] The building containing a
hotel is connected to an adjacent
building not containing a
hotel by an above ground walkway that is fire
separated from each building by a fire separation having a
fire-resistance
rating of not less than 45 minutes. [3.2.3.20.(1)OBC]
Agree: Yes
No
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Both buildings connected to the walkway are each of
combustible construction.
Agree: Yes
No
Where ‘Yes’ proceed to Section 6.4. Where ‘No’ continue.
[3.2.3.20.(3)OBC] One or both buildings are constructed of
noncombustible construction and the
walkway is of noncombustible construction.
Agree: Yes
No
Where ‘Yes’ proceed to Section 6.4. Where ‘No’ continue.
[3.2.3.20.(1)OBC] The walkway connected to the buildings is of
heavy timber
construction
(Agree: Yes
No
)
and:
not less than 50% of the area of any enclosing perimeter walls
is open to the outdoors,
Agree: Yes
No
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and the walkway is at ground level. Agree:
Yes
No
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6.4 Buildings Connected By An Underground
Walkway
For the purpose of the following statement a walkway means a covered or roofed
pedestrian thoroughfare used to connect 2 or more buildings.
The building containing a
hotel is connected to another building not containing
a
hotel by an underground walkway.
Agree: Yes
No
Where ‘No’ proceed to Section 7. Where ‘Yes’ continue.
[9.9.2.6.(3)] The building containing a hotel is subdivided from a directly
connected adjacent building that does not contain a
hotel by an underground walkway that complies with the Building Code.
[3.2.3.21.(1)OBC] The underground walkway:
and
and
(and if applicable, i.e. walkway exceeds 100 m in length)
at intervals of not more than 100 m, or
where the travel distance from the door of an adjacent room or space to the nearest exit exceeds one and a half times the least allowable travel distance for any of the adjacent occupancies as prescribed in OBC Sentence 3.4.2.5.(1).
Applicable: Yes
No
Agree: Yes
No
(NOTE: Where the travel distance provisions of the second point above apply, it will be necessary to review and examine the provisions of OBC Sentence 3.4.2.5. prior to determining if you agree or not agree.)
Smoke alarms are required to be installed in each
guest suite in every hotel.
The smoke alarm requirements include references to three different ULC
standards. The following table contains a synopsis of the regulatory
requirements outlined in Section 9.9 and those requirements contained in the
referenced standards. For accurate reference, refer to the applicable standards.
For correct placement of smoke alarm, refer to the illustration below.
In the table, Column 1 describes the requirements. Column 2 is used to document
compliance or non-compliance. Column 3 is used to describe details of
non-compliance when applicable.
|
Column 1 |
Col. 2 |
Column 3 |
|
| [9.9.4.13.] Requirements for smoke alarms: | Complies (Agree) |
Describe nature of non-compliance | |
| Yes | No |
███ |
|
| Installed in each guest suite |
|
|
███ |
| Each is ULC labelled. |
|
|
███ |
| Battery operated, or Have permanent connections to an electrical circuit and have no disconnect switches between the overcurrent device and the smoke alarm |
|
|
███ |
| Installed on each floor in multi-level guest suites, and The smoke alarms are interconnected so that the actuation of one smoke alarm will cause all smoke alarms within the guest suite to sound (if applicable). |
|
|
███ |
| Not installed near an air outlet from a heating or air conditioning system. |
|
|
███ |
| Permanently installed on the ceiling not less than 100 mm from any wall measured to the nearest edge of the smoke alarm, or on the wall with the top edge of the smoke alarm 100 to 300 mm from the ceiling. |
|
|
███ |
| Located at least 1 m or more from the centre of a laundry room or bathroom entrance door to avoid exposure to water vapour. |
|
|
███ |
| Located on the high side of the room where the ceiling slope is greater than 1 in 8. |
|
|
███ |
| Installed on the bottom of the joists or beams where the ceiling consists of exposed joists or beams. |
|
|
███ |

This section addresses requirements for early fire warning and detection, which include the following provisions:
The building is 4 storeys or more in
building height.
Agree: Yes
No
Where ‘Yes’ a fire alarm system is required, therefore proceed to
Section 8.3.
8.1 Exemption For Small Buildings
[9.9.4.1.(1)] The building is:
NOTE: Detectors are not required in corridors,
washrooms and closets in guest suites, saunas, refrigerated areas and swimming
pools. Guest suites can also be excluded from areas needing detectors, but only
where smoke detectors are instead installed in the corridor serving the
guest suites.
Agree: Yes
No
Not
applicable
Where ‘No’ list areas of the building lacking fire detectors.
*███
Option #2
[9.9.4.2.(4) and OBC 3.2.4.16.(1) to (5)]
Fire detectors are not required in
rooms and areas provided these areas are sprinklered and the sprinkler system
activates the fire alarm system upon sprinkler system activation.
Agree: Yes
No
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The sprinkler system is electrically supervised to indicate a trouble signal on
the building fire alarm system annunciator for each of the following (where
applicable):
Agree: Yes
No
Where ‘No’ list those areas that apply and do not conform.
*███
NOTE: An annunciator with zoning is not required until
the building is 4 or more storeys in building height or has a minimum
total area
of 4000 m². See Section 8.7 for more details. Existing zoning arrangements can
also be assessed for approval by the
Chief Fire Official.
8.5 Manual Pull Stations
| [9.9.4.3.] Requirements for manual pull stations | Complies | Describe location(s) of non-compliance | |
| Yes | No | ||
| Installed at the main reception area |
|
|
███ |
| Installed near every exit [see NOTE (1)] |
|
|
███ |
| Red in colour |
|
| |