NFPA 99 Medical Gas Safety for Healthcare Facilities
- Published March 31, 2023
- By Ken Coffman
Introduction: What is NFPA 99, and Why is it Important for Healthcare Facilities?
NFPA 99 is a set of standards and regulations developed by the National Fire Protection Association (NFPA) to help ensure the safe use of medical gas systems in healthcare facilities. It provides guidelines for designing, installing, testing, maintaining, and operating medical gas systems. It also helps protect healthcare workers from potential hazards associated with the use of medical gases. By following these standards and regulations, healthcare facilities can ensure that their medical gas systems are used safely and efficiently to provide quality patient care. This standard is crucial in protecting patients, staff, and visitors and safeguarding the facilities for several reasons:
- 1. Patient safety: Healthcare facilities cater to vulnerable populations who cannot evacuate quickly or safely in an emergency. By adhering to NFPA 99 standards, facilities can better protect patients from potential hazards and ensure a safer environment.
- 2. Staff and visitor safety: Healthcare workers and visitors also benefit from the safety measures by NFPA 99. The standard helps create a secure environment for everyone in the facility by addressing potential hazards and establishing emergency response and evacuation guidelines.
- 3. Facility protection: Adherence to NFPA 99 helps minimize the potential for damage to healthcare facilities in case of fire, explosion, or other emergencies. Minimizing the potential for damage ensures that facilities can operate effectively and serve the community's needs.
- 4. Compliance with regulations: Many local, state, and federal regulations require healthcare facilities to adhere to NFPA 99 standards. By following these guidelines, facilities can demonstrate compliance with laws.
The NFPA 99 standard covers all aspects of medical gas system design and installation, including the selection and installation of components, maintenance and testing procedures, and emergency response protocols. This standard helps to ensure that medical gas systems are safe and reliable for use in healthcare facilities. NFPA 99 outlines various norms and requirements for medical gas safety in healthcare facilities to ensure the secure handling, storage, distribution, and use of medical gases. Some essential measures and conditions related to medical gas safety include:
- 1. Medical gas storage: Medical gas cylinders should be stored in well-ventilated, designated areas with proper signage indicating the type of gas stored. These storage areas should be separated from flammable materials and ignition sources. Additionally, full and empty cylinders should be stored separately.
- 2. Medical gas piping systems: Medical gas piping systems should be designed and installed following specific guidelines, including using proper materials, testing and inspection procedures, and labeling. Qualified personnel should clearly label all pipes to prevent confusion between different types of medical gases.
- 3. Medical gas equipment: Equipment used for medical gas administration, such as flow meters, regulators, and outlets, should be inspected regularly for leaks, damage, or malfunction. This equipment should also be compatible with the specific type of medical gas used.
- 4. Alarm systems: Healthcare facilities should have alarm systems to monitor medical gas systems continuously. These alarms should alert staff to any pressure changes, leaks, or other potential issues that may compromise patient safety.
- 5. Emergency preparedness: Healthcare facilities should establish protocols for medical gas emergencies. These protocols should include emergency shut-off procedures, evacuation plans, and staff training on proper response in a crisis.


How NFPA 99 helps to Ensure the Safety of Medical Gas Systems in Healthcare Facilities
Ensuring the safety of medical gas systems in healthcare facilities is a critical component of patient care and safety. Safely using medical gases in healthcare facilities requires a comprehensive medical gas maintenance program that meets the requirements of both the local and national regulatory bodies. This maintenance program should include patient safety guidelines, regular inspections, and preventive maintenance to ensure all components function correctly and safely. Additionally, it is crucial to have a well-trained staff who understand how to safely use medical gases to prevent any potential harm or injury. By following these steps, healthcare facilities can ensure their patients receive the highest quality of care while protecting them from any potential risks associated with using medical gases.
NFPA 99 helps to ensure the safety of medical gas systems in healthcare facilities by providing comprehensive guidelines and requirements that cover various aspects of medical gas systems, from design and installation to operation and maintenance. Here’s how NFPA 99 contributes to the safety of medical gas systems:
- 1. Design and installation: NFPA 99 establishes strict requirements for the design, materials, and installation of medical gas systems. These requirements include guidelines for piping materials, sizing, labeling, and installation methods, which help prevent leaks, cross-connections, and other issues that could compromise the system's safety.
- 2. Inspection, testing, and maintenance: The standard outlines regular medical gas system inspection, testing, and maintenance procedures. Regular maintenance ensures that all components, including piping, valves, alarms, and equipment, function correctly and safely. Early detection of potential issues helps prevent accidents and ensures the ongoing safe operation of the system.
- 3. Staff training: NFPA 99 emphasizes the importance of proper training for healthcare facility staff who handle and operate medical gas systems. This training ensures that staff members know the potential hazards of medical gases and can respond to emergencies effectively.
- 4. Alarm systems: The standard requires healthcare facilities to install and maintain alarm systems that monitor medical gas systems continuously. These alarms help detect pressure fluctuations or leaks, allowing staff to address them promptly and prevent dangerous situations.home programs may place a significant burden on family members or caregivers who are responsible for helping to provide care to the patient. The caregiver burden can be particularly challenging if the patient requires 24/7 care or has other responsibilities.
By adhering to NFPA 99 standards, healthcare facilities can enhance the safety and reliability of their medical gas systems, protecting patients.

Medical Gas Training & Certification Programs to Ensure Compliance with NFPA99 Standards
Medical gas certification training programs are designed to ensure that medical gas systems are installed, maintained, and operated in compliance with the NFPA99 standards. These programs are essential for medical facilities to ensure safety and quality of care.
Certified medical gas installer programs provide details on the proper installation and maintenance of medical gases, including oxygen, nitrogen, carbon dioxide, and nitrous oxide. The program also covers the various regulations that must be met to meet NFPA99 standards.
These certification programs are an excellent way for medical professionals to stay up-to-date on the latest technologies and best practices for handling medical gases. By participating in these courses, health professionals can be sure that they are providing safe and effective care for their patients while also staying compliant with NFPA99 regulations.
Some notable organizations that offer medical gas training and certification programs include:
- 1. National Inspection Testing and Certification Corporation (NITC): NITC provides various medical gas certification programs, including Medical Gas Installer, Medical Gas Inspector, Medical Gas Maintenance Personnel, and Medical Gas Verifier certifications. These programs cover the design, installation, inspection, and maintenance of medical gas systems per NFPA 99 standards.
- 2. American Society of Sanitary Engineering (ASSE): ASSE offers the 6000 Series Professional Qualifications Standard, which includes training and certification for medical gas system installers, inspectors, verifiers, and maintenance personnel. The ASSE 6000 Series is based on NFPA 99 and other relevant codes and standards.
- 3. Medical Gas Professional Healthcare Organization (MGPHO): MGPHO is a professional organization that promotes safety in medical gas systems. They offer training, resources, and certification programs for medical gas systems, including the Certified Medical Gas Installer (CMGI) and Certified Medical Gas Verifier (CMGV) credentials.
Common Mistakes When Installing & Maintaining Medical Gas Systems & How to Avoid Them
Installing and maintaining medical gas systems is a complex process that requires specialized knowledge and skills. It is essential to be aware of the common mistakes during installation and maintenance to ensure patient and staff safety.
NFPA 99 helps avoid common mistakes when installing and maintaining medical gas systems by providing clear guidelines, requirements, and best practices for various aspects of medical gas systems. By adhering to these standards, healthcare facilities can minimize errors and ensure the safe operation of their medical gas systems.
Here’s how NFPA 99 helps avoid common mistakes:
- 1. Design and installation guidelines: NFPA 99 provides detailed specifications for the design and installation of medical gas systems, including pipe sizing, materials, and installation methods. Following these guidelines, facilities can avoid improper pipe sizing, faulty materials, or poor installation practices that could lead to leaks or system failures.
- 2. Identification and labeling: The standard outlines requirements for labeling and identifying medical gas system components, including pipes, valves, and outlets. Identification and labeling help prevent confusion between different medical gases, reducing the risk of accidentally administering the wrong gas to a patient.
- 3. Inspection, testing, and maintenance procedures: NFPA 99 specifies inspection, testing, and maintenance procedures for medical gas systems, ensuring potential issues are identified and addressed promptly. Regular inspections and maintenance help avoid common mistakes, such as overlooking damaged components or failing to detect leaks.
- 4. Staff training requirements: NFPA 99 emphasizes the importance of proper training for healthcare facility staff who handle, operate, and maintain medical gas systems. While the standard does not explicitly list every training requirement, it provides general guidance and expectations for staff training to ensure safety and compliance.
What are the New Additions to the NFPA 99 2021 Code?
While I cannot provide a comprehensive list of all new additions to the NFPA 99 2021 edition, I can highlight some of the notable changes and updates compared to previous versions:
- 1. Risk assessment: The 2021 edition emphasizes risk assessment to determine the appropriate safety measures. This approach focuses on tailoring the safety measures to a healthcare facility's specific needs and risk factors rather than applying a one-size-fits-all solution.
- 2. Dental gas and vacuum systems: The 2021 edition expands on the requirements for dental gas and vacuum systems. These new provisions provide more precise guidance for dental facilities, helping ensure these systems' safe installation and operation.
- 3. Medical gas container labeling: The updated code clarifies the labeling requirements for portable cryogenic medical gas containers to align with other industry standards, such as those from the Compressed Gas Association (CGA).
- 4. Operating room (OR) requirements: The 2021 edition revises the requirements for ventilation in anesthetizing locations and updates the guidelines for determining the classification of an operating room. Revised requirements ensure that the ventilation systems meet the latest safety standards and best practices.
- 5. Emergency management and security: The code has added new requirements for emergency management and security, addressing topics such as active shooter incidents, natural disasters, and other threats. These new requirements help healthcare facilities prepare for and respond to various emergencies.
- 6. Updates to referenced standards: The 2021 edition incorporates updates and revisions to various referenced standards, ensuring that the NFPA 99 remains up-to-date with the latest industry practices and research.


In summary, NFPA 99 is a vital standard that helps healthcare facilities maintain a safe environment for patients, staff, and visitors by addressing various potential hazards, with a particular emphasis on medical gas systems.
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About the Author
Hello, I'm Ken Coffman, a member of the Engineering team at Tri-Tech Medical, Inc. Based in Avon, Ohio, I've forged a career steeped in a passion for technology, with a skill set as broad as it is deep. I hold several esteemed certifications, including CompTIA A+, Network+, Security+, and Linux+. Additionally, I am a Microsoft Certified Professional, a Microsoft Certified Systems Administrator, a Certified Ethical Hacker, and a Sage 100/300 Systems Administrator. Alongside these, I am also a VMware Technical Solutions Professional and have achieved various Microsoft Virtual Academy Accreditations, such as Core Solutions of Exchange Server, Exchange Cutover Migrations, Troubleshooting Windows, and Sysinternals for IT Pros. These accolades reflect my commitment to continual learning and mastering the complexities of IT systems administration.