Ar C.J. Walsh Technical Blog – Registered Architect, Fire Engineer & Independent Technical/Building Controller …… International Expert on Accessibility for All (including Fire Safety) + 'Real' Sustainability Implementation !
2024-10-06: After reading the Grenfell Tower Inquiry Phase 1 Recommendations (Chapter 33) … I was naturally curious about what would be happening during the next phase. Paragraph 34.14 in Chapter 34, however, struck me as strange, even unbelievable … the single narrow #Stairs in the Tower would NOT be the subject of further investigation in Phase 2..
This is the Ridiculous Single Narrow Fire Evacuation Staircase in the High-Rise Residential Grenfell Tower …
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Although the Grenfell Tower Inquiry Phase 2 Recommendations (Chapter 113) concluded by looking back to Phase 1, and specifically mentioning Personal Emergency Evacuation Plans (#PEEP) … nothing was said about the Fire Evacuation Staircase. Case closed. And there is only one word to describe this outcome: ‘FUBAR’ !
Struggling to understand that highly questionable decision … a deep dive into the Phase 1 ‘Expert’ Technical Evidence led me to this Page from Report BLAS0000019, dated 2018-10-24 …
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Three Important Documents Relevant To Competent Fire Evacuation Staircase Design :
Orientation Manual for First Responders on the Evacuation of People with Disabilities, Document FA-235 / August 2002, published by the Federal Emergency Management Agency (#FEMA) in the #USA. Yes indeed, this document was published way back in 2002, and is still freely available on the Internet.
A vital piece of information with regard to the Firefighter’s Lift, and the serious harm which can be inflicted on People with Disabilities by its use …
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In the absence of an operable Lift/Elevator Fire Evacuation Assembly in a building … which is still usually the norm … this photograph provides vital information with regard to the Correct, Best and Least Hazardous Method of assisting the evacuation of a person using a Manual Wheelchair. Electric wheelchairs are too heavy, and too awkward in shape, to be lifted down/up a Fire Evacuation Staircase, even with three sturdy individuals assisting. Note that some elaborate, highly-adapted and very expensive manual wheelchairs cannot facilitate being lifted. In all cases, however, Vulnerable People requiring Mobility Aids will be most reluctant to leave them behind in an emergency … and they MUST be allowed to keep their personal aid.
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Final Report on the Collapse of the World Trade Centre Towers 1 & 2 (on 2001-09-11), Document NIST NCSTAR 1 / September 2005, published by the National Institute of Standards & Technology (#NIST) in the USA. Refer to Recommendation 17 on pages 215 and 216.
[ Contraflow Circulation, in a Fire Building: Emergency access by firefighters or rescue teams into a building and towards a real fire, while building users are still moving away from the fire and evacuating the building. ]
Contraflow Circulation during a Fire Emergency is essential. This facilitates rapid and safe movement of firefighters towards Fire Protected Lift/Elevator Lobbies and Areas of Rescue Assistance in order to check on the presence, or otherwise, of Vulnerable People who may be waiting for rescue.
Once Firefighters enter a Fire Building … and without provision for #Contraflow Circulation … the ordering of a ‘Stay Put’ Policy for building occupants is the only difficult option … but this is NO LONGER ACCEPTABLE.
Carefully examine the photograph below. Firefighters wearing heavy protective clothing and also carrying firefighting equipment require far, far more circulation width than 510 mm !! However, this staircase is still not wide enough to facilitate unhampered building user evacuation. Notice how people have to twist sideways in order to allow firefighters to pass … and this inevitability slows down evacuation progress in the ‘real’ world.
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International Standard ISO 21542: Building Construction – Accessibility & Usability of the Built Environment, published in 2011 and revised in 2021. Standardizes good design for accessibility and the safe usability of buildings, which has been common practice for many decades.
Basics Of Staircase Design … Going, Rise, and Height of Handrails … ON BOTH SIDES of every flight of stairs …
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Basics Of Staircase Design … Clear Unobstructed Width – Between 2 Continuous Handrails. ALL Fire Services MUST adopt this single understanding of ‘clear unobstructed width’ of a staircase !
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Basics Of Staircase Design … Staircases pose a serious hazard, especially during the stressful process of Emergency Evacuation … HAZARD Tactile Walking Surface Indicators (stippled, for hazard) at the TOP and BOTTOM of every flight of stairs. Concerning this particular design issue, British Standards and English Building Regulations MUST be ignored !
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Basics Of Staircase Design … Handrail Tactile Plates, essential for the evacuation information to be used by people with a visual impairment in an emergency. Refer to Figure 38 in ISO 21542. However, this is a much more informative photograph … from one of my previous visits to Japan. Notice the high colour contrasting …
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Basics Of Fire Evacuation Staircase Design … The Clear Unobstructed Width of 1.50 metres between Continuous Handrails on a Fire Evacuation Staircase facilitates Contraflow Circulation, the Safe Assisted Evacuation of People in Manual Wheelchairs, and Stretcher Evacuation of Building User and/or Firefighter Victims during an emergency.
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CONCLUSIONS
Having been directly involved in the drafting of national and international Accessibility Standards and Technical Guidance since the 1980’s … I am really, really annoyed by the inept and incompetent misuse of raw anthropometric data to try to justify the width of this sorry excuse for a Fire Evacuation Staircase in the Grenfell Tower … and inflicting the Firefighter’s Lift/Carry on People with Disabilities is NOT ACCEPTABLE. This shoddy ‘expert’ evidence clearly demonstrates a profound ignorance of Building Design, and about how ‘real’ people use ‘real’ buildings.
My great fear is that the technical justification for this shambolic fire evacuation staircase will become a benchmark for similar shambolic staircases in other buildings … not just in England, but in other jurisdictions who are dim-witted enough to copy England’s bad example … whatever it does.
Professional building design, construction and technical control disciplines, who practice in England, MUST carefully read … and keep re-reading, as necessary … Paragraph 113.12 in the Grenfell Tower Inquiry Phase 2 Report … which is expressed in too mild a form for my liking …
Our investigations have shown that levels of competence in the construction industry are generally low and that by the time of the Grenfell Tower fire many contractors, designers and building control officers treated the Statutory Guidance as containing a definitive statement of the legal requirements. It is understandable that those who turn to the Guidance for advice about how to comply with the Building Regulations should be tempted to treat it as if it were definitive … We therefore recommend that a revised version of the guidance contain a clear warning in each section that the legal requirements are contained in the Building Regulations and that compliance with the Guidance will not necessarily result in compliance with them.
I must go further … where the Technical Guidance in any of the English Approved Documents is known to be inadequate, or even suspect, it is the ethical duty and responsibility of a true professional to find a better way of complying with the relevant Functional Requirements in Building/Fire Regulations.
In addition, and specifically in relation to Building Fire Safety … it is necessary, at the same time, to comply with ALL of the relevant Functional Requirements in England’s Building Regulations … that means NOT ONLY WITH REQUIREMENT B … BUT ALSO WITH REQUIREMENTS A, K & M (for a start) ! The recent publication of a single document which merges ALL of the Approved Documents is a small step in the right direction of improving a deeply flawed body of building legislation.
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Competent Building Design / Ethical Building Design … Lies Beyond Codes !!
2020-03-23: The Grenfell Fire Inquiry’s Phase 1 Recommendations (Part V in Volume 4 of the Phase 1 Report), were published on 30 October 2019. The initial issues covered in those Recommendations are fragmentary, lack depth and coherence … and in the case of Fire Alarms, with just one indirect reference to them in Paragraph #33.22 … they are in serious error …
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Colour image showing the Volume 4 Cover Page of the Grenfell Tower Inquiry Phase 1 Report. The Phase 1 Recommendations are contained in Chapter #33, on Pages 771-780. Click to enlarge.
[ Paragraph #33.22 ] There were no plans in place for evacuating Grenfell Tower should the need arise. I therefore recommend:
d. that all high-rise residential buildings (both those already in existence and those built in the future) be equipped with facilities for use by the fire and rescue services enabling them to send an evacuation signal to the whole or a selected part of the building by means of sounders or similar devices ;
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FUNDAMENTALS OF A SOLUTION
1. A Fire Alarm (more precisely from here on, a Fire Detection & Warning System) is a critical safety feature in all buildings … ALL BUILDINGS … from the smallest and most simple, to the biggest and most complex … no exceptions !!
In order to survive in a fire emergency, Vulnerable Building Users need more time to react, and evacuate, than other occupants/users. The valuable time provided by early, accurate and precise detection is the only way to effectively facilitate this. The ‘Required Time’ to prepare for evacuation depends on many factors, e.g. building complexity, familiarity of users with evacuation routes, range and severity of user activity limitations, etc.
It follows, therefore, that if building occupants/users have to wait 15, or 20, or 30 minutes before firefighters arrive at the fire scene (Full Response Time*) and ‘an evacuation signal to the whole or a selected part of the building’ is only then sent by those firefighters … all of that valuable evacuation time for vulnerable building users has been lost. This is ridiculous, and makes no sense whatsoever. This Recommendation must be rejected out of hand, and ignored !
[ *Full Response Time: The time interval from the receipt of an emergency communication at the primary public safety answering point (#PSAP) to when emergency response units are initiating action or intervening to control a fire incident. ]
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Colour photograph showing the Single, Narrow Staircase (1.040 metres in width between a handrail on one side of the staircase and a bare wall on the other side) in London’s Grenfell Residential Tower. This staircase, which was inadequately protected from fire, heat and smoke, was not wide enough to facilitate the ‘contraflow’ circulation of firefighters entering, while occupants evacuated at the same time. Without a Fire Alarm in the building, occupants could not have known that a serious Fire Emergency was in progress … especially Vulnerable Building Users accommodated high up in the Tower … and they remained in place (‘stayed put’). Once firefighters arrived at the scene, occupant evacuation using this staircase became impossible or extremely difficult. Click photograph to enlarge.
Important Note: In Chapter #34: ‘Looking Ahead to Phase 2’ of Moore-Bick’s Phase 1 Report, Volume 4 … Paragraph #34.14 states …
A question was raised about the width of the stairs, given that they provided the sole means of access to the upper floors of the tower for firefighters as well as the sole means of escape for the occupants. However, the stairs appear to have complied with requirements of the legislation in force at the time of their construction and the expert evidence supports the conclusion that they had sufficient capacity to enable all the occupants of the building to escape within a reasonable time. This aspect of the building will not, therefore, be the subject of further investigation in Phase 2.’
Astounding ! Absurd !! FUBAR !!!
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All Fire Emergency Warning Systems must be designed to accommodate People with Hearing Impairments. Audible and visual warning devices must be provided together, as a single combined unit. This is particularly important in noisy and isolated building spaces, e.g. bathrooms, small meeting rooms. Vibrating devices, such as pagers or mobile phones, can be integrated into a building’s fire emergency warning system in order to provide any individual with a tactile emergency alert.
Colour photograph showing a single combined visual-audible Fire Emergency Warning Device. Click to enlarge.
Important Note: Audible sounders, on their own, are never a sufficient Fire Emergency Warning !
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2. The Purpose of a Fire Emergency Warning System is to provoke calm, efficient and adaptable evacuation movement by ALL building users/occupants at the earliest possible stage in a fire incident, without causing user confusion, disorientation or panic. In all building types, therefore, a reliable, informative and accessible fire emergency warning system must be installed, and such a system must always have a fire protected electrical supply.
Colour image showing the movement of building occupants and users. The purpose of a Fire Emergency Warning System is to provoke calm, efficient and adaptable evacuation movement by ALL building occupants at the earliest possible stage in a fire incident, without causing user confusion, disorientation or panic. During a Fire Emergency, STANDARD MOVEMENT TIMES DO NOT EXIST. Click image to enlarge.
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3. To provoke a Calm Response from Building Users … the output from Fire Emergency Warning Devices, e.g. light, sound and messages, must be adapted to the local context of people and building surroundings.
Fire Emergency Audible Warnings … A sufficient number of low-output audible sounders, i.e. between 60-80 dB, must be specified for effectiveness. Small numbers of sounders with high output (in order to reduce costs) should never be specified, as this can lead to confusion, disorientation and panic attacks among some building users/occupants. The output of sounders must be adapted to suit interior surroundings, e.g. in small spaces with hard surfaces a lower sound output will be adequate.
Colour image. The output from Fire Emergency Audible Sounders must be between 60-80 dB. Click image to enlarge.
Important Note: When they are asleep, hearing-able children (around ten years of age and under) … and hearing-able older people (around 65 years of age and over) are more difficult to wake and rouse sufficiently for evacuation when alerted by an audible signal alone.
Fire Emergency Visual Warnings … Light strobes/beacons must be clearly visible. To reinforce #1 above … light strobes/beacons must be placed in wash rooms and in other locations within buildings where people may be alone ; they must also be placed in noisy environments.
A sufficient number of low-output strobes/beacons must be specified for effectiveness. Small numbers of strobes/beacons with high output (in order to reduce costs) should never be specified, as these produce a glare which may cause confusion, disorientation and panic attacks among some building users/occupants. The light output of strobes/beacons must be adapted to suit interior surroundings, e.g. in dark rooms.
For light strobes/beacons, a slow rate of flash is important, i.e. no faster than once every two or three seconds, in order to encourage a calm response from building users/occupants and to avoid photosensitivity seizures. Most importantly, the flash of one strobe/beacon must be synchronized with the flashes of all other light strobes/beacons in view.
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Colour video clip (.gif). The output from Fire Emergency Visual Strobes / Beacons must be no faster than one flash every two or three seconds. The flash rate shown above is too fast ! Click to run video clip.
Fire Emergency Voice Message Warnings … Are essential to improve Warning Credibility. In other words, building users are far less likely to sit around wondering, waiting to see whether this is a ‘real’ fire emergency, a false alarm, a practice evacuation, or an electrical error. Verbal or voice messages must be short and contain appropriate warning information which is easily assimilated. The speaker should be distinct and easy to understand. Live messaging during a fire emergency is preferred over pre-recorded, standard messages. In today’s multi-cultural social environment, messages must be transmitted in at least two to three different languages, as appropriate.
Fire Emergency Directional Warnings … Combination sounder, visible strobe/beacon, and voice messaging Fire Emergency Warning Devices are now a mainstream technology, are readily available, and are being specified in new and existing buildings.
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Colour image showing a combination Fire Emergency Directional Audible Sounder, with Voice Messaging capability. Click image to enlarge.
Audible directional signalling must be installed when dealing with difficult building configurations, e.g. in large open office layouts/spaces with minimal signage … where building users/occupants are unfamiliar with their surroundings in modern shopping centres/malls and other complex building types … or visibility of high-level signage may be reduced because of smoke logging.
Directional sounders, which guide building users during a Fire Evacuation towards Exits, Areas of Rescue Assistance and Lift/Elevator Lobbies, must be positioned at carefully chosen, suitable locations. Once reached, a directional sounder must also have a voice messaging capability in order to inform people about the next phase of evacuation.
4. Fire Emergency Warning Systems must be Accessible (for People with Activity Limitations), i.e. capable of transmitting a warning in many formats in order to ensure that all users/occupants perceive and act upon the warning in a calm manner and, thereafter, that effective evacuation movement commences without delay. Warning Credibility improves in direct relation to the type and number of different warning formats.
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As well as indirectly referring to Fire Detection and Warning Systems, Paragraph #33.22 in Moore-Bick’s Phase 1 Recommendations has some other things to say about Evacuation. So this is an opportune moment to discuss some practical and human issues concerning Fire Emergency Evacuation … and, straight away, to deal with an unexpected consequence arising from the current CoronaVirus/CoVID-19 Emergency …
CoronaVIRUS / CoVID-19 PANDEMIC
There have been widely reported instances, in many countries, of panic buying in shops because of the 2020 CoronaVirus/CoVID-19 Emergency … but the photograph below illustrates an example of a panic reaction by building management. This appears to be a crime scene … the yellow and black tape is so dramatic. In a real Fire Emergency, many building users/occupants will be reluctant to use this final fire exit ; they will not have the time to read the small print on a notice ; they will attempt to re-trace their path of evacuation and find another exit.
Colour photographs showing how, as a panic reaction to the 2020 CoronaVirus/CoVID-19 Emergency, a Final Fire Exit has been blocked off from normal, everyday use. Click to enlarge.
This panic reaction by building management IS a serious impediment to Fire Evacuation !
Whatever the Motives of Building Management …
in countries which have Fire Codes / Regulations, this action is illegal ; and
in these days, when a wide range of ‘smart’ technologies is readily available … this action is inexcusable.
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SOME PRACTICAL FIRE EVACUATION ISSUES
A Skill is the ability of a person, resulting from competent training and regular practice, to carry out complex, well-organized patterns of behaviour efficiently and adaptively, in order to achieve some end or goal. All building occupants/users must be skilled for evacuation to an external ‘place of safety’, which is at a safe and remote distance from the fire building. Practice fire evacuations must be carried out sufficiently often to equip building users, particularly vulnerable users, with this skill, i.e. at least once every six months ; in complex building types, practices should be carried out more often. Prior notification to occupants/users, and regular scheduling of practice evacuations should be avoided.
Familiarity with Fire Evacuation Routes will be fostered and greatly improved by means of normal, everyday use by occupants/users. This is an important task for pro-active Building Management in existing buildings … and an important aspect of new building design for Architects and Fire Engineers.
While the transmission of fire emergency warnings in many formats will increase Warning Credibility, close observation of past tragic ‘real’ fire events, e.g. the WTC 9-11 Attacks in New York City, shows that initiation of evacuation and the actual process of evacuation itself can be problematic. An interesting, easily assimilated and user-targeted skills programme of training should incorporate practical solutions to deal with the following typical problems:
Fire Emergency Preparedness: Irregular attendance of building occupants/users at fire prevention and safety training sessions, and participation in practice fire evacuations. Users not being familiar with a building’s fire emergency management plan and not knowing who is in charge … not using a building’s fire evacuation route(s), particularly staircases, during practices … or having no information about where to assemble after evacuating … or, once at a place of safety, not having any head count or identification process ;
Delaying Activities Inside The Fire Building: Once building occupants/users decide to evacuate, but before moving to evacuate, they gather personal effects … seek out friends/co-workers … search for others … make phone calls/send tweets … finish tasks/turn off computers … wait around for instructions … change shoes … and try to obtain permission to leave ;
Delaying Activities Outside The Fire Building: Once outside the building’s final fire exit, but before moving directly to a place of safety, building occupants/users stop to see what is happening … look for friends/co-workers … look for a phone … do not know where to go … or, within the ‘danger zone’ of the fire building, stop to receive medical attention.
It may seem obvious that Fire Evacuation Routes must also be Accessible (for People with Activity Limitations), which also makes routes much safer for every other building user … and sufficiently wide to accommodate Contraflow (emergency access by firefighters or rescue teams into a building and towards a real fire, while building users are still moving away from the fire and evacuating the building) … a harsh lesson learned from the 2001 WTC 9-11 Attacks and the 2017 Grenfell Tower Fire. Since they are new, strange and unusual for many building designers, and most fire engineers … these aspects of building performance are overlooked in nearly every building.
Practice Evacuations should include exercise of the buddy system ; fire safety fittings, e.g. portable fire extinguishers ; and fire evacuation devices intended for use by people with activity limitations which will require more intensive training.
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Colour image showing a range of personal Facilitation / Mobility Aids. People with Activity Limitations must be allowed, and positively encouraged, to keep these Aids during practice and real fire evacuations. Prior meaningful consultation (see below) is essential. Click to enlarge.
Important Note: During fire emergencies, People with Activity Limitations must be permitted to keep possession of their own personal Facilitation / Mobility Aids.
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SOME HUMAN FIRE EVACUATION ISSUES
The actual people who use and occupy buildings are individuals. They are different from each other, and they each have a different range of abilities (in relation to self-protection, independent evacuation to an external place of safety remote from a fire building, and active participation in a building’s fire emergency management plan), behaviour and manner of perceiving their surroundings. Two apparently similar people will also show variations in how they react to and behave in any specific situation, particularly a fire emergency.
Ability / Disability is a Continuum – a gentle gradient on which every person functions and acts at different levels due to personal and environmental, i.e. external, factors.
In situations of severe stress, e.g. during a fire emergency in a building, where there is a lack of preparedness for such an event, a lack of familiarity with evacuation routes, lack of reliable evacuation information, lack of competent leadership and clear direction, and the presence of smoke, user/occupant confusion, disorientation and panic will occur. Standard evacuation movement times will also be non-existent. In addition, people with activity limitations must then deal with many physical barriers which routinely impede their evacuation from buildings, e.g. fire resisting doorsets which are difficult to open, steps along evacuation routes and at final fire exits.
In the case of people with a mental or cognitive impairment, there is a particular need to encourage, foster and regularly practice the adaptive thinking which will be necessary during evacuation a real fire incident.
People with respiratory health conditions will not be able to enter or pass through smoke. People with visual impairments will require continuous, linked tactile and/or voice information during the whole process of fire evacuation. People with psychological impairments, i.e. vertigo and agoraphobia, will be unable to use fire evacuation staircases with glass walls in high-rise buildings. Because of the stigma still associated with disability in many countries, some users/occupants who will need assistance during a fire emergency will be reluctant to self-identify beforehand. Other people may not even be able to recognize that they have an activity limitation or a health condition.
Meaningful Consultation with a person known to occupy or use a building, for the purposes of receiving his/her active co-operation and informed consent (involving a personal representative, if necessary), is an essential component of adequate pre-planning and preparation for a fire emergency.
Building Designers, Fire Engineers and Firefighters should be aware of the following human conditions:
Agoraphobia: A fear of open spaces.
Commentary: Agoraphobia is one of the most commonly cited phobic disorders of people seeking psychiatric or psychological treatment. It has a variety of manifestations, e.g. a deep fear of leaving a building, or of being caught alone in some public place. When placed in threatening situations, agoraphobics may experience a panic attack.
Anosognosia: A neurological disorder marked by the inability of a person to recognize that he/she has an activity limitation or a health condition.
Dementia: Any degenerative loss of intellectual capacity, to the extent that normal and occupational activities can no longer be carried out.
Panic: A sudden overwhelming feeling of anxiety, which may be of momentary or prolonged duration.
Panic Attack: A momentary period of intense fear or discomfort, accompanied by various symptoms which may include shortness of breath, dizziness, palpitations, trembling, sweating, nausea, and often a fear by a person that he/she is going mad.
