Title 19 - Fire Prevention

The Campus Fire Marshal (CFM) has established a program to monitor the compliance of the Campus Title 19 Inspection Program requirements, as outlined in the existing MOU between the Office of the State Fire Marshal (OSFM) and the UC Regents. The Title 19 program is primarily an inspection and quality assurance program intended to provide campus leadership with data and status regarding the operation of state-required fire and life safety systems. The program includes performance criteria that will measure Fire Marshal and campus staff performance efforts.

The Title 19 Inspection program inspects buildings (and spaces) for fire and life safety code compliance. The program includes, but is not limited to:

• Fire and life safety systems (sprinklers, fire alarms, fire pumps, fire doors, etc.)
• Signage
• Storage
• Occupancy classification and use
• Egress and emergency assembly points

• Inspection of State Regulated/Mandate and other buildings
• Special Events plan review and approval
• Oversight of Fire/Life Safety Systems Maintenance and Testing Programs
• Fire safety training and education
• Technical review and code interpretation
• Building evacuation, staging, and egress

• EHS Escalation Criteria and Process
• Safety Inspections (Non-Research) Escalation Process Flowchart

This escalation process has been developed to ensure that accountability in resolving outstanding inspection findings has been built into the program. Fire Safety will seek to obtain closure on all hazards identified during the inspection process and periodically follow up with the responsible parties (Building Facilities Managers and/or School Coordinators) to check on the status of open findings and provide any assistance necessary to close out the findings. As part of our ongoing quality control process, closed items will be evaluated by the Program Manager or Fire Safety Inspector(s).

If no action is taken on resolving the findings, EHS Administration will generate a report of all open findings that have exceeded the required closure date (see below) and will send this to the Building Facilities Managers. Then the report will be shared with their respective Assistant Dean and/or Department Chairs or Department Directors. After this report is shared and if audit findings remain open, a quarterly report will be generated by EHS Administration and shared with the Vice-Chancellor of DFA, and the Provost.

Inspection findings Priority Levels

• Imminent Danger to Life and Health (IDLH) Closure within 24 hours
• Priority One (P1) Closure within 0-7 Days - Serious safety hazard, serious/willful regulatory violations and/or significant fire and life safety code violation that poses a serious safety or compliance risk
• Priority Two (P2) Closure within 8-30 Days - Moderate safety hazard or moderate/repeat regulatory violation and/or moderate fire and life safety concern, poor housekeeping, safety documentation issues, safety training compliance, etc.
• Priority Three (P3) Closure within 31-90 Days - Minimal safety hazard, possible regulatory violation, infrastructure, deferred maintenance, etc.

Campus Fire Prevention staff, managed by a Campus Fire Marshal (CFM), established an annual inspection schedule, conducts the required inspections, and generates reports (and corrective action plans) for identified findings. The CFM is responsible for monitoring the compliance and management of identified inspection findings. The Office of the State Fire Marshal (OSFM) outlines the type of inspections required:

Existing Building Inspections - State Mandated

1. Residential Occupancies (dormitories, hotels, motels, and other dwellings)
2. High Rise Structures of any occupancy types
3. Institutional Occupancies (detention facilities, holding cells)

Existing Building Inspections - State Regulated

1. Assemblies
2. Chemical and biological laboratories
3. Business
4. Mercantile
5. Storage
6. Factory
7. Utility

• 2024 ACC Housing Inspection Schedule
• 2024 Building Inspection Schedule
• 2024 Housing Inspection Schedule