Mich. Admin. Code R. 325.45303

Current through Vol. 24-15, September 1, 2024
Section R. 325.45303 - Water supply system

Rule 303.

(1) A health facility located in an area served by a public water system shall connect to and use that system.
(2) When a public water system is not available, the location and construction of a well and the operation of a private water system must comply with the safe drinking water act, 1976 PA 399, MCL 325.1001 to 325.1023.
(3) The location and construction of a well and the operation of the system must comply with standards approved for public water supplies by a health facilitys or agencys local health department and the Michigan department of environment, great lakes and energy.
(4) Minimum water pressure available to each plumbing fixture must exceed 20 pounds per square inch.
(5) The plumbing system must supply an adequate amount of hot water at all times to meet the needs of each patient and the functional needs of the various service areas. Hot water temperatures at fixture outlets must be regulated to provide tempered water in the range of 105 to 120 degrees Fahrenheit.
(6) There must be no cross-connections between water systems that are safe for human consumption and those that are or may become unsafe for human consumption. The entire plumbing system and all plumbing fixtures must be so designed and maintained that the possibility of back-flow or back-siphonage is eliminated.
(7) A health facility must implement a water management program that follows the "American Society of Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE) Standard 188-2018 Legionellosis: Risk Management for Building Water Systems." This standard is available for inspection at the Lansing office of the Department of Licensing and Regulatory Affairs, Bureau of Community and Health Systems. It can be purchased for $88.00 from the ASHRAE Store, https://www.ashrae.org/technical-resources/bookstore/ansi-ashrae-standard-188-2018-legionellosis-risk-management-for-building-water-systems.
(8) A health facility must utilize the Centers for Disease Control and Prevention (CDC) best practice guidance on water management, including the "CDC Toolkit: Developing a Water Management Program to Reduce Legionella Growth and Spread in Buildings." This toolkit is adopted by reference. It is available for inspection at the Lansing office of the Department of Licensing and Regulatory Affairs, Bureau of Community and Health Systems. It is available without charge at https://www.cdc.gov/legionella/wmp/toolkit/.
(9) The water management program must include a facility risk assessment, control measures, and ongoing verification of the program.
(10) If secondary treatment of the public water system is incorporated as part of the water management program, the health facility must comply with the Michigan safe drinking water act, 1976 PA 399, MCL 325.1001 to 325.1023, and the administrative rules, R 325.10101 to 325.12820.

Mich. Admin. Code R. 325.45303

2020 MR 4, Eff. 2/21/2020