Part 1 General

Part 2 Common Elements for Residential Health, Care, and Support Facilities

Part 3 Residential Health Facilities

Part 4 Residential Care and Support Facilities

Part 5 Non-Residential Support Facilities

Heads up: There are no amended sections in this chapter.
Appendix material, shown in shaded boxes at the bottom of the page, is advisory only.
This chapter applies to facilities that offer wellness services.
A5.2-1.1.1.1 Wellness centers may be freestanding or attached to a residential health, care, or support facility. Services provided include primary care, physical fitness, socialization, education, and therapies focused on wellness and creating a positive lifestyle and sense of wellbeing. Wellness centers can be integrated into continuing care retirement communities or the community at-large, or they can be part of an acute care campus.
The common elements in Part 2 of the Guidelines for Residential Care Facilities shall apply to wellness centers where they are referenced in this chapter.
See Section 2.2-2 (Sustainable Design Criteria) for requirements for adult day care and ADHC facilities.
Where the care population includes persons of size, see Section 2.2-3 (Design Criteria for Accommodations for Care of Persons of Size) for requirements.
Where the care population includes participants with dementia, mental health issues, or cognitive and developmental disabilities, see Section 2.2-4 (Design Criteria for Dementia, Mental Health, and Cognitive and Development Disability Facilities) for requirements.
See Section 1.2-2 (Functional Program) for requirements.
Where a wellness center is part of (or contractually linked with) another facility, sharing of services and space for home health, dietary, storage, pharmacy, linen, and other services shall be permitted insofar as practical.
A5.2-1.2.2.1 Shared services and space. In some cases, ancillary service requirements will be met by the principal facility and the only modifications necessary will be in the support facility. In other cases, programmatic concerns and requirements may dictate separate service areas.
Where a project calls for sharing or purchasing services from another entity, appropriate modifications in the requirements for space and parking shall be permitted.
Each wellness center located in a facility housing other services shall have its own identifiable space.
All support spaces shall be permitted to be shared.
See Section 1.2-3 (Resident Safety Risk Assessment) for requirements.
See Section 1.2-1.3 (Environment of Care and Facility Function Considerations) and Section 1.2-4 (Environment of Care Requirements) for requirements.
A5.2-1.4 Environment of care. Person-centered care in the long-term continuum of care should address movement away from institutional and traditional models toward models that are more residentially scaled, facilitate wayfinding, and provide a comfortable environment for the population served through provision of appropriate lighting and acoustics.
  1. Wellness centers should be designed to provide flexibility to meet the changing needs of the care population(s) served and the types of care services provided.
  2. The facility design should produce a supportive environment to enhance and extend quality of life for facility users and promote their privacy and dignity while they receive care and services.
  3. Facility design should maximize opportunities for ambulation and minimize the negative aspects of an institutional environment.
  4. The architectural environment should eliminate as many barriers to effective access to and use of space, services, equipment, and utilities as possible.
  5. Facilities should provide accessibility for participants with disabilities in accordance with the state or local building code and the Americans with Disabilities Act.
See Chapter 1.3 (Site Selection) and Chapter 2.1 (Site Elements) for requirements in addition to those in this section.
Fire department and emergency vehicle access shall be provided in accordance with local requirements.
A5.2-1.5.2.1 Emergency access
  1. Ambulance access for the wellness center site should be considered. If ambulance use is applicable, canopy and covered entrance heights should be designed to accommodate ambulance arrival.
  2. Other vehicular or pedestrian traffic should not conflict with access for emergency vehicles.
See 2.1-2.2 (Availability of Transportation) for requirements.
See Section 2.1-2.3 (Security) for requirements.
See Section 1.3-2.4 (Access to Utilities) and Section 2.1-2.4 (Access to Utilities) for requirements.
See Section 2.1-3.1 (Roads) for requirements.
Accessible paved walkways shall be provided for pedestrian traffic.
  1. In the absence of local requirements, each facility shall have parking spaces to satisfy the needs of users, staff, and visitors.
  2. Reduction of parking requirements shall be permitted, as acceptable to local authorities having jurisdiction (AHJs).
See Section 1.2-4.5.3 (Signage and Wayfinding) and Section 2.4-2.2.12 (Signage and Wayfinding) for requirements.
See Section 2.1-3.5 (Site Lighting) for requirements.
  1. General. See Section 1.2-4.5.1 (Light) and Section 1.2-4.5.2 (Views of and Access to Nature) for requirements.
  2. Outdoor water features. See Section 2.1-3.6.3 (Outdoor Water Features) for requirements.
See Section 1.2-2.2.2.2 (1) (Site) and Section 2.2-2.1 (Sustainable Site Design) for requirements.
See Section 2.3-2.1 (Resident, Participant, and Outpatient Areas-General) for requirements.
See Section 2.3-2.3.1 (Resident, Participant, and Outpatient Community Areas-General) for requirements.
Where a central lobby is provided as part of the wellness center, see Section 2.3-2.3.2 (Lobby) for requirements.
A5.2-2.3.3 Health and wellness services
  1. Wellness center services. The services to be provided at a wellness center should be identified in the functional program. The range of services provided by this type of facility may include:
    • -Therapies, such as acupuncture, aromatherapy, chiropractic services, homeopathy, and light, horticulture, animal, art, and music therapy
    • -Primary care clinical health services
    • -Spa services (e.g., hair salon services, manicures, pedicures, massage therapy)
    • -Exercise and fitness training (e.g., yoga, pilates, tai chi, aerobics)
    • -Aquatics
    • -Physical health and wellness screenings
    • -Disease management programs
    • -Nutritional counseling
    • -Individual and small group consultations
    • -Education classes, including lectures, field trips, activities
    • -Retail services (e.g., food service/juice bar, gift shop)
  2. Personal services (hair salon/spa) areas
    • -See the International Spa Association website (www.experienceispa.com) for information.
    • -Waiting areas should be provided based on the services being delivered and participant waiting time required for specific services or treatments.
  3. Quiet room in participant community area. Where a quiet room or meditation room is provided, it should be located adjacent to outdoor activity space.
  4. Sources for design information relevant to wellness centers:
    • -Access Board, ADA Standards for Accessible Design
    • -Air Force Civil Engineer Center, Air Force Services Facilities Design Guide, "Design: Fitness Centers"
    • -North Carolina Office on Disability and Health and the Center for Universal Health, Removing Barriers to Health Clubs and Fitness Facilities: A Guide for Accommodating All Members, Including People with Disabilities and Older Adults
See Section 2.3-2.3.1 (Resident, Participant, and Outpatient Community Areas-General) for requirements.
  1. Where a café, bistro setting, or central dining facility is provided, following requirements shall apply:
    1. Design and location shall encourage participant and visitor use.
    2. Space shall be provided for dining in accordance with the needs of the care population, including participants who use participant-operated mobility devices.
    3. Space shall allow participants to access and leave their tables without disturbing other participants.
  2. For central dining facilities, clear and unobstructed circulation paths for servers and food carts shall be provided.
  3. Planned use of dining areas for other activities shall be permitted.
(1)  General. See Section 2.3-2.3.3.1 (Dining, Recreation, and Lounge Areas-General) for requirements in addition to those in this section.
*(2)  Recreation, exercise, and fitness training space. Spaces shall be provided to accommodate the recreational activities, exercise classes, and fitness training programs offered to participants in the wellness center.
*(3)  Aquatic center. Where aquatic facilities are provided, see appendix section A5.2-2.3.3.3 (3) (Aquatic center) for additional information.
*(4)  Education and consultation facilities. Where education and consultation facilities are provided, see appendix section A5.2-2.3.3.3 (4) (Education and consultation facilities) for additional information.
A5.2-2.3.3.3 (2) Sizing recreation, exercise, and fitness training spaces
  1. Typical sizing for standing or seated exercise classes is 15 square feet per person.
  2. When sizing space where fitness equipment is used, allowances for circulation for participants using mobility devices should be considered.
A5.2-2.3.3.3 (3) Aquatic center. According to the Arthritis Foundation Aquatics Facility Guidelines, host sites (wellness centers) in which Arthritis Foundation Aquatics Program classes are conducted should have the following minimum facilities and characteristics to assure their accessibility, safety, and overall suitability:
  1. An indoor heated pool with locker room and deck area
  2. Pool water heated to a minimum temperature of 83°F and a maximum temperature of 88°F
  3. Air temperature in the deck area within 5 degrees of water temperature
  4. For basic and advanced classes, pool depth sufficient for class participants to sit or stand comfortably with shoulders submerged during upper extremity exercises
  5. For the deep-water class, pool depth sufficient for class participants wearing a flotation device to float upright, without touching the pool bottom
  6. A pool with accessible entry into and exit from the water, including handrails, ramps, and lifts
  7. A clean and uncluttered deck area with a slip-resistant finish. The area should be large enough to provide space for participant-operated mobility devices and slower ambulation. It also should be large enough to accommodate the activities offered, including space for instructors and/or lifeguards and transition space for students attending classes.
  8. Readily accessible safety and water rescue equipment
  9. Speakers for music and other programming, where needed
  10. An accessible site, including:
    • -At least one building entrance accessible to people with disabilities
    • -Handicapped parking spaces or other designated parking close to an accessible building entrance
    • -Accessible locker room facilities with adequate provisions for seating located near the pool
    • -Restrooms accessible to people with disabilities
    • -Entrance doors to the locker room, locker, and restroom that people with upper extremity limitations can easily operate
See the CDC Web page "Design and Operation of Pools and Hot Tubs" for additional information.
A5.2-2.3.3.3 (4) Education and consultation facilities
  1. Provision of classrooms and other training space should be considered based on the education provided in the wellness center.
  2. Typical classroom size for lecture-style teaching is 700 square feet (65.10 square meters).
(1)  Reserved
*(2)  Public toilet rooms. Public toilet rooms shall be provided adjacent to or directly accessible from exercise and fitness training spaces.
(a)  Toilets for the recreation, exercise, and fitness training space shall be permitted to be shared with other activities.
(b)  Location of toilets in a locker room shall be permitted.
(3)  Locker rooms
*(a)  Changing areas and storage lockers shall be provided where required to support the services provided.
(b)  Toilet room(s). See Section 5.2-2.3.3.4 (2) (Public toilet rooms) for requirements.
(c)  Showers shall be provided as required for the wellness/fitness program offered in the wellness center.
(i)  See Section 2.5-2.3.3.2 (Accessible showers) for requirements.
(ii)  Location of the showers in a locker room shall be permitted.
A5.2-2.3.3.4 (2) Public toilet rooms
  1. Accessible public toilet rooms should be located near activity spaces.
  2. Provision for accommodating participant-operated mobility devices should be considered.
A5.2-2.3.3.4 (3)(a) Changing areas and storage lockers
  1. Private areas with benches or other seating should be provided for dressing.
  2. The types of locks used should be chosen based on the population served.
Where a participant kitchen is provided to support nutrition planning, education, and demonstrations, see Section 2.3-2.3.4 (Resident and Participant Kitchen) for requirements.
Incorporation of a café, juice bar, or facility for other for-sale items shall be permitted. See Section 5.2-2.3.3.2 (Dining area) for requirements.
Where an outdoor activity space(s) is provided, see Section 2.1-3.6.2 (Outdoor Activity Spaces) for requirements.
Where retail space is provided, layout shall allow for circulation of participants using participant-operated mobility devices. See Section 5.2-2.3.3.2 (Dining Area) for food service venue requirements.
A5.2-2.3.9 Retail space. Location of retail spaces, including a gift or sundries shop, should be considered in conjunction with the lobby and other recreation and activity areas.
Where diagnostic and treatment services are provided in the wellness center, see Section 2.3-3 (Diagnostic and Treatment Areas) for requirements in addition to those in this section.
Where examination, observation, and/or treatment rooms are provided, see Section 2.3-3.2 (Examination, Observation and/or Treatment Rooms) for requirements.
Where rehabilitation therapy services are provided, the space shall comply with applicable requirements in Chapter 5.3 (Specific Requirements for Outpatient Rehabilitation Therapy Facilities).
Waiting areas shall be provided based on the services being delivered and participant waiting times required for specific services or treatments.
A5.2-4 Additional facilities for support services
  1. Support areas for staff
    • -Secured storage for personal belongings of staff members should be provided.
    • -Showers and toilet rooms for staff should be provided and may be shared with participant facilities.
  2. Facilities for laundry or towel service. Provision of laundry accommodations should be considered unless the facility plans to use an outside towel service for towels and linens.
    • -Where laundry is done on-site, washer(s) and dryer(s), folding areas, and storage should be provided, including exhaust for the dryer.
    • -Where a contract service is used and laundry is processed offsite, the following should be provided:
      • • Service entrance. This can be shared with other services and serve as the loading/maintenance area for the wellness center.
      • • Control station. A control station for pickup and receiving can be shared with other services and serve as the service receiving and pickup point for the wellness center.
See Section 2.3-4.1 (Facilities for Support Services-General) for requirements.
A5.2-4.2 Equipment cleaning area. Provision of a cleaning area for physical fitness and exercise room equipment should be considered; this would include a sink or tub, a hand-washing station, and a drying area. Where a cart wash is provided in another part of the wellness center, this space could also be used as an equipment cleaning area.
Staff work areas shall be provided to support the specific services provided in the wellness center. Evaluation of staffing space needs shall be completed as part of the functional programming process.
See Section 2.3-4.2.4 (Equipment and Supply Storage) for requirements.
Where a commercial kitchen is provided, see Section 2.3-4.5 (Food Service Facilities) for requirements.
For wellness centers that have a service contract with an outside vendor for food service, provision of a warming/catering kitchen designed in accordance with the following requirements shall be permitted.
Where an outside vendor is used to provide meals, the facility shall include dedicated space and equipment for a warming kitchen.
Where food is prepared on-site, the facility shall have dedicated non-public staff space and equipment for preparation of meals. See Section 2.3-4.5 (Food Service Facilities) for requirements.
See Section 2.3-4.7 (Materials Management Facilities) for requirements in addition to that in this section.
Sharing of materials management areas with other health, care, and support facilities shall be permitted.
See Section 2.3-4.8 (Waste Management Facilities) for requirements for waste collection, storage, and disposal.
Sharing of waste collection, storage, and disposal facilities with other health, care, and support facilities shall be permitted.
See Section 2.3-4.9 (Environmental Services Rooms) for requirements.
Sharing of environmental services rooms with other health, care, and support facilities shall be permitted.
See Section 2.3-4.10 (Facilities for Engineering and Maintenance Services) for requirements.
Sharing of facilities for engineering and maintenance services with other health, care, and support facilities shall be permitted.
Administrative areas shall be provided to support the administrative services performed in the wellness center as indicated by an evaluation of staffing needs.
A5.2-4.11 Staff office. Provision of a staff office adjacent to the reception area and copy/supply storage should be considered. See Section 2.3-2.3.2 (Lobby) for additional recommendations.
See Section 2.4-1.2 (Building Codes and Standards) for requirements.
See Section 2.4-2.1 (Architectural Details, Surfaces, and Furnishings-General) for requirements.
See Section 2.4-2.2.1 (Architectural Details-General) for requirements.
See Section 2.4-2.2.2 (Corridors) for requirements.
See Section 2.4-5.2.2.3 (Ceiling Height) for requirements.
  1. Door type
    1. Doors to all rooms containing bathtubs, showers, and toilets for participant use shall be hinged, sliding, or folding.
    2. Manual or automatic sliding doors shall be permitted where their use does not compromise fire and other emergency exiting requirements.
  2. Door openings. See Section 2.4-2.2.4.2 (Door openings) for requirements.
  3. Insect screens. See Section 2.4-2.2.4.3 (Insect screens) for requirements.
A5.2-5.2.2.4 Door protection. See appendix section A2.4-2.2.4 (Door protection) for recommendations.
See Section 2.4-2.2.5 (Thresholds and Expansion Joint Covers) for requirements.
See Section 2.4-2.2.6 (Windows) for requirements.
See Section 2.4-2.2.7 (Glazing Materials) for requirements.
  1. See Section 2.4-2.2.8 (Hand-Washing Stations) for requirements.
  2. Omission of the mirror shall be permitted.
*(1)  Grab bars shall be installed at all participant toilets, showers, and tubs.
(2)  Alternative grab bar configurations. See Section 2.4-2.2.9.3 (Alternative grab bar configurations) for additional information.
(a)  Where independent transfers are feasible, alternative grab bar configurations shall be permitted.
(b)  The care population shall be evaluated to determine alternative grab bar configurations that meet specific participant needs.
(3)  For wall-mounted grab bars, a minimum clearance of 1.5 inches (3.81 centimeters) from walls shall be provided.
(4)  Grab bar load requirements shall be evaluated for alignment with the needs of the care population.
(a)  Grab bars, including those that are part of fixtures such as soap dishes and toilet paper holders, shall have the strength to sustain a concentrated load of 250 pounds (113.4 kilograms).
(b)  If a population includes persons of size, grab bars installed in areas intended for use by persons of size shall be anchored to sustain a minimum concentrated load of 800 pounds (362.88 kilograms).
(5)  Grab bars shall have a finish color with a value that contrasts with the adjacent wall surface.
(6)  Grab bars shall be returned to the wall or floor with eased corners where a mitered corner condition exists.
A5.2-5.2.2.9 (1) Grab bars in toilet rooms
  1. Grab bars in toilet rooms should allow participants to be as safe and independent as possible. This includes using swing-up grab bars, where needed, with or without integral toilet paper holder.
  2. If participants who require a physical lift by two staff members are served at the facility, toilets used by participants should have a minimum clearance of 24 inches (60.96 centimeters) from the centerline of the toilet bowl to the wall to enable physical access and maneuvering by staff, who may have to assist the participant in wheelchair-to-toilet transfers and return.
  3. Grab bars in toilet rooms should allow staff to complete a two-person transfer for a single participant. This includes evaluation of the toilet in relation to the wall and the grab bars provided. Clearance is required on both sides of the toilet for a double transfer to occur.
See Section 2.4-2.2.10 (Handrails and Lean Rails) for requirements.
See Section 2.4-2.2.11 (Protection from Heated Surfaces) for requirements.
See Section 2.4-2.2.12 (Signage and Wayfinding) for requirements.
Where decorative water features are used in the facility design, see appendix section A2.4-2.2.13 (Decorative water features) for recommendations.
See Section 2.4-2.3 (Surfaces) for requirements.
See Section 2.4-2.4 (Furnishings) for requirements.
See Section 2.5-1 (Building Systems-General) for requirements.
See Section 2.5-2.1 (Plumbing Systems-General) for requirements.
See Section 2.5-2.2 (Plumbing and Other Piping Systems) for requirements.
See Section 2.5-2.3.1 (Plumbing Fixtures-General) for requirements.
See Section 2.5-2.3.2 (Hand-Washing Sinks) for requirements.
See Section 2.5-2.3.3.2 (Accessible showers) for requirements.
Where clinical sinks are provided in a wellness center, see Section 2.5-2.3.5 (Clinical Sinks) for requirements.
Where portable hydrotherapy whirlpools are used in a wellness center, see Section 2.5-2.3.6 (Portable Hydrotherapy Whirlpools) for requirements.
For basic HVAC system requirements for wellness centers, see ANSI/ASHRAE Standard 62.1: Ventilation for Acceptable Indoor Air Quality.
See Section 2.5-3.1.2 (Ventilation and Space Conditioning) for requirements.
See Section 2.5-3.2 (Mechanical System Design) for requirements.
See ANSI/ASHRAE Standard 62.1: Ventilation for Acceptable Indoor Air Quality for basic HVAC system requirements.
Where rooms with fuel-fired equipment are provided, see Section 2.5-3.3.2 (Fuel-Fired Equipment Rooms) for requirements.
Where areas of refuge are provided, see Section 2.5-3.3.3 (Areas of Refuge) for requirements.
Where commercial food preparation areas are provided, see Section 2.5-3.3.4 (Commercial Food Preparation Areas) for requirements.
See Section 2.5-3.4.1 (Thermal and Acoustic Insulation-General) for requirements.
A5.2-6.3.4 Thermal and acoustic insulation
  1. See ASHRAE 90.1: Energy Standard for Buildings Except Low-Rise Residential Buildings for more information.
  2. Provisions for acoustic insulation should meet or exceed local building code requirements.
  3. Consideration should be given to construction of demising walls and floors in a manner that provides for speech privacy between occupied spaces and between floors.
See Section 2.5-3.5 (HVAC Air Distribution) for requirements.
See ANSI/ASHRAE Standard 62.1: Ventilation for Acceptable Indoor Air Quality for requirements.
(1)  For centralized recirculated systems, MERV 7 shall be the minimum filter efficiency for the first filter bank. There is no minimum filter efficiency requirement for the second filter bank.
(2)  For non-central recirculating room systems, HVAC units shall:
(a)  Not receive nonfiltered, nonconditioned outdoor air.
(b)  Serve only a single space.
*(c)  Include the manufacturer's recommended filter for airflow passing over any surface that is designed to condense water. This filter shall be located upstream of any such cold surface so that all of the air passing over the cold surface is filtered.
A5.2-6.3.6.2 (2)(c) Filters for recirculating room systems. Filters should be replaced and/or cleaned per the manufacturer's recommendations to maintain indoor air quality.
See Section 2.5-3.7 (Heating Systems, Cooling Systems, and Equipment) for in addition to those in this section.
Wellness centers shall have a permanently installed heating system capable of maintaining an interior minimum temperature of 72° F (22° C) under heating design temperatures.
Wellness centers shall be configured and equipped with a cooling system capable of maintaining an interior maximum temperature of 75° F (24° C) under cooling design temperatures.
See Section 2.5-4.1 (Electrical Systems-General) for requirements.
  1. Wellness centers that require essential electrical systems shall comply with the appropriate occupancy requirements of NFPA 101: Life Safety Code
  2. As required by local codes and the care types, an essential electrical source shall provide emergency lighting and/or power during an interruption of the normal electrical supply.
Where generators are used in a wellness center, exhaust systems (including locations, mufflers, and vibration isolators) for internal combustion engines shall be designed and installed to minimize objectionable noise.
See sections 2.5-4.3.1, 2.5-4.3.2, 2.5-4.3.4, and 2.5-4.3.5 in Section 2.5-4.3 (Electrical Receptacles) for requirements.
See Section 2.5-5.1 (Communication Systems-General) for requirements.
Where call systems are provided, use of alternative technologies, including wireless systems, shall be permitted.
A5.2-6.5.2 Emergency call system
  1. Community spaces should be evaluated for provision of an emergency call system at each public toilet room, shower room in locker rooms or pool areas, and any other space with a high risk of participant falls.
  2. Emergency call systems should comply with UL 2560: Emergency Call Systems for Assisted Living and Independent Living Facilities.
Where wireless systems are used, consideration shall be given to electromagnetic compatibility between internal and external sources.
Wireless systems shall comply with UL Standard 2560: Emergency Call Systems for Assisted Living and Independent Living Facilities.
  1. See Section 2.5-5.3.1.1 (Technology Equipment and Teledata Room-Purpose) for requirements.
  2. Number. Each wellness center shall have a room or closet to accommodate technology systems used in the facility.
See Section 2.5-5.3.2 (Size) for requirements.
See Section 2.5-5.3.3 (Location and Access) for requirements.
See Section 2.5-5.3.4 (Technology Equipment Room Facilities) for requirements.
See Section 2.5-6 (Electronic Safety and Security Systems) for requirements.
See Section 2.5-7.1 (Daylighting and Artificial Lighting Systems-General) for requirements.
See Section 2.5-7.2 (Daylighting Systems in Resident Living, Participant, and Outpatient Areas) for requirements.
See Section 2.5-7.3.1 (Light Fixtures) for requirements.
See appendix section A2.5-7.3.2 (Lighting in transition spaces) for recommendations.
  1. Reserved
  2. Participant toilet rooms
    1. Toilet rooms shall have general lighting and task lighting.
    2. Task light controls shall be readily accessible to participants.
A5.2-6.7.3.2 Lighting for corridors. Corridors used by participants should have even light distribution to avoid glare, shadows, and scalloped lighting effects. See appendix section A2.4-2.1.2.2 (1) (Environmental factors and falls) for additional information.
See Section 2.5-8 (Acoustic Design Systems) for requirements.
All buildings having participant or staff use areas on more than one floor shall have an electric or hydraulic elevator(s).
Engineered traffic studies are recommended, but in their absence the following guidelines for minimum number of elevators shall apply:
  1. At least one elevator sized to accommodate participant-operated mobility device users shall be required where spaces used by participants are on any floor other than the main entrance floor.
  2. Where a wellness center is part of a general hospital, the hospital's elevators shall be permitted to meet the requirement in Section 5.2-6.9.1.1 (Application).
A5.2-6.9.1.2 These standards may be inadequate for moving large numbers of people in a short time; adjustments should be made as appropriate.
Elevator car doors shall have a clear opening of not less than 3 feet 8 inches (1.12 meters).
See Section 2.5-9.3 (Leveling Device) for requirements.
See Section 2.5-9.4 (Installation and Testing) for requirements.
Elevator cars shall have handrails on all sides without entrance door(s).
See Section 2.4-2.2.10 (Handrails and Lean Rails) for additional requirements.
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