2024 International Building Code
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2024 International Building code, I-Codes, Chapter 11, Accessibility
1110.4 Adult changing stations.
Where provided, adult changing stations shall be accessible. Where required, adult changing stations shall be accessible and shall comply with Sections 1110.4.1 through 1110.4.4.
1110.4.1 Where required.
Not fewer than one adult changing station shall be provided in the following locations:
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In assembly and mercantile occupancies, where family or assisted-use toilet or bathing rooms are required to comply with Section 1110.2.1.
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In Group B occupancies providing educational facilities for students above the 12th grade, where an aggregate of 12 or more male and female water closets are required to serve the classrooms and lecture halls.
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In Group E occupancies, where a room or space used for assembly purposes requires an aggregate of six or more male and female water closets for that room or space.
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In highway rest stops and highway service plazas.
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1110.4.2 Room.
Adult changing stations shall be located in toilet rooms that include only one water closet and only one lavatory. Fixtures located in such rooms shall be included in determining the number of fixtures provided in an occupancy. The occupants shall have access to the required adult changing station at all times that the associated occupancy is occupied.
Exception:Adult changing stations shall be permitted to be located in family or assisted toilet rooms required in Section 1110.2.1.
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1110.4.3 Prohibited location.
The accessible route from separate-sex toilet or bathing rooms to an accessible adult changing station shall not require travel through security checkpoints.
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1110.4.4 Travel distance.
The adult changing station shall be located on an accessible route such that a person is not more than two stories above or below the story with the adult changing station and the path of travel to such facility shall not exceed 2,000 feet (609.6 m).
To view this building code on codes.iccsafe.org, click the link, then click I-Codes for a drop down menu, click 2024 I-Codes, click 2024 International Building Code (IBC), In menu to the left, click Chapter 11 Accessibility, then click Section 1110 Other Features and Facilities, scroll down to 1110.4 Adult Changing Stations (this is in blue and goes through 1110.4.4)
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ICC A117.1—2017 with Supplement 1: Standard for Accessible and Usable Buildings and Facilities
Supplement 1 provides a pathway to compliance with accessible adult changing station requirements in the 2024 I-Codes. (ANSI approval pending.)
SECTION 613: ADULT CHANGING STATIONS
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613.1 General.
Adult changing stations shall comply with Sections 613.2 through 613.4.
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613.2 Installation location.
Where provided, adult changing stations shall be installed in accordance with the locations specified in Section 613.2.1, 613.2.2 or 613.2.3.
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613.2.1. Single-user or family or assisted-use toilet or bathing room.
Where adult changing stations are provided in a toilet room with only one water closet and one lavatory, or in a family or assisted-use toilet or bathing room, the room shall provide all of the following components:
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A dispenser for soap complying with Section 308.
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A hand towel dispenser or hand dryer complying with Table 603.6.
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A coat hook located in close proximity to the changing surface.
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A waste receptacle.
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Signage indicating “Adult Changing Station” provided at the entrance to the room and complying with the visual character requirements in Section 703.2.
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Signage indicating the weight capacity and instructions for operation of the changing station within the room.
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613.2.2 Multiuser toilet or bathing room.
Where adult changing stations are provided in a multiuser toilet or bathing room, the adult changing station shall be located in a compartment that includes all of the following components:
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Privacy provided by walls, curtains or partitions enclosing the compartment.
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A turning space complying with Section 304.
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A lavatory complying with Section 606.
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A dispenser for soap complying with Section 308.
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A hand towel dispenser or hand dryer complying with Table 603.6.
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A coat hook in close proximity to the changing surface.
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A waste receptacle.
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Signage indicating “Adult Changing Station” provided at the entrance to the room and complying with the visual character requirements in Section 703.2.
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Signage indicating the weight capacity and instructions for operation of the changing station within the compartment.
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613.2.3 Room or space other than a toilet room or bathing room.
Where adult changing stations are provided in a room or space other than a toilet or bathing room and including, but not limited to, nurses' work areas, therapist work areas, or special education classrooms, the adult changing station shall be located in a compartment or room that includes all of the following components:
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Privacy provided by walls, curtains or partitions.
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A turning space complying with Section 304.
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A lavatory complying with Section 606 or an alcohol-based hand sanitizer dispenser.
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Where a lavatory is provided in the compartment or room, provide a dispenser for soap.
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Where a lavatory is provided in the compartment or room, provide a hand towel dispenser or hand dryer complying with Table 603.6.
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A waste receptacle.
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Signage indicating the weight capacity and instructions for operation of the changing station within the room.
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613.3 Room configurations.
An adult changing station and its supporting structure shall not obstruct required clear floor spaces and maneuvering clearances at fixtures, maneuvering clearances at the adult changing stations, maneuvering clearances at doors, or the turning spaces.
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613.4 Changing surface.
A changing surface shall be provided and shall comply with Section 613.4.
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FIGURE 613.4
SIZE AND MANEUVERING CLEARANCES AT THE ADULT CHANGING SURFACE
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613.4.1 Size.
The changing surface shall be 70 inches (1778 mm) minimum in length and 30 inches (762 mm) minimum in width.
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613.4.2 Capacity.
Materials, fastening mounting devices and support structure shall support a user weight of not less than 400 pounds (182 kg).
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613.4.3 Height adjustability.
The changing surface height shall be adjustable at variable heights from 17 inches (432mm) minimum to 38 inches (965mm) maximum above the floor as measured to the top of the changing surface.
Exception: Where the adult changing station is not required by the administrative authority, a fixed height changing surface shall be permitted and shall be mounted with the top of the changing surface 19 inches (483mm) minimum and 23 inches (584 mm) maximum above the floor.
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613.4.4 Maneuvering clearances.
Maneuvering clearances at the adult changing surface complying with Sections 613.4.4.1 and 613.4.4.2 shall be provided. Such maneuvering clearances shall be measured where the adult changing surface is in the operational position.
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613.4.4.1 Side maneuvering clearance.
A side maneuvering clearance 36 inches (914 mm) minimum in depth shall be provided at the adult changing surface along the open long side of the changing surface.
Exception: In the raised position, the side rail shall be permitted to overlap the side clearance.
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613.4.4.2 End maneuvering clearance.
An end maneuvering clearance 36 inches minimum in width shall be provided along the depth of one end of the changing surface. The depth of the end maneuvering clearance shall extend the depth of the changing surface and the side maneuvering clearance.
Exceptions:
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An end maneuvering clearance 24 inches (610 mm) minimum in width shall be permitted where a clear floor space complying with Section 305.3 is provided within the room beyond the maneuvering clearances for the changing surface.
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Where installed in locations specified in Section 613.2.3, end maneuvering clearances complying with Section 613.4.4.2 are not required.
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613.4.5 Side rail.
Where side rails are provided at the changing surface they shall comply with Sections 613.4.5.1 and 613.4.5.2.
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613.4.5.1 Size and location.
Side rails shall be a minimum of 2/3 of the length of the changing surface and shall be centered +/- 3 inch (75 mm) along the long open sides of the changing surface.
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613.4.5.2 Rail positioning.
Side rails shall be capable of being raised and lowered. The side rail shall be fixed in place when in the raised position. The top of the side rail shall extend 5 inches (127 mm) minimum above the top of the changing surface.
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To view this building code on codes.iccsafe.org, click the link, click Standards, click ANSI Standards, click 2017 ICC A117.1 With Supplement 1 Accessible and Usable Buildings and Facilities, in the menu to the left, scroll to ICC A117.1 - 2017 with Supplement 1: Accessible and Usable Buildings and Facilities
Get These Standards Into Your State Building Code!
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The International Building code is a Model Code for states and cities to follow. Your board of building standards in your state or city must adopt these standards so it will go into effect in your state.
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Once this is part of your state's building code, it will be enforced for new buildings and some buildings at time of renovation. It will not be enforced retroactively on pre-existing buildings.
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Having these standards outlined by the International Code Council gives us guidelines to go by when planning to install an adult size/universal changing table.
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Contact your state's Board of Building Standards to ask about petitioning the board to add standards for Adult Changing Stations into your state building code. ​They may be housed within your state's Department of Commerce.