Again we get into an area of ambiguity, from my experience of doing numerous boards with mains voltages (8 years doing Gen Set controllers) we always worked on the peak mains voltage, over voltage and spikes were not taken into account. That said there usually has to be some form of protection, MOV or similar. If you start taking into account spikes and overvoltage you will find that the layout becomes impossible....
I believe I have a copy of K1.3.3 in a app note regarding isolators that in theory break the rules set down in 61010. As I said there is a problem here as some equipment is built in reference to 60950 (Information Technology Equipment) and some to 61010 and some to just general rules of thumb. Like a lot of committee based standards, they are confusing and there seams to be no harmony between the various standards, and like IPC standards if you study them carefully you will find often conflicting information between standards that cover the same aspects of design. The trouble is trawling through all this information is time consuming and tedious, but when I do get updated copies of all the standards I will again (for the hundredth time) trawl through them. An interesting point is that much equipment on sale today actually breaks this standard having been designed to the old standard.
I do fight against the complexity of PCB related standards, one in particular is now getting very silly and overblown, IPC-7351 for mainly in my view commercial reasons, I will be publishing my tirade against the unnecessary complexity that is taking over this standard in the near future....
Standards should be easy to follow and made as simple as possible regarding the subject covered, the problem is they are controlled by committees and all tend to get over bloated, unfathomable and complex.