S02 Attachment Construction Safety Pamphlet.pdf

In this pamphlet, the term contractor refers to companies and their employees who perform work or provide services on all VA Connec cut Healthcare System (VACHS) owned or leased proper es where construc on, demoli on or renova on is occurring.

SECTIONS & PAGE

Security, ID 1 2

Compressed Gas, Trenching, Excava on

Con ned Space, Cranes, Ladders & Sca olding

Hot Work, Elevated Work, Containment

Electrical Safety & Working in Pa ent Care Areas

Infec on Control 5

GEMS 6

VA Contact Person

Name___________

Phone___________

950 Campbell Ave.

West Haven, CT 06516

Contractor Pamphlet for Safety, Infection Prevention & Security

Police & Fire Emergency #s

WH Campus = 203 932 5711 ext. 4911 Newt. Campus= 860 666 6951 ext. 6911

Contractors are expected to comply with all applicable local, state, and federal regula ons and codes, as well as requirements in their contract with the VACHS. Contractors will have a wri en safety compliance program which addresses how they will comply with all applicable OSHA, EPA and CT DEEP requirements for the work they perform. Ques ons should be ad dressed to your VA contact person . If you have urgent safety ques ons and your contact person is unavailable, call the safety o ce at 203 932 5711 ext. 7389.

In the event of an evacua on, contractors should have a pre determined mee ng spot away from buildings and out of the roadway. One person should be responsible to report if all are present.

Medical Emergencies: In the event of a medical emergency on the West Haven campus, if the con tractor is located in Buildings 1 or 2 , VA Police should be immediately contacted at (203) 932 5711 ext. 4911. In the event of a medical emergency on the Newington campus, if the contractor is located in Buildings 1, 2E, 2W or 2C, VA Police should be immediately contacted at (860) 666 6951 ext. 6911. Should the contractor be located outside of the these buildings on either cam pus, contractor should summon local medical emergency services by dialing 911. Once 911 has been called, no fy the VA police to inform them that 911 has been called. VA Police will assist responders.

However, if the contractor requiring medical assistance can safely be transported to the facili ty’s Emergency Department, the contractor will receive emergency care. Generally, care is limited to the point that the individual is medically stable and can be discharged or safely transferred to non VA health care.

EXCEPTION: If ever there is an emergency within any Con ned Space on either campus, 911 should be called immediately. VA Police should be no ed therea er at the numbers above.

Working in a Healthcare Environment Measures must be taken to isolate and secure the work zone from pa ents and visitors, limi ng access to authorized personnel only. Tools and equipment must be under the direct control of the contractor.

Security is a coopera ve e ort. VA Police enforce federal and local laws and regula ons to protect pa ents, contract workers, volunteers, sta and visitors.

They also protect government and private property and preserve a peaceful and secure environment at the Medical Center 24 hours a day.

All contract workers are required to obey tra c, parking and security regula ons. It is also necessary for everyone to use common sense, cooperate with the police and, of course, keep personal possessions in a safe and secure place.

Iden ca on: General Contractors will report to Building 15 in West Haven and Building 3 in Newington to sign in prior to repor ng to their worksite daily. ID badges must be visibly displayed and worn on the upper torso in plain sight at all mes while working at VACHS.

All contractors working at VACHS must obtain a VA issued ID badge. The type of badge will be deter mined by the sponsoring service. In order to obtain a VA badge contact the sponsor or representa ve in FMS Building 15 West Haven or Building 3 in Newington. The sponsor or representa ve will pro vide further informa on and instruc ons for ob taining a badge.

Driving and Parking: The speed limit on Campus is 15 mph and strictly enforced. Contractors will not park in lots reserved by signs for pa ents and sta , on the grass, or in any other no parking area.

Leased parking lots require a VA s cker . Vehicles in re lanes will be towed.

Some long term projects may have special designated parking. All contractors will have a sign visible through the windshield indica ng the name of their employer and the speci c loca on of their worksite. The Medical Center and its surrounding grounds are Federal proper es and cita ons issued are treated as a federal o ense, and go before a federal judge.

Smoking:

There is no smoking within 50 feet of any build ing. Please use designated receptacles.

Use and Restric ons: Contractors assigned to worksites designated as “construc on zones” shall not travel through public and pa ent areas of the hospital or use passenger elevators without prior authoriza on from the CO and the COR. The COR will inform the contractor which hospital lav atories they are permi ed to use.

Prohibited Items & Ac vi es:

Cameras, tape recorders, rearms, knives exceeding 3 inches, or other weapons are strictly prohibited. Alcoholic beverages, non regulated explosives and gasoline engines are not allowed inside any building. Facility doors should never be propped open.

*Contractor progress photographs are allowed with prior approval of VA Police .

Emergency Numbers:

West Haven

203 932 5711 ext. 4911

Newington

860 666 6951 ext. 6911

Non Emergency Numbers:

West Haven

Ext. 4218/3864

Newington

Ext. 6707

Contractor Pamphlet for Safety, Infection Prevention & Security

Security, Iden ca on and Campus Policies

Compressed Gas Cylinders:

When not in use, cylinders will be stored with the protec ve cap on, in an up right posi on and physically secured. Valves and hoses will be leak checked before use. While is use, secure cylinders in holders.

Trenching and Excava on:

All trenching and excava ng shall be performed in compliance with OSHA requirements and Federal, State and Local regula ons, under the supervision of a competent person.

*At the discre on of the contractor, this may include contac ng “Call Before You Dig”, and any addi onal underground surveys required by contract to iden fy current u li es, prior to excava on .

Barriers and silt dams will be in place before any work begins.

Con ned Spaces:

All con ned spaces on VACHS property are assumed to be permit required unless they become re classi ed by wri en assessment. Contractors will provide their own entry and safety equipment, rescue, and no fy their VA contact person when ever a con ned space entry will be made. Contrac tors entering con ned spaces shall have been trained in an OSHA compliant Permit Required Con ned Space Entry Program. Contractor is also re sponsible to furnish rescue services if needed.

The VA contact person will provide a wri en haz ard assessment of the space, but it is the obliga on of the contractor to perform and document their own hazard assessment prior to entry. *For instruc ons during an emergency, refer to page 1.

Cranes and Li ing:

The contractor will submit a li plan prepared by a competent person to the VA contact person for approval prior to the arrival of the hoist on site. Cer ca on of li ing equipment will be current and available for inspec on.

Ladders and Sca olding:

Contractors will supply their own ladders. Sca olding will not be erected without prior approval from the VA contact per son. Sca olding will be erected and dismantled under the supervision of, and inspected by a competent person. Ini al and periodic inspec ons will be documented and available for review.

Worksite Safety Inspec ons:

The contractors' employer is responsible to provide a worksite free of recognized hazards. To this end the gen eral contractor will perform safety inspec ons of their worksites with the COR on a daily basis. The VA contact person should be invited to observe these inspec ons.

VA Environmental Safety and Occupa onal Health also conducts workplace inspec ons.

Hot Work:

Welding, cu ng, brazing or work which produces heat or sparks or involves a ame requires a hot work permit for each shi the work is being performed. No fy your VA con tact person if hot work is to be performed. Hot Work per mits must be obtained in the ES&OH o ce and returned at end of shi .

*For weekend or holiday work, a permit is to be signed out during the regular day shi just prior and returned on the next regular day shi between 7am and 4pm.

Elevated Work:

Contractors performing work on elevated surfaces as de ned by OSHA will have appropriate compliant fall protec on, and will have proof of receiving fall protec on training.

Electrical Work & Lock out Tag out (LOTO):

Contractors will have and be trained in their own compliant LOTO Program. Lockout tagout of equipment or electrical ser vice by a contractor will be coordinated with the sta electri cians and a ected employees by the VA contact person who will facilitate a pre planning mee ng to ensure uniformity of process. Submit all (M)SDS and LOTO procedure to your VA contact.

OSHA requires employers to have compliant safety programs and trained employees. In addi on, the VACHS requires that ALL contractors hold a U.S. DOL issued card cer fying comple on of the OSHA 10 or 30 hour outreach training for construc on safety.

OSHA Programs and Special Condi ons

Containment of smoke, dust, noise, odor, etc.

Work zones will be so enclosed as to contain smoke, dust, noise, or odors, and preclude them from in ltra ng other parts of the hospital. Methods to ensure compliance should include nega ve air pressure equipment wherever possible. Tes ng of containment is required to demonstrate to the VA contact person that it is properly sealed prior to commencement of use.

Poly used to seal o areas will be re retardant. Noise genera on must be coordinated with the COR.

Electrical Safety Use only grounded UL listed extension/ exible cords. Do not allow extension cords to cross a walkway or corridor, crea ng a trip hazard.

Cords shall not be run through walls, ceilings, or oors, through doorways, or concealed behind doors, ceilings, oors, etc.

Cords should be used in con nuous lengths without splicing or tape and be visually checked prior to each use.

All cord and plug connect equipment, e.g., sump pumps, hand held motor operated tools, and appliances used outside that operate on greater than or equal to 110 volts, or likely to be used in a wet environment, shall be grounded and equipped with a ground fault Interrupter (GFI).

Listed or labeled portable tools and appliances, protected by an approved UL system of double insula on or its equivalent, need not be grounded;

1. Informa on concerning pa ents and their records should be considered CONFIDENTIAL.

2. Speak so ly while on the wards, in library, in hospital corridors & in any other areas where people are working or pa ents are res ng.

3. If pa ents ask you for help or advice, refer them to a VA employee for assistance.

4. Do not sit on any pa ent beds or handle any medical or pa ent equipment unless you are speci cally assigned to do so as a contract worker. Also, do not use the nursing counters.

5. Do not leave any tools, equipment or electrical cords that pose a tripping hazard una ended.

6. Contract workers should not enter a room that is post ed “Precau ons” or “No Visitors,” or in areas such as the ICU or ER unless asked to do so by your supervisor.

7. If your supervisor has asked you to enter a room con fer with the nurse manager in charge of the oor or area before entering. She/he will give you instruc ons to protect yourself and our pa ents.

8. For all “CODES” or emergencies, stand clear of the hallways so that emergency personnel and equipment can move freely.

9. Do not move or touch a pa ent. Inform the nursing sta of all pa ent requests.

10. Do not block hallways, passageways, or exits.

11. All supplies and other deliveries must be stored in a predetermined loca on, not le on the oor, and not le una ended.

12. If working in any Psychiatric area, be especially aware that pa ents may threaten or use una ended tools as weapons. A close count of all tools in required to as sure that no tools are missing.

OSHA Programs and Special Condi ons (cont)

Working with Veteran Pa ents

Contractor Pamphlet for Safety, Infec on Preven on & Security

1. A preconstruc on infec on control risk assessment (PICRA) is developed by the Infec on Preven onist and COR and is required before the project begins. The PICRA is posted on the job site. Project manager maintains a copy.

2. Full containment, re rated, air ght barrier walls for dust control must be in place before construc on starts.

3. Addi onal airborne containment equipment is designated by job CLASS and may include: HEPA ltra on units, portable enclosures, prefabricated par ons, anterooms, dust caps, tacky mats, and HEPA ltra on vacuum.

4. Appropriate personal protec ve equipment (PPE), such as goggles for eye protec on, hard hat, shoe covers, and cloth or paper coveralls will be worn upon entering site.

5. All PPE must be removed at the site exit to prevent carrying dust to other areas within the facility. Clothes and shoes should be free of loose dust once PPE is removed. HEPA ltra on vacuum may be used prior to exi ng site.

6. Walk o mats must be placed at site entry and exit and must be changed frequently (checked at least twice daily) to pre vent tracking of dust/debris into clean areas.

7. During demoli on ac vi es, contractor MUST use a HEPA equipped air ltra on unit 24 hours per day and dust should be vented to the outside of the building whenever possible.

8. Isolate the HVAC system in the area where work is being done to protect the duct systems when necessary.

9. Contractors are responsible for keeping the construc on areas and entrance/exit zones clean. This may include wet mopping and vacuuming with HEPA ltered vacuum at the end of each work day.

10. No food or beverages should be taken into the construc on work area.

11. Contain construc on waste in ghtly covered container before transport. Damp wipe outside of container & wheels.

12. Plan dedicated ELEVATOR and route to the outside for removal of construc on waste.

13. Plan designated route for construc on crew to enter and exit the building. Plan designated bathroom for crew.

14. Plan designated route and procedure for crew to leave job site to access Canteen, Canteen store or Starbucks ( e.g., shoe covers and cloth or pa-per coveralls are required for Class III and IV projects).

15. Per CDC, construc on workers be required to provide documenta on of Tuberculosis test (PPD) before the project starts. Loca ons that require TB skin test are the TB lab and Animal Research labs. A pre project TB risk assessment will be completed by Infec on

Control. The contractor must provide the necessary pre project TB tes ng if required. VACT is a low risk facility.

The construc on Class is determined by the ac vity and loca on related to pa ent risk, the amount of dust generated, the dura on of the ac vity, and the amount of shared HVAC systems.

Class I project: includes inspec on & non invasive ac vi es (e.g... limited to 1 ceiling le per 50 ; minor trim work).

Class I I project: includes small scale, short dura on ac vi es that create minimal dust, (e.g. installa on of telephone or comput er cables, access to chase spaces, cu ng of walls or ceilings where dust can be controlled).

Class III project: includes any work which generates a moderate to high level of dust or requires demoli on or removal of any xed components or assemblies, (e.g, removal of oor coverings).

Class IV project: includes major demoli on and construc on projects.

For ques ons, contact the Infec on Preven onist Mon Fri (except holidays) 7:30 am 4:00 pm at 203 379 8677

Contractors will evaluate environmental aspects and impacts from the project and comply with applicable EPA, CT DEEP and VACHS Environmental programs which include:

1. Clean Air Act (boilers, generators, ETO, HAP emission, etc.)

2. Clean Water Act, Safe Drinking Water Act (waste water, storm water protec on, sediment and erosion control)

3. Underground/ Above ground Storage Tanks

4. Na onal Environmental Policy Act (NEPA)

5. Resource Conserva on and Recovery Act (RCRA)= solid waste, hazardous waste, universal waste, used oil recycling)

6. Toxic Substances Control Act (TSCA, asbestos, lead, PCB, etc.)

7. Energy Independence and Security Act (EISA)

8. CT State and Local Requirements

Waste and Housekeeping:

Construc on areas will comply with OSHA requirements. Waste and debris will be removed by the contractor and disposed of in accordance with environmental regula ons. Contractors will not use VA dumpsters or other trash receptacles for their waste or construc on debris .

Solid Waste Management:

Contractors will evaluate the solid waste to be generated from the project. Reuse and/or recycle construc on debris (e.g. wood, metal, plas c, masonry, used oil) as much as possible. Submit the recycling records to VA Safety O ce.

Hazardous Waste Management:

Contractor will evaluate any hazardous waste to be generated from the project and comply with VACHS's hazardous waste management plan . Recycle uorescent lamps, bulbs, mercury containing equipment, ba eries, used computer and electronics. Submit the recycling records to VA Environmental Safety and Occupa onal Health. All hazardous waste generated from your project shall be reviewed by VA Safety O ce. Any hazardous waste shipment manifests must be approved and signed by a VA Safety O cer who has a current RCRA & DOT training. No chemicals or hazardous materials will be brought on site without prior approval of the (M)SDS.

Hazardous Material Spills:

The CT DEEP de ne a spill as any oil or petroleum products, chemicals, wastes or other poten ally dangerous materials that are released in any manner. Report ALL spills to COR & Safety Hotline at (203) 932 5711 ext.7389 or VA Police at ext.4911 in WH or ext.6911 in Newington. Based on the inventory of oil and hazardous chemicals that will be brought onsite, Contractor shall have available equipment or spill kit that is suitable and sufficient to control a potential spill/ release. *Always use environmental friendly or green products whenever you can. Submit all (M)SDS to your VA contact.

By signing below, I have read and understand the information provided in this literature.

Contractor signature:____________________________________________

Date:_____________________________

Green Environmental Management Systems (GEMS)