36C25622R0062 ILSM .pdf

Attachment A

INTERIM LIFE SAFETY MEASURES (ILSM) EVALUATION SHEET

For Conditions as a Result of Construction

Project No: _ 667-19-101 _ Date: 08/31/21

Project Title: Tuckpoint Main Hospital Bldg. 1

The following ILSM will be evaluated individually and initiated as needed to compensate for conditions as a result of construction. ILSM implementation will be documented on Attachment A-2.

1. Ensuring free and unobstructed exits. Buildings or areas under construction must maintain escape routes at all times for all occupants including construction workers. Affected personnel will be trained on any designated alternate exits (Attachment A-1, Column A). Exits in construction areas will be inspected daily.

Will any exits be obstructed or compromised? Yes No N/A

If yes then:

a. Did the Contracting Officer’s Representative (COR) coordinate and document that affected personnel received training on alternate routes and exits? Yes No N/A

b. Does the construction area(s) have designated and marked exits? Yes No N/A

c. Is the construction area(s) inspected daily to ensure exits are clear? Yes No N/A

2. Ensuring free and unobstructed access to emergency services such as fire department, police etc.

Every building and area will remain accessible and roadways will be maintained unobstructed within

20 feet of all buildings (Attachment A-1, Column B).

a. Were the construction plans reviewed to maintain access for emergency services? Yes No N/A

b. Were the construction areas inspected daily and results recorded? Yes No N/A

c. If necessary, were outside emergency services notified about the construction (Attachment A-1, Column C)? Yes No N/A

d. Were VA Police notified? Yes No N/A

3. Ensuring that fire alarm, detection, and suppression systems are in good working order. A temporary, equivalent system will be provided when any fire system is impaired. Temporary systems will be inspected and tested monthly and results recorded (Attachment A-1, Column D).

Note: The Life Safety Code, NFPA® 101, requires that the municipal fire department be notified and a fire watch be provided whenever an approved fire alarm or automatic sprinkler system is out of service for more than 4 hours in a 24-hour period in an occupied building.

Will any fire systems be impaired? Yes No N/A

If yes then:

a. Are temporary systems inspected and tested monthly and results recorded? Yes No N/A

4. Ensuring that temporary construction partitions are smoke tight and built of noncombustible or limited combustible materials that will not contribute to the development or spread of fire

(Attachment A-1, Column E).

a. Was the contractor briefed at pre-construction conference? Yes No N/A

b. Are areas inspected daily and deficiencies recorded? Yes No N/A

5. Providing additional fire-fighting equipment and training staff in its use. Evaluate the impact to emergency response teams and provide notification, if necessary (Attachment A-1, Columns F and

G).

Will additional fire-fighting equipment be needed? Yes No N/A

If yes then:

a. Was additional training conducted and documented? Yes No N/A

b. Were Code teams notified? Yes No N/A

c. Was the Fire Department notified? Yes No N/A

d. Was the contractor briefed at the pre-construction conference of the need to provide adequate fire fighting equipment and to train the construction workers? Yes No N/A

6. Prohibiting smoking throughout the medical center buildings and in and near the construction areas. Smoking is only allowed in designated areas. The contractor will be briefed on the medical center’s smoking policy at the pre-construction meeting (Attachment A-1, Column H).

Was the contractor briefed on the medical center’s smoking policy? Yes No N/A

7. Developing and enforcing storage, housekeeping, and debris removal practices that reduce the flammable and combustible fire load of the building to the lowest feasible level (Attachment A-1, Column I).

a. Was the contractor briefed at the pre-construction conference of the storage and housekeeping requirements? Yes No N/A

b. Are areas inspected daily and results recorded? Yes No N/A

8. Conducting a minimum of two fire drills per shift per quarter. The COR will inform the Safety

Manager of the need to conduct more fire drills. The Safety Manager will assume responsibility for completing the drills (Attachment A-1, Column J).

a. Are fire drills being conducted as necessary? Yes No N/A

b. Are any additional drills required? Yes No N/A

9. Increasing hazard surveillance of buildings, grounds, and equipment with special attention to excavations, construction areas, construction storage, and field offices (Attachment A-1, Column K).

a. Are areas inspected daily and results recorded in a daily log? Yes No N/A

• Means of egress are clear in construction areas. Yes No N/A

• Access for the fire department and emergency services is clear. Yes No N/A

• Note the status of fire detectors and sprinkler systems. Yes No N/A

• Construction partitions are being maintained. Yes No N/A

• Good housekeeping practices are being used in construction areas. Yes No N/A

• Flammable and combustible fire loads are being kept to a minimum. Yes No N/A

• Buildings, grounds, and equipment are being maintained in a safe Yes No N/A manner.

• Smoking regulations are being enforced. Yes No N/A

10. Training staff to compensate for impaired structural or compartmentalization features of fire safety

(Attachment A-1, Column L).

a. Was all the required staff training completed? Yes No N/A

11. Conducting organization-wide safety education programs to promote awareness of any life safety building deficiencies, construction hazards, and ILSM (Attachment A-1, Column M).

a. Was all the necessary information provided? Yes No N/A

Attachment A-2

Description of Interim Life Safety Measures (ILSM) Used

Based on the responses to the evaluation questions, provide a description of the ILSM that will be implemented during the project to compensate for the deficiency or condition. Attach additional sheets if necessary.

Tuckpoint and Weatherproofing: When generating dust, the contractor will tape and bag the smoke detectors within area under construction. The tape and bags will be removed when workers are not present during construction. The boiler plant operator will deactivate and reactivate the smoke detection system to avoid unnecessary alarms. If stairwell doors are blocked for construction containment, the contractor will cover exit sign and place signage to direct individuals to the nearest exit.

Contractor will place permanent signage and cover exit signs until accessing the location is no longer needed. If stairwell doors are blocked for construction containment, the contractor will cover exit sign and place signage to direct individuals to the nearest exit. As indicated on attached sheet, contractor will hang signage at each location using a sign stating, “No Exit Due to Construction,” adding directional signage to the next nearest exit, and covering corridor exit signs. The contractor will remove signage after removing temporary barriers. Roof/entrances will need protection from falling desbris.

Signatures required as indicated below. Completed form will be maintained in the project file.

Project COR: Date:

Reviewers:

Safety Specialist: Date:

Chief Engineer: Date:

vhashrlanhaa Typewritten Text 09/08/2021