36C25622R0094 Project Risk Assessment .pdf

Project Risk & Impact Assessment Date of Print Review: 5/14/2020 Demolition Start Date: TBD

Estimated Project Length: 365 Days Areas Effected by the Project:

Building SPS

Required OSHA Training: (10hr, 30hr)

Scope of Project: Project 502-19-107 Replace AHU- 104 Building 7

Services Render Inoperative: Overall EOC Effect to Which Areas: Building 7 All floors, SPS7 Penthouse

High Interest Assessment Items

Construction Specific

Operational Impact

Team Involvement

Noise Type: 111 Drilling 0 Blasting III Pounding 0 Heavy Equipment 0 Motors El Other:

X Asbestos

High

Severity: D Low 0 Mild 0 Moderate D High IA Severe Duration: D Short 0 Brief D. Intermittent 0 Frequent C] Prolonged 0 Continuous

Vibration

Access and Waiting Areas X Medium Type: 0 Primary' Secondary 0 Other:

Severity: 0 Low Mild CA Moderate 0 High 0 Severe Duration: II Short 0 Brief D Intermittent D Frequent 0 Prolonged O Continuous

ILSM X Infection Control Hazards

Low

Air Quality Issues Type: ll Fumes II Dust El Mold O Smoke 0 Chemicals Severity: 'Low 0 Mild 0 Moderate 0 High 0 Severe Duration: Short D Brief O Intermittent 0 Frequent El Prolonged D Continuous

Security Systems Impaired

X Utility Issues Type:. HVAC CI Med Gas Cl Power 0 Water 0 Suction Impact: 0 Modified Operational 111 Shut Down Duration: D Short D Brief D Intermittent D Frequent 0 Prolonged II Continuous

Overcrowding/Patient Flow

Impaired Access to Facility

Patient Care Effected

Comments

All employee notification on ISLM issued during the construction of this project

Trenching/Shoring/Holes

Heat or Flames

Electrical Work

Limit Access to Care

X Overhead Hazards/Crain Operation

Clinical Alarms Impairment

X Hot Work Permits

Generator Power

Fire Plan Required

Equipment Modifications

Fall Protection

Air/Oxygen/Suction (AOV)

Lighting X Smoke Producing Operations

Portable Heaters X Weekly Inspections required

Access to IT closets

Access to IT data systems

X Fire Wall Penetrations

VISN Notifications

Other Special Needs or Considerations Recommendations:

Chief Engineering Service: h 4 - ' i.t»-- //AT' c4.: 4- cf q Date: C Facilities Safety Manager: , 1 Date:

Patient Safety Manager: .e.,,,,,-.2„,,<_ -7c-a.„t_e_467-- --e.._ Date: 6///0_,, 4.0 AFGE Safety Representative: Date:

Infection Control Nurse: glifa....4 „, ( e4 ,..., 44 Date:071 / 40" Green Environmental Manager: 4 „......- tiri.1- / _ .. Date: -; - 7_1.-- Z. Z.--)

Emergency Management: , .--' , ..._ Date: 5--_ z, 4, _ w z_,.., Employee Health: (\ ,-

Date:

Police Service: I

Date: (9 - I r• zoetb—

Project C.O.R.: Date: 7_ t_z62,:„ Revised: 04/19

ALEXANDRIA VA HEALTH CARE SYSTEM

CONSTRUCTION PROJECT BLUE PRINT AND IN FIELD

SAFETY AND HEALTH ASSESSMENT RISK BASED CRITERIA .

CLASS

' 1,1 1 IVIA'i IR: t:Al 1

'1-11 iN1) 1(; (0111)1

RISK

11! 1

1 CI 1 )1\'Hi 1;1. ('i ON

PRECAUTIONS REQUIRED CONSTRUCTION ACTIVITY

CLASS

I

Type A: Inspection and Non-Invasive Activities.

Includes, but is not limited to:

1. Small scale removal of ceiling tiles for visual inspection or minor installation.

2. Painting (but not sanding).

3. Wall covering, electrical trim work, minor plumbing, and activities that do not generate dust or require cutting of walls.

Low or Moderate

Risk Patients Only

High Risk Requires Class II

Precautions

1. Execute work by methods to minimize raising dust from construction operations.

2. Immediately replace a ceiling tile displaced for visual inspection.

CLASS

II

Type B: Small scale, short duration activities that create minimal dust.

Includes, but is not limited to:

1. Access to chase spaces.

2. Cutting of walls or ceiling where dust migration can be controlled.

3. Installation of telephone and computer cabling

Low or Moderate

Risk Patients Only

High Risk R equires5.

Class III

Precautions

1.Notify staff in the immediate area.

2. Provide active means to prevent airborne dust from dispersing into air.

3. Water mist work surfaces while cutting.

4. Seal unused doors with duct tape.

Block off and seal air vents.

6. Place dust mat at entrance/exit of area.

7. Contain construction waste before transport in tightly covered containers.

8. Upon completion, wipe work surfaces with disinfectant, wet mop and/or vacuum and remove isolation of HVAC system.

Type C: Work that generates a moderate to high level of dust or requires demolition or removal of any fixed building components and assemblies or new construction.

Includes, but is not limited to:

1. Sanding of walls for painting or wall covering,

2. Removal of floor coverings, ceiling tiles, and casework.

3. New wall construction.

4. Uncontained duct, HVAC or electrical work above ceiling.

5. Major cabling activities,

6. Any other project where high levels of dust are generated.

Moderate or High-Risk Patients

Only Low Risk Requires Class II

Precautions

In addition to Class II Precautions above, 1.Obtain IC concurrence before construction begins.

2. Complete all critical barriers, i.e., sheetrock, plywood, plastic, to seal from non-work area or implement control cube method (cart with plastic covering/sealed connection to work site with vacuuming prior to exit) before construction begins.

3. Isolate HVAC system in area and maintain negative air pressure within work site.

4. Cover transport receptacles or carts.

5. Seal holes, pipes, conduits, and punctures.

6. Personnel required ensuring shoes are not tracking when leaving the work site.

7. Upon completion, do not remove barriers until inspected by Safety and IC and thoroughly cleaned by EMS. Remove barrier materials carefully to minimize spreading of dirt and debris.

PATIENT RISK GROUP

Medium Risk Grou •

Administrative Offices Lobbies PubliGerriclors

Outpatient, Urgent Care and Primary Care Clinics Laboratory

-and -Medicine

SPD Storage/Sterilization TB Negative Pressure isolation rooms

Elevators Day Rooms Canteen Retail Store

RadiologyNuclear

Physical Therapy Respiratory Therapy Pharmacy Food Services Interim Care and Medical Units

Operating Room Urgent Care Morgue

ALEXANDRIA VA HEALTH CARE SYSTEM

CONSTRUCTION PROJECT BLUEPRINT AND IN FIELD

SAFETY AND HEALTH ASSESSMENT RISK BASED CRITERIA

Location of Construction: Building 7 Various, & SPS

Project Start Date: TBD

Contractor Performing Work: Estimated Duration. 365 Days

Type A: Inspection, non-invasive, minor X Low Risk X Low Risk

Type B: Small scale, short duration, moderate levels.

Medium Risk

Medium Risk

X Type C: Major activity generates moderate to high levels of dust.

High Risk

High Risk

INFECTION CONTROL PRECAUTIONS

TBR,stcAssessmen Base upon CDC Guidelines for preventing the transmission of TB in Health-Care Setting 2005

X Low Risk <3 TB Patients/year Inpatient & Outpatient

Medium Risk > 3 TB Patients/year Inpatient & Outpatient

Potential on Going Transmission Evidence of ongoing M. Tubercubsis

Transmission regardless of setting.

Construction Site Location

Low Risk: Administrative Offices, Lobbies, Public Corridors, Elevators, Day Rooms, Canteen Retail Store, Pharmacy and Food Services

Medium Risk: Outpatient, Urgent Care and Primary Care Clinics, Laboratory, Radiology and Nuclear Medicine, Physical Therapy, and Respiratory Therapy x High Risk: SPD Storage/Sterilization, Intensive Care Units, TB Negative Pressure isolation rooms, Operating Room, Emergency Room, Morgue, Laboratory TB testing room

Patient Population

X Low risk: 0 - 37

Medium Risk: 38 - 75

High Risk: 76— 111+

Hospital Layout

Low risk:

Office Areas Lobbies/Corridors Mechanical Rooms And any other area with exceptions listed in the Medium or High risk

Medium Risk:

Building 7- Yellow team, Green team, Blue team, Dental, Radiology, Gold Team, Short Stay, Surgery, Women's Health, Rehabilitation Medicine, Cardiology Patient Services, Respiratory Therapy, Patient rooms Building 45 Building 9- Mental Health

X High Risk:

Urgent care Rm Endoscopy Rm Morgue Outpatient Surgery Pharmacy Recovery Surgical units Sterile Processing Negative pressure rooms

Overall Risk Assessment

Low risk: No TB test required for this project.

^ X

Medium Risk: Annual TB test is required by all construction workers for this project.

High Risk: TB test within 90 days prior to construction is required by all construction workers for this project.

CLASS

I

1. Execute work by methods to minimize raising dust from construction operations.

2. Immediately replace any ceiling tile displaced for visual inspection.

II— .

1. Provides active means to prevent air-borne dust from 5. Place dust mat at entrance and exit of work area.

dispersing into atmosphere. 6. Contain construction waste before transport in tightly

Water mist-work surfaces to control-dust-while-cuthng.

3. Seal unused doors with duct tape. 7. Upon completion, wipe work surfaces with disinfectant,

4. Block off and seal air vents, wet mop and/or vacuum and remove isolation of HVAC system.

III

In addition to Class II Precautions above, 5. Seal holes, pipes, conduits, and punctures

1. Obtain IC concurrence before construction begins. appropriately

2. Complete all critical barriers or implement control cube 6. Personnel are required to ensure shoes are not method before construction begins, tracking dust and soil when leaving the work site.

3. Control airflow: Isolate HVAC system in areas where 7. Upon completion, do not remove barriers until work is being performed and maintain negative air inspected by Safety and Infection Control and thoroughly pressure within work site. cleaned by EMS. Remove barrier materials carefully to

4. Cover transport receptacles or carts. minimize spreading of dirt and debris.

INTERIM LIFE SAFETY MEASURES

INTERIM LIFE SAFETY MEASURE

LOCATION: REASON: ILSM Start Date:

ESTIMATED COMPLETION: ILSM Implemented: POC:

ILSM Problems/Issue(s):

ILSM Action(s) Taken:

MANDATORY ILSM SURVEY ITEMS STATUS

Item Yes No Comments

1. Exits free and unobstructed egress

2. Free and unobstructed emergency vehicle access

3. Fire alarm systems not impaired or equivalent

4. Temporary partition are smoke tight

5. Additional fire fighting equipment

6. Prohibit smoking

7. Ensure housekeeping standards

8. Two drills qtr where ILSM are evident

9. Increased hazard surveillance's

10.Training personnel of changes in procedures

11.0rganizational wide awareness of ILSM

ILSM Action Items from Above

Target Date Completion Date Problems Noted

Dates of Drills

COMMENTS:

12) Special care units (CCU, MICU, SICU).

X

o. Shall emergency shutoff valves or isolation valve of any system be affected.

1) Inside work area only.

2) Adjacent occupied areas.

p. Shall modifications/additions require updating existing policies for emergency response/reporting actual procedures?

q. Will there be any work performed within "confined work spaces?"

r. Shall HVAC systems be shut down during the construction work? X

s. If an "Engineered Smoke Control System" exists, will it be affected? X

t. Shall the work require readying other space to relocate existing functions?

u. If other areas are needed for domino moves, has each area been analyzed separately via attaching a completed work sheet to this plan for the other area(s)?

v. Shall any "Hot Work" activities be required during construction? X

w. Shall exterior excavation/trenching be performed during construction?

x. Are any hazardous chemicals within the existing space?

y. Are any flammable storage areas within existing space?

z. Will asbestos or asbestos containing materials be associated with this work? X

FORM DISPOSITION: RETURN TO THE SAFETY STAFF FOR EVALUATION.

SECTION 2- SAFETY STAFF USE ONLY

(The following discussion for each item marked "Y" shall state interim measures to be taken or initiated).

Chief Engineering Service: 7,4t,tZL fi -&-.4- (aev-,cti at. , Date: --0- 24220 Facilities Safety Manager i

Date: 5---41r,--ao 2.6 Patient Safety Manager: -.--,0-, ----4_

AFGE Safety Representative:

Infection Control Nurse: (i4A,2114- .4%40%- X404-7,--•""

Date: 6,///.0 z_a

Green Environmental Manager:

Date: s'-- z--z- Z. L.

Emergency Management: / C ge,----,---

Date: 5-- z2, - - eoz...0

Employee Health: .9..ses._.,„1‘ g

Date: cS-zt: -20-ea Police Service:

Date: 6 - Project C.O.R.: 1 p A bkota4 00

# "'l..-

Date-7..¼

SL-Dcyl 4

Building 7 - Replace AHUs, Project No. 502-19-103 09-01-16 Alexandria VAMC, Alexandria, LA

1.1

1.2

1.3

SECTION 01 35 26

SAFETY REQUIREMENTS

TABLE OF CONTENTS

APPLICABLE PUBLICATIONS

DEFINITIONS

REGULATORY REQUIREMENTS

1.4 ACCIDENT PREVENTION PLAN (APP)

1.5 ACTIVITY HAZARD ANALYSES (AHAs)

1.6 PRECONSTRUCTION CONFERENCE

1.7 "SITE SAFETY AND HEALTH OFFICER" (SSHO) and "COMPETENT PERSON"

(CP)

1.8 TRAINING

1.9 INSPECTIONS

1.10 ACCIDENTS, OSHA 300 LOGS, AND MAN-HOURS

1.11 PERSONAL PROTECTIVE EQUIPMENT (PPE)

1.12 INFECTION CONTROL

1.13 TUBERCULOSIS SCREENING

1.14 FIRE SAFETY

1.15 ELECTRICAL

1.16 FALL PROTECTION

1.17 SCAFFOLDS AND OTHER WORK PLATFORMS

1.18 EXCAVATION AND TRENCHES

1.19 CRANES

20 ENERGY1 CONTROL OF HAZARDOUS ( G )

1.21 CONFINED SPACE ENTRY

1.22 WELDING AND CUTTING

1.23 LADDERS

1.24 FLOOR & WALL OPENINGS

01 35 26 -1

Alexandria VAMC, Alexandria, LA

F. The Joint Commission (TJC)

TJC - Manual Comprehensive Accreditation and Certification Manual

G. U.S. Nuclear Regulatory Commission

10 CFR 20 - Standards for Protection Against Radiation

H. U.S. Occupational Safety and Health Administration (OSHA):

29 CFR 1904 - Reporting and Recording Injuries & Illnesses

29 CFR 1910 - Safety and Health Regulations for General Industry

29 CFR 1926 - Safety and Health Regulations for Construction

Industry

CPL 2-0.124 - Multi-Employer Citation Policy

I. VHA Directive 2005-007

J. VHA Directive 2011-036 with FAR Clause 52.236-13, Accident

Prevention

1 2 DEFINITIONS:

A. Critical Lift. A lift with the hoisted load exceeding 75% of the crane's maximum capacity; lifts made out of the view of the operator (blind picks); lifts involving two or more cranes;

personnel being hoisted; and special hazards such as lifts over occupied facilities, loads lifted close to power-lines, and lifts in high winds or where other adverse environmental conditions exist; and any lift which the crane operator believes is critical.

B. OSHA "Competent Person" (CP). One who is capable of identifying existing and predictable hazards in the surroundings and working conditions which are unsanitary, hazardous or dangerous to eitipluyee, dill who h 6 Lhe duLIioL1zdL1oIi Lu Lo e p umpL uui e Live measures to eliminate them (see 29 CFR 1926.32(rn.

C. "Qualified Person" means one who, by possession of a recognized degree, certificate, or professional standing, or who by extensive knowledge, training and experience, has successfully demonstrated his ability to solve or resolve problems relating to the subject matter, the work, or the project.

01 35 26 -3

E. Medical Treatment. Treatment administered by a physician or by registered professional personnel under the standing orders of a physician. Medical treatment does not include first aid treatment even through provided by a physician or registered personnel.

1.3 REGULATORY REQUIREMENTS:

A. In addition to the detailed requirements included in the provisions of this contract, comply with 29 CFR 1926, comply with

29 CFR 1910 as incorporated by reference within 29 CFR 1926, comply with ASSE A10.34, and all applicable [federal, state, and local] laws, ordinances, criteria, rules and regulations. Submit matters of interpretation of standards for resolution before starting work. Where the requirements of this specification, applicable laws, criteria, ordinances, regulations, and referenced documents vary, the most stringent requirements govern except with specific approval and acceptance by the Resident

Engineer or Contracting Officer Representative or Government

Designated Authority.

1.4 ACCIDENT PREVENTION PLAN (APP):

A. The APP (aka Constpiction Safety & Health Plan) shall interface with the Contractor's overall safety and health program. Include any portions of the Contractor's overall safety and health program referenced in the APP in the applicable APP element and ensure it is site-specific. The Government considers the Prime Contractor to be the

"controlling authority" for all worksite safety and health of each subcontractor(s). Contractors are responsible for informing their subcontractors of the safety provisions under the terms of the contract and the penalties for noncompliance, coordinating the work to prevent one craft from interfering with or creating hazardous working conditions for other crafts, and inspecting subcontractor operations to ensure that accident prevention responsibilities are being carried out.

B. The APP shall be prepared as follows:

01 35 26 -5 employees. The Contractor's written safety program goals, objectives, and accident experience goals for this contract should be provided.

d. RESPONSIBILITIES AND LINES OF AUTHORITIES. Provide the following:

1)A statement of the employer's ultimate responsibility for the implementation of his SOH program;

2)Identification and accountability of personnel responsible for safety at both corporate and project level. Contracts specifically requiring safety or industrial hygiene personnel shall include a copy of their resumes.

3)The names of Competent and/or Qualified Person(s) and proof of competency/qualification to meet specific OSHA

Competent/Qualified Person(s) requirements must be attached.;

4)Requirements that no work shall be performed unless a designated competent person is present on the job site;

5)Requirements for pre-task Activity Hazard Analysis (AHAs);

6)Lines of authority;

7)Policies and procedures regarding noncompliance with safety requirements (to include disciplinary actions for violation of safety requirements) should be identified;

e. SUBCONTRACTORS AND SUPPLIERS. If applicable, provide procedures for coordinating SOH activities with other employers on the job site:

1)Identification of subcontractors and suppliers (if known);

2)Safety responsibilities of subcontractors and suppliers.

TRAINING.f.—

1)Site-specific SOH orientation training at the time of initial hire or assignment to the project for every employee before working on the project site is required.

2)Mandatory training and certifications that are applicable to this project (e.g., explosive actuated tools, crane operator, 01 35 26 -7 applicable occupational, patient, and public safety risks in site-specific compliance and accident prevention plans. These Plans shall include but are not be limited to procedures for addressing the risks associates with the following:

1)Emergency response;

2)Contingency for severe weather;

3)Fire Prevention;

4)Medical Support;

5)Posting of emergency telephone numbers;

6)Prevention of alcohol and drug abuse;

7)Site sanitation(housekeeping, drinking water, toilets);

8)Night operations and lighting;

9)Hazard communication program;

10)Welding/Cutting "Hot" work;

11)Electrical Safe Work Practices (Electrical LOTO/NFPA 70E);

12)General Electrical Safety;

13)Hazardous energy control (Machine LOTO);

14)Site-Specific Fall Protection & Prevention;

15)Excavation/trenching;

16)Asbestos abatement;

17)Lead abatement;

18)Crane Critical lift;

19)Respiratory protection;

20)Health hazard control program;

21)Radiation Safety Program;

22)Abrasive blasting;

23)Heat/Cold Stress Monitoring;

01 35 26 -9 prepare an AHA (Example electronic AHA forms can be found on the US

Army Corps of Engineers web site)

B. AHAs shall define the activities being performed and identify the work sequences, the specific anticipated hazards, site conditions, equipment, materials, and the control measures to be implemented to eliminate or reduce each hazard to an acceptable level of risk.

C. Work shall not begin until the AHA for the work activity has been accepted by the Resident Engineer or Contracting Officer Representative or Government Designated Authority and discussed with all engaged in the activity, including the Contractor, subcontractor(s), and

Government on-site representatives at preparatory and initial control phase meetings.

1. The names of the Competent/Qualified Person(s) required for a particular activity (for example, excavations, scaffolding, fall protection, other activities as specified by OSHA and/or other State and Local agencies) shall be identified and included in the AHA.

Certification of their competency/qualification shall be submitted to the Government Designated Authority (GDA) for acceptance prior to the start of that work activity.

2. The AHA shall be reviewed and modified as necessary to address changing site conditions, operations, or change of competent/qualified person(s).

a. If more than one Competent/Qualified Person is used on the AHA activity, a list of names shall be submitted as an attachment to the

AHA. Those listed must be Competent/Qualified for the type of work involved in the AHA and familiar with current site safety issues.

b. If a new Competent/Qualified Person (not on the original list) is added, the list shall be updated (an administrative action not requiring an updated AHA). The new person shall acknowledge in writing that he or she has reviewed the AHA and is familiar with current site safety issues.

3. Submit AHAs to the Resident Engineer or Contracting Officer

Representative or Government Designated Authority for review for compliance with contract requirements in accordance with Section 01 33

23, SHOP DRAWINGS, PRODUCT DATA AND SAMPLES for review at least 15

01 35 26 -11 that on the advice of VA construction safety representatives involves hazardous operations that might endanger the safety of the public, patients and/or Government personnel or property, the SSHO and

Superintendent and/or Quality Control Manager must be separate persons

(See Section 1.7(C) for choice).

1.7 "SITE SAFETY AND HEALTH OFFICER" (SSHO) AND "COMPETENT PERSON" (CP):

A. The Prime Contractor shall designate a minimum of one SSHO at each project site that will be identified as the SSHO to administer the

Contractor's safety program and government-accepted Accident Prevention

Plan. Each subcontractor shall designate a minimum of one CP in compliance with 29 CFR 1926.20 (b)(2) that will be identified as a CP to administer their individual safety programs.

B. Further, all specialized Competent Persons for the work crews will be supplied by the respective contractor as required by 29 CFR 1926 (i.e.

Asbestos, Electrical, Cranes, & Derricks, Demolition, Fall Protection, Fire Safety/Life Safety, Ladder, Rigging, Scaffolds, and

Trenches/Excavations).

C. These Competent Persons can have collateral duties as the subcontractor's superintendent and/or work crew lead persons as well as fill more than one specialized CP role (i.e. Asbestos, Electrical, Cranes, & Derricks, Demolition, Fall Protection, Fire Safety/Life

Safety, Ladder, Rigging, Scaffolds, and Trenches/Excavations).

D. The SSHO or an equally-qualified Designated Representative/alternate will maintain a presence on the site during construction operations in accordancb with FAR Clause 52.236-6: Superintendence by the Contractor.

CPs will maintain presence during their construction activities in accordance with above mentioned clause. A listing of the designated

SSHO and all known CPs shall be submitted prior to the start of work as part of the APP with the training documentation and/or AMA as listed in

Section 1.8 below.

E. The repeated presence of uncontrolled hazards during a contractor's work operations will result in the designated CP as being deemed incompetent and result in the required removal of the employee in accordance with FAR Clause 52.236-5: Material and Workmanship, Paragraph (c).

01 35 26 -13 accident reporting etc... Documentation shall be provided to the

Resident Engineer that individuals have undergone contractor's safety briefing.

G. Ongoing safety training will be accomplished in the form of weekly documented safety meeting.

1.9 INSPECTIONS:

A. The SSHO shall conduct frequent and regular safety inspections (daily) of the site and each of the subcontractors CPs shall conduct frequent and regular safety inspections (daily) of the their work operations as required by 29 CFR 1926.20(b)(2). Each week, the SSHO shall conduct a formal documented inspection of the entire construction areas with the subcontractors' "Trade Safety and Health CPs" present in their work areas. Coordinate with, and report findings and corrective actions weekly to Resident Engineer or Contracting Officer Representative or

Government Designated Authority.

1.10 ACCIDENTS, OSHA 300 LOGS, AND MAN-HOURS:

A. The prime contractor shall establish and maintain an accident reporting, recordkeeping, and analysis system to track and analyze all injuries and illnesses, high visibility incidents, and accidental property damage (both government and contractor) that occur on site.

Notify the Resident Engineer or Contracting Officer Representative or

Government Designated Authority as soon as practical, but no more than four hours after any accident meeting the definition of a Moderate or

Major incident, High Visibility Incidents, or any weight handling and hoisting equipment accident. Within notification include contractor name; contract title; type of contract; name of activity, installation or location where accident occurred; date and time of accident; names of personnel injured; extent of property damage, if any; extent of injury, if known, and brief description of accident (to include type of and evidence on the accident site until the Resident Engineer or

Contracting Officer Representative or Government Designated Authority determine whether a government investigation will be conducted.

B. Conduct an accident investigation for all Minor, Moderate and Major incidents as defined in paragraph DEFINITIONS, and property damage accidents resulting in at least $20,000 in damages, to establish the

01 35 26 -15 appropriate safety glasses meeting the ANSI Z.87.1 standard must be worn by each person on site.

3.Appropriate Safety Shoes - based on the hazards present, safety shoes meeting the requirements of ASTM F2413-11 shall be worn by each person on site unless written authorization is given by the

Resident Engineer or Contracting Officer Representative or

Government Designated Authority in circumstances of no foot hazards.

4.Hearing protection - Use personal hearing protection at all times in designated noise hazardous areas or when performing noise hazardous tasks.

1.12 INFECTION CONTROL

A. Infection Control is critical in all medical center facilities.

Interior construction activities causing disturbance of existing dust, or creating new dust, must be conducted within ventilation-controlled areas that minimize the flow of airborne particles into patient areas.

Exterior construction activities causing disturbance of soil or creates dust in some other manner must be controlled.

B. An ABA associated with infection control will be performed by VA personnel in accordance with FGI Guidelines (i.e. Infection Control

Risk Assessment (ICRA)). The ICRA procedure found on the American

Society for Healthcare Engineering (ASHE) website will be utilized.

Risk classifications of Class II or lower will require approval by the

Resident Engineer or Contracting Officer Representative or Government

Designated Authority before beginning any construction work. Risk classifications of Class III or higher will require a permit before beginning any construction work. Infection Control permits will be issued by the Resident Engineer. The Infection Control Permits will be posted outside the appropriate construction area. More than one permit may be issued for a construction project if the work is located in separate areas requiring separate classes. The primary project scope area for this project is: Class III control, however, work outside the primary project scope area may vary. The required infection control precautions with each class are as follows:

1. Class I requirements:

a. During Construction Work:

01 35 26 -17

4)Upon completion, restore HVAC system where work was performed

5)Notify the Resident Engineer or Contracting Officer

Representative or Government Designated Authority

3. Class III requirements:

a. During Construction Work:

1) Obtain permit from the Resident Engineer or Contracting

Officer Representative or Government Designated

Authority

2) Remove or Isolate HVAC system in area where work is being done to prevent contamination of duct system.

3) Complete all critical barriers i.e. sheetrock, plywood, plastic, to seal area from non-work area or implement control cube method (cart with plastic covering and sealed connection to work site with HEPA vacuum for vacuuming prior to exit) before construction begins.

Install construction barriers and ceiling protection carefully, outside of normal work hours.

4) Maintain negative air pressure, 0.01 inches of water gauge, within work site utilizing HEPA equipped air filtration units and continuously monitored with a digital display, recording and alarm instrument, which must be calibrated on installation, maintained with periodic calibration and monitored by the contractor.

5) Contain construction waste before transport in tightly covered containers.

6) Cover transport receptacles or carts. Tape covering unless solid lid.

b. Upon Completion:

1) Do not remove barriers from work area until completed project is inspected by the Resident Engineer or

Contracting Officer Representative or Government

01 35 26 -19

5) Seal holes, pipes, conduits, and punctures.

6) Construct anteroom and require all personnel to pass through this room so they can be vacuumed using a HEPA vacuum cleaner before leaving work site or they can wear cloth or paper coveralls that are removed each time they leave work site.

7) All personnel entering work site are required to wear shoe covers. Shoe covers must be changed each time the worker exits the work area.

b. Upon Completion:

1) Do not remove barriers from work area until completed project is inspected by the Resident Engineer or

Contracting Officer Representative or Government

Designated Authority with thorough cleaning by the VA

Environmental Services Dept.

2) Remove construction barriers and ceiling protection carefully to minimize spreading of dirt and debris associated with construction, outside of normal work hours.

3) Contain construction waste before transport in tightly covered containers.

4) Cover transport receptacles or carts. Tape covering unless solid lid.

5) Vacuum work area with HEPA filtered vacuums.

6) Wet mop area with cleaner/disinfectant.

7) Upon completion, restore HVAC system where work was performed.

8) Return permit to the Resident Engineer or Contracting

Officer Representative or Government Designated

Authority.

C. Barriers shall be erected as required based upon classification

(Class III & IV requires barriers) and shall be constructed as follows:

01 35 26 -21

3. Dust proof, one-hour fire-rated drywall

4. High Efficiency Particulate Air-Equipped filtration machine rated at 95% capture of 0.3 microns including pollen, mold spores and dust particles. HEPA filters should have ASHRAE

85 or other prefilter to extend the useful life of the

HEPA. Provide both primary and secondary filtrations units.

Maintenance of equipment and replacement of the HEPA filters and other filters will be in accordance with manufacturer's instructions.

5. Exhaust Hoses: Heavy duty, flexible steel reinforced;

Ventilation Blower Hose

6. Adhesive Walk-off Mats: Provide minimum size mats of 24 inches x 36 inches

7. Disinfectant: Hospital-approved disinfectant or equivalent product

8. Portable Ceiling Access Module

E. Before any construction on site begins, all contractor personnel involved in the construction or renovation activity shall be educated and trained in infection prevention measures established by the medical center.

F. A dust control program will be establish and maintained as part of the contractor's infection preventive measures in accordance with the FGI

Guidelines for Design and Construction of Healthcare Facilities. Prior to start of work, prepare a plan detailing project-specific dust protection measures with associated product data, including periodic status reports, and submit to Resident Engineer and Facility CSC for review for compliance with contract requirements in accordance with

Section 01 33 23, SHOP DRAWINGS, PRODUCT DATA AND SAMPLES.

G. Medical center Infection Control personnel will monitor for airborne disease (e.g. aspergillosis) during construction. A baseline of conditions will be established by the medical center prior to the start of work and periodically during the construction stage to determine impact of construction activities on indoor air quality with safe thresholds established.

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I. Final Cleanup:

1. Upon completion of project, or as work progresses, remove all construction debris from above ceiling, vertical shafts and utility chases that have been part of the construction.

2. Perform HEPA vacuum cleaning of all surfaces in the construction area. This includes walls, ceilings, cabinets, furniture (built-in or free standing), partitions, flooring, etc.

3. All new air ducts shall be cleaned prior to final inspection.

J. Exterior Construction

1. Contractor shall verify that dust will not be introduced into the medical center through intake vents, or building openings.

HEPA filtration on intake vents is required where dust may be introduced.

2. Dust created from disturbance of soil such as from vehicle movement will be wetted with use of a water truck as necessary

3. All cutting, drilling, grinding, sanding, or disturbance of materials shall be accomplished with tools equipped with either local exhaust ventilation (i.e. vacuum systems) or wet suppression controls.

1.13 TUBERCULOSIS SCREENING

A. Contractor shall provide written certification that all contract employees assigned to the work site have had a pre-placement tuberculin screening within 90 days prior to assignment to the worksite and been found have negative TB screening reactions. Contractors shall be required to show documentation of negative TB screening reactions for any additional workers who are added after the 90-day requirement before they will be allowed to work on the work site. NOTE: This can be the Center for Disease Control (CDC) and Prevention and two-step skin testing or a Food and Drug Administration (FDA)-approved blood test.

1. Contract employees manifesting positive screening reactions to the tuberculin shall be examined according to current CDC guidelines prior to working on VHA property.

01 35 26 -25 penetrations. At door openings, install Class C, hour fire/smoke rated doors with self-closing devices.

2.Install one-hour fire-rated temporary construction partitions as shown on drawings to maintain integrity of existing exit stair enclosures, exit passageways, fire-rated enclosures of hazardous areas, horizontal exits, smoke barriers, vertical shafts and openings enclosures.

3.Close openings in smoke barriers and fire-rated construction to maintain fire ratings. Seal penetrations with listed through-penetration firestop materials in accordance with Section 07 84

00, FIRESTOPPING.

E. Temporary Heating and Electrical: Install, use and maintain installations in accordance with 29 CFR 1926, NFPA 241 and NFPA 70.

F. Means of Egress: Do not block exiting for occupied buildings, including paths from exits to roads. Minimize disruptions and coordinate with

Resident Engineer or Contracting Officer Representative or Government

Designated Authority.

G. Egress Routes for Construction Workers: Maintain free and unobstructed egress. Inspect daily. Report findings and corrective actions weekly to

Resident Engineer or Contracting Officer Representative or Government

Designated Authority.

H. Fire Extinguishers: Provide and maintain extinguishers in construction areas and temporary storage areas in accordance with 29 CFR 1926, NFPA

241 and NFPA 10.

I. Flammable and Combustible Liquids: Store, dispense and use liquids in accordance with 29 CFR 1926, NFPA 241 and NFPA 30.

L. Existing Fire Protection: Do not impair automatic sprinklers, smoke and heat detection, and fire alarm systems, except for portions immediately under construction, and temporarily for connections. Provide fire watch for impairments more than 4 hours in a 24-hour period. Request interruptions in accordance with Article, OPERATIONS AND STORAGE AREAS, and coordinate with Resident Engineer or Contracting Officer

Representative or Government Designated Authority. All existing or temporary fire protection systems (fire alarms, sprinklers) located in

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B. All qualified persons performing electrical work under this contract shall be licensed journeyman or master electricians. All apprentice electricians performing under this contract shall be deemed unqualified persons unless they are working under the immediate supervision of a licensed electrician or master electrician.

C. All electrical work will be accomplished de-energized and in the

Electrically Safe Work Condition ( refer to NFPA 70E for Work Involving

Electrical Hazards, including Exemptions to Work Permit). Any

Contractor, subcontractor or temporary worker who fails to fully comply with this requirement is subject to immediate termination in accordance with FAR clause 52.236-5(c). Only in rare circumstance where achieving an electrically safe work condition prior to beginning work would increase or cause additional hazards, or is infeasible due to equipment design or operational limitations is energized work permitted. The

Resident Engineer or Contracting Officer Representative or Government

Designated Authority with approval of the Medical Center Director will make the determination if the circumstances would meet the exception outlined above. An AHA and permit specific to energized work activities will be developed, reviewed, and accepted by the VA prior to the start of that activity.

1.Development of a Hazardous Electrical Energy Control Procedure is required prior to de-energization. A single Simple

Lockout/Tagout Procedure for multiple work operations can only be used for work involving qualified person(s) de-energizing one set of conductors or circuit part source. Task specific Complex

Lockout/Tagout Procedures are required at all other times.

2.Verification of the absence of voltage after de-energization and lockout/tagout is considered "energized electrical work" (live work) under NFPA 70E, and shall only be performed by qualified persons wearing appropriatp shnrk protective (voltage rated) gloves and arc rate personal protective clothing and equipment, using Underwriters Laboratories (UL) tested and appropriately rated contact electrical testing instruments or equipment appropriate for the environment in which they will be used.

3.Personal Protective Equipment (PPE) and electrical testing instruments will be readily available for inspection by the

01 35 26 -29 the area between the roof or floor edge and the WLS without FP.

FP is required when working outside the WLS.

4. Fall protection while using a ladder will be governed by the OSHA requirements.

1.17 SCAFFOLDS AND OTHER WORK PLATFORMS

A. All scaffolds and other work platforms construction activities shall comply with 29 CFR 1926 Subpart L.

B. The fall protection (FP) threshold height requirement is 6 ft (1.8 m) as stated in Section 1.16.

C. The following hierarchy and prohibitions shall be followed in selecting appropriate work platforms.

1.Scaffolds, platforms, or temporary floors shall be provided for all work except that can be performed safely from the ground or similar footing.

2.Ladders less than 20 feet may be used as work platforms only when use of small hand tools or handling of light material is involved.

3.Ladder jacks, lean-to, and prop-scaffolds are prohibited.

4.Emergency descent devices shall not be used as working platforms.

D. Contractors shall use a scaffold tagging system in which all scaffolds are tagged by the Competent Person. Tags shall be color-coded: green indicates the scaffold has been inspected and is safe to use; red indicates the scaffold is unsafe to use. Tags shall be readily visible, made of materials that will withstand the environment in which they are used, be legible and shall include:

1. The Competent Person's name and signature;

2. Dates of initial and last inspections.

E. Mast Climbing work platforms: When access ladders, including masts designed as ladders, exceed 20 ft (6 m) in height, positive fall protection shall be used.

01 35 26 -31

The second section of the permit for excavations greater than five feet in depth shall include the following:

1.Determination of OSHA classification of soil. Soil samples will be from freshly dug soil with samples taken from different soil type layers as necessary and placed at a safe distance from the excavation by the excavating equipment. A pocket penetronmeter will be utilized in determination of the unconfined compression strength of the soil for comparison against OSHA table (Less than

0.5 Tons/FT2 - Type C, 0.5 Tons/FT2 to 1.5 Tons/FT2 - Type B, greater than 1.5 Tons/FT2 - Type A without condition to reduce to

Type B).

2.Indication of selected protective system (sloping/benching, shoring, shielding). When soil classification is identified as "Type A"' or "Solid Rock", only shoring or shielding or Professional

Engineer designed systems can be used for protection. A

Sloping/Benching system may only be used when classifying the soil as Type B or Type C. Refer to Appendix B of 29 CFR 1926, Subpart P for further information on protective systems designs.

3.Indication of the spoil pile being stored at least 2 feet from the edge of the excavation and safe access being provided within 25 feet of the workers.

4.Indication of assessment for a potential toxic, explosive, or oxygen deficient atmosphere where oxygen deficiency (atmospheres containing less than 19.5 percent oxygen) or a hazardous atmosphere exists or could reasonably be expected to exist.

Internal combustion engine equipment is not allowed in an excavation without providing force air ventilation to lower the concentration to below OSHA PELs, providing sufficient oxygen levels, and atmospheric testing as necessary to ensure safe levels are maintained.

C. As required by OSHA 29 CFR 1926.651(b)(1), the estimated location of utility installations, such as sewer, telephone, fuel, electric, water lines, or any other underground installations that reasonably may be expected to be encountered during excavation work, shall be determined prior to opening an excavation.

01 35 26 -33

2. over any occupied building unless a.The top two floors are vacated

b. or overhead protection with a design live load of 300 psf is provided

1.20 CONTROL OF HAZARDOUS ENERGY (LOCKOUT/TAGOUT)

A. All installation, maintenance, and servicing of equipment or machinery shall comply with 29 CFR 1910.147 except for specifically referenced operations in 29 CFR 1926 such as concrete & masonry equipment

[1926.702(j)], heavy machinery & equipment [1926.600(a)(3)(i)], and process safety management of highly hazardous chemicals (1926.64).

Control of hazardous electrical energy during the installation, maintenance, or servicing of electrical equipment shall comply with

Section 1.15 to include NFPA 70E and other VA specific requirements discussed in the section.

1.21 CONFINED SPACE ENTRY

A. All confined space entry shall comply with 29 CFR 1926, Subpart AA except for specifically referenced operations in 29 CFR 1926 such as excavations/trenches [1926.651(g)].

B. A site-specific Confined Space Entry Plan (including permitting process) shall be developed and submitted to the Resident Engineer and/or other Government Designated Authority //.

1.22 WELDING AND CUTTING

As specified in section 1.14, Hot Work: Perform and safeguard hot work operations in accordance with NFPA 241 and NFPA 51B. Coordinate with

Resident Engineer and/or other Government Designated Authority. Obtain permits from Resident Engineer and/or other Government Designated

Authority at least 24 hours in advance. Designate contractor's responsible project-site fire prevention program manager to permit hot work.

1.23 LADDERS

A. All Ladder use shall comply with 29 CFR 1926 Subpart X.

B. All portable ladders shall be of sufficient length and shall be placed so that workers will not stretch or assume a hazardous position.

01 35 26 -35 coded or equivalent methods (e.g., red or\orange "X"). Workers must be made aware of the meaning for color coding and equivalent methods.

3.Roofing material, such as roofing membrane, insulation or felts, covering or partly covering-openings or holes, shall be immediately cut out. No hole or opening shall be left unattended unless covered.

4.Non-load-bearing skylights shall be guarded by a load-bearing skylight screen, cover, or railing system along all exposed sides.

5.Workers are prohibited from standing/walking on skylights.

- - - EN D - - -

01 35 26 -37