ILSM 660-CSI-115 Dexa Site Prep.pdf

# 1.

YES NO

Fire Alarm System impaired.

# 2.

YES NO

Sprinkler System impaired.

# 3.

YES NO

Egress / Exits Impaired.

# 4.

YES NO

Separation between construction and non-construction space has been degraded / altered.

YES NO

Fire Alarm System out of service more than 4 hours in 24 hour period.

YES NO

Sprinkler System out of service more than 10 hours in 24 hour period.

Temporary Fire Alarm and

Detection Systems - Provide temporary but equivalent fire alarm and detection systems for use when a fire system is impaired. The organization determines when these systems are needed.

Provide Additional

Firefighting Equipment -

Provide additional firefighting equipment. The organization determines when to provide this equipment.

Post Signage - Post signage identifying the location of alternative exits to everyone affected.

Attachment A: Interim Life Safety Measures Assessment for Scheduled Construction Activities

Construction Life Safety

Hazard (#1 thru #4):

Directions: 1) Check 'Yes' or 'No' for Construction Life Safety Hazard Items #1 through #4 2) Check Appropriate ILSM for each column Marked as 'Yes'

Project Name and Number:

ILSMs:

Inspect Exits - Inspects exits in affected areas on a daily basis.

The organization determines when these inspections are needed.

Temporary Construction

Partition Construction - Use temporary construction partitions that are smoke-tight, or made of noncombustible or limited-combustible material that will not contribute to the development or spread of fire.

The organization determines when to use these partitions.

Fire Watch - Increases surveillance of buildings, grounds, and equipment, giving special attention to construction areas and storage, excavation, and field offices. The organization determines when to increase surveillance.

Reduction Combustible Loads -

Enforces storage, housekeeping, and debris-removal practices that reduce the building’s flammable and combustible fire load to the lowest feasible level. The organization determines when these practices are needed.

Firefighting Equipment

Training - Provide additional training to those who work in the organization on the use of firefighting equipment. The organization determines when to provide additional training.

Education - The organization conducts education to promote awareness of building deficiencies, construction hazards, and temporary measures implemented to maintain fire safety. The organization determines when this education is needed.

Situational Awareness

Training - The organization trains those who work in the organization to compensate for impaired structural or compartmental fire safety features. The organization determines when this training is needed.

Additional Fire Drill per

Quarter - The organization does the following: Conducts one additional fire drill per quarter.

The organization determines when these additional fire drills are needed.

Monthly inspection

Temporary Systems - Inspects and tests temporary systems monthly. The completion date of the tests is documented. The organization determines when these inspections and tests are needed.

Fire Department Notification -

Notify fire department of system impairment.

Safety Officer Review: Date:

Additional Assessment Notes:

Implementation: Which ILSM is being implemented and how? Be descriptive on procedures put in place and departments notified.

Assessment Performed By: Date:

Chief of Engineering: Date:

Sprinkler system impairment: Sprinkler Heads need to be turned up if the ceiling is torn down. Replace tiles at the end of the work day if tiles are removed.

Additional Fire Extinguishers should be provided at the site and maintained with monthly and annual inspections.

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