4 - ILSM.pdf
PDF 91 KB Posted
- Attached to
- Yakama Building Automation Controls Federal contract opportunity
- Solicitation number
- 75H70126Q00001
About this file
This document is an Interim Life Safety Measures (ILSM) Preliminary Assessment form designed to evaluate potential life safety risks during a project or situation. The multi-page form provides a comprehensive checklist for assessing and mitigating safety hazards, with sections covering alternative exits, emergency access, fire alarm systems, construction partitions, fire-fighting equipment, smoking prohibitions, hazard surveillance, and safety training.
Key components include evaluating whether the project impacts:
- Emergency room and staff accessibility
- Existing fire detection and suppression systems
- Construction area safety
- Smoking restrictions
- Debris and storage management
- Fire drill frequency
- Personnel training on structural and compartmentation features
The form requires detailed documentation of safety measures, with spaces to specify locations of alternative exits, types of temporary fire systems, additional fire-fighting equipment, and training conducted. Multiple attachments (A-G) are referenced for documenting monitoring, inspections, and training activities. The form is dated February 1997 and appears to be a standard template for ensuring life safety during construction or renovation projects.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1 - SOW Yakama BAS Upgrade.docx | DOCX document | |
| 8 - US DOL WD WA20250119 Dated 9-26-2025.pdf | ||
| 5 - ICRA Construction Matrix 2.0 Assessment Yakama BAS.pdf | ||
| 2 - Yakama Map.png | PNG image | |
| 3 - As-builts.pdf | ||
| B01 75H70126Q00001 - Rev.pdf | ||
| 7 - Pre-Quote Inquiry Form.docx | DOCX document | |
| 6 - Ktr Price Schedule.xlsx | XLSX spreadsheet |
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Text version
INTERIM LIFE SAFETY MEASURES PLAN
PRELIMINARY ASSESSMENT
Area Name
Project Title::
Current Date:
Project and Contract Number :
Description of Project, Situation, and Condition being evaluated:
Departments and/or buildings that will be, or are affected by Project, Situation, or Condition:
Time frame during which Project, Situation, or Condition exists or will exist (give dates):
Life Safety features which are affected by Project, Situation, or Condition (list below)
1.
2.
3.
4.
Is there potential for any of these conditions to impact the life safety of patients, visitors, or staff? Yes/No _____
If No, explain why not?____________________________________________________________
Based on these findings, does this project, situation, or condition warrant the implementation of ILSM? Yes/No _____
Signature of Individual Completing form Date
February 1997 (24−9) 13 TN - ___
INTERIM LIFE SAFETY MEASURES PLAN
IDENTIFIED LIFE SAFETY DEFICIENCIES
Project Title: __________________________________________ Project and Contract Number: ___________________
STATUS
YES NO N/A
1. Have alternative exits been designated as a result of the project, condition, or situation? Yes/No ____ Specify Locations:
2. Are exit routes inspected daily to ensure they are free and unobstructed? Yes/No ____ [Complete attachment C to document monitor inspections]
3. Has training been provided to personnel on the alternative exits ?Yes/No ____ [Use attachment G to document training]
4. Does the project, condition, or situation interfere with the accessibility to and from the emergency room by emergency forces, the public, and/or staff? Yes/No ____
If Yes Specify How
[Complete attachment D to document monitoring]
5. Does the project, condition, or situation impair the existing fire alarm, detection, and/or suppression system in any way? Yes/No ____
If Yes Specify how:
6. Has a temporary, yet equivalent, system been provided? Yes/No ____
If Yes Specify type:
7. Document the dates of the inspection and testing of the temporary system (must be done monthly):
8. Has temporary construction partitions been constructed that are smoke tight and are of noncombustible or limited combustible material? Yes/No ____
If Yes Specify Construction material and locations:
February 1997 (24−9) 14 TN - ___
February 1997 (24−9) 15 TN - ___
STATUS
YES NO N/A
9.
Has additional fire-fighting equipment been provided?
If Yes Specify type, number, and locations:
Yes/No ____
10. Has training on the use of fire-fighting equipment been provided?
[Complete attachment G to document training]
Yes/No ____
11. Has smoking been prohibited in and adjacent to the project? Yes/No ____
12. Are storage, housekeeping, and debris removal practices monitored to reduce the combustible and flammable fire load? Yes/No ____
[Complete attachment E to document monitoring]
13.. Are a minimum of two drills per quarter per shift currently being conducted? Yes/No ____
14. List the dates of drills conducted:
QUARTERS SHIFTS
[List Months Covered in Spaces Below]
FIRST SECOND THIRD
9. Has hazard surveillance been increased to monitor buildings, grounds, and equipment with special attention given to excavations, construction areas, construction storage, and field offices? Yes/No ____
[Complete attachment F to document monitoring]
10. Have personnel been trained when structural and compartmentation features of fire protection are
February 1997 (24−9) 16 TN - ___ compromised? Yes/No ____
[Complete attachment G to document training]
11. Are organization wide safety education programs being conducted to ensure awareness of any LSC deficiency, construction hazard and these ILSM measures? Yes/No ____
[Complete attachment G to document training]
File details come from the government source that posted it. Updated .