660-20-111 Site Prep Patient Lifts - Covid Drawing and safety Doc.pdf

DEPARTMENT OF VETERAN AFFAIRS

VA SALT LAKE CITY HEALTHCARE SYSTEM

PATIENT LIFT

TITLE SHEET

8/2020

Patient Lift

Approved: Medical Center Director

Approved: Chief, EngineeringApproved:

Approved:

Checked Location

Dwg.

Of

Building NumberDrawn

DRAWING No.

Project No.

CADD Information Drawing Title: Project Title Date

Date

Revisions

General Note:

This project is to prepare a total of 20 patient rooms for installation of patient lift by others. see patient lift installation drawings

Coordinate construction with project COR and patient lift installation team.

Provide electrical power outlet maximum of 3 meters from each charging station for each room.

Patch paint and repair any damage created during installation of patient lift installation.

AutoCAD SHX Text

VAMC, SLC UTAH

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text G-01

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text 660-20-101

CHASE

2-BED ROOM

2A03-1TOILET

(PATIENT)

2A03A-1

VAMC, SLC. UTAH.

B.1

CR

A101

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

BED ROOM

2A05-1

TOILET

(PATIENT)

2A03A-1

VAMC, SLC. UTAH.

B.1

CR

A102

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporay isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

BED ROOM

2A07-1TOILET

(PATIENT)

2A07A-1

VAMC, SLC. UTAH.

B.1

CR

A103

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

TOILET

(PATIENT)

2A07A-1

BED ROOM

2A09-1

VAMC, SLC. UTAH.

B.1

CR

A104

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

1-BED (ISOLATION)

2A21A-1

TOILET

(PATIENT)

2A21B-1

ANTE RM.

2A21-1

TOILET

(PATIENT)

2A19A-1

VAMC, SLC. UTAH.

B.1

CR

A105

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

Move existing access panel to new location as required for patient lift.

change 2x4 light to 2x2 LED lighting. Replace associated grid & ceiling tile as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

HAC

2A25-1

1-BED (ISOLATION)

2A23A-1

ANTE RM.

2A23-1

TOILET

(PATIENT)

2A23B-1

VAMC, SLC. UTAH.

B.1

CR

A106

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

Move existing access panel to new location as required for patient lift.

change 2x4 light to 2x2 LED lighting. Replace associated grid & ceiling tile as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

2A22-1

BED ROOM

2A24-1

TOILET

VAMC, SLC. UTAH.

B.1

CR

A107

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

2-BED ROOM

2A26-1

TOILET

(PATIENT)

2A24A-1

VAMC, SLC. UTAH.

B.1

CR

A108

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

2-BED ROOM

2A28-1

TOILET

(PATIENT)

2A28A-1

VAMC, SLC. UTAH.

B.1

CR

A109

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

1-BED ROOM

2A31-1

TOILET

(PATIENT)

2A31A-1

2A25-1

VAMC, SLC. UTAH.

B.1

CR

A110

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the

COVID isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

2 3

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

CORRIDOR

2A00B-1

2-BED ROOM

2A33-1

VAMC, SLC. UTAH.

B.1

CR

A111

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temorary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

CORRIDOR

2A00B-1

2-BED ROOM

2A35-1

TOILET

(PATIENT)

2A33A-1

VAMC, SLC. UTAH.

B.1

CR

A112

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

2A37-1

VAMC, SLC. UTAH.

B.1

CR

A113

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the

COVID isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required..

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2W 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

TOILET

(PATIENT)

2C03A-1

TOILET

(PATIENT)

2C05B-1

1-BED ISOLATION

2C05A-1

ANTE ROOM

2C05-1

VAMC, SLC. UTAH.

B.1

CR

A114

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

Move existing access panel to new location as required for patient lift.

change 2x4 light to 2x2 LED lighting. Replace associated grid & ceiling tile as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2E 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

1-BED ISOLATION

2C14A-1

TOILET

(PATIENT)

2C14B-1

TOILET

(PATIENT)

2C16A-1

ANTE ROOM

2C14-1

VAMC, SLC. UTAH.

B.1

CR

A115

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the

COVID isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

Move existing access panel to new location as required for patient lift.

change 2x4 light to 2x2 LED lighting. Replace associated grid & ceiling tile as required.

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the

COVID isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

Move existing access panel to new location as required for patient lift.

change 2x4 light to 2x2 LED lighting. Replace associated grid & ceiling tile as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2E 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

1-BED ISOLATION

2C16-1

TOILET

(PATIENT)

2C14B-1

TOILET

(PATIENT)

2C16A-1

ANTE ROOM

VAMC, SLC. UTAH.

B.1

CR

A116

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text

SMALL REFER.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 2E 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

2D24-1

TOILET (PATIENT)

2D24A-1

VAMC, SLC. UTAH.

B.1

CR

A117

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 TELE 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

2D26-1

TOILET (PATIENT)

2D26A-1

VAMC, SLC. UTAH.

B.1

CR

A118

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 TELE 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

2D28-1

TOILET (PATIENT)

2D28A-1

VAMC, SLC. UTAH.

B.1

CR

A119

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 TELE 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

CCU-#1 1 BED

2D35-1

VAMC, SLC. UTAH.

B.1

CR

A120

CONSTRUCTION NOTES:

The contractor is to oversee the ICRS, ILSM, CSRA for the installation team

Contractor to relocate any associated ceiling hardware that conflicts with location of installed patient lift.

Repair any damages to the temporary isolation room barriers. and rework any curtain track as required to work with new patient lifts.

Rework temporary anteroom duct to allow for the patient lifts to work as required.

AutoCAD SHX Text Approved: Medical Center Director

AutoCAD SHX Text Approved: Chief, Engineering

AutoCAD SHX Text Checked

AutoCAD SHX Text Location

AutoCAD SHX Text Dwg.

AutoCAD SHX Text Of

AutoCAD SHX Text Building Number

AutoCAD SHX Text Drawn

AutoCAD SHX Text DRAWING No.

AutoCAD SHX Text Project No.

AutoCAD SHX Text Drawing Title:

AutoCAD SHX Text Project Title

AutoCAD SHX Text Date

AutoCAD SHX Text

B.1 TELE 2ND FLOOR

AutoCAD SHX Text

PATIENT LIFT

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

Construction Life Safety

Hazard (#1 thru #4):

# 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 8 hours in 24 hour period.

YES NO

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

ILSMs:

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 NA NA NA NA

Provide Additional Firefighting Equipment - Provide additional firefighting equipment. The organization determines when to provide this NA NA NA NA

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

NA NA NA NA

Inspect Exits - Inspects exits in affected areas on a daily basis. The organization determines when these inspections are needed. NA NA NA NA

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 NA NA NA NA

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 NA NA NA NA

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. NA NA NA NA

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 NA NA NA NA

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: Patient Lift

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

X X

NA NA

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 NA NA NA NA

Additional Fire Drill per Quarter - The organization does the following: Conducts one additional fire drill per quarter. The organization determines when these additional NA NA NA NA

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. NA NA NA NA

Fire Department Notification - Notify fire department of system impairment NA NA NA NA

Chief Engineer Date:

Additional Assessment Notes:

Assessment Performed By: Casey Ryan Date: 8‐17‐2020

Safety Officer Review: Date:

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

Instruct staff in arera of construction on the impairment to fire alarms and sprinkler systems.

Attachment C - Construction Safety Risk Assessment Checklist

Construction Safety Risk Assessment Checklist, VA Salt Lake City Healthcare System

Hazard Likelihood: High: 76% - 100%

Medium: 51% - 75%

Low: 0% - 50%

Identify Hazards Evaluator Is Hazard Likely?

H-M-L

Severity H-M-L

Mitigation Needed?

Y/N Mitigation Strategies

Mitigation Strategies

Implemented?

Comments

**Hazardous Waste/Storage

JCR L L N .

**Chemical Use/ PPE JCR M L Y Users/operators must read the SDS' associated with their products and use PPE accordingly.

• See Hazard Communication below for chemical use requirements.

• See Personal Protective Equipment below for general requirements.

Hazard Communication

JCR M L Y

• Review Safety Data Sheets prior to starting work and whenever new products are introduced into the area.

• Maintain copies on site.

• Ensure all containers are properly labeled with approved GHS labels.

• Provide list of chemicals to Safety/GEMS and upload current SDSs via 3EProtect (formerly 3EOnline) ten days in advance for approval.

• Notify when uploaded.

Respiratory Protection

JCR L L N

Personal Protective Equipment

JCR H H Y

• Minimum requirement are hard hats safety glasses and safety boots.

• Other PPE shall be required based on the Job Hazard Analysis (JHA).

• Wear proper footwear and keep them clean to reduce the potential slipping hazards such as dirt, saw dust, oil, and grease.

• Proper ARC Flash rated PPE to worn when conducting electrical work.

• All PPE to be inspected prior to commencing work.

Fire Protection JCR H H Y

• Establish fire extinguisher locations within job site for easy access.

• Review location with area walk through.

• Maintain housekeeping to prevent accumulation of combustible material.

• Maintain fire and smoke barriers.

Traffic Control & Site Security

JCR M H Y

• All personnel shall wear VA badges.

• Install and maintain controlled access as appropriate. (i.e. fencing, doors, gates)

• Worksite access to remain locked when there is no activity.

• Restrict access to construction crew only.

Wire Rope and Rigging Equipment

JCR L L N

Demolition/ **Recycling

JCR M L Y

• Dust control during all interior demolition.

• Use PPE at all times.

• Stay clear of falling objects.

• Remove debris as generated.

• Document amount of materials recycled.

Any debris contaminated with asbestos must be disposed of as regulated waste and can NOT be recycled.

Project Manager: TBADate: 8/17/2020

Project Name: Patient Lift

Project Number:

CSRA Patient Lift 1 of 4

Hazard Likelihood: High: 76% - 100%

Medium: 51% - 75%

Low: 0% - 50%

Identify Hazards Evaluator Is Hazard Likely?

H-M-L

Severity H-M-L

Mitigation Needed?

Y/N Mitigation Strategies

Mitigation Strategies

Implemented?

Comments

Project Manager: TBADate: 8/17/2020

Project Name: Patient Lift

Project Number:

Hand and Power Tools

JCR H H Y

• Inspect tools prior to use.

• Only double insulated or neutrally grounded tools can be used.

• Properly store tools when not in use.

• All guards to be in place and in good condition.

Electrical JCR H H Y

• Develop, communicate, and follow a written plan before performing electrical work to maximize safety.

• Persons conducting electrical work shall have the knowledge, skills and abilities necessary to perform the task.

• Identify hazards and establish safety limits of approach.

• All work shall comply with NFPA 70 most recent edition.

• Verify code compliance prior to energizing.

• Inspect electrical cords before use.

• Do not use cords with damaged insulation or daisy chain them. Use GFCI's.

• Wear properly rated and well maintained PPE.

• Adhere to all ARC Flash requirements and NO ENGERGIZED work is authorized without approved permit.

Lockout / Tagout Electrical

JCR H H Y

• Open circuit breaker that supplies power.

• Open visual disconnects.

• Lock-out and tag-out visual disconnect yourself and NEVER rely on someone to do this for you.

• VA first lock on/last lock off.

• Follow Engineering LO/TO SOP.

• Include Operations & Maintenance Electricians in LO/TO plans.

Please refer to SLC VAMC Engineering Services SOP #91 for approved lockout tagout procedures

Lockout / Tagout Med Gas or Oxygen

JCR L L N

Lockout / Tagout Other Systems (Specify)

JCR L L L

Welding and Cutting JCR M H Y

• Hot Work Permits required daily for any work to include cutting, welding, brazing, soldering, thawing pipe, grinding, or other spark or flame producing operations.

• Any process that involves an open flames used temporarily for repair or temporary heating is considered a hot work operation.

Please refer to SLC VAMC Engineering Services SOP #90 for approved hot work procedures.

Confined Spaces JCR L L N

Tunnels and Shafts JCR L L N

CSRA Patient Lift 2 of 4

Hazard Likelihood: High: 76% - 100%

Medium: 51% - 75%

Low: 0% - 50%

Identify Hazards Evaluator Is Hazard Likely?

H-M-L

Severity H-M-L

Mitigation Needed?

Y/N Mitigation Strategies

Mitigation Strategies

Implemented?

Comments

Project Manager: TBADate: 8/17/2020

Project Name: Patient Lift

Project Number:

Process Safety Management

N/A N/A N/A N/A N/A N/A N/A

Cranes and Hoists JCR L L N

Steel Erection JCR L L N

Fall Protection JCR M H Y

• Use fall protection when working in an elevated position over 6' and securely tie-off where the danger of falling exists.

• Inspect harnesses before use.

• Use shock absorbing lanyards.

Scaffolds JCR L L N

Ladders JCR H H Y

• Inspect before use.

• Do not use the top two steps on a ladder.

• Cracked frames, missing feet or bent rungs will not be allowed on any ladders.

• Use ladder only on stable and level surfaces.

• Keep ladders free of any slippery materials on the steps.

• Always face the ladder and maintain three points of contact when climbing or descending.

• Do not carry items or supplies when climbing or descending a ladder.

• Use a cord or rope to life or lower supplies or tools.

Trenching and Excavation/

** SWPPP

JCR L L N

Motor Vehicles, Earthmoving, and Mechanized Equip

JCR L L N

Concrete and Masonry

JCR M M Y

Respiratory protection required with a minimum assigned protection factor (APF) of ten.

• Ensure the use of PPE.

Lead, Asbestos, and Silica

JCR H H Y

• Concrete dust to be kept to a minimum.

• Prevent dust from becoming airborne.

• Utilize wet methods and approved HEPA vacuums as safely practical.

Contact Asbestos Coordinator with any questions or concerns.

Utility Interruptions JCR L L N

Dust JCR H H Y

• Maintain barriers to control dust.

• Use particulate filter masks when generating dust.

• Control dusts as needed for excavation work.

CSRA Patient Lift 3 of 4

Hazard Likelihood: High: 76% - 100%

Medium: 51% - 75%

Low: 0% - 50%

Identify Hazards Evaluator Is Hazard Likely?

H-M-L

Severity H-M-L

Mitigation Needed?

Y/N Mitigation Strategies

Mitigation Strategies

Implemented?

Comments

Project Manager: TBADate: 8/17/2020

Project Name: Patient Lift

Project Number:

Moisture/Water Leaks JCR L L N

Vapors/Fumes/ **Air Emissions

JCR L L N

Noise JCR H M Y

• Notify tenants in the area before demolition or drilling.

• Hearing protection required when identified by job hazard analysis.

Vibration JCR H M Y Notify COR and tenants in the area before demolition or drilling.

Open Outside Walls JCR L L N

Impact to Levels Above and Below

JCR H M Y

Coordinate all activities having an adverse impact on floors above or below project work with COR and affected occupants.

Proximity of Air Intakes

JCR L L N

Tuberculosis Transmission

JCR L L N N/A

Until such time that the hospital is no longer low-risk for TB transmission per annual TB risk assessment, this will remain unchanged for all projects.

Pest Control within Construction Area

JCR L M Y

• Keep area clear of any substances that could attract rodents or other animals.

• Remove debris at the end of each work shift.

No eating in work areas

Project Manager: Date:

Contractor: Date:

Safety Manager: Date:

Service / Section / Program Director:

Date:

** These construction activities have been identified as significant based on potential environmental impacts.

Approval Signatures:

CSRA Patient Lift 4 of 4

Attachment B Infection Control Risk Assessment

Matrix of Precautions for Construction Renovation

Project # / EWO #:

Start Date: 8/19/2020 Expiration

Contractor: In House Crew ICN:

Contractor Phone #: ICN Phone #:

A)

(1) removal of ceiling tiles for visual inspection only, e.g., limited to 1 tile per 50 square

B)

Cardiac Cath/Angiography

Group 4

TYPE C

Sterile Processing

Highest Risk

All OR's

Low Risk

Group 3

Group 4

Group 2

ICN must be consulted when the assessment indicates that Class II, III, or IV precautions are required.

TYPE A TYPE BRisk Group TYPE D

Group 1

II

Ambulatory Medicine Unit (2 West)

Pharmacy IV Prep (Inpatient)

Dialysis Unit

Group 2 Group 3

Medium Risk

Nonmedical

All ICUs

Office Areas or

B.3 Inpatient Mental Health Ward

Out Patient Clinics

PT / OT

Pharmacy (In & Out Patient)

Canteen Kitchen

Cardiology

Pulmonary / Bronchoscopy

Telemetry

Imaging

Laundry

Nuclear Medicine

Patient Kitchen & Dining

Out Patient Surgery

Ryan, John

20 Pt rooms

Pt Lift Referbish

STEP #2: Using the following table, identify the Risk Groups that will be affected. If more than one group will be affected, select the higher risk group.

STEP #1: Using the following table, identify the Type of Construction Project Activity (Type A-D)

Type C

CONSTRUCTION ACTIVITY TYPES:

Inspection and Non-Invasive Activities, includes but is not limited to one or more of the following:

(2) painting (but not sanding) (3) wallcovering (4) electrical trim work (5) minor plumbing,

(6) activities which do not generate dust or require cutting of walls or access to ceilings other than for visual inspection

Type A

Type B

Type D

Small scale, short duration activities which create minimal dust. Includes, but is not limited to one or more of the following:

(1) access to chase spaces (2) cutting of walls or ceilings where dust migration can be controlled (3) installation of telephone and computer cabling

Any work which generates a moderate to high level of dust or requires demolition or removal of any fixed building components or assemblies.

Includes, but is not limited to one or more of the following:

(1) sanding of walls for painting or wall covering (2) removal of floorcoverings (3) removal of ceiling tiles (4) casework (5) new wall construction (6) minor duct work

(7) electrical work above ceilings (8) major cabling activities (9) any activity which cannot be restored back to original state within a single workshift

Major demolition and construction projects. Includes, but is not limited to one or more of the following:

(1) requires heavy demolition (2) removal of a complete cabling system (3) new construction connected to occupied area

INFECTION CONTROL RISK GROUPS

associated space

Laboratories

3 West

Acute Medicine (2 East, 2 North)

B.2

High Risk

Emergency Room (ECU)

Post Antesthesia Care

Group 1

I

I

I

III/IV

II

II

II

III/IV

III/IV

III

II

IV

IV

IV

III/IV

Project Name / EWO Description:

Location of Activity:

Project Manager:

Project Manager Phone #: ex4202 801 367-4655

Greg Randall

TBD

Construction Project Type

Decontamination

Dental

Distribution

G.I. Lab

Hoptel

Public Corridor (patient activity)

STEP 3: Determine Class of Precautions (I, II, III or IV) Using Matrix Below:

Description of Required Infection Control Precautions by Class

During Construction Project Upon Completion of Project

1 Execute work by methods to minimize raising dust. 1 Clean work area upon completion of task.

2 Immediately replace a ceiling tile displaced for visual inspection

3 Contaminated materials kept away from patient transportation route and storage for clean supplies.

4 Worker traffic routes should minimize contact with patients.

In Addition to Class I Precautions:

1 Consult Infection Control Nurse prior to beginning work.

1 Wipe work surfaces with cleaner/disinfectant.

2 Educate VA staff regarding construction activity. 2 Contain construction waste before transport in tightly covered containers.

3 Block and seal air vents before starting. 3 Wet mop and/or vacuum with HEPA filtered vacuum before leaving work area.

4 Coordinate air filter maintenance with Operations. 4 Use only designated elevators (e.g. utility) for debris removal.

5 Seal unused doors with duct tape. 5 Remove and replace wet ceiling tiles.

6 Place dust mat at entrance and exit of work area

In Addition to Class I and II Precautions:

1 Consult Infection Control Nurse prior to beginning work.

1 Do not remove barriers from work area until completed project is inspected by the owner’s Safety

Department and Infection Prevention & Control

Department and thoroughly cleaned by the owner’s

Environmental Services Department.

2 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.

2 Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.

3 Maintain negative air pressure within work site utilizing HEPA equipped air filtration units as needed.

3 Vacuum work area with HEPA filtered vacuums.

4 Contain construction waste before transport in tightly covered containers.

4 Wet mop area with cleaner/disinfectant.

5 Cover transport receptacles or carts. Tape covering unless solid lid.

5 Upon completion, restore/clean HVAC system as needed where work was performed.

6 Water lines flushed at site and adjacent areas.

C L

A S

S

IV

In Addition to Class I and II and III Precautions:

1 Consult Infection Control Nurse prior to beginning work.

2 Relocate patients to area remote from construction area.

IP Signature: Greg Randall, Rn

Date Reviewed: 08/19/2020

Please contact Ex 4202 for physical signiture before start of project

C L

A S

S I

C L

A S

S I

I C

L A

S S

I

II

Locations ____ ____ ____ ____ ____ ____ ____

IC Measure and Class Precaution SUN MON TUE WED THR FRI SAT

CP

Initials

BARRIERS

1. Dust containment secure at perimeter edges II

2. Doors/Windows properly closed/sealed II

3. Inspect integrity of dust critical barriersI III

4. Relocate staff/patients from impact areas IV

5. Seal openings/penetrations daily IV

6. Verify anteroom operation IV

AIR HANDLING

7. Isolate/Shutdown HVAC II

8. Seal off building air ducts/vents II

9. Negative air machines running III

10. Negative air properly exhausted III

11. Verify negative air pressure frequently III

12. Negative air machines cleaned daily III

PROJECT AREA

13. Minimize raising dust I

14. Area free of debris & trash I

15. Area free of birds, insects, rodents, vermin I

16. Wash hands frequently I

17. Wet mop daily& as needed I

18. Housekeeping performed as needed I

19. Reinstall SAT displaced for inspections I

20. Prevent dust dispersion into atmosphere II

21. Contain SAT & fiberglass as removed II

22. Water mist work surfaces as needed II

23. Wipe surfaces with disinfectant II

24. Adjacent area SAT in place II

25. HEPA vacuum frequently II

26. Sticky mats in use II

27. Debris/Trash in covered container III

ICRA

29. Route flow away from construction I

30. Traffic flow/warning signs posted I

DRESS CODE

31. Workers wear head covers IV

32. Workers wear/change shoe covers IV

33. Workers wear coveralls IV

34. Vacuum self upon leaving area IV

OTHER

35. Use drills with vacuum II

36. Use saws with vacuum II

C L

A S

S

Inspection

Date