Att-12 Interim Life Safety Measures -ILSM-.pdf

This document is a Standard Operating Procedure (SOP) for Interim Life Safety Measures (ILSM) at Edward Hines Jr. VA Hospital, dated October 20, 2020. The SOP establishes procedures for implementing life safety measures during construction projects, specifically the Joliet VFD Replacement project in the hospital's CBOC Basement/Boiler Plant. The document outlines eleven key interim life safety measures, including ensuring unobstructed exits, maintaining emergency service access, ensuring fire alarm and suppression systems are operational, providing additional firefighting equipment, and conducting fire drills. The procedure requires daily inspections, staff training, and detailed documentation of safety measures, with the Safety Section responsible for developing, implementing, and evaluating the ILSM policy across various hospital service sections and construction activities.

The specific project (Joliet VFD Replacement/578-25-013) will be located in the boiler plant and basement level of the Joliet VA CBOC. Construction areas will be restricted, with work focused on mechanical rooms and office spaces. The document includes detailed worksheets for evaluating potential life safety impacts, including assessments of rescue, alarm, confinement, extinguishment, and evacuation capabilities. The SOP is signed by Lee Holloway, Acting Chief of Occupational Safety & Health, and is scheduled for recertification by October 31, 2025. The procedure references The Joint Commission (TJC) Environment of Care Standards and NFPA Life Safety Code 101 as guiding documents.