Attachment 2 - Replace Elevators 200 200E PRCRA.docx

- 3-

- 4 -

PRE-CONSTRUCTION RISK ASSESSMENT CHECKLIST – Page 1/2

CONSTRUCTION SAFETY AND SECURITY

Assure that appropriate construction barriers are built and construction signage is posted.

Assure that access to construction site is secured to prevent the entrance of unauthorized persons.

X

Place appropriate barricades and signage. Notify hospital staff and security, and arrange appropriate detours for patients, visitors and staff.

Place appropriate barricades and signage. Notify hospital staff and Police, and arrange appropriate detours for patients, visitors and staff.

Issue "Hot Work Permit" in accordance with VACHS policy.

LIFE SAFETY/ INTERIM LIFE SAFETY

X

Implement ILSM to include adjusting "EXIT" signage to compensate for temporary changes to egress path.

Provide temporary signage directing patients and staff.

Implement ILSM for areas impacted by shutdown of the system. Notify the Safety Office if an extended shutdown is required.

Implement ILSM Assure that additional fire extinguishers are available within the affected area.

Implement ILSM to include notifying the West Haven Fire Department of impact to exterior fire service systems.

Implement ILSM for areas impacted by shutdown of the system. Notify the Safety Office if an extended shutdown is required.

- 1 -

PRE-CONSTRUCTION RISK ASSESSMENT CHECKLIST – Page 2/2

LIFE SAFETY/ INTERIM LIFE SAFETY cont…

X

Assure that appropriate procedures are being followed in accordance with EPA and CT-DPH regulations and VA Specification requirements for the proper containment and removal of the asbestos containing material.

X

Contractor should have SDSs available on site with proof of training for review upon request.

AIR QUALITY & INFECTION CONTROL

Follow infection prevention procedures during construction. Verify item 7 above.

Follow Infection Control Risk Assessment

UTILITY/ COMMUNICATION SYSTEMS

Coordinate utility shutdowns in accordance with FMS Policy 33.

X

Coordinate utility shutdowns in accordance with FMS Policy 33.

X

Coordinate utility shutdowns in accordance with FMS Policy 33. Coordinate interruption of communications system(s) with Biomed, IRM and VA Police.

X

Coordinate utility shutdowns in accordance with FMS Policy 33. Coordinate with SPD and Nursing Service. Perform recertification of modified medical gas and oxygen in accordance with NFPA 99.

NOISE & VIBRATION

Coordinate phasing of demolition and new construction work with affected Services to minimize impact to patient care operations. Follow VA specifications on maximum noise level tolerances allowed.

EMERGENCY PROCEDURES

X

Notify the local authorities of construction activities and alternate access to the facility.

- 2 -

Attachment D CONSTRUCTION SAFETY ROUNDS LOG - Safety/ILSM /Infection Control Checklist

Signature of Construction Superintendent _________________________________________ Signature of Contracting Officer Representative (COR): ______________________________________________ Signature of Person completing rounds (if other than above) __________________________________________s

MON

TUE

WED

THU

FRI

SAT

Check only if problems are noted. If issues found, write on back of this form & note remediation on back

Subcontractors are trained in safety/environmental issues

Means of egress is clear in construction and adjacent areas

Construction exits designated during construction?

Doors are closed to construction site and proper signage is in place

Did personnel receive training for alternative exits and/or ILSM?

Access for the fire department and emergency services is clear

Fire sprinkler / fire alarm systems and smoke detectors are active. Temporary systems are in place. Fire extinguishers readily available in construction area

Area is secured from public and at the end of the day

NO Smoking Policies are being followed

Exterior balconies, corridors and stairways are clear of storage

Flammables and combustibles kept to a minimum and in proper containers. SDS are maintained on site and all products are labeled

Utility systems returned to operation in occupied areas

Lock out/ tag out in place

Buildings, grounds and equipment are maintained in a safe manner

Hard hats are used regularly per protocols

Extension cords protected/disconnected at end of day

Exterior storm drains flushed and cleared of debris

All external openings in walls/roof are sealed from inclement weather

Construction storage/field offices maintained and secured

Dust barriers are maintained, secured & tested. Barriers are monitored consistently for integrity & NPV airflow (clean to dirty)

Negative air pressure ventilation in work area is maintained utilizing HEPA equipped air filtration units

A log is maintained to document ongoing negative pressure ventilation in area

Compliance with traffic patterns for both construction worker & debris / worker movement (e.g., clean covered cart, dedicated elevator, designated route, etc.

Windows & doors are properly closed & sealed to prevent circulation of dust/debris

Walk off mats are provided & changed when needed. Floors are free of visible dirt outside construction area

All areas are cleaned daily and more often as needed by contractor or FMS

There are no signs of water leakage

There are no signs of pests (i.e., mice, insects, birds, squirrel, etc.)

All construction debris is transported in tightly covered containers

Emergency recall numbers left at work site

COMMENTS FROM ISSUES NOTED ON DAILY ROUNDS

1.

2.

3.

4.

5.

image1.png