Attachment 8 - INTERIM LIFE SAFETY MEASURES (ILSM).pdf

Interim Life Safety Measures (ILSM) VA Northern California Health Care System

Attachment B Policy Statement 138-56 March 1, 2019

INTERIM LIFE SAFETY MEASURES (ILSM) CHECKLIST

Project Name: Planned Project Start Date:

Project Number:

PM / COR P.O.C.: P.O.C extension:

Location of Construction: Estimated Duration:

Yes No

N/A

1. Will any fire alarm, detection or suppression system be out of service more than 8/10 hours respectively in a 24-hour period?

If yes, notify the occupants and fire department and have VA Police initiate a fire watch.

Notification and fire watch times must be documented. Provide temporary but equivalent system fire alarm and detection systems for use. Inspect, test, and document temporary systems monthly. (JC LS.01.02.01 EP 1). A fire watch may not always be needed if construction activity is planned and proper separation with ILSMs in place.

Note: The 2015 edition of the Life Safety Code now refers to the requirements of NFPA 72 where the time requirement is 8 hours. NFPA 101 has referred to the requirements of NFPA 25 since the 2012 Edition of the Life Safety Code, where the time requirement is 10 hours in a 24-hour period.

2. Will any exits/means of egress be obstructed during construction for more than 8 hours such that alternate exits will have to be established?

If yes, then ensure that staff members are notified or trained on alternate routes of exit and that proper signage is installed. Ensure that escape routes for construction workers are maintained at all times, and the means of exiting construction areas are inspected daily. (JC LS.01.02.01

EP 2) 3)

3. Is additional fire-fighting equipment necessary?

If yes, ensure that they are provided and that staff are trained on their use. (JC LS.01.02.01 EP

6) 3

4. Will construction activities or other maintenance/repair activity temporarily impact the normal level of life safety for the building(s) involved?

If yes ILSM checklist will be completed for each construction project (by contractor or in-house. (JC LS.01.02.01 EP 3j)

5. Are exits in affected areas inspected on a daily basis?

If yes, ensure that exits in affected areas are inspected on a daily basis (JC LS 01.02.01 EP 4)

6. Ensure that temporary but equivalent fire alarm and detection systems for use when a fire system is impaired. (JC LS 01.02.01 EP 5)

ILSM Checklist

Yes No

N/A

7.

-Will temporary fire alarm, detection and suppression system be inspected and tested monthly?

If yes, ensure completion date of these test are documented. (JC LS 01.02.01 EP 12) -Will temporary construction partitions be installed?

If yes, ensure that temporary construction partitions are smoke tight and built of noncombustible or limited combustible materials that will not contribute to the development or spread of fire. (JC LS.01.02.01 EP 7)

8. Increase hazard surveillance of buildings, grounds, and equipment, with special attention to excavations, construction areas, construction storage, and field offices. (JC LS.01.02.01 EP 8)3)

9. If implementation of ILSM is required, ensure and enforce practices that reduce the building's flammable and combustible fire load to the lowest feasible level. (Removal of debris, good housekeeping, and minimum storage of construction materials). (JC LS.01.02.01 EP 9)3).

10. -Does the medical center trained those who work in the hospital to compensate for impaired structural or compartmental fire safety features?

If yes, ensure that staff are trained when structural or compartmentalization feature of fire safety are compromised. (JC LS 01.02.01 EP 14)

-If implementation of ILSM is required, provide additional training to those who work in the hospital on the use of fire-fighting equipment. (JC LS.01.02.01 EP 10) 3)

11. Ensure that life safety building deficiencies, construction hazards, and ILSM for construction areas are announced in the Daily Bulletin, Beacon newsletter, and/or the Intranet, when appropriate. (JC LS.01.02.01 EP /3) General - Provide hospital wide safety education programs to promote awareness of life safety building deficiencies, construction hazards, and ILSM through the annual mandatory training.

Train those in the affected areas to compensate for impaired structural or compartmental fire safety features.

COMMENTS:

Submitted by: _____ _____________________ Printed Name & Signature Date

Reviewed by EH&S: ____________________________________________ _____________________ Printed Name & Signature Date

INTERIM LIFE SAFETY MEASURES (ILSM) CHECKLIST