ATTACHMENT ILSM Re-slurry and Re-stripe 08-26-26.pdf

ILSM 612A4-27-013 Re-slurry and Re-stripe

Safety Permit Request #662

Initiated by Lye SaechaoInterim Life Safety Measures (ILSM)

NorCal Submitted 8/14/2026

1: Project Infomration 1.1: Project Number

612A4-27-013 1.2: Project Name *

Re-slurry and Re-stripe Bldg. 88 and 98 Parking Lots

1.3: Project COR/Lead Name (last, first) *

Lye Saechao 1.4: Location of activity

McClellan 1.5: Building x 2 1.6: Room(s)

1.7: Project Description *

The purpose of this project is to re-seal and re-stripe three (3) existing McClellan Clinic parking lots at building 98 and 88. All work shall be outdoors and pedestrian access to and from buildings 98 and 88 shall remain open at all times. Phasing includes closure of one entire lot at a time and reopening when re-seal and re-striping is cured. Alternate parking is planned at Building 911.

1.8: Does this project include multiple tasks/phases? * x Yes 1.8.1: If yes, list phases with estimated start/stop dates below.

Phase I: B88 Parking Lot, from 11/16/26 to 11/20/26.

Phase II: B98 North Parking Lot, from 11/27/26 to 11/31/26.

Phase III: B98 South Parking Lot, from 12/3/26 to 12/7/26.

1.9: Start Date *

11/02/2026

1.10: End Date *

12/31/2026

2: Action Item 1: Exits 2.1: Ensure free and unobstructed exits.

Ensure that, at a minimum, the number of exits required by NFPA 101 are accessible (Note per paragraph 7.4 not less than two exits). Post signage identifying the location of alternate exits to everyone affected. Ensure that staff gets additional training when alternative exits are designated. Buildings or areas under construction must maintain escape routes for construction workers at all times and the means of exiting construction areas are inspected daily. *

Interim Life Safety Measures (ILSM) 1Continued on the next page.

Ensure free and unobstructed exits.

Ensure that, at a minimum, the number of exits required by NFPA 101 are accessible (Note per paragraph 7.4 not less than two exits). Post signage identifying the location of alternate exits to everyone affected. Ensure that staff gets additional training when alternative exits are designated.

Buildings or areas under construction must maintain escape routes for construction workers at all times and the means of exiting construction areas are inspected daily. continued * x N/A 2.2: Impacted area/floors (Note: multiple floors may be impacted, particularly if stairwells are involved)

2.3: Minimum number of exits required on each impacted floor?

2.4: Number of exits impacted on each floor by this project?

2.5: Number of exits impacted on each floor by other construction projects?

2.6: Total number of accessible exits remaining on each floor?

2.7: Exits requiring signage:

2.8: Information on sign(s):

2.9: Exit signs to be removed:

2.10: Exit signs to be added:

2.11: Attach maps if alternative escape routes will be required.

3: Action Item 2: Emergency Services 3.1: Ensure free an unobstructed access to emergency services.

Emergency equipment, fire alarm pull stations, fire extinguishers, external connections, and other emergency equipment necessary for emergency personnel are clear and accessible at all times. Inspect on a daily basis. * x Yes 3.2: List equipment and locations that must be kept clear and inspected.

Interim Life Safety Measures (ILSM) 2Continued on the next page.

List equipment and locations that must be kept clear and inspected. continued

Fire hydrants are along the public right-of-way that are to remain open and accessible. Parking lot access may be closed by barriers, but barriers can be moved for emergency purposes.

4: Action Item 3: Fire Alarm, Detection, and Suppression 4.1: Ensure that fire alarm, detection, and suppression systems are in good working order.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. * x N/A 4.2: Will a temporary system other than fire watch be used?

x N/A 4.2.1: Identify temporary system:

4.3: Will a fire watch be established?

x N/A 4.3.1: Who is responsible for ensuring firewatch activities are completed (i.e. COTR, contractor, ect.)?

N/A

4.3.2: Frequency of firewatch walkthroughs (i.e. Every half hour, hourly, ect.) Depending on deficiency.

N/A

4.4: Who needs to be notified?

N/A

4.5: If VISN fire protection must be notified please indicate date notification was made:

N/A

4.6: Ensure telephone operator or after hours the AOD is aware of deficiency(i.e. Fire alarm system disconnected from the city, locations where fire alarm/suppression work is being performed) as thy interact with emergency responders.

4.7: Other Notifications:

Interim Life Safety Measures (ILSM) 3Continued on the next page.

4.8: Attach Fire Watch Log

5: Action Item 4: Temporary Construction Partitions

5.1: Temporary construction partitions must be smoke tight and built of noncombustible or limited combustible materials that will not contribute to the development or spread of fire. Any temporary partition that is replacing a fire wall/partition, will maintain the same rating and integrity as the original assembly.

If the level of construction is deemed hazardous and/or the fire suppression system will be impaired for a period of time, a fire barrier of at least 1-hour will be installed between construction and occupied areas. All penetrations must be sealed and ductwork capped at wall, if not continuous. * x N/A 5.2: Is a partition replacing a fire wall/partition?

x N/A 5.2.1: If yes, identify rating of existing fire wall/partition (i.e. 1 hour, 2 hours, etc.):

5.2.2: If yes, identify rating of the temporary construction partition:

6: Action Item 5: Additional Fire Fighting Equipment 6.1: Provide additional fire-fighting equipment in accessible locations sufficient for the hazards present, if needed. * x N/A 6.2: Is additional equipment required?

x N/A 6.3: Identify number and location of additional firefighting equipment:

7: Action Item 7: Housekeeping 7.1: Housekeeping Storage, housekeeping, and debris removal practices will be developed and enforced to reduce the combustible fire load to the lowest feasible level. Combustible construction debris will be removed from the site in a timely manner. * x Yes 7.2: Identify project expectations (i.e. work areas will be clean at the end of the shift, inspected daily, etc.)

The site will be kept clear of debris at all times due to the nature of the work

Interim Life Safety Measures (ILSM) 4Continued on the next page.

Identify project expectations (i.e. work areas will be clean at the end of the shift, inspected daily, etc.) continued requiring surfaces to be cleaned in preparation for sealer application.

8: Action Item 8: Fire Drills 8.1: Fire Drills Conduct a minimum of 2 fire drills per shift, per quarter. [Note: This is only required if temporary alarm system is used.] x N/A 8.2: Will a temporary alarm system be used?

If NO, fire drills are not required. No Further requirements for this item.

x No 8.3: Indicate areas where fire drills must be conducted, if temporary alarm system is to be used.

9: Action Item 9: Hazard Surveillance 9.1: Hazard Surveillance Increase hazard surveillance of buildings, grounds, and equipment to manager hazards during construction with attention given to areas, such as construction areas, temporary buildings, combustible storage, excavations, and emergency accessibility and egress. * x Yes 9.2: What hazard surveillance will be performed?

Active Safety Audits shall occur continuously during construction activities

9.3: Who is responsible for hazard surveillance?

Construction Superintendent

9.4: Frequency of surveillance (i.e. daily, weekly, etc.).

Daily and as required for proper housekeeping

10: Action Item 10: Staff Training 10.1: Staff Training Train staff to compensate for impaired structural or compartmentalization features of life safety. *

Interim Life Safety Measures (ILSM) 5Continued on the next page.

Staff Training Train staff to compensate for impaired structural or compartmentalization features of life safety. continued * x N/A 10.2: Who requires training?

10.3: Who is responsible for conducting training?

10.4: Date by which this will be accomplished.

11: Action Item 11: Organization-Wide Life Safety Education 11.1: Organization-Wide Life Safety Education Provide organizational education programs to promote awareness of life safety building deficiencies, construction hazards, and ILSM. * x N/A 11.2: Public Announcements?

x NA 11.2.1: Identify 11.3: Other:

12: Action Item 12: Comments or Other Requirements

* = required field

Interim Life Safety Measures (ILSM) 6This form was generated by LEAF on 8/14/2026