S02_Attachment 06 (ILSP)_36C24123R0177.pdf

ATTACHMENT 06

Interim Life Safety Procedures

7 pages

22 August 2023

Providence, Rhode Island VA Health Care System (650)

“Site Prep: Room 277”

Design-Build

ATTACHMENT E

PROVIDENCE VAMC

INTERIM LIFE SAFETY MEASURES (ILSM) PLAN

ILSM MAY BE REQUIRED IN AREAS OR SMOKE COMPARTMENTS

WHERE NEW CONSTRUCTION OR RENOVATIONS ARE TAKING

PLACE.

DEFINITION:

INTERIM LIFE SAFETY MEASURES: A series of operational actions taken to temporarily reduce the hazard posed by existing fire prevention or Life Safety Code deficiencies during, and until the completion of a construction or renovation program within an area or smoke compartment.

OBJECTIVES:

1. Determining when ILSM are necessary.

2. Insure that required ILSM in areas/smoke compartments where construction or renovations are taking place are fully adhered to.

3. Determining when ILSM can be terminated

PROCEDURES

1. All new construction/renovation projects must evaluated by the project coordinator /supervisor using the attached PVAMC ILSM Requirement Assessment Worksheet.

2. If, upon completion of the worksheet, it is determined that an ILSM Plan is not needed, the project coordinator will send a copy to the PVAMC Safety Manager for concurrence.

3. If, upon completion of the worksheet, it is determined that an ILSM Plan is needed, the project coordinator will complete the form by documenting the administrative actions necessary to mitigate the Life Safety Code deficiencies introduced, and send a copy to the PVAMC Safety Manager for concurrence.

4. Facilities Management Service staff will utilize the attached Interim Life Safety

Measures Checklist for conducting inspections of contractor areas when necessary.

5. The PVAMC ILSM Requirement Assessment Worksheet, 11 Administrative

Actions that may be applied to the project as ILSM, and ILSM assessment flowchart are provided for reference.

Rev 1 4-07-09

PVAMC ILSM Requirement Assessment Worksheet

• These criteria will be used to evaluate smoke compartments in which a Life Safety Code deficiency has been identified, or in which construction, renovation or alteration activities are planned. Any “Yes” answers below may require ILSM to address occupant safety.

• Document any methods you plan on using, and what measures were taken under comments.

• Send to the Environmental Safety and Health Office-TR7, after completion.

Submitter :____________________________________________ Date Submitted:

Log#_________ Project: Expected Duration:

Building: Floor: Room:

Criteria YES NO

The issue/work alters or significantly compromises exit access, exiting, or exit discharge building elements

The issue/work compromises building compartmentation including fire or smoke walls, floor/ceiling assemblies, corridor walls, use area doors, or other defend in place elements

The issue/work impairs the building Fire Protection Systems (alarm, sprinklers, suppression) for more than 4 hours in a 24-hour period.

The activity includes Hot Work

The activity includes large quantities of combustible materials, flammable materials, or generation of large amounts of dust and debris.

Access to the area by emergency forces will be impaired

Will non/limited combustible partitions be required?

[ ] ILSM are required* [ ] ILSM are not required*

* A yes answer to any of the above criteria may require that an ILSM be initiated. Use the following check sheet to denote the interim life safety measures appropriate for the issue/work which compromises life safety. Daily inspections of egress access will be completed in accordance with the checked sheet and completed on the attached form during the pendency of the compromise to a life safety system.. Periodic inspections of other aspects of an ILSM shall be completed during the pendency of the ILSM. All forms will be maintained by the Safety Manager with copies in the project file.

If an ILSM is not required, provide the completed assessment only to the safety manager for review.

Maintain a copy in the project file.

Work:

1.

Comments:

1.

Reviewed by:___________________________________________ Safety Manager Date:___________

Approved by:___________________________________________Chief Facilities Management Date:________

Rev. 1 4-07-09

Interim Life Safety Measures Check Sheet to be implemented

Project Name or other identifying information:

Log Number: ___________

Place a check mark in each applicable ILSM activity as determined by an assessment of the risks identified in the Assessment Work Sheet.

#1 INSPECTIONS / SURVEILLANCE

Increased surveillance of buildings, grounds, and equipment: shift / daily / other:

Means of exiting construction areas inspected daily Implementation of Fire Watch Not applicable

#2 ACCESSIBILITY

Maintenance of escape/egress routes from construction areas Maintenance of access to emergency services for emergency equipment, fire alarm pull stations, Fire Department connections (internal & external) Not applicable

#3 EQUIPMENT – LIFE SAFETY

Temporary fire alarm, detection, suppression system in place Monthly testing and inspection of temporary systems Provide additional firefighting equipment in project area Provide additional firefighting equipment in adjacent areas Not applicable

#4 COMMUNICATIONS

Notification to Municipal Fire Department (or applicable emergency forces group) Not applicable

#5 CONSTRUCTION MATERIALS / PRACTICES

Partitions smoke tight and constructed of noncombustible or limited combustible materials Prohibition of smoking throughout building and in and near construction areas Implement appropriate storage practices Implement appropriate housekeeping practices

Implement appropriate debris removal practices Not applicable 2 fire drills per shift per quarter throughout Hospital (one additional drill beyond requirement of

EC.5.30).

2 fire drills per shift per quarter in areas adjacent to project (one additional drill beyond requirement of EC.5.30)

# 6 FIRE DRILLS

More than 2 fire drills per shift per quarter throughout Hospital. If yes, how many_________

More than 2 fire drills per shift per quarter in areas adjacent to project. If yes, how many_______ Not applicable Additional training for staff in immediate area Additional training for staff throughout hospital Additional training for incident response team Training to promote awareness of fire-safety building deficiencies, construction hazards, ILSM Training on changes in physical environment (egress routes) Training on firefighting equipment Training on compensating for impaired structural or compartmentalization features of fire safety Not applicable

Other measures:_____________________________________________

Comments:__________________________________________________

Prepared by: _______________________________________

Reviewed by:___________________________________________ Safety Manager Date:___________

Approved by:___________________________________________ Chief Facilities Management Date:________

#7 TRAINING

ILSM Inspection Form Project Name: ___________________________________

Log Number: __________________________________

Date:________________

Daily_______________Weekly_________________Monthly________

Measure

Applicable

Compliance

Status

Date/Initials

Y N

1.

Exits are inspected on a daily basis and are free and unobstructed. No construction materials, equipment, or debris block free use of all exits adjacent to the construction site or are impacted by the

2. Provide temporary, but equivalent fire alarm and detection system.

3.

Provides additional fire-fighting equipment (fire extinguishers). Equipment is functional and tests are up to date.

4.

Temporary construction partitions are smoke tight, or made of noncombustible material, or made of limited combustible material that will not contribute to the

5.

Surveillance is increased of buildings, grounds, and equipment with special attention to construction areas and

6.

Enforces storage, housekeeping, and debris removal practices that reduce the building's flammable and combustible

7. Additional training is provided to those in the hospital on the use of

8. One additional fire drill per shift, per quarter is conducted.

9.

Temporary systems are tested and inspected monthly, and the completion dates for these tests is documented.

10.

Education is conducted to promote the awareness of building deficiencies, construction hazards, and temporary measures implemented to maintain fire

11.

Training for those who work in the hospital is done to compensate for impaired structural or compartmental

Prepared by: __________________________Project Manager Date:____________

Inspected by: ________________________________________________ Date:___________

-END-

BUILDING DEFICIENCY

or

CONSTUCTION/RENOVATION

PROJECT

Does the project involve shutting down part or all of the suppression or detection systems for longer than 4 hours?

A. Renovation that is longer than one shift:

1. More than a “One Room Project”

-did not deactivate smoke detection or suppression for the project

2. Does involve hallway

3. Suppression +/or detection systems are modified, moved, shut down, or covered (bagged).

Emergency egress is blocked, or the smoke/fire petitions have been compromised

B. Is there a Fire Safety Deficiency in the building that:

1. Requires an interim plan

2. The deficiency has not been repaired within 6 months of the estimated date on the PFI

Note in project file ILSM does NOT apply Do not initiate

ILSM

1. Apply the pertinent 11 Administrative Actions

YES

NO

NO

One or more of the criteria are “YES”