S02 - CSRA.pdf

Attachment C - Construction Safety Risk Assessment Checklist

Construction Safety Risk Assessment Checklist, VA Salt Lake City Healthcare System

Hazard Likelihood: High: 76% - 100%

Medium: 51% - 75%

Low: 0% - 50%

Identify Hazards Evaluator

Is Hazard

Likely?

H-M-L

Severity

H-M-L

Mitigation

Needed?

Y/N

Mitigation Strategies

Mitigation

Strategies

Implemented?

Comments

**Hazardous

Waste/Storage

BF L L N .

**Chemical Use/ PPE BF M L Y

Users/operators must read the SDS' associated with their products and use

PPE accordingly.

• See Hazard

Communication below for chemical use requirements.

• See Personal Protective

Equipment below for general requirements.

Hazard

Communication

BF M L Y

• Review Safety Data Sheets prior to starting work and whenever new products are introduced into the area.

• Maintain copies on site.

• Ensure all containers are properly labeled with approved GHS labels.

• Provide list of chemicals to Safety/GEMS and upload current SDSs via

3EProtect (formerly

3EOnline) ten days in advance for approval.

• Notify when uploaded.

Respiratory

Protection

BF L L N

Personal Protective

Equipment

BF H H Y

• Minimum requirement are hard hats safety glasses and safety boots.

• Other PPE shall be required based on the Job Hazard Analysis (JHA).

• Wear proper footwear and keep them clean to reduce the potential slipping hazards such as dirt, saw dust, oil, and grease.

• Proper ARC Flash rated

PPE to worn when conducting electrical work.

• All PPE to be inspected prior to commencing work.

Fire Protection BF H H Y

• Establish fire extinguisher locations within job site for easy access.

• Review location with area walk through.

• Maintain housekeeping to prevent accumulation of combustible material.

• Maintain fire and smoke barriers.

Traffic Control & Site

Security

BF M H Y

• All personnel shall wear VA badges.

• Install and maintain controlled access as appropriate. (i.e. fencing, doors, gates)

• Worksite access to remain locked when there is no activity.

• Restrict access to construction crew only.

Wire Rope and

Rigging Equipment

BF L L N

Demolition/

**Recycling

BF M L Y

• Dust control during all interior demolition.

• Use PPE at all times.

• Stay clear of falling objects.

• Remove debris as generated.

• Document amount of materials recycled.

Any debris contaminated with asbestos must be disposed of as regulated waste and can NOT be recycled.

Project Manager: Brandon FarrimondDate: 8/17/2020

Project Name: Patient Lift Site Prep (Multiple Wards - Bldg. 1&14)

Project Number:

CSRA Patient Lift Site prep 1 of 4

Hazard Likelihood: High: 76% - 100%

Medium: 51% - 75%

Low: 0% - 50%

Identify Hazards Evaluator

Is Hazard

Likely?

H-M-L

Severity

H-M-L

Mitigation

Needed?

Y/N

Mitigation Strategies

Mitigation

Strategies

Implemented?

Comments

Project Manager: Brandon FarrimondDate: 8/17/2020

Project Name: Patient Lift Site Prep (Multiple Wards - Bldg. 1&14)

Project Number:

Hand and Power

Tools

BF H H Y

• Inspect tools prior to use.

• Only double insulated or neutrally grounded tools can be used.

• Properly store tools when not in use.

• All guards to be in place and in good condition.

Electrical BF H H Y

• Develop, communicate, and follow a written plan before performing electrical work to maximize safety.

• Persons conducting electrical work shall have the knowledge, skills and abilities necessary to perform the task.

• Identify hazards and establish safety limits of approach.

• All work shall comply with NFPA 70 most recent edition.

• Verify code compliance prior to energizing.

• Inspect electrical cords before use.

• Do not use cords with damaged insulation or daisy chain them. Use

GFCI's.

• Wear properly rated and well maintained PPE.

• Adhere to all ARC Flash requirements and NO

ENGERGIZED work is authorized without approved permit.

Lockout / Tagout

Electrical

BF H H Y

• Open circuit breaker that supplies power.

• Open visual disconnects.

• Lock-out and tag-out visual disconnect yourself and NEVER rely on someone to do this for you.

• VA first lock on/last lock off.

• Follow Engineering LO/TO SOP.

• Include Operations & Maintenance

Electricians in LO/TO plans.

Please refer to SLC VAMC

Engineering Services SOP

#91 for approved lockout tagout procedures

Lockout / Tagout Med

Gas or Oxygen

BF L L N

Lockout / Tagout

Other Systems

(Specify)

BF L L L

Welding and Cutting BF M H Y

• Hot Work Permits required daily for any work to include cutting, welding, brazing, soldering, thawing pipe, grinding, or other spark or flame producing operations.

• Any process that involves an open flames used temporarily for repair or temporary heating is considered a hot work operation.

Please refer to SLC VAMC

Engineering Services SOP

#90 for approved hot work procedures.

Confined Spaces BF L L N

Tunnels and Shafts BF L L N

CSRA Patient Lift Site prep 2 of 4

Hazard Likelihood: High: 76% - 100%

Medium: 51% - 75%

Low: 0% - 50%

Identify Hazards Evaluator

Is Hazard

Likely?

H-M-L

Severity

H-M-L

Mitigation

Needed?

Y/N

Mitigation Strategies

Mitigation

Strategies

Implemented?

Comments

Project Manager: Brandon FarrimondDate: 8/17/2020

Project Name: Patient Lift Site Prep (Multiple Wards - Bldg. 1&14)

Project Number:

Process Safety

Management N/A N/A N/A N/A N/A N/A N/A

Cranes and Hoists BF L L N

Steel Erection BF L L N

Fall Protection BF M H Y

• Use fall protection when working in an elevated position over 6' and securely tie-off where the danger of falling exists.

• Inspect harnesses before use.

• Use shock absorbing lanyards.

Scaffolds BF L L N

Ladders BF H H Y

• Inspect before use.

• Do not use the top two steps on a ladder.

• Cracked frames, missing feet or bent rungs will not be allowed on any ladders.

• Use ladder only on stable and level surfaces.

• Keep ladders free of any slippery materials on the steps.

• Always face the ladder and maintain three points of contact when climbing or descending.

• Do not carry items or supplies when climbing or descending a ladder.

• Use a cord or rope to life or lower supplies or tools.

Trenching and

Excavation/

** SWPPP

BF L L N

Motor Vehicles, Earthmoving, and

Mechanized Equip

BF L L N

Concrete and

Masonry

BF M M Y

Respiratory protection required with a minimum assigned protection factor

(APF) of ten.

• Ensure the use of PPE.

Lead, Asbestos, and

Silica

BF H H Y

• Concrete dust to be kept to a minimum.

• Prevent dust from becoming airborne.

• Utilize wet methods and approved

HEPA vacuums as safely practical.

Contact Asbestos

Coordinator with any questions or concerns.

Utility Interruptions BF L L N

Dust BF H H Y

• Maintain barriers to control dust.

• Use particulate filter masks when generating dust.

• Control dusts as needed for excavation work.

Moisture/Water Leaks BF L L N

CSRA Patient Lift Site prep 3 of 4

Hazard Likelihood: High: 76% - 100%

Medium: 51% - 75%

Low: 0% - 50%

Identify Hazards Evaluator

Is Hazard

Likely?

H-M-L

Severity

H-M-L

Mitigation

Needed?

Y/N

Mitigation Strategies

Mitigation

Strategies

Implemented?

Comments

Project Manager: Brandon FarrimondDate: 8/17/2020

Project Name: Patient Lift Site Prep (Multiple Wards - Bldg. 1&14)

Project Number:

Vapors/Fumes/

**Air Emissions

BF L L N

Noise BF H M Y

• Notify tenants in the area before demolition or drilling.

• Hearing protection required when identified by job hazard analysis.

Vibration BF H M Y Notify COR and tenants in the area before demolition or drilling.

Open Outside Walls BF L L N

Impact to Levels

Above and Below

BF H M Y

Coordinate all activities having an adverse impact on floors above or below project work with COR and affected occupants.

Proximity of Air

Intakes

BF L L N

Tuberculosis

Transmission

BF L L N N/A

Until such time that the hospital is no longer low-risk for TB transmission per annual TB risk assessment, this will remain unchanged for all projects.

Pest Control within

Construction Area

BF L M Y

• Keep area clear of any substances that could attract rodents or other animals.

• Remove debris at the end of each work shift.

No eating in work areas

Project Manager: Date: 6/2/2021

Contractor: Date:

Safety Manager: Date:

Service / Section /

Program Director:

Date:

** These construction activities have been identified as significant based on potential environmental impacts.

Approval Signatures:

Brandon Farrimond

CSRA Patient Lift Site prep 4 of 4