SOW Bldg 49 roof replacement.pdf

STATEMENT OF WORK

FOR

VA Pittsburgh Health System Building #49 Roof Replacement.

VA PITTSBURGH HEALTHCARE SYSTEM

H. J. HEINZ CAMPUS

1010 DELAFIELD ROAD

PITTSBURGH, PA 15215

Project: 646A4-24-402

1. Scope. The contractor shall provide all necessary resources to remove & replace existing roof (membrane only), flashings, wall terminations, & roof edge terminations on building #49 roof. And install lightning protection.

2. 0 Performance Requirements.

2. 1 Contractor’s Responsibilities and Insurance Requirements:

The Contractor must obtain all Safety Requirements: To protect the lives and health of occupants of the buildings, the Contractor in the performance of this Contract must take such safety precautions as the CO or his designate, may determine to be reasonably necessary. The CO, or his designate, will notify the Contractor of any non-compliance with the foregoing provisions and the action to be taken. The Contractor must, after receipt of such notice, immediately correct the conditions to which attention has been directed. Such notice, when served on the Contractor or his representative must be deemed enough for the purpose aforesaid. If the Contractor fails or refuses to comply promptly, the CO may issue an order, stopping all or any part of the work, and hold the Contractor in default. Noncompliance may result in Contract termination. All contractor and subcontractor personnel are responsible for compliance with applicable local, state, federal, and VA safety and health regulations. This includes compliance with OSHA and EPA regulations.

2. 2 Contractor shall attend a Pre-Construction Risk Assessment (PCRA) Meeting after Notice to Proceed (NTP).

The Contractors assigned Superintendent shall attend the meeting and sign the PCRA form upon completion.

2. 3 Interference with Normal Functions:

The Contractor’s personnel are required to interrupt their work at any time so as not to interfere with the normal functioning of the medical facility, including utility services, fire protection systems, and passage of facility patients, personnel, equipment, and emergency and/or service carts. These interruptions should only be occasional. Any interruptions considered to be excessive should be brought to the attention of the CO.

2. 4 Disposal of Hazardous Waste:

The Contractor must not dispose of any hazardous materials at any location on the medical facility premises except as specified by the CO.

2. 5 Sales of Companies or Name Changes:

If the Contractor, gaining award of the Contract, wishes the VAPHS to recognize a successor in interest to its Contract or a name change, he will submit a written request to the Contracting Officer in accordance with

FAR 42.1203.

2. 6 All Materials, components, and fasteners shall be supplied new, or in new condition with no corrosion, damage, or weathering. Submit all material certifications and copies of receipts to Contracting Officer Representative (COR) before installation.

2. 7 Where possible contractor shall recycle materials being removed and provide documentation showing such to COR for GEMs reporting.

2. 8 Contractor must maintain an OSHA 30 certified superintendent on site during working hours. All other staff working on VAPHS property are required to have OSHA 10 certification. Contractor shall provide proof of certification. Contractor shall abide by all OSHA all requirements.

2. 9 Tuberculosis screening requirements: Contractor shall provide proof that all staff meet Tuberculosis screening requirements. Anyone failing to meet this requirement is not permitted to work onsite and/or may be removed at any time without notice until this requirement is met. Submit results of testing to COR before arriving on site.

2. 10 Security Requirements:

Contractor shall ensure all staff have completed all necessary badging, credentialing, and information security requirements prior to staff performing work on VAPHS property. The contractor will remove any staff who have not completed all requirements until such requirements have been met.

2. 11 Housekeeping/clean up:

Contractor shall ensure housekeeping/clean up requirements are rigorously adhered to. All construction debris and garbage shall be removed from the work site or placed in an appropriate garbage container prior to the end of each shift. Allow no materials to blow off the roof area or be discarded anywhere except the dumpster.

2. 12 Fire safety:

Fire safety during construction shall be adhered to with proper storage of combustible materials. Contractor shall possess fire extinguishers at all active work areas above and below.

2. 13 Contractor shall perform all described work herein to all applicable Codes and Standards and supply all materials and manpower to do so. Work shall be performed to an agreed schedule with the VA Pittsburgh Health System.

2. 14 Performance of this contract is on a fixed cost basis.

2.14 Noise shall be kept to a minimum in the fact that this roof resides over offices.

2.15 Contractor shall not use existing equipment or ductwork as worktable, sawhorse, table, etc.

2.17 Contractor shall provide a portable toilet for workers as they will not have access to interior of building.

3. 0 Work to be Performed.

3. 1 Contractor shall remove all existing roofing membrane, flashings, vents etc. down to existing insulation and dispose of into contractor supplied dumpsters.

3. 2 Contractor shall replace but not limited to (contractor is responsible for the accurate measurement & count of below items) –

a. Approximately 56,500 square feet of roofing material & replace with standard 60 mil White TPO set-in LVOC binding adhesive.

b. HVAC curb flashings – 6, 8-foot & 16, 4-foot

c. Exhaust vent flashings – 12

d. HVAC unit flashings – 10

e. Roof vent caps – 40

f. Roof drain transitions – 22

g. Vent pipe flashings – 34

h. Walking paths – 80 6-foot pieces

i. Wall flashings 2-coat Kynar finish (white) .050ga – approximately 600 feet

j. Roof edging flashing 2-coat Kynar finish (white) .050ga – approximately 1625 feet

k. Bilco access door flashing – 1

l. Conduit/pipe mounting – approximately 400 feet needing remounted to blocks.

3. 4 Add tapered insulation sheets as needed for sloping to drains, no puddles are permissible once new membrane is installed. 1/8” slope to drain minimum.

3. 5 New Roof Membrane installation shall be of a adhered/glued assembly.

3. 6 Heat weld all seams.

3. 7 Flash walls and curbs with 60 mil Standard White TPO set-in LVOC binding adhesive.

3. 8 Furnish and install Lightning Protection consisting of an exposed down conductor system with aluminum on the roof, transitioning to tined copper and finally terminating to ¾” x 10’ ground rods. The bottom ten feet of the down conductors are to be cased with 1” PVC conduit. At completion of project Contractor will submit to the LPI for System Certification on the buildings.

3. 9 Provide dumpsters as needed for duration of project.

3. 10 In event of conflict, the most stringent building code/TIL/Construction Standards shall apply. For any and all other Specifications that must be followed refer to VA Technical Information Library (TIL) criteria in Master Construction Specifications available at http://www.cfm.va.gov/TIL/. Especially Specification # 075423 Thermoplastic Polyolefin (TPO) Roofing.

3. 11 When setting roof drains: a person must be on the top of the roof and underneath to check that the drain piping is not pulled free from existing piping when setting drains in new TPO roofing. Drains shall be tested with water above and plumbing connections below for plumbing leaks. Repair any leaks that arise according to the VA building code/TIL/Construction Standards.

3. 12 Furnish a 20-year Manufacturer’s Warranty on roof assembly.

3. 13 Contractor shall return to original condition/state any landscaping or property damaged during completion of project.

3. 14 If a Crane lift is required for this project. Include price of crane in bid. Contractor shall provide for site traffic control during crane operation. Crane lifts may be required to be done off hours when building is unoccupied.

Crane Lift Plan shall be submitted to COR/Safety Officer 30 days before use. Crane shall have current inspection, be certified for the lift amounts, and be operated by a certified operator. Submit all Inspections and Certifications to COR 30 days prior to lift(s).

http://www.cfm.va.gov/TIL/

3. 15 Contractor shall visit all areas of work, including walking the site, measure existing dimensions and observe existing conditions before bidding work, ordering materials, or starting any construction.

3. 16 Contractor to provide warning signage and directional signage that shall be posted in construction area while work is performed.

3. 17 The VA believes the construction site does not contain any asbestos, however it the Contractor encounters any material they believe may contain asbestos the Contractor is responsible to sample and test at the Contractor’s expense. If abatement would be necessary the abatement cost would be the responsibility of the

VA.

3. 18 Time of Performance.

Monday through Friday; normal working hours; except for Federal holidays.

3. 19 Place of Performance.

VA Healthcare System, 1010 Delafield Road, Pittsburgh Pa. 15215

Special Contract Requirements

1. Contractor’s Responsibilities and Insurance Requirements:

The Contractor must obtain all necessary licenses and/or permits required to perform this work. He/She must take all precautions necessary to protect persons and property from injury or damage during the performance of this Contract. He must be responsible for any injury to himself, his employees, or others, as well as for any damage to personal or public property that occurs during the performance of this Contract that is caused by his or his employees’ fault or negligence.

2. Security:

a. Secure all construction areas, especially mechanical and electrical rooms against entry of unauthorized individuals including patients.

b. Notify the Contractor Officer’s Representative (COR) for permission to work after hours and weekends. Standard work hours for the medical center are Monday – Friday, 7:00 a.m. to 4:30 p.m.

c. All contractors shall wear and display VA contractor badges provided by the VA Police Department.

d. Only a limited number of keys will be issued to the contractor.

e. If the Contractor loses a key, all areas that are required to be keyed for the security of the medical center, will be re-keyed at the Contractor's expense at a charge of $50 per key and $50 per change. Any and all new keys required to be issued for security of the medical center will be completed at the Contractor's expense.

f. Ensure all doors leading to and from the construction areas are locked always to prevent access to the area from unauthorized persons.

g. The COR is responsible for ensuring that all Contractors comply with physical security policies.

COR will ensure contractor gets required security badge. A compliant ID badge must be worn by Contractors always while on VA premises.

h. Contractor shall not have access to the VA network or any VA sensitive information under this contract.

i. All Contractor and subcontractor’s employee’s s must receive Privacy training annually using one of the following methods:

I. Complete “VA Privacy Training for Personnel without Access to VA Computer Systems or

Direct Access to or Use to VA Sensitive Information” training by using VA’s TMS system (https://www.tms.va.gov/). Contractors may use the TMS Managed Self Enrollment method to complete the training in Talent Management System (TMS).

II. Complete the hard copy version of “VA Privacy Training for Personnel without Access to VA Computer Systems or Direct Access to or Use to VA Sensitive Information”. Signed training documents must be submitted to the COR.

III. Training must be completed prior to the performance of the contract and annually thereafter.

Proof of training completion must be verified and tracked by the COR.

3. Patient Privacy:

a. Before entering a patient care room, receive permission and instructions from the nurse in charge. Respect the privacy of all patients. Remember, the patients at VAPHS are veterans who have served to protect our country.

4. Safety Requirements:

To protect the lives and health of occupants of the buildings, the Contractor in the performance of this Contract must take such safety precautions as the CO, or his designate, may determine to be reasonably necessary. The CO, or his designate, will notify the Contractor of any non-compliance with the foregoing provisions and the action to be taken. The Contractor must, after receipt of such notice, immediately correct the conditions to which attention has been directed. Such notice, when served on the Contractor or his representative must be deemed sufficient for the purpose aforesaid. If the Contractor fails or refuses to comply promptly, the CO may issue an order, stopping all or any part of the work, and hold the Contractor in default. Noncompliance may result in Contract termination.

5. General Safety:

a. Follow all federal, state and local safety and health regulations.

b. Maintain safety in the construction site/area in accordance with the provisions of the contract, which includes the OSHA Regulations, National Electrical Codes. NFPA 70, National Electric Code and NFPA 101, Life Safety Code. Work in a safe manner and take all proper precautions while performing your work. Extra precautions shall be taken when working around persons occupying the building during construction.

c. Provide Personal Preventive Equipment (PPE) for your employees.

http://www.tms.va.gov/)

d. Post appropriate signs in specific hazardous areas. Contractor to post construction warning signs at each entrance to area.

e. Keep tools, ladders, etc. away from patients to prevent injuries.

f. For Tuberculosis - Review of all contract worker Tuberculosis (TB) screening requirements and options (reference VHA Directive 2011-036 Safety and Health during Construction). Contractor is required to annual certify all Contractors working on VAPHS have documented screening for latent Tuberculosis within the last 12 months and every 12 months thereafter while working at VAPHS. If screening for latent Tuberculosis is positive, clearance from a physician is required prior to working at VAPHS. The Contractor shall also be notified that anyone failing to meet these requirements is not permitted to work onsite and/or may be removed at any time without notice until these requirements are met. Provide evidence to respective COR.

g. Influenza: Contractor employees must participate in VHA’s seasonal influenza prevention program as described in VHA Directive 1192.01, Seasonal Influenza Vaccination Program for VHA Health Care Personnel. This VHA directive mandates that by November 30, 2021, all Contractor employees must receive the influenza vaccine. To verify compliance, it is required that a Health Care Personnel Influenza Vaccination Form found in Appendix B of the Directive be filled out, signed, and submitted to the COR. By signing the Appendix B, Contractor employees acknowledge that they have read, understood, and agree to comply with the requirements.

6. Interference with Normal Functions: The Contractor’s personnel are required to interrupt their work at any time so as not to interfere with the normal functioning of the medical facility, including utility services, fire protection systems, and passage of facility patients, personnel, equipment and emergency and/or service carts. These interruptions should only be occasional. Any interruptions considered to be excessive should be brought to the attention of the CO.

7. Housekeeping:

a. Protect patients and VA personnel in occupied areas from the hazards of dust, noise, construction debris and material associated with a construction environment. Keep work area clear, clean and free of loose debris, construction materials and partially installed work which would create a safety hazard or interfere with VA personnel duties and traffic.

b. Wet mop occupied areas clean and remove any accumulation of dust/debris from cutting or drilling from any surface at the end of each workday. Contractor to provide mops and buckets to keep area within their work site clean and areas outside their work site that are affected by traffic from the site.

c. Make every effort to keep dust and noise to a minimum always. Take special precautions to protect VA equipment from damage including excessive dust.

d. Maintain clear access to mechanical, electrical devices, equipment and main corridors. This will ensure access to existing systems in the event of an emergency.

e. Clean area of all construction debris and dust upon completion of demolition and/or renovation at the end of each workday.

f. During construction operations, keep existing finishes protected from damage. Cover and protect all carpets during construction. Any carpets or surfaces damaged because of construction activities will be replaced by the contractor and at the contractor’s expense.

8. Disposal of Hazardous Waste:

The Contractor must not dispose of any hazardous materials at any location on the medical facility premises except as specified by the CO.

9. Recycling:

It is the contractors’ responsibility to recycle as much of the construction by-products as possible. This would include but not be limited to steel, copper, etc. The contractor will keep a manifest of the items recycled and approximate amounts. The contractor will also make every effort to use recycled materials during the construction of the project. This will be monitored through the submittal process, but will require that the contractor manifest all recycled materials used during the project.

a. Recycled content products shall be used in execution of this contract wherever such products are available.

b. The contractor shall keep a record of all recycled content products used in execution of this contract. The record shall identify recycled content products used in execution of the work with approximate quantities.

c. Contractor shall also keep a record of all wastes and by products recycled because of the execution of this contract. The record shall identify products recycled along with approximate quantities.

d. Contractor shall submit copies of record reflecting all recycled products used in the contract with each application for progress payment or quarterly. The record shall include the types and quantities of products used. Negative reports are required.

10. Hazardous Materials:

a. Many of the operations may involve the use of hazardous materials. Prior to bringing hazardous materials on site, all Material Safety Data Sheets will be submitted through the COR for evaluation by the facilities Industrial Hygienist/Safety Representative.

b. Storage of hazardous materials within buildings will be minimal with only enough on hand to perform daily work tasks. Flammable materials will either be removed from buildings at the end of the work shift or stored in approved flammable storage containers.

c. Care must be taken to assure adequate ventilation to remove vapors of hazardous materials in use.

Many of the patients being cared for in the facility are susceptible to environmental contaminants, even when odors seem minimal. Isolate those areas where vapors are produced and ventilate to the most extent possible to reduce the number of complaints.

d. When chemicals become odorous, the COR and Safety Office should be contacted immediately, i.e., adhesive remover used to remove glue, so employees in adjacent areas can be notified.

11. ENVIRONMENTAL PROTECTION:

Contractors shall abide by the facilities Green Environmental Management System (GEMS) policies and procedures. Contractors shall use recycled content products and bio-based materials when possible and provide an estimate of the percentage of materials with recycled content that will be used on the awarded projects. Contractors shall recycle all possible recyclable materials and report the total quantity of recycled and total quantity or waste removed during the projects. Reporting frequency will be set by the Contracting Officer.

(See Environmental Compliance: PG-18-17 at https://www.cfm.va.gov/til/index.asp)

a. It will help to be educated of the seriousness, which the environmental protection requirements of each contract are regarded. Adherence to these requirements is subject to continuing scrutiny from the community and backed by severe penalties, such as fines and incarceration. These environmental requirements will be strictly enforced.

b. No hazardous materials will be disposed of on Government property during and after completion of the project. All waste will be hauled off-site or disposed of in contractor-owned and operated waste removal containers.

c. A copy of all waste manifests for special or hazardous wastes will be forwarded to the COR and the Industrial Hygienist. Environmental requirements will be strictly enforced.

12. Hazardous Material Storage & Use:

12. 1 The contractor shall establish hazardous material (HM) storage and distribution system when HM is to be used. All HM required to support the contract shall be reported to the Green Environmental Management System (GEMS) Coordinator using the Contractor HM Identification Form. The Contractor HM Identification Form will be provided to the Contractor at or prior to the Pre- Construction meeting. Additional HM needed by the contractor shall be identified to the Contracting Officer's Representative for approval by the HMP.

12. 2 The contractor planning to use HM for the work must register with the GEMS prior to start of work to support the installation’s compliance with Executive Order 12856, Federal Compliance with Right- to-Know Laws and Pollution Prevention Requirements.

12. 3 The contractor shall maintain Contractor HM Identification Form for HM on the job site for inspection/verification.

12. 4 Contracting Officer's Representative (COR) will verify that the HM identified to (GEMS) Coordinator is the only HM in use on the job site.

12. 5 Contractors shall provide the (GEMS) Coordinator:

a. A list of each material and quantity of material for all proposed HM. Hazardous Material (HM) shall mean any item that is:

b. A health hazard or physical hazard as defined in 29 CFR, 19 10.1200(c).

c. Regulated in its disposal by EPA less than 40 CFR.

d. Hazardous as defined by DOT regulations less than 49 CFR.

e. Hazardous as defined by the Dangerous Goods Regulations of the International Air Transport Association.

f. A safety data sheet (SDS) for each item on the list.

http://www.cfm.va.gov/til/index.asp)

g. The contractor shall establish his/her own HM storage and issue location that complies with federal, state and local environmental regulations. Materials issued shall be tracked for quantities used. Unused materials shall be inventoried and removed from the VAMC Facilities prior to close out of the contract or expiration date of the HM. Reports of materials delivered, used and removed from the installation shall be submitted to the Contracting Officer monthly and prior to contract close out.

h. The contractor shall comply with all federal, state and local environmental standards.

i. The Facility (GEMS) coordinator shall be notified and accompany the Contracting Officer, Facility Engineer and other responsible parties i.e., COR, etc., on all project close out inspection to ensure all used/unused HM was removed from the installation.

13. Hazardous Waste (HW) Requirements:

13. 1 General: This section includes the handling of all hazardous waste (HW) as generated by the contractor or government hazardous waste encountered by the contractor during this contract.

13. 2 Non-Hazardous Waste: The contractor is responsible for the disposal of all non-hazardous waste.

13. 3 Contractor Hazardous Waste: This shall include any hazardous waste that is a result of the use of hazardous materials (HM) and through leakage or spills. Pennsylvania regulations define any spills or leakage of oils (fuel) as hazardous waste. Contractor shall be fully responsible for the use, reporting and disposal of this material or waste, in accordance with all Federal, State and local regulations. The contractor shall provide a copy of his/her registration with the state Department of Environmental Protection (DEP) for the Northwest region/Environmental Protection Agency (EPA) ID number; hazardous waste transporter’s name and copy of their license or permit to transport hazardous waste; and the Treatment, Storage, and Disposal Facility (TSDF) name and copy of their license, permit, or interim status from EPA to receive hazardous waste.

13. 4 Notification Requirements: The contractor shall notify the COR before the start of work, if they will be generating HW and when generation of HW will commence. This should be annotated on the PCRA plan as part of the review and approval process by COR.

13. 5 While the EPA and the Commonwealth of Pennsylvania permit the use of accumulation sites (Ref: 40 CFR 262.34) local authorization is required prior to establishing such a site. This approval is obtained from the Green Environmental Management System Office after a favorable joint review conducted by the (GEMS) Coordinator, The Safety Manager, The COR, and the Contracting Officer.

14. Airborne Dust Control During Construction:

14. 1 In order to protect patients, visitors, staff, and contractors from safety and health hazards associated with construction activities, this policy is established for the VA Pittsburgh Healthcare System (VAPHS) and for all VAPHS-affiliated/owned/leased property where construction activities are undertaken.

14. 2 Generation of dust is of major concern within the medical center. Where operations involve the generation of dust, all efforts will be directed at eliminating airborne generated dust associated with construction.

14. 3 The Infection Control staff will work to assist the COR in identifying and specifying all infectious control requirements that will be in effect and required during the construction activities. This includes completion of an anticipated Infection Control Risk Assessment (ICRA) permit. ICRA permit must be signed by all parties and posted at each entrance to the construction site before any work can commence.

14. 4 Contractor is required to have a permanent manometer installed at the entrance of each construction site to validate to VAPHS that the contractor is maintaining negative pressure of the Contractors’ construction site to the medical center. Manometer is required to have real time continuous display. Display required to alarm visually when out of compliance. Display will provide data storage with download capability for the contractor to validate compliance to COR with ICRA approved permit. Contractor is required to provide power and data to this manometer as part of the contract.

14. 5 All employees of contractor and subcontractors are required to have Infection Control Risk Assessment (ICRA) 8-hour Certification Class. The ICRA 8-hour course is an awareness training class covering basic procedures and policies to reduce infection contamination, communication and documentation necessary for the topic and the various responsibilities to ensure facility construction meets the organization’s contamination protocols. Contractor will submit these certificates of compliance within 30 days of project commencement for each employee and employee of all subcontractors.

14. 6 Contractor and subcontractors that are building the infection control barriers must have an ICRA 24-hour certificate course. The ICRA 24-hour course is a best practices class covering the proper methods to erect, maintain and dismantle ICRA barriers. Contractor to submit employee compliance to COR before any Infection Control barrier is built or within 30 days of project commencement (whichever is first).

14. 7 No plastic will be used in separating construction area from Medical Center. Plastic barriers may be temporarily used when originally installed permanent ICRA barriers to protect the medical center from the impacts of the installation of the permanent barrier.

14. 8 The Infection Control staff will work to assist the COR in identifying and specifying all infectious control requirements that will be in effect and required during the construction activities. This includes completion of an anticipated Infection Control Risk Assessment (ICRA) permit.

14. 9 Pre-Construction. A meeting of the COR, safety, infection control, contractor (including sub-contractors), and other identified parties performing the construction activities must be held prior to beginning of any work (or work phase) onsite. This meeting will be held to review the construction activity plans and how they address the concerns identified during the development of the construction project and contract documents. Pre-Construction meetings will be held once for small projects or projects involving only one phase as well as more than once for projects employing multiple phases of work. General items for discussion during the Pre-Construction meeting(s) are identified on the Pre-Construction Meeting Checklist (Attachment B). The meeting will also discuss the following information at a minimum as well as ensure that everyone present is familiar with their role in keeping the medical center safe:

a. Identification of the contractor site superintendent who works for the prime contractor. Provide evidence of superintendent’s OSHA 30-hour certification prior to work commencement. OSHA 10 certification required for all staff of contractor and subcontractors. Provide evidence of certificate to COR prior to work commencement.

b. Identification of the contractor’s Site Safety and Health Officer (SSHO) and all other project competent person(s) (CP) as defined in VA Master Specification 01 35 26 and 29 CFR 1926.

c. Identification of current applicable local, state, and federal safety and environmental regulations that are in effect and applicable during the construction activities; e.g., Occupational Safety and

Health Administration (OSHA), US Environmental Protection Agency (EPA), National Fire Protection Association (NFPA), etc.

d. Identification of current applicable local and national VA safety and environmental regulations.

e. Review of the Contract Workers Safety Information (Attachment A) as well as any other location-specific information which should be disseminated to all contractor personnel who will work onsite.

f. Review of the Pre-Construction Risk Assessment (PCRA) requirements for construction activities and completion of the permit for the project and/or project phase. The general contractor, or in the case of work performed by VA staff the work supervisor, is responsible for identifying all potential construction risks as outlined in the PCRA permit (Attachment C). This effective planning will ensure minimal impact to the medical center.

g. Review of the Infectious Control Risk Assessment (ICRA) policy requirements for construction activities and completion of the permit for the project and/or project phase.

h. The COR/RE/PM in conjunction with the infectious control staff, director or manager of the unit(s) affected, and the contractor are responsible for identifying and reviewing all potential construction risks and requirements as outlined in the ICRA permit (Attachment D).

i. Review of the medical center’s Hot Work Policy and permit process (Attachment E).

j. Review of the medical center’s Confined Space Policy (reference EC-042).

k. Review of the medical center’s Firewall/Smoke Wall Penetration Policy and permit process (reference EC-061).

l. Review of the medical center’s Fire Alarm/Fire Sprinkler Impairment, Utility Outage and Lock- Out/Tag-Out Policies and processes as applicable (reference FMS-007, FMS-014, and FMS-010 respectively).

m. Review of the medical center’s current contract staff credentialing and badging requirements, and what steps must be taken before contract staff are permitted to work onsite (reference FMS- 039).

n. Review of the medical center’s current contract staff information safety and security requirements (Attachment F).

o. Review of any additional policies/guidelines as applicable to the contract.

15. Contact with Asbestos Containing Materials:

a. Due to the age of our buildings, many contain asbestos containing materials (ACM). Primary ACM uses in the medical center include floor tile, mastic, and piping and HVAC insulation. The medical center has performed a comprehensive asbestos survey and has identified accessible ACM. Some areas contain damaged asbestos and should not be accessed without prior abatement.

b. The most common type of ACM insulation you may encounter includes thermal system insulation (TSI) and vinyl asbestos tile floor (VAT). ACM TSI is generally covered with a cloth wrap or lagging and the asbestos substrate generally appear white in color. DO NOT SAND, DRILL, GOUGE, OR OTHERWISE DISTURB THIS TYPE OF INSULATION. Contractors disturbing or releasing asbestos containing materials will be liable for all damages and cleanup costs.

c. Where disturbance of asbestos is likely, it has been addressed in the contract for removal. If contact with the presence of asbestos is presented, stop all work in the immediate area and immediately contact the COR and the Industrial Hygienist/Safety Office to make necessary arrangements for removal.

d. In some areas, asbestos insulation has been identified on elbows between fiberglass piping insulation as patching materials among the fiberglass insulation. Fiberglass insulation used in this facility is usually yellow or pink in color, wrapped either by cloth or paper lagging.

e. To protect and ensure all your employees are aware that asbestos containing materials have been used in the construction of this facility, you are required to have them review this section and complete the awareness statement included as Attachment A. Once this documentation has been signed by all employees, forward to the COR for documentation.

f. A complete assessment of asbestos materials and conditions are available for viewing by contacting the COR. Prior to performing work above any ceiling or starting in a new area, consult with the COR concerning existing conditions of ACM.

g. Some of the areas in the facility are identified as restricted areas due to condition of ACM. These are readily labeled. DO NOT ENTER THESE AREAS unless first contacting the COR. Entry requirements to these areas are awareness of the hazards, proper protective clothing (coveralls and respirators), and personal monitoring in accordance with OSHA requirements.

h. Submit contractor asbestos awareness statements for all persons working on the site prior to commencing work.

16. Permit Required Confined Spaces:

a. Contractors performing work on this facility will follow all requirements outlined in OSHA Standards for working in confined spaces. There are numerous “permit required” confined spaces on this facility. These spaces have been identified as a confined space. Some spaces have been posted, but most of them have not due to their configuration.

b. Confined spaces are areas, which are large enough to be entered, have limited egress/exit potential, and are not designed for permanent human occupancy. If you encounter any space, which meets this definition, if it is a suspected confined space, please contact the COR and the Industrial Hygienist/Safety Office for a determination.

c. Contractors performing work in confined spaces are responsible for compliance with all applicable standards and regulations.

17. Hot Work Permits:

Any hot work operations including cutting, welding, thermal welding, brazing, soldering, grinding, thermal spraying, thawing pipes or any other similar activity, will require a Hot Work Permit to be obtained by the Contractor from the Safety Officer. The Contractor will be responsible for conforming to all Medical Center regulations, policies and procedures concerning Hot Work Permits as outlined below:

a. Prior to the performance of hot work, a request for a Hot Work Permit will be made to the Safety Department. (Attachment E).

b. The COR and a representative from the Safety Office will inspect the area and ensure that the requirements of NFPA 241 and OSHA standards have been satisfied. The Hot Work Permit will be granted and will be posted in the immediate area of the work.

c. The Hot Work Permit will apply only to the location identified on the permit. If additional areas involve hot work, additional permits must be requested.

d. Upon completion of all hot work, the COR will be notified by the responsible individual to perform a re-inspection of the area.

e. Do not use any of the extinguishers in the medical center for standby purpose while conducting hot work. Contractors are required to supply their own Class ABC extinguishers. Medical center extinguishers are only to be used in the event of a fire.

18. Lock Out/Tag Out:

Energy Control Program shall be observed by all contractor personnel. Contractor is to submit a copy of their policy for approval.

19. Penetration Permits:

Contractor to complete Penetration Permit prior to commencement of any penetrations in fire rated construction barriers. Close openings in smoke barriers and fire-rated construction to maintain fire ratings. Seal penetrations with listed through-penetration firestop materials in accordance with TIL Section 07 84 00, Fire stopping.

20. Parking:

There will be no on-site Contractor parking. There will be no contractor staging outside of construction area. Contractor's Trailers: Not authorized. Contractor is only authorized one dumpster location, regardless of how may projects they have onsite, which will be assigned by COR after Notice to Proceed.

21. Traffic:

a. Traffic hazards are minimal at this facility. Drivers should be particularly concerned with pedestrian traffic.

b. Seat belt use is mandatory on the station.

c. Federal police officers maintain a 24-hour patrol of the area.

d. No parking/driving on sidewalks and/or grass unless authorized.

22. Smoking:

No smoking is permitted on any VAPHS campus.

23. Damages:

Contractor is responsible to maintain and repair any existing construction that is damaged by Contractor’s construction activities. Reference FAR 52.236-9.

24. Sales of Companies or Name Changes:

If the Contractor, gaining award of the Contract, wishes the VAPHS to recognize a successor in interest to its Contract or a name change, he will submit a written request to the Contracting Officer in accordance with FAR 42.1203.

ATTACHMENT “A”

Contract Worker's Safety Information Contract Reference No.:

The VA Pittsburgh Healthcare System is a full service medical center with inpatients, outpatients, visitors, and staff wh can be affected by what you do while working here. Many of these patients may have health problems that make them more susceptible to materials used or generated in your work.

In the event of a fire, remember RACE. Rescue persons in immediate danger, pull the fire Alarm and contain the fire by closing any doors. If it is safe to do so, and you have been trained, try to extinguish the fire with a portable fire extinguisher. If you do not hear the alarm sound, call ext. 333 to report the location. Know the location of the fire alarm and extinguisher in your work area.

Keep all dust and odors within the construction or maintenance site. All Material Safety Data Sheets (MSDS) for materials must be posted. Provide MSDS to the Contracting Officer’s Representative (COR).

A. Asbestos

1. Assume that any sprayed-on fireproofing and thermal insulation contains asbestos. Ceiling tiles provide the barrie between the asbestos in the interstitial and the occupied areas below. Interior walls provide a similar barrier to asbesto fireproofing on vertical columns.

2. Ceiling tiles cannot be moved or displaced without proper containment and personal protective equipment. Wall penetrations cannot be made without proper containment and personal protective equipment. Immediately report all disturbances of asbestos-containing materials to your supervisor and the COR.

B. Hazardous Waste

1. The VA Pittsburgh Healthcare System indicates waste that is hazardous with different colored bags:

a) RED for infectious or biohazardous waste.

b) YELLOW for chemo waste.

c) CLEAR & BLACK for general waste.

d) Signs on containers also indicate whether the contents are biohazardous, radioactive or cytotoxic.

e) Do not touch the contents of any of these containers.

C. Hazardous Spills

1. Locate the MSDS and contact the Facility Management Service at extension 412-360-6138 during normal business hours for assistance. Alternately you can contact the VA’s Industrial Hygienist at 412-360-3705 during normal business hours. In the event of no answer, or after hours contact the VA Operator at 412- 688-6000 for assistance.

D. Utility Shutdown

1. You must notify your supervisor and COR for approval: (advance approval is required for all utility shutdowns in accordance with your contract requirements)

a) Prior to lock out/tag out of any utility system.

b) If a utility failure occurs.

c) Prior to restoring the system.

E. Smoking

1. Smoking is not allowed on any VAPSH campus.

F. Patient Care Areas

1. Before entering a patient care room, receive permission and instructions from the nurse in charge. Respect the privacy of all patients. Remember, the patients at VAPHS are veterans who have served to protect our country.

ATTACHMENT “B”

Pre-Construction Meeting Checklist for Contractor, Contracting Officer, and Contracting Officer Representative

A. Which bid alternatives were accepted? Verify that there is an agreement between the contractor and the VA regarding which of the alternates were accepted.

B. Labor Disputes (FAR 52.222-1) C. Monthly Progress Payments (FAR 52.232-5) D. Differing Site Conditions (FAR 52.236-2) E. Superintendence by the Contractor (FAR 52.236-6). Superintendent must be employed by the contractor and must hav full authority to act for the contractor.

F. Completion of Infection Control Risk Assessment (ICRA) Matrix of Precautions for construction. Completion of IC Permi and issuance (or procedures). All smoke and/or dust barriers will be in place and approved by infection control and saf prior to beginning any demolition or construction work. (Attachment C).

G. Cleaning Up (FAR 52.236-12).

H. Accident Prevention (FAR 52.236-13).

I. Specifications and Drawings for Construction (FAR 52.236-21).

J. Specifications govern over drawings.

K. Work done without approved submittals shall be at contractor's risk.

L. Changes (APR 1984). No oral order shall be considered as a change.

M. Inspection of Construction (FAR 52.246-12).

N. Specifications and Drawings for Construction (VAAR 852.236-71). Drawings are not to be scaled.

O. Daily Report of Workers and Materials (VAAR 852.236-80). Weekly pay statement. Documentation required for apprentices.

P. Schedule of Work Progress (VAAR 852.236-84).

Q. Workman's Compensation (VAAR 852.236-86).

R. Hauling Demolition Material. Loads must be covered. Trucks must be equipped with a tailgate.

S. Receiving of Contractor Shipments by Government Employees.

T. Asbestos removal.

U. Use of Government Ladders. Under no condition is the contractor authorized to use government ladders.

V. No smoking in any building on station, except for designated smoking shelter.

W. Material Safety Data Sheets. Contractor must provide MSDSs for all applicable materials that are brought onto the job site.

X. Safety. Safety of the contractor's personnel is the contractor's responsibility. VA will not intervene except when the safe of VA personnel or property is at risk.

Y. Fire Stopping shall be provided for all penetrations in vertical and horizontal smoke partitions.

Z. Hot Work Permits are required for all hot work.

AA. Fire Safety During Construction.

a. The contractor shall manage the work and schedule material arrival in a manner to result in a minimum of combustible material stored in the building at any one time.

b. Under no condition will fire exits or other means of egress be blocked or partially blocked.

c. Housekeeping/cleanup requirements shall be rigorously adhered to. All construction debris shall be removed from the building prior to the end of each shift. Reference FAR 52.236-12

d. No Smoking rules shall be strictly observed.

e. The fire alarm system may not be disarmed or disabled in any way unless an equally effective alternative fire alarm system is provided.

f. All construction partitions shall be constructed and sealed in accordance with VAPHS ILSM Policy Safety- 001 and NFP

241.

BB. Lock Out/Tag Out Energy Control Program shall be observed by all contractor personnel. Contractor is to submit a cop of their policy for approval.

CC. Working in Confined Space shall be observed by all contractor personnel. Contractor is to submit a copy of their policy for approval. Contractor must obtain a permit prior to conducting any confined space work.

ATTACHMENT “C”

Infection Control Risk Assessment: Matrix of Precautions for Construction & Renovation Step

1: Using the following table, identify the Type of Construction Project Activity (A-D)

Type A

Inspection and Non-Invasive Activities Includes, but is not limited to:

• Removal of ceiling tiles for visual inspection limited to 1 tile per 50 square feet.

• Painting (but not sanding)

• Wallcovering, electrical trim work, minor plumbing, and activities which do not generate dust or require cutting of walls or access to ceilings or other than for visual inspection.

Type B

Small scale, short duration activities which create minimal dust Includes, but is not limited to:

• Opening of no more than one ceiling tile per 10 tiles

• Installation of telephone and computer cabling

• Access to chase spaces

• Cutting of walls or ceiling where dust migration can be controlled

• Minor renovation of existing space

• Wet sanding of walls

• Drilling

• Snake drain or repair sink/shower that is to remain intact and requires no cutting.

Type C

Work that generates a moderate to high level of dust or requires demolition or removal of any fixed building components or assemblies Includes, but is not limited to:

• Dry sanding of walls for painting or wall covering

• Cutting of walls, removal of drywall or building finish components where work is limited to one room or suite (including removal of floor coverings, ceiling tiles, and casework)

• Wall demolition or new wall construction

• Minor duct work, plumbing work or electrical work above ceilings (not including system demolition or installation).

• Remove dead leg or cutting of wall to expose plumbing

• Multiple ceiling tiles removed

• Moderate renovation of existing space

• Major cabling activities, multiple rooms/lines where multiple access points are needed

• Any activity which cannot be completed within a single work shift

Type D

Major demolition and construction projects Includes, but is not limited to:

• Activities which require consecutive work shifts, the closure of a unit/wing or relocation of an entire patient area

• Requires heavy demolition or removal of a complete cabling system, HVAC, plumbing, medical gas or electrical system

• Demolition of major fixed building components, assemblies, fit-out elements or structural elements

• Astic

• New construction

• Excavation activities within proximity (as determined by ICRA team) of hospital building

• Core drilling into floor Major duct work (includes removal of insulation)

ATTACHMENT C

Step 2: Using the following table, identify the Patient Risk Groups that will be affected. If more than one risk group will be affected, select the higher risk group:

Low Risk Medium Risk High Risk Highest Risk

• Office areas

• Public corridors

• Fisher House

• Loading Dock

• Research (*depends on location & whether work is invasive or non-invasive)

• Hero’s Hall

• Chapel

• Patriot Store

• Mechanical Space

• The Dom

• Admissions

• Nuclear Medicine-1st

FL

• PT/OT-(10West, BLD

51, BLD 71)

• Radiology/MRI/CT

Scan-(1st FL & BLD 51)

• Respiratory Therapy-

(3North & BLD 51)

• ECHO/EKG/Vascular

Lab-4th FL

• Audiology (BLD 29 &

BLD 71)

• Sleep Lab-4th FL

• EEG-10East

• Outpatient Behavioral

Health (e.g., clinics, therapy sessions, etc.)

• Occupational Health

• PPRT (BLD 69)

• Barber Shop

• Recreational Therapy

• Morgue (UD/HZ)

• Canteen

• Nutrition & Food

Services (patient kitchen)

• Starbucks

• Emergency Room

• Laboratories

(specimen)

• Pharmacy

• Primary Care

• ASU/SDSU-3West

• Wound Clinic-10West

• 9West/24 hour OBS

• Med-Surg Units (e.g., 4W, 5W, 6W, 6WL)

• Rainbow Clinic-8East

• Women’s Health

Clinic-1st FL

• Speech

• Radiation Oncology-

Basement FL

• 5E/6E Clinic

• Inpatient Behavioral

Health Units (e.g., 3M, 4M, 5M)

• Inpatient CLC Units (e.g., GS, 1N, 1S, 2A, 2B, 3A, 3B)

• Biohazard Room (Loading Dock)

• Cath Lab/EP Lab-4th

FL

• Dialysis Clinic-7East

• Sterile

Processing/Decontam ination

• Distribution (UD/HZ)

• ICU’s (e.g., 3A, 3E, 4E, 5A)

• Hem-Onc Clinic-

8West

• Operating room/PACU

• Dental (HJH)

• Inpatient Pharmacy

(*compounding room only)

• Pain Procedural Room-3rd FL

• G.I. Lab-3rd FL

• Urology-2nd FL

• Interventional

Radiology-1st FL

• Bronchoscopy-3rd FL

• Eye Clinic

• Pulmonary Function

Testing-8North

• Fluoroscopy-3rd FL

• Angiogram-3rd FL

• Linen Room (Loading

Dock-UD & BLD 51)

*Assess all areas for immunosuppressed patients and/or special circumstances that may require additional environmental controls.

Step 3: Match the Patient Risk Group (low, medium, high, highest) with the planned Construction Project Type (A, B, C, D) on the IC Matrix to find the Class of Precautions (I, II, III, IV) or level of infection control activities required. Classes of precautions are described in the table on the next page.

IC Matrix: Class of Precautions for Construction Projects by Patient Risk

Patient Risk Group Type A Type B Type C Type D

LOW Risk Group I II II III/IV

MEDIUM Risk Group I II III IV

HIGH Risk Group I II III/IV IV

HIGHEST Risk Group II III/IV III/IV IV

Note: Infection Control signature will be required when the Construction Activity and Risk Level indicates that Class III and Class IV control procedures are necessary.

Step 4: Identify the areas surrounding the project area, assessing potential impact

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