VA 01 00 00 General Requirements - Attachment 1a and 1b.pdf
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- 36C24822R0173
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This document contains two attachments related to notifications for fire sprinkler impairments and restorations during construction projects at Veterans Affairs medical facilities. Attachment 1a details the process for notifying relevant parties when fire sprinklers must be taken offline due to construction work. This includes identifying the project, facility, contractor, nature of impairment, protective measures, timeline, and points of contact. Attachment 1b similarly outlines notifications required when fire sprinklers are restored. A second document provides details of a federal contract opportunity to replace the cardiac cath lab at the James A. Haley VA Medical Center in Tampa, Florida, with a project number of 673-CSI-127, to be awarded by the Department of Veterans Affairs Veterans Health Administration VISN 8.
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Attachments 1a & 1b
Fire Sprinkler Work
Notifications
SECTION 01 00 00
GENERAL REQUIREMENTS
ATTACHMENT #1 - A
NOTIFICATION OF IMPAIRED FIRE SPRINKLER BY CONTRACTOR PERSONNEL
PROJECT No. & TITLE:
NAME OF FACILITY:
NOTIFIED BY:
TITLE:
COMPANY:
NATURE OF IMPAIRMENT:
PRECAUTIONS TO BE TAKEN:
CLOSED VALVE #: BLDG. #: ROOM #:
CONTROLLING:
START DATE: Su M T W Th F Sa @ TIME:
END DATE: Su M T W Th F Sa @ TIME:
JUSTIFICATION:
COR CONTACTED: DATE/TIME
EXT: or CELL:
SAFETY OFFICER CONTACTED (EXT. 7292)
EGCC OPERATOR/CEP CONTACTED (EXT. 7080)
FIRE DEPARTMENT CONTACTED (813- 971-3636)
VISN SAFETY MANAGER( )
Section 01 00 00, Revised May 2015 General Requirements – Attachment #1 - A Page 1
SECTION 01 00 00
GENERAL REQUIREMENTS
ATTACHMENT #1 - B
NOTIFICATION OF RESTORED FIRE SPRINKLER BY CONTRACTOR PERSONNEL
PROJECT No. & TITLE:
NAME OF FACILITY:
NOTIFIED BY:
TITLE:
COMPANY:
NATURE OF IMPAIRMENT:
FULL PROTECTION RESTORED, EXCEPT:
OPENED VALVE #: BLDG. #: ROOM #:
CONTROLLING:
DATE: Su M T W Th F Sa @ TIME:
REASON FOR PARTIAL RESTORATION:
COR CONTACTED: DATE/TIME
EXT: or CELL:
SAFETY OFFICER CONTACTED (EXT. 7292)
EGCC OPERATOR/CEP CONTACTED (EXT. 7080)
FIRE DEPARTMENT CONTACTED (813- 971-3636)
VISN SAFETY MANAGER( )
Section 01 00 00, Revised May 2015 General Requirements – Attachment #1 - B Page 1
| DATETIMESAFETY OFFICER CONTACTED EXT 7598: |
| DATETIMEEGCC OPERATORCEP CONTACTED EXT 7080: |
| DATETIMEFIRE DEPARTMENT CONTACTED 8139713636: |
| DATETIMERSFPE CONTACTED: |
| DATETIMESAFETY OFFICER CONTACTED EXT 7598_2: |
| DATETIMEEGCC OPERATORCEP CONTACTED EXT 7080_2: |
| DATETIMEFIRE DEPARTMENT CONTACTED 8139713636_2: |
| DATETIMERSFPE CONTACTED_2: |
| Contract Information: |
| DATETIMECOTR CONTACTED: |
| DATETIMECOTR CONTACTED_2: |
| End Time - #1A: |
| Group18: Off |
| Group19: Off |
| Project # and Title - #1A: |
| Name of Facility - #1A: |
| Notified By - #1A: |
| Title - #1A: |
| Company - #1A: |
| Nature of Impairment - #1A: |
| Closed Valve - #1A: |
| BLDG # - #1A: |
| Room # - #1A: |
| Controlling - #1A: |
| Justification - #1A: |
| COTR Name - #1A: |
| COTR Phone Ext - #1A: |
| COTR Cell # - #1A: |
| RSFPE # - #1A: |
| Precautions Taken - #1A: |
| Precautions Taken - #1B: |
| Justification - #1B: |
| Start Time - #1A: |
| Start Time - #1B: |
| Group20: Off |
| Reset: |
| Print: |
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