A.01.30_17R0005Contractor_Safety_Manual_June_2015_7-18-2017.pdf

Contractor Safety Manual

Dorn VA Medical Center

SAFETY HEALTH

Wm. J. B. Dorn VA Medical Center Contractor Safety Manual

TABLE OF CONTENTS:

FORWARD

CHAPTER 1: PROJECT SAFETY POLICY AND PLAN

CHAPTER 2: GENERAL JOBSITE SAFETY RULES

CHAPTER 3: FIRE PREVENTION PROGRAM

CHAPTER 4: ASSURED EQUIPMENT GROUNDING CONDUCTOR PROGRAM

CHAPTER 5: RESPIRATOR PROGRAM AND VAPOR-FUME LEVEL

DETERMINATION (TLV/TWA)

CHAPTER 6: SCRAP WASTE MATERIAL DISPOSAL GUIDELINES

CHAPTER 7: SCAFFOLD, LADDER SAFETY PROGRAM, AND FALL PROTECTION

PROGRAM

CHAPTER 8: HAZARD COMMUNICATION PROGRAM

CHAPTER 9: CONFINED SPACE ENTRY PROCEDURES AND TRENCHING AND

EXCAVATION PROGRAM

CHAPTER10: LOCKOUT/TAGOUT & WORKING ON ENERGIZED ELECTRICAL

EQUIPMENT

CHAPTER 11: PERSONAL PROTECTIVE EQUIPMENT PROGRAM

CHAPTER 12: HOT WORK PERMIT AND FIRE WATCH PROGRAM

CHAPTER 13 HEARING CONSERVATION AND NOISE MINIMIZATION PROGRAM

Contractor Receipt

My signature verifies that I have read the Contractor’s Safety Manual, am familiar with its contents, and am aware of the appropriate resources for concerns related to health and safety on the job, have received and will strictly adhere to the Dorn VA Medical Center policies and procedures. This manual will be reviewed with all subcontractors.

SIGNATURE:___________________________________________ DATE:__________________

COMPANY NAME:______________________________________

Contractor/Subcontractor/Employee Notification of Asbestos Form

THE DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER LOCATED IN COLUMBIA, SOUTH

CAROLINA WAS CONSTRUCTED DURING A PERIOD WHEN ASBESTOS WAS COMMONLY USED IN

BUILDING MATERIALS.

THE MEDICAL CENTER HAS COMPLETED A SURVEY FOR ASBESTOS. ALL BUILDINGS CONTAIN

SOME TYPE OF ASBESTOS (I.E., STEAM LINES, FLOOR TILES, CRAWL SPACES, ETC.).

IF YOU OR YOUR EMPLOYEE ENCOUNTERS SUSPECTED FRIABLE ASBESTOS OR CONDITIONS

THAT MAY CAUSE SUSPECTED ASBESTOS TO BECOME FRIABLE, NOTIFY THE CONTRACTING

OFFICER’S TECHNICAL REPRESENTATIVE (COTR) IMMEDIATELY.

WHEN WORKING IN AREAS THAT ARE SUSPECTED OF HAVING ASBESTOS, RELOCATE

EMPLOYEES AND PATIENTS FROM THE AREA UNTIL WORK IS COMPLETED.

IF THERE ARE ANY QUESTIONS, PLEASE CONTACT THE COTR.

THANK YOU FOR YOUR ASSISTANCE.

CONTRACTOR/SUBCONTRACTOR/EMPLOYEE SIGNATURE, PLEASE SIGN AND DATE BELOW AS

ACKNOWLEDGEMENT OF THE ABOVE INFORMATION.

Employee Name Contractor/Subcontractor Date

FORWARD

WELCOME! We’re glad to have you join our team dedicated to serving our Nations’ veterans. Your work assists us in providing the most modern, comprehensive care possible.

This Safety Manual has been prepared by the Safety and Emergency Management Service of the Wm. J. B. Dorn VA Medical Center (Medical Center) to promote health and safety at the job site.

It addresses typical safety and health concerns every contractor generally encounters while performing work at the Medical Center. Each chapter outlines some of the requirements of an individual aspect of the Medical Center Safety Program and applicable Federal and/or State Safety and Health regulations. It is not, however, intended to be a comprehensive nor exhaustive reference of all the applicable Federal, State, or local safety and health program requirements, standards, regulations, or guidelines that may affect your work at the Medical Center. You are responsible for becoming aware of and abiding by the applicable rules, regulations, standards, codes, guidelines, and similar governing elements that may impact your work at the Medical Center, including all Medical Center Health and Safety policies and applicable Occupational Safety and Health Administration (OSHA) regulations (Code of Federal Regulations – 29 CFR 1910 General Industry Standards and 29 CFR 1926 Construction Standards). Some, but not all, of the referenced standards are listed throughout this document for your convenience, but are not all inclusive. This does not release the contractor for the obligation to meet all applicable standards. Contractors and contractor personnel may be required to have completed the OSHA 10-hour construction worker course, the 30-hour construction course, or other relevant competency training as determined by the COTR. The determination for training is based on the project hazards and complexity, State and Federal regulations, and VA requirements. In all cases, the requirements of the contract and decisions of the Contracting Officer supersede any information outlined within. Each chapter is designed to assist you in forming a positive approach to job site safety and health as you design and implement your Safety Program.

POLICY

It is VHA policy that construction and renovation activities on VHA-owned property and VHA-leased property be conducted in such a way to protect the health and safety of VHA and contractor staff, patients and the public. This policy applies to all construction activities as defined by OSHA that are performed at VHA-owned or leased facilities.

CONSTRUCTION RISK ASSESSMENT

A comprehensive risk assessment has been completed for this project. The assessment will be reviewed and you will be provided a copy. The Contractor shall ensure all employees are made aware of the assessment results. All stipulated interim life safety, infection control, safety, and security measures shall be adhered to at all times.

CHAPTER 1: GENERAL CONSTRUCTION SAFETY

1-1. Competent Person - OSHA defines as one who is capable of identifying existing and predictable hazards in the surroundings and working conditions which are unsanitary, hazardous or dangerous to employees, and who has the authorization to take prompt corrective measures to eliminate them (see 29 CFR 1926.32(f)).

1-1.a The Contractor shall appoint a properly qualified Competent Person to coordinate and implement the Contractors’ job site Safety Program with the Contracting Officer’s Technical Representative (COTR) and/or the Project Engineer, as necessary. This duty may fall to the Contractor’s Foreman, Superintendant, or to an individual specifically hired to perform the function at the Contractor’s discretion. The Contractor will provide the necessary telephone, and/or pager, and/or cellular telephone number(s) to contact the Competent Person 24 hours a day. The Contractor shall ensure a qualified Competent Person is assigned to all aspects of the project (i.e.

trenching, scaffolding, crane lifts, etc. See applicable OSHA standards for Competent Person requirements).

1-1.b For projects lasting greater than thirty days, the Competent Person will hold scheduled meetings to instruct all personnel on safety practices and job site conditions. Meeting notes and attendees will be recorded and made available to the COTR upon request.

1-1.c. The Competent Person shall be responsible for ensuring safety and personal protective equipment is available according to company policy and enforcing the use of such equipment by all personnel. The Competent Person is responsible to ensure all equipment is properly maintained in accordance with CFR 1926.95-107.

1-1.d. The Competent Person shall maintain and Accident Prevention Program and accurate injury/accident reports (CFR 1926.20, CFR 1904). All accidents must be reported to the Competent Person immediately, whether or not an injury or property loss has occurred. An accident investigation report must be filed using the contractors’ reporting mechanism. Accident reports for accidents or incidents involving Medical Center patients, personnel or property will be completed by the COTR in conjunction with the contractor using the Medical Center form 2162, “Report of Accident or Incident”.

1-1.e An after hours Safety Program will be instituted when working beyond normal work hours and weekends, or if First Aid Station/Emergency care facilities are not readily available, the Competent Person will designate a person who has a current First Aid certificate in accordance with CFR 1926.50(c) to work during these hours to fulfill first aid measures, should they be required. Emergency and humanitarian first aid services (billed to the employee’s medical insurance) and services for qualified veterans may be obtained at the Medical Center emergency room. The contractor must arrange for all other medical services. Each job site shall have an approved first-aid kit (CFR 1926.50); expended items shall be replaced as required.

1-1.f. The Competent Person is responsible for coordinating all work activities with the requirements of the Medical Center Safety and Health program, including the requirements set forth in established Medical Center policies. Questions regarding the applicability of any single aspect of the Medical Center program should be referred to the Project Engineer.

1 -1.g. The Competent Person shall notify the COTR prior to executing high risk work.

High risk work includes, but is not limited to, tasks requiring LOTO, live electrical work, work at heights, trenching/shoring, crane operations, and confined space entry.

1-2. A comprehensive, documented Contractors’ Safety Program will be developed and submitted for approval prior to the commencement of work activities under the contract. At a minimum, the contractors’ safety plan shall incorporate the following programs, as applicable to the project:

1-2.a. A safety policy statement signed by the senior official in the contractors’ organization.

1-2.b. A Fire Prevention Program incorporating the elements of the Medical Center Fire and Life Safety Programs and emphasizing the Joint Commission on Accreditation of Healthcare Organizations Interim Life Safety Measures (29 CFR 1926.24,1926 Subpart F, and 1926.34).

1-2.c. An Assured Equipment Grounding Program in accordance with NFPA 70 and 99, including a method for assuring the safe and proper operation of all equipment and tools brought into the medical center (29 CFR 1926 Subpart I).

1-2.d. A Respirator Program (29 CFR 1910.134).

1-2.e Housekeeping (29 CFR 1926.25) and Materials Handling, Storage, Use, and Disposal procedures (29 CFR 1926 Subpart H), and Recycling procedures.

1-2.f. A Scaffold, aerial lift, and Ladder Safety program (29 CFR 1926 Subparts L and X).

1-2.g. A Hazard Communication Program (29 CFR 1910.1200).

1-2.h. A Confined Space Entry and trenching and excavation program (29 CFR

1910.146 and 1926 Subpart P).

1-2.i. A Lockout/Tagout program (29 CFR 1910.147 and Medical Center M&O Standard Operating Procedure 3-1).

1-2.j. A Personal Protective Equipment program (CFR 1926.28 and Subpart E and 1910 Subpart I).

1-2.k. A Hot Work Permit and Fire Watch program (Medical Center Procedures).

1-2.l. A Hearing Conservation and Noise minimization program (CFR 1926.52).

1-2.m. A method for informing any subcontractors of the requirements of Medical Center safety program and insuring compliance with all aspects.

1-2.n. A Powered Industrial Truck program (CFR 1910.178).

1-2.m. Procedures for Welding and Cutting (CFR 1926 Subpart J).

1-2.o. Occupational Health and Environmental Controls (CFR 1926 Subpart D)

1-2.p. Electrical Safety Program (CFR 1926 Subpart K).

1.2.q. Fall Protection Program (CFR 1926 Subpart M).

1.2.r. Crane, Derrick, Hoist, Elevator, and Conveyor safety (CFR 1926 Subpart N).

1.2.s. Construction Vehicle (off-highway) safety (CFR 1926 Subpart O).

1.2.t. Concrete and Masonry Construction safety (CFR 1926 Subpart Q).

1.2.u. Steel Erection safety (CFR 1926 Subpart R).

1.2.v. Demolition safety (CFR 1926 Subpart T).

1.2.w. Toxic and Hazardous Substance safety (CFR 1926 Subpart Z).

CHAPTER 2: GENERAL JOBSITE SAFETY RULES

2-1. The contractor shall be responsible for promoting and maintaining safe-working conditions at all times. The Competent Person shall conduct and document safety inspections as required by OSHA regulations (see ATTACHMENT A for required inspections and frequencies). The Competent Person shall advise the COTR of results of the safety inspections at the end of each work week.

2-1.a. The Competent Person shall instruct all workers with regard to performing their duties in as safe a manner as possible and the hazards involved. Workers will follow all contractor safety rules and those of the Medical Center.

2-1.b. The Competent Person shall be knowledgeable about of the conditions of the job site before work is begun. No worker shall be permitted to work in or enter a place where it is known that a dangerous condition exists, except to remove the danger, and then only under direct supervision, utilizing appropriate precautionary measures.

Tools, equipment and materials will not be left unattended at any time unless properly secured away from patients, staff, and visitors.

2-1.c. Workers must receive safety training and demonstrate the capability to perform the duties required before being permitted to work. All contractor personnel will complete a Safety Orientation training program presented by the Competent Person.

The Competent Person will complete a Safety Orientation conducted by Medical Center Safety staff.

2-1.d. All workers shall use the necessary safety devices for the work involved. All tools and the work area shall be kept in a safe condition.

2-1.e Adequate sanitation, washing facilities and drinking water shall be provided. All contractor personnel will be clean and properly attired at all times. The Competent Person shall issue heat alerts during periods of weather that might jeopardize human health when conducting outside work.

2-2. Tools, equipment, and machinery will be brought to the worksite in proper working condition and maintained in that manner for the duration of the project.

2-2.a. Only authorized and properly trained persons shall be allowed to operate equipment and machinery and ride in contractor vehicles.

2-2.b. Machinery guards shall be kept in place at all times, except while being repaired, maintained, or adjusted. Unless necessary, machinery shall not be repaired while in motion, such as timing adjustments and calibration. Lockout procedures must be followed.

2-2.c. Hammers or other striking tools and struck tools such as chisels with chipped edges, mushroomed heads, broken or split handles shall not be used. Handles will be provided for all rat-tail files

2-2.d. Riding material hoist platforms are prohibited unless the hoist is equipped with an approved safety device rated for human loads. Riding crane hooks, “headache balls” or crane loads is prohibited.

2-2.e. Power tools shall be used only by designated and trained persons. Safe operating instructions issued by the equipment manufacturer shall be complied with.

The Competent Person will be prepared to demonstrate employee competence with specific power tools at all times and upon request.

2-2.f. Unsafe, improperly functioning or broken equipment will be tagged accordingly, disabled, and removed from service until repair or replacement is made.

2-2.g. Horseplay and similar activities are prohibited.

2-2.h. Compressed air will not be used to clean personnel or indoor work areas.

Compressed air regulated below 30 psi may be used to clean equipment, but only if proper personnel protective equipment is used and the work is performed outdoors.

2-2.i. Concealed weapons; firearms, alcohol, drugs, and similar contraband are not permitted on Medical Center property. Individuals entering Medical Center property consent to the search of their persons and vehicles without the need to show cause.

Contractor employees will not perform work while under the influence of illegal drugs or while using prescription medications that will impair their ability to operate tools, use machinery or drive motor vehicles safely.

2-2.j. Cellular telephones and unapproved radio systems will not be used in-patient care areas.

2-2.k. All contractor personnel will properly display the numbered contractor’s identification badge issues to them. The Competent Person will keep an accurate log of the badge numbers issued to him and will be able to identify the individual employee by the badge number at all times.

CHAPTER 3: FIRE PREVENTION PROGRAM

3-1 An approved fire plan will be prepared for all work areas.

3-1.a. The fire plan will include a floor diagram showing the location of fire-fighting equipment, fire alarm pulls stations, evacuation routes and assembly areas.

3-1.b. Smoking and the oral consumption of tobacco are prohibited inside all medical center buildings. Outdoor smoking areas will be clearly designated on the written fire plan and used by all contractor personnel.

3-1.c. Fire plan procedures and requirements will be reviewed prior to the beginning of the project and at least annually for projects lasting longer than 12 months. Training on the fire plan and procedures will be provided to all contractor employees by the Competent Person prior to initial assignment and then at least annually thereafter for projects lasting longer than 12 months.

3-1.d. The contractors’ written fire plan will incorporate the general Medical Center response plan R.A.C.E.:

R= RESCUE Remove individuals form the room of fire origin to a safe location.

A=ALARM Activate the closest fire alarm pull station and call the emergency number 6555. Report the exact location of the fire and any other critical information;

C=CONTAIN Contain the fire by closing all the doors and windows throughout the work area;

E=EVACUATE Evacuate the area to the exterior of the building. Extinguish the fire using the closest fire extinguisher if it is safe and easy to do.

3-2. The work area(s) will be maintained in a fire safe manner at all times.

3-2.a. All “waste” material will be disposed of properly and at least at the end of each shift. All work areas are to be cleaned daily or more often to insure removal of trash and accumulated residue. The scrap waste material disposal guidelines (Chapter 6) will be followed as part of the fire prevention program.

3-2.b. Fire extinguishers (Class ABC) will be placed and available for immediate use in:

Mixing Areas involving flammable liquids and substances; Material Storage Areas;

Work Areas, and; other areas deemed necessary by the Competent Person.

3-2.c. Fire extinguishers are to be checked daily. Any that are not charged within the “full zone” will be tagged and replaced immediately.

3-2.d. Should a fire start that is not extinguished immediately, all persons shall be evacuated from the area and the Medical Center operator notified using the emergency number 6555.

3-2.e. Fire fighting equipment is to be used for that purpose only. Hose and extinguisher boxes, extinguishers, Exits, and fire alarm pull stations shall not be obstructed.

3-2.f. Proper ventilation will be employed for confined areas to prevent flammable fume buildup. Fuel cans or combustible material shall not be left near open flames, sparks or areas where welding and cutting are performed.

3-2.g. Burning, welding and/or cutting operations shall not be done within a 100-ft.

area adjacent to or above work or material or flammable storage areas. The burning, welding and/or cutting permit system will be followed to enforce this requirement to provide control over unauthorized open flames and welding operations.

3-2.h. Flammable liquids and materials will be stored in approved safety containers, and labeled. Large inventories (i.e., more than one days’ worth of materials) will be maintained in secure and placarded locations outside and greater than 10 feet from Medical Center buildings.

3-2.i. Penetrations through established smoke and fire partitions will be sealed at the end of each shift. In the event construction requires the removal of a smoke or fire partition, a partition of equivalent rating will be provided to separate the construction area from adjacent areas.

3-2.j. Egress routes will be maintained free and clear at all times. Should the egress from any portion of a Medical Center building be reduced at any time, an alternate route of egress will be established and the occupants of the area affected be notified and made aware.

3-2.k. Emergency vehicle accesses will be maintained at all times.

3-2.l. No portion of the automatic or manual fire alarm or sprinkler system will be disabled at any time except as provided in Chapter 12. Where construction involves the complete removal of a fire alarm or sprinkler zone, a temporary system will be installed. Temporary systems will be inspected at least monthly.

3-2.m. The Competent Person will insure that an adequate number of fire extinguishers and fire-fighting equipment are present in each construction area for the hazard presented. All contractor personnel will be trained on and familiar with the proper operation of all life-safety equipment. Contractor personnel will participate in scheduled fire drills of construction areas to demonstrate the adequacy of such training.

CHAPTER 4: ASSURED EQUIPMENT GROUNDING CONDUCTOR PROGRAM

4-1. The contractor shall have a program to insure the installation, use and maintenance of construction equipment and utilities in accordance with the applicable requirements of the National Electric Code and OSHA Regulation 29CFR 1926.400.

4-1.a. Qualified person(s) as defined in 29CFR 1926.32(f) shall be designated to implement this program. This may be the Competent Person or another individual(s), however, the designation must be made in writing and included in the contractors’ safety plan.

4-2. Electrical utilization equipment will be properly used and maintained.

4-2.a. Conductors shall be spliced or joined with devices suitable for the use or by brazing, welding, or soldering. All splices, joints, and free ends of conductors shall be covered with insulation equivalent to that of the conductor or with an insulating device suitable for the purpose.

4-2.b. Live parts of electrical equipment operating at 50 volts or more shall be guarded against accidental contact by means of approved cabinets or other forms of approved enclosures, or by location. Entrances to guarded locations containing exposed live parts shall be marked with warning signs.

4-2.c. Markings on electrical equipment shall be provided giving voltage, wattage, and other ratings as necessary, and with the manufacturer’s identification. Each service, feeder, and branch circuit, at its disconnecting means or over-current device, shall be legibly marked to indicate its purpose unless and arranges so the purpose is evident.

4-2.d. Conductors and equipment shall be protected in accordance with their ability to conduct current safely.

4-2.e. For a grounded system, a grounding electrode shall be used to connect both the equipment grounding conductor and the grounded circuit conductor to the grounding electrode. Both the equipment grounding conductor and the grounding electrode conductor shall be connected to the grounding circuit conductor on the supply side of the service disconnecting means or on the supply side of the system disconnecting means or over-current devices if the system is separately derived.

4-2.f. For an ungrounded service-supplied system, the equipment-grounding conductor shall be connected to the grounding electrode conductor at the service equipment.

4-2.g. The path to ground from circuits, equipment, and enclosures shall be permanent and continuous.

4-2.h. Exposed non-current-carrying metal parts of fixed equipment which may become energized shall be grounded, if within 8 feet vertically or 5 feet horizontally of ground or grounded metal objects if subject to employee contact, if located in a wet or damp location and not isolated, if in electrical contact with metal, or if in a hazardous location.

4-2.i. Equipment connected by cord and plug shall be grounded if it is in a hazardous location, if it operates at more than 150 volts to ground, if it is used in a damp or wet location, if it is used by persons standing on the ground on or metal floors, or working inside metal tanks or boilers, or if it is likely to be used in wet and conductive locations.

4-2.j. All 120 volt, single phase, 15 and 20 ampere receptacles shall be of a grounding type.

4-2.k. Grounding contacts shall be grounded by connection to the equipment-grounding conductor of the circuit supplying the receptacles in accordance with applicable requirements of the National Electric Code.

4-2.l. All 120-volt flexible cord sets (extension cords) shall have an equipment-rounding conductor, which shall be connected to the grounding contact of the connector(s) on each of the cords.

4-2.m. Each cord set, and any equipment connected by cord and plug, except cord sets and receptacles which are fixed and not exposed to potential damage, shall be visually inspected by the user before each day’s use for potential defects such as deformed or missing pins, insulation damage, and/or indication of possible internal damage. Equipment found damaged or defective may not be used until repaired.

4-2.n. All 120 volt, single phase, 15 and 20 ampere receptacles, 120 volt flexible cord sets, and 120 volt equipment connected by cord and plug which is not a part of the permanent wiring of the building or structures shall be tested to assure that electrical continuity is maintained through all required equipment grounding conductors and their connectors. All equipment-grounding conductors shall be tested for continuity and shall be electrically continuous. Receptacle of cord sets shall be tested for correct attachment of the equipment-grounding conductor. The equipment-grounding conductor shall be connected to its proper terminal.

CHAPTER 5: RESPIRATORY PROTECTION AND ODOR CONTROL PROGRAM

5-1 Vapors, fumes, and odors will be controlled to the greatest extent possible.

5-1.a. Concentrations of toxic and hazardous substances will be maintained below the published 1998 Threshold Limit Values for Chemical Substances and Physical Agents and Biological Exposure Indices of Airborne Contaminants of the American Conference of Governmental Industrial Hygienists (ACGIH) and as adopted by OSHA Sec. 29CFR

1926.55 - Gases, Vapors, Fumes, Dusts, and Mists.

5-1.b. The TLV/TWA shall be used as guides in the control of health hazards and should not be used as fine lines between safe and dangerous concentrations.

5-1.c. Obnoxious odors, dusts, and aerosols generated, as a result of work activities will be controlled at the source to prevent migration into adjacent, occupied areas.

The contractor is reminded that, as a hospital, cleanliness is of paramount concern in all activities.

5-2. Whenever the TLV/TWA is exceeded, immediate corrective steps shall be taken.

These include, but are not limited to: improved ventilation; removal of the fumes or vapor by venting; use of additional safety equipment such as cartridge (organic vapor filter) respirators; fresh air masks or dust masks. In every instance, however, the Competent Person will work to prevent the generation or contaminants so that respiratory protection is not necessary.

5-2.a. In all cases, respiratory protection will not be used in lieu of feasible engineering or administrative controls. The Competent Person will provide the Contractor’s’ written respiratory protection program, training documentation for all affected employees, medical surveillance documentation, and a certification that feasible engineering controls and/or administrative controls could not be implemented.

Should there be a disagreement regarding the feasibility of controls, the Industrial Hygienist of area office of the Federal Occupational Safety and Health Administration will be consulted.

5-2.b. The proper type respirator for the specific hazard will be selected in accordance with the American National Standard for Respiratory Protection Z88.2-1969 and be included in the NIOSH Approved List of Equipment for the use intended.

5-2.c. All respirators shall be checked by fit test for each individual to assure that the seal of the facemask is proper and secure. If difficulty is encountered in obtaining an effective seal, a different size mask or model respirator shall be obtained.

5-2.d. Multiple use respirators shall be assigned to an individual for his/her individual use only and shall be properly maintained.

5-2.e. All respirators shall be inspected routinely before and after each use. Respirator inspection shall include: Tightness of connections and the condition of facepiece, Headbands, and Valves; Connections of tubes and canisters, and; Rubber parts shall be checked for pliability and deterioration;

5-2.f. Respirators kept for emergency use must be inspected after each use.

5-2.g. Respirators shall be cleaned after each use, as follows: Remove filters, cartridges and headbands, and disassemble the major parts; Wash all respirator parts (except cartridges and elastic headbands) in a cleaner/disinfectant solution. Use a hand brush to remove dirt; Rinse completely in clean, warm water; Air dry in clean area;

Inspect all parts and replace if defective; Reassemble respirator and insert new filters or cartridges. Make sure the seal(s) is tight; Disinfect all facial contact areas with an approved type disinfectant, and; Seal the respirator in a new plastic bag for storage after dry.

5-2.h. Repair or replacement shall be done only by experienced persons with parts designed for the respirators.

5-2.i. No attempt shall be made to replace components or to make adjustments or repairs beyond the manufacturer’s recommendation.

5-2.j. Reducing valves or admission valves and regulators shall be returned to the manufacturer or to a trained technician for adjustment or repairs, as necessary.

5-2.k. Respirators must be stored properly when not being used. The Competent Person will provide for proper storage and cleaning of all respirators. This shall be done on a daily basis or after each individual in accordance with the company maintenance program for respirators. Respirators shall be packed or stored so that the facepiece and exhalation valve rests in a near normal position.

5-2.l. After inspection, cleaning and necessary repairs, respirators shall be stored to protect against dust, sunlight, heat, extreme cold, excessive moisture and damaging chemicals.

5-2.m. Routinely used respirators, such as organic vapor canister respirators, may be placed in plastic bags.

CHAPTER 6: SCRAPS, WASTE MATERIALS, AND HAZARDOUS WASTES

DISPOSAL GUIDELINES

6-1. The contractor is responsible for providing for and managing the disposal of wastes from the project unless otherwise provided for in the terms of the contract or as noted in section 6-1.d.

6-1.a. The Competent Person is responsible for developing and implementing a comprehensive waste management program for wastes generated by the contractor during the project.

6-1.b. At a minimum the comprehensive waste management program will provide for waste reduction (pre-cycling), recycling, and management of hazardous and non-hazardous wastes, including the management of residues, rinse and wash waters, and similar wastes.

6-1.c. The Competent Person will provide a copy of the US Environmental Protection Agency (EPA) Generator Identification Number issued to the contractor along with the most current Hazardous Waste generator notification provided to the SC Department of Health and Environmental Control (DHEC), if applicable. If no EPA identification number has been obtained and Waste Generator notification has not been made to SC DHEC, the contractor will certify in writing to the Medical Center Safety and Emergency Management Service that such actions are unnecessary due to the contractor’s generator status and/or the absence or limited quantities and/or characteristics of the wastes expected to be generated as a result of the project or previously generated within the past year.

6-1.d. Unless the wastes generated are a direct result of the abatement or removal of a toxic or hazardous substance (e.g., asbestos abatement or lead-based paint removal), the Competent Person is responsible for insuring that all shipments of hazardous wastes are properly and legally completed using the contractors’ EPA identification number and are properly and legally manifested and tracked to disposal. Receipts for any hazardous wastes generated as a result of the abatement or removal of a toxic or hazardous substance will be turned over to the COTR. Hazardous wastes to be disposed of will be shipped via approved, licensed, and insured haulers to licensed disposal or recycling facilities.

6-2. The Competent Person will submit to the Medical Center Safety and Emergency Management Service a copy of the hazardous waste management plan which will include: an inventory of the hazardous waste stream(s) expected to be generated and referencing the chemical inventory submitted in accordance with Chapter 9; a determination of the hazardous waste characteristic(s) of each of the hazardous waste(s) generated and specifying the method of determination, and; the management method (i.e., disposal, recycling, etc.) selected for each of the hazardous waste stream(s). Chemicals depleted during the construction process will be identified as such.

6-2.a. Empty drums or other containers must be drained and rinsed at least three times with copious amounts of water prior to disposal. The wash or rinse waters from such activities will not be discharged to Medical Center drains or otherwise disposed of on Medical Center property.

6-2.b. Containers of hazardous wastes- other than those identified under section 6-1.d.

or waiting recycling- will not be stored on Medical Center property for greater than the shift during which they were generated. They will be removed prior to the end of that shift to a proper hazardous waste storage area under the supervision and control of the contractor until disposed of. Weekly inspections of the storage area will be conducted by the Competent Person and copies provided to the Medical Center Safety Office.

6-2.c. An inventory of the wastes intended for recycling will be submitted to the Medical Center Safety and Emergency Management Service for approval.

6-2.d. Containers or areas used to store waste materials intended for recycling will be properly managed and maintained in a sanitary and safe manner. Containers or materials will be removed at least weekly. Leaking containers of liquid wastes are prohibited. Solid wastes will be protected from rain and similar weather to prevent run-off. Such storage areas will be approved in advance by the Medical Center Safety Office.

CHAPTER 7: FALL PROTECTION AND SCAFFOLD AND LADDER SAFETY

PROGRAM

7-1. Ladders will be properly maintained, erected, stored and used at all times.

7-1.a. Free use of both hands is required for climbing ladders. If materials or tools have to be handled, use of a proper construction equipment belt, and/or adequate lanyard and/or an approved materials hoist is required.

7-1.b. Always face the ladder when climbing or descending.

7-1.c. Stepladders will be equipped with a properly functioning metal spreader or locking device of sufficient size and strength to securely hold the ladder open.

7-1.d. Ladders will be inspected before each use. Defective ladders will be tagged accordingly and removed from service. Ladders will not be painted with wholly or in part excepting in limited amounts for identification purposes (e.g., letters or numbers).

7-1.e. Non self-supporting ladders will be erected on a firm base with the base of the ladder a distance from the wall or upper support equal to one-quarter the length of the ladder.

7-1.f. The top of the ladder shall extend at least 3 feet above the point of contact when used to gain accesses to a roof or similar aboveground level.

7-1.g. Metal ladders shall not be used in areas containing electrical circuits.

7-2 Scaffolds will be erected and supervised by a qualified individual.

7-2.a. All scaffolds and their supports shall be capable of supporting the load they are designed to carry with a safety factor of at least four.

7-2.b. All planking shall be “Scaffold Grade” as recognized by the species of wood used.

The maximum permissible spans for 2 X 9-inch or wider planks are as follows:

Full Thickness Nominal Undressed Lumber Thickness Lumber Working Load (p.s.f.) 25 50 75 25 50 Permissible Span (ft.) 10 8 6 8 6

7-2.c. The maximum permissible span for 1 ¼ X 9-inch or wider plank for full thickness is 4 feet, with medium loading of 50 pounds per square foot.

7-2.d. Scaffold planks shall extend over their end supports not less than 6 inches or more than 18 inches.

7-2.e. Scaffold planking shall be overlapped a minimum of 12 inches or secured from movement.

7-2.f. Railings and toeboards shall be installed on all open sides and ends of platforms more than 10 feet above the floor except where wholly within the interior of a building and covering the entire floor area of any room therein and not having a side exposed to a hoistway, elevator shaft, stairwell or similar opening between floors.

7-2.g. A screen with maximum ½-inch openings between the toeboard and the guardrail will be provided where persons are required to pass under or around the scaffold.

7-3 Fall protection will be provided in accordance with OSHA regulations found in Subpart M (29 CFR 1926.500-503).

7-3.a. Body belts will not be used.

7-3.b. Where required body harnesses would be provided in sufficient number, styles, and sizes accommodating all contractor personnel. Fall protection equipment will be provided where personnel are engaged in activities on an elevated work surface (either horizontal or vertical) of six feet or more without adequate fall protection safeguards in place (ladder cages, walls, etc.).

7-3.c A perimeter warning system shall be utilized to provide identification of fall hazards at least six feet before the hazard. Personnel working within the warning zone (between the warning system and the hazard) shall be observed by a fall protection attendant at all times. The attendant will be assigned no other jobs or duties during this period. Operations inside the warning zone will be halted and all personnel removed from the warning zone upon the removal of the attendant.

7-3.d. Personnel working within six feet of the fall hazard will be equipped with the appropriate and necessary fall protection equipment including-at a minimum- body harness, anchorage, connectors, lanyard, deceleration device, lifeline or suitable combination of these.

7-3.e. Free-falls will be limited to no more than two feet.

CHAPTER 8: HAZARD COMMUNICATION PROGRAM

8-1. A written Hazard Communication Program will be developed by the Competent Person and be made available for review at the worksite.

8-1.a. The Competent Person will insure that the written Hazard Communication Program includes provisions for container labeling and other forms of warning, Safety Data Sheet (SDS) Management, and employee training.

8-1.b. The Competent Person will insure that all affected employees receive the required hazard Communication training prior to initial assignment and as necessary after reassignment.

8-2.a. An inventory of the hazardous substances used during the completion of the project will be provided along with all pertinent Material Safety Data Sheets (MSDS) to the Medical Center Safety and Emergency Management Service for evaluation and review prior to the beginning of any work. Requests by Medical Center employees to review contractor chemicals, inventories, or SDS’s will be referred to the Medical Center Safety Office. Similarly, Contractor personnel with concerns regarding hazardous substances used at the medical center will also be referred to the Medical Center Safety Office.

8-2.b. Where possible, alternates substances of less toxicity or hazard will be used.

8-2.c. Inventories of chemical substances and SDS references manuals for the hazardous chemicals used in the Medical Center is provided in each work area.

8-2.d Containers of Hazardous Substances will be labeled at all times.

8-3. The Medical Center Asbestos Assessment and Lead-Based Paint Assessment are available for review in the Safety and Emergency Management Service offices in building 36. The Competent Person is responsible for insuring that all contractor and subcontractor personnel are aware of the presence of these materials and the measures and work practices necessary to prevent damage to the asbestos and lead-based materials present.

CHAPTER 9: CONFINED SPACE ENTRY PROCEDURES AND TRENCHING

AND EXCAVATION PROGRAM

9-1. All contractors are required to follow the applicable Occupational Safety and Health Administration’s (OSHA) confined space regulations (CFR 1910.146 and 1926.21(6)(i)). The contractor is responsible to ensure all elements of this regulation are adhered to, including permit required confined space requirements and ensuring all entrants are properly trained. A qualified person will be designated to supervise all trenching and excavation activities and confined space entry. This may be the Contractor’s Competent Person or other qualified individual at the discretion of the contractor. The contractor is responsible for all required air monitoring during confined space entry and the equipment necessary to conduct such monitoring. The contractor will ensure all equipment is calibrated per the applicable CFR.

9-1.a. When construction involves the trenching or excavation of pits or trenches greater than four feet in depth, adequate safeguards will be instituted to insure worker safety.

9-1.b. Spoils and materials piles will be properly located so as to not represent an engulfment or entrapment hazard

9-1.c. The edges of trenches and pits will be properly sloped.

9-1.d. Trench boxes and similar devices will be used to protect personnel from accidental cave in and similar unexpected soil movement. Shoring will be approved by a qualified professional engineer.

9-1.e. Ladders will be placed at least at each end of a trench and at sufficient intervals along the trench wall and pit perimeter to allow for escape.

9-1.f. Trenches will be protected by pedestrian and vehicle barriers regardless of depth. Where trenches or pits cross or impinge on roadways, sidewalks, or similar public ways, an individual will be provided to direct the public away from the trench or pit. If left unattended, the pit or trench will be covered with steel plates or similar material as feasible or enclosed within construction fencing.

9-1.g. In no case will trenches or pits obstruct emergency vehicle access.

9-2. The contractor will be aware of all Confined Spaces and Permit Required Confined Spaces likely to be impacted by works under the project. In all cases, entry into a Permit Required Confined Space or Confined Space that will result in the characteristics of the space being altered that would render it a Permit Required Confined Space will require that a Confined Space Entry Permit be completed by the contractor’s Competent Person. Locations of all such spaces known can be reviewed in the Safety and Emergency Management Service offices in building 36, during business hours.

9-2.a. The Competent Person will notify the COTR and the Medical Center Safety and Emergency Management Service prior to entry into Permit Required Confined Spaces.

Entry into Confined Spaces will be coordinated with the COTR.

9-2.b. Work in a Confined Space which involves the issuance of a Hot Work Permit, use of vapor or gas-producing chemicals or similar activities that might alter the characteristics of the space and render it a Permit Required Confined Space will be coordinated through the COTR and a contractor’s Confined Space Entry Permit completed.

9-2.c. In confined areas, or as required by the manufacturer, owner or governmental agency, gases and vapor levels will be monitored periodically. No work shall occur in these areas if the threshold limits are exceeded, unless proper safety equipment and/or corrective procedures are implemented.

9-2.d. The contractor is responsible for insuring that a sufficient supply of air monitors, retrieval harness and lifelines, and similar equipment and personnel (e.g., attendant) required for the safe entry of the space is available prior to requesting a permit.

9-2.e. The contractor is responsible for insuring that all personnel are properly trained on the hazards of confined spaces and procedures for entry and permit required space requirements.

CHAPTER10: LOCKOUT/TAGOUT

10-1. Whenever construction involves the installation, service, or maintenance of machines or equipment, it must be completed with the machine or equipment stopped and isolated from all sources of energy.

10-1.a The Competent Person will insure that a documented procedure exists for the lockout/tagout of such machines or equipment.

10-1.b. Training will be provided to contractor personnel involved in the lockout/tagout program by the Competent Person including a review of the documented procedures established and a review of the overall program at least annually for projects lasting greater than 12 months.

10-1.c. The Competent Person will conduct periodic inspections to insure that machines or equipment or locked out/tagged out in accordance with the written procedures and at least annually for projects lasting greater than 12 months.

10-2. The Competent Person will coordinate with the COTR whenever lockout/tagout procedures require the involvement of Medical Center personnel.

10-2.a. The Competent Person is responsible for coordinating between any subcontractors any necessary lockout/tagout procedures.

10-2.b. In all cases, should lockout/tagout procedures be required for greater than one shift, the Competent Person will brief all affected personnel from the incoming shift on the lockout/tagout controls in place and arrange for the orderly and safe transfer of lockout/tagout from one shift to the next, if necessary.

10-2.c. In no case, will a lockout/tagout device be removed by other than the individual who placed it without the presence and consent of the Competent Person. If Medical Center personnel installed the lockout/tagout device, the individual who installed it will remove the lockout/tagout device. If unavailable, the device will not be removed except by those individuals’ supervisor and in the presence of the COTR and a representative of the Medical Center Safety and Emergency Management Service in accordance with Medical Center procedures.

10-3 WORKING ON ENERGIZED ELECTRICAL EQUIPMENT

10.3.a. Maintenance of the electrical distribution system is very important to the safety of patients, visitors, and staff. Following proper electrical safety practices is an integral part of electrical distribution system maintenance. Working on energized electrical equipment is inherently dangerous to maintenance personnel, patients, and medical facilities. Such actions can result in electrocutions, fires, and unscheduled shutdowns of facilities and emergency evacuation of patients.

All contractor personnel performing work on electrical systems and equipment will follow safe work practices in accordance with OSHA requirements, and NFPA 70E “Electrical Safety Requirements for Employee Workplaces.” Work on any electrical system shall be performed in such a manner as to reduce risk to patients, staff and facilities to the lowest practical level. Only qualified personnel are authorized to work on electrical systems and equipment.

10.3.b. All electrical work shall be completed with all proximate energized circuits off. All applicable lockout/tagout procedures will be followed in accordance with OSHA regulations. If de-energizing introduces additional or increased hazards or is infeasible due to equipment design or operational limitations (such as interruption of life support equipment, deactivation of emergency alarm systems, shutdown of hazardous location ventilation equipment, or removal of illumination for an area, or testing of electric circuits that can only be performed with the circuit energized), and work must be accomplished on energized circuits and/or equipment, the following requirements are Mandatory.

10.3.c. Full protective equipment will be used in accordance with NFPA 70E for the hazard present.

10.3.d. Flame retardant clothing will be worn.

10.3.e. Prior to initiating work, a job specific work plan will be developed by the contractor’s responsible supervisor. This plan will include procedures to be used on and near the live electrical equipment and circuits, barriers to be installed, safety equipment, and exit paths. The supervisor will then obtain approval through the COTR from the Chief Executive Officer (CEO) or acting CEO prior to starting work. The approval request should also include recommendations from the COTR.

Note: live parts that operate at less than 50 volts to ground need not be de-energized if there will be no increased exposure to electrical burns or to explosion due to electric arcs.

10.3.f. Work plans should follow the Hazard/risk analysis evaluation procedure flow chart in NFPA 70E, figure D-1, and the Simplified, two category, flame resistant clothing system in Table F-1.

CHAPTER 11: PERSONAL PROTECTIVE EQUIPMENT PROGRAM

11-1 Personal protective equipment shall be used by all employees when required by these rules or when so instructed by the Competent Person.

11-2. Hard-hats shall be worn as required while on the job and shall meet the requirements of ANSI Z89.1-1986 or equivalent. Hard hats for protection against electrical shock shall meet the requirements of ANSI Z89.2-1971.

11-3. Safety glasses shall be worn by all employees when exposed to flying particles, dust or debris.

11-3.a. Employees exposed to flying liquid droplets shall wear goggles.

11-3.b Eye and face protection equipment shall be in compliance with ANSI Z87.1- 1989 and 29CFR 1910.133.

11-4. Clothing appropriate to the duties performed shall be worn by all workers.

Large pockets, loose flowing neckties, finger rings, exposed watch and key chains, cuffed trousers, and loose or torn clothing are dangerous and shall not be worn near machinery, when climbing ladders or working on structures.

11-5. Foot protection shall be worn when there is reasonable probability that injury can be prevented by such equipment. Foot protection shall meet the requirements of

ANSI Z41.1-1983.

11-6 The Competent Person will insure that all affected employees have been properly trained in the use and care of personal protective equipment issued to…