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Baptist Hospital of Miami Bethesda Hospital East and West Boca Raton Regional Hospital Doctors Hospital Homestead Hospital Mariners Hospital Fishermen’s Community Hospital South Miami Hospital West Kendall Hospital B APTIST HEALTH SOUTH FLORIDA SEPTEMBER 2020 Construction & Facilities Management BAPTIST HEALTH Contractors Manual

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Baptist Hospital of Miami Bethesda Hospital East and West Boca Raton Regional Hospital Doctors Hospital Homestead Hospital Mariners Hospital Fishermen’s Community Hospital South Miami Hospital West Kendall Hospital

BAPTIST HEALTH SOUTH FLORIDA SEPTEMBER 2020

Construction & Facilities Management

BAPTIST HEALTH Contractors Manual

2

Contractors Manual

Introduction

This manual has been developed as a quick go to reference for all construction contractors providing services at any Baptist Health new and existing facilities. This document includes information concerning project requirements and procedures, etc. The manual has been assembled in separate sections, each one pertaining to a specific campus or site.

3

Index

ICRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ILSM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Safety Orientation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Flu Shot and COVIT-19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fire Alarm Testing / Watch . . . . . . . . . . . . . . . . . . . . . . . . . . Signing In Badges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Above Ceiling Permits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contractor Parking / Trash Dumpster . . . . . . . . . . . . . . . . . Shutdowns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hurricane Preparedness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Storage / Material Handling . . . . . . . . . . . . . . . . . . . . . . . . . Ladders / Carts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Patient Interaction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Use of Restrooms / Cafeteria . . . . . . . . . . . . . . . . . . . . . . . . . Core Drilling / Slab Cutting . . . . . . . . . . . . . . . . . . . . . . . . . . . Hot Work Permits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Emergency Contact Information . . . . . . . . . . . . . . . . . . . . . . Utility Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Construction Signage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pre-Construction Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . .

BHSF Infection Control Risk Assessment (ICRA):

Contractors are required to understand and sign Appendix B of the Infection Control Risk Assessment (ICRA). The contractor and subcontractor’s staff are required to implement the conditions selected on the ICRA. Appendix B shall be completed during preconstruction and approved by the Facility’s Safety Officer and Infection Control staff. Contractor shall sign the ICRA Agreement as part of the construction contract documents. Prescribed precautions must be in place prior to starting any work and must be maintained throughout the duration of the project. Appendix B must be posted on jobsite during construction.

General:

• Contractor shall restrict work activities associated with an area to within thecontract boundaries indicated on the Construction Documents. Any means ofaccess or egress from the stipulated contract boundaries shall be in accordanceto ICRA documents coordinated with BHSF Construction Management (CM).

• Contractor and each Subcontractor(s) shall effectively confine dust, dirt andnoise to the actual construction area as approved by the Infection Control Staffand/or BHSF entity Safety Officer.

• Contractor will provide construction air conditioning filters to all affected A/Csystems with a rating of MERV 13 in order to prevent construction dust fromentering the main air distribution system.

• Any portion of the work which will create an odor needs to be coordinated withthe BHSF CM prior to commencing to obtain approval from BHSF entityInfection Control staff. A Material Safety Data Sheet (MSDS) shall beprovided to the BHSF CM at least 72 hours in advance for Volatile OrganicCompounds (VOC) level review. It is the responsibility of the Contractor toconfirm the odors will not disrupt the normal business operations of otheroccupants in the Building. In addition, Contractor is responsible to provideventilation and safety precautions in accordance with the applicablemanufacturer’s recommendations. Any paint products used in the Building

shall only be those that have zero (0) Volatile Organic Compounds VOC. A binder with all MSDS information must be kept on the premises.

• Contractor is responsible for cleaning the work site, including the areasurrounding the site and the Building. This is to include the vacuuming ofcarpet, sweeping of the floors, cleaning of the windows (interior surfaces),cleaning light fixtures and dusting as required. This will be done at the end ofeach day.

• Contractor shall be responsible for daily cleanup and removal from theconstruction area of debris and waste.

Revised 07/11 1 BHS 107 Agreement

Exhibit “E”

Infection Control Risk Assessment (ICRA) Matrix of Precautions for Construction

Project Name and Number: Location: Description of project:

Note: The ICRA Matrix shall be completed in the design phase of all renovation/construction projects and approved by the Facilities Safety Officer and Infection Control. Please use non-black ink when signing this document. Electronic signatures may only be used at the discretion of the entity Infection Control staff.

Step One: Using the following table, identify the Type of Construction Project Activity (Type 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 standing)• Wall covering, electrical trim work, minor plumbing, and activities which do not generate dust or

require cutting of walls or access to ceilings other than for visual inspection.

Type B

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

• Installation of telephone and computer cabling• Access to chase spaces• Cutting of walls or ceiling where dust migration can be controlled

Type C

Work that generates moderate to high level of dust or requires demolition or removal of any fixed building components or assemblies. Includes, but is not limited to: • Sanding of walls for painting or wallcovering• Removal of floorcovering, wall covering, ceiling tiles and casework• New wall construction• Minor duct work or electrical work above ceilings• Major cabling activities• 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• Requires heavy demolition or removal of a complete cabling system• New construction

This project has been identified as CONSTRUCTION PROJECT ACTIVITY TYPE .

Adapted with permission V. Kennedy, B. Barnard, St. Luke Episcopal Hospital – Houston, TX, ECSI SHE PDC2001

Revised 07/11 2 BHS 107 Agreement

Step Two: 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 • Cardiology• Echocardiography• Endoscopy• Imaging Services• Nuclear Medicine• Physical Therapy• Occupational Therapy• Respiratory Therapy• MRI• Cardiac Rehabilitation

• Emergency Room• Labor & Delivery• Laboratories (specimen)• Newborn Nursery• Outpatient Surgery• Pediatrics• Pharmacy• Post Anesthesia Care Unit• Nutritional Services

• Immuno-compromisedPatients

• Cardiac Cath Lab.• Central Sterile Supply• All Intensive Care Units• Medical / Surgical Patient

Rooms• Negative Pressure Isolation

Rooms• Interventional Radiology• Oncology• Radiation Therapy• Operating rooms including C-

Section Rooms

This Project has been identified as INFECTION CONTROL RISK GROUP

Step Three: Match the Patient Risk Group (Low, Medium, High, Highest) with the planned Construction Project Type (A, B, C, D) on the following matrix, to find the Class of Precautions (I, II, III, IV) or level of infection control activities required. Class I-IV or Color-Coded precautions are delineated in the appendix under ICRA Matrix of Precautions.

Patient Risk Group Construction Project Type

Type A Type B Type C Type D

Low Risk GroupI II II III / IV

Medium Risk GroupI II III IV

High Risk GroupI II III / IV IV

Highest Risk GroupIII III / IV III / IV IV

This project has been determined to require CLASS PRECAUTIONS.

Note: Infection Control approval is required for all risk levels of construction types.

Assessment completed by: Date:

Infection Control Approval: Date:

Revised 07/11 3 BHS 107 Agreement

Step 4: Identify the areas surrounding the project area, assessing potential impact using the INFECTION CONTROL RISK GROUP designation from Step Two.

Unit Below Unit Above N Lateral S Lateral E Lateral W Lateral

Risk Group Risk Group Risk Group Risk Group Risk Group Risk Group

What additional precautions should be considered based on this assessment?

Step 5 Identify specific site of activities (e.g., patient rooms, medication room, etc.)

Step 6 Identify issues related to: ventilation, plumbing, electrical in terms of the occurrence of probable outages.

Step 7 Consider potential risk of water damage. Is there a risk due to compromising elements of the building envelope or structure? If so, what steps will be taken to keep water out of the building?

Step 8 Identify containment measures. Describe how the barriers will be constructed. Describe how negative pressure will be maintained at > - 0.01 wg within the work zone with respect to surrounding areas. What level of filtration will be provided? Attach drawings if necessary.

Step 9 Work hours: Can the work be performed during off-peak hours? What will be your work schedule?

Step 10 Discuss the following containment issues with the project team (comment as to how these will be addressed):

• Traffic flow –

• Housekeeping –

• Debris removal -

Step 11 Will air sampling be performed prior, during or after the project? Provide details of the air-monitoring plan.

Revised 07/11 4 BHS 107 Agreement

Step 12 Who has the authority to temporarily stop all construction activities due to imminent infection control or safety risks?

Step 13 Will excessive noise or vibration be generated during construction activities? When will these events occur? Describe the plan for minimizing the noise and vibration and its impact on patient care services.

Step 14 Do plans allow for adequate number of protective environment and isolation rooms?

Step 15 Do the plans allow for the required number & type of hand washing sinks?

Step 16 Does the infection control staff agree with the minimum number of sinks for this project? (Verify against AIA Guidelines for types and area.)

Step 17 Does the infection control staff agree with the plans relative to clean and soiled utility rooms?

Step 18: Does the infection control staff agree with the plans relative to the type of faucet, toilet, urinal, decorative lighting, and other types of fixtures?

Steps 1-3 adapted with permission V. Kennedy, B. Barnard, St. Luke Episcopal Hospital – Houston, TX., ECSI ASHE PDC 2001, C Fine CA Steps 4-17 adapted with permission from Fairview University Medical Center, Minneapolis, MN. Forms modified and provided courtesy of Judne Bartley, ECSI Inc. Beverly Hills, MN

Revised 07/11 5 BHS 107 Agreement

Infection Control Agreement Risk Assessment (ICRA) Matrix of Precautions – Appendix A

Description of Required Infection Control Precautions by Class Actions to be performed

during Construction or Renovation Actions to be performed

upon Completion / Prior to Occupancy

Cla

ss I 1. Execute work by method to minimize raising dust from the

construction operations.2. Immediately replace any ceiling tile displaced for visual inspection.

1. Wet mop/wipe exposed surfaces with appropriatelylabeled and BHSF approved hospital disinfectant.

Cla

ss II

1. Provides active means to prevent air-borne dust from dispersinginto atmosphere.

2. Water mist work surfaces to control dust while cutting.3. Seal unused doors with duct tape.4. Block off and seal air vents.5. Remove or isolate HVAC system in area where work is being

done to prevent contamination of the duct system.6. Place dust mat at entrance and exit of work area7. Wipe surfaces with disinfectant.8. Cover transport receptacles or carts. Tape covering unless solid

lid.

1. Wet mop/wipe exposed surfaces with appropriatelylabeled and BHSF approved label disinfectant.

2. Contain construction waste before transport in tightlycovered solid lid containers.

3. Wet mop and/or vacuum with HEPA filtered vacuumbefore leaving work area.

4. Remove isolation of HVAC system in areas where workis being performed.

Cla

ss II

I

1. Remove and isolate HVAC system in area where work is beingdone to prevent contamination of the duct system.

2. Complete all critical barriers i.e. sheet rock, plywood, plastic, toseal area from non work area or implement control cube method(cart with plastic covering and sealed co work site with HEPAvacuum prior to exit) before construction begins.

3. Maintain negative air pressure within work site utilizing HEPAequipped air filtration units.

4. Contain construction waste in tightly covered containers beforetransporting.

5. Cover transport receptacles or carts. Tape covering unless solidlid.

6. Seal holes, pipes, conduits and punctures appropriately

1. Do not remove barriers from work area until completedproject is thoroughly inspected by Owner’s staff.

2. Vacuum work with HEPA filtered vacuums.3. Wet mop/wipe exposed surfaces with appropriately

labeled and BHSF approved hospital disinfectant.4. Contain construction waste in tightly covered containers

before transporting.5. Cover transport receptacles or carts. Tape covering

unless solid lid.6. Remove isolation of HVAC system in areas where work

is being performed.7. Remove barrier materials carefully to minimize spreading

of dirt and debris associated with construction.8. Final cleaning by Environmental Services prior to

occupancy.

Cla

ss IV

1. Isolate HVAC system in area where work is being done to preventcontamination of duct system.

2. Complete all critical barriers i.e. sheet rock, plywood, plastic, toseal area from non work area or implement control cube method(cart with plastic covering and sealed co work site with HEPAvacuum prior to exit) before construction begins.

3. Maintain negative air pressure within work site utilizing HEPAequipped air filtration units.

4. Seal holes, pipes, conduits, and punctures appropriately.5. Construct anteroom and require all personnel to pass through this

room so they can be vacuumed using a HEPA vacuum cleanerbefore leaving work site or they can wear cloth or paper overallsthat are removed each time they leave the work site.

6. All personnel entering work site are required to wear shoe covers.Shoe covers must be changed each time the worker exits thework area.

7. Contain construction waste in tightly covered containers beforetransporting.

8. Cover transport receptacles or carts. Tape covering unless solidlid.

1. Do not remove barriers for work area until completedproject is inspected by the Owner’s staff.

2. Vacuum work area with HEPA filtered vacuums.3. Wet mop/wipe exposed surfaces with appropriately

labeled and BHSF approved hospital disinfectant.4. Contain construction waste in tightly covered containers

before transporting.5. Cover transport receptacles or carts. Tape covering

unless solid lid.6. Remove isolation of HVAC system in areas where work

is being performed.7. Remove barrier materials carefully to minimize spreading

of dirt and debris associated with construction.8. Final cleaning by Environmental Services prior to

occupancy.

Requested By / Date: Infection Control Practitioner / Date:

Facility’s Manager / Date:

Safety Officer / Date:

Additional Requirements: Any significant changes to the ICRA after approval is initially obtained will require Infection Control approval below. Exceptions/Additions to this area noted by attached memoranda.

Date: ____________ Infection Control Practitioner: ___________________________________________

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Revised 07/11 6 BHS 107 Agreement

Appendix B - Infection Control Agreement Risk Assessment (ICRA) Note: This page shall be completed during preconstruction and approved by the Facility’s Safety and Infection Control Officer. Contractor shall sign the ICRA Agreement as part of the construction contract documents. Prescribed precautions must be in place prior to work start and must be maintained throughout the duration of the project. This Appendix must be posted on jobsite during construction.

Project Name and Number: Permit No & Exp. Date: Location of Construction: Project Start Date: Project Coordinator/Tel.: Estimated Duration: Contractor Performing Work/Tel.: Supervisor/Tel.: Yes/No Construction Activity Yes/No Infection Control Risk Group

Type A: Inspection, non-invasive activity. Group 1: Low Risk

Type B: Small scale short duration, moderate to high levels. Group 2: Medium Risk Type C: Activity generates moderate to high levels of dust, requires greater 1 work shift for completion. Group 3: Medium/High Risk

Type D: Major duration and construction activities requiring consecutive work shifts. Group 4: Highest Risk

During Construction or Renovation Upon Completion/Prior to Occupancy

Cla

ss

I

1. Execute work by method to minimize raising dust from theconstruction operations.

2. Immediately replace any ceiling tile displaced for visual inspection.

1. Wet mop/wipe exposed surfaces with appropriately labeled and BHSFapproved hospital disinfectant.

Cla

ss II

1. Provides active means to prevent air-borne dust from dispersing intoatmosphere.

2. Water mist work surfaces to control dust while cutting.3. Seal unused doors with duct tape.4. Block off and seal air vents.5. Remove or isolate HVAC system in area where work is being done

to prevent contamination of the duct system.6. Place dust mat at entrance and exit of work area7. Wipe surfaces with disinfectant.8. Cover transport receptacles or carts. Tape covering unless solid lid.

1. Wet mop/wipe exposed surfaces with appropriately labeled and BHSFapproved label disinfectant.

2. Contain construction waste before transport in tightly covered solid lidcontainers.

3. Wet mop and/or vacuum with HEPA filtered vacuum before leavingwork area.

4. Remove isolation of HVAC system in areas where work is beingperformed.

Cla

ss II

I

1. Remove and isolate HVAC system in area where work is beingdone to prevent contamination of the duct system.

2. Complete all critical barriers i.e. sheet rock, plywood, plastic, to sealarea from non work area or implement control cube method (cartwith plastic covering and sealed co work site with HEPA vacuumprior to exit) before construction begins.

3. Maintain negative air pressure within work site utilizing HEPAequipped air filtration units.

4. Contain construction waste in tightly covered containers beforetransporting.

5. Cover transport receptacles or carts. Tape covering unless solid lid.6. Seal holes, pipes, conduits and punctures appropriately

1. Do not remove barriers from work area until completed project isthoroughly inspected by Owner’s staff.

2. Vacuum work with HEPA filtered vacuums.3. Wet mop/wipe exposed surfaces with appropriately labeled and BHSF

approved hospital disinfectant.4. Contain construction waste in tightly covered containers before

transporting.5. Cover transport receptacles or carts. Tape covering unless solid lid.6. Remove isolation of HVAC system in areas where work is being

performed.7. Remove barrier materials carefully to minimize spreading of dirt and

debris associated with construction.8. Final cleaning by Environmental Services prior to occupancy.

Cla

ss IV

1. Isolate HVAC system in area where work is being done to preventcontamination of duct system.

2. Complete all critical barriers i.e. sheet rock, plywood, plastic, to sealarea from non work area or implement control cube method (cartwith plastic covering and sealed co work site with HEPA vacuumprior to exit) before construction begins.

3. Maintain negative air pressure within work site utilizing HEPAequipped air filtration units.

4. Seal holes, pipes, conduits, and punctures appropriately.5. Construct anteroom and require all personnel to pass through this

room so they can be vacuumed using a HEPA vacuum cleanerbefore leaving work site or they can wear cloth or paper overalls thatare removed each time they leave the work site.

6. All personnel entering work site are required to wear shoe covers.Shoe covers must be changed each time the worker exits the workarea.

7. Contain construction waste in tightly covered containers beforetransporting.

8. Cover transport receptacles or carts. Tape covering unless solid lid.

1. Do not remove barriers for work area until completed project isinspected by the Owner’s staff.

2. Vacuum work area with HEPA filtered vacuums.3. Wet mop/wipe exposed surfaces with appropriately labeled and BHSF

approved hospital disinfectant.4. Contain construction waste in tightly covered containers before

transporting.5. Cover transport receptacles or carts. Tape covering unless solid lid.6. Remove isolation of HVAC system in areas where work is being

performed.7. Remove barrier materials carefully to minimize spreading of dirt and

debris associated with construction.8. Final cleaning by Environmental Services prior to occupancy.

Additional Requirements: Parties agree to implement required precautions, notify the ICRA Team of necessary changes and institute corrective actions immediately should violation of precautions be found. Contractor agrees to disseminate this information to subcontractors and assume responsibility for their compliance. Requested By / Date: Contractor Agreed to Comply / Date:

Facility’s Manager or Safety Officer / Date: Infection Control Practitioner / Date:

Adapted with permission V. Kennedy, B. Barnard, developed at St. Luke Episcopal Hospital, Houston, TX., ICRA Permit

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Revised 07/11 6 BHS 107 Agreement

Appendix B - Infection Control Agreement Risk Assessment (ICRA) Note: This page shall be completed during preconstruction and approved by the Facility’s Safety and Infection Control Officer. Contractor shall sign the ICRA Agreement as part of the construction contract documents. Prescribed precautions must be in place prior to work start and must be maintained throughout the duration of the project. This Appendix must be posted on jobsite during construction.

Project Name and Number: Permit No & Exp. Date: Location of Construction: Project Start Date: Project Coordinator/Tel.: Estimated Duration: Contractor Performing Work/Tel.: Supervisor/Tel.: Yes/No Construction Activity Yes/No Infection Control Risk Group

Type A: Inspection, non-invasive activity. Group 1: Low Risk

Type B: Small scale short duration, moderate to high levels. Group 2: Medium Risk Type C: Activity generates moderate to high levels of dust, requires greater 1 work shift for completion. Group 3: Medium/High Risk

Type D: Major duration and construction activities requiring consecutive work shifts. Group 4: Highest Risk

During Construction or Renovation Upon Completion/Prior to Occupancy

Cla

ss

I

1. Execute work by method to minimize raising dust from theconstruction operations.

2. Immediately replace any ceiling tile displaced for visual inspection.

1. Wet mop/wipe exposed surfaces with appropriately labeled and BHSFapproved hospital disinfectant.

Cla

ss II

1. Provides active means to prevent air-borne dust from dispersing intoatmosphere.

2. Water mist work surfaces to control dust while cutting.3. Seal unused doors with duct tape.4. Block off and seal air vents.5. Remove or isolate HVAC system in area where work is being done

to prevent contamination of the duct system.6. Place dust mat at entrance and exit of work area7. Wipe surfaces with disinfectant.8. Cover transport receptacles or carts. Tape covering unless solid lid.

1. Wet mop/wipe exposed surfaces with appropriately labeled and BHSFapproved label disinfectant.

2. Contain construction waste before transport in tightly covered solid lidcontainers.

3. Wet mop and/or vacuum with HEPA filtered vacuum before leavingwork area.

4. Remove isolation of HVAC system in areas where work is beingperformed.

Cla

ss II

I

1. Remove and isolate HVAC system in area where work is beingdone to prevent contamination of the duct system.

2. Complete all critical barriers i.e. sheet rock, plywood, plastic, to sealarea from non work area or implement control cube method (cartwith plastic covering and sealed co work site with HEPA vacuumprior to exit) before construction begins.

3. Maintain negative air pressure within work site utilizing HEPAequipped air filtration units.

4. Contain construction waste in tightly covered containers beforetransporting.

5. Cover transport receptacles or carts. Tape covering unless solid lid.6. Seal holes, pipes, conduits and punctures appropriately

1. Do not remove barriers from work area until completed project isthoroughly inspected by Owner’s staff.

2. Vacuum work with HEPA filtered vacuums.3. Wet mop/wipe exposed surfaces with appropriately labeled and BHSF

approved hospital disinfectant.4. Contain construction waste in tightly covered containers before

transporting.5. Cover transport receptacles or carts. Tape covering unless solid lid.6. Remove isolation of HVAC system in areas where work is being

performed.7. Remove barrier materials carefully to minimize spreading of dirt and

debris associated with construction.8. Final cleaning by Environmental Services prior to occupancy.

Cla

ss IV

1. Isolate HVAC system in area where work is being done to preventcontamination of duct system.

2. Complete all critical barriers i.e. sheet rock, plywood, plastic, to sealarea from non work area or implement control cube method (cartwith plastic covering and sealed co work site with HEPA vacuumprior to exit) before construction begins.

3. Maintain negative air pressure within work site utilizing HEPAequipped air filtration units.

4. Seal holes, pipes, conduits, and punctures appropriately.5. Construct anteroom and require all personnel to pass through this

room so they can be vacuumed using a HEPA vacuum cleanerbefore leaving work site or they can wear cloth or paper overalls thatare removed each time they leave the work site.

6. All personnel entering work site are required to wear shoe covers.Shoe covers must be changed each time the worker exits the workarea.

7. Contain construction waste in tightly covered containers beforetransporting.

8. Cover transport receptacles or carts. Tape covering unless solid lid.

1. Do not remove barriers for work area until completed project isinspected by the Owner’s staff.

2. Vacuum work area with HEPA filtered vacuums.3. Wet mop/wipe exposed surfaces with appropriately labeled and BHSF

approved hospital disinfectant.4. Contain construction waste in tightly covered containers before

transporting.5. Cover transport receptacles or carts. Tape covering unless solid lid.6. Remove isolation of HVAC system in areas where work is being

performed.7. Remove barrier materials carefully to minimize spreading of dirt and

debris associated with construction.8. Final cleaning by Environmental Services prior to occupancy.

Additional Requirements: Parties agree to implement required precautions, notify the ICRA Team of necessary changes and institute corrective actions immediately should violation of precautions be found. Contractor agrees to disseminate this information to subcontractors and assume responsibility for their compliance. Requested By / Date: Contractor Agreed to Comply / Date:

Facility’s Manager or Safety Officer / Date: Infection Control Practitioner / Date:

Adapted with permission V. Kennedy, B. Barnard, developed at St. Luke Episcopal Hospital, Houston, TX., ICRA Permit

BHSF Interim Life Safety Measure (ILSM) Assessment Form:

The BHSF Project Manager processes the ILSM Assessment form. The Project Manager may be from Construction Management or from the entity Facility Management Department.

Signatures Required: Facilities and Safety Departments, affected department’s leader, Contractor and the Construction Management or entity Facility Management Project Manager.

Projects affecting common areas: Signature from the Department Leader is not required.

In an effort to improve document management, a re-occurring meeting is held every Monday in the Facility Management Department Conference Room to address ILSMs, ICRAs and Shut Downs. The Facility Management Department will remain flexible in those instances in which an immediate or short notice is required. In those cases, the entity Facility Management Department front desk must be contacted to set up a meeting to discuss and approve the required ILSM.

The assessment form may recommend a measure to be in place during the construction period while the deficiency is active. If an Interim Life Safety Measure is in place, a Safety Alert will need to be in effect. The Safety Alert will describe the measure, the location and the effective date(s). The Safety Alert is issued by the entity Safety Officer and must be p on the job site by the Contractor.

The entity Safety Officer is responsible for obtaining the Facility Management Director and Department Leader signatures on the ILSM form, as well as providing the required staff notification and issuing the Safety Alert. A typical Safety Alert measure is a Fire Watch. Fire Watch is explained in a separate section.

BHM Interim Life Safety Measure (ILSM) Assessment Form

Project/Deficiency/Maintenance Repair_________________

Estimated Start Date:________________________________

Estimated End Date:_________________________________

Location:__________________________________________

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LIFE SAFETY CODE DEFICIENCY YES NOa. Patient room door latching problem X Xb. Lacking a code complying smoke barrier X Xc. Fire exit stairs discharge improperly X X X Xd. Excessive travel distance to an approved exit (>150 ft/>200 ft)* X Xe. Lack of two remote exits (Rooms/Suites > 2,500sqft) X X Xf. Non-conforming building construction type X Xg. Improperly protected vertical openings X Xh. Large penetrations in fire barriers X Xi. Hazardous areas not properly protected Xj. Inaccessible fire/smoke damper Xk. Inoperable fire/smoke damper X Xl. Blocking off an approved exit X X X X X Xm. Re-routing of traffic to the emergency room Xn. Major renov. of an occupied floor ** X X X X X X X Xo. Significantly modifying smoke or fire barrier walls X X X X X Xp. Other

q. Fire alarm system out of service for more than four hours*** X X X X X X Xr. Sprinkler system out of service for more than four hours*** X X X X X X X

s. Vibration/ Noiset. Specify, if not listed above:

REQUIRED SIGNATURES FOR APPROVAL:Facilities Dept/Date: _________________________________________________________Safety Dept/Date: ___________________________________________________________Department Leadership/Date: _________________________________________________Project Manager/Date: _______________________________________________________Contractor/Date:____________________________________________________________

Note: Implementation of ILSMs may be modified based on the severity of deficiency and impact on occupants

Indicate to recommend ILSM for by life safety

code deficiency

*150ft for non sprinklered areas 200ft for sprinklered areas **“Major” means the modification of more than 50 percent, or more than 4,500 square ***See Fire Watch Policy

SCOPE OF WORK:

SUPERVISORY FIRE ALARM AND SUPPRESSION SYSTEM

OTHER SAFETY CONCERNS

SAMPLE

IP 8118 Addendum

Interim Life Safety Measures [ILSM]

Description:  ________________________________________________

Location:  ___________________________________________________

Date(s) Effective: _____________________________________________

Follow These Actions:

Keep all exits and hallways clear

Limit amount of combustible materials

Ensure flammables are stored properly

Continue to enforce no smoking policy

Know your horizontal and vertical evacuation routes. Immediately report potential fire hazards to the Safety

Department

USE THESE FIRE SAFETY PROCEDURESRACE is a four‐step plan to use in the event of a fire. PASS is the procedure for using a fire extinguisher.

Fire Safety Procedures

R Rescue P Pull

A Alarm A Aim

C Confine S Squeeze

E Extinguish /Evacuate S Sweep

FOR ALL CODES, DIAL #7777

SAFETY  ALERT

SAMPLE

BHSF Annual Safety Orientation:

The Annual Safety Orientation is mandatory for all contractors working on any BHSF facility. This event is held each February. Due to space limitations, only one representative from each firm is allowed to attend. This representative is responsible for sharing information with each of their employees. Each employee is required to sign an affidavit stating that they have received the required annual education information.

Contractors and Subcontractors are responsible for their own safety program in accordance with applicable provisions of the Occupational Safety and Health Act and with all applicable laws, local, state and federal standards relating to safety and health. Contractors are required to submit to the BHSF Construction Manager a company safety program before starting its portion of the work.

Without limiting the obligations set out in the preceding sentence, Contractor is required to review and agree, to the following:

1. Contractor and each Subcontractor shall follow OSHA requirementsthat states, "that each employer shall instruct each employee in the recognitionand avoidance of unsafe conditions and the regulations applicable to theirwork environment”.

2. Contractor and each Subcontractor shall keep on the job a first aid kitsupplied according to current regulations and it is recommended to have aperson trained in first aid.

3. Contractor and each Subcontractor will supply all necessary and propersafety equipment, take the necessary precautions to maintain such equipmentaccording to current regulations and specifications, and accept responsibilityto assure that all such is used when required.

Contractor shall comply with all OSHA standards for The Control of Hazardous Energy (Lock out/Tag out), prior to the commencement of work.

Contractor shall take necessary precautions to guard against and eliminate potential fire hazards and damages to any construction work, building materials, equipment, storage sheds, and other property in accordance with fire protection and prevention laws and codes. Contractor shall be responsible for damages caused by its negligence or operations which instigate fire to construction and building, building materials, equipment and property.

Only fire resistant tarpaulins shall be used on the site where the work is performed.

Contractor shall use only facility provided fire extinguishers.

Temporary wiring and distribution of equipment shall be maintained so as not to constitute a hazard to persons or property.

Protection shall be provided for the power supply source complete with disconnects switch and other required electrical devices.

The Contractor will provide and maintain temporary electrical lights and fractional horsepower power tool distribution in the Building, including 120 volt temporary lighting as required, meeting minimum requirements for health and safety.

Contractor and Subcontractors are responsible for the protection of existing facilities inclusive of electrical, plumbing, HVAC, fire protection, smoke detectors, building systems in general and existing finishes to the Building within the area of work and the Building in general inclusive of common areas.

The Contractor and Subcontractor(s) shall be responsible for providing and maintaining its own scaffolding, and for providing and maintaining any hoisting equipment necessary for its work.

Contractor will exercise due diligence to provide and maintain a safe working environment and to abide by OSHA regulations and all Applicable Laws.

Influenza and Other Viral Diseases:

In addition to the measures and obligations required in the contractual Agreements between BHSF and the Contractor, and Applicable Laws, Contractor will require and ensure that any person performing any portion of the Services or otherwise who may or will appear in person on the Property (including without limitation, all employees, personnel and other individuals performing the Services or visiting the Property whether retained by Contractor or any Subcontractor) shall take reasonable precautions and initiate such measures and actions to prevent or mitigate the spread of any virus or disease to any third parties (including without limitation, any patients and employees of Owner); provided that such precautions and measures shall be no less than those required by Applicable Laws or by the Owner’s policies and requirements regarding health and safety, as such Applicable Laws and Owner’s requirements and policies are updated from time to time.

On an annual basis, during the month of September, or prior to working on any construction for the first time, the Contractor will provide to Owner a copy of its procedures and plan to prevent or minimize the spread of any virus or disease, including without limitation, required vaccinations, testing, face or other protective coverings or measures. Each contractor employee will be provided with a decal good for one year demonstrating compliance with this section.

Notwithstanding the above or anything herein to the contrary, Owner’s review or receipt of any plans or procedures by Contractor to comply with this section or the Owner’s provision to Contractor of its policies and requirements regarding health and safety shall not be construed as Owner’s approval of any plans or requirements or any responsibility of the Contractor, with such responsibility or liability remaining with the Contractor.

Corporate Facilities and Construction Management 8500 SW 117th Avenue Road, Suite 130

Miami, FL 33183 Tel: 786-594-6566 Fax: 786-533-9715

MEMORANDUM

TO: All Contactors with Active Construction Projects within Patient Areas

FROM: Carlos Monteverde, AVP

RE: Infection Control Compliance - Mandatory Flu Shot Requirement

DATE: August 30, 2020

October 1st marks the beginning of a new Flu season. In order to prevent healthcare staff and patients from becoming exposed to construction workers affected by the Flu, all construction staff working in projects within patients healthcare areas must be vaccinated yearly against the influenza virus. To that end, all contractors and their subcontractors, etc. must comply with this contractual requirement by no later than November 1. Those not compliant will be denied access to our job sites.

Furthermore, contractors must provide yearly evidence of staff vaccination via our department’s project manager by submitting a monthly log reflecting the names of each staff working in a healthcare area. Those in compliance will receive a distinctive sticker with a serial number good only for a year. Stickers are to be conspicuously displayed on either the staff’s hard hat or badge.

Sincerely,

Corporate Facilities and Construction Management 8500 SW 117th Avenue Road, Suite 130

Miami, FL 33183 Tel: 786-594-6566 Fax: 786-533-9715

Date: ______________

FLU VACCINATION COMPLIANCE LOG

Project Name: ___________________________________

Location: _______________________________________

BHSF PM: ______________________________________

Contractor Project Manager: ______________________________________________

Staff Name Vaccinated [Y/N] __ Sticker No.: ________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

SAMPLE

BHSF Fire Alarm Test and Fire Watch

Baptist Hospital of Miami

Testing of the fire alarm system at BHM will be coordinated through the Facility Management Department. Pre-testing may be scheduled between 11 AM and 4 PM in order to minimize disruptions to patients. Please note that with the exception of the parking garages and the Hope Building, all buildings are affected on the campus by the fire alarm.

Fire Watch:

The Baptist Hospital of Miami (BHM) Fire Watch policy is attached. The Miami-Dade Fire Department has authorized BHM to have the Security Departments or its designee perform the Fire Watch. If a Construction Project is using a Security vendor for the Fire Watch, the Security Supervisor coordinates the Security vendor and documentation. Copies of all fire watch documentation should be provided to the Construction or Facility Management Project Manager.

West Kendall Hospital

Testing of the fire alarm system will be coordinated through the Facility Management department. Pre-testing may be scheduled between 6 am and 9 am in order to minimize disruptions to patients.

Fire Watch:

The West Kendall Hospital (WKH) Fire Watch policy is attached. The Miami-Dade Fire Department has authorized Wet Kendall to have the Security Departments or its designee perform the Fire Watch. If a Construction Project is using a Security vendor for the Fire Watch, the Security Supervisor coordinates the Security vendor and documentation. Copies of all fire watch documentation should be provided to the Construction or Facility Management Project Manager.

South Miami Hospital

Testing of the fire alarm system will be coordinated through the Facility Management department. Pre-testing may be scheduled between 9 am and 2pm in order to minimize disruptions to patients.

Fire Watch:

The South Miami Hospital Fire Watch policy is attached. The Miami-Dade Fire Department has authorized Wet Kendall to have the Security Departments or its designee perform the Fire Watch. If a Construction Project is using a Security vendor for the Fire Watch, the Security Supervisor coordinates the Security vendor and documentation. Copies of all fire watch documentation should be provided to the Construction or Facility Management Project Manager.

Doctors Hospital

Testing of the fire alarm system will be coordinated through the Facility Management department. Pre-testing may be scheduled between 9 am and 2pm in order to minimize disruptions to patients.

Fire Watch:

The Doctors Hospital Fire Watch policy is attached. The Miami-Dade Fire Department has authorized Wet Kendall to have the Security Departments or its designee perform the Fire Watch. If a Construction Project is using a Security vendor for the Fire Watch, the Security Supervisor coordinates the Security vendor and documentation. Copies of all fire watch documentation should be provided to the Construction or Facility Management Project Manager.

Homestead Hospital

Testing of the fire alarm system will be coordinated through the Facility Management department. Pre-testing may be scheduled between 9 am and 2pm in order to minimize disruptions to patients.

Fire Watch:

The Homestead Hospital Fire Watch policy is attached. The Miami-Dade Fire Department has authorized Wet Kendall to have the Security Departments or its designee perform the Fire Watch. If a Construction Project is using a Security vendor for the Fire Watch, the Security Supervisor coordinates the Security vendor and documentation. Copies of all fire watch documentation should be provided to the Construction or Facility Management Project Manager.

Mariners Hospital

Testing of the fire alarm system will be coordinated through the Facility Management department. Pre-testing may be scheduled between 9 am and 2pm in order to minimize disruptions to patients.

Fire Watch:

The Mariners Hospital Fire Watch policy is attached. The Miami-Dade Fire Department has authorized Wet Kendall to have the Security Departments or its designee perform the Fire Watch. If a Construction Project is using a Security vendor for the Fire Watch, the Security Supervisor coordinates the Security vendor and documentation. Copies of all fire watch documentation should be provided to the Construction or Facility Management Project Manager.

Other Hospitals:

For all other hospitals not above listed, please contact the respective facilities department and the assigned project manager.

Interim Life Safety Measure (ILSM) – Fire Watch Notification

Fire Watch Start Date: ____________ Engineering Staff Member: ______________________

Reason for Fire Watch: ____________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Fire Watch Begins: _________________ Fire Watch Ends: ____________________ (24 hour clock) (24 hour clock)

[ ] Notified Security – Start Fire Watch [ ] Notified Security- End Fire Watch Spoke to: ________________ Spoke to: ________________ Ext.66774 or 48979 Ext.66774 or 48979

[ ] Notified Fire Department [ ] Notified Fire Department Spoke to: Spoke to: _______________

Lt. Lowman Lt. Lowman Email: [email protected] Email: [email protected] 786-336-6803 786-336-6803

[ ] Notified Safety Officer [ ] Notified Safety Officer 305-804-5577 305-804-5577

[ ] Notified Facilities Director or On-Call [ ] Notified Facilities Director or On-Call Supervisor Supervisor [ ] Notified affected area(s) [ ] Notified affected area(s)

[ ] Notified Nursing Supervisor (DOE) [ ] Notified Nursing Supervisor (DOE) Ext.49471 or 49403 Ext. 49471 or 49403 [ ] Insurance Company [ ] Insurance Company

Comments: ______________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

BHM Rev. 11/2013

SAMPLE

Page 1 of 2 SMH# 4214

FIRE WATCH INSPECTIONS - DOCUMENTATION SHEET

Fire watch for (area): Fire Watch Start/End Date:

Fire Watch Procedure: Inspect area every 30 Minutes. Look for items in page 2 and if found, please document deficiency and correct on site if possible, if not, notify the Safety or Facilities Department. Please initial AFTER the fire watch is conducted.

Monday Date:

Time Initial

Tuesday Date:

Time Initial

Wednesday Date:

Time Initial

Thursday Date:

Time Initial

Friday Date:

Time Initial

Saturday Date:

Time Initial

Sunday Date:

Time Initial

For any questions, contact the Safety Department or Facilities Department

SAMPLE

Page 2 of 2 SMH# 4214

FIRE WATCH INSPECTIONS - DOCUMENTATION SHEET

The areas that are affected by the outage or malfunction will be covered until the system has been repaired, tested and placed back into service. In accordance to NFPA 601.7.2, each person performing a fire watch shall, at a minimum, be knowledgeable about the area being protected, including the following:

• All affected areas (occupied or not) and hazards• Hazardous materials and processes (to include location and understanding of Safety Date Sheets (SDS))for

flammable/combustible materials• If applicable, emergency procedures and equipment for which they are responsible• Fixed fire protection systems (operational status)• Manual and automatic detection and alarm systems• Portable fire protection equipment (locations and use)• The facility emergency action plan and procedures• If applicable, construction operations

Fire Watch Procedure: Inspect area every 30 Minutes. Look for the following items and if found, please document deficiency and correct on site if possible, if not, notify the Safety or Facilities Department.

1. Smoking: Evidence of smoking in area.2. Debris: Debris not removed.3. Fire exits: Fire exits not clear. Evacuation routes not cleared.4. Fire doors: Fire doors not closed or latched. Fire doors propped opened or taped opened.5. Compressed gas: Compressed gas cylinders not secured.6. Fire Extinguishers: Fire extinguisher not available/ not easily identified or accessible.7. Flammables or combustibles: Flammable and or combustible liquids not inside flammable cabinet.8. Others: Please specify finding(s) under “Deficiencies Found.”

Deficiencies Found

Please indicate to whom and how you will relay your findings. Items requiring immediate attention, please contact Safety Department or Facilities Department immediately.

1.___________________________________________________________________________________

2.___________________________________________________________________________________

3.___________________________________________________________________________________

4.___________________________________________________________________________________

5.___________________________________________________________________________________

6.___________________________________________________________________________________

7.___________________________________________________________________________________

8.___________________________________________________________________________________

9.___________________________________________________________________________________

10.___________________________________________________________________________________

SAMPLE

BHSF Signing In Upon Arrival

Baptist Hospital of Miami [BHM}

All outside contractors must sign in at the BHM Facility Management Department daily prior to beginning work in the facility.

Procedures for Implementation: In order to provide for the safety of patients, staff, physicians, volunteers and the public, it will be required that all contractors report to the BHM Facility Management Department and sign in prior to beginning any work. This will assist the BHM Facility Management Department to monitor and be knowledgeable of any and all work being performed in the facility.

A logbook with the name of the company, a name and a contact phone number as well as the location and nature of the work being done will be maintained in the BHM Facility Management Department Control Room. This sign-in process must occur each day the contractor is on site. Certain large long term projects may be exempt from this at the discretion of the BHM Facility Management Department team.

An ID badge is obtained on a daily basis at the BHM Facility Management Control Room in the Central Energy Plant. Contractors will check in and be screened by staff. Screening may include confirmation of yearly flu vaccine, temperature, etc. Facility Management staff will issue a daily paper badge and a blue vest to each construction personnel. Blue vests are washed daily. These vests are for BHM to identify that the vender / contractor has checked in with the Facility Management Department. In addition, one representative from the vendor/contractor must sign in the logbook the location they will be working that day within the campus. Exceptions may granted for large projects processing a larger number of construction personnel daily.

All Construction personnel must enter and exit the property thru the service area or as directed by BHSF Construction Management (CM).

Contractor shall notify BHSF CM in advance of any work that needs to be performed after normal business hours. BHM Security personnel or after-hours BHM Facility Management Department staff are not allowed to accept requests for authorization or to admit vendor / contractor personnel without the BHSF CM prior authorization,

The BHSF CM, upon approval may issue the Contractor’s Project Manager an access key or temporary access badge to the work site if necessary, to be used for the duration of the work. The Contractor is responsible for providing the appropriate access to its Subcontractor(s) and/or suppliers. The Contractor shall return assigned key to the BHSF CM upon completion of the work. A roof access /stairwell key may be signed out on a daily basis at the BHM Construction Management front desk on the 3rd floor of the Support Service Building.

If the Project is being conducted in a new space, the Contractor shall use a “construction master key” for the duration of the work. Upon completion, the Contractor will coordinate with BHM Facility Management Department Locksmith to re-key, under the master key system of the Building.

West Kendall Baptist Hospital [WKBH]: In order to ensure the safety of patients, staff, physicians, volunteers and the public, it will be required that a representative from each contractor working on site report daily to the Facility Management Department and sign in prior to beginning any work. A Valid ID will be needed to receive WKBH facility provided vest. The vest must be worn at all times while working in the hospital and returned to the facility management department at the end of each day in exchange for the ID return.

All Construction personnel must enter and exit the property thru the service area or as directed by BHSF Construction Management (CM).

Contractor shall notify BHSF CM in advance of any work that needs to be performed after normal business hours. WK Security personnel or after-hours WK Facility

South Miami Hospital [SMH]: In order to ensure the safety of patients, staff, physicians, volunteers and the public, it will be required that a representative from each contractor working on site report daily to the Facility Management Department and sign in prior to beginning any work. A Valid ID will be needed to receive SMH facility provided vest. The vest must be worn at all times while working in the hospital and returned to the facility management department at the end of each day in exchange for the ID return. All Construction personnel must enter and exit the property thru the service area or as directed by BHSF Construction Management (CM). Contractor shall notify BHSF CM in advance of any work that needs to be performed after normal business hours. SMH Security personnel or after-hours SMH Facility Doctors Hospital: In order to ensure the safety of patients, staff, physicians, volunteers and the public, it will be required that a representative from each contractor working on site report daily to the Facility Management Department and sign in prior to beginning any work. A Valid ID will be needed to receive DH facility provided vest. The vest must be worn at all times while working in the hospital and returned to the facility management department at the end of each day in exchange for the ID return. All Construction personnel must enter and exit the property thru the service area or as directed by BHSF Construction Management (CM). Contractor shall notify BHSF CM in advance of any work that needs to be performed after normal business hours. DH Security personnel or after-hours DH Facility Homestead Hospital [HH]: In order to ensure the safety of patients, staff, physicians, volunteers and the public, it will be required that a representative from each contractor working on site report daily to the Facility Management Department and sign in prior to beginning any work. A Valid ID will be needed to receive HH facility provided vest. The vest must be worn at all times while working in the hospital and returned to the facility management department at the end of each day in exchange for the ID return.

All Construction personnel must enter and exit the property thru the service area or as directed by BHSF Construction Management (CM).

Contractor shall notify BHSF CM in advance of any work that needs to be performed after normal business hours. HH Security personnel or after-hours HH Facility

Mariners Hospital [MH]: In order to ensure the safety of patients, staff, physicians, volunteers and the public, it will be required that a representative from each contractor working on site report daily to the Facility Management Department and sign in prior to beginning any work. A Valid ID will be needed to receive MH facility provided vest. The vest must be worn at all times while working in the hospital and returned to the facility management department at the end of each day in exchange for the ID return.

All Construction personnel must enter and exit the property thru the service area or as directed by BHSF Construction Management (CM).

Contractor shall notify BHSF CM in advance of any work that needs to be performed after normal business hours. MH Security personnel or after-hours MH Facility

Bethesda Hospital (East/West) [BETH]: In order to ensure the safety of patients, staff, physicians, volunteers and the public, it will be required that a representative from each contractor working on site report daily to the Facility Management Department and sign in prior to beginning any work. A Valid ID will be needed to receive BETH facility provided badge. The badge must be worn at all times while working in the hospital and returned to the facility management department at the end of each day in exchange for the ID return.

All Construction personnel must enter and exit the property thru the service area or as directed by BHSF Construction Management (CM).

Contractor shall notify BHSF CM in advance of any work that needs to be performed after normal business hours.

Boca Raton Regional Hospital [BRRH]: Prior to COVID, Contractors, Sub-contractors, and vendors were required to check-in at the Education Center to receive either a temporary badge or a permanent badge depending on the length of the assignment. At the present time, all Contractors, sub-contractors, and vendors are required to check in the ground shop of the engineering building every morning. They are logged in and issued a wristband for the day. Once checked in at Facilities, they proceed to the west entrance where their temperature is checked by Security and then cleared to work inside the hospital.

Above Ceiling Permits

Baptist Hospitals

Prior to starting any construction project requiring work above the ceiling, the Contractor must obtain an ABOVE CEILING PERMIT from the BHSF entity Facility Management Department. This permit is at no cost to the contractor or vendor.

The Above Ceiling Permit may be a Hot Work permit and/or a Fire/Smoke barrier Penetration permit. Hot Work permit is discussed in detail in a separate section of the handbook. This section addresses Fire/Smoke barrier penetrations.

BHSF entity Facility Management Department will ensure that all fire and smoke barrier walls remain intact and all penetrations are sealed.

Procedures for Implementation:

All persons/vendors and contractors doing any work which involves disturbing the integrity of any fire and smoke barrier must complete a Fire and Smoke barrier penetrations request for Permit form (sample attached). The process will assure the BHSF entity Facility Management Department is knowledgeable and aware of the work and of the location of identified work.

The form is available in the BHSF entity Facility Management Department office. This form must be accompanied by an appropriate drawing of the areas(s) in the facility where the penetrations will be performed. The BHSF entity Facility Management Department will assign a permit number to the completed forms. Upon completion of the work the applicant will request a final inspection on the appropriate form (sample attached). The BHSF entity Facility Management Department will then inspect the area to ensure that the penetrations are properly sealed.

The following documents are required with the Above Ceiling permit or Fire and Smoke Penetration application form.

1. Construction drawings showing the routing of cables or pipe, with fire/smokebarrier penetrations clearly marked. Hard copy or electronic formats areacceptable.

2. Copy of the cut sheet indicating what system will be used for each differenttype of fire/smoke barrier penetration.

3. Copy of the fire stopping certification card of the person sealing thefire/smoke barrier penetration.

4. Copy of the Building Department permit.

BHSF ABOVE CEILING PERMITS must be posted at the job site.

Upon completion of the work, a request for final inspection must be presented to the BHSF entity Facility Management Department. See attached form. Final inspection will be performed within 72 hours after the request

A notice (e-mail) to the BHSF Construction Management Project Manager will be sent within 72 hours from the BHSF entity Facility Management Department advising the above ceiling permit is closed. If no notice is received within the 72 hour time frame, the permit is considered closed.

Attachments:

• Above Ceiling Permit Form (2 pages)• Request for Final Inspection Form

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ENGINEERING SERVICES ABOVE CEILING ACCESS PERMIT

NOTICE TO PERMIT HOLDER READ CAREFULLY

Certain spaces (such as above ceiling tile grids or utility closets) are restricted to authorized personnel, and are controlled in this facility.

Access to these spaces is a privilege, which may be denied for those who do not comply with the Above Ceiling Access Permit Policy. This applies to all vendors and contractor personnel.

This form is a permit, and must be displayed at all times while creating new, or accessing existing penetrations in smoke or fire barriers. It must also be displayed when working above ceiling tile grids, in utility closets or in any other space identified as Controlled Space.

Persons found working in these spaces without a valid permit visible are in violation of the Above Ceiling Access Permit Policy, and may lose their access privileges.

Some examples of policy violations: • Accessing a controlled space without a permit• Failure to hold and display a valid permit• Failure to close out a permit• Performing work outside the scope of a permit• Providing false information to a permit issuer• Falsifying data on a permit• Allowing someone to work under the scope of a permit issued in another’s name

All individuals performing work in a Controlled Space shall read and be familiar with the Above Ceiling Access Permit Policy, copies of which can be obtained in Engineering.

I have read and understand the Above Ceiling Access Permit Policy and agree to comply with it.

Permit Holder Signature Date

\\ad\DFS\Shared Data\BHSF Construction Management PM Shared Files\BHSF-CM LIM\2020\CONTRACTORS MANUAL\BHSF - All Hospitals Master\7. Above ceiling permit - Penetrations\7.2 BHSF Above Ceiling Access Permit 02.17.17.doc

Permit No: ___________________

ABOVE CEILING ACCESS PERMIT Requestor Information Date: Name: Company:

Cell Phone Number: Project Name:

Project Information Location (floor/building): Start Date/Duration:

Miami Dade Permit Number: Working for Construction Management or Engineering Services: Contact Person’s Name:

Requirements (check all that apply) Hot Work Permit Fire/Smoke Barrier Penetration - All penetrations made must be sealed at end of each day (drawing attached)Details:

Review

Approval (Engineering): _________________________

Complete (Engineering): ____________________________________ Date: ____________

Scope of Work:

• IF YOU FIND ANY EXISTING PENETRATIONS, PLEASE REPORT THEM TO BHSF ENTITYFACILITY MANAGEMENT DEPARTMENT.

Fire and Smoke Barrier Penetration Request for Final Inspection

(Requestor to fill out top portion of this form)

Baptist Hospital Permit #:

Location Description:

Requested By: Phone: Date:

Inspection will take place within 3 business days.

BHM Contact: Extension:

Fire and Smoke Barrier Penetration Final Inspection

Comments:

Inspected and Approved By:

Engineering Services Representative

Date Approved:

If this form is not signed by Engineering Services; The vendor's invoice shall not be approved for payment.

SAMPLE

TMS Work Order #: _____________

White: Hospital Green: Display for Jobsite

Facilities Management Department Above the Ceiling Work Permit Request

Helpdesk Phone #: 786-594-7077

Prior to beginning any demolition, construction, repairs or installations which will require penetrating a fire, smoke or fire/smoke barrier, the vendor MUST complete this permit form and submit it to Facilities Management per MCI’s Administrative Policy.

Permit Holder’s Name: ___________________________________ Phone: _______________________ *Attached is a copy of the Permit Holder’s Certification

Vendor Company Name: _________________________________ Phone: _______________________

Detailed Location of Work*: _______________________________ *Attach Marked Life Safety Drawings

Scope of Work: _____________________________________________________________________________

Date Work Will Begin: ___________________ Estimated Completion Date: ___________________

BHSF Project Manager: _____________________ BHSF Project Name: ___________________________

Will there be any penetration in the existing structure? Yes** No **If yes, which type of barrier will the penetration be made in? Fire Smoke Fire/Smoke **If yes, what is penetrating the walls? Conduit Data Cables Plumbing Other: __________________ **If yes, it is understood that the following are Baptist Health South Florida standards:

• It is the responsibility of the vendor to seal any penetrations using Hilti or STI products only• Fire Stopping shall be labeled and documentation provided to Engineering•

Permit Holder’s Signature: _____________________________________ Date: ___________________

APPROVAL - MCI Facilities Management Employee to fill out this portion of the form.

Printed Name: _______________________ Today’s Date: _________________ Approved: Yes No

Inspection by hospital staff after work is completed: Were rated walls penetrated? Yes No Comments: ________________________________________ All penetrations sealed properly? Yes No Comments:______________________________________ Are ceiling tiles back in place and not damaged or missing? Yes No Comments:__________________

I hereby certify that I have inspected the work described above and find it to be free of any open wall penetrations, ceiling penetrations and that all ceiling tiles are in place and not damaged.

Inspected By:___________________________________ Date: ___________________

Contractor Parking and Dumpster/Conex Locations

Baptist Hospital

Parking for Contractors:

Designated contractor’s parking is located on the west surface lot, just south of the hotel. Parking in the Employees and Visitors designated parking areas, including parking garages, surface lots, etc., located throughout the campus is strictly prohibited for contractors and vendors.

BHSF reserves the right to close access to contractors and vendors parking area at any time, in which case contractors and vendors will need to find parking accommodations outside the campus area.

Parking along SW 92th Street and SW 94th Street is prohibited.

BHM Dumpster and Conex Locations for Contractors:

Dumpster and Conex / Container locations must be approved by the BHSF Construction Management Project Manager & Security Departments as well as the BHM VP of Operations.

Approval of the location will be obtained by the Construction Management Project Manager.

West Kendall Hospital

Parking for Contractors:

Parking is allowed on the West side of the visitor parking, contractors are to use the space closest to the West Wing parking garage. Contractors should not park in employee parking garage or any other surface lot throughout the campus.

BHM Dumpster and Conex Locations for Contractors:

All locations must be approved by BHSF construction management project manager, facility management and security departments. Approval of the location will be obtained by the construction management project manager.

South Miami Hospital

Parking for Contractors:

Parking is not allowed on the South Miami Hospital Campus. Contractors and vendors need to arrange with neighboring parking lots and by city managed street parking. Contractors shall not park in the employee or visitors parking garages or surface lots throughout the campus.

SMH Dumpster and Conex Locations for Contractors:

Dumpster and Conex / Container locations must be approved by the BHSF Construction Management Project Manager & Security Departments as well as the Director of Facilities Operations.

Approval request for dumpster location will be obtained by the Construction Management Project Manager.

Doctors Hospital

Parking for Contractors:

Parking is not allowed on the Doctors Hospital Campus. Contractors and vendors need to arrange with neighboring parking lots and by city managed street parking. Contractors shall not park in the employee or visitors parking garages or surface lots throughout the campus.

DH Dumpster and Conex Locations for Contractors:

Dumpster and Conex / Container locations must be approved by the BHSF Construction Management Project Manager & Security Departments as well as the Director of Facilities Operations.

Approval request for dumpster location will be obtained by the Construction Management Project Manager.

Homestead Hospital

Parking for Contractors:

Parking is allowed at the back of the hospital at furthest area. Contractors should not park at any other surface lot throughout the campus.

HH Dumpster and Conex Locations for Contractors:

Dumpster and Conex / Container locations must be approved by the BHSF Construction Management Project Manager & Security Departments as well as the Director of Facilities Operations.

Approval request for dumpster location will be obtained by the Construction Management Project Manager.

Mariners Hospital

Parking for Contractors:

Parking is allowed behind the Emergency Department at back row. Contractors should not park at any other surface lot throughout the campus.

MH Dumpster and Conex Locations for Contractors:

Dumpster and Conex / Container locations must be approved by the BHSF Construction Management Project Manager & Security Departments as well as the Director of Facilities Operations.

Approval request for dumpster location will be obtained by the Construction Management Project Manager.

Boca Raton Regional Hospital

Parking for Contractors:

A fenced area on the west side of campus has been designated and clearly marked with signage as “CONTRACTOR PARKING ONLY”. This is available to all contractors, sub-contractors, and vendors doing work associated with construction projects or maintenance.

SMH Dumpster and Conex Locations for Contractors:

Dumpster and Conex/Container locations must be approved by the BRRH Construction Management & Security Departments as well as the Director of Facilities Operations.

Approval request for dumpster location will be obtained by the Construction Management Project Manager.

Bethesda Hospitals

Parking for Contractors:

BETHE: Designated contractor’s parking is located on the north west surface lot, adjacent to the parking garage, or the 4th floor of the parking garage. Parking in the Employees and Visitors designated parking areas, including parking garages, surface lots, etc., located throughout the campus is strictly prohibited for contractors and vendors.

BHSF reserves the right to close access to contractors and vendors parking area at any time, in which case contractors and vendors will need to find parking accommodations outside the campus area.

BHSF Shut Down Requests

Baptist Hospital of Miami

• Except in the event of an emergency, all shutdown requests at BHM mustbe submitted no later than 72 hours before the shutdown is scheduled tooccur.

• A shutdown request form must be completed prior to any shutdowns. Thisshould occur even during an emergency request. Exceptions to this processmust be approved by the BHM Facility Management Department Directoror above.

• Once a shut down request has been approved, the BHM Facility ManagementDepartment designee will send an email communicating details to all partiesinvolved and departments affected by the shut down.

• All shutdowns should have an applicable BHM Facility ManagementDepartment representative on site to properly shut off, disconnect andreconnect service as quickly as possible.

• A representative from the Contractor must be on site throughout theduration of all shutdowns.

• All applicable construction documents/drawings must be present during theshutdown.

• BHM holds a weekly Shut Down meeting at 1 PM Mondays in the FacilityManagement Department Conference Room to discuss shut down requestdetails. The meeting is also available via ZOOM. Attending the shutdownmeeting does not exempt a contractor from submitting the requiredpaperwork. The meeting facilitates the shut down discussion andunderstanding by all.

West Kendall Hospital

• Except in the event of an emergency, all shutdown requests must besubmitted no later than 72 hours before the shutdown is scheduled to occur.

• A shutdown request form must be completed prior to any shutdowns. Thisshould occur even during an emergency request. Exceptions to this processmust be approved by the WKH Facility Management Department Directoror above.

• Once a shut down request has been approved, the Facility ManagementDepartment designee will send an email communicating details to all partiesinvolved and departments affected by the shut down.

• All shutdowns should have an applicable Facility Management Departmentrepresentative on site to properly shut off, disconnect and reconnect serviceas quickly as possible.

• A representative from the Contractor must be on site throughout theduration of all shutdowns.

• All applicable construction documents/drawings must be present during theshutdown.

South Miami Hospital

• Except in the event of an emergency, all shutdown requests must besubmitted no later than 72 hours before the shutdown is scheduled to occur.

• A shutdown request form must be completed prior to any shutdowns. Thisshould occur even during an emergency request. Exceptions to this processmust be approved by the SMH Facility Management Department Directoror above.

• Once a shut down request has been approved, the Facility ManagementDepartment designee will send an email communicating details to all partiesinvolved and departments affected by the shut down.

• All shutdowns should have an applicable Facility Management Departmentrepresentative on site to properly shut off, disconnect and reconnect serviceas quickly as possible.

• A representative from the Contractor must be on site throughout theduration of all shutdowns.

• All applicable construction documents/drawings must be present during theshutdown.

• SMH holds a weekly Shut Down meeting to discuss shut down requestdetails. Attending the shutdown meeting does not exempt a contractor fromsubmitting the required paperwork. The meeting facilitates the shut downdiscussion and understanding by all.

Doctors Hospital

• Except in the event of an emergency, all shutdown requests must besubmitted no later than 72 hours before the shutdown is scheduled to occur.

• A shutdown request form must be completed prior to any shutdowns. Thisshould occur even during an emergency request. Exceptions to this processmust be approved by the DH Facility Management Department Director orabove.

• Once a shut down request has been approved, the Facility ManagementDepartment designee will send an email communicating details to all partiesinvolved and departments affected by the shut down.

• All shutdowns should have an applicable Facility Management Departmentrepresentative on site to properly shut off, disconnect and reconnect serviceas quickly as possible.

• A representative from the Contractor must be on site throughout theduration of all shutdowns.

• All applicable construction documents/drawings must be present during theshutdown.

• DH holds a weekly Shut Down meeting to discuss shut down requestdetails. Attending the shutdown meeting does not exempt a contractor fromsubmitting the required paperwork. The meeting facilitates the shut downdiscussion and understanding by all.

Homestead Hospital

• Except in the event of an emergency, all shutdown requests must besubmitted no later than 72 hours before the shutdown is scheduled to occur.

• A shutdown request form must be completed prior to any shutdowns. Thisshould occur even during an emergency request. Exceptions to this processmust be approved by the HH Facility Management Department Director orabove.

• Once a shut down request has been approved, the Facility ManagementDepartment designee will send an email communicating details to all partiesinvolved and departments affected by the shut down.

• All shutdowns should have an applicable Facility Management Departmentrepresentative on site to properly shut off, disconnect and reconnect serviceas quickly as possible.

• A representative from the Contractor must be on site throughout theduration of all shutdowns.

• All applicable construction documents/drawings must be present during theshutdown.

• HH holds a weekly Shut Down meeting to discuss shut down requestdetails. Attending the shutdown meeting does not exempt a contractor fromsubmitting the required paperwork. The meeting facilitates the shut downdiscussion and understanding by all.

Mariners Hospital

• Except in the event of an emergency, all shutdown requests must besubmitted no later than 72 hours before the shutdown is scheduled to occur.

• A shutdown request form must be completed prior to any shutdowns. Thisshould occur even during an emergency request. Exceptions to this processmust be approved by the MH Facility Management Department Director orabove.

• Once a shut down request has been approved, the Facility ManagementDepartment designee will send an email communicating details to all partiesinvolved and departments affected by the shut down.

• All shutdowns should have an applicable Facility Management Departmentrepresentative on site to properly shut off, disconnect and reconnect serviceas quickly as possible.

• A representative from the Contractor must be on site throughout theduration of all shutdowns.

• All applicable construction documents/drawings must be present during theshutdown.

• MH holds a weekly Shut Down meeting to discuss shut down requestdetails. Attending the shutdown meeting does not exempt a contractor fromsubmitting the required paperwork. The meeting facilitates the shut downdiscussion and understanding by all.

Bethesda Hospitals

• Except in the event of an emergency, all shutdown requests must besubmitted no later than 72 hours before the shutdown is scheduled to occur.

• A shutdown request form must be completed prior to any shutdowns. Thisshould occur even during an emergency request. Exceptions to this processmust be approved by the BETH Facility Management Department Directoror above.

• Once a shut down request has been approved, the Facility ManagementDepartment designee will send an email communicating details to all partiesinvolved and departments affected by the shut down.

• All shutdowns should have an applicable Facility Management Departmentrepresentative on site to properly shut off, disconnect and reconnect serviceas quickly as possible.

• A representative from the Contractor must be on site throughout theduration of all shutdowns.

• All applicable construction documents/drawings must be present during theshutdown.

• BETH holds a weekly Shut Down/Move meeting to discuss shut downrequest details. Attending the shutdown meeting does not exempt acontractor from submitting the required paperwork. The meeting facilitatesthe shut down discussion and understanding by all.

Boca Raton Regional Hospital

• Except in the event of an emergency, all shutdown requests must besubmitted no later than 72 hours before the shutdown is scheduled to occur.

• A meeting with all parties involved is to take place prior to the shutdown.• A shutdown request form must be completed prior to any shutdowns. This

should occur even during an emergency request. Exceptions to this processmust be approved by the BRRH Facility Director or above. Request formrequires signatures from Administration, Construction Director, FacilitiesDirector, and the end user.

• A shutdown request requires an announcement during at least 2 patient safetyhuddle meetings prior to the schedule day of the shutdown.

• All shutdowns should have an applicable Facility Departmentrepresentative on site to properly shut off, disconnect and reconnect serviceas quickly as possible.

• A representative from the Contractor must be on site throughout theduration of all shutdowns.

• All applicable construction documents/drawings must be present during theshutdown.

SUBMISSION DATE:

PROPOSED DATE:

COMPLETION DATE:

SHUT DOWN REQUEST *must be received 72 hours prior to shutdown

Please Select Type of Shut Down and complete all appropriate signatures.

PROJECT NAME: CONTRACTOR/TRADE:

DURATION OF WORK (HOURS): WORK LOCATION/BUILDING: AREA(S) AFFECTED BY WORK: DESCRIPTION OF WORK:

COMMENTS:

EXISTING SERVICES TO BE INTERRUPTED: REQUIRED HOSPITAL SUPPORT/STAFF: CERTIFICATION REQUIRED:

Please submit request electronically to Thomas Brown, Eduardo Ortiz, and Derrick Hall

***APPROVALS***

Facilities Director or Manager: Safety:

Approved: Approved:

Date: Date:

BHSF Construction: End User:

Approved: Approved:

Date: Date:

General Contractor: Bio-Med:

Approved: Approved:

Date: Date:

***OXYGEN, MED AIR & VAC SHUT DOWN APPROVALS ONLY***

Respiratory Director: Approved: Date:

***POST SHUT DOWN**

TIME: DATE: GC:

FACILITIES LIASON:

BHSF CONSTRUCTION:

Rev. 9/17/2015

TYPE OF SHUT DOWN

Utilities

Air

Oxygen

Plumbing Domestic Chilled Water Domestic Hot Water

Electrical

HVAC

SAMPLE

3

4

5

6

7

8

9

SUBMISSION DATE: PROPOSED DATE: COMPLETION DATE:

SHUTDOWN REQUEST

Please Select Type of Shutdown and complete all appropriate signatures.

PROJECT NAME: CONTRACTOR / TRADE:

DURATION OF WORK (HOURS): WORK LOCATION / BUILDING: AREA(S) AFFECTED BY WORK: DESCRIPTION OF WORK:

COMMENTS: CHANGE OUT OF PANEL.

EXISTING SERVICES TO BE INTERRUPTED / MODIFIED:

REQUIRED HOSPITAL SUPPORT /STAFF: _____ CERTIFICATIONS REQUIRED: ______________________________________________________

****APPROVALS****

Facilities Director or Manager Approved: Date: Facilities Liaison Approved: __________________ Date: Safety Approved: __________________ Date: BHSF Construction Approved: Date: End User: Approved: __________________ Date: General Contractor: Approved: Date:

****OXYGEN, MED AIR & VAC SHUT DOWN APPROVALS ONLY****

Respiratory Director Approved: __________________ Date: ___________

******POST SHUTDOWN****** EXISTING SERVICES RETURNED TO NORMAL OPERATION

TIME: DATE: GC:

FACILITIES LIAISON: BHSF CONSTRUCTION:

TYPE OF SHUTDOWN

Medical Utilities ( ) Air ( ) Plumbing: ( ) Domestic Chilled Water ( ) Domestic Hot Water ( ) Oxygen ( ) Electrical ( ) Vacuum ( ) HVAC

( ) Other:

10

BHSF Hurricane Preparedness / Severe Weather Emergency Action Plan

All Baptist Hospitals and Facilities

This Severe Weather Emergency Action Plan shall be implemented at the site upon threat of an approaching hurricane or tropical storm with the objective to minimize the potential for injury to persons as a first priority, and to property as a secondary objective. Owner and Contractor shall review the site specific Emergency Action Plan prior to the start of construction. Contractor shall ensure that all key personnel are fully aware of said plan and shall perform specific duties should a threat arise during construction.

Condition I - Storm Awareness

Storm Awareness shall be defined as a period of 36-60 hours prior to the issuance of an official tropical storm warning.

Owner and Contractor shall hold an in-person meeting to review the Severe Weather Emergency Action Plan. Owner and Contractor shall perform a site inspection to identify any vulnerable area(s) and discuss appropriate method of securing the area(s) including, but not limited to, securing trailers, openings, materials, equipment, vital records, and emptying dumpsters.

Contractor shall compile and furnish an emergency phone list containing the telephone numbers of all prime contractors and subcontractors with at least two numbers (office, home, cellular, and beeper numbers) and the Owner personnel involved with the project.

Contractor shall ensure that Builder’s Risk insurance is in effect for the project and inform the Owner accordingly.

Condition II - Storm Warning

Storm Warning shall be defined as a period of 24-36 hours away from a tropical storm strike, or 36-72 hours prior to a hurricane strike.

Owner and Contractor shall hold an in-person meeting to review the status of Condition I items and to further secure the job site and vital records.

Owner and Contractor shall document and photograph current site conditions and construction status. The purpose of this documentation is to identify the work completed before the storm and the precautions taken to prevent damage prior to the storm.

Contractor shall secure and protect the work in place, including materials and vital project records stored on site. Efforts to secure the job site include, but are not limited to, removal of debris and loose lumber, emptying dumpsters, banding all loose materials with metal strips, securing branded materials to floors and columns, broom clean entire site, lower crane boom(s) to ground in remote areas, lower cranes where possible, secure portable toilets, remove formwork not yet poured with concrete, load decks with branded rebar/steel/beams, back up jobsite office computers, wrap computers with plastic to prevent water damage, cover office file cabinets and move cabinets away from windows, secure vital records and project documents at an offsite location, strap construction trailer(s) as required by code where permitted, and obtain additional visqueen for possible use after the storm. Contractor shall provide supervision, supplemental manpower and material to safeguard the site from potential hazards, and to reasonably protect the work.

Condition III – Personnel Safety

Owner shall announce the job site closing once the winds are sustained at 40 miles per hour or greater. Owner and contractor personnel shall have ample time to secure or take personal property prior to leaving the site.

After the Storm

Contractor shall assess the project and document (with photographs) all damage to the site. Contractor shall compile and furnish to Owner a report of all damage resulting from the storm. Contractor shall notify Owner before issuing any repair directions to its personnel, subcontractors, and/or third parties, unless immediate reasonable repairs are required in order to prevent further property damage or endangerment of life.

BHSF Material Storage

All Baptist Hospitals and Facilities

• Contractor is required to arrange for storage-dedicated areas prior to thecommencement of work.

• Contractor/Subcontractors are responsible for the protection and safekeeping ofequipment and materials under their control which are stored on the site wherethe work is performed. Stored material may not interfere with normal hospitaloperations.

• Flammable liquids such as oil, gasoline, paint or paint solvent shall be broughtonto the site where the work is performed or the Building in a quantity for theduration of that day only. Spigots on drums containing flammable liquids musthave approved vent pumps

• Combustible materials shall not be stored or left overnight within the confinesof the jobsite unless stored in an OSHA approved cabinet within constructionsite.

• Delivery of construction materials and supplies shall be coordinated with BHSFConstruction Management (CM). Construction materials being delivered orremoved shall not be left unattended at any time in any area of the site where thework is being performed. After hour deliveries will be coordinated with BHSFConstruction Management.

• All deliveries must be stored at the site where the work is being performed. Atno time shall any materials be stored in any other location than the approveddesignated area. IT Closets, Electrical rooms, Mechanical rooms and Stairs arenot to be used for storing materials.

• The Contractor shall be held liable for damages done to the site where the workis being performed resulting from deliveries. Damages shall be reportedimmediately to the BHSF CM. The Contractor is responsible for restoring theBuilding and the Property to its prior condition in a timely manner acceptable tothe owner.

Ladders and Carts

All Baptist Hospital and Facilities

Ladders and carts are NOT provided by the BHSF hospitals. Carts used by the contractor must be covered and in good, clean conditions.

BHSF Patient Interaction:

Contractors, sub-contractors and vendors are to conduct themselves in a professional and respectful manner at all times. They must respect patients and visitors’ privacy by maintaining a distance and avoiding eye contact. Patient confidentiality must be maintained. No pictures or video are permitted. Patient traffic will always have a priority in corridors and elevators.

Patient care takes precedent over construction activities

05/29/20

Construction Workers Ethical Conduct

This is a list of competencies and professional conduct, not limited to, of Contractors, Construction Workers all other Trade Workers and Vendors working at BHSF to ensure the Excellency in patient care and service.

1. Wear Badges at all times2. Comply with this rules at all times3. Follow HIPPA confidentiality guidelines. If you become aware of confidential matters, do not

discuss them with anyone inside or outside the facility4. Workers should clean dust from cloth before traversing hospital corridors5. Patient traffic will always have priority on elevator usage6. All our hospitals are Tabaco free campuses. Use of Tabaco products or E-cigarettes including

chewing Tabaco is limited to off-property use only7. Do your job in a way that minimizes patient disruption8. Patient care take precedent over construction activities9. Encourage social distancing of six feet if possible10. Cover your mouth when you cough or sneeze11. No contact with employees12. Limit large groups of people in enclosed spaces or maintain less than 10 people13. Avoid physical contact, such as handshakes, when greeting people14. All employees shall be properly and completely clothed

Cafeteria / Restroom Use for Contractors:

Baptist Hospital

Contractors are allowed to use the cafeteria during their scheduled breaks. Contractor’s staff must be properly attired and clean in order to access the cafeteria.

Designated Visitors and Staff restrooms are off limits for contractors, unless permission for the use of a specific restroom has been granted. Depending on the project, Contractors will arrange for portable toilets to be placed at previously approved locations.

The schedule for the servicing of portable toilets must be arranged and approved through the Construction Management Project Manager.

Doctors Hospital

Contractors are allowed to purchase food from the cafeteria during their scheduled breaks but seating is reserved for patients / guests & staff. Contractors must make sure that their appearance is appropriate and clean. *Large renovation projects with multiple crews are subject to restrictions.

Restrooms that are for staff or visitors are not to be used by contractors, unless permission for a specific restroom has been granted. Depending on the project, Contractors will arrange for portable toilets to be placed at previously approved locations. The schedule for the portable toilets service must be discussed and approved by the Construction Management Project Manager.

Homestead Hospital

Contractors are allowed to purchase food from the cafeteria during their scheduled breaks but seating is reserved for patients / guests & staff. Contractors must make sure that their appearance is appropriate and clean. *Large renovation projects with multiple crews are subject to restrictions.

Restrooms that are for staff or visitors are not to be used by contractors, unless permission for a specific restroom has been granted. Depending on the project, Contractors will arrange for portable toilets to be placed at previously approved locations. The schedule for the portable toilets service must be discussed and approved by the Construction Management Project Manager.

Mariners Hospital

Contractors are allowed to purchase food from the cafeteria during their scheduled breaks but seating is reserved for patients / guests & staff. Contractors must make sure that their appearance is appropriate and clean. *Large renovation projects with multiple crews are subject to restrictions.

Restrooms that are for staff or visitors are not to be used by contractors, unless permission for a specific restroom has been granted. Depending on the project, Contractors will arrange for portable toilets to be placed at previously approved locations. The schedule for the portable toilets service must be discussed and approved by the Construction Management Project Manager.

South Miami Hospital

Contractors are allowed to purchase food from the cafeteria during their scheduled breaks but seating is reserved for patients / guests & staff. Contractors must make sure that their appearance is appropriate and clean. *Large renovation projects with multiple crews are subject to restrictions.

Restrooms that are for staff or visitors are not to be used by contractors, unless permission for a specific restroom has been granted. Depending on the project, Contractors will arrange for portable toilets to be placed at previously approved locations. The schedule for the portable toilets service must be discussed and approved by the Construction Management Project Manager.

West Kendall Hospital

Contractors are allowed to purchase food from the cafeteria during their scheduled breaks but seating is reserved for patients / guests & staff. Contractors must make sure that their appearance is appropriate and clean. *Large renovation projects with multiple crews are subject to restrictions.

Restrooms that are for staff or visitors are not to be used by contractors, unless permission for a specific restroom has been granted. Depending on the project, Contractors will arrange for portable toilets to be placed at previously approved locations. The schedule for the portable toilets service must be discussed and approved by the Construction Management Project Manager.

Boca Raton Regional Hospital

Contractors are allowed to purchase food from the cafeteria during their scheduled breaks but seating is reserved for patients / guests & staff. Contractors must make sure that their appearance is appropriate and clean. *Large renovation projects with multiple crews are subject to restrictions.

Restrooms that are for staff or visitors are not to be used by contractors, unless permission for a specific restroom has been granted. Depending on the project, Contractors will arrange for portable toilets to be placed at previously approved locations. Contractors are allowed to use restroom located within the Engineering Building.

Bethesda

Contractors are allowed to purchase food from the cafeteria during their scheduled breaks but seating is reserved for patients / guests & staff. Contractors must make sure that their appearance is appropriate and clean. *Large renovation projects with multiple crews are subject to restrictions.

Restrooms that are for staff or visitors are not to be used by contractors, unless permission for a specific restroom has been granted. Depending on the project, Contractors will arrange for portable toilets to be placed at previously approved locations. The schedule for the portable toilets service must be discussed and approved by the Construction Management Project Manager.

BAPTIST HEALTH SOUTH FLORIDA Cutting/Core Drill Procedure:

Procedure for existing building demolition, including the removal of selected portions of the interior of a building undergoing alterations, and exterior improvements. All applicable building code, regulatory agency and Architect/Engineer of record shall apply.

Coordination of Concrete Core Drill/Cutting Location

Identify spot for drilling/cutting in collaboration with BHSF Construction Project Manager (CPM). Please confirm the location as follows:

• Review project design documents in collaboration with theArchitect/Engineer of record to fully understand extent of required selectivedemolition.

• Review available facility as-built documentation to confirm affected MEPinfrastructure.

• Perform radar or other imaging inspection for identification of post-tension,electrical conduit or plumbing that may be cast within concrete walls or slabs.

• Review location of concrete cutting/core drilling with the BHSF CPM andFacilities Director/Manager to understand affected service and MEPinfrastructure.

• Confirm that any known asbestos or other environmental hazard has beenremediate prior to the commencement of the work.

• Provide plan of action for addressing the concrete cutting/core drilling workand related cutting and capping of affected infrastructure and/or utilities.

• Submit all facility permit documents required such as OFF Hour Work, ShutDown Request, Above Ceiling Permit and any other as requested by theFacilities Management Team. Attend Facilities and Construction Shut Downmeetings as may be required.

Project Safety

Total number or required workers shall be coordinated with BHSF Construction Project Manager to ensure the safety of surrounding areas and staff. At a minimum, there should be 3 construction workers available for any concrete cutting or core drilling as follows:

• One person for operating drill/power cutting equipment. • One person to vacuum water dust mixture and ensure the water supply is

properly pressurized. • One person as a “Spotter” located on the next floor down to spot the pilot hole,

keep any other people out of the affected area, and deal with the core/concrete debris once it comes free.

• Erect barricades and Warning Signs around the area of work and any other area that is affected by the work, such as a floor level below, as directed by the BHSF Construction Project Manager. Include any necessary safety equipment, such as a net or other device of catching concrete debris.

• Drill pilot hole to confirm exit point and avoid being close to walls, Mechanical, Plumbing and Electrical infrastructure and/or fixtures. (Plug pilot if necessary.)

• Ensure installation of power equipment and work area set up meets or exceeds OSHA standards.

• Use HEPA Vacuum at drill/cutting location and at location of debris exit point to collect dust containing silica material. Dry sweeping and the use of compressed air, are prohibited for removing dust or debris containing Silica.

• Any Slurry generated by wet control methods is to be cleaned up immediately after the work is completed, to avoid secondary dust exposure hazard.

• Work area and any other affected areas are to be thoroughly cleaned of debris/dust and mopped. Areas of travel for patient/visitors shall be cleared of tripping hazards and made safe for patient/staff traffic.

Personal Protective Equipment At a minimum the following PPE is to be utilized to ensure safety:

• Anti-vibration work gloves • Steel toe safety boots. • Hard Hat • Eye Protection • Hearing Protection • Sun protection when working in exposed sunlight. • Respirator protection • Additional or specific types of PPE may be required for concrete or masonry

cutting or drilling depending on identified hazards associated with particular sites, conditions, materials and cutting/drilling equipment.

• Equipment operators are to protect against loose clothing, chains around theirneck and long hair that may get caught in the equipment.

BHSF Hot Work Permits:

NFPA Chapter 51B (Standard for Fire Prevention During Welding, Cutting, and Other Hot Work).shall govern the use of flame or spark generating devices

Procedures for Implementation: All work employing the use of spark or flame generating equipment (torches) will require the issuance of a “Hot Work” permit. The permits are available in the BHSF entity Facility Management Department. Permits will be completed by the person performing the work and shall be signed off by a supervisor or manager. No permit shall be issued for more than one (1) shift.

This permit is required for any temporary operation involving open flame or producing heat and/or sparks: welding, cutting, brazing, grinding, soldering, or using a torch to thaw piping or heat material. The permit applies to only one activity, in the area specified, during the time and date noted.

Note: Emergency notification on back of form. Use as appropriate for your facility.

Required Precautions

n n The fire pump is in operation and switched to automatic.n n Control valves to water supply for sprinkler system are open.n Extinguishers are in service/operable.n Hot work equipment is in good working condition.

Requirements within 35 ft. (10 m) of hot workn n Shield combustible construction using listed (e.g.,

FM Approved) welding pads, blankets and curtains.n n Remove or shield nonremovable combustibles using listed

(e.g., FM Approved) welding pads, blankets and curtains.n n Isolate potential sources of flammable gas, ignitable liquid

or combustible dust/lint (e.g., shut down equipment).n n Remove ignitable liquid, combustible dust/lint and combustible residues. n n Shut down ventilation and conveying systems.n n Remove combustibles and consider a second fire watch on opposite

side of floor, wall, ceiling or roof when openings exist or thermally conductive materials pass through.

n n Is work on a combustible building assembly (e.g., Torch-Applied Roofing)? If yes, provide ADDITIONAL REQUIRED PRECAUTIONS below.

Hot work on/in closed equipment, ductwork or pipingn n Isolate equipment from service. n n Remove ignitable liquid and purge flammable gas/vapor. n n Prior to work, and/or during work, monitor for flammable gas/vapor.

LEL reading(s): n n Remove combustible dust/lint or other combustible materials. n n Is work on/in equipment with nonremovable combustible linings or

parts? If yes, provide ADDITIONAL REQUIRED PRECAUTIONS below.

Fire watch/fire monitoring the hot work area Times listed are sufficient for majority. Use Table at back of permit for

guidance for combustible concealed cavities, roof work or favorable factors.

n Perform a continuous fire watch during hot work.n Perform a continuous fire watch post-work for

n 1 hour or Other ___ hours. n n Perform fire monitoring for

n 3 hours or Other ___ hours.

Y NA

DATE

HOT WORK BY Employee

Contractor

JOB NUMBER

I verify the above location has been examined, the Required Precautions have been taken, and permission is authorized for this work.

LOCATION OF WORK (BUILDING/FLOOR/OBJECT)

WORK TO BE PERFORMED

NAME OF PERSON PERFORMING HOT WORK

NAME OF PERSON PERFORMING FIRE WATCH

ADDITIONAL REQUIRED PRECAUTIONS:

PERMIT AUTHORIZER (PRINT AND SIGN)

THIS PERMIT EXPIRES ON (LIMIT AUTHORIZATION TO ONE SHIFT):

DATE: TIME: AM/PM

Part 1

This Hot Work Permit is required for any temporary operation involving open flames or producing heat and/or sparks conducted outside a Hot Work Designated Area. This includes, but is not limited to: brazing, cutting, grinding, soldering, torch-applied roofing and welding.

STOP!Avoid hot work when possible! Consider using an alternative cold work method.

Instructions for Permit Authorizer1. Specify the precautions to take.2. Fill out and keep Part 1 during the hot work process.3. Issue Part 2 to the person doing the job.4. Keep Part 2 on file for future reference, including signed confirmation

that the post-work fire watch and monitoring have been completed.5. Sign off the final check on Part 2.

F2630 © 2018 FM Global. (01/2018) All rights reserved.

Note: Emergency notification on back of form.

Additional FM Global Resources:Property Loss Prevention Data Sheet 10-3, Hot Work ManagementHot Work Permit App via fmglobal.com/appsHot Work Permit form (F2630) via fmglobalcatalog.comOnline training at training.fmglobal.comFM Approved equipment via fmapprovals.com

HOT WORK PERMIT

SAMPLE

Required Precautions

n n The fire pump is in operation and switched to automatic.n n Control valves to water supply for sprinkler system are open.n Extinguishers are in service/operable.n Hot work equipment is in good working condition.

Requirements within 35 ft. (10 m) of hot workn n Shield combustible construction using listed (e.g.,

FM Approved) welding pads, blankets and curtains.n n Remove or shield nonremovable combustibles using listed

(e.g., FM Approved) welding pads, blankets and curtains.n n Isolate potential sources of flammable gas, ignitable liquid

or combustible dust/lint (e.g., shut down equipment).n n Remove ignitable liquid, combustible dust/lint and combustible residues. n n Shut down ventilation and conveying systems.n n Remove combustibles and consider a second fire watch on opposite

side of floor, wall, ceiling or roof when openings exist or thermally conductive materials pass through.

n n Is work on a combustible building assembly (e.g., Torch-Applied Roofing)? If yes, provide ADDITIONAL REQUIRED PRECAUTIONS below.

Hot work on/in closed equipment, ductwork or pipingn n Isolate equipment from service. n n Remove ignitable liquid and purge flammable gas/vapor. n n Prior to work, and/or during work, monitor for flammable gas/vapor.

LEL reading(s): n n Remove combustible dust/lint or other combustible materials. n n Is work on/in equipment with nonremovable combustible linings or

parts? If yes, provide ADDITIONAL REQUIRED PRECAUTIONS below.

Fire watch/fire monitoring the hot work area Times listed are sufficient for majority. Use Table at back of permit for

guidance for combustible concealed cavities, roof work or favorable factors.

n Perform a continuous fire watch during hot work.n Perform a continuous fire watch post-work for

n 1 hour or Other ___ hours. n n Perform fire monitoring for

n 3 hours or Other ___ hours.

Y NA

DATE

HOT WORK BY Employee

Contractor

JOB NUMBER

I verify the above location has been examined, the Required Precautions have been taken, and permission is authorized for this work.

LOCATION OF WORK (BUILDING/FLOOR/OBJECT)

WORK TO BE PERFORMED

NAME OF PERSON PERFORMING HOT WORK

NAME OF PERSON PERFORMING FIRE WATCH

ADDITIONAL REQUIRED PRECAUTIONS:

PERMIT AUTHORIZER (PRINT AND SIGN)

THIS PERMIT EXPIRES ON (LIMIT AUTHORIZATION TO ONE SHIFT):

DATE: TIME: AM/PM

HOT WORK IN PROGRESS! Watch for fire!

Part 2Instructions

Person performing hot work: Record time started and display permit at hot work area. After hot work is completed, record time and leave permit displayed for fire watch.

Fire watch: Watch area during hot work and after work completion. Prior to leaving area, perform final inspection, sign, leave permit displayed and notify Fire Monitor or Permit Authorizer.

Fire Monitor: Monitor area after post-work fire watch completion. Perform final inspection, sign and return to Permit Authorizer.

Hot Work Date: Start Time: am/pm Finish Time: am/pm

Post-Work Fire Watch Finish Time: am/pm

Name

Fire Monitor Finish Time: am/pm

Name/Other

Final Check Time: am/pm

Name

n Person n Other

F2630 © 2018 FM Global. (Rev. 01/2018) All rights reserved.

WARNING

SAMPLE

HOT WORK IN PROGRESS!Watch for fire!

In case of emergency, call the contacts listed below before attempting to extinguish the fire.

Contact Number

WARNING

Construction and Occupancy Factors for Post-Work Fire Watch and Monitoring Periods

Construction FactorsNoncombustible construc-tion, or FM Approved Class 1 or Class A building materials

Combustible construction without concealed cavities

Combustible construction with unprotected concealed cavities

Watch Monitor Watch Monitor Watch Monitor

Occ

upan

cy F

acto

rs

Noncombustible with any combustibles contained within closed equipment (e.g., ignitable liquid within piping)

30 minutes 0 hours 1 hour 3 hours 1 hour 5 hours

Office, retail or manufacturing with limited combustible loading

1 hour 1 hour 1 hour 3 hours 1 hour 5 hours

Manufacturing with moderate to significant combustible loading except as noted below

1 hour 2 hours 1 hour 3 hours 1 hour 5 hours

Warehousing 1 hour 2 hours 1 hour 3 hours 1 hour 5 hours

Exceptions: Occupancies with processing or having bulk storage of combustible materials capable of supporting slow-growing fires (e.g., paper, pulp, textile fibers, wood, bark, grain, coal or charcoal)

1 hour 3 hours 1 hour 3 hours 1 hour 5 hours

When performing torch-applied roofing, apply additional precautions and conduct a minimum 2 hours fire watch and 2 hours fire monitoring. If an infrared camera is utilized, reduce to a 1 hour fire watch and 1 hour fire monitoring.

When performing hot work on/in equipment containing nonremovable combustible linings or parts, apply additional precautions and conduct a minimum 1 hour fire watch and 3 hours fire monitoring within the equipment, and in the surrounding areas per Table above.

SAMPLE

BHSF EMERGENCY NOTIFICATION PROCESS

All job sites must have Emergency Contact information posted on the jobsite entrance. See form attached.

1) Contractor should immediately notify the BHSF Construction Management ProjectManager of an incident or emergency. If the BHSF Construction Management ProjectManager does not respond, go up to the next BHSF level.

• BHM Facility Department Director, John Sciarrone 516-581-3870. If John is notavailable, call the Control Room 786-596-6342.

• BHM Administration is an on call number 786-594-9403 or 786-594-9471. YourSupervisor will contact therm. In case your supervisor is not available, contact BHMAdministration directly.

• SMH Facility Department Director, Jerome Marshall 305-546-6773. If Jerome isnot available, call the Help Desk 786-662-4357.

• HH Facility Department Director, Jerome Marshall 305-546-6773. If Jerome is notavailable, call the Help Desk (XXX-XXX-XXXX).

• DH Facility Department Director, Luis Fernandez de Castro 305-878-1215. If Luisis not available, call the Help Desk 786-308-4149.

• MH Facility Department Director, Kim Hysong 305-393-3850. If Kim is notavailable, call the House Supervisor 305-434-3911.

• FH Facility Department leadership is the Director, Kim Hysong 305-393-3850.

• WK Facility Department Manager is Yoan Guiterrez 786-285-2062, If Yoan is notavailable, call help desk 786-467-2187

• Boca Raton– Facility director Scott Payne 954-520-9459 or help line at 561-955-4092

• Bethesda BHM Facility leadership is Mark Cain (727-234-3783). If John is notavailable, call the Help Desk (561-737-7733 x 84454).BETH Administration is an on call number 561-737-7733 or 555. Your Supervisor willcontact them. In case your supervisor is not available, contact BETH Administrationdirectly.

PROJECTEMERGENCY INFORMATION

Baptist Health

Facility: ____________________Project Name: _______________Location:__________________

CONTRACTOR CONTACT INFORMATION

Company Name: __________________________ Office #: _________

Project Manager: __________________________ Cell #: ___________

Superintendent: __________________________ Cell #: ___________

CONSTRUCTION MANAGEMENT

Project Manager: __________________________ Cell #: ___________Office #: ____________________________

BHSF Utility Locations:

Utility locations shall be performed by a private company specialized in the location of utilities on private property. The cost of a utility location shall be part of the contractor’s scope of work.

BHSF Construction Signage

All job sites at must have the following signage at the entrance:

1. Job Site Emergency Contacts

2. Do Not Enter Sign

3. ICRA Appendix B

4. Negative Pressure Log (if required by ICRA)

5. Above Ceiling Permit (if applicable)

6. Safety Alert (If an ILSM is in place)

7. Building Permit

PROJECTEMERGENCY INFORMATION

Baptist Health

Facility: ____________________Project Name: _______________Location:__________________

CONTRACTOR CONTACT INFORMATION

Company Name: __________________________ Office #: _________

Project Manager: __________________________ Cell #: ___________

Superintendent: __________________________ Cell #: ___________

CONSTRUCTION MANAGEMENT

Project Manager: __________________________ Cell #: ___________Office #: ____________________________

CONSTRUCTION AREA

PLEASE DO NOT ENTER

Authorized personnel only

Revised 07/11 6 BHS 107 Agreement

Appendix B - Infection Control Agreement Risk Assessment (ICRA) Note: This page shall be completed during preconstruction and approved by the Facility’s Safety and Infection Control Officer. Contractor shall sign the ICRA Agreement as part of the construction contract documents. Prescribed precautions must be in place prior to work start and must be maintained throughout the duration of the project. This Appendix must be posted on jobsite during construction.

Project Name and Number: Permit No & Exp. Date: Location of Construction: Project Start Date: Project Coordinator/Tel.: Estimated Duration: Contractor Performing Work/Tel.: Supervisor/Tel.: Yes/No Construction Activity Yes/No Infection Control Risk Group

Type A: Inspection, non-invasive activity. Group 1: Low Risk

Type B: Small scale short duration, moderate to high levels. Group 2: Medium Risk Type C: Activity generates moderate to high levels of dust, requires greater 1 work shift for completion. Group 3: Medium/High Risk

Type D: Major duration and construction activities requiring consecutive work shifts. Group 4: Highest Risk

During Construction or Renovation Upon Completion/Prior to Occupancy

Cla

ss

I

1. Execute work by method to minimize raising dust from theconstruction operations.

2. Immediately replace any ceiling tile displaced for visual inspection.

1. Wet mop/wipe exposed surfaces with appropriately labeled and BHSFapproved hospital disinfectant.

Cla

ss II

1. Provides active means to prevent air-borne dust from dispersing intoatmosphere.

2. Water mist work surfaces to control dust while cutting.3. Seal unused doors with duct tape.4. Block off and seal air vents.5. Remove or isolate HVAC system in area where work is being done

to prevent contamination of the duct system.6. Place dust mat at entrance and exit of work area7. Wipe surfaces with disinfectant.8. Cover transport receptacles or carts. Tape covering unless solid lid.

1. Wet mop/wipe exposed surfaces with appropriately labeled and BHSFapproved label disinfectant.

2. Contain construction waste before transport in tightly covered solid lidcontainers.

3. Wet mop and/or vacuum with HEPA filtered vacuum before leavingwork area.

4. Remove isolation of HVAC system in areas where work is beingperformed.

Cla

ss II

I

1. Remove and isolate HVAC system in area where work is beingdone to prevent contamination of the duct system.

2. Complete all critical barriers i.e. sheet rock, plywood, plastic, to sealarea from non work area or implement control cube method (cartwith plastic covering and sealed co work site with HEPA vacuumprior to exit) before construction begins.

3. Maintain negative air pressure within work site utilizing HEPAequipped air filtration units.

4. Contain construction waste in tightly covered containers beforetransporting.

5. Cover transport receptacles or carts. Tape covering unless solid lid.6. Seal holes, pipes, conduits and punctures appropriately

1. Do not remove barriers from work area until completed project isthoroughly inspected by Owner’s staff.

2. Vacuum work with HEPA filtered vacuums.3. Wet mop/wipe exposed surfaces with appropriately labeled and BHSF

approved hospital disinfectant.4. Contain construction waste in tightly covered containers before

transporting.5. Cover transport receptacles or carts. Tape covering unless solid lid.6. Remove isolation of HVAC system in areas where work is being

performed.7. Remove barrier materials carefully to minimize spreading of dirt and

debris associated with construction.8. Final cleaning by Environmental Services prior to occupancy.

Cla

ss IV

1. Isolate HVAC system in area where work is being done to preventcontamination of duct system.

2. Complete all critical barriers i.e. sheet rock, plywood, plastic, to sealarea from non work area or implement control cube method (cartwith plastic covering and sealed co work site with HEPA vacuumprior to exit) before construction begins.

3. Maintain negative air pressure within work site utilizing HEPAequipped air filtration units.

4. Seal holes, pipes, conduits, and punctures appropriately.5. Construct anteroom and require all personnel to pass through this

room so they can be vacuumed using a HEPA vacuum cleanerbefore leaving work site or they can wear cloth or paper overalls thatare removed each time they leave the work site.

6. All personnel entering work site are required to wear shoe covers.Shoe covers must be changed each time the worker exits the workarea.

7. Contain construction waste in tightly covered containers beforetransporting.

8. Cover transport receptacles or carts. Tape covering unless solid lid.

1. Do not remove barriers for work area until completed project isinspected by the Owner’s staff.

2. Vacuum work area with HEPA filtered vacuums.3. Wet mop/wipe exposed surfaces with appropriately labeled and BHSF

approved hospital disinfectant.4. Contain construction waste in tightly covered containers before

transporting.5. Cover transport receptacles or carts. Tape covering unless solid lid.6. Remove isolation of HVAC system in areas where work is being

performed.7. Remove barrier materials carefully to minimize spreading of dirt and

debris associated with construction.8. Final cleaning by Environmental Services prior to occupancy.

Additional Requirements: Parties agree to implement required precautions, notify the ICRA Team of necessary changes and institute corrective actions immediately should violation of precautions be found. Contractor agrees to disseminate this information to subcontractors and assume responsibility for their compliance. Requested By / Date: Contractor Agreed to Comply / Date:

Facility’s Manager or Safety Officer / Date: Infection Control Practitioner / Date:

Adapted with permission V. Kennedy, B. Barnard, developed at St. Luke Episcopal Hospital, Houston, TX., ICRA Permit

SAMPLE

IP 8118 Addendum

Interim Life Safety Measures [ILSM]

Description:  ________________________________________________

Location:  ___________________________________________________

Date(s) Effective: _____________________________________________

Follow These Actions:

Keep all exits and hallways clear

Limit amount of combustible materials

Ensure flammables are stored properly

Continue to enforce no smoking policy

Know your horizontal and vertical evacuation routes. Immediately report potential fire hazards to the Safety  

Department

USE THESE FIRE SAFETY PROCEDURESRACE is a four‐step plan to use in the event of a fire.  PASS is the procedure for using a fire extinguisher.

Fire Safety  Procedures

R Rescue P Pull

A Alarm A Aim

C Confine S Squeeze

E Extinguish /Evacuate S Sweep

FOR ALL CODES, DIAL #7777

SAFETY  ALERT

Contractor Pre-Construction Checklist

Applicable to all Baptist Health Construction Contracts

• Contractor shall not commence the Work until Owner has issued a Notice to Proceed

• Contractor is required to file a Notice of Commencement prior to beginning work

• Payment and performance bond required for projects greater than $1.5M

• Owner direct purchase orders will be issued for all materials or equipment greater than $5,000

• Contractor is required to maintain an up-to-date schedule

• Contractor must maintain a log of all permits, change orders, change risks RFI’s and all shop drawings

• All re-testing costs are borne by contractor

• Contractor has 3 days from notice of non-conformance to commence corrections

• No demolition work shall occur until a project specific demolition checklist has been reviewed and approved by owner

• Key personnel cannot be changed without approval of owner • Severe weather action plan must be provided prior to beginning work. Contractor will comply upon threat of storm or

hurricane • No work can be sublet without prior approval from the owner

• Subcontractors are bound to all terms of the contract; contractor will make available to subcontractors

copies of the agreement

• Owner has the right to terminate the contract if Infection Control guidelines are not adhered to

• Contractor shall immediately remove from the Project site any employee that fails to comply with the Infection Control Guidelines; such employee shall not perform further Work on any Project.

• Contractor will keep site clean, if contractor fails to comply owner may perform obligations and back charge contractor

• Contractor will notify owner of the scope of work self performed and the percentage of entire scope, if greater than 25% owner must approve in advance Submittals:

• Submittal process is attached

• Sample warranties should be provided with all applicable submittals, including roof warranty

• All substitutions must contain a costs analysis

Time Extensions:

• Time extensions which impact the critical path of the schedule must be made in writing to Owner and architect within five (5) days of the first occurrence

• If work appears that it may not be completed per contract schedule, a recovery schedule must be provided within 5 days of owners written request

Change orders:

• Contractor must notify owner within 5 days of knowledge of a change order or potential change order.

• 5% contractor overhead/profit and 10% for subcontractor overhead/profit

• Must include documentation:(a) cause of change documentation, (b) if Schedule will be impacted (c) hourly rates for all labor and breakdown of all material costs

• If Contractor cannot provide a Change Order Notice before commencing additional work, Owner will issue a written field work directive with a not to exceed amount

• In the event of a dispute of a change, contractor must proceed upon written notice from owner

Payment Application:

• Schedule of values must be submitted and approved prior to first payment application

• 5 days prior to application for payment an onsite meeting the owner and architect is to be held

• 5 days prior to application for payment, contractor will submit draft payment application, report of progress of work against construction schedule, RFI, shop drawing, submittal, change order and permit logs

• Application for Payment must be certified by Architect and include architect review of as built; payment from owner within 45 days after submission of payment application

• Contract must pay each Subcontractor within five (5) days of Contractor’s receipt of payment from Owner

Project Closeout:

• All closeout documents are to be provided electronically, except for original warranties

• Final Retainage will not be released until redline as built drawings are submitted to architect and all close out documentation is received

PTP (Pre-Task Plan) Date: ___________________________________ Company: ___________________________________________

Description of Activity: ___________________________________________________________________________________________________________

Supervisor: _____________________________________ Location of Task: ______________________________________

Has the competent person performed req’d inspection? Yes No Competent Person Name ___________________

Are you working around live systems? Yes No Did you have the PPE needed for this task? Yes No

Does this task require special training? Yes No Are the required materials and tools provided Yes No

Is an MSDS review necessary for this task? Yes No Have all tools/equipment been inspected before use? Yes No

Is air monitoring required? Yes No Does this task involve a confined space? Yes No Are work permits

required for this task? Yes No Should the Safety Dept. be involved in this planning? Yes No

Are you familiar with evacuation routes? Yes No Is there a safety issue that has not been addressed? Yes No

Has emergency equipment such as fire extinguishers, eyewash stations, safety showers, and phones been located? Yes No

If the work area is congested, has the work plan been coordinated with other crafts? Yes No

__ Caught In/Between __ Inadequate Access __ Hazardous Chemicals __ Falls from Elevations

__ Thermal Burns __ High Noise Levels __ Heat Exhaustion/Stress __ Confined Spaces

__ Particles in Eyes __ Struck-By __ Sharp Objects or Tools __ Line Breaking

__ Elevated Work __ Manual Lifting __ Radiations __ Inhalation Hazard

__ Poor Housekeeping __ Chemical Spill __ Excavations __ Critical Lift

__ Electrical Shock __ Plant Operations __ Lockout/Tagout __ Compressed Gasses

__ Chemical Burns __ Scaffolding __ Ladders __ __________________

__ Fire/Explosion __ Mobile Equipment __ Rigging __ __________________

Description of Steps to be Performed Hazards Associated with Each Step Required Actions to Eliminate or Control the Hazard

List PPE Required:

EVALUATING YOUR WORK AREA (Circle Yes or No)

Potential Hazard Checklist (Place a checkmark if applicable)

PTP (Pre-Task Plan)