8/14/2013 1 Contractors working on AHS property will follow AHS - - PowerPoint PPT Presentation

8/14/2013 1

 Contractors working on AHS property will

follow AHS policies and will only use authorized entry points, elevators, bathrooms, and eating areas.

 Before entering Adena Health System

property, please make sure you are wearing your:

 AHS Badge  Hard Hat  Safety glasses and/or other PPE  Complete the AHS Construction Daily

Worksite Inspection Checklist. See attached copy.

8/14/2013 3

 Provide the AHS project manager the contractor’s name and

work location (inside, outside, etc.) to get a AHS badge from

• security. Longer term projects may get a permanent badge

from the Human Resources department upon filling out the proper paperwork.

 Return badges at the project’s end or pay a $25 fee.

Wear AHS badges on the upper chest, facing forward and clearly visible.

8/14/2013 4

 Clean and wipe off clothes and shoes before

entering AHS buildings.

 Do not wear clothing with rips, tears, holes,

• r questionable / offensive wording and/or

pictures.

8/14/2013 5

No smoking in any buildings or outdoor areas owned and/or operated by Adena Health System. No eating or drinking inside the construction area at any time (except designated break areas). Water is ok.

8/14/2013 6

 DO NOT look into patient or procedure rooms.  Avoid foul language and/or extremely loud conversations.  Respect all AHS patients’,

staff, and visitors’ privacy

8/14/2013 7

 Follow the “3 second look” rule.  If there is a complaint you are looking at AHS staff,

patients, and/or visitors inappropriately and/or are not following the AHS privacy guidelines, YOU WILL BE REMOVED FROM THE PROJECT

8/14/2013 8

 Patients, staff and visitors ALWAYS have the right-

• f-way in elevators and hallways.

 Clear pathways for patients, staff, and visitors.  Do not slow down day-to-day AHS operations.

8/14/2013 9

Use provided hand-cleaning products often, especially if the Work space is in or near patient care. Reduce noise when possible, Especially with noisy equipment. Provide the highest level of Customer Service to our patients, staff, and visitors.

8/14/2013 10

• Parking areas are determined

in pre-construction meetings.

• Only limited company vehicles

are allowed.

• No personal vehicles are

allowed.

8/14/2013 11

 Dispose of all waste.  Contractors requiring waste

collection on site, must coordinate with their AHS Project Manager the location, size, duration and frequency of dumps.

8/14/2013 12

Notify Facility Operations (779-7507) of shutdowns

• f electrical, plumbing, smoke detection and fire

sprinklers/systems as follows.

 Scheduled shutdowns require a 2-week

week notifi tificatio ation in writin ting (inc nclu ludin ding g email il). ).

 Unscheduled shutdowns require a 48-hour notification.  For

r utili lity ty outa tages ges requir irin ing immedia mediate e noti tific icat atio ion

• Contact 779-7416 06:30 – 15:30
• After hours & weekends, contact and have the

Plant Operator on duty paged.

8/14/2013 13

To complete after-hours work, notify the AHS Project Manager at least 24 hours rs in adva vance nce.

8/14/2013 14

 Review the Infection

Control Risk Assessment (ICRA) with the AHS project manager before the project’s start to minimize patient risk to dust, moisture and debris. The ICRA will include the start and planned completion dates, project description, and any additional requirements.

8/14/2013 15

 Infection Control &

Prevention (779-7568) and the AHS Project Manager and/or designee will check the interior and/or exterior project activities, and areas surrounding the project site(s), to complete an ICRA form.

 The form will be signed by an Infection Control & Prevention

staff member and the AHS Project Manager and/or designee.

8/14/2013 16

 Infection Control & Prevention keeps a copy

• f the completed ICRA.

 Post the original ICRA until the project is

completed.

 If the project exceeds the stated completion

date, the AHS Project Manager and/or designee must contact Infection Control for an extension.

8/14/2013 17

 Infection Control and Prevention

staff, Safety staff, or the Department Director/Supervisor have the authority to stop the project if any part of the ICRA is not being done correctly.

 Contact the AHS Project Manager

and/or designee immediately for any problems

 Restart the project when the issues are corrected.

8/14/2013 18

8/14/2013 19

 AHS has developed the use of

Interim Life Safety Measures(ILSM) to reduce the negative impact of, or failure of, the overall Life Safety System during the course of construction renovation, or alteration activities.

 Use the ILSM during project development and

monitor continuously until the project’s completion.

 Obtain the ILSM from Environment of Care(779-

7416) if construction might cause a failure in existing Life Safety Code building features including, but not limited to:

• emergency exits
• Emergency access for emergency

services

• Fire extinguisher equipment
• Fire alarms
• Fire suppression systems

 Contact the Safety Officer(779-7416) for guidance if you feel the

dust you create may affect the smoke alarm system

August 14, 2013 Confidential Not for Distribution 20

The AHS Project Manager will:

• Work with the department director to

make sure all patients are moved before the beginning of the project.

• Work with AHS Plant Engineering

(779-7504) to coordinate –

 HVAC system isolation (the

blocking of return air grills and duct work when necessary to avoid dust contamination of surrounding areas)

 Any necessary electrical outages

8/14/2013 21

• Portable HEPA filtration units for

negative air pressure to exhaust air. Clean and seal ceiling vents. Wipe down tools and equipment with a damp cloth or bag them before bringing them through AHS property. This includes tool/trash carts, covers, and wheels.

8/14/2013 22

Completely contain the project site by

 Using fire-rated plastic for all short term jobs  Taping barrier seams to make sure they are fully sealed

– No drooping!

 Installing temporary floor-to-deck barriers, as needed.

8/14/2013 23

 Installing solid-wall barriers for

longer projects.

 Using tightly sealed barriers/control

cubes to contain all work, including holes in the walls, ceilings and/or floors.

 Properly sealing doors into barrier

areas with a zipper.

 Not using control cubes with broken

zippers.

8/14/2013 24

 Sealing wall/ceiling/floor openings with an

approved UL sleeve and RED fire caulk

 Doing any assembly or cutting of pipe, wood or

• ther materials inside

de the designated work area

8/14/2013 25

• Using walk- off mats

(sticky or moistened carpet mats) between your work area and the rest of the building

• Peeling sticky mats to the

next layer as soon as they are no longer sticky

• Vacuuming carpet mats

daily

8/14/2013 26

• Using dustless drills, sanders, etc
• If one is not available, collect dust as you drill to keep the dust from

gathering on the floor.

• Using personal protective equipment, as needed.

8/14/2013 27

Using the following special Requirements for high risk areas:

• Constructing an anteroom to

ensure an airtight enclosure of the project site

• Using HEPA filtration units for

negative air pressure within the work site

• Checking ventilation filters

regularly for leaks or clogs

• Using Personal Protective

Equipment (PPE) as needed.

8/14/2013 28

These are the minimum PPE requirements. Additional PPE may be required based on the task and/or scope of work performed. See your supervisor if you are unsure of the PPE required for the task(s) you are performing.

8/14/2013 29

Hard Hat(worn with bill forward unless you are welding) Safety Glasses(mus t be ANSI Z87 approved with fixed side shields Hearing protection in areas where the noise level exceeds 85db.(If you have to raise your voice to be heard by someone within 3’ of you, the noise level is above 85db. Leather hard sole work boots(Steel toed safety shoes are preferred, but not required.) Gloves(applicable for the type of work being done)

 Removing disposable coveralls and

disposable booties before leaving the demolition area.

 Using HEPA vacuums (inside

anteroom) to vacuum off clothing/boots upon exist of project site when disposable coveralls are not required. Workers are not allowed outside the construction area with dusty work clothes/boots.

8/14/2013 30

 Establish traffic patterns to prevent dust from being taken

• utside the construction area and clean up all dust

immediately.

 Clean all areas adjacent to the project site often, using a

damp mop (change water often) or HEPA vacuum, to control dust. Do not use a broom because it stirs up dust.

8/14/2013 31

 Take construction site trash out daily in a

covered, dust free container.

 If a construction chute is used, it must be

sealed to prevent the accidental spread of debris.

8/14/2013 32

 Carefully remove barriers once work is

near completion or completed.

 Before taking barriers down,

clean the work area.

 Environmental Services (779-7968)

should clean the completed project area carefully before allowing patients to return.

8/14/2013 33

 Ensure all electrical

equipment is UL certified(or equivalent) and in good common working condition.

 Do not plug equipment

into red outlets.

 A Ground Fault Circuit

Interrupter(GFCI) must be plugged into the outlet before plugging in any

• ther equipment or cords.

8/14/2013 34

 Provide MSDS(Material

Safety Data Sheets), upon request, to UHS staff for any materials that the contractor will be working with while

• n site.

 The MSDS for any

materials in the area being worked on will be available to the contractor upon request.

8/14/2013 35

 Do not use any extremely

hazardous chemicals, aerosol sprays, or cleaning products that produce heavy fumes or odors, without first notifying the Environment of Care department(779-7416) and providing a point of contact.

 Observe all safety and/or

environmental precautions when using hazardous chemicals on AHS property.

 Dispose of all chemicals off site.

If you bring it – take it away with you(including empty cans, bottles, etc.)

 Obtain a Hot Work

Permit for al welding, cutting, grinding or any

• ther type of work that

might create a spark.

 Obtain Hot Work

Permits though Security(779-7505). Office is located within the Emergency Department area.

8/14/2013 37

 Once the Hot Work Permit is

• btained, the contractor must

contact Security(779-7505) in person before and after the work is completed, to sign a form indicating where the Hot Work is being performed so that the fire alarm system can be monitored

• r isolated.

 The Hot Work permit must be

returned to the issuer once the Hot Work is completed.

 The contractor must provide fire

extinguishers and blankets(if necessary).

 Check with your Adena

Project Manager or Safety dealing with lockout/tag-

• ut of equipment before

work on the equipment is performed and a point of contact is established.

 When AHS personnel

lockout/tag-out a piece of equipment for a contractor, the contractor is also required to add a lock or tag using a multilock device.

 All locks must have a tag

with contact information.

− Coordinate a permit for all entries into any confined

space through your Adena Project Manager.

− The contractor will inform their Adena Project

Manager of contracted personnel procedure(s) for entering confined spaces.

− The Adena Project Manager will inform the

contractor of all the procedures and precautions in

• r near the confined space and will debrief the

contractor at the end of the job to learn of any hazards found or created during entry.

The confined space permit must include:

 The space to be entered,

purpose of entry, date, and authorized duration of entry

 Names of all entrants  Names of all attendants  The name of entry supervisor  The hazards of the space to

be entered

 The measures used to isolate

the space and eliminate the hazards

 The acceptable entry

conditions

• The results of the initial

and periodic tests performed, with tester initials

• The rescue and emergency

services procedure and how it can be called into action

• The communication procedures

used by the authorized entrants and attendants to maintain contact during entry

• The provided testing,

communications, alarm, rescue and personal protective equipment.

8/14/2013 42

• Bloodborne pathogens are

viruses (such as HIV and Hepatitis B & C) found in blood

• r certain body fluids.
• A person has to come in direct

contact, usually through a needle stick, to become infected.

• You cannot get a bloodborne

pathogen infection by casual contact.

If you are exposed to blood or body fluids:

• 1. STOP

OP what you are doing.

• 2. Dispose of any sharps

involved in an approved sharps container.

• 3. Wash the exposed area with

soap and water.

• 4. Report it to your supervisor.

− Contracted employees must notify their supervisor of injuries. − The supervisor must notify the AHS Project Manager.

August 14, 2013 45

Code Red indicates Fire. Follow the RACE/PASS guidelines and the department’s internal disaster plan

August 14, 2013 46

Rescue Alarm Contain Evacuate

Pull Aim Squeeze Sweep

August 14, 2013 47

Use AHS phones and the following call sheet to report a fire at your location.

Locatio ion Emerge rgency y # Locatio ion Emerge rgency y #

ARMC Main Campus 779-7555 or Ext. 27555 Clinic at Walmart - Chillicothe 911 Adena Cancer Center 9-911 Adena Health Center Circleville 911 Adena Counseling Center 9-911 Adena Greenfield Medical Center 9-911 Adena Family Medicine

• f Chillicothe

9-911 Adena Family Medicine Greenfield 9-911 Adena Health Center Western Ave. 9-911 Adena Health Center Jackson 9-911 Adena Home Care 9-911 Adena Health Center Oak Hill 911 PACCAR 779-7555 Adena Family Medicine - Piketon 911

Locatio ion Emerge rgency # Locatio ion n Emerge rgency y #

Adena Pickaway Ross 9-911 Adena Health Center – Washington Court House 911 Adena Rehab and Wellness 9-911 Adena Pike Medical Center 9-911 Adena Pickaway Ross 9-911 Adena Health Center Waverly 9-911

Use AHS phones and the following call sheet to report a fire at your location.

Code Name Event nt

Code Red Fire Code Adam Infant/Child Abduction Code Black Bomb/Bomb Threat Code Gray Severe Weather Code Orange Hazardous Material Spill Code Blue Medical Emergency – Adult Code Pink Medical Emergency – Pediatric Code Yellow Disaster Code Violet Violent Person Code Silver Person with Weapon/Hostage Situation Code Brown Missing Adult Patient/Visitor Code Green Evacuation of Building Code Email Check you email for Incident Instructions

− When one of the codes is announced over the PA system, you must:

• Cease any electrical work and/or

any work involving hot work

• Secure ladders and clear all

equipment from the hallways

• Follow the direction of the AHS

Project Manager in your area and/or stand out of the way.

Depart rtmen ment Name Phone ne Number Environment of Care / Safety 779-7416 Plant Engineering 775-7506 Facility Operations 779-7507 Infection Control and Prevention 779-7568 Security 779-7505 Environmental Services 779-7968

I, _____________________________, have read and fully understand the information provided herein the AHS Contractor Orientation

• packet. I have been offered instruction
• n the information herein in the event

clarification needed to be provided and have also been offered the opportunity to ask any questions. Signature____________________________ Company____________________________ Date_________________________________