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.

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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, or 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-of-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 of electrical, plumbing, smoke detection and fire

sprinklers/systems as follows.

Scheduled shutdowns require a 2-week notification in writing

(including email).

Unscheduled shutdowns require a 48-hour notification.

For utility outages requiring immediate notification o Contact 779-7416 06:30 – 15:30

o After hours & weekends, contact and have the Plant Operator on duty paged.

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To complete after-hours work, notify the AHS Project Manager at least 24 hours in advance.

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 of 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 other materials inside 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(must 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 outside 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.

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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 other 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 on 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 other 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 obtained, 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 or 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-out 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 or 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 or 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 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.

Location Emergency # Location Emergency #

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 of 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

Location Emergency # Location Emergency #

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

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.

Department Name Phone 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

on 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_________________________________