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12-1300-007I I F South Miami PROCEDURE NO.: SMH- FAC 12.0 Hospital ' •-�'�' =s _ r_ Administrative IlAl TIST :fCALTIA SOUTH FLOC ;IDA fv Departmental SUBMITTED BY: Part APPROVED BY: DATE 1 JOB NUh1BER Jerome Marshall Instructions Evidence -Based Clinical I 1. Firesafetysupervisor: ❑ Controlvalves towater supplyfor sprinklersystem are open. Practice Council Title: ' of Facilities Responsible Plant Operations Management Department: �l —� with the work). APPROVED BY: Creation Date: B. Complete and retain Part 1. (Part 1A is for quality Requirements within 35 ft. (11 m) of hot work ❑ Ignitable liquid, dusk lint and oily deposits removed. Jeanette Stone Review Date: 1/94, 11/96, 1/00, 9/02, Title Vice President of South W 11/07, 10/11, 1/12 ❑ Floors swept clean. Miami Hospital Revision Date: 1/09, 1/10, 10/10, 10/11, 1/12 m� THIS PROCEDURE SUPPORTS THIS POLICY: SMH -900 South Miami Hospital Administrative Policy PROCEDURE TITLE: Entry into Confined Spaces PROCEDURE STATEMENT: Entry into a confined space poses a danger to any and all who are required to work in such an area. All personnel are required to understand and comply with the confined space entry procedure. RESPONSIBLE DEPARTMENT if PERSONNEL: (Optional) AUTHORITY / ENFORCEMENT: (Optional) DEFINITIONS: (Optional) PROCEDURES FOR IMPLEMENTATION (INCLUDING FORMS / SYSTEMS): In accordance with the requirements of OSHA Regulation 29 CFR 1910.146 the following procedure is established: I. Definitions: Confined Space - an area is to be considered a confined space when any one, or more, of the following conditions are present: A. The space has limited or restricted opening for entry or exit, making it difficult for an individual to enter with life saving equipment, or to rescue an individual in case of an emergency. B. The space is not designed for continuous work or occupancy. C. The space may contain known or potentially hazardous atmospheres. All references to Policies must go to the BHSF Master Copy on the BHSF Intranet; do not rely on other versions/ copies of the Policy. Page 1 of 2 PROCEDURE NO.: SMH- FAC 12.0 D. A space where conditions of engulfment or entrapment or any other recognized serious safety or health hazard may exist or develop. 2. Prior to entering the space, the following steps must be taken: A. Confined space entry checklist completed and approved. (See attached) B. All necessary equipment on hand and working properly. C. All repair equipment/materials on -hand. D. When all the above conditions are met, entry into the confined space is permitted. 3. In NO instance is anyone to be permitted to enter a confined space without a completed entry checklist, properly tested equipment and back -up personnel on hand. 4. All work in a confined space is to be performed in an expeditious manner and personnel are encouraged to remain in such spaces only as long as is necessary. 5. In the event of an accident, Under NO circumstance is anyone to attempt a rescue. Only Miami Dade Fire Rescue Department is allowed to perform rescue services. 6. Upon removal to a safe area, the injured party will be transported to the South Miami Hospital Emergency Room for evaluation and treatment. There are two (2) types of confined space entry, the first being non - permit required and the second being permit required. Non - permit required spaces shall only be entered by employees following regulations as set forth within 20 CFR 19210.146. - Permit required confined space by OSHA's definition is "a space that has one or more of the following characteristics. • Contains or has known potential to contain a hazardous atmosphere. • Contains material with potential for engulfment of an entrant. • Has an internal configuration such that an entrant can be trapped or asphyxiated by inwardly converging walls. • Slopes downward and tapers to a smaller cross section. • Contains any other recognized or serious safety or health hazard. All permit required entries shall be visibly marked by appropriate signage and only properly trained personnel and attendants will be permitted to perform the entrance. RENEWAL / REVIEW: All procedures will be reviewed periodically and on an as need basis. SUPPORTING /REFERENCE DOCUMENTATION: OSHA RELATED POLICIES, PROCEDURES, AND ASSOCIATED FORMS: N/A All references to Policies must go to the BHSF Master Copy on the BHSF Intranet; do not rely on other versions / copies of the Policy. Page 2 of 2 I South Miami Hospital BAPTIST HEALTH SOUTH FLORIDA 011#V11110- 13-1' Jerome Marshall Title: Director of Facilities Management Nancy Acebal Title: Safety Officer Creation Date: 07/12 Review Date: Revision Date: THIS PROCEDURE SUPPORTS THIS POLICY: SMH -900 South Miami Hospital Administrative Policy PROCEDURE TITLE: Permits (Hot Work) PROCEDURE NO.: SMH -FAC 53.0 1— Administrative W Departmental APPROVED BY: Evidenced -Based Clinical Practice Council Responsible Plant Operations Department APPROVED BY: Jeanette Stone Title: Vice President, Operations PROCEDURE STATEMENT: This procedure is required for the safe handling of any temporary operation involving open flames or producing heat and /or sparks. RESPONSIBLE DEPARTMENT / PERSONNEL: (Optional) Plant Operations, Corporate Construction AUTHORITY / ENFORCEMENT: Enforcement and disciplinary action will be at the discretion of Facilities Management. DEFINITIONS: (Optional) Hot Work includes any work related to brazing, cutting, soldering, torch - applied roofing and welding. PROCEDURES FOR IMPLEMENTATION (INCLUDING FORMS / SYSTEMS): All work employing the use of spark or flame generating equipment will require the issuance of a "Hot Work" Permit as required by the Hospital's Insurance Company FM Global. All references to Policies must go to the BHSF Master Copy on the BHSF Intranet; do not rely on other versions / copies of the Policy. Page 1 of 2 PROCEDURE NO.: SMH -FAC 53.0 1. The permits are available in the Facilities Management Help Desk. 2. Permits will be completed by the person performing the work and shall be signed off by a Facilities Management Supervisor, Manager or Designee. 3. Contractor must comply with the Required Precautions Checklist as stated in the "Hot Work Permit ". 4. No permit shall be issued for more than one (1) shift. 5. Part 1 shall be kept in the Help Desk Office and kept in the Log Book. Part 2 will be displayed on the job site until the job has been completed, and then it will be returned to the Facilities Management Help Desk Office for filing. RENEWAL / REVIEW: All procedures will be reviewed periodically and on an as need basis. SUPPORTING /REFERENCE DOCUMENTATION: National Fire Protection Agency (NFPA) Chapter 51 B RELATED POLICIES, PROCEDURES, AND ASSOCIATED FORMS: Hot Work Permits (FM Global — F2630) (located in Facilities Management Help Desk) All references to Policies must go to the BHSF Master Copy on the BHSF Intranet; do not rely on other versions / copies of the Policy. Page 2 of 2 N I � 'J OW ,_ an This Hot Work Permit is required for any temporary operation involving open flames or producing heat and /or sparks. This includes, but is not limited to: hrazing, cutting, grinding, soldering, torch- applied roofing and welding. Part 1 DATE 1 JOB NUh1BER LOCATION /BUILDING AND FLOOR i i Instructions Required Precautions Checklist I 1. Firesafetysupervisor: ❑ Controlvalves towater supplyfor sprinklersystem are open. to prevent fire, and permission is authorized for this work. NAME (PRINT) AND SIGNATURE OF FIRESAFETY SUPERVISOR /OPERATIONS SUPERVISOR TIME STARTED: TIME FRIISNEO: a.m. .m. a.m. p.m. ❑ Hose streams and extinguishers are in service /operable. DATE A. Verify precautions listed at right (or do not proceed ❑ Hot work equipment in good working condition. �l —� with the work). ILJ Note. Emergency notification on back of form. B. Complete and retain Part 1. (Part 1A is for quality Requirements within 35 ft. (11 m) of hot work ❑ Ignitable liquid, dusk lint and oily deposits removed. Use as appropriate for your facility. I assurance documentation, if necessary.) ❑ Explosive atmosphere in area eliminated. t W C. Issue Part 2 t person performing hot work. ❑ Floors swept clean. J m� o HOT WORK BY ❑ Employee ❑ Contractor DATE 1 JOB NUh1BER LOCATION /BUILDING AND FLOOR i i NATURE OF JOB NAME (PRINT) AND SIGNATURE OF PERSOIN PERFORMING HOT WORK I 1 verity the above location has been examined, the precautions checked on the Required Precautions Checklist have been taken to prevent fire, and permission is authorized for this work. NAME (PRINT) AND SIGNATURE OF FIRESAFETY SUPERVISOR /OPERATIONS SUPERVISOR TIME STARTED: TIME FRIISNEO: a.m. .m. a.m. p.m. j Permit Expires DATE TIME a.m. p.m. —� ILJ Note. Emergency notification on back of form. Use as appropriate for your facility. To order additional hot work permits or other FM Global resources, order online 24 hours a day, seven days a week, at www.fmglobalcatalog com. I Fa I F2630 © May 2011 FM Global. All ngnis reserved. ❑ Combustible Boors wot down, covere wit amp San or fire- resistive sheets. ❑ Removo other combustible material where possible. Otherwise, protect with rM Approved welding pads, blankets and curtains, fire- resistive tarpaulins or metal shields. ❑ All wall and floor openings covered. ❑ FM Approved welding pads, blankets and curtains installed under and around work. ❑ Protect or shut down ducts and conveyors that might carry sparks to distant combustible material. Hot work on walls, coilings or roofs ❑ Construction is noncombustible and without combustible covering or insulation. ❑ Combustible material on other side of walls, ceilings or roofs is moved away. I Hot work on enclosed equipment ❑ Enclosed equipment cleaned of all combustible material. • Containers purged of ignitable liquid /vapor. • Pressurized vessels, piping and equipment removed from service, isolated and vented. Fire watchAot work area monitoring • Fire watch will be provided during and for one (I I hour after work, including any break activity. • Fire watch is supplied with suitable extinguishers, and where practical, a charged small hose. ❑ Ire watch is trained in use of equipment and in sounding alarm. ❑ Fire watch may be required in adjoining areas, above and below. ❑ Monitor hot work area for up to an additional three (3) hours after the one (1) hour fire watch. rl Other nrecautions taken: Hu" T®I 0 watch Gov fire! In case of emergency: Call: At: W t r 6��tic F�a I I I I I 01100 U M —� ILJ p Of W J m� o z o v N � a� m U to to z 0 t 0 z c' �o U LJJ Cf) �O••• C, E IV "S No 3 = OF LJ 1� F�1 vi r'-1 0� H U Z Q d a Q LU F_ D 0 Ln H W 0 Z Q cn W H V t--1 J 0 a- W lid D 0 W V 0 Qc CL J H V/ 0 Z co fn d' � M n LL r--t to Q O � O � � / DRAWN CHECKED DATE 11 -19 -12 REVISED JOB No. 1132086.0 M3.1 , - - - I -