• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Project Title: Month/year:

  • Project Title:

Risk Class: I. II. III. IV.

  • Risk Class:


  • Inspector: William C. alford, Facilities Operations Supervisor

Occupational Health documents have been reviewed with contractor

  • Contractor will provide evidence of compliance with OSHA regulations regarding the Blood Borne Pathogen Standard, prior to employees coming on site.<br>

  • Contractor will provide evidence of all employees being free of active tuberculosis (e.g. TB skin test or questionnaire).

Site is free of hazardous materials prior to contractor arrival

  • Sharps and other hazardous materials have been properly disposed of prior to start of project

Plan for construction site containment reviewed.

  • Temporary construction partitions will be smoke tight and built of non-combustible material.

  • Windows closed.

  • All penetrations into the construction area must be sealed.

  • Air ducts capped.

  • Construction barricade entrances must have doors that are smoke tight.

  • Self-closing latching hardware.

Air Quality plan has been reviewed

  • Air intake systems will be blocked or redirected.

  • Location of and erection methods for interim dust barriers reviewed.

  • Ventilation and filtration assessed for effectiveness.

  • Equipment will be available for particulate capture (such as HEPA vacuum) and equipment in working order.

  • Negative pressure will be maintained within the project site y use of negative air fan units and vented directly outside.

  • Limitations/restrictions for outdoor construction/demolition activities reviewed.

Plan for construction traffic is reviewed

  • Circulation and traffic control patterns appropriate.

  • Movement of workers between construction and patient care areas is restricted.

  • Employees, patients and visitors able to avoid construction areas.

  • Hand washing and restroom facilities designated for construction workers.

Plan for debris removal is appropriate for dust reduction

  • If debris removal necessary in patient care areas, patients to be in their rooms with the door closed.

  • Debris is transported in covered containers.

  • Dust tracked outside of the barrier will be removed immediately.

  • Cleaning in patient care areas shall be by camp method or with HEPA filtered vacuum cleaners.

Plan for maintenance of water quality is reviewed.

  • No renovations that create/allow for dead end water pipes.

Construction rounds will be performed frequently to facilitate communication when problems arise

  • Representatives attend from:<br> Safety<br> Infection Control<br> Engineering<br> Facilities Services

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