Spectrum Health Construction & Renovation Rounding Tool

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Required Postings

• Construction Permit

  Yes

  No

  N/A

• Infection Control Risk Assessment Posted

  Yes

  No

  N/A

• Interim Life Safety Code submitted on The Joint Commission website

  Yes

  No

  N/A

• Signs are posted to prevent patients and hospital personnel from entering construction zone

  Yes

  No

  N/A

Exits

• Exits provide free and unobstructed egress through construction

  Yes

  No

  N/A

• Alternative exits clearly identified

  Yes

  No

  N/A

• Means of egress in construction area inspected dailt

  Yes

  No

  N/A

• Free and unobstructed access to ER/Services and for emergency

  Yes

  No

  N/A

2.0 - Equipment & Safety

• Construction areas are free of storage and housekeeping materials, food waste, and debris for daily operations to reduce flammable and combustible fire load of the building; floor area leading to/from construction site cleaned daily

  Yes

  No

  N/A

• Means of egress in construction are inspected daily

  Yes

  No

  N/A

• Extinguishers are recently serviced? (Check 6 monthly punch mark on tabs.)

  Yes

  No

  N/A

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• Power is properly secured during construction and at the end of each workday

  Yes

  No

  N/A

• Extension cords are grounded and in good condition

  Yes

  No

  N/A

• Workers wearing required identification and hard hats are used as required

  Yes

  No

  N/A

Infection Prevention & Hazard Surveillance Safety

• For project lasting <8 hours: use poly barriers floor to deck, create an airtight enclosure. Construct a 2-3 foot overlap of plastic for entry and exit. Need approval from infection Control

  Yes

  No

  N/A

• For projects lasting > 8 hours: solid airtight barrier is required with a doorway for entry and exit

  Yes

  No

  N/A

• Negative pressure relationship is maintained within area under construction. Visual indicators are required

  Yes

  No

  N/A

• Exhaust ducts sealed/capped as agreed by ICRA

  Yes

  No

  N/A

• Unused doors are sealed with masking or duct tape

  Yes

  No

  N/A

• HEPA filtration units, HEPA vacuum equipment, and/or continuous use of exhaustion fans demonstrate they are functioning appropriately

  Yes

  No

  N/A

• Cutting and welding operations are properly identified and safely conducted and have appropriate hot work permits

  Yes

  No

  N/A

• Documentation of worker attending system construction orientation is available upon request

  Yes

  No

  N/A

• All scaffolding complies with OSHA/MIOSHA requirements (1926.451)

  Yes

  No

  N/A

• Construction site secure and properly isolated from fresh air intake

  Yes

  No

  N/A

• Lock out/tag out procedures used as appropriate

  Yes

  No

  N/A

• Materials used (e.g. Fire retardant) comply with necessary safety regulations

  Yes

  No

  N/A

• No signs of water leakage or pests

  Yes

  No

  N/A

• Noise levels controlled

  Yes

  No

  N/A

• Workers demonstrate compliance with traffic patterns

  Yes

  No

  N/A

• Workers comply with the use of PPE as needed

  Yes

  No

  N/A

• Construction carts transporting debris are covered and consistent with agreement designed to minimize airborne particulate matter from debris

  Yes

  No

  N/A

• All doors and windows remain closed to prevent circulation of debris/dust

  Yes

  No

  N/A

• Walk-off mats and adhesive strips are clean and changed sufficiently, or construction exit is cleaned sufficiently to maintain clean entry/exits

  Yes

  No

  N/A

• Ceiling tiles replaced when space not being accessed

  Yes

  No

  N/A

• Equipment removed from the work site is either cleaned or covered before transport within the facility

  Yes

  No

  N/A

• Construction debris is wet down and removed in a tightly covered cart

  Yes

  No

  N/A

• Route to remove debris is away from patient care areas

  Yes

  No

  N/A

• Debris is removed at the end of the work day OR early the next morning before hospital traffic increases

  Yes

  No

  N/A

• Adjacent areas and traffic pathways are w t mopped as needed. NO foot prints or visible dust should be seen in the area

  Yes

  No

  N/A

• Barriers are left in tact until area thoroughly cleaned once work is completed

  Yes

  No

  N/A

• Barriers are removed carefully to minimize spread of dirt and debris

  Yes

  No

  N/A

Chemical Safety

• Material Safety Data Sheets available for all chemicals

  Yes

  No

  N/A

• Risk assessments completed for hazardous substances

  Yes

  No

  N/A

• All containers labelled correctly

  Yes

  No

  N/A

• Unused substances disposed of appropriately

  Yes

  No

  N/A

• Do special storage conditions apply

  Yes

  No

  N/A

• If applicable are special storage conditions followed

  Yes

  No

  N/A

• Evidence available upon request that workers are trained in the use of hazardous substances

  Yes

  No

  N/A

• If required is PPE available

  Yes

  No

  N/A

• Is adequate ventilation provided

  Yes

  No

  N/A

• Are eye washes and showers easily accessed

  Yes

  No

  N/A

11.0 Ladders

• Are all ladders Industrial strength (Non Household rated, check label.)

  Yes

  No

  N/A

• Are ladders in good condition

  Yes

  No

  N/A

• If used for electrical work are they non conductive (Wood or fibre glass.)

  Yes

  No

  N/A

• Used according to safety standards

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign