Emergency Response Plan
BETH ISRAEL DECONESS MEDICAL CENTER
This Emergency Response Plan (E.R.P.) is specifically developed for Consigli Construction work associated with the Beth Israel Medical Center Project.
The construction site is located on the 1st Floor of Rabb Building located at 330 Brookline Ave, Boston MA 92215. The location for the project field office is currently at the Project jobsite (notifications of any changes will be provided). When determined, the field office will become the Emergency Operations Center (EOC).
The following situations are considered emergency response actions and should be handled in accordance with the procedures outlined in this plan.
- Serious Injury/Fatalities
- Structural Damage/Collapse
- Weather or Geological Event Classified as an Act of God
- Environmental Incident
- Traffic Disruption
- Utility Damage
- Illegal Activity
- Labor Problems
- Bomb Threats/Military Ordinance Unearthing
- Acts of Terrorism
The following is a list of the Chain of Command/Call Hierarchy on the project for establishing lines of succession during communication involving all emergencies.
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Emergency Contact Names and Numbers
1. First call: 911
2. CCC Superintendent: Carlin Grenier (508)509-2935
3. CCC PM: Sean O’Keefe (617)388-1239
4. Facility SPM: Joyce Coleman (617)975-9938
5. Dan Della-Giustina, Corporate Safety (508)686-6008
Additional Consigli Construction Contacts
Project Safety Manager: Eddy Pellerin (508)962-3974
Project Engineer: Nora Kelly (508)902-7947
Enviromental Consultant/Testing Facility
PM: Michael Berube (714)662-2759
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Beth Israel Police/Fire: Boston Police/Fire 911
A Consigli representative will be dispatched to the Main entrance of the building to meet the responding Emergency Personnel and advise the individual in charge of the location of any chemicals or hazardous substances that may be present on any of the floors. SDS sheets will be readily available if needed by the Fire Dept.
In the event of a serious injury requiring the assistance of Boston EMS the injured worker will be kept as comfortable as possible. Emergency first aid if necessary will be administered. Under no circumstances will the injured person be moved unless the worker’s life is in danger because of fire or calamity. A worker will be assigned to meet the medical personnel at the above location to direct them to the location of incident.
In the event an evacuation is required all personnel at this job site will assemble next to the main entrance of the Feldberg Building. The foreman for each company will meet at that location and take a head count of their staff and report to Consigli Superintendent. If for some reason a worker is unaccounted for, the fire department will be notified of the last location where the worker was observed.
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Site Safety Plan
Scope of Proposed Operations: This project has a start date of 10/24/2016 and has an expected completion date of 12/2/2016. Project hours will be between 5:00am and 3:30pm Monday through Friday, All work preformed outside of these designated times will need Consigli approval. At its peak this project will employ between 10 to 20 workers at max. Scope of work on this project will consist of Renovation of the existing 1,400 sf space on the 1st floor Rabb building at BIDMC. Includes an interior renovation and fit out of office and administrative space, soiled and clean utility space and exam room. Work includes select demo, new walls, DFH, ACT ceilings, flooring, wall finishes and custom architectural millwork. MEP upgrades to existing fire protection, plumbing, mechanical and electrical. Purpose of the project is to relocate the PFT clinic on the 7th floor to this area so that the 7th floor can be completed renovated.
PURPOSE: The purpose of this Site Specific Safety and Health Program is to illustrate Consigli’s approach to identifying project specific hazards and controls and how said risk is managed through a comprehensive Safety and Health Program.
S.A.F.E.: Staying Accident Free Every Day is the Safety Mission that forms the very foundation of the Consigli Safety Culture. The S.A.F.E. mission, which is supported by technology, (Predictive Solutions internal auditing instrument which identifies and defines leading indicator related information); Leadership (Empowering our team members to assure safe projects); Humanization (Protect the ones you love by protecting yourself); Jobsite Gym (Morning warm-ups, stretch and flex); Training (Integrating sub-contractors into the Consigli Safety Culture); and Lean (nothing hit the ground), is the driving force behind Consigli’ s drive to our vision – ZERO. ZERO is the philosophy that all accidents are preventable and that no accident is acceptable. The S.A.F.E. mission is the guiding force to achieving the Consigli Safety Vision which is ZERO.
MRI Requirements: All workers who will be working in an MRI area mustwill watch a safety video and complete a MRI safety Quiz. Workers will also complete an MRI safety screening Questionnaire prior to starting work in the area. THE MRI machine will be brought to Zero energy prior to the star of construction. Any questions or concerns in regards to the MRI machine must be brought to the Consigli Superintendent.
Badging Requirements: BIDMC security badges will be obtained by all personnel prior to working on this project. Badges will be worn so they are visible at all times. All personnel will comply with BIDMC security requirements.
Tuberculosis Testing: (If required for this project) BIDMC requires all workers to submit to a TB test and wait (2 days) before the results prior to working on site.
Identify the specific route in and out of the construction site (Traffic Management): All deliveries and waste removal shall be done using designate entry/egress points only. Main construction activities will be restricted to the 3rd floor. All contractors will be responsible for adhering to City of Boston & BIDMC restrictions and regulations in regards to driving, parking and delivering materials. Pedestrians will be given the right of way at all times. Parking will not be designated.
Designated work hours (any work outside these hours must have prior CCC approval): All work shall take place during business hours, Monday – Friday 5:00am to 3:30pm, any work which may need to take place outside of these hours will need to be approved by the CCC Superintendent.
Life Safety: Will any part of the Life Safety System of this facility (ceiling tiles, penetrations in smoke or fire walls, blocking exits, shutting down fire/smoke detection or fire suppression, etc.) be compromised?
None anticipated, however if so, any penetration through smoke and fire walls for new electrical circuits necessitates:
- Smoke and fire wall penetrations shall not be left unattended.
- All penetrations are sealed by the end of each work shift.
Notification of Automatic Sprinkler System or Fire Alarm system shall be to:
- Local Fire Dept. if longer than 4 hours
- Safety Officer and affected Staff if longer than 4 hours
- All shut downs lasting longer than 4 hours shall have a dedicated fire watch.
If it will be necessary to erect hard wall partitions in corridors adjacent to the work space:
- All affected staff shall be notified of corridor width reduction.
- All staff shall be aware of primary and secondary routes of egress.
- Additional ILSM/egress signage shall be posted.
- Corridor storage is prohibited.
Interim Life Safe Measures
If it is necessary to erect hard wall partitions in corridors adjacent to the work space then the following will be required:
- All affected staff shall be notified of corridor width reduction.
- All staff shall be aware of primary and secondary routes of egress.
- Additional ILSM/egress signage shall be posted.
- Corridor storage is prohibited.
Services: Any compromises to patient services during the work performed will be handled accordingly
- Adjacent nurse managers shall be notified before all work that may compromise patient care.
- During weekly project meetings, if needed upcoming work that may compromise patient care shall be talked about with adjacent nurse mangers and scheduled for off shift if the group decides patient care will be compromised.
- The on-site superintendent shall make weekly contact with all adjacent staff for the duration of the project.
**See Chapter 12 for specifics on ICRA and ILSM assessments accordingly.**
Activity Hazard Analysis (AHA): An AHA/JSA depending on level of hazard shall be conducted for each identifiable feature of work to be performed. The AHA/JSA shall be submitted to Consigli superintendent/supervisor. AHA/JSA shall be reviewed weekly, signed by all workers including their supervisor, with all involved personnel performing that particular task.
Demolition: Prior to the start of demo operations, the contractor preforming demo will confirm that all utilities leading into the area have been made safe. The electrician will disconnect and lock out all electrical, the plumber will do the same with any plumbing lines, and the HVAC subcontractor will do the same on the HVAC piping and duct work. Lock out tag out will be reviewed during the pre-construction safety meetings to assure disconnect and responsibility for protection of existing utilities is safe for any construction activities to commence. In spaces where some electrical or mechanical must remain live, a color coding system will be utilized for easy identification of live utilities that must stay active and utilities that must be removed. Any and all utilities spay painted Red are not to be touched and are need to be protected during all operations. Utilities spray painted Green are to be removed as part of the selective demolition process only after lock-out/tag-out has been confirmed and utilities tested. If any utilities are unmarked, they shall be considered live. The demo contractor will be responsible for completing CCC demo checklist prior to the start of any work in their target areas
Fall Protection: All work over 6 feet unless otherwise performed on a ladder, during steel erection or on a scaffold will require some form of fall protection in accordance with CCC fall protection policy. All fall protection for work preformed on Scaffold will be needed at a height of 6 feet or greater. All scaffold erectors will maintain the ability to have fall protection by donning a harness and lanyard at all times during erection. Holes greater than 2” will be covered with acceptable material (3/4 plywood ½ steel) which will be secured and marked hole (cover must be able to withstand four times the intended load). Covers will stay in place until the hole/penetration has been filled. Building perimeters (to be protected with cable guard rail system with turnbuckles to be installed for all straight runs and any straight run over 100 feet. Before any work is to begin on the roof it must be determined what method of fall protection will be implemented (fall protection plan, 100% tie off, guard rails, flagging etc.) All workers working on a roof with a slope greater than 4 to 1 and exposed to a fall greater than 6 feet will be tied off 100% of the time spent in this location. Workers on a roof with a slope less than 4 to 1 may put flagging (six feet for roofers-15 feet for everyone else)lines up, whenever roofers and any other trade are on the same roof then the flagging must be pulled back to the maximum distance. Holes greater than 2” will be covered with acceptable material (3/4 plywood ½ steel) which will be secured and marked hole (cover must be able to withstand 2x the intended axle load). Covers will stay in place until the hole/penetration has been filled with duct or Pipe riser which extends above the deck.
**Review Chapter 13 for more detail**
Work on Ladders: All work on step ladders/straight ladders will be done correctly per manufacturer’s recommendations. Any worker who is on a step/straight ladder and could be exposed to a fall greater than the height of their work on the ladder will be required to install a form of fall protection. Step ladders will not be used as a form of access to a walking /working level, also all straight ladders will be tied of when installed for use. Only ladders with a rating Type 1A or 1AA will be allowed on Consigli projects.
Scaffold and elevated work platforms: All scaffolds supported frame, pipe staging and Aerial lift platforms will be inspected daily before each shift by a competent person designated by each individual contractor who will be using it, which will be documented on Inspection tags located at the stair tower to each section… A scaffold checklist will be provided by CCC to each sub contractors designated persons to aid them with their daily inspection. All contractors who will be erect scaffold will provide CCC with certification/Qualification of scaffold erection training as well as an erection/dismantling plan. Fall protection is required 100% during erection/dismantling. Overhead protection will be provided for all access points at any buildings which are located under any form of scaffolding. Fall protection is required at 6’ on all scaffolds, on mobil scaffold fall protection is required at 4’. Mobil staging with a work platform with a height to base ratio greater than two to one will require outriggers.
** Please review chapter 14 for additional details.**
Aerial/Scissor Lifts: If aerial lifts are required (beyond the initial use for exploratory and Haz mat identification) the area and ground conditions, in the intended work area, will be inspected for overhead power lines, sink holes, covers, or any other unsafe conditions which cause an unsafe incident. Aerial lift platforms will be inspected daily before each shift by a competent person designated. All who will be performing work from an aerial lift will show documented proof of training prior to using the lift. Steel plates or equipment mats will be placed on the ground above any utility/ steam tunnel if there will be Aerial lifts operating on them. Workers will be tied off at all times when using an aerial lift.
HAZCom/Global Harmonization: All Materials and chemicals used on-site will have SDS sheets provided before being brought onsite.
- MSDS/SDS sheets on file in Consigli Construction’s Site Safety Plan
- All MSDS/SDS sheets shall be readily accessible.
** Please review chapter 20 for additional details. **
Fire Protection: If any hot-work is required the Consigli hot work permit program will be implemented. This will be coordinated through the Consigli, BIDMC, as well as Boston Fire. (If needed). Any hot work will stop one hour before the regular end of the day work stoppage. Flammables will not be stored inside the building or left overnight on the scaffold or in the building. All combustible or flammable materials will be stored in an appropriately rated lockable cabinet located no closer than 50 feet from the nearest structure. Fire extinguishers will be provided for every 3000 square feet. They will be installed on job made stands and conspicuously located throughout. They will be part of the daily inspection with extinguisher log completed monthly. Storage of any acetylene cylinders will be done in a secure and upright area, with good ventilation. This will be a strict no smoking project. All penetrations leading outside of the construction area will be fire stopped using approved fire rated material prior to the end of each shift.
**Review Chapter 17 for more detail.**
Electrical: All electrical tools, cords and equipment must be in good working order. To that end, all electrical tools and components must be visually checked on a daily basis. Any tools with damaged cords or damaged cords must be taken out service… All cords must be equipped with a ground pin, flat three wire cords are not allowed. SJO and SJT or other similarly rated cords only shall be used. The electrician will be responsible for all temp power and any temp lighting that may be needed. They will coordinate all lock out tag out procedures. All temporary power for the project will be installed on protected and dedicated circuits with 100% GFCI protection. GFCI will be tested by the electric contractor weekly to assure proper function with a log book filed with CCC monthly. No live electrical work will be conducted.
**Review Chapter 26 for more detail**
Utility Exposures: Any overhead power lines will be located and identified prior to use of any equipment which may come in to contact with them… All sidewalks will be protected if equipment is to be driven over them.
Crane: None anticipated
Confined Space: None anticipated
Designated First Aid Plan: All injuries no matter how minor must be reported to Consigli Superintendent immediately. The superintendent will then report all injuries to the CCC Safety Director. A fully stocked first aid kit and blood borne pathogens kit shall be maintained on the project site. Only properly trained personnel will administer first aid. Consigli Construction shall follow Site Safety Plan for first Aid. Report any incidents to the Safety Director.
** Please review chapter 1 and 27 for additional details. **
Substance Abuse: As a condition of employment, all Consigli personnel are required to submit to a urinalysis test for determination of the presence of illegal substances. A positive result will disqualify the applicant for employment on this project.
Evacuation Plan (RACE, and Routes of Egress): Please refer to the Evacuation Plans attached. All Consigli employees shall attend the Project Safety Orientation. Consigli Construction’s Job Supervisor will conduct a safety orientation talk to each employee and subcontractor to site specific fire safety protocols.
Emergency Management Response: In the event of an Emergency the construction workers shall leave all 3 of the building immediately. Point of assembly/muster shall be located on the lawn next to the exit way of stair B. In the Event of a DISASTER, the Superintendent or Safety director shall instruct the construction workers to leave the site or remain in place and await further instruction. The following steps should be taken in the event of an emergency
When reporting an emergency, please provide the following:
• Your location (Feldberg Building 3rd floor, 330 Brookline Ave, Boston MA) phone number, and name;
• The location of the incident (building name, floor and room number);
• Nature and extent of the incident (injury, accident, spill, smoke/fire, damage, etc.);
• The name and amount of the material spilled (if applicable); and
• The safest route to the spill (if applicable).
** Please review chapter 8 for additional details.**
Minimum Site Safety Requirement: All Consigli workers, and any subcontractors, shall have, at a minimum, an OSHA 10 Hour Construction Safety Outreach training certificate and shall provide documentation of training.
Personnel Protective Equipment (PPE): All CCC and sub contractor workers will wear hard hats and safety glasses at all times. All CCC personnel performing work with their hands shall be required to wear gloves that are appropriate to the task. When not performing actual work with their hands workers will be required to have them available for immediate use… Face shields will be required for all personnel who are performing overhead work, using metal chop saw or any type of metal grinding. All welders will be required to have hard hats with integral welding shields.
Restricted Areas: Contractors are prohibited from entering any adjacent areas of the buildings on the east and west campus areas unless work has been previously authorized and scheduled. It is important that workers do not park in/in front of adjacent driveways during construction. All workers will try to limit their impact on surrounding areas.
Materials Management: Materials management, getting materials into and out of the project, will be done through existing service elevators and loading dock. Getting materials into and out of the project will be a challenge that needs to be adequately planned. All deliveries are to be scheduled with the CCC Superintendent. A comprehensive Activity Hazard Analysis shall be done on all materials that will be hoisted and placed into the building. Only materials which will be used/installed in a reasonable amount of time will be delivered to the site. Attention must be paid to structural analysis in regards to loading existing floors with material and equipment.
Lean requirements/Materials Management/House Keeping: Getting materials into and out of the project will be a challenge that needs to be adequately planned. All deliveries are to be scheduled with the CCC Superintendent. A comprehensive Activity Hazard Analysis shall be done on all materials that will be hoisted and placed into the building. Only materials which will be used/installed within three days’ time will be delivered to the site. Attention must be paid to structural analysis in regards to loading existing floors with material and equipment. Listed below are additional Lean requirements
- No materials shall be delivered to the site earlier than 3 days before said materials are to be installed/put into place. If materials have to be delivered before that 3 day time period, subcontractor shall get prior approval from Consigli Superintendent. Because of this, notification / scheduling is required for all deliveries to the site. Subcontractors must notify Contractor at least 24 hours in advance. Contractor has the right to refuse any deliveries not properly scheduled or due to logistical constraints as necessary.
- All subcontractors’ delivered materials shall be placed on wheeled carts, wheeled racks or in wheeled bins so as to necessitate easy relocation in the event materials need to be moved. Carts, racks, or dolly’s shall not exceed manufacturers intended weight loads. Materials/tools can be delivered and stored on pallets only if pallet jacks are delivered simultaneously with said delivery to provide for ready mobility. Additionally, pallet jacks need to remain in immediate area. Each subcontractor will need to supply their own pallet jacks for their own materials and keep their pallet jack within reasonable distance at all times.
- All work stations shall be provided with wheeled trash bins for immediate placement of all debris produced as a part of the subcontractors operations. All trash will be immediately placed in wheeled containers provided by Consigli.
- All subcontractors shall use rubber wheeled carts when moving material or removing trash from a building. Any damage caused by the Subcontractor shall be repaired at the cost of the Subcontractor. Back charges will be appropriately assessed for the cost of the repairs. No trash or materials shall be left on the floor.
- Subcontractors shall, where feasible, elevate all electrical extension cords, hoses, or cables – removing them from all walking/working surfaces. Electrical Cords, when elevated shall be supported or suspended in a manner that does not subject them to damage.
- Storage of delivered materials in cardboard containers shall be discouraged. When materials must stay in cardboard containers, said containers shall be removed from the projects immediately after product is unpacked.
- Subcontractor will participate in schedule development meetings as required by Consigli.
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Environmental Emergency Contact and Management Response
Consigli identified Emergency Response Subcontractor;
Name: Cynn Environmental Services, Inc. (781)341-1777
- Asbestos: A Hazardous Materials report has been prepared by ECM and is available for review at any time. Asbestos has not been found in the planned work areas. The complete table and “List of Materials tested, Quantities, and Locations” can be found with the hazardous material report. This list and complete Hazardous Materials Report will be available on site all times. At no time shall a worker disturb any material he/she cannot readily identify.
This does not mean that asbestos could not still be found in other areas, caution must be used when working and if any workers identify any potentially hazardous substances then they should stop and notify their supervisor immediately. All identified asbestos will be fully abated by a licensed and regulated asbestos abatement contractor under a formal plan to be written, submitted and in accordance with the DEP.
IT IS THE RESPONSIBILITY OF ALL SUBCONTRACTOR FOREMEN TO REVIEW THE HAZOUDOS MATERIAL REPORT & CORRESPONDING ABATEMENT REPORT WITH THEIR WORKERS. A copy of the hazardous Material/abatement report will be on site at all times and available to anyone request it.
Due to the fact that some asbestos will remain in place and not be abated during construction all workers will need to have at a minimum Asbestos awareness training.
All work and disposal will be done in compliance with state and federal regulations and standards
Lead: All panted surfaces both interior and exterior of the existing building that have not been tested will be considered lead containing. Consigli workers who will need to perform work on these painted surfaces may need to disturb this paint by drilling, sawing, demo, fastening, or carpentry. In doing so they will use saws, drills, screw guns, impact wrenches, sawzalls, hand wrenches, ads, crowbars, hammers, and other hand tools. Consigli Construction does posses historical data to show that drilling, sawing, light demo, installation of hangers, hanging in sheetrock, fastening, and carpentry do not put the employee above the action level. Despite this additional monitoring will be done. An exposure assessment will be done by all subcontractors for all task prior to when the full scale of this work is to take place. This does not mean that lead could not still be found in other areas, caution must be used when working and if any workers identify any potentially hazardous substances then they should stop and notify their supervisor immediately. All workers on this must have completed Lead Awareness training prior to starting on this project. Hand wash stations will be provided to ensure proper hygiene during the project. An exposure assessment will also be done for any task which will disturb any lead containing material.
Silica: Any activity which can produce silica dust will use engineering controls to keep dust to a minimum. There will be no dry cutting of any masonry material allowed; if water can not be used then a dustless vacuum system consisting of HEPA dustless vacuum system will be used. Prior to the project going full scale an exposure assessment of a worker grinding and cutting masonry while using the HEPA system an exposure assessment will be done so as to establish the silica exposure level. No respirators will be issued without the express consent of the Consigli Safety department. Nuisance mask like an N95 if used will be on a voluntary basis and at no time will these types of mask be issued to the workers.
Polychlorinated Biphenyl’s (PCBs): At this time there are no activity’s which are planned which would disturb any surface with suspect amounts of PCB’s… This does not mean that regulated levels of PCB’s could not still be found in other areas, caution must be used when working and if any workers identify any potentially hazardous substances then they should stop and notify their supervisor immediately.
Light ballast unless labeled “No PCB’S” will be designated PCB containing, All PCB containing material shall be removed and disposed of in accordance with all local, state (MEMEP Special waste management rules 06-096-CMR 400) and federal regulations and be coordinated with BIDMC. All other inquiries or locations in regards to PCB containing material can be located in the Hazardous Material survey. If identified on any of the materials to be impacted, PCB‘s will be abated. Any and all PCB remediation will be performed by a licensed /qualified contractor
** Please review chapter 29 for additional details **
Freon/Glycol: All Freon/Glycol materials will be removed from equipment and stored per manufacturer’s recommendations before it is disturbed, moved or removed. All workers who will be working with the above mentioned materials must provide CCC with certifications or qualifications. If not re-used, a disposal manifest will be provided to CCC.
Mold: Mold issues are not anticipated to be prevalent on this project, however if mold is discovered Consigli’s mold remediation policy will be implemented and followed.
** Please review chapter 22 for additional details **
Noise: Noise exposure will be a concern so all operations must be coordinated with the Consigli Superintendent to limit any excess noise impact on the surrounding areas. All activity r task which may cause load noise will be restricted to before 9am.
** Please review chapter 29 for additional details **
Exposure to the Visitors, Staff and Residents: During all phases of construction pedestrian walkways around the project will be open and occupied. Some areas of project will be opened for construction at different times. Any pedestrian walkway under any type of scaffold or overhead hazard will be provided with overhead protection. At no time is any worker allowed to enter any of the adjacent buildings. Non fraternization with staff, visitors, public or patients will be stressed with all subcontractor personnel during orientations.
Additional Controls: Prior to start of any work, all personnel involved in the project, including project managers must be:
- Trained and orientated by Consigli Construction. Stickers will be issued and displayed on hard hats
- Given BIDMC Safety Orientation with Badging done accordingly.
- Complete TB testing. (if required)
Planning: The project team will meet with the BIDMC Safety and Environmental staff before the project start to review any site specific safety and health requirements, ICRA and ILSM assessments necessitated for coordination with BIDMC staff . The project team shall be an integrated mix of owner, architect, engineer and Consigli Construction personnel. If, after reviewing programs and meeting with the individuals, the team is satisfied with the risk control direction, personnel will be permitted to begin work.
Loss Exposures and Controls: All individuals working on this project will go through a comprehensive Safety Orientation which will cover all company safety rules regulations and procedures as well as communicating BIDMC specific requirements.
Fraternization between construction employees and project owners, staff, patients or visitors will not be permitted. Loud and profane language or clothing with offensive language will not be allowed on the jobsite. Extra efforts must be made to keep noise to a minimum
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