equipment-specific lockout procedures confined space ...€¦ · and safety devices necessary to...

www.bradyid.com/hospitalsafety

FOR EMPLOYEE SAFETY AND COMPLIANCE WITH THE JOINT COMMISSION, OSHA, CMS AND NFPA LIFE SAFETY REQUIREMENTS

HOSPITAL Facility Safety

Equipment-Specific Lockout Procedures

Means of Egress / Life Safety

Confined Space Procedures

Facility Safety Labeling Requirements

Walking & Working Surface Safety

Hazard Communication Labeling

2

Requirement: Equipment-Specific Lockout ProceduresOSHA CFR 1910.147 The Control of Hazardous Energy (Lockout/Tagout)

Synopsis: Machine-specific lockout / tagout procedures are required for equipment that has more than one energy source, as well as for equipment that has a single energy source in most conditions.

The Joint Commission indexes OSHA 1910.147 multiple times in its Environment of Care Crosswalk. Lockout/Tagout is referenced in the Safety and Security chapter [Elements of Performance for EC.02.01.01], Medical Equipment chapter [EP for EC.02.04.03], Utilities chapter [EP for EC.02.05.05] and Roles and Responsibilities chapter [EP for EC.03.01.01].

The Brady Solution: Graphical Lockout Procedure Service Brady’s On-Site Graphical Lockout Procedure Service is a comprehensive service in which Brady engineers create equipment-specific procedures for the facility. Brady’s experienced project engineers have the knowledge and tools to develop the complete set of written procedures for the facility in a matter of days, providing hospitals with a time-saving and cost-effective solution to this critical employee safety and regulatory compliance concern.

The Brady Graphical Lockout Procedure Service is a turnkey service, complete with employee training. It gives healthcare maintenance employees and staff immediate access to the lockout procedures and increases overall workplace safety throughout the facility.

The Challenge: A typical hospital has 100 to 300 or more pieces of equipment that require written procedures! This can include boilers, chillers, generators, sterilizers, vacuum pumps, and air handlers, among others. The requirement to develop comprehensive procedures for all of this equipment is most often overly burdensome for facility personnel.

GRAPHICAL LOCKOUT PROCEDURE SERVICE

www.bradyid.com/hospitalsafety 1-888-272-3946 3

Getting Started Is Easy: To learn more about Brady’s comprehensive Graphical Lockout Procedure Service, contact your local distributor or Brady territory manager, OR simply call Brady at 888-311-0775 to arrange for a straightforward, free Project Scope Consultation by phone.

We’ll talk through all elements of the service with you. To facilitate the discussion, it’s helpful to provide a basic list of the type and quantity of equipment you have on-site (eg. Two Clever Brooks 200 h.p. boilers, etc.). With this, we can even prepare a quotation for your review.

Service Deliverables: ■■ On-site assessment performed by Brady project engineer for all equipment.

■■ Comprehensive, easy-to-follow procedures developed for every piece of equipment.

■■ Installation of durable laminated procedures - directly on equipment, at the point of need.

■■ Installation of color-coded energy source ID tags at each energy control point.

■■ Electronic files of all machine-specific LOTO procedures, and the software template used.

■■ Training on how to update and create additional procedures.

■■ Desk copy of all procedures in 3-ring binder.■■ Recommended LOTO product list based on existing equipment and personnel needs.

CH-1Revn: 0 Origin Date: 03/24/09

Model# Serial#Bldg: Fore

LOCKS & TAGS NEEDED

Hydraulic equipment can store energy. Ensure all pressures have bled off before proceeding.

Trane CVHF650

5

Location:Chiller Room

CAUTION

Equipment #

L07G03537Date: N/A

Description: Chiller CH-1LOCKOUT TAGOUT PROCEDURE

Revised byDeveloped by Reviewed by

BRADY BRADY

NEXT AUDIT DUE

MAR 2010NEXT AUDIT DUE


MAR2012NEXT AUDIT DUE

MAR 2013

ID Source Check Device

CondenserWaterInlet

Verifypressurehas bled

off.

Universal Ball Valve Lockout

CondenserWaterOutlet

Open drain valve to dissipatepressure.


OPENING A GUARD DOES NOT CONSTITUTE A LOCKOUT!Any machine modifications must be shown in procedure. Contact facilities to update procedure.

Safety Is Your Responsibility!

ALWAYS PERFORM A MACHINE STOP BEFORE LOCKING OUT DISCONNECTSLocation Method

Butterfly Valve for Inletabove and on the West side of Chiller

Turn W-3 valve off. Lock out.

Butterfly Valve for outlet above and on the West side of Chiller


Condenser water inlet and outlet on West side of Chiller

800-496-4040

W-3

W-4

W-3

W-4

Page 2 of 2

Call for a Free Project Scope Consultation 888-311-0775

I N C R E A S I N G W O R K P L A C E S A F E T Y T H R O U G H T H E C R E AT I O N O F C O M P R E H E N S I V E , E Q U I P M E N T- S P E C I F I C P R O C E D U R E S .

Brady’s Complete Lockout / Tagout SolutionsBrady is the global leader in providing comprehensive LOTO solutions. Visit www.bradyid.com/lockouttagout to learn about the 4-Step Plan for creating an effective energy control program, including:

1. Lockout procedure development 2. Energy control identification products 3. A complete line of lockout products 4. Employee training and awareness

Brady’s trademark procedures are produced on laminated cardstock. They include equipment pictures and color-coded tags that identify the energy isolation points, and relate back to specific written lockout steps.

CH-1Revn: 0 Origin Date: 03/24/09

Model# Serial#

ID Source Check Device

Electrical480V

Attemptrestart at

Panel.

Lockout Hasp and Lock

ChilledWaterInlet

Verifypressurehas bled

off.


ChilledWaterOutlet

Open drain valve to dissipatepressure.


Bldg: Fore

LOCKS & TAGS NEEDED

Hydraulic equipment can store energy. Ensure all pressures have bled off before proceeding.

Trane CVHF650

Location

5

Location:Chiller Room

Method

CAUTION

Equipment #

L07G03537Date: N/A

Description: Chiller CH-1

Safety Is Your Responsibility!

ALWAYS PERFORM A MACHINE STOP BEFORE LOCKING OUT DISCONNECTS

OPENING A GUARD DOES NOT CONSTITUTE A LOCKOUT!Any machine modifications must be shown in procedure. Contact facilities to update procedure.

Disconnect for CH-1 is on the West side of Chiller

Move E-1 disconnect to off. Lock out.

Butterfly Valve for Outlet above and on the South end of the Chiller


Butterfly Valve for Inletabove and on the South end of Chiller


VFD for CH-1 on West side of Chiller

800-496-4040

LOCKOUT TAGOUT PROCEDURE


BRADY BRADY

NEXT AUDIT DUE



MAR2012NEXT AUDIT DUE

MAR 2013

E-1

E-1

Chilled water inlet and outlet on south end of Chiller

W-1

W-1

W-2

W-2

Page 1 of 2

4

Requirement: Confined Space ProceduresOSHA CFR 1910.146 Permit-Required Confined Spaces

Synopsis: Employers must evaluate the workplace to identify permit-required confined spaces. Procedures must then be developed and implemented to cover acceptable entry conditions for the designated spaces (isolating, purging, ventilating, etc.) and the proper use of barriers. Employers must provide a full range of equipment (testing, ventilating, PPE, etc.), designate and train active role participants, and more.

The Joint Commission indexes OSHA 1910.146 multiple times in its Environment of Care Crosswalk. Confined Spaces are referenced in the Safety and Security chapter [Elements of Performance for EC.02.01.01], Utilities chapter [EP for EC.02.05.05] and Roles and Responsibilities chapter [EP for EC.03.01.01].

The Brady Solution: Graphical Confined Space Procedure Service With Brady’s On-Site Graphical Confined Space Procedure Service, Brady engineers come to the facility and assess, develop and implement the hospital’s confined space procedures. Brady’s service professionals will first audit the confined (and potentially confined) spaces throughout the facility, and then develop the necessary visually-supported procedures to provide for safe entry.

The Challenge: A typical hospital has many confined spaces that are potentially hazardous; these all require a permit and a number of precautionary safety steps to enter. OSHA’s requirement to develop comprehensive procedures for all of these spaces is complex, and may necessitate a level of expertise beyond that of in-house safety, engineering and maintenance personnel.

GRAPHICAL CONFINED SPACE PROCEDURE SERVICE


Getting Started Is Easy: Quotes can be generated within 48 hours. Call Brady Safety Services at 888-311-0775 for further information and a consultation today.

Service Deliverables: ■■ In-depth facility assessment to identify hazards and potential hazards.

■■ Itemized list with graphical images locating the hazards which may be present.

■■ Itemized list of the required equipment and safety devices necessary to enter a confined space.

■■ Documentation of methods to protect employees from confined space hazards.

■■ Verifications to ensure that authorized personnel are safe to enter and work in confined spaces.

■■ Procedure development for each identified confined space in the facility; providing both full compliance with OSHA and best safety practices

The Brady Graphical Confined Space Procedure Service is a perfect complement to Brady’s Graphical Lockout Procedure Service; Note that there are benefits to having Brady simultaneously create graphical procedures for your equipment lockout and confined space needs.

A S S E S S I N G , D E V E L O P I N G A N D I M P L E M E N T I N G C O M P R E H E N S I V E P R O C E D U R E S F O R C O N F I N E D S PA C E S .

Call Brady Safety Services Today 888-311-0775

Y

V

N

Y

N

N

Y

Y

Y

N

N

N

Y

ID

1

2

3

4

5

Dust/Fume/Mist Filter Respirator

EntrapmentBlock or otherwise restrain boiler doors in open positions.

Attendant will monitor entries during work.

Verify boiler doors are

secured in open positions.

Description of Hazard

Test for insufficient oxygen level (below 19.5%

atmospheric) prior to entry. If test is positive for low

oxygen levels, continuous forced air ventilation is

required for 15 minutes prior to re-testing. Do not enter

space until test is within acceptable range.

Attendant must monitor oxygen level during work.See CFR 1910.146 Appendix B for testing details.

FOLLOW LOCKOUT-TAGOUT PROCEDURE FOR BOILER

BEFORE PROCEEDING WITH CONFINED SPACE

PROCEDURE

Forced / Positive Pressure Ventilation

Rescue Tripod

Ensure gas meter is

calibrated and functional.

Verify gas reading are

within allowable levels.

ALWAYS FOLLOW CONFINED SPACE PROCEDURES PER CONFINED SPACE POLICY AND PERMIT

Reference: OSHA 29CFR 1910.146

Test for gases prior to entry. If test is positive for gases,

continuous forced air ventilation is required for 15

minutes prior to re-testing. Do not enter space until test

is within acceptable range.


Visual Communication with Attendant

Insufficient atmospheric

oxygen (below 19.5%

atmospheric).

Presence and accumulation

of gases (CO (carbon

monoxide), natural gas, and

other gases).

Ensure gas meter is




Verification

LOTO Procedure(s): Boiler 1

Confined Space Location: Boiler 1

Fall Arrest Harness

Manhole Guard

Confined Space review date: 03/26/10

Y = Yes N = No V = Variable (dependent on service)

REQUIRED EQUIPMENT

Steel Toe Boots

Hearing Protection

Safety Glasses

Permit Required: Yes

Any modifications to Confined Space procedure must be updated. Contact Facilities to update procedure.

HAZARDS ASSOCIATED WITH CONFINED SPACE:

Excessive atmospheric

oxygen (above 23.5%

atmospheric).

Test for excessive oxygen level (above 23.5%

atmospheric) prior to entry. If test is positive for high

oxygen levels, continuous forced air ventilation is

required for 15 minutes prior to re-testing. Do not enter

space until test is within acceptable range.


Ensure gas meter is




Method for Protection

Hard Hat

3-Gas Monitor

Confined Space Procedure #: Boiler 1

Thermal energy

Allow boiler chamber to cool before proceeding with

entrance.

Attendant will monitor for any steam leaks into chamber

during work.

Check ambient temperature

with IR thermal scanner or

other acceptable means.

Radio 2-way Communication with Attendant

NOTE: Maintain constant contact with attendant

Area: Power Plant

Associated LOTO: Yes

Lockout-Tagout Procedure & Equipment

North Side View


BRADY BRADYCONFINED SPACE PROCEDURE

800-496-4040

PARKPLACE

MEDICALCENTER

Page1of1

6

Requirement: Facility Safety Labeling RequirementsOSHA CFR 1910.145 Specifications for Accident Prevention Signs and Tags

Synopsis: These specifications apply to the design, application and use of signs, labels and symbols intended to indicate and define specific hazards of a nature such that failure to designate them may lead to accidental injury to employees or the public, or both, or to property damage.

ASME (ANSI) Standard A13.1-2007

This standard for pipe identification is a widely used guideline in determining pipe identification requirements. The purpose of the standard is to “assist in identification of hazardous materials conveyed in piping systems and their hazards when released into the environment.”

The Brady Solution: Facility Safety Signage Audit (FSSA) Service Brady’s FSSA service is a cost-effective solution to ensure the accuracy and completeness of your hospital’s safety signage, equipment and pipe marking.

Professional Inspection: A Brady project manager will inspect your facility, assess your current safety identification program and prepare a comprehensive report with corrective actions and a complete list of required and recommended identification products.

Fast, Easy & Cost-Effective: Brady will manage every aspect of your safety signage audit project, saving weeks of industry standard research, internal data collection and extensive project management.

The Challenge: Hospitals have multiple pipes, tanks, vessels, passageways, egress routes, electrical and energy control points that require identification signs or labels for safety and regulatory compliance. There are numerous standards and regulations that can apply - often more than your safety and maintenance staff can keep track of on a regular basis.

FACILITY SAFETY SIGNAGE AUDIT (FSSA) SERVICE


Getting Started Is Easy: Let Brady’s Facility Safety Signage Audit Service identify safety and productivity gains you can’t afford to ignore. Contact your local Brady distributor or call Brady Safety Services at 888-311-0775 to get started.

A C C U R AT E A N D C O M P L E T E S A F E T Y S I G N A G E , E Q U I P M E N T A N D P I P E M A R K I N G S .


Service Deliverables: ■■ Facility inspection for compliance with OSHA, ANSI, NFPA and TJC safety ID marking regulations.

■■ Comprehensive assessment report with photographic references.

■■ Prioritized corrective action steps with a complete list of signs and markers to improve your facility marking.

■■ Critical information placed at the point of need for improved communication.

■■ Reduction in wasted time and operating errors by correcting unsafe conditions.

Areas of Assessment: ■■ General safety signage■■ Facility pipe marking to meet ANSI standards

■■ Personal Protective Equipment notices■■ Electrical panel safety marking■■ Exit marking and emergency egress requirements

■■ Confined space warnings■■ Portable fire protection equipment identification

■■ Tank and vessel signage and placards

Brady has a complete line of high performance label makers designed to help satisfy your OSHA, ANSI and NFPA-mandated marking needs. Brady also offers stock and custom tags, signs and labels to help you comply. Visit BradyID.com for more information.

8

The Brady Solution: Products and Services to Prevent Workplace Slips, Trips and Falls. Mark Aisles & Passageways: Brady durable aisle marking tapes, striped warning tapes and warning message tapes.

Provide Traction on Slippery Surfaces: Brady anti-skid floor, heavy duty, and hazard message tapes.

Improve Stair Safety: Brady anti-skid and photoluminescent (glow-in-the-dark) cleats, tapes, retrofittable stair-nosings and handrail covers.

Post Safety Signage & Labeling: Brady Fall Protection & Floor Safety Signs

Make-It-Yourself Sign & Label Printers

Requirement: Safe walking and working surfaces to minimize slips, trips and falls.OSHA 1910 Subpart D and NFPA 101

Synopsis: According to OSHA, “Slips, trips and falls constitute the majority of general industry accidents. They cause 15% of all accidental deaths, and are second only to motor vehicles as a cause of fatalities.” The OSHA standards for walking / working surfaces apply to hospitals, and both OSHA and TJC recognize and reinforce its importance.

The Challenge: There are multiple surfaces in hospitals where staff, patients and visitors travel. Beyond the basic challenge of keeping these surfaces clean and unobstructed, there is a further opportunity to:

■■ Improve pathway marking ■■ Provide traction on slippery surfaces■■ Post safety signage■■ Improve safety on stairs ■■ Assess your slips/trips/falls needs

FACILITY SLIPS/TRIPS/FALLS AUDIT SERVICE


Get Started Now: Let Brady’s Facility Slips/Trips/Falls Audit Service identify critical corrective and maintenance measures to improve safety on your sites. Contact your local Brady distributor or call Brady Safety Services at 888-311-0775 to get started.


Service Deliverables: ■■ Complete audit of your facilities.■■ Comprehensive report of your Slips/Trips/Falls risks with photographic references.

■■ Itemized list of both required and recommended steps to improve walking/working conditions.

■■ Recommendations for egress route anti-skid, floor-marking and pathway marking products and signs.

■■ A basic written program that encompasses facility inspection and employee training.

Assess Your Need for Slips/Trips/Falls Prevention: Brady’s Facility Slips/Trips/Falls Audit Service20% of all workplace injuries are caused by slips, trips and falls. These result in an average of 11 days away from work, and $40,000 cost per incident.

Brady’s Slips/Trips/Falls Audit Service provides a comprehensive evaluation of your facility’s walking and working surfaces, with itemization of both required and recommended steps to minimize slips, trips and falls for compliance with TJC, OSHA, NFPA and other walking/working surfaces regulations. Recommendations are also provided for egress route anti-skid, floor-marking and pathway marking products and signs.

Areas of Slips, Trips and Falls Hospital Assessment:

Same Level: Aisles and passagewaysWet or slippery surfaces Floor loading protection

Stairways: Riser and tread design Rails and handrails Maintenance and use

Different Level: Docks & rampsGuarding floor & wall openings Procedures for ladders, scaffolds & fall protection

All Levels: Visibility/lighting Spill containment & clean-up Emergency egress

C O M P R E H E N S I V E E VA L U AT I O N , A N D I T E M I Z AT I O N O F T H E N E C E S S A R Y S T E P S T O M I N I M I Z E S L I P S , T R I P S A N D F A L L S

10

The Brady Solution: Pre-Printed and Make-It-Yourself Hazcom Signs and Labels Pre-Printed Signs & Labels: Brady offers a variety of signs and labels for hazardous chemical marking, including pre-printed write-on labels, container labels, RTK blank labels, NFPA placards and diamond labels, and more.

Label Printers and Software: Brady’s label printers can create custom chemical warning labels on demand – so your facility can avoid costly mistakes and stay compliant with the evolving regulations for hazard communication identification.

Requirement: Label All Containers Containing Hazardous Chemicals.OSHA 1910.1200 Hazard Communication

Synopsis: OSHA, ANSI, NFPA and GHS hazardous chemical container labeling standards apply to hospitals and other healthcare facilities. The purpose is to ensure that the hazards of all chemicals are understood, and that information concerning those hazards is transmitted to employers and employees. This transmittal of information is to be accomplished by means of comprehensive hazard communication programs, which are to include: container labeling and other forms of warning; material safety data sheets; and employee training.

The Challenge: Properly label all containers and vials that contain hazardous chemicals with the required Hazcom or “Right to Know” information to help your facility comply with OSHA regulations, and reduce the potential hazards of working in a healthcare environment.

HAZARD COMMUNICATION LABELING


The Brady Solution: BradyGlo™ Egress Marking ProductsBrady has developed a complete line of photoluminescent stair-nosing, handrail covers, door, wall and exit marking products that meet the stringent new requirements for means of egress safety and will continue to show the way to safely exit hours after a blackout situation occurs.

Emergency Evacuation Marking: Brady exits signs, directional signs and marking tape help you clearly mark your facility’s emergency evacuation routes and exits.

Stair Safety: Photoluminescent stair-nosing and handrail covers help you comply with the 2009 IBC, IFC and NFPA 101 egress code revisions.

Make Your Own Egress Signs: With a Brady portable label printer or desktop printer, you can create your own egress signs and labels on-site and on demand.

Requirement: Luminous (Glow-In-The-Dark) Egress Path Markings2009 International Building Code (IBC); Sections 1024.1 – 1024.5 2009 International Fire Code (IFC) Section 4604.23

Synopsis: Both new and existing institutional occupancy buildings, including hospitals, that are generally 5 stories or taller shall provide approved luminous egress path markings delineating the exit path on the full width of every step and full length of all handrails.

2009 NFPA 101 Egress Regulations; Sections 7.2 and 7.10

Synopsis: The Life Safety Code includes multiple new criteria for the complete marking of steps, handrails and door hardware.

The Challenge: The new IBC, IFC and NFPA 101 regulations are such that most existing facilities will at some point have to retrofit their egress stairwell and pathway route steps, handrails and signage. Because there are multiple Authorities Having Jurisdiction (AHJ’s) for hospitals, it could be that one inspector (e.g. The Joint Commission inspector) does not yet refer to these latest versions of the codes, while others do, such as the local building inspector and fire code officials.

MEANS OF EGRESS & LIFE SAFETY MARKING

View Brady's full product catalog at www.bradyid.com or call 1-888-272-3946

Y1192490 MS1192490© 2010 Brady Worldwide, Inc. All Rights Reserved

Brady Worldwide, Inc. 6555 W. Good Hope Road Milwaukee, WI 53223 1-888-272-3946 www.bradyid.com

Brady Canada 355 Apple Creek Blvd. Markham, ON L3R 9X7 1-800-263-6179 www.bradycanada.ca

Trust Brady for Your Hospital Safety and

Identification Compliance

Brady can help you address your hospital safety concerns – both for your employees and for your patients – and ensure that your facility is compliant for hospital accreditation by The Joint Commission.

We have the products and services you need to satisfy OSHA, TJC, CMS and Life Safety inspectors, including:

■■ Equipment-specific lockout procedures■■ Facility safety signage■■ Labeling and identification

View Brady’s full product catalog at www.bradyid.com

■■ Confined space safety procedures■■ Slips/trips/falls prevention audits and products■■ Means of egress safety marking

Visit www.bradyid.com/hospitalsafety to:■■ Download compliance whitepapers■■ Register for and view webcasts■■ Download examples of hospital lockout procedures■■ Learn more about OSHA and TJC regulations■■ View Brady’s hospital product solutions■■ And more!

equipment-specific lockout procedures confined space ...€¦ · and safety devices necessary to...

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