ILSM Program Development

Construction safety in the healthcare sector is a challenging process. Not only does one have to take the contractor's well-being into consideration, but also the well-being of the employees, staff, patients and visitors at the facility. The most effective means to minimize risk to all parties at the facility is through the implementation of Interim Life Safety Measures (ILSM).

The purpose of ILSM is to minimize the potential hazards of construction operations in a health care facility, through a focused program dedicated to Life Safety Measures. Life Safety Measures include, but are not limited to, the following:

  • Pathways for access and egress
  • Evacuation routes
  • Fire detection and alarm systems
  • Evaluation of fire suppression systems
  • Fire extinguishers
  • Smoke-proof fire walls
  • Temporary construction partitions
  • Proper disposal of trash and construction debris
  • Monitoring Hot Work activities

At Trinity Safety Group, we use the P.I.M.E. system to ensure a successful ILSM Program. P.I.M.E is a four-step process that consists of Pre-planning, Implementation, Monitoring and Evaluation.

Trinity Safety Group, with the cooperation of the healthcare facility, project management and contractors, will identify, address and minimize the potential Life Safety hazards, prior to the start of construction operations. This is accomplished through a detailed pre-planning process that involves the following activities:

  • Review the scope of work for the project and identify potential hazards within the construction activities with the project manager, contractors and facility staff.
  • Walk the construction area and identify potential hazards in and around the working site.
  • Discuss means to eliminate the identified potential hazards discovered in the review of the scope of work and the construction walk-through.

Communicating to the contractors on means and methods to minimize the potential hazards and the implementation process is a vital step in a successful ILSM program. This necessary communication from the owner to the contractor is accomplished through training. The training will provide the contractor with the knowledge and understanding of what is required and expected during the duration of construction activity.

During the preparation and construction phases of the project, it is essential to monitor the contractor's activities, to ensure that they are following the implantation plan. A list of the discussed precautions is complied and a checklist is developed. This checklist is used as a template for periodic observations that will assist in that assurance of compliance. Deficiencies discovered during the observations will be communicated to the contractor and should be immediately corrected. A record of all observations will be kept and a database of the observations will be established for that specific project. We recommend that the monitoring of the ILSM and observations are recommended to be completed daily and should last for the duration of the project.

Upon completion of the construction phase of the project, it is necessary to evaluate the performance of the ILSM system. The database of observation information, during the monitoring phase, will be reviewed and evaluated. From this evaluation, one will be able to establish areas in which future ILSM programs can be improved. A closeout meeting with the project manager, contractor and facility staff is held to cover all areas of improvement and will be a forum for discussion of further improvement of the ILSM program. The established improvements will be documented, included in the revised ILSM program and implemented in all future ILSM operations.

With the use of the P.I.M.E. system, in ILSM programs, a healthcare facility can be assured that all necessary precautions will be taken and improvements will be implemented in order to protect the well-being of all employees, staff, patients and visitors at the facility.


Billy Vincent, Vice President - ElectriCom, Inc.

"...We have already made strides in our attempt to revise our overall safety culture.  Our field personnel have been very receptive to the various site visits conducted by Trinity's trained professionals to date.  Our management staff remains truly optimistic that we can overcome our dormant safety culture and achieve our ultimate goal of heightened safety awareness..."