Standard Operating Procedures - Operating Policy (Proposed)
Facilities & Construction procedures are under revision at this time. Any Standard Operating Procedure (SOP) that is listed below has been through the revision process. SOP's with an asterisk are policies that are in the process of becoming procedures. After a 30-day period of review and comment from the University community, they will move on through the approval process to officially become procedures. See the Policies website for more information regarding this process.
Administration
| SOP # |
Subject |
Revised |
| ADM-07 |
Work on Energized Equipment |
July 2008 |
| ADM-08 |
Disease Control - Employee Precautions |
July 2008 |
| ADM-09 |
Maintenance Departmental Disaster Plan |
July 2008 |
| ADM-10 |
Securing Emergency Service Contractors |
July 2008 |
| ADM-11 |
Verification and Application of Interior Finishes |
July 2008 |
| ADM-12 |
Power Transitube System-Notification of System Malfunction |
July 2008 |
| ADM-13 |
Telelift System-Notification of System Malfunction |
July 2008 |
| ADM-14 |
Maintaining Air Handling Equipment Servicing - In-Patient Areas |
July 2008 |
| ADM-18 |
Fuel Oil Handling-Emergency Generators |
July 2008 |
| ADM-21 |
Departmental Fire Plan |
July 2008 |
| ADM-22 |
Management of Hazardous Materials and Wastes |
July 2008 |
| ADM-23 |
Hazardous Material Spill Procedure |
July 2008 |
| ADM-25 |
Energy Management Program |
July 2008 |
| ADM-28 |
Procedures for Working in Confined Spaces |
July 2008 |
| ADM-29 |
Loss of Centrifugal Chillers, Absorbers and Reciprocating Machines |
July 2008 |
| ADM-32 |
Asbestos Evaluation |
July 2008 |
| ADM-34 |
Loss of Nurse Call System |
July 2008 |
| ADM-36 |
Hearing Conservation Policy |
July 2008 |
| ADM-37 |
Hazardous Waste Disposal |
July 2008 |
| ADM-38 |
Severe Weather Conditions |
July 2008 |
| ADM-40 |
Interior Finishes |
July 2008 |
| ADM-42 |
Locksmith |
July 2008 |
| ADM-44 |
Americans With Disabilities |
July 2008 |
| ADM-45 |
Shutdown Procedure for the Health Science Campus Main Substation |
July 2008 |
| ADM-46 |
Strike Action |
July 2008 |
| ADM-48 |
Patient Room Locks |
July 2008 |
| ADM-49 |
Time Off |
July 2008 |
| ADM-50 |
Radios |
July 2008 |
| ADM-51 |
Designated Break Areas |
July 2008 |
| ADM-52 |
Departmental Training |
July 2008 |
| ADM-54 |
Defective Equipment (Non-Patient Related) |
July 2008 |
| ADM-55 |
Safety Lockout/Tag-Out |
July 2008 |
| ADM-56 |
Ladder and Safety Inspection |
July 2008 |
| ADM-57 |
Refinement of Facilities Maintenance Goals |
July 2008 |
| ADM-58 |
New Employee Training |
July 2008 |
| ADM-59 |
Equal Opportunity |
July 2008 |
| ADM-61 |
Commemorative Plaques, Statues or Other Objects* |
August 2008 |
| ADM-63 |
Holiday/Patriotic/Memorabilia & Other Decorations* |
August 2008 |
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Carpentry
| SOP # |
Subject |
Revised |
| CA-03 |
Cleaning Shop Vacuum |
August 2008 |
| CA-04 |
Interior Finishes in Public Areas |
August 2008 |
| CA-05 |
Build/Purchase Items |
August 2008 |
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Central Control
| SOP # |
Subject |
Revised |
| CC-02 |
Daily Operational Check of Chilling Equipment |
July 2008 |
| CC-03 |
Air Handler Readings |
August 2008 |
| CC-04 |
Discharge Air Temperature and Humidity Settings |
August 2008 |
| CC-05 |
Documentation of Operating Room Temperature Changes |
August 2008 |
| CC-06 |
Reheat and Radiation Readings |
August 2008 |
| CC-08 |
Computerized Energy Management Program Procedures |
August 2008 |
| CC-09 |
Campus Utility Meter Readings |
August 2008 |
| CC-11 |
Centralized Building Automation System Alarm Summaries |
August 2008 |
| CC-12 |
Boilers at Heatherdowns Center |
August 2008 |
| CC-13 |
Reporting Off Procedure for Operating Engineers or Building Operator |
August 2008 |
| CC-14 |
Food and Beverage Restrictions in Building Automation System Area |
August 2008 |
| CC-16 |
Thermostat Settings |
August 2008 |
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Electrical
| SOP # |
Subject |
Revised |
| E-09 |
Kirk Key Procedure |
August 2008 |
| E-11 |
Maintenance of Electric Beds |
August 2008 |
| E-13 |
Inspection of Non-Patient Care, Electrically Powered, Line Operated Equipment in Patient Care Areas |
August 2008 |
| E-17 |
Preventive Maintenance of Tele-Engineering Telelift System |
August 2008 |
| E-18 |
Inspection and Cleaning Procedures for Translogic Transitube System |
August 2008 |
| E-19 |
Inspection of Surgery Extension Cords |
August 2008 |
| E-20 |
Transitube or Telelift Failure |
August 2008 |
| E-21 |
Emergency Generator Tests and Inspections |
August 2008 |
| E-22 |
Fire Alarm Testing |
August 2008 |
| E-23 |
Work Space Illumination |
August 2008 |
| E-24 |
Personal Hand Tools |
August 2008 |
| E-25 |
Test Equipment |
August 2008 |
| E-26 |
Emergency Generator Operation Review |
August 2008 |
| E-27 |
Electrical General Requirements |
August 2008 |
| E-28 |
Wiring Designs and Protection |
August 2008 |
| E-29 |
Electrical Safety |
August 2008 |
| E-30 |
Locking Electric Panels |
August 2008 |
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General Maintenance
| SOP # |
Subject |
Revised |
| GM-01 |
Corridor Hand Rails and Corner Guards - Visual Inspection |
November 2008 |
| GM-02 |
Exit and Stairwell Lamp Replacement |
August 2008 |
| GM-03 |
Roof Inspection |
August 2008 |
| GM-04 |
Blood Pressure Cuff Repair |
August 2008 |
| GM-05 |
Corrective Maintenance of Vinyl and Carpet Flooring |
August 2008 |
| GM-08 |
Use of Paint Booth |
August 2008 |
| GM-09 |
Drop Cloths |
August 2008 |
| GM-10 |
Paint Supplies |
August 2008 |
| GM-11 |
Supervisor Notification for Emergency Snow Removal |
August 2008 |
| GM-12 |
Bed Control, Call Cord |
August 2008 |
| GM-14 |
Automatic Operating Doors - Operational Check & Maintenance |
August 2008 |
| GM-15 |
Failure of Automatic Doors |
August 2008 |
| GM-16 |
Operational Checks and Preventive Maintenance on Fire and Smoke Doors |
August 2008 |
| GM-18 |
Repair of File Cabinets |
August 2008 |
| GM-19 |
Wet or Damaged Ceiling Tile |
August 2008 |
| GM-20 |
Open Ceiling |
August 2008 |
| GM-21 |
Wall Hanging Guidelines* |
August 2008 |
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Grounds
| SOP # |
Subject |
Revised |
| G-02 |
Exterior Sidewalk Maintenance |
September 2008 |
| G-03 |
Application of Pesticides |
September 2008 |
| G-04 |
Specific Procedures When Performing Work Within the Exterior Restricted Area of MRI |
September 2008 |
| G-05 |
Equipment Shop Waste Management Plan |
September 2008 |
| G-06 |
Yard Waste and Composting |
September 2008 |
| G-07 |
Use of Head Phones |
September 2008 |
| G-08 |
Energy Conservation |
September 2008 |
| G-09 |
Lost and Found |
September 2008 |
| G-11 |
Equipment Management Program |
September 2008 |
| G-12 |
Morning Break |
September 2008 |
| G-13 |
Absenteeism/Tardiness |
September 2008 |
| G-14 |
Tool & Equipment Storage |
September 2008 |
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HVAC
| SOP # |
Subject |
Revised |
| HVAC-01 |
Annual Start Up of Chillers - All Buildings |
August 2008 |
| HVAC-02 |
Chillers - Contract Preventative Maintenance |
August 2008 |
| HVAC-03 |
Maintenance of All Main Steam Lines, 150 lbs. |
September 2008 |
| HVAC-04 |
Steam Reducing Stations Maintenance |
September 2008 |
| HVAC-05 |
Flash Tank Maintenance |
September 2008 |
| HVAC-06 |
Air Handler Motor Maintenance - HSC |
September 2008 |
| HVAC-07 |
Cooling Tower Maintenance - HSC |
September 2008 |
| HVAC-08 |
Non-Clinical Air Compressor - HSC |
September 2008 |
| HVAC-09 |
Air Change Rates in Surgical Areas |
September 2008 |
| HVAC-10 |
Air Filter Maintenance |
September 2008 |
| HVAC-11 |
Preventive Maintenance on Humidifiers - HSC |
September 2008 |
| HVAC-12 |
Ice Machine Maintenance - HSC |
September 2008 |
| HVAC-13 |
Maintenance on Walk-In Coolers - HSC |
September 2008 |
| HVAC-14 |
Air Dryer Maintenance - HSC |
September 2008 |
| HVAC-16 |
Maintenance on Heating Pumps - HSC |
September 2008 |
| HVAC-17 |
CFC Regulations |
September 2008 |
| HVAC-18 |
Thermostat Settings |
September 2008 |
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Personnel
| SOP # |
Subject |
Revised |
| PE-35 |
Lockers* |
August 2008 |
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Plumbing
| SOP # |
Subject |
Revised |
| P-02 |
Maintenance of Domestic Water Booster Pump |
September 2008 |
| P-06 |
Maintenance of Neutralizing Sumps |
September 2008 |
| P-07 |
Maintenance of Grease Traps |
September 2008 |
| P-09 |
Water Meter Testing |
September 2008 |
| P-11 |
Inspection of Outside Manholes & Sanitary Sewer Lines - HSC |
October 2008 |
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