The University of Toledo

Standard Operating Procedures | Approved

Facilities & Construction procedures are under revision at this time.  Any Standard Operating Procedure (SOP) that is listed below has been through the revision process.  After a 30-day period of review and comment from the University community, they were move on through the approval process to officially become procedures.  See the Policies website for more information regarding this process.

Facilities & Construction Standard Operating Procedures Index

Administration (ADM)	Central Control (CC)	Electrical (E)	General Maintenance (GM)
Grounds (G)	HVAC (HVAC)	Personnel (PE)	Plumbing (P)
Safety (SA)	Vehicle Service Center (VSC)	Complete University of Toledo Policy Manual

SOP's in RED are Critical Operating Procedures.
SOP's in GREEN have been deleted and replaced by the referenced SOP number.

Administration

SOP #	Subject	Revised
ADM-01	Monitoring & Evaluation of Utilities - Utilities Managment Program	Mar 2011
ADM-02	Loss of Electrical Service	Mar 2011
ADM-03	Loss of Steam Pressure	Mar 2011
ADM-04	Loss of Domestic Water Supply	Mar 2011
ADM-05	Failure of Clinical Vacuum Pumps or Medical Air/Gass	Mar 2011
ADM-06	Failure of Air Handling Equipment	Mar 2011
ADM-07	Refer to S-08-014	Mar 2011
ADM-08	Disease Control - Employee Precautions	Mar 2011
ADM-09	Maintenance Departmental Disaster Plan	Mar 2011
ADM-10	Securing Emergency Service Contractors	Mar 2011
ADM-11	Verification and Application of Interior Finishes	Mar 2011
ADM-12	Power Transitube System-Notification of System Malfunction	Mar 2011
ADM-14	Maintaining Air Handling Equipment Servicing - In-Patient Areas	Mar 2011
ADM-15	Identification of Essential Facilities Equipment on Emergency Power within Patient Care Areas	Mar 2011
ADM-18	Fuel Oil Handling-Emergency Generators	Mar 2011
ADM-21	Departmental Fire Plan	Mar 2011
ADM-22	Refer to HM-08-001	Mar 2011
ADM-23	Refer to HM-08-013	Mar 2011
ADM-25	Energy Management Program	Mar 2011
ADM-26	Above Ceiling procedure and Permitting	Nov 2014
ADM-27	Interim Life Safety Measures and Infection Control	Dec 2014
ADM-28	Refer to S-08-019	Mar 2011
ADM-29	Loss of Centrifugal Chillers, Absorbers and Reciprocating Machines	Mar 2011
ADM-32	Refer to HM-08-025	Mar 2011
ADM-34	Loss of Nurse Call System	Mar 2011
ADM-36	Refer to S-08-029	Mar 2011
ADM-37	Refer to HM-08-001	Mar 2011
ADM-38	Severe Weather Conditions	Mar 2011
ADM-40	Interior Finishes	Mar 2011
ADM-41	Loss of Effluent Flow	Mar 2011
ADM-42	Locksmith	Mar 2011
ADM-43	Loss of Natural Gas Supply	Dec 2012
ADM-44	Americans With Disabilities	Mar 2011
ADM-45	Shutdown Procedure for the Health Science Campus Main Substation	Mar 2011
ADM-46	Strike Action	Mar 2011
ADM-47	Procedures for Providing Blueprints or Building Information	Mar 2011
ADM-48	Patient Room Locks	Mar 2011
ADM-49	Time Off	Mar 2011
ADM-50	Radios	Mar 2011
ADM-51	Designated Break Areas	Mar 2011
ADM-52	Departmental Training	Mar 2011
ADM-53	Preventive Maintenance of Essential Equipment and Facilities	Mar 2011
ADM-54	Defective Equipment | Non-patient Related	Mar 2011
ADM-55	Safety Lockout/Tag-Out	Mar 2011
ADM-56	Ladder and Safety Inspection	Mar 2011
ADM-57	Refinement of Facilities Maintenance Goals	Mar 2011
ADM-58	New Employee Training	Mar 2011
ADM-59	Equal Opportunity	Mar 2011
ADM-60	Testing for Fire Detection Devices	Mar 2011
ADM-61	Commemorative Plaques, Statues or Other Objects*	Mar 2011
ADM-62	Biennial Capital Facilities Planning	Mar 2011
ADM-63	Holiday/Patriotic/Memorabilia & Other Decorations*	Mar 2011
ADM-64	Unauthorized Posting or Distribution of Handbills	Mar 2011
ADM-65	Dana Conference Reservations	Mar 2011
ADM-66	Eleanor D. Dana Conference Center	Mar 2011
ADM-67	Revision of Drawing Prior to Release for Construction	Nov 2012

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Central Control

SOP #	Subject	Revised
CC-01	Centralized Building Automation System-Maintenance Program	Sept 2014
CC-02	Daily Operational Check of Chilling Equipment	Aug 2014
CC-03	Air Handler Readings	Aug 2014
CC-04	Operating Room Relative Humidity Settings	Aug 2014
CC-05	Documentation of Operating Room Temperature Changes	Aug 2014
CC-06	Reheat and Radiation Readings	Aug 2014
CC-07	Monitoring of Hot Water Temperature	Aug 2014
CC-08	Computerized Energy Management Program Procedures	Aug 2014
CC-09	Campus Utilitiy Meter Readings	Aug 2014
CC-10	Medical Gases	Aug 2014
CC-11	Centralized Building Automation System Alarm Summaries	Aug 2014
CC-12	Boilers at Heatherdowns Center	Aug 2014
CC-13	Reporting Off Procedure for Operating Engineers or Building Operator	Aug 2014
CC-14	Food and Beverage Restrictions in Building Automation System Area	Aug 2014
CC-15	Operation of the Building Automation System	Aug 2014
CC-16	Thermostat Settings	Aug 2014
CC-17	Hospital TB Room Fan Failure	Sept 2014
CC-18	Loss of Building Automation System	Sept 2014
CC-19	Monitoring of Computers	Sept 2014
CC-20	Operating Room Air Temperature	Sept 2014

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Electrical

SOP #	Subject	Revised
E-01	Preventive Maintenance Electric Switchboards & Motor Control Centers	Mar 2011
E-02	Maintenance of Manual and Automatic Transfer Switches	Mar 2011
E-03	Preventive Maintenance on Electrical Distribution Panels	Mar 2011
E-04	Inspection of Electrical Receptacles	Mar 2011
E-05	Preventive Maintenance of Disconnects and Alternators	Mar 2011
E-06	Inspection of Heliport Lights	Mar 2011
E-07	Breaker Operational Tests at the UT HSC Main Sub-Station	Mar 2011
E-08	Transformers-Maintenance and Repair Proceduress	Mar 2011
E-09	Kirk Key Procedure	Mar 2011
E-10	Maintenance of Emergency Battery Lights	Mar 2011
E-11	Maintenance of Electric Beds	Mar 2011
E-14	Preventive Maintenance of Electrical Line Isolation Panels	Mar 2011
E-15	Preventive Maintenance on D.C. Switchboard Batteries	Mar 2011
E-16	Inspectiioin of Lightning Protection	Mar 2011
E-17	Preventive Maintenance of Tele-Engineering Telelift System	Mar 2011
E-18	Inspection and Cleaning Procedures for Translogic Transitube System	Mar 2011
E-19	Inspection of Surgery Extension Cords	Mar 2011
E-20	Transitube or Telelift Failure	Mar 2011
E-21	Emergency Generator Tests and Inspections	Mar 2011
E-22	Fire Alarm Testing	Nov 2014
E-23	Work Space Illumination	Mar 2011
E-24	Personal Hand Tools	Mar 2011
E-25	Test Equipment	Mar 2011
E-26	Emergency Generator Operation Review	Mar 2011
E-27	Electrical General Requirements	Mar 2011
E-28	Wiring Designs and Protection	Mar 2011
E-29	Electrical Safety	Mar 2011
E-30	Locking Electric Panels	Mar 2011

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General Maintenance

SOP #	Subject	Revised
GM-01	Corridor Hand Rails and Corner Guards - Visual Inspection	Mar 2011
GM-02	Exit and Stairwell Lamp Replacement	Mar 2011
GM-03	Roof Inspection	Mar 2011
GM-04	Blood Pressure Cuff Repair	Mar 2011
GM-05	Corrective Maintenance of Vinyl and Carpet Flooring	Mar 2011
GM-08	Use of Paint Booth	Mar 2011
GM-09	Drop Cloths	Mar 2011
GM-10	Paint Supplies	Mar 2011
GM-11	Supervisor Notification for Emergency Snow Removal	Mar 2011
GM-12	Bed Control, Call Cord	Mar 2011
GM-14	Automatic Operating Doors - Operational Check & Maintenance	Mar 2011
GM-15	Failure of Automatic Doors	Mar 2011
GM-16	Operational Checks and Preventive Maintenance on Fire and Smoke Doors	Mar 2011
GM-17	Checking and Maintaining Fire Wall Integrity	Mar 2011
GM-18	Repair of File Cabinets	Mar 2011
GM-19	Wet or Damaged Ceiling Tile	Mar 2011
GM-20	Open Ceiling	Mar 2011
GM-21	Wall Hanging Guidelines*	Mar 2011

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Grounds 

SOP #	Subject	Revised
G-01	Snow Removal	Mar 2011
G-02	Exterior Sidewalk Maintenance	Mar 2011
G-03	Application of Pesticides	Mar 2011
G-05	Equipment Shop Waste Management Plan	Mar 2011
G-07	Use of Head Phones	Mar 2011
G-08	Energy Conservation	Mar 2011
G-09	Lost and Found	Mar 2011
G-10	Removal of Ice from Roadways & Walkways	Mar 2011
G-11	Equipment Management Program	Mar 2011
G-12	Morning Break	Mar 2011
G-13	Absenteeism/Tardiness	Mar 2011
G-14	Tool & Equipment Storage	Mar 2011

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HVAC

SOP #	Subject	Revised
HVAC-01	Annual Start Up of Chillers - All Buildings	Mar 2011
HVAC-02	Chillers - Contract Preventative Maintenance	Mar 2011
HVAC-03	Maintenance of All Main Steam Lines, 150 lbs.	Mar 2011
HVAC-04	Steam Reducing Stations Maintenance	Mar 2011
HVAC-05	Flash Tank Maintenance	Mar 2011
HVAC-06	Air Handler Motor Maintenance - HSC	Mar 2011
HVAC-07	Cooling Tower Maintenance - HSC	Mar 2011
HVAC-08	Non-Clinical Air Compressor - HSC	Mar 2011
HVAC-09	Air Change Rates in Surgical Areas	Mar 2011
HVAC-10	Air Filter Maintenance	Mar 2011
HVAC-11	Preventive Maintenance on Humidifiers - HSC	Mar 2011
HVAC-12	Ice Machine Maintenance - HSC	Mar 2011
HVAC-13	Maintenance on Walk-In Coolers - HSC	Mar 2011
HVAC-14	Air Dryer Maintenance - HSC	Mar 2011
HVAC-15	Maintenance on Computer Room Air Conditioners - HSC	Mar 2011
HVAC-16	Maintenance on Heating Pumps - HSC	Mar 2011
HVAC-17	CFC Regulations	Mar 2011
HVAC-18	Thermostat Settings	Mar 2011
HVAC-018B	Energy Management	Mar 2011
HVAC-19	DLAM Temperatures	Mar 2011

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Personnel

SOP #	Subject	Revised
PE-01	Promotion of Infection Control Procedures	Mar 2011
PE-03	Refer to S-08-034	Mar 2011
PE-05	Personnel - Uniform Issuance	Mar 2011
PE-06	Holiday Schedules	Mar 2011
PE-08	Recognizing Eminent Danger	Mar 2011
PE-09	Attendance Monitoring	Mar 2011
PE-10	Building Operators Carrying Radios	Mar 2011
PE-11	Cleanup Time	Mar 2011
PE-12	Maintaining Daily Work Records	Mar 2011
PE-13	Refer to S-08-032	Mar 2011
PE-16	Working on Personal Property/Business	Mar 2011
PE-18	Manager's Absence From Office	Mar 2011
PE-19	Punctuality	Mar 2011
PE-20	Personal Hygiene	Mar 2011
PE-21	Smoking	Mar 2011
PE-22	Refer to S-08-021	Mar 2011
PE-23	Work Schedules	Mar 2011
PE-24	Refer to S-08-008	Mar 2011
PE-27	Keys	Mar 2011
PE-28	Personal Disputes	Mar 2011
PE-29	Clean Work Space (Shop)	Mar 2011
PE-30	Equipment and Tool Security	Mar 2011
PE-31	Renovation-Work Site Management	Mar 2011
PE-32	Operation of Power Tools	Mar 2011
PE-34	Consecutive Working Hours	Mar 2011
PE-35	Lockers*	Mar 2011

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Plumbing 

SOP #	Subject	Revised
P-01	Fire Pump Maintenance	Mar 2011
P-02	Maintenance of Domestic Water Booster Pump	Mar 2011
P-03	Maintenance of Vacuum Pumps	Mar 2011
P-04	Maintenance of Clinical Air Compressors	Mar 2011
P-05	Maintenance of Backflow Prevention Devices	Mar 2011
P-06	Maintenance of Neutralizing Sumps	Mar 2011
P-07	Maintenance of Grease Traps	Mar 2011
P-08	Maintenance of Emergency Showers & Emergency Eye Wash - HSC	Mar 2011
P-09	Water Meter Testing	Mar 2011
P-10	Sprinkler System Inspection - HSC	Nov 2014
P-11	Inspection of Outside Manholes & Sanitary Sewer Lines - HSC	Mar 2011
P-12	Medical Gas Alarm Testing	Mar 2011
P-14	Medical Gas Piping Modification	Mar 2011

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Safety

SOP #	Subject	Revised
SA-01	Refer to S-08-029	Mar 2011
SA-02	Refer to HM-08-027	Mar 2011
SA-03	Maintenance of Power Tools	Mar 2011
SA-04	Refer to S-08-049	Mar 2011
SA-05	Refer to HM-08-010 and HM-08-008	Mar 2011
SA-06	Preventing Exposures in Laboratories	Mar 2011
SA-07	Refer to HM-08-017	Mar 2011
SA-08	Refer to S-08-014	Mar 2011
SA-09	Refer to S-08-032	Mar 2011
SA-10	Refer to HM-08-003	Mar 2011
SA-11	Refer to S-08-010	Mar 2011
SA-12	Refer to S-08-021	Mar 2011
SA-13	Scaffolds and Towers	Mar 2011
SA-14	Mobile & Stationary Man Lifts	Mar 2011
SA-15	Power Transmission Apparatuses	Mar 2011
SA-16	Cleanliness of Work Area	Mar 2011
SA-17	Refer to HM-08-022	Mar 2011
SA-18	Overhead Chain Falls and Gantry Cranes and Slings	Mar 2011
SA-19	Woodworking Machinery	Mar 2011
SA-20	Abrasive Wheel Machinery	Mar 2011

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Vehicle Service Center

VSC-01	UT Vehicles	Oct 2014
VSC-02	Use of University Vehicle Rules and Regulations	Oct 2014
VSC-03	Shuttle Bus Operations	Oct 2014

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