Kalamazoo Site – Demolition Permit

Project Name:
/ Project Manager or CAS:
/ Start Date:
Completion Date:
Job Description and Location (Building/Floor/Area):
Permit System:
The Requestor, Contract firm(s), Construction Management or CAS and KCA Representative will hold a meeting prior to work starting to ensure the following criteria is met:
  • All approval signatures on the permit before work begins.
  • Demolition Permit will remain at the site the entire time demolition is performed.
  • This permit identifies equipment or facilities to be demolished that are part of construction and maintenance projects.
Demolition requirements: When the Demolition operation is complete, or when the permit expires, demolition permits shall be turned over to the construction manager or CAS and returned to KCA for file retention.
NOTE! Demolition permits are required to be “Posted” at job sites, along with contact names and numbers for the Project Manager, Construction Manager/CAS.
BEFORE STARTING DEMOLITION
I. Required Information:
Responsible Company in Charge of demolition:
† “Competent Person” in charge of demolition:
† MIOSHA defines a “Competent Person” as one who is capable of identifying existing and predictable hazards in the surroundings, or working conditions which are unsanitary, hazardous, or dangerous to employees, and who has authorization to take prompt corrective measures to eliminate them. / III. Energy Sources:
Provide all terminated energy sources OR use LOTO attachment from Safe Work Permit:
IV. Additional Permits, as required:
(Identified in JSA)
Safe Work Permit
Construction Area Hot Work
Other:
V. Investment Recovery Notification:
Investment recovery has been notified and arrangements have been made to determine what is to be done with equipment removed.
Yes No
If no, explain:
Signature:______
Contact PGM Finance for NOEM (Notice of Equipment Move) form. It is site policy to fill out this form to remove or change assets. 269-833-7388
II. Demolished Equipment:
(To be completed by operating/owning unit.)
API/DP – Electronic Change Control has been generated for equipment to be taken out of service.
A walk down has been completed to identify items to be demolished with Operations and Construction Management. All equipment, piping and wiring has been clearly marked. GREEN indicates what is to be removed and RED indicates where to terminate, stop and or to stay.
Yes No
If no, explain:
ECC#:
Signature:______
Maintenance has been notified and the following have been met:
End calibrations for “Out of Service” equipment have been completed.
Maintenance records have been updated.
REQUIRED SIGNATURES –
CAS or CM: ______
Maintenance ME: ______
Maintenance TL: ______
VI. Review the following for consideration of further actions:
Proper steps have been taken to isolate demolition from production activities if necessary.
Controlling of noise, dust, vibration and removal of material have been discussed by building operations or owning unit.
Soil and concrete have been evaluated for disposal; contact EHS Water Group at 833-6152 for health and safety considerations.
Placement of luggers has been approved by operations and KCA.
All other permits and drawings are attached.
Abatement of Asbestos and Lead.
Disposal of PCB’s and Mercury associated with electrical ballasts and lighting.
The presence of molds or bacteria, infectious residues or environmental elements that may be present with laboratory systems and equipment.
Additional Comments:
Approvers / Print Name / Sign for Approval / Date
Competent Person †
Demolition Company Safety Rep.
Operating Unit
Pfizer Representative/Requestor
KCA Safety Representative

**Above signatures MUST be obtained prior to starting work. **

Contractor/Maintenance
Involved in Demolition / Print Name
Forman/Supervisor Name & Phone Number / Sign for Approval / Date

Demolition Completion: to be completed by Construction Management or CAS

Print Name: ______Sign: ______Date: ______

Return to Pfizer Kalamazoo Contract Administration (KCA) Representative. Bldg. 443

Revision date: June19, 2008

ENGINEERING POLICY
Effective: April 2007

Pfizer Global Manufacturing

/ Supersedes: February 2006
Kalamazoo Plant / Page 1 of 4
Kalamazoo Pfizer Demolition Permit Procedure

SCOPE

The scope of this policy is to provide direction for completion of the Demolition Permit Form prior to the demolition of any Pfizer Inc assets.

This requirement applies to any and all Project, Service, and Maintenance Contractors, Construction Management/CAS and or Kalamazoo Contractor Administrationrepresentatives planning to demolish any Pfizer owned or leased property or on any Pfizer-directed project.

The Demolition Permit shall be submitted to the Contractor’s Kalamazoo Contractor Administration Representative who coordinates activities with the appropriate personnel for review prior to beginning any demolition operation.

The permit will identify equipment or facilities to be demolished. When the demolition is complete, the Permit must be returned to KCA for file retention.

PURPOSE

The purpose of developing a Demolition Permit is to review and document all aspects of a demolition project which will create a safe work environment and guard against injuries to contractors, Pfizer personnel, and property. All approvals must be obtained on the permit before work begins and the Demolition Permit will be posted and remain on the site for the duration of the project.

DEFINITIONS

Contractor- An independent company, their employees, and subcontractors performing maintenance, construction, demolition or other work/ services for Pfizer on a contract basis.

Contractor Competent Person –MIOSHA defined as the person who is capable of identifying existing and predictable hazards in the surroundings, working conditions which are unsanitary, hazardous, or dangerous to employees, and who has authorization to take prompt corrective measures to eliminate them.

Pfizer Construction Manager (CM) Representative- Superintendent or other individual assigned tomanage, oversee, or coordinate the Contractor who is performing the demolition.

Pfizer ContractAdministration Specialist (CAS) -Superintendent or other individual assigned tomanage, oversee, or coordinate the Contractor who is performing the demolition.

PfizerKalamazoo Contractor Administration Representative (KCA)- Pfizer Contractor safety representative responsible for safety and EHS oversight of the Demolition project.

Pfizer Project Manager –Pfizer colleague assigned tomanage, oversee, or coordinate the demolition project.

DEMOLITION PERMIT COMPONENTS

The Demolition Permit contains seven (7) components for which data must be entered. Those components are as follows:

  1. Required Information
  • Provide the name(s) of the company who is in charge of the demolition
  • Provide the name of the OSHA Competent person, as defined above
  1. Demolished Equipment– to be competed by operating owning unit
  • API Electronic Change Control
  • Walk down to identify items to be demolished
  • End calibrations for out of service equipment have been completed
  • Maintenance records have been updated

3. Energy Sources

  • Provide a list of all terminated energy sources

4. Safe Work Permit

  • Construction Area Permit (Hotwork)
  • Other

5. Investment Recovery notification

  • IR Notification and equipment disposal resolution

6.Review and further actions of additional project parameters

  • As listed in the permit
  1. Signature Section
  2. As listed in the permit

PROCEDURE

The Pfizer Construction Manager Representative assigned to the demolition project will complete the Demolition Permit and submit it to the Kalamazoo Contractor Management person responsible for the building to be demolished. KCA representatives are as follows:

John Rinehart -- 833-7283

Patrick Brown -- 833-9905

Joe Urnowey -- 833-0798

Anita Pelak-- 833-6120

The KCA representative will review all information provided in the permit. The KCA Representative will schedule a meeting to include the CM Representative, owners/representatives from the building to be demolished, representatives of the contract firm to do the demolition work, and Pfizer EHS representatives to discuss all aspects of the project. Upon successful resolution of al issues involved with the permitting procedure, the KCA representative will sign the permit.

The permit is to be displayed on the job site at all times.

The KCA rep will maintain a copy of the permit as well.

The Demolition Permit process is now complete.

PERMIT LOCATION

The Demolition Permit is available on the Kalamazoo Contractor Administration website as follows:

and select the Demolition Permit.doc

APPLICABLE PFIZER SITE POLICIES

SITE-EHS-0024 WASTE: Management of Demolition Materials, Excavation and Debris

LINKAGE TO PURPOSE / VALUES and LEADERSHIP BEHAVIOURS

This policy is aligned with the Pfizer values of Respect for People, Customer Focus and Integrity. Application of this policy will create an inclusive environment for all those who associate with Pfizer.