Healthcare Welding Protocol

HEALTHCARE WELDING PROTOCOL

Purpose: This protocol establishes required controls, responsibilities, and approval for any welding, cutting, brazing, or other hot work performed within or adjacent to occupied patient care areas, sterile suites, life-safety systems, mechanical rooms, and other healthcare facility environments where patient safety or infection control may be affected.

Facility and Work Location

Exact Location within Facility:

Affected Patient / Unit Information

Date of Birth:

Contractor / Personnel Information

Contact Phone:    License / ID #:

Insurance and Qualifications

Policy Number:    Group Number:

Work Description and Scope

Permit Start Date:    Permit End Date:

Hazard Assessment and Controls

Known or Potential Hazards (check all that apply):

Open flame / sparks

Work in or adjacent to HVAC plenums or ducts

Proximity to oxygen or other medical gas systems

Within or adjacent to sterile field / operating suite

Presence of combustible materials or flammable liquids

Other — specify below

Required Controls (select all applied):

Designated PPE required (welding helmet, gloves, flame-resistant clothing)

Local fume extraction and filtration in use

Physical containment barriers erected

HVAC isolated/adjusted to prevent contamination spread

Fire watch assigned for hot work

Pre-Work Checklist (All items must be verified before hot work begins)

HVAC isolation/positive airflow adjusted as required

Combustible materials removed or protected

Suppression systems and alarms notified / monitored

Smoke detector isolation/covering performed where approved

Medical Surveillance & Training

By initialing below, the contractor certifies that personnel assigned to perform hot work have received required respirator medical clearance, fit testing, and hot work safety training:

Contractor Initials:

Respirator Type:

Last Fit Test Date:

Air Monitoring, Records, and Waste Handling

Emergency Procedures

Authorization, Certifications, and Acknowledgments

Certification: The undersigned Contractor certifies that the work described will be performed in accordance with this protocol, all applicable facility safety policies, and applicable laws and regulations. The undersigned Facility Representative authorizes the hot work subject to the controls and conditions documented herein. Work must cease immediately if conditions change or patient safety is threatened.

Contractor Acknowledgment:    Date:

Facility Authorization:    Date:

Record Retention: Completed protocol documents, monitoring logs, and incident reports will be retained as part of the facility safety record in accordance with facility policy.

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