36C25218B0385-002.pdf

SPECIFICATION

VA Project No. 676-18-002

Replace Sanitary Lines B400 West Side

VA Tomah Medical Center

Tomah, Wisconsin

Issued: December 13, 2017

VA Medical Center Tomah, Wisconsin 12-13-2017

Project# 676-18-002

DEPARTMENT OF VETERANS AFFAIRS

VHA MASTER SPECIFICATIONS

676-18-002/REPLACE SANITARY LINES B400 WEST SIDE

TABLE OF CONTENTS

DIVISION 00 - SPECIAL SECTIONS - NOT USED

DIVISION 01 - GENERAL REQUIREMENTS

01 00 00 General Requirements 01 33 23 Shop Drawings, Product Data, and Samples 01 35 26 Safety Requirements 01 42 19 Reference Standards 01 57 19 Temporary Environmental Controls 01 74 19 Construction Waste Management 01 81 13 Sustainable Construction Requirements

DIVISION 02 – EXISTING CONDITIONS

02 41 00 Demolition

DIVISION 03 – CONCRETE – NOT USED

DIVISION 04 – MASONRY – NOT USED

DIVISION 05 – METALS – NOY USED

DIVISION 06 – WOOD,PLASTICS AND COMPOSITES – NOT USED

DIVISION 07 - THERMAL AND MOISTURE PROTECTION

DIVISION 08 – OPENINGS – NOT USED

DIVISION 09 – FINISHES – NOT USED

DIVISION 10 – SPECIALTIES – NOT USED

DIVISION 11 – EQUIPMENT – NOT USED

DIVISION 12 – FURNISHINGS – NOT USED

DIVISION 13 - SPECIAL CONSTRUCTION – NOT USED

DIVISION 14– CONVEYING EQUIPEMENT – NOT USED

DIVISION 21- FIRE SUPPRESSION – NOT USED

DIVISION 22 – PLUMBING

22 05 11 Common Work Results for Plumbing 22 13 00 Facility Sanitary and Vent Piping

DIVISION 23 – HEATING, VENTILATING, AND AIR CONDITIONING

(HVAC) – NOT USED

DIVISION 25 – INTEGRATED AUTOMATION – NOT USED

DIVISION 26 – ELECTRICAL – NOT USED

DIVISION 27 – COMMUNICATIONS – NOT USED

DIVISION 28 – ELECTRONIC SAFETY AND SECURITY – NOT USED

DIVISION 31 – EARTHWORK – NOT USED

DIVISION 32 – EXTERIOR IMPROVEMENTS – NOT USED

DIVISION 33 – UTILITIES – NOT USED

DIVISION 34 – TRANSPORTATION – NOT USED

DIVISION 48 – Electrical Power Generation – NOT USED

Replace Sanitary Lines B400 West End

01 00 00 - i

GENERAL REQUIREMENTS

SECTION 01 00 00

GENERAL REQUIREMENTS

TABLE OF CONTENTS

1.1 SAFETY REQUIREMENTS

1.2 GENERAL INTENTION

1.3 STATEMENT OF BID ITEM(S)

1.4 SPECIFICATIONS AND DRAWINGS FOR CONTRACTOR

1.5 CONSTRUCTION SECURITY REQUIREMENTS

1.6 OPERATIONS AND STORAGE AREAS

1.7 ALTERATIONS

1.8 DISPOSAL AND RETENTION

1.9 PROTECTION OF EXISTING VEGETATION, STRUCTURES, EQUIPMENT,

UTILITIES, AND IMPROVEMENTS

1.10 RESTORATION

1.11 PHYSICAL DATA

1.12 PROFESSIONAL SURVEYING SERVICES – NOT USED

1.13 LAYOUT OF WORK – NOT USED

1.14 AS-BUILT DRAWINGS

1.15 USE OF ROADWAYS

1.16 RESIDENT ENGINEER'S FIELD OFFICE – NOT USED

1.17 TEMPORARY USE OF MECHANICAL & ELECTRICAL EQUIPMENT – NOT USED

1.18 TEMPORARY USE OF EXISTING ELEVATORS – NOT USED

1.19 TEMPORARY USE OF NEW ELEVATORS - NOT USED

1.20 TEMPORARY TOILETS

1.21 AVAILABILITY AND USE OF UTILITY SERVICES

1.22 NEW TELEPHONE EQUIPMENT – NOT USED

1.23 TESTS – NOT USED

01 00 00 - ii

1.24 INSTRUCTIONS

1.25 GOVERNMENT-FURNISHED PROPERTY – NOT USED

1.26 RELOCATED ITEMS – NOT USED

1.27 STORAGE SPACE FOR DEPARTMENT OF VETERANS AFFAIRS EQUIPMENT – NOT

USED

1.28 CONSTRUCTION AND SAFETY SIGN(s)

1.29 PHOTOGRAPHIC DOCUMENTATION – NOT USED

1.30 FINAL ELEVATION Digital Images – NOT USED

1.31 HISTORIC PRESERVATION – NOT USED

01 00 00 - 1

SECTION 01 00 00

GENERAL REQUIREMENTS

1.1 SAFETY REQUIREMENTS

Refer to section 01 35 26, SAFETY REQUIREMENTS for safety requirements and section 01 01 10 INFECTION CONTROL for infection control requirements.

1.2 GENERAL INTENTION

A. Contractor shall completely prepare site for building operations, including demolition and removal of existing structures, and furnish labor and materials and perform work to remove and dispose of existing

2 inch, 3 inch, 4 inch and 5 inch cast iron sanitary waste lines in the central and west-central crawlspace of B400, located at the Tomah VAMC

Campus in Tomah, WI., and replace in kind, by pipe diameter, with new schedule 40, solid core PVC sanitary waste lines as required by project

SOW, drawings and specifications

B. Visits to the site by Bidders may be made only by appointment with the

Medical Center Engineering Officer.

C. All employees of general contractor and subcontractors shall comply with VA security management program and obtain permission of the VA police, be identified by project and employer, and restricted from unauthorized access.

1.3 STATEMENT OF BID ITEM(S)

A. ITEM I, GENERAL CONSTRUCTION: Work includes all labor, material, equipment and supervision required to perform the general construction, demolition, and alterations, necessary for the following work:

B. Remove and dispose of the following approximate quantities of cast iron sanitary waste pipe as indicated on the attached drawings.

1) 2 inch - 69’

2) 3 inch - 79’

3) 4 inch - 362’

4) 5 inch - 116’

5) 6 inch – 16’

01 00 00 - 2

C. Remove and dispose of approximately 40’ of existing 4 inch green PVC waste pipe that is abandoned and laying on the dirt floor of the crawlspace of B400 as indicated on the drawings.

D. Provide and install new solid core PVC sanitary waste pipe w/ pipe hangers and related assemblies, in the following approximate quantities, to replace in kind by size, all cast iron sanitary waste pipe previously removed under this project.

1) 2 inch - 69’

2) 3 inch - 79’

3) 4 inch - 362’

4) 5 inch - 116’

5) 6 inch – 16’

E. All pipe hangers for newly installed PVC piping shall not exceed 4’

O.C.

F. Contractor shall coordinate shutdowns for disconnecting/re-connecting sanitary waste lines with COR and indicate coordination with separate

WBS/Coordination schedule. All work that requires shutdowns for disconnecting/re-connecting of sanitary waste lines shall be performed during non-business hours.

G. Contractor shall site verify estimated pipe quantities and sizes.

1.4 SPECIFICATIONS AND DRAWINGS FOR CONTRACTOR

A. Drawings and contract documents may be obtained from the website where the solicitation is posted. Additional copies will be at Contractor's expense.

1.5 CONSTRUCTION SECURITY REQUIREMENTS

A. Security Procedures:

1. General Contractor’s employees shall not enter the project site without appropriate badge. They may also be subject to inspection of their personal effects when entering or leaving the project site.

01 00 00 - 3

2. Before starting work the General Contractor shall give one week’s notice to the Contracting Officer so that security arrangements can be provided for the employees. This notice is separate from any notices required for utility shutdown described later in this section.

3. No photography of VA premises is allowed without written permission of the Contracting Officer.

4. VA reserves the right to close down or shut down the project site and order General Contractor’s employees off the premises in the event of a national emergency. The General Contractor may return to the site only with the written approval of the Contracting Officer.

B. Key Control:

1. The General Contractor shall provide duplicate keys and lock combinations to the Contracting officers representative (COR) for the purpose of security inspections of every area of project including tool boxes and parked machines and take any emergency action.

2. The General Contractor shall turn over all permanent lock cylinders to the VA locksmith for permanent installation.

C. Document Control:

1. The General Contractor is responsible for safekeeping of all drawings, project manual and other project information. This information shall be shared only with those with a specific need to accomplish the project.

D. Motor Vehicle Restrictions

1. Vehicle authorization request shall be required for any vehicle entering the site and such request shall be submitted 24 hours before the date and time of access. Access shall be restricted to picking up and dropping off materials and supplies.

2. A limited number of (2 to 5) permits shall be issued for General

Contractor and its employees for parking in designated areas only.

01 00 00 - 4

1.6 OPERATIONS AND STORAGE AREAS

A. The Contractor shall confine all operations (including storage of materials) on Government premises to areas authorized or approved by the Contracting Officer. The Contractor shall hold and save the

Government, its officers and agents, free and harmless from liability of any nature occasioned by the Contractor's performance.

B. Temporary buildings (e.g., storage sheds, shops, offices) and utilities may be erected by the Contractor only with the approval of the

Contracting Officer and shall be built with labor and materials furnished by the Contractor without expense to the Government. The temporary buildings and utilities shall remain the property of the

Contractor and shall be removed by the Contractor at its expense upon completion of the work. With the written consent of the Contracting

Officer, the buildings and utilities may be abandoned and need not be removed.

C. The Contractor shall, under regulations prescribed by the Contracting

Officer, use only established roadways, or use temporary roadways constructed by the Contractor when and as authorized by the Contracting

Officer. When materials are transported in prosecuting the work, vehicles shall not be loaded beyond the loading capacity recommended by the manufacturer of the vehicle or prescribed by any Federal, State, or local law or regulation. When it is necessary to cross curbs or sidewalks, the Contractor shall protect them from damage. The

Contractor shall repair or pay for the repair of any damaged curbs, sidewalks, or roads.

D. Working space and space available for storing materials shall be as determined by the COR.

E. Workmen are subject to rules of Medical Center applicable to their conduct.

F. Execute work so as to interfere as little as possible with normal functioning of Medical Center as a whole, including operations of utility services, fire protection systems and any existing equipment, and with work being done by others. Use of equipment and tools that transmit vibrations and noises through the building structure, are not permitted in buildings that are occupied, during construction, jointly

01 00 00 - 5 by patients or medical personnel, and Contractor's personnel, except as permitted by COR where required by limited working space.

1. Do not store materials and equipment in other than assigned areas.

2. Schedule delivery of materials and equipment to immediate construction working areas within buildings in use by Department of

Veterans Affairs in quantities sufficient for not more than two work days. Provide unobstructed access to Medical Center areas required to remain in operation.

3. Where access by Medical Center personnel to vacated portions of buildings is not required, storage of Contractor's materials and equipment will be permitted subject to fire and safety requirements.

G. Phasing:

The Medical Center must maintain its operation 24 hours a day 7 days a week. Therefore, any interruption in service must be scheduled and coordinated with the COR to ensure that no lapses in operation occur.

It is the CONTRACTOR'S responsibility to develop a work plan and schedule detailing, at a minimum, the procedures to be employed, the equipment and materials to be used, the interim life safety measure to be used during the work, and a schedule defining the duration of the work with milestone subtasks.

To insure such executions, Contractor shall furnish the COR with a schedule of approximate dates on which the Contractor intends to accomplish work in each specific area of site, building or portion thereof. In addition, Contractor shall notify the COR two weeks in advance of the proposed date of starting work in each specific area of site, building or portion thereof. Arrange such dates to insure accomplishment of this work in successive phases mutually agreeable to

COR and Contractor.

H. Building(s) No. 400 will be occupied during performance of work but immediate area of alterations will be vacated.

1. Certain areas of Building(s) No. 400 will be occupied by Medical

Center personnel. Contractor shall take all measures and provide all material necessary for protecting existing equipment and property in affected areas of construction against dust and debris, so that

01 00 00 - 6 equipment and affected areas to be used in the Medical Centers operations will not be hindered. Contractor shall permit access to

Department of Veterans Affairs personnel and patients through other construction areas which serve as routes of access to such affected areas and equipment. These routes whether access or egress shall be isolated from the construction area by temporary partitions and have walking surfaces, lighting etc. to facilitate patient and staff access. Coordinate alteration work in areas occupied by Department of Veterans Affairs so that Medical Center operations will continue during the construction period.

I. When a building and/or construction site is turned over to Contractor, Contractor shall accept entire responsibility including upkeep and maintenance therefore:

1. Contractor shall maintain in operating condition existing fire protection and alarm equipment. In connection with fire alarm equipment, Contractor shall make arrangements for pre-inspection of site with Fire Department or Company (Department of Veterans Affairs or municipal) whichever will be required to respond to an alarm from

Contractor's employee or watchman.

J. Utilities Services: NOT USED.

K. Abandoned Lines: NOT USED.

L. To minimize interference of construction activities with flow of

Medical Center traffic, comply with the following:

1. Keep roads, walks and entrances to grounds, to parking and to occupied areas of buildings clear of construction materials, debris and standing construction equipment and vehicles.

M. Coordinate the work for this contract with other construction operations as directed by COR. This includes the scheduling of traffic and the use of roadways, as specified in Article, USE OF ROADWAYS.

1.7 ALTERATIONS

A. Survey: Before any work is started, the Contractor shall make a thorough survey with the COR of areas of buildings in which alterations occur and areas which are anticipated routes of access, and furnish a

01 00 00 - 7 report, signed by both, to the Contracting Officer. This report shall list the following:

1. Shall note any discrepancies between drawings and existing conditions at site.

2. Shall designate areas for working space, materials storage and routes of access to areas within and around buildings where alterations occur and which have been agreed upon by Contractor and

COR.

B. Any items required by drawings to be either reused or relocated or both, found during this survey to be nonexistent, or in opinion of COR to be in such condition that their use is impossible or impractical, shall be furnished and/or replaced by Contractor with new items in accordance with specifications which will be furnished by Government.

Provided the contract work is changed by reason of this subparagraph B, the contract will be modified accordingly, under provisions of clause entitled "DIFFERING SITE CONDITIONS" (FAR 52.236-2) and "CHANGES" (FAR

52.243-4 and VAAR 852.236-88).

C. Protection: Provide the following protective measures:

1. Temporary protection against damage for portions of existing structures and grounds where work is to be done, materials handled and equipment moved and/or relocated.

1.8 DISPOSAL AND RETENTION

A. Materials and equipment accruing from work removed and from demolition of buildings or structures, or parts thereof, shall be disposed of as follows:

1. Reserved items which are to remain property of the Government are noted on drawings or in specifications as items to be stored. Items that remain property of the Government shall be removed or dislodged from present locations in such a manner as to prevent damage which would be detrimental to re-installation and reuse. Store such items where directed by COR.

01 00 00 - 8

2. Items not reserved shall become property of the Contractor and be removed by Contractor from Medical Center.

1.9 PROTECTION OF EXISTING VEGETATION, STRUCTURES, EQUIPMENT, UTILITIES, AND

IMPROVEMENTS

A. The Contractor shall preserve and protect all structures, equipment, and vegetation (such as trees, shrubs, and grass) on or adjacent to the work site, which are not to be removed and which do not unreasonably interfere with the work required under this contract. The Contractor shall only remove trees when specifically authorized to do so, and shall avoid damaging vegetation that will remain in place. If any limbs or branches of trees are broken during contract performance, or by the careless operation of equipment, or by workmen, the Contractor shall trim those limbs or branches with a clean cut and paint the cut with a tree-pruning compound as directed by the Contracting Officer.

B. The Contractor shall protect from damage all existing improvements and utilities at or near the work site and on adjacent property of a third party, the locations of which are made known to or should be known by the Contractor. The Contractor shall repair any damage to those facilities, including those that are the property of a third party, resulting from failure to comply with the requirements of this contract or failure to exercise reasonable care in performing the work. If the

Contractor fails or refuses to repair the damage promptly, the

Contracting Officer may have the necessary work performed and charge the cost to the Contractor.

1.10 RESTORATION

A. Remove, cut, alter, replace, patch and repair existing work as necessary to install new work. Except as otherwise shown or specified, do not cut, alter or remove any structural work, and do not disturb any ducts, plumbing, steam, gas, or electric work without approval of the

COR. Existing work to be altered or extended and that is found to be defective in any way, shall be reported to the COR before it is disturbed. Materials and workmanship used in restoring work, shall conform in type and quality to that of original existing construction, except as otherwise shown or specified.

B. Upon completion of contract, deliver work complete and undamaged.

Existing work disturbed or removed as a result of performing required

01 00 00 - 9 new work, shall be patched, repaired, reinstalled, or replaced with new work, and refinished and left in as good condition as existed before commencing work.

C. At Contractor's own expense, Contractor shall immediately restore to service and repair any damage caused by Contractor's workmen to existing piping and conduits, wires, cables, etc., of utility services or of fire protection systems and communications systems (including telephone) which are not scheduled for discontinuance or abandonment.

D. Expense of repairs to such utilities and systems not shown on drawings or locations of which are unknown will be covered by adjustment to contract time and price in accordance with clause entitled "CHANGES"

(FAR 52.243-4 and VAAR 852.236-88) and "DIFFERING SITE CONDITIONS" (FAR

52.236-2).

1.11 PHYSICAL DATA

A. Data and information furnished or referred to below is for the

Contractor's information. The Government shall not be responsible for any interpretation of or conclusion drawn from the data or information by the Contractor.

1. Government does not guarantee that other materials will not be encountered nor that proportions, conditions or character of several materials will not vary from those indicated. Bidders are expected to examine site of work and, after investigation, decide for themselves character of materials and make their bids accordingly.

1.12 PROFESSIONAL SURVEYING SERVICES - NOT USED

1.13 LAYOUT OF WORK – NOT USED

1.14 AS-BUILT DRAWINGS

A. The contractor shall maintain two full size sets of as-built drawings which will be kept current during construction of the project, to include all contract changes, modifications and clarifications.

B. All variations shall be shown in the same general detail as used in the contract drawings. To insure compliance, as-built drawings shall be made available for the COR review, as often as requested.

01 00 00 - 10

C. Contractor shall deliver two approved completed sets of as-built drawings in the electronic version (scanned PDF) to the COR within 15 calendar days after the acceptance of the project by the COR.

D. Paragraphs A, B, & C shall also apply to all shop drawings.

1.15 USE OF ROADWAYS

A. For hauling, use only established public roads and roads on Medical

Center property and, when authorized by the COR, such temporary roads which are necessary in the performance of contract work. Temporary roads shall be constructed and restoration performed by the Contractor at Contractor's expense. When necessary to cross curbing, sidewalks, or similar construction, they must be protected by well-constructed bridges.

1.16 RESIDENT ENGINEER'S FIELD OFFICE - NOT USED

1.17 TEMPORARY USE OF MECHANICAL AND ELECTRICAL EQUIPMENT – NOT USED

1.18 TEMPORARY USE OF EXISTING ELEVATORS – NOT USED

1.19 TEMPORARY USE OF NEW ELEVATORS – NOT USED

1.20 TEMPORARY TOILETS

A. Public restrooms will be NOT available for use during contract.

Contractor shall provide a portable restroom for use by Contract employees. Contractor shall not wash construction tools and equipment in any facility bathroom sinks/etc. The Tomah VA will provide outdoor water as needed for construction purposes. Contractor shall coordinate with COR.

1.21 AVAILABILITY AND USE OF UTILITY SERVICES

A. The Government shall make all reasonably required amounts of utilities available to the Contractor from existing outlets and supplies, as specified in the contract. The Contractor shall carefully conserve any utilities furnished without charge.

B. Electricity (for Construction and Testing):

1. Obtain electricity by connecting to the Medical Center electrical distribution system. Electricity for all uses is available at no cost to the Contractor.

C. Water (for Construction and Testing):

01 00 00 - 11

1. Obtain water by connecting to the Medical Center water distribution system. Provide reduced pressure backflow preventer at each connection as per code. Water is available at no cost to the

Contractor.

2. Maintain connections, pipe, fittings and fixtures and conserve water-use so none is wasted. Failure to stop leakage or other wastes will be cause for revocation (at COR discretion) of use of water from Medical Center's system.

1.22 NEW TELEPHONE EQUIPMENT – NOT USED

1.23 TESTS – NOT USED

1.24 INSTRUCTIONS – NOT USED

1.25 GOVERNMENT-FURNISHED PROPERTY – NOT USED

1.26 RELOCATED ITEMS – NOT USED

1.27 STORAGE SPACE FOR DEPARTMENT OF VETERANS AFFAIRS EQUIPMENT – NOT USED

1.28 CONSTRUCTION AND SAFETY SIGN(S)

Contractor shall install all construction barrier fencing and associated construction and safety signage. Barrier shall be of at least 48-inch-tall, orange plastic safety barrier fence attached to stakes at a maximum of 15 feet O.C. All construction equipment, tools, materials, vehicles and associated supplies shall remain behind above barrier fence at all times. Construction and safety signage to be attached at a maximum of 50 feet O.C. to said construction barriers.

1.29 PHOTOGRAPHIC DOCUMENTATION – NOT USED

1.30 FINAL ELEVATION DIGITAL IMAGES – NOT USED

1.31 HISTORIC PRESERVATION – NOT USED

- - - E N D - - -

01 01 10 - 1

INFECTION CONTROL

SECTION 01 01 10 - IC

DESCRIPTION

A. Infection Control is critical in all medical center facilities.

Interior construction activities causing disturbance of existing dust, or creating new dust, must be conducted within ventilation-controlled areas that minimize the flow of airborne particles into patient areas.

B. An AHA associated with infection control will be performed by VA personnel in accordance with FGI Guidelines (i.e. Infection Control Risk

Assessment (ICRA)). Reference Exhibits A & B at the end of this

Section. The ICRA procedure in Section 01 01 10 – IC INFECTION CONTROL, will be utilized. Risk classifications of Class II or lower will require approval by the COR or Government Designated Authority before beginning any construction work. Risk classifications of Class III or higher will require a permit before beginning any construction work.

Infection Control permits will be issued/coordinated by the Resident

Engineer. The Infection Control Permits shall be posted outside the appropriate construction area. More than one permit may be issued for a construction project if the work is located in separate areas requiring separate classes. The primary project scope area for this project are as follows: NON-PATIENT AREAS, BUILDING 400: Construction Project Type – D, Patient Risk Group - LOW, Class of Precautions – III & IV. Work outside the primary project scope area may vary. The required infection control precautions with each class are stated in Section 01 01 10 – IC

Infection Control. Barriers shall be erected as required based upon classification.

C. This section specifies the control of environmental infection control and risk assessment that the Contractor must consider for construction & renovation projects in the medical facility. It includes Precautionary management of, Inspections and Non-invasive activities, small scale, short duration activities that create minimal dust. Major demolition and construction projects that generate a moderate to high levels of dust. Movement of materials and equipment, and resources that are encountered or generated by the Contractor. The Contractor is obligated to consider the specified control measures with the costs included within the various contract items of work. An Infection Control Risk

01 01 10 - 2

Assessment Matrix of Precautions for construction and renovation for activities follows.

B. Infection Control Risk and damage is defined as the presence of chemical, physical, or biological elements or agents which:

1. Adversely effect human health or welfare,

2. Unfavorably alter ecological balances of importance to human life, TYPE A

Inspection and Non-Invasive Activities.

Includes, but is not limited to:

removal of ceiling tiles for visual inspection limited to 1 tile per 50 square feet painting (but not sanding) wall covering, electrical trim work, minor plumbing, and activities which do not generate dust or require cutting of walls or access to ceilings other than for visual inspection.

TYPE B

Small scale, short duration activities which create minimal dust Includes, but is not limited to:

installation of telephone and computer cabling access to chase spaces cutting of walls or ceiling where dust migration can be controlled.

TYPE C

Work that generates a moderate to high level of dust or requires demolition or removal of any fixed building components or assemblies Includes, but is not limited to:

sanding of walls for painting or wall covering removal of floor coverings, ceiling tiles and casework new wall construction minor duct work or electrical work above ceilings major cabling activities any activity that cannot be completed within a single work shift.

TYPE D

Major demolition and construction projects Includes, but is not limited to:

activities which require consecutive work shifts requires heavy demolition or removal of a complete cabling system new construction.

01 01 10 - 3

Using the following table, identify the Patient Risk Groups that will be affected. If more than one risk group will be affected, select the higher risk group:

Low Risk Medium Risk High Risk Highest Risk

Office areas

Cardiology Echocardiograp hy Endoscopy Nuclear

Medicine Physical

Therapy Radiology/MRI Respiratory

Therapy

CCU

Emergency Room Labor & Delivery Laboratories

(specimen) Newborn Nursery Outpatient

Surgery Pediatrics Pharmacy Post Anesthesia

Care Unit Surgical Units

Any area caring for immunocompromised patients

Burn Unit Cardiac Cath Lab Central Sterile

Supply Intensive Care

Units Medical Unit Negative pressure isolation rooms Oncology Operating rooms including C-section rooms

C. Match the Patient Risk Group with Construction Project Type on the following matrix to determine the level of infection control activities required.

Patient Risk Group (Low, Medium, High, Highest) with the planned… Construction Project Type (A, B, C, D) on the following matrix, to find the… Class of Precautions (I, II, III or IV) or level of infection control activities required.

1) Infection Control approval will be required when the Construction

Activity and Risk Level indicate that Class III or Class IV control procedures are necessary. Contact the VA Project engineer and the infection control officer before proceeding.

IC Matrix - Class of Precautions: Construction Project by Patient Risk

Construction Project Type

Patient Risk Group TYPE A TYPE B TYPE C TYPE D

LOW Risk Group I II II III/IV

MEDIUM Risk Group I II III IV

HIGH Risk Group I II III/IV IV

HIGHEST Risk Group II III/IV III/IV IV

01 01 10 - 4

D. Description of Required Infection Control Precautions by Class

During Construction Project Upon Completion of Project

C L A S S

I

1. Execute work by methods to minimize raising dust from construction operations.

2. Immediately replace a ceiling tile displaced for visual inspection.

3. Negative pressure rooms are to be entered while unoccupied.

Contractor will contact NM prior to entry to ensure that the room is not in use.

4. Contractor will wear appropriate Personal Protection Equipment when entering patient rooms that require Transmission Based Precautions as outlined on the sign outside the patient’s room.

1. Clean work upon completion of task: major cleaning will be completed by EMS/SPS.

Maintenance and contractor should remove any obvious debris generated by their work.

C L A S S

1. Provide active means to prevent airborne dust from dispersing into atmosphere.

2. Water mist work surfaces to control dust while cutting.

3. Seal unused doors with duct tape.

4. Block off and seal air vents.

5. Place dust mat at entrance and exit of work area

6. Remove or isolate HVAC system in areas where work is being performed.

7. Follow VHA Directive 1061 when installing new piping and distribution system components by flushing debris and disinfecting new piping and distribution system components prior to placing the system in service.

1. Wipe work surfaces with disinfectant.

2. Contain construction waste before transport in tightly covered containers.

3. Wet mop and/or vacuum with HEPA filtered vacuum before leaving work area.

4. Remove isolation of HVAC system in areas where work is being performed.

01 01 10 - 5

C L A S S

I

1. *Remove or Isolate HVAC system in area where work is being done to prevent contamination of duct system.

2. Complete all critical barriers i.e. sheetrock, plywood, plastic, to seal area from non-work area or implement control cube method (cart with plastic covering and sealed connection to work site with HEPA vacuum for vacuuming prior to exit) before construction begins.

3. Maintain negative air pressure within work site utilizing HEPA equipped air filtration units.

4. Contain construction waste before transport in tightly covered containers.

5. Cover transport receptacles or carts. Tape covering unless solid lid.

* Use window for negative HEPA air exhaust when accessible. Obtain V.A, resident engineer approval for exhausting into existing exhaust ductwork.

1. Do not remove barriers from work area until completed project is inspected by the owner’s Safety Department and Infection Control Department and thoroughly cleaned by the owner’s Environmental Services Department.

2. Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.

3. Vacuum work area with HEPA filtered vacuums.

4. Wet mop area with disinfectant.

5. Remove isolation of HVAC system

01 01 10 - 6

L A S S

V

1. Isolate HVAC system in area where work is being done to prevent contamination of duct system.

2. Complete all critical barriers i.e. sheetrock, plywood, plastic, to seal area from non-work area or implement control cube method (cart with plastic covering and sealed connection to work site with HEPA vacuum for vacuuming prior to exit) before construction begins.

3. Maintain negative air pressure within work site utilizing HEPA equipped air filtration units.

4. Seal holes, pipes, conduits, and punctures appropriately.

5. Construct anteroom and require all personnel to pass through this room so they can be vacuumed using a HEPA vacuum cleaner before leaving work site or they can wear cloth or paper coveralls that are removed each time they leave the work site.

6. All personnel entering work site are required to wear shoe covers.

Shoe covers must be changed each time the worker exits the work area.

7. Do not remove barriers from work area until completed project is inspected by the owner’s Safety Department and Infection Control Department and thoroughly cleaned by the owner’s Environmental Services Department.

1. Remove barrier material carefully to minimize spreading of dirt and debris associated with construction.

2. Contain construction waste before transport in tightly covered containers.

3. Cover transport receptacles or carts. Tape covering unless solid lid

4. Vacuum work area with HEPA filtered vacuums.

5. Wet mop area with disinfectant.

6. Remove isolation of HVAC system

E. Identify the area surrounding the project area, assessing potential impact.

01 01 10 - 7

Step 4. Identify the areas surrounding the project area, assessing potential impact

Unit Below Unit Above Lateral Lateral Behind Front

Risk Group Risk Group Risk Group Risk Group

Risk Group

Risk Group

Step 5. Identify specific site of activity eg, patient rooms, medication room, etc.

Step 6. Identify issues related to: ventilation, plumbing, electrical in terms of the occurrence of probable outages.

Step 7. Identify containment measures, using prior assessment. What types of barriers? (Eg, solids wall barriers); Will HEPA filtration be required?

(Note: Renovation/construction area shall be isolated from the occupied areas during construction and shall be negative with respect to di ) Step 8. Consider potential risk of water damage. Is there a risk due to compromising structural integrity? (eg, wall, ceiling, roof)

Step 9. Work hours: Can or will the work be done during non-patient care hours?

Steps 1-3 Adapted with permission V Kennedy, B Barnard, St Luke Episcopal Hospital, Houston TX ; C Fine, CA

Steps 4-14 Adapted with permission Fairview University Medical Center, Minneapolis MN by ECSI Inc 2001 Forms modified and provided courtesy of

Step 11. Do the plans allow for the required number & type of handwashing sinks?

Step 13. Does the infection control staff agree with the plans relative to clean and soiled utility rooms?

Step 12. Does the infection control staff agree with the minimum number of sinks for this project? (Verify against AIA Guidelines for types and area)

Step 14. Plan to discuss the following containment issues with the project team. Eg, traffic flow, housekeeping, debris removal (how and when)

01 01 10 - 8

Appendix: Identify and communicate the responsibility for project monitoring that includes infection control concerns and risks. The ICRA may be modified throughout the project Revisions must be communicated to the Project Manager.

01 01 10 - 9

Infection Control Construction Permit

Permit No:

Location of Construction: Project Start Date:

Project Coordinator: Estimated Duration:

Contractor Performing Work Permit Expiration Date:

Supervisor: Telphone:

YES NO CONSTRUCTION ACTIVITY YE

NO INFECTION CONTROL, RISK

TYPE A: Inspection, non-invasive

GROUP 1: Low Risk TYPE B: Small scale, short

GROUP 2: Medium Risk moderate to high levels TYPE C: Activity generates

GROUP 3: Medium/high Risk dust, re Lures eater 1 work

TYPE. D: Major duration arid

GROUP 4: Highest Risk

Requiring consecutive work

CLASS I 1. Execute work by methods to

3. Minor Demolition for construction operations.

2. Immediately replace any ceiling inspection.

CLASS

1, Provides active means to

6. Contain construction waste dispersing into atmosphere covered containers.

2. Water mist work surfaces to

7. Wet mop and/or vacuum with

3. Seal unused doors with duct before leaving work area.

4. Block off and seal air vents. S. Place dust mat at entrance

S. Wipe surfaces with

9. Remove or isolate HVAC system is being performed.

1. Obtain infection control pennit

6. Vacuum work with HEPA

CLASS

2. Isolate HVAC system in area

7. Wet mop with disinfectant prevent contamination of the

S. Remove barrier materials

3. Complete all critical barriers spreading of dirt and debris method before construction construction.

9. Contain construction waste

Date 4. Maintain negative air pressure tightly covered containers.

Initial HEPA equipped air filtration

10. Cover transport receptacles

S Do not remove barriers from

11 Remove or isolate HVAC system project is thoroughly cleaned is being performed/

l. Obtain infection control permit

7. All personnel entering work Class

2. Isolate HVAC= system in area shoe covers prevent contamination of duct

S. Do not remove barriers from

3. Complete all critical barriers project is thoroughly cleaned method before construction

Service Dept.

Date 4. Maintain negative air pressure

9. Vacuum work area with HEPA

HEPA equipped air filtration

10. Wet mop with disinfectant.

Initial 5. Seal holes, pipes, conduits,

11. Remove barrier materials

6. Construct anteroom and require spreading of dirt and debris through this room so they can construction.

vacuum cleaner before leaving

12. Contain construction waste cloth or paper coveralls that covered containers.

leave the work site. 13. Cover transport receptacles

14. Remove or isolate HVAC system bein done.

Additional Requirements:

Exceptions/Additions to

Date Initials Initials are noted b attached Permit Request By: Permit Authorized By:

Date: Dat e:

01 01 10 - 10

F. Apply Life Safety and standards (APIC) and the following criteria would need to be assured in order to maintain the supply air side open during Class 4 construction activity:

1) The air supply is 100% fresh air and the site and adjacent areas can be kept under negative pressure at all times.

2) There is no re circulated air in this section

3) There is no duct work involved in this section of the demolition

4) The site can never be positive to the adjacent areas (i.e.

keep the negative air machines on at all times or for 1-2 hours post site work until the negative action can be maintained.

5) A log is maintained to document that the negative pressure is checked and has been maintained during those hours when the negative air machines are turned off. (An alarmed device is recommended for this purpose and should be maintained and monitored by the construction personnel).

PART 2 - PRODUCTS, MATERIALS AND EQUIPMENT

2.1 MATERIALS AND EQUIPMENT

A. All materials shall be delivered in their original package, container or bundle bearing the name of the manufacturer and the brand name (where applicable). When transporting new materials & equipment though the hospital use 4 mil Poly sheeting encasing materials, tools and equipment or use a totally enclosed cart.

B. Store all materials subject to damage off the ground, away from wet or damp surfaces and under cover sufficient enough to prevent damage or contamination. Flammable materials cannot be stored inside buildings. Replacement materials shall be stored outside of the regulated/work area until construction is completed.

C. The Contractor shall not block or hinder use of buildings by patients, staff, and visitors to the VA in partially occupied buildings by placing materials/equipment in any unauthorized place.

01 01 10 - 11

D. The Competent Person shall inspect for damaged, deteriorating or previously used materials. Such materials shall not be used and shall be removed from the worksite and disposed of properly.

E. Demolition materials must be transported in totally enclosed containers.

1) Demolition on above ground floors may use a window debris chute to convey materials to an enclosed dumpster that provides dust and noise control. The contractor is responsible to maintain the original appearance of the building fascia.

2.1.2 NEGATIVE PRESSURE FILTRATION SYSTEM

The Contractor shall provide enough negative air machines to completely exchange the regulated area air volume 4 actual times per hour. The Competent Person shall determine the number of units needed for each regulated area by dividing the cubic feet in the regulated area by 15 and then dividing that result by the actual cubic feet per minute (cfm) for each unit to determine the number of units needed to effect 4 air changes per hour. Provide a standby unit in the event of machine failure and/or emergency in an adjacent area.

2.1.3 DESIGN AND LAYOUT

Before start of work submit the design and layout of the regulated area and the negative air machines, type of construction barriers to be used. The submittal shall indicate the number of, location of and size of negative air machines and exhaust route & location of the windows to be used. The point(s) of exhaust, air flow within the regulated area, anticipated negative pressure differential, and supporting calculations for sizing shall be provided. In addition, submit the following:

1) Manufacturer's information on the negative air machine(s).

2) Method of supplying power to the units and designation/location of the panels.

3) Description of testing method(s) for correct air volume and pressure differential. Provide manufacturer's product data on the pressure differential measuring device used.

01 01 10 - 12

4) If auxiliary power supply is to be provided for the negative air machines, provide a schematic diagram of the power supply and manufacturer's data on the generator and switch.

5) Location of isolation negative air pressure monitor.

2.1.4 NEGATIVE AIR MACHINES

A. Negative Air Machine Cabinet: The cabinet shall be constructed of steel or other durable material capable of withstanding potential damage from rough handling and transportation. The width of the cabinet shall be less than 30" in order to fit in standard doorways. The cabinet must be factory sealed to prevent dust from being released during use, transport, or maintenance. Any access to and replacement of filters shall be from the inlet end.

The unit must be on casters or wheels.

B. Negative Air Machine Fan: The rating capacity of the fan must the air moving capacity under actual operating conditions.

Manufacturer's typically use "free-air" (no resistance) conditions when rating fans. The fan must be a centrifugal type fan.

C. Negative Air Machine Final Filter:

1) When exhausting directly to the outside from a window or penetration the filter shall be a minimum MERV 8 pleated filter media completely sealed on all edges within a structurally rigid frame.

2) When exhausting to a exhaust duct: the final filter shall be a

HEPA filter. The filter media must be completely sealed on all edges within a structurally rigid frame. The filter shall align with a continuous flexible gasket material in the negative air machine housing to form an air tight seal. Each

HEPA filter shall be individually tested and certified by the manufacturer to have an efficiency of not less than 99.97% when challenged with 0.3 m dioctylphthalate (DOP) particles.

Testing shall have been done in accordance with Military

Standard MIL- STD-282 and Army Instruction Manual 136-300-

175A. Each filter must bear a UL586 label to indicate ability to perform under specified conditions. Each filter shall be marked with the name of the manufacturer, serial number, air

01 01 10 - 13 flow rating, efficiency and resistance, and the direction of test air flow.

D. Negative Air Machine Pre-filters: The pre-filters, which protect the final HEPA filter by removing larger particles, are required to prolong the operating life of the HEPA filter. Two stages of pre-filtration are required. A first stage pre-filter shall be a low efficiency type for particles 10 m or larger. A second stage pre-filter shall have a medium efficiency effective for particles down to 5 m or larger. Pre-filters shall be installed either on or in the intake grid of the unit and held in place with a special housing or clamps.

E. Negative Air Machine Safety and Warning Devices: An electrical/ mechanical lockout must be provide to prevent the fan from being operated without a HEPA filter. Units must be equipped with an automatic shutdown device to stop the fan in the event of a rupture in the HEPA filter or blockage in the discharge of the fan. Warning lights are required to indicate normal operation;

too high a pressure drop across filters; or too low of a pressure drop across filters.

F. Negative Air Machine Electrical: All electrical components shall be approved by the National Electrical Manufacturer's Association

(NEMA) and Underwriter's Laboratories (UL). Each unit must be provided with overload protection and the motor, fan, fan housing, and cabinet must be grounded.

2.1.5 PRESSURE DIFFERENTIAL

The fully operational negative air system within the regulated area shall continuously maintain a pressure differential of -

0.02" water column. Before any disturbance of any material or building system, this shall be demonstrated to the VA by use of a pressure differential meter as required by OSHA 29 CFR

1926.1101(e)(5)(i). Provide where shown TriaTek Isolation monitors during Class 3 or Class 4 Construction Operations.

Extend JCI Pegasys System for MIRL construction doors. Provide electronic locks as required per construction door. The Competent

Person shall be responsible for providing and maintaining the negative pressure and air changes as required by OSHA and this specification.

01 01 10 - 14

2.1.9 TESTING THE SYSTEM

The negative pressure system must be tested before any disturbance. After the regulated area has been completely prepared, the decontamination units set up, and the negative air machines installed, start the units up one at a time. Demonstrate and document the operation and testing of the negative pressure system to the VA using smoke tubes and a negative pressure gauge.

Testing must also be done at the start of each work shift.

2.1.10 DEMONSTRATION OF THE NEGATIVE AIR PRESSURE SYSTEM

The demonstration of the operation of the negative pressure system to the VA shall include, but not be limited to, the following:

A. Contractor to install Triatek (Web site www.Ttk.com) negative air isolation monitoring stations at the sites access doors or at opposite sides of the construction area check with resident engineer for # of units and location.

B. Curtains of the decontamination units move in toward regulated area.

C. Use smoke tubes to demonstrate air is moving air across all areas in which work is to be done.

D. Plastic barriers and sheeting move lightly in toward the regulated area.

2.1.11 USE OF SYSTEM DURING CONSTRUCTION OPERATIONS

A. Start units before beginning any disturbance occurs. After work begins, the units shall run continuously, maintaining 4 actual air changes per hour at a negative pressure differential of 5.0

Pa (-0.02") water column, for the duration of the work until a final visual clearance and final air clearance has been completed.

B. The negative air machines shall not be shut down for the duration of the project unless authorized by the VA, in writing.

C. Construction work shall begin at a location closest from the units and proceed away from them. If an electric failure occurs, the Competent Person shall stop all work and not resume until power is restored and all units necessary are operating properly again.

01 01 10 - 15

D. The negative air machines shall continue to run after all work is completed and until a final visual clearance and a final air, clearance has been completed for that regulated area.

2.2 CONTAINMENT BARRIERS AND COVERINGS IN THE REGULATED AREA

2.2.1 GENERAL

A. Seal off the perimeter to the regulated area to completely isolate the regulated area from adjacent spaces. All surfaces in the regulated area must be covered to prevent contamination and to facilitate clean-up. Should adjacent areas become contaminated, immediately stop work and clean up the contamination at no additional cost to the Government.

2.2.3 CONTROLLING ACCESS TO THE REGULATED AREA

A. Access to the regulated area is allowed only through the personnel decontamination facility (PDF). All other means of access shall be eliminated and OSHA warning signs posted as required by OSHA. If the regulated area is adjacent to or within view of an occupied area, provide a visual barrier of opaque fire retardant poly sheeting at least 4 mils thick to prevent building occupant observation. If the adjacent area is accessible to the public, the barrier must be solid and capable of withstanding the negative pressure.

2.2.4 CRITICAL BARRIERS

A. Completely separate the regulated area from adjacent areas using fire retardant poly at least 4 mils thick and duct tape.

Individually seal with two layers of 6 mil poly and duct tape all

HVAC openings, cap off exhaust into the regulated area.

Individually seal all lighting fixtures, clocks, doors, windows, convectors, speakers, or any other objects in the regulated area.

Use care with hot/warm surfaces see fig 1.

2.2.5 PRIMARY BARRIERS

A. Temporary Construction Partitions:

1. Install and maintain temporary construction partitions to provide separations between construction areas and adjoining areas. Construct partitions of gypsum board or treated plywood

(flame spread rating of 25 or less in accordance with ASTM

E84) on one side of wood or metal steel studs. Seal with one

01 01 10 - 16 layers of 4 mil poly for a vapor barrier under gypsum or plywood. Extend the Poly through suspended ceilings to floor slab or roof. Seal penetrations at door openings, install tight-fitting VA supplied construction doors with self-closing devices see fig. 2 for barrier construction.

2.2.6 CONTRACTOR SPILL RESPONSE KIT

A. The kit should include the following:

1. Shop Vacuum.

2. Multi-Purpose Spill Control Sorbents to absorb non-aggressive liquids up to 30 gallons.

3. Sorbents pillows.

4. Pipe leak clamps for copper & steel pipe in sufficient size range and quantity base on project piping scope.

5. Bucket & mop and water resistant duct tape.

SEAL WITH DUCT

TAPE. ALL SIDES

DOOR

BEYOND

SEAL ALL CRACKS

WITH DUCT TAPE & 6

MIL POLY CRITCAL

BARRIER OVER

DOORS & WINDOWS.

CRITICAL BARRIER PREP INSTALLATION

6 MIL POLY

EQUIPMENT OR

FURNISHING

6 MIL POLY

WALL OPENING

CRITICAL BARRIER

NOT TO SCALE:

FLOOR

CEILING

WALL PROTRUSION

SEAL WITH DUCT

TAPE ALL SIDES.

6 MIL POLY CRITICAL

BARRIER CEILING

PENETRATION

SEAL ALL CRACKS

WITH DUCT 6 MIL

POLY CRITCAL

BARRIER OVER

WINDOWS.

WINDOW

NOTE…