Amendment 4 Update to Prebid Questions Plans and Specifications pages 1 to 26.pdf

INFECTION CONTROL NOTES

INFECTION CONTROL GENERAL NOTES:

1. ISOLATE EXISTING HVAC SYSTEM IN AREAS WHERE WORK IS TO BE PERFORMED. ALL AIR

VENTS MUST BE SEALED OFF NEAR THE CONSTRUCTION AREA AS REQUIRED AFTER

COORDINATION WITH COR TO ENSURE NON-INTERFERENCE WITH HVAC AND NEGATIVE

PRESSURE SYSTEMS. DUST TO BE CONTROLLED WITHIN THE WORK SITE FROM FLOOR

TO DECK.

2. TRAFFIC CONTROL: DESIGNATED ENTRY AND EXIT PROCEDURES WILL BE DEFINED AND

CLEARLY ARTICULATED WITH CONSTRUCTION SIGNAGE TO BE PROVIDED BY THE

CONTRACTOR. ALL EGRESS WAYS MUST BE MAINTAINED FREE OF DEBRIS AT ALL TIMES.

THEY MUST BE UTILIZED AT SCHEDULED TIMES ONLY AS COORDINATED WITH COR. DUST

MATS MUST BE PLACED AT ENTRANCES/EXITS OF WORK AREA AND REPLACED DAILY OR

MORE FREQUENTLY IF NECESSARY. DEBRIS WHEN TRANSPORTED THROUGH HOSPITAL

AREAS MUST BE COMPLETELY TIGHTLY COVERED TO CONTAIN DUST DURING

TRANSPORT. DEBRIS SHALL BE REMOVED IN EVENINGS OR NON-DUTY TIMES IF POSSIBLE.

ALL CART WHEELS MUST BE CLEANED BEFORE LEAVING THE CONSTRUCTION AREA.

3. CLEANING: THE CONSTRUCTION ZONE AND ADJACENT ENTRY AREA SHALL BE

MAINTAINED IN A CLEAN AND SANITARY MANNER BY THE CONTRACTOR AND WILL BE HIGH

EFFICIENCY PARTICULATE AIR (HEPA) VACUUMED AND WET MOPPED WITH DISINFECTANT

DAILY OR MORE FREQUENTLY AS NEEDED TO MINIMIZE DUST GENERATION. CLOTHING

SHALL BE FREE OF LOOSE SOIL AND DEBRIS UPON EXITING THE CONSTRUCTION ZONE.

PROVIDE PERSONAL PROTECTIVE EQUIPMENT, INCLUDING FACE SHIELDS, GLOVES, AND

N95 RESPIRATORS REQUIRED BY THE SAFETY SPECIFICATION.

4. INFECTION CONTROL CONSTRUCTION PERMIT: CONTRACTOR TO OBTAIN INFECTION

CONTROL PERMIT BEFORE CONSTRUCTION BEGINS.

5. STAGING AREAS WILL BE DESIGNATED BY THE COR. CONTRACTOR TO COORDINATE WITH

THE COR PRIOR TO CONSTRUCTION.

6. THE CONTRACTOR SHALL COORDINATE WITH RISK ASSESSMENT DOCUMENTATION AND

THE COR PRIOR TO IMPLEMENTATION.

7. CONTRACTOR TO PROVIDE PROTECTION ABOVE CEILING WITHIN THE CONTAINMENT AREA,

IF EXISTING WALLS AND/OR PARTITIONS DO NOT EXTEND TO THE STRUCTURE ABOVE.

8. COORDINATE WITH MEP/FP.

9. ICRA PLANS DENOTE TOTAL DEFINED AREAS OF WORK ON ALL AFFECTED LEVELS. THE VA

MAY, BASED ON DYNAMIC UNFORESEEN VARIABLES (PATIENT CENSUS, OTHER PROJECTS, ETC.), REQUIRE THE GENERAL CONTRACTOR TO MODIFY EXTENTS AND AREA SIZES OF ICRA

BARRIERS. ANY SUCH MODIFICATION WILL REQUIRE THE SAME REQUISITE PROVISIONS REQUIRING

CONTAINMENT (ANTE ROOM, WALK-OFF MATS, ETC.) AIR-PRESSURIZATION CRITERIA, AND

IDENTIFICATION AS NOTED ON SHEET GI-103 TO GI-106.

ENVIRONMENTAL CONTROLS:

TYPE OF CONSTRUCTION ACTIVITY - TYPE C:

WORK THAT GENERATES MODERATE TO HIGH LEVEL OF DUST OR REQUIRES DEMOLITION OR

REMOVAL OF ANY FIXED BUILDING COMPONENTS OR ASSEMBLIES.

INCLUDES, BUT IT NOT LIMITED TO:

• SANDING OF WALLS FOR PAINTING FOR 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 WHICH CANNOT BE COMPLETED WITHIN A SINGLE WORKSHIFT.

INFECTION CONTROL PRECAUTIONS FOR CLASS II

DURING CONSTRUCTION PROJECT:

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.

UPON COMPLETION OF PROJECT:

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.

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Romanyk Consulting Focusing on what matters

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ARCHITECT/ENGINEER OF RECORDCONSULTANT

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Romanyk Consulting Corp. www.romanykconsulting.com 3308 Preston Road, Suite 350-164, Plano, Texas 75093

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

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ICRA DETAILS

MAY 27, 2025

657-21-114JC100% BID DOCUMENTS CORRECT HVAC SYSTEMS FOR

VHA DIRECTIVE 1116 (2)

JB MR

657 - ST. LOUIS, MO

915 NORTH GRAND BLVD., ST. LOUIS, MO 63106

01-GI-102

Revisions: Date:

Amendment #1 05/27/2025 c

High

IV

©2022 American Society for Health Care Engineering of the American Hospital Association

Infection Control Risk Assessment 2.0 Matrix of Precautions for Construction, Renovation and Operations

Step One:

Using Table 1, Identify the Activity Type (A-D).

Table 1 - Activity Type:

Type A

Inspection and non-invasive activities.

Includes but is not limited to:

Removal of ceiling tile for visual inspection-limited to 1 tile per 50 square feet with limited exposure time.

Limited building system maintenance (e.g., pneumatic tube station, HVAC system, fire suppression system, electrical and carpentry work to include painting without sanding) that does not create dust or debris.

Clean plumbing activity limited in nature.

Type B

Small-scale, short duration activities that create minimal dust and debris.

Includes but is not limited to:

Work conducted above the ceiling (e.g., prolonged inspection or repair of firewalls and barriers, installation of conduit and/or cabling, and access to mechanical and/or electrical chase spaces).

Fan shutdown/startup.

Installation of electrical devices or new flooring that produces minimal dust and debris.

The removal of drywall where minimal dust and debris is created.

Controlled sanding activities (e.g., wet or dry sanding) that produce minimal dust and debris.

Type C

Large-scale, longer duration activities that create a moderate amount of dust and debris.

Includes but is not limited to:

Removal of preexisting floor covering, walls, casework or other building components.

New drywall placement.

Renovation work in a single room.

Non-existing cable pathway or invasive electrical work above ceilings.

The removal of drywall where a moderate amount of dust and debris is created.

Dry sanding where a moderate amount of dust and debris is created.

Work creating significant vibration and/or noise.

Any activity that cannot be completed in a single work shift.

Type D

Major demolition and construction activities.

Includes but is not limited to:

Removal or replacement of building system component(s).

Removal/installation of drywall partitions.

Invasive large-scale new building construction.

Renovation work in two or more rooms.

TYPE C

Step Two:

Using Table 2, identify the Patient Risk Group(s) that will be affected. If more than one risk group will be affected, select the higher risk group.

Table 2 - Patient Risk Group:

Low Risk

Non-patient care areas such as:

Medium Risk

Patient care support areas such as:

High Risk

Patient care areas such as:

Highest Risk

Procedural, invasive, sterile support and highly compromised patient care areas such as:

Public hallways and gathering areas not on clinical units.

Office areas not on clinical units.

Breakrooms not on clinical units.

Bathrooms or locker rooms not on clinical units.

Mechanical rooms not on clinical units.

EVS closets not on clinical units.

Waiting areas.

Clinical engineering.

Materials management.

Sterile processing department - dirty side.

Kitchen, cafeteria, gift shop, coffee shop, and food kiosks.

Patient care rooms and areas

All acute care units

Emergency department

Employee health

Pharmacy - general work zone

Medication rooms and clean utility rooms

Imaging suites:

diagnostic imaging

Laboratory.

All transplant and intensive care units.

All oncology units.

OR theaters and restricted areas.

Procedural suites.

Pharmacy compounding.

Sterile processing department

- clean side.

Transfusion services.

Dedicated isolation wards/units.

Imaging suites: invasive imaging.

Step Three:

Match the Patient Risk Group (Low, Medium, High, Highest) from Step Two with the planned Construction Activity Project Type (A, B, C, D) from Step One using Table 3 to find the Class of Precautions (I, II, III, IV or V) or level of infection control activities required. The activities are listed in Table 5 – Minimum Required Infection Control Precautions by Class.

Table 3 - Class of Precautions:

Construction Project Type

Patient Risk Group TYPE A TYPE B TYPE C TYPE D

LOW Risk Group I II II III*

MEDIUM Risk Group I II III* IV

HIGH Risk Group I III IV V

HIGHEST Risk Group III IV V V

Infection control permit and approval will be required when Class of Precautions III (Type C) and all Class of Precautions IV or V are necessary.

Environmental conditions that could affect human health, such as sewage, mold, asbestos, gray water and black water will require Class of Precautions IV for LOW and MEDIUM Risk Groups and Class of Precautions V for HIGH and HIGHEST Risk Groups.

*Type C [Medium Risk groups] and Type D [Low Risk Groups] work areas [Class III precautions] that cannot be sealed and completely isolated from occupied patient care spaces should be elevated to include negative air exhaust requirements as listed in Class IV Precautions.

HIGH

TYPE C IV

Step Four:

Assess potential risk to areas surrounding the project. Using Table 4, identify the surrounding areas that will be affected and the type of impact that will occur. If more than one risk group will be affected, select the higher risk group using Table 2 - Patient Risk Group.

Table 4 - Surrounding Area Assessment

Unit Below: Unit Above: Unit Lateral: Unit Behind: Unit in Front:

Risk Group: Risk Group: Risk Group: Risk Group: Risk Group:

Contact: Contact: Contact: Contact: Contact:

Phone: Phone: Phone: Phone: Phone:

Additional Controls:

Noise Vibration Dust control Ventilation Pressurization Vertical Shafts Elevators/Stairs

Systems impacted:

Data Mechanical Med Gases Hot/Cold Water

Additional Controls:

Noise Vibration Dust control Ventilation Pressurization Vertical Shafts Elevators/Stairs

Systems impacted:

Data Mechanical Med Gases Hot/Cold Water

Additional Controls:

Noise Vibration Dust control Ventilation Pressurization Vertical Shafts Elevators/Stairs

Systems impacted:

Data Mechanical Med Gases Hot/Cold Water

Additional Controls:

Noise Vibration Dust control Ventilation Pressurization Vertical Shafts Elevators/Stairs

Systems impacted:

Data Mechanical Med Gases Hot/Cold Water

Additional Controls:

Noise Vibration Dust control Ventilation Pressurization Vertical Shafts Elevators/Stairs

Systems impacted:

Data Mechanical Med Gases Hot/Cold Water

Noise & Vibration Mitigation Strategies Use diamond drills instead of powder-actuated fasteners.

Schedule noise-making periods with adjacent spaces.

Use beam clamps instead of shot.

Prefab where possible.

Use tin snips to cut metal studs instead of using a chop saw.

Install metal decking with vent tabs, then use cellular floor deck hangers.

Consider compression style fittings instead of soldering, brazing or welding.

Wet core drill instead of dry core or percussion.

Instead of jackhammering concrete, use wet diamond saws.

Use HEPA vacuums instead of standard wet/dry vacuums.

Use mechanical joining system sprinkler fittings instead of threaded.

Where fumes are tolerated, use chemical adhesive remover (flooring glue) instead of mechanical.

To remove flooring, consider abrasive blasting instead of using a floor scraper.

Use electric sheers instead of reciprocating saw for ductwork cutting.

Install exterior man/material lifts.

Ventilation & Pressurization Mitigation Strategies

HEPA to exterior.

Install temporary ductwork.

Utilize temporary HVAC equipment.

Vacate the area.

Install temporary partitions.

Use carbon filtration to filter odors.

Impact to Other Systems Mitigation Strategies

Schedule outages.

Provide temporary systems.

Back-feed electricity or medical gases.

x x x x x x x x

Table 5 - Minimum Required Infection Control Precautions by Class | Before and During Work Activity

Class of Precautions

Mitigation Activities (Performed Before and During Work Activity)

Class I 1. Perform noninvasive work activity as to not block or interrupt patient care.

2. Perform noninvasive work activities in areas that are not directly occupied with patients.

3. Perform noninvasive work activity in a manner that does not create dust.

4. Immediately replace any displaced ceiling tile before leaving the area and/or at end of noninvasive work activity.

Class II

1. Perform only limited dust work and/or activities designed for basic facilities and engineering work.

2. Perform limited dust and invasive work following standing precautions procedures approved by the organization.

3. This Class of Precautions must never be used for construction or renovation activities.

Class III

1. Provide active means to prevent airborne dust dispersion into the occupied areas.

2. Means for controlling minimal dust dispersion may include hand-held HEPA vacuum devices, polyethylene plastic containment, or isolation of work area by closing room door.

3. Remove or isolate return air diffusers to avoid dust from entering the HVAC system.

4. Remove or isolate the supply air diffusers to avoid positive pressurization of the space,

5. If work area is contained, then it must be neutrally to negatively pressurized at all times.

6. Seal all doors with tape that will not leave residue.

7. Contain all trash and debris in the work area.

8. Nonporous/smooth and cleanable containers (with a hard lid) must be used to transport trash and debris from the construction areas. These containers must be damp-wiped cleaned and free of visible dust/debris before leaving the contained work area.

9. Install an adhesive (dust collection) mat at entrance of contained work area based on facility policy.

Adhesive mats must be changed routinely and when visibly soiled.

10. Maintain clean surroundings when area is not contained by damp mopping or HEPA vacuuming surfaces.

Class IV

1. Construct and complete critical barriers meeting NFPA 241 requirements including: Barriers must extend to the ceiling or, if ceiling tile is removed, to the deck above, and all penetrations through the barrier shall meet the appropriate fire rating requirements.

2. All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to ground and ceiling and secure from movement or damage. Apply tape that will not leave a residue to seal gaps between barriers, ceiling or floor.

3. Seal all penetrations in containment barriers, including floors and ceiling, using approved materials (UL schedule firestop if applicable for barrier type).

4. Containment units or environmental containment units (ECUs) approved for Class IV precautions in small areas totally contained by the unit and that has HEPA-filtered exhaust air.

5. Remove or isolate return air diffusers to avoid dust entering the HVAC system.

6. Remove or isolate the supply air diffusers to avoid positive pressurization of the space.

7. Negative airflow pattern must be maintained from the entry point to the anteroom and into the construction area. The airflow must cascade from outside to inside the construction area. The entire construction area must remain negatively pressurized.

8. Maintain negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors. Exhaust discharged directly to the outdoors that is 25 feet or greater from entrances, air intakes and windows does not require HEPA-filtered air.

9. If exhaust is directed indoors, then the system must be HEPA filtered. Prior to start of work, HEPA filtration must be verified by particulate measurement as no less than 99.97% efficiency and must not alter or change airflow/pressure relationships in other areas.

10. Exhaust into shared or recirculating HVAC systems, or other shared exhaust systems (e.g., bathroom exhaust) is not acceptable.

11. Install device on exterior of work containment to continually monitor negative pressurization. To assure proper pressure is continuously maintained, it is recommended that the device(s) have a visual pressure indicator.

12. Contain all trash and debris in the work area.

13. Nonporous/smooth and cleanable containers (with a hard lid) must be used to transport trash and debris from the construction areas. These containers must be damp-wiped cleaned and free of visible dust/debris before leaving the contained work area.

14. Worker clothing must be clean and free of visible dust before leaving the work area. HEPA vacuuming of clothing or use of cover suits is acceptable.

15. Workers must wear shoe covers prior to entry into the work area. Shoe covers must be changed prior to exiting the anteroom to the occupied space (non-work area). Damaged shoe covers must be immediately changed.

16. Install an adhesive (dust collection) mat at entrance of contained work area based on facility policy.

Adhesive mats must be changed routinely and when visibly soiled.

17. Consider collection of particulate data during work to monitor and ensure that contaminates do not enter the occupied spaces. Routine collection of particulate samples may be used to verify HEPA filtration efficiencies.

Class V 1. Construct and complete critical barriers meeting NFPA 241 requirements including: Barriers must extend to the ceiling, or if ceiling tile is removed, to the deck above, and all penetrations through the barrier shall meet the appropriate fire rating requirements.

2. All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to ground and ceiling and secure from movement or damage. Apply tape that will not leave a residue to seal gaps between barriers, ceiling or floor.

3. Seal all penetrations in containment barriers, anteroom barriers, including floors and ceiling using approved materials (UL schedule firestop if applicable for barrier type).

4. Construct anteroom large enough for equipment staging, cart cleaning, workers. The anteroom must be constructed adjacent to entrance of construction work area.

5. Personnel will be required to wear disposable coveralls at all times during Class V work activities.

Disposable coveralls must be removed before leaving the anteroom.

6. Remove or isolate return air diffusers to avoid dust entering the HVAC system.

7. Remove or isolate the supply air diffusers to avoid positive pressurization of the space.

8. Negative airflow pattern must be maintained from the entry point to the anteroom and into the construction area. The airflow must cascade from outside to inside the construction area. The entire construction area must remain negatively pressurized.

9. Maintain negative pressurization of the entire workspace using HEPA exhaust air systems directed outdoors. Exhaust discharged directly to the outdoors that is 25 feet or greater from entrances, air intakes and windows does not require HEPA-filtered air.

10. If exhaust is directed indoors, then the system must be HEPA filtered. Prior to start of work, HEPA filtration must be verified by particulate measurement as no less than 99.97% efficiency and must not alter or change airflow/pressure relationships in other areas.

11. Exhaust into shared or recirculating HVAC systems, or other shared exhaust systems (bathroom exhaust) is not acceptable.

12. Install device on exterior of work containment to continually monitor negative pressurization. To assure proper pressure is continuously maintained, it is recommended that the device(s) have a visual pressure indicator.

13. Contain all trash and debris in the work area.

14. Nonporous/smooth and cleanable containers (with a hard lid) must be used to transport trash and debris from the construction areas. These containers must be damp-wiped cleaned and free of visible dust/debris before leaving the contained work area.

15. Worker clothing must be clean and free of visible dust before leaving the work area anteroom.

16. Workers must wear shoe covers prior to entry into the work area. Shoe covers must be changed prior to exiting the anteroom to the occupied space (non-work area). Damaged shoe covers must be immediately changed.

17. Install an adhesive (dust collection) mat at entrance of contained work area based on facility policy.

Adhesive mats must be changed routinely and when visibly soiled.

18. Consider collection of particulate data during work to monitor and ensure that contaminates do not enter the occupied spaces. Routine collection of particulate samples may be used to verify HEPA filtration efficiencies.

Table 6 - Minimum Required Infection Control Precautions | Upon Completion of Work Activity

Class of Precautions

Mitigation Activities (Performed upon Completion of Work Activity)

Classes I, II and III

Cleaning:

1. Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

2. Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

HVAC Systems:

1. Remove isolation of HVAC system in areas where work is being performed. Verify that HVAC systems are clean and operational.

2. Verify the HVAC systems meet original airflow and air exchange design specifications.

Classes III, IV and V

Class III (Type C Activities only), IV, and V precautions require inspection and documentation for downgraded ICRA precautions.

Construction areas must be inspected by an infection preventionist or designee and engineering representative for discontinuation or downgrading of ICRA precautions.

Work Area Cleaning:

1. Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

2. Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

Removal of Critical Barriers:

1. Critical barriers must remain in place during all work involving drywall removal, creation of dust and activities beyond simple touch-up work. The barrier may NOT be removed until a work area cleaning has been performed.

2. All (plastic or hard) barrier removal activities must be completed in a manner that prevents dust release. Use the following precautions when removing hard barriers:

i. Carefully remove screws and painter tape.

ii. If dust will be generated during screw removal, use hand-held HEPA vacuum.

iii. Drywall cutting is prohibited during removal process.

iv. Clean all stud tracks with HEPA vacuum before removing outer hard barrier.

v. Use a plastic barrier to enclose area if dust could be generated.

Negative Air Requirements:

1. The use of negative air must be designed to remove contaminates from the work area.

2. Negative air devices must remain operational at all times and in place for a period after completion of dust creating activities to remove contaminants from the work area and before removal of critical barriers.

HVAC systems:

1. Upon removal of critical barriers, remove isolation of HVAC system in areas where work is being performed.

2. Verify that HVAC systems are clean and operational.

3. Verify the HVAC systems meets original airflow and air exchange design specifications.

©2022 The American Society for Health Care Engineering of the American Hospital Association Disclaimer: This document is provided by ASHE as a service to its members. The information provided may not apply to a reader’s specific situation and is not a substitute for application of the reader’s own independent judgment or the advice of a competent professional. ASHE does not make any guaranty or warranty as to the accuracy or completeness of any information contained in this document. ASHE and the authors disclaim liability for personal injury, property damage, or other damages of any kind, whether special, indirect, consequential, or compensatory, that may result directly or indirectly from use of or reliance on this document.

SCOPE OF WORK

KEYNOTES

LIFE SAFETY LEGEND

PHASING PLAN & GENERAL NOTES

INFECTION CONTROL LEGEND

SPECIMEN

AUTOPSY

MECH DOCK

TOILET -

LOCKER

CLOSET

Room

CLOSET

CLOSET

WALK-IN

REF

VIEWING

RM.

BATTERY

CHARGING

MECH

CORRIDOR

CORRIDOR

ELEC

WASH RM.

STORAGE

REF

STORAGE

CLOSET

WASH RM.

MECH

STAIR 05

EQUIP.

STORAGE

GAS

STORAGE

CHEMICAL

STORAGE

VAULT

VAULT

SUPPLIES

H004

CORRIDOR

FOOD/ BEV

STORAGE

VESTIBULE

EMS

STORAGE

VOL

SERVICE

STORAGE

EMS

STORAGE

SERVICE

ELEVATOR

LOBBY

VESTIBULE

FOOD/ BEV

WALK-IN

REF.

STORAGE

STORAGE

SILVER

RECOV.

EMS

OFFICE 342

OFFICE

CORRIDOR

CORRIDOR

A002A

MECH. RM.

MECH. RM.

TOILET,

MALE

MAIL RM.

STAIR 02

F.E. CLOSET

A016A

ELEC

CORRIDOR

WAITING

RM.

OFFICE

EXAM

EXAM

OFFICE

CONTROL

SIMULATOR

RM.

OI&T

RECEPTION

TOILET

OFFICE

CORRIDOR

LOCKER

LOCKER

TOILET

WORK AREA

MAZE

THERAPY

ROOM 1

CONTROL

AREA

CONTROL

LINEAR

ACCELERATOR

MAZE

CORRIDOR

VESTIBULE

MOLD SHOP

MECH. RM.

ELEC

TOILET 381

OUT-PATIENT

WAITING

OFFICE

OFFICE

PATIENT

DRESSING/

TOILET

CORRIDOR

PATIENT

INJECTION

CORRIDOR

STORAGE

LABORATORY

CONTROL

RM.

PET/ CT

EXAM392

EXAM

MECH

WORK RM.

A020

ELEC. RM.

CONFERENCE

RM.

ELEC

STAIR 12

ELEC RM.

OI&T

ELEC. RM.

MECH. RM.

UTILITY

SERVICE

CORRIDOR

OFFICE

MECH

STAIR 11

STORAGE

B002

CLEAN

MEDICAL

SUPPLY

OFFICE

OFFICE

OFFICE

OFFICE

OFFICE

OFFICE

OFFICE

OFFICE

OFFICE

RECEPTION 421

VESTIBULE

CB27

ELEC

CB28

ELEC

STAIR 10

STORAGE

WORK RM.

OFFICE 428

OFFICE

MECH

STORAGE

OI&T

TOILET

TOILET

CORRIDOR

CORRIDOR

CORRIDOR

WAITING

RM.

CORRIDOR

MECH. RM.

TOILET,

MALE

SOUND

BOOTH

EXAM

SOUND

BOOTH 444

LOCKER

FEMALE

SOUND

BOOTH

CORRDOR

CORRIDOR

STORAGE

MANUAL

WASH

CB24

CART WASH

DETERGENT

& WATER

TREATMENT

ANTE RM.

ANTE RM.

CB13

LOCKER RM,

FEMALE

CB14

LOCKER RM,

MALE

HAC

CB17

Room

CB17A

SCOPE

PROCESSING

CB18

SCOPE

STORAGE

CB15A

SHOWER,

FEMALE

CB19

ANTE RM.

CB20

ANTE RM.

S007

STAIR 07

CB21A

SHOWER,

FEMALE

CB22A

SHOWER

MALE

CB25

HAC

CB23

OFFICE CB22

LOCKER

MALE

CB21

LOCKER

FEMALE

ETO

ETO

CASE CART

STORAGE

CB24

SURGICAL

STERILIZER

STORAGE

CB26

PREP/

STERILIZATION

PUMP RM.

OI&T

DECONTAMINATION

OFFICE

OFFICE

OFFICE

OFFICE

CORRIDOR

CORRIDOR

CORRIDOR

HAC

WAITING

RM.

OFFICE

EXAM

EXAM

EXAM

OFFICE

CB03

MECH. RM.

OFFICE

STAFF

ELEC

OI&T

OFFICE

BREAK RM.

STORAGE

CORRIDOR

CORRIDOR

STAIR 06

Room

CB02A

MECH. RM.

CB02

MECH. RM.

GENERATOR

CB03

MECH. RM.

BREAK

ROOM

BIOMED

SHOP

OFFICE

OFFICE

TECH

CB36

BIOMED

SHOP

CB35

EQUIPMENT

STORAGE

H015

ELEVATOR

LOBBY

CONFERENCE

RM.

CORRIDOR

ELEVATOR

LOBBY

STAIR 03

OFFICE

OFFICE

OI&T

LAUNDRY

ELEC

F.E. CLOSET

OFFICE

STORAGE

LOCKER

TOILET,

FEMALE

A017A

OI&T

A017

HAC

B682

F.E. CLOSET

S001

STAIR 01

A019

OFFICE

CLOSET

H008

MAIN

ELEVATOR

LOBBY

FOOD/ BEV.

WALK-IN

FREEZE

WAREHOUSE

WAREHOUSE

MECH.

SPACE

CORRIDOR

LIGHT RM.

TOILET

LOCKER

MACHINE

SHOP

PAINT

STORAGE

PLASTER

SHOP

PAINT SHOP

OFFICE

CARPENTER

SHOP

STORAGE

OFFICE

ELEC SHOP

OFFICE

PLUMB.

SHOP

STAIR 04

PLUMB.

SHOP

HVAC SHOP

CORRIDOR

OFFICE

CORRIDOR

CARPENTER

SHOP

HVAC SHOP

STERILIZER

RECESS

DECONTAMINATION

MECH

ELEV 3

E8

ELEV 8

CLOSET

TELEPHONE

SWITCHGEAR

SERVER RM.

A001

PHONE

A002

PATIENT

CLOTHING

A016

OFFICE /

STORAGE

ELEV 10

TELEPHONE

SWITCHGEAR

OFFICE

WAREHOUSE

CHASE

CHASE

CHASE

CH-CB-5

CHASE

CHASE

CH-CB-7

CHASE

CHASE

CHASE

CHASE

CH-CB-11

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CH-A-1

CHASE

STAIR 7

STAIR 08

STAIR 09

ELEV 1

ELEV 2

ELEV 4

ELEV 5

ELEV 6

E7

ELEV 7

E9

ELEV 9

STORAGE

SUPERVISOR

VAULT

CART

HOLDING

EMS

BREAK

AREA/

LOCKERS

OFFICE

CORRIDOR

RECEIVING

D10

D10

NO SCOPE OF WORK ASSOCIATED WITH THIS AREA

AREA OF WORK

GENERAL CONTRACTOR ACCESS/ROUTE

DEMO WALLS FOR INSPECTION SEE PLUMBING DWGS.

LIFE SAFETY NOTES

1. THIS PLAN IS FOR LIFE SAFETY INFORMATION ONLY.

2. BUILDING IS FULLY SPRINKLERED IN ACCORDANCE WITH NFPA 13 AND IS PROTECTED WITH A

SUPERVISED AUTOMATIC SMOKE DETECTION SYSTEM.

3. THE LIFE SAFETY PLANS ARE DIAGRAMMATIC ONLY. THERE PURPOSE IS SOLELY TO REPRESENT THE LIFE SAFETY COMPONENTS FOR THE PROJECT( AS INCLUDED IN THE CONSTRUCTION DOCUMENTS

PREPARED BY THE ARCHITECT, ENGINEERS. THE GENERAL CONTRACTOR SHALL USE THE

CONSTRUCTION DOCUMENTS (NOT THE LIFE SAFETY PLANS) FOR THE IMPLEMENTATION OF THE

REQUIRED LIFE SAFETY COMPONENTS OF THE PROJECT.

FIRE BARRIER, 1HR

FIRE BARRIER, 2HR

SMOKE BARRIER

CHUTE, 2HR

CONSTRUCTION OVERHEAD AND ROOMS

1. PRIOR TO ANY WORK COMMENCEMENT, THE GC IS TO IDENTIFY ALL OVERALL RISKS

THE PROJECT WILL CREATE FOR PATIENTS, STAFF, AND CONTRACTORS. THIS DATA IS

TO BE UTILIZED BY THE ONSITE VA TEAM THROUGH COLLABORATIVE CREATION OF A

PRE-CONSTRUCTION RISK ASSESSMENT (PCRA).

2. THE PURPOSE OF THE CONSTRUCTION PHASING NOTES AND DRAWINGS IS TO

PROVIDE THE GENERAL CONTRACTOR (GC) WITH GUIDANCE FOR THE CONSTRUCTION

SCHEDULE.

3. THE GC SHALL COORDINATE WITH THE CONTRACTING OFFICER REPRESENTATIVE

(COR) TO DEVELOP A CRITICAL PATH METHOD (CPM) SCHEDULE, SEQUENCING,

COMPLETION DATES FOR RENOVATION AND NEW CONSTRUCTION FOR THE PROJECT.

4. THE MEDICAL CENTER MUST REMAIN IN FULL OPERATION DURING CONSTRUCTION

WITH MINIMAL INTERRUPTION DUE TO ALL CONSTRUCTION ACTIVITIES FOR THE

PROJECT, INCLUDING NOISE, DUST, VIBRATION, ETC., CREATED BY CONSTRUCTION

ACTIVITIES RELATED TO THIS PROJECT.

5. THE GC’S SCHEDULES SHOULD INCLUDE BUT IS NOT LIMITED TO THE FOLLOWING:

• ALL CONSTRUCTION-ACTIVITY-RELATED ISSUES WHICH MAY AFFECT THE

CONTINUAL OPERATIONS OF THE MEDICAL CENTER.

• SCHEDULES FOR SHUTTING DOWN EXISTING SYSTEMS OR ACCESS FOR TIE-INS

AND/OR REPLACEMENT.

• SCHEDULES FOR AFTER-HOURS CONSTRUCTION ACTIVITIES.

6. GENERAL CONTRACTOR TO PROVIDE TEMPORARY CHAIN LINK CONSTRUCTION

FENCING WITH GATES AND CONSTRUCTION BARRIERS AS REQUIRED TO SEPARATE

CONSTRUCTION ACTIVITIES FROM PUBLIC AREAS AND AREAS REQUIRING ACCESS

DURING CONSTRUCTION. FENCING AND BARRIERS SHOULD BE RELOCATED AS

REQUIRED AFTER EACH PORTION OF WORK IS COMPLETED TO ACCOMMODATE

ACCESS TO EXISTING FACILITIES AS CONSTRUCTION PROGRESSES.

7. IF MEDICAL CENTER ACCESS PATHWAYS IDENTIFIED ON THE PHASING PLANS ARE

REQUIRED TO BE BLOCKED TEMPORARILY TO ACCOMMODATE CONSTRUCTION,

COORDINATE ALTERNATE PATHWAYS WITH THE COR AND PROVIDE TEMPORARY

SIGNAGE AND TEMPORARY PROTECTIVE BARRIERS TO CREATE ALTERNATE PATHWAYS

AS REQUIRED. REFER TO THE PHASING DIAGRAMS FOR ADDITIONAL NOTES.

COORDINATE AND SCHEDULE ANY DOWNTIME FOR THESE ROUTES WITH THE COR.

8. THE GC SHALL SEEK FINAL APPROVAL OF THE LOCATION OF CONSTRUCTION FENCING,

TEMPORARY CONSTRUCTION AND INFECTION CONTROL BARRIERS, CONTRACTOR SITE

ACCESS AND DEBRIS AND MATERIAL HAUL ROUTES WITH THE COR.

9. MAINTAIN ACCESS TO ALL EXISTING BUILDINGS, UTILITIES AND FACILITIES WITHIN THE

CONSTRUCTION LIMITS TO ACCESS EQUIPMENT AND TO PROVIDE SERVICE OR

MAINTENANCE OF EXISTING FACILITIES AND EQUIPMENT SERVING THE MEDICAL

CENTER.

10. COORDINATE UTILITY SHUT DOWNS OR ANY CONSTRUCTION ACTIVITIES WHICH MAY

POTENTIALLY AFFECT THE EXISTING OPERATIONS OF THE MEDICAL CENTER WITH THE

COR. MAINTAIN UNINTERRUPTED OPERATION OF THE EXISTING FACILITIES, AND

MINIMIZE DISRUPTIONS TO THE MEDICAL CENTER FOR ALL SWITCH-OVER OF UTILITIES.

SCHEDULE THESE EVENTS AFTER-HOURS OR AS APPROVED BY THE COR.

11. THE GC HAS RESPONSIBILITY IN DETERMINING THE CORRECT PHASING TO MATCH THE

REQUIREMENTS OF THE CONSTRUCTION CONTRACT AS WELL AS THE ACTUAL

LOCATIONS AND THE METHODS THROUGH WHICH TO CONSTRUCT THE ICRA-

COMPLIANT CONSTRUCTION BARRIERS.

12. THE GC SHALL COORDINATE WITH THE COR TO LOCATE THE SAFETY SIGN AND

CONSTRUCTION SIGN.

13. THE GENERAL CONTRACTOR SHALL PROVIDE ISOLATION BARRIERS. COMPLETE ALL

CRITICAL BARRIERS BEFORE CONSTRUCTION WORK BEGINS.

14. MAINTAIN ALL FIRE BARRIERS AND DUST PARTITIONS AS REQUIRED TO PROVIDE A

DUST-FREE AND CLEAN ENVIRONMENT BETWEEN RENOVATED AREAS WITHIN THE

HOSPITAL AND AREAS ADJACENT TO RENOVATED AND NEW CONSTRUCTION.

15. MAINTAIN INSULATED AND WATERTIGHT EXTERIOR ENCLOSURE FOR EXISTING FACILITY

AT ALL TIMES.

16. ISOLATE HVAC SYSTEM WHERE WORK IS PERFORMED TO PREVENT CONTAMINATION

OF DUCT SYSTEM.

17. ALL PERSONNEL ENTERING RENOVATION AREAS WITHIN OCCUPIED FLOORS OF THE

MEDICAL CENTER SHALL WEAR SHOE COVERS, AND THESE MUST BE CHANGED EACH

TIME THE WORKER EXITS THE WORK AREA. PROVIDE ADHESIVE WALK-OFF MATS AT

ENTRANCES TO THESE WORK AREAS. IF THERE IS AN ANTEROOM, A MAT SHOULD BE

WITHIN THIS AREA. REPLACE MATS DAILY OR WHEN THEY NO LONGER ARE ABLE TO

CONTAIN DUST AND DIRT. WET MOP AND/OR VACUUM WORK AREA WITH HEPA

FILTERED VACUUM BEFORE LEAVING WORK AREAS. CONTAIN CONSTRUCTION WASTE

IN TIGHTLY COVERED CONTAINERS BEFORE TRANSPORTING. REMOVE HVAC

ISOLATION FROM SYSTEM IN AREAS WHERE WORK IS BEING PERFORMED. REMOVE

BARRIER MATERIALS CAREFULLY TO MINIMIZE THE SPREADING OF DIRT AND DEBRIS

ASSOCIATED WITH CONSTRUCTION. DO NOT REMOVE BARRIERS FROM WORK AREA

UNTIL COMPLETED PROJECT IS THOROUGHLY CLEANED.

18. ALL EXISTING ROADWAYS TO REMAIN PUBLIC, FOR SHARED USAGE BY STAFF AND

PATIENTS AND ALL CONTRACTORS.

19. GENERAL CONTRACTOR TO COORDINATE WITH VA COR ALL REQUIRED PHASING PLANS

TO INCLUDE DURATION OF THE WORK. ALL WORK IN CORRIDORS, AND OTHER AREAS

DEEMED CRITICAL BY THE VA COR, TO BE PERFORMED AFTER NORMAL BUSINESS

HOURS AND ON WEEKENDS TO MINIMIZE DISRUPTION TO THE FACILITY. GENERAL

CONTRACTOR TO COORDINATE WITH THE VA COR ANY REQUIRED INTERIM LIFE SAFETY

MEASURES(ILSM) DOCUMENTATION IN ACCORDANCE WITH FACILITY PROTOCOLS.

20. ICRA PLAN DENOTES TOTAL DEFINED ARES OF WORK ON ALL AFFECTED LEVELS. THE

VA MAY, BASED ON DYNAMIC UNFORESEEN VARIABLES (PATIENT CENSUS, OTHER

PROJECTS, ETC..), REQUIRE THE GENERAL CONTRACTOR TO MODIFY EXTENTS AND

AREA ISZE OF ICRA BARRIERS. ANY SUCH MODIFICATION WILL REQUIRE THE SAME

REQUISITES PROVISIONS REQUIRING CONTAINMENT(ANTE ROOM, WALK-OFF MATS,

ETC.) AIR- PRESSURIZATION CRITERIA, AND IDENTIFICATION AS NOTED ON SHEET GI-102

AREA OF CONTROL

HAZARDOUS AREA

PLAN NORTH

TRUE NORTH

G ra p h ic S ca le

/2

0"

G ra p h ic S ca le

/3 2"

0"

' G ra p h ic S ca le

/1 6"

0"

' G ra p h ic

S ca le

/8

0"

G ra p h ic S ca le

/4

0"

G ra p h ic S ca le

/8

0"

' G ra p h ic

S ca le

/2

0"

G ra p h ic S ca le

/4

0"

G ra p h ic S ca le

0"

Romanyk Consulting Focusing on what matters

VA FORM 08 - 6231

F

E

D

C

B

A

F

E

D

C

B

A

910 7 6 5 4 3 2 1

ARCHITECT/ENGINEER OF RECORDCONSULTANT

8910 7 6

Romanyk Consulting Corp. www.romanykconsulting.com 3308 Preston Road, Suite 350-164, Plano, Texas 75093

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

U.S. Department of Veterans Affairs

Phase

STAMP

5 4 3 2 1

Office of Construction and Facilities Management

FULLY SPRINKLERED

B

IM

/V

IS

N

S t L o u is C o rr e c t H

V A

C t o m e e t D ir e c ti v e

/S tL

M O

-A C

S

-1

J C

M

E P

V

.r v t

/2

/2

:1

:3

P

M

LIFE SAFETY PLAN & INFECTION CONTROL -

BASEMENT

MAY 27, 2025

657-21-114JC100% BID DOCUMENTS CORRECT HVAC SYSTEMS FOR

VHA DIRECTIVE 1116 (2)

JB MR

657 - ST. LOUIS, MO

915 NORTH GRAND BLVD., ST. LOUIS, MO 63106

01-GI-201

1/16" = 1'-0"

BASEMENT - LIFE SAFETY PLAN

Revisions: Date:

Amendment #1 05/27/2025

NO. DESCRIPTION

D10 PATCH AND REPAIR EXISTING CEILING UPON DEMOLITION OF MECHANICAL

EQUIPMENT. SEE MECHANICAL DRAWINGS

LIFE SAFETY LEGEND

PHASING PLAN & GENERAL NOTES

INFECTION CONTROL LEGEND

KEYNOTES

A120

EXAM

A162E

HEMO DIAL

TREAT BAY

H109B

CORRIDOR

A162F

HEMO DIAL

TREAT BAY

A162G

HEMO DIAL

TREAT BAY

A162H

HEMO DIAL

TREAT BAY

A162J

HEMO DIAL

TREAT BAY

A162A

HEMO DIAL

TREAT BAY

A162B

HEMO DIAL

TREAT BAY

A162C

HEMO DIAL

TREAT BAY

A162D

HEMO DIAL

TREAT BAY

A163A

EXAM

A163B

EXAM

A160

TOILET

A161

ELEC

A156

NURSE

STATION

A159

NOUR.

A158

OFFICE

A157

MED. PREP.

A164

PATIENT

ISO.

A164A

TOILET

A165A

TOILET

S105

STAIR 05

A165

PATIENT

ISO.

A155

MECH. RM.

A154

SOILED

H108

CORRIDOR H108B

SCALE

A166

HAC

A167

EQUIPMENT

REPAIR

A168

PERITONEAL

DIALYSIS

A169A

EXAM

A169B

EXAM

A170A

OFFICE

A170C

DIETITIAN

A170B

IV

TREATMENT

A170D

IV

TREATMENT

A154A

CLEAN

A174A

TOILET

A173A

TOILET

A153

CONFERENCE

RM.

A170F

OFFICE

A170E

SUPPLY

H109C

CORRIDOR

H108D

CORRIDOR

H109A

CORRIDOR

A173B

COATS

A168A

STORAGE

A172A

LOCKER RM.

A173

RECEPTION

A171

DECONTAMINATION

A170G

OFFICE

A172

LOUNGE

A174

WAITING

H109

CORRIDOR

A100

WAITING

RM.

A100A

RECEPTION

A100B

COFFEE

SHOP

A100C

STORAGE

A101A

TOILET

A101

VESTIBULE

A101B

TOILET

A101C

RELEASE

OF

INFORMATION

A101D

OPTICAL

SHOP

H105

CORRIDOR

A177

NEPHROLOGY

A177A

OFFICE

A177B

OFFICE

A177C

OFFICE

A177D

STORAGE

A177E

OFFICE

A177F

CLOSET

A177G

OFFICE

A102

ALARM

PANEL

A103

OFFICE

A135

RECEPTION

A134

WAITING

RM.

A104

SCREEN

A105

SCREEN

A106

LEAD

NURSE

A107

EXAM

A108

OFFICE

A109

OFFICE A110

BREAK

A111

EXAM

A112

EXAMA113

EXAM

A114

EXAM

A115

EXAM

A116

EXAM

A117

TOILET

A118

HAC

A119

ELEC

A110A

TOILET

H101

CORRIDOR

H102

CORRIDOR

A121

EXAM

A122

EXAM

A123

EXAM

A124

OPHTH.

CHIEF

RESIDENT

A125

OPHTH.

CHIEF

RESIDENT

A126

EXAM

A127

LASER

TREATMENT

A128

PROCEDURE

A129

EXAM

A130

EXAM

A131

CLINICAL

MANAGER

A132

EXAM

A133

IMAGING

SUPPLY

A132A

OFFICE,

CHIEF

A131A

ELEC

S102

STAIR 02

H103

CORRIDOR

A137A

ELEC

A136

OI&T

A136A

FIRE ALARM

SYSTEM

S101

STAIR 01A139

NEUROLOGY

CLINICA139F

WAITING

RM.

H123

CORRIDOR

A139E

NURSE

STATION

A139D

EXAM

A139C

EXAM

A139G

EXAM

A139H

EXAM

A139J

EXAM

A139K

EXAM

A139B

EXAM

A139A

EXAM

B100

AMBASSADOR

SUITE

B100A

MECH. RM.

B100B

OFFICE

B100D

OFFICE

B100E

OFFICE

B100F

OFFICE

B100G

OFFICE

B100H

OFFICE

B100I

ELEC.

CLOSET

B100J

OI&T S112

STAIR 12

H100A

INFORMATION

H100

LOBBY

B102B

MED. PREP.

B102A

MED. PREP.

B102

WAITING

RM.

B102D

ALCOVE

B102E

OFFICE

B102F

AGENT

CASHIER

H118

CORRIDOR

B103C

EQUIPMENT

STORAGE

B106

CONFERENCE

RM.

B107

ARMORY

B108

OFFICE,

CHIEF

C101

LOCKER RM.

C102

EVIDENCE

C103

OFFICE

C104

OFFICE

C105

OFFICE

C106

OFFICE

C107

HOLDING

CELL

C108

CONTROL

H122

ELEVATOR

LOBBY

H120

CORRIDOR

C146

TOILET,

MALE

B105

OI&T

B103

HAC

B104

CHUTE

A180

OFFICE

A181

OFFICE

A182

MECH. RM.

A183

OFFICE

A184

OFFICE

A185

OFFICE

A186

OFFICE

A187

OFFICEA188

OFFICEA189

EXAMA190

EXAM

A191

STORAGE

A192

STORAGE

A193

FIRE ALARM

A148

STORAGE

A149

OI&T

A149A

STORAGE

H111A

STORAGE

H111

ELEVATOR

LOBBY

H110

ELEVATOR

LOBBY

A140

OFFICE

A141

INTAKE

A142

INTAKE

A143

OFFICE

A144

EXAM A145

OFFICE

A146

OFFICE

A147

OFFICE

A151

TOILET

A150

OFFICE

H113

CORRIDOR

B145

OFFICE

B146

WAITING

RM.

B147

SUPPLY

B148

BREAK RM.

B149

OFFICE

B150

CONSULT

RM.

B149A

OFFICE

B149B

OFFICE

B121

STORAGEB122

TOILET,

FEMALE

S103

STAIR 03

B122A

TOILET

B124

PROCEDURE

RM.

B125

OFFICE

B126

EXAM

B127

EXAM

B128

EXAM

B129

EXAM

B130

MECH. RM.

B131

EXAM

B132

EXAM

B133

EXAM

B134

EXAM

B135

EXAM

B136

EXAM

B137

TOILET

B138

EXAM

B139

EXAM

B140

EXAM

B141

EXAM

B142

EXAM

B143

OFFICE

B144

OFFICE

S104

STAIR 04

B142A

ELEC

H117

CORRIDOR

B119A

WAITING

ROOM

B119

WAITING

ROOM

B111

OFFICE

H124

CORRIDOR

B112

EXAM

B113

EXAM

B114

EXAM

B116

EXAM

B117

EXAM

B118

EXAM

B117A

OFFICE

C149

OFFICE

C138

LOCKER RM.

C140

ELIGIBILITY

C141

OFFICE

C141A

OFFICE

H125

CORRIDOR

C110

WAITING

RM.

C109

OFFICE

C109A

TRIAGE

C112

CONTROL

RM.

C113

TRIAGE

E125

TRIAGE

E126

TOILET

E127

ANTE RM.

E128

PATIENT

ISO.

E133

EXAM

TREATMENT

E101

EXAM

TREAT.

BAYS

E102

EXAM

E103

NURSE

STATION

E104

EXAM

E105

EXAM

E106

EXAM

E107

EXAM

E108

CLEAN

EQUIPMENT

E109

EXAM

E110

EXAM

E111

TOILET

E112

CLEAN

UTILITY

E113

SOIL

UTILITY

E114

CLEAN

LINEN

E115

AMBUL.

ATTEND.

E116

MED. PREP.

E117

OFFICE /

NOUR.

E118

LOCKER RM.

E119

TOILET

E120

LOCKER RM.

E121

HAC

E122

SECURE

HOLD

E123

SECURE

HOLD

C115

TOILET

C118

TOILET

C117

ELEC

E124

WAITING

RM.

E134

NURSE

STATION

E135

TOILET

E121A

ALCOVE

H134

CORRIDOR

H135

CORRIDOR

H132

CORRIDOR

H126

CORRIDOR

C111B

EXAM

C111A

EXAM

C114

CONFERENCE

RM.

C116

OFFICE

C119

OFFICE

C120

OFFICE

H128

CORRIDOR

C121

OFFICE

C122

FILE RM.

C123

OFFICE

C124

OFFICE

C125

OFFICE

C126

OFFICE

C127

OFFICE

C128

WAITING

C129

OFFICE

C122A

OFFICE

C130

OFFICE

C131

OFFICE

C132

OFFICE

C134

OFFICE

H133

CORRIDOR

C136

OI&T

C137

STORAGE

C148

OFFICE

C150

EXAM

C151

EXAM

C152

EXAM

H127

CORRIDOR

H130

CORRIDOR

H131

CORRIDOR

S106

STAIR 06

C173

OFFICE

C173A

TOILET

D143

EXAM

D120

EXAM

D121

EXAM

D122

EXAM

D123

OFFICE

D124

OFFICE D125

EXAM

D126

EXAM

D127

EXAM

D128

TOILET

D129

OFFICE C180

OFFICE

C179

OFFICE

C178

OFFICE

C177

TOILET

C176

EXAM

D174

EXAM

H141

CORRIDOR

H142

CORRIDOR

H140

CORRIDOR

S109

STAIR 09

D130

EXAM

D131

EXAM

D132

OFFICE

D133

OFFICE

D134

OFFICE

D135

OFFICE

D136A

OFFICE

D142

EXAM

D136B

CLEAN

SUPPLIES

D141

EXAM

D140

HAC

D139

EXAM

D138

EXAM

D137

EXAM

D136

NURSE

STATION

D101A

WAITING

RM.

D116

OFFICE

D117

OFFICE

D118

EXAM

H139

CORRIDOR

D112

OFFICE

D102

EXAM

D119

OFFICE

D111

OFFICE D110

OFFICE

CH-D-1

CHASE

S110

STAIR 10

H137

CORRIDOR

D144

ELEC

D145

OI&T

D146

OFFICE

H136

CORRIDOR

D103

BREAK RM.

D104

TOILET

D105

WORK RM.

D115

TOILET

D114

EXAM

D113

EXAM

D106

HAC

D107

EXAM

D108

EXAM

S108

STAIR 08

H138

CORRIDOR

E110A

STORAGEE110B

STORAGE

D147

OFFICE

D148

OFFICE,

CHIEF

H138A

CORRIDOR

D109

OFFICE

E112A

OXYGEN

STORAGE

C114A

STORAGE

H127A

CORRIDOR

H114A

CORRIDOR

H119

CORRIDOR

H113C

CORRIDOR

C146A

HAC

B120A

ELEC

H113A

CORRIDOR

A101E

BREAK RM.

H109E

CORRIDOR

H109D

CORRIDOR

A170I

OI&T

A103A

TOILET

H110B

F.E. CLOSET

A139I

STORAGE

H125B

ENTRYWAY

C109B

VESTIBULE

C175

EXAM

H125A

VESTIBULE

D101

NURSE

STATION

ELEV 10

S107A

VESTIBULE

S107

STAIR 07

H113B

F.E. CLOSET

H103A

F.E. CLOSET

A175

SUPPLY

F.E. CLST

H117A

F.E. CLOSET

C178A

CLOSET

Room

ELEV 1

ELEV 2

ELEV 3

ELEV 4

ELEV 5

ELEV 6

ELEV 7

ELEV 8

ELEV 9

CH-C-1

CHASE

CH-C-2

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CHASE

CH-B-3

CHASE

CH-B-1

CHASE

CH-B-2

CHASE

CH-B-4

CHASE

CH-B-5

CHASE CH-B-6

CHASE

CH-A-12

CHASE

CH-B-7

CHASE

CH-C-3

CHASE

CH-B-8

CHASE

CH-B-9

CHASE

CH-C-4

CHASE

CH-C-5

CHASE

CH-D-5

CHASE

CH-D-2

CHASE

CH-C-7

CHASE

CH-C-8

CHASE CH-E-1

CHASE

CH-C-6

CHASE

CH-D-3

CHASE

CH-D-4

CHASE

CH-E-2

CHASE

PATIENT NON-SLEEPING

SUITE: 5,769 SF

(ED) PATIENT NON-SLEEPING

SUITE: 6,364 SF

D10

D10

D10

D10

D10

D10

D10

NO SCOPE OF WORK ASSOCIATED WITH THIS AREA

AREA OF WORK

GENERAL CONTRACTOR ACCESS/ROUTE

DEMO WALLS FOR INSPECTION SEE PLUMBING DWGS.

LIFE SAFETY NOTES

1. THIS PLAN IS FOR LIFE SAFETY INFORMATION ONLY.

2. BUILDING IS FULLY SPRINKLERED IN ACCORDANCE WITH NFPA 13 AND IS PROTECTED WITH A

SUPERVISED AUTOMATIC SMOKE DETECTION SYSTEM.

3. THE LIFE SAFETY PLANS ARE DIAGRAMMATIC ONLY. THERE PURPOSE IS SOLELY TO REPRESENT THE LIFE SAFETY COMPONENTS FOR THE PROJECT( AS INCLUDED IN THE CONSTRUCTION DOCUMENTS

PREPARED BY THE ARCHITECT, ENGINEERS. THE GENERAL CONTRACTOR SHALL USE THE

CONSTRUCTION DOCUMENTS (NOT THE LIFE SAFETY PLANS) FOR THE IMPLEMENTATION OF THE

REQUIRED LIFE SAFETY COMPONENTS OF THE PROJECT.

FIRE BARRIER, 1HR

FIRE BARRIER, 2HR

SMOKE BARRIER

CHUTE, 2HR

CONSTRUCTION OVERHEAD AND ROOMS

1. PRIOR TO ANY WORK COMMENCEMENT, THE GC IS TO IDENTIFY ALL OVERALL RISKS

THE PROJECT WILL CREATE FOR PATIENTS, STAFF, AND CONTRACTORS. THIS DATA IS

TO BE UTILIZED BY THE ONSITE VA TEAM THROUGH COLLABORATIVE CREATION OF A

PRE-CONSTRUCTION RISK ASSESSMENT (PCRA).

2. THE PURPOSE OF THE CONSTRUCTION PHASING NOTES AND DRAWINGS IS TO

PROVIDE THE GENERAL CONTRACTOR (GC) WITH GUIDANCE FOR THE CONSTRUCTION

SCHEDULE.

3. THE GC SHALL COORDINATE WITH THE CONTRACTING OFFICER REPRESENTATIVE

(COR) TO DEVELOP A CRITICAL PATH METHOD (CPM) SCHEDULE, SEQUENCING,

COMPLETION DATES FOR RENOVATION AND NEW CONSTRUCTION FOR THE PROJECT.

4. THE MEDICAL CENTER MUST REMAIN IN FULL OPERATION DURING CONSTRUCTION

WITH MINIMAL INTERRUPTION DUE TO ALL CONSTRUCTION ACTIVITIES FOR THE

PROJECT, INCLUDING NOISE, DUST, VIBRATION, ETC., CREATED BY CONSTRUCTION

ACTIVITIES RELATED TO THIS PROJECT.

5. THE GC’S SCHEDULES SHOULD INCLUDE BUT IS NOT LIMITED TO THE FOLLOWING:

• ALL CONSTRUCTION-ACTIVITY-RELATED ISSUES WHICH MAY AFFECT THE

CONTINUAL OPERATIONS OF THE MEDICAL CENTER.

• SCHEDULES FOR SHUTTING DOWN EXISTING SYSTEMS OR ACCESS FOR TIE-INS

AND/OR REPLACEMENT.

• SCHEDULES FOR AFTER-HOURS CONSTRUCTION ACTIVITIES.

6. GENERAL CONTRACTOR TO PROVIDE TEMPORARY CHAIN LINK CONSTRUCTION

FENCING WITH GATES AND CONSTRUCTION BARRIERS AS REQUIRED TO SEPARATE

CONSTRUCTION ACTIVITIES FROM PUBLIC AREAS AND AREAS REQUIRING ACCESS

DURING CONSTRUCTION. FENCING AND BARRIERS SHOULD BE RELOCATED AS

REQUIRED AFTER EACH PORTION OF WORK IS COMPLETED TO ACCOMMODATE

ACCESS TO EXISTING FACILITIES AS CONSTRUCTION PROGRESSES.

7. IF MEDICAL CENTER ACCESS PATHWAYS IDENTIFIED ON THE PHASING PLANS ARE

REQUIRED TO BE BLOCKED TEMPORARILY TO ACCOMMODATE CONSTRUCTION,

COORDINATE ALTERNATE PATHWAYS WITH THE COR AND PROVIDE TEMPORARY

SIGNAGE AND TEMPORARY PROTECTIVE BARRIERS TO CREATE ALTERNATE PATHWAYS

AS REQUIRED. REFER TO THE PHASING DIAGRAMS FOR ADDITIONAL NOTES.

COORDINATE AND SCHEDULE ANY DOWNTIME FOR THESE ROUTES WITH THE COR.

8. THE GC SHALL SEEK FINAL APPROVAL OF THE LOCATION OF CONSTRUCTION FENCING,

TEMPORARY CONSTRUCTION AND INFECTION CONTROL BARRIERS, CONTRACTOR SITE

ACCESS AND DEBRIS AND MATERIAL HAUL ROUTES WITH THE COR.

9. MAINTAIN ACCESS TO ALL EXISTING BUILDINGS, UTILITIES AND FACILITIES WITHIN THE

CONSTRUCTION LIMITS TO ACCESS EQUIPMENT AND TO PROVIDE SERVICE OR

MAINTENANCE OF EXISTING FACILITIES AND EQUIPMENT SERVING THE MEDICAL

CENTER.

10. COORDINATE UTILITY SHUT DOWNS OR ANY CONSTRUCTION ACTIVITIES WHICH MAY

POTENTIALLY AFFECT THE EXISTING OPERATIONS OF THE MEDICAL CENTER WITH THE

COR. MAINTAIN UNINTERRUPTED OPERATION OF THE EXISTING FACILITIES, AND

MINIMIZE DISRUPTIONS TO THE MEDICAL CENTER FOR ALL SWITCH-OVER OF UTILITIES.

SCHEDULE THESE EVENTS AFTER-HOURS OR AS APPROVED BY THE COR.

11. THE GC HAS RESPONSIBILITY IN DETERMINING THE CORRECT PHASING TO MATCH THE

REQUIREMENTS OF THE CONSTRUCTION CONTRACT AS WELL AS THE ACTUAL

LOCATIONS AND THE METHODS THROUGH WHICH TO CONSTRUCT THE ICRA-

COMPLIANT CONSTRUCTION BARRIERS.

12. THE GC SHALL COORDINATE WITH THE COR TO LOCATE THE SAFETY SIGN AND

CONSTRUCTION SIGN.

13. THE GENERAL CONTRACTOR SHALL PROVIDE ISOLATION BARRIERS. COMPLETE ALL

CRITICAL BARRIERS BEFORE CONSTRUCTION WORK BEGINS.

14. MAINTAIN ALL FIRE BARRIERS AND DUST PARTITIONS AS REQUIRED TO PROVIDE A

DUST-FREE AND CLEAN ENVIRONMENT BETWEEN RENOVATED AREAS WITHIN THE

HOSPITAL AND AREAS ADJACENT TO RENOVATED AND NEW CONSTRUCTION.

15. MAINTAIN INSULATED AND WATERTIGHT EXTERIOR ENCLOSURE FOR EXISTING FACILITY

AT ALL TIMES.

16. ISOLATE HVAC SYSTEM WHERE WORK IS PERFORMED TO PREVENT CONTAMINATION

OF DUCT SYSTEM.

17. ALL PERSONNEL ENTERING RENOVATION AREAS WITHIN OCCUPIED FLOORS OF THE

MEDICAL CENTER SHALL WEAR SHOE COVERS, AND THESE MUST BE CHANGED EACH

TIME THE WORKER EXITS THE WORK AREA. PROVIDE ADHESIVE WALK-OFF MATS AT

ENTRANCES TO THESE WORK AREAS. IF THERE IS AN ANTEROOM, A MAT SHOULD BE

WITHIN THIS AREA. REPLACE MATS DAILY OR WHEN THEY NO LONGER ARE ABLE TO

CONTAIN DUST AND DIRT. WET MOP AND/OR VACUUM WORK AREA WITH HEPA

FILTERED VACUUM BEFORE LEAVING WORK AREAS. CONTAIN CONSTRUCTION WASTE

IN TIGHTLY COVERED CONTAINERS BEFORE TRANSPORTING. REMOVE HVAC

ISOLATION FROM SYSTEM IN AREAS WHERE WORK IS BEING PERFORMED. REMOVE

BARRIER MATERIALS CAREFULLY TO MINIMIZE THE SPREADING OF DIRT AND DEBRIS

ASSOCIATED WITH CONSTRUCTION. DO NOT REMOVE BARRIERS FROM WORK AREA

UNTIL COMPLETED PROJECT IS THOROUGHLY CLEANED.

18. ALL EXISTING ROADWAYS TO REMAIN PUBLIC, FOR SHARED USAGE BY STAFF AND

PATIENTS AND ALL CONTRACTORS.

19. GENERAL CONTRACTOR TO COORDINATE WITH VA COR ALL REQUIRED PHASING PLANS

TO INCLUDE DURATION OF THE WORK. ALL WORK IN CORRIDORS, AND OTHER AREAS

DEEMED CRITICAL BY THE VA COR, TO BE PERFORMED AFTER NORMAL BUSINESS

HOURS AND ON WEEKENDS TO MINIMIZE DISRUPTION TO THE FACILITY. GENERAL

CONTRACTOR TO COORDINATE WITH THE VA COR ANY REQUIRED INTERIM LIFE SAFETY

MEASURES(ILSM) DOCUMENTATION IN ACCORDANCE WITH FACILITY PROTOCOLS.

20. ICRA PLAN DENOTES TOTAL DEFINED ARES OF WORK ON ALL AFFECTED LEVELS. THE

VA MAY, BASED ON DYNAMIC UNFORESEEN VARIABLES (PATIENT CENSUS, OTHER

PROJECTS, ETC..), REQUIRE THE GENERAL CONTRACTOR TO MODIFY EXTENTS AND

AREA ISZE OF ICRA BARRIERS. ANY SUCH MODIFICATION WILL REQUIRE THE SAME

REQUISITES PROVISIONS REQUIRING CONTAINMENT(ANTE ROOM, WALK-OFF MATS,

ETC.) AIR- PRESSURIZATION CRITERIA, AND IDENTIFICATION AS NOTED ON SHEET GI-102

AREA OF CONTROL

HAZARDOUS AREA

PLAN NORTH

TRUE NORTH

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Romanyk Consulting Focusing on what matters

VA FORM 08 - 6231

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ARCHITECT/ENGINEER OF RECORDCONSULTANT

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Romanyk Consulting Corp. www.romanykconsulting.com 3308 Preston Road, Suite 350-164, Plano, Texas 75093

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

U.S. Department of Veterans Affairs

Phase

STAMP

5 4 3 2 1

Office of Construction and Facilities Management

FULLY SPRINKLERED

B

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IS

N

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V A

C t o m e e t D ir e c ti v e

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LIFE SAFETY PLAN & INFECTION CONTROL -

LEVEL 01

MAY 27, 2025

657-21-114JC100% BID DOCUMENTS CORRECT HVAC SYSTEMS FOR

VHA DIRECTIVE 1116 (2)

JB MR

657 - ST. LOUIS, MO

915 NORTH GRAND BLVD., ST. LOUIS, MO 63106

01-GI-202

1/16" = 1'-0"

LEVEL 01 - LIFE SAFETY PLAN

Revisions: Date:

Amendment #1 05/27/2025

NO. DESCRIPTION

PHASING PLAN & GENERAL NOTES

INFECTION CONTROL LEGEND

KEYNOTES

D502B

CART

ELEVATOR

EQUIPMENT

D502A

CART

ELEVATOR

EQUIPMENT

D502L

STORAGE

D502J

STORAGE

PLUMBING

SHOP

D502H

STORAGE

MASON

SHOP

S508

STAIR 08

D502G

STORAGE

CARPENTRY

SHOP

D502K

STORAGE

IHCG SHOP

D502F

STORAGE

ELECTRIC

SHOP D502E

STORAGE

PIPE SHOP

D502D

STORAGE

A/C SHOP

H517

CORRIDOR

STORAGE

A/C SHOP

B538

MECH. RM.

D505A

Room

D505

MECH. RM.

A554

ELEC

A571A

NOUR.

A565A

ANTE RM.

A556A

OFFICE

A556

OFFICE

A557

CONFERENCE

RM.

A556B

HALLWAY

A555A

TOILET

A558A

TOILET

A558

OFFICE

A555

OFFICE

A553

OFFICE

A553A

TOILET

A552A

STRETCH

A559

OFFICE

A552

OFFICE

A560

HAC

A559A

TOILET

A561

OFFICE

S505

STAIR 05

A550

OFFICE

A549A

TOILET

A549

WAITING

A548

WAITING

A548A

TOILET

A547

OFFICE,

DIETICIAN

A572

OFFICE

A573

MED. PREP.

A570

OFFICE

A569

OFFICE

A570A

ANTE RM.

A570B

TOILET

A568

OFFICE

A569A

TOILET

A568A

OFFICE

HALLWAY

A567B

OFFICE

A567

OFFICEA566A

TOILET

A567A

HALLWAY

A566

OFFICEA565B

TOILET

A565

OFFICE

A562

CLEAN

A564

SOILED

A564A

CRASH

CART

A563

ELEC

H505

CORRIDOR

H504

CORRIDOR

A571

NURSE

STATION

A578

TLT

A577A

TOILET

A576

OFFICE

A574

TOILET

A575

OFFICE

A544C

TOILET

H507

SERVICE

ELEVATOR

LOBBY

H503

CORRIDOR

A544B

LOCKER

A544

PHYSICIAN

WORK RM.

A501A

OFFICE

A501

OFFICE

A502

OFFICE

A509

OFFICE

A510

OFFICE

A511

OFFICE

A510A

TOILET

A512

OFFICE

A513

OFFICE

A512A

TOILET

A542

LAB

A541

STORAGE

B546

OFFICE

B544

OFFICE

B545

TOILET

A536B

ELEC

A544A

CLOSET

H506

ELEVATOR

LOBBY

B502

OFFICE

B501

OFFICE

A540A

STORAGE

A539

STORAGE

A535

OFFICE

S501

STAIR 01

A538

PHYSICIAN

WORK RM.

A536

ELECA536A

OI&T

A535A

TOILET

A537A

DATA

H501

CORRIDOR

A508A

TOILET

A508

OFFICE

A507A

TOILET

A507

OFFICE

A504

COPY

A503

HAC

A506A

TOILET

A505

NOUR.

A506

OFFICE

A517

OFFICE

A516

OFFICE

A515

OFFICE

A514

OFFICE

A516A

TOILET

A514A

TOILET

A521

STRG

A519

SOILED

A520

ELEC

A517A

TOILET

A518

STORAGE

A532

TOILET

A531

OFFICE

A533

OFFICE

B524D

EXAM

A524C

EXAM

A524A

EXAM

A524B

EXAM

B524

WAITING

RM. B524E

RECEPTION

A522

OFFICE

A523A

OFFICE

A523

HALLWAY

A523B

OFFICE

A527

HAC

S502

STAIR 02

A525

TOILET,

MALE

A526

OFFICE

H502A

F.E. CLOSET

A530

OFFICE

A529

OFFICE

H502

CORRIDOR

A543

PULMONARY

RESPIRATORY

THERAPY

A543B

OFFICE

B542

OFFICE

B541

OFFICE

H508

CORRIDOR

B503

BRONCHOSCOPY

SUITE

CORRIDOR

B528

STORAGE

B529

TOILET

B530

TOILET

B526

PREP /

RECOVERY

B527

MECH

B525

CONTROL

B523

EP LAB

H516

CORRIDOR

ELECTRO-

PHYSIOLOGY

C513

STERILIZER

C528

HAC

B532

MALE

LOCKER

HAC

B538A

TOILET

LOCKER

FEMALE

B533

OFFICE

B534

CATHETER

READING

B537

SOILED

B536

ELEC

S503

STAIR 03

H508A

F.E. CLOSET

B504

BREAK RM.

B522

TOILET

B520

WAITING

RM.

B521

HOLDING

B519

CONSULT

B511

CONTROL 1

B512

CONTROL 2

B509

SCRUB

B513

STORAGE

B510

CARDIAC

CATH. LAB 1

B508

PREP

B505

STORAGE

B506

MECH

B507

OI&T

B504B

Room

H509

CORRIDOR

H510A

CORRIDOR

H514

ELEVATOR

LOBBY

B531

TOILET

H513A

CORRIDOR

H513

CORRIDOR

H512A

SUPPLY

C520

LOCKER

C520A

TOILET

C519

BREAK

C518A

TOILET

C518

LOCKERC516

SOILED

C500B

STORAGE

C500C

OFFICE

C500D

HAC

C501A

ANTE RM.

C501

RECOVERY

ISOLATION

H510B

CORRIDOR

C500A

STORAGE

C504

RECOVERY

C503

RECOVERY

C502

RECOVERY

C510A

ANTE

C510

ISOLATION

RECOVERY

C509

RECOVERY

H511

CORRIDOR

C507

RECOVERY

C506

RECOVERY

C505

RECOVERY

C511A

TOILET

C511

TOILET

H512

CORRIDOR

C512

STORAGE

C524

OI&T

C514A

SCRUB

C522

OI&T

C521

ELEC

C515

CLEAN RM.

C514

STORAGE

B543

TOILET

B517

STORAGE

B518

HAC

H506A

F.E. CLOSET

B514

SCRUB

C508

RECOVERY

H510

CORRIDOR

H515

CORRIDOR

S506

STAIR 06

D502

MECH. RM.

STORAGE

D502C

STORAGE

BMET

S507

STAIR 07

ELEV 1

ELEV 2

ELEV 3

ELEV 4

ELEV 5

ELEV 6

ELEV 7

ELEV 8

ELEV 9

S509

STAIR 09

A577

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