36C25618R0574-004.xlsx

XLSX spreadsheet 47 KB Posted Aug 8, 2018

Attached to: CLC MODIFICATIONS Federal contract opportunity
Solicitation number: 36C25618R0574
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

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36C25618R0574 ICRA CLC MODIFICATIONS.xlsx

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File	Type	Posted
36C25618R0574-0004000.docx	DOCX document	Sep 11, 2018
36C25618R0574-0004001.pdf	PDF	Sep 11, 2018
36C25618R0574-0003000.docx	DOCX document	Sep 10, 2018
36C25618R0574-0002000.docx	DOCX document	Aug 28, 2018
36C25618R0574-0001001.pdf	PDF	Aug 17, 2018
36C25618R0574-0001000.docx	DOCX document	Aug 17, 2018
36C25618R0574-016.pdf	PDF	Aug 8, 2018
36C25618R0574-010.pdf	PDF	Aug 8, 2018
36C25618R0574-007.docx	DOCX document	Aug 8, 2018
36C25618R0574-005.docx	DOCX document	Aug 8, 2018
36C25618R0574-002.pdf	PDF	Aug 8, 2018
36C25618R0574-014.pdf	PDF	Aug 8, 2018
36C25618R0574-006.docx	DOCX document	Aug 8, 2018
36C25618R0574-008.docx	DOCX document	Aug 8, 2018
36C25618R0574-001.docx	DOCX document	Aug 8, 2018
36C25618R0574-012.pdf	PDF	Aug 8, 2018
36C25618R0574-009.pdf	PDF	Aug 8, 2018
36C25618R0574-003.pdf	PDF	Aug 8, 2018
36C25618R0574-011.pdf	PDF	Aug 8, 2018
36C25618R0574-013.pdf	PDF	Aug 8, 2018
36C25618R0574-015.pdf	PDF	Aug 8, 2018
36C25618R0574-000.docx	DOCX document	May 18, 2018

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1-ICRA

Infection Control Risk Assessment (ICRA) Checksheet
Project Title or Type of Work:	CLC TERRACE MODIFICATIONS	Project No.	629-17-104
COTR:	Stradford Goins	Date:	December 14, 2017

Brief description of the construction or maintenance project:

The contractor will be modifying the handrails on the 3rd floor patio and installing a fence at the 3rd floor terrace.

Type of construction project--choose from drop-down box (see "Types & Risk" tab):						C
Patient Risk Group--choose from drop-down box (see "Types & Risk" tab):						Low	A	Low	I
							B	Medium	II
Class of Infection Control Precautions (select from grid)							C	High	III
	Construction Project Type						D	Highest	IV
Patient Risk Group	TYPE A	TYPE B	TYPE C	TYPE D	Project Class
Low	I	II	II	III/IV	II
Medium	I	II	III	IV
High	I	II	III/IV	IV
Highest	II	III/IV	III/IV	IV

Other Considerations	Comments
Air Quality	It is not anticipated that the air quality will be compromised. The stairwell's climate is controlled by a wall mounted unit that is not connected to the facility's return system. However, the vents should be covered to reduce dust entering the wall unit's system. Proper PPE shall be worn at all times.
Noise	There will be some noise as a result of the drilling.
Vibrations	There will be minor vibration as a result of the drilling and stud installations.
Utilities	There will be no interruptions / outages for any utilities. The electricity will be used for operating standard power tools.
Emergency procedures	Station Level Project. Emergency procedures will be followed closely by those currently used by VA employees.
Security	All contractors will sign-in with security prior to any work being performed. The rear Emergency Door in Mental Health that leads to the stairwell will remain locked at all times during construction. Exit only to 1st floor/outside.

Construction Safety Assessment Team Concurrence
Member	Position	Member	Position

Other Comments

2-ICRA2

Infection Control Risk Assessment (ICRA) Checksheet (check appropriate requirements)

CLC TERRACE MODIFICATIONS
				December 14, 2017
Class	During Construction Project		Upon Completion of Project
I		Execute work by methods to minimize raising dust from construction operations.		Immediately replace ceiling tile displaced for visual inspection.
II	X	Provide active means to prevent airborne dust from dispersing into atmosphere.		Wipe work surfaces with disinfectant.
	X	Water mist work surfaces to control dust while cutting.		Wet mop and/or vacuum with HEPA-filtered vacuum before leaving work area.
	X	Seal unused doors with duct tape.		Remove isolation of HVAC system in areas where work is being performed.
		Block off and seal air vents.	X	Contain construction waste before transport in tightly covered containers.
	X	Place dust mat at entrance and exit of work area.
	X	Remove or isolate HVAC system in areas where work is being performed to prevent contamination of duct system.
III		Class II (those checked) plus:		Do not remove barriers from work area until completed project is inspected by Safety and Infection Control and thoroughly cleaned by Environmental Management.
		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.		Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.
		Maintain negative air pressure within work site utilizing HEPA equipped air filtration units.		Vacuum work area with HEPA filtered vacuums.
	X	Cover transport receptacles or carts. Tape covering unless solid lid.		Wet mop area with disinfectant.
IV		Class III (those checked) plus:		See other Classes.
		Seal holes, pipes, conduits, and punctures appropriately.
		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 the worker leaves the worksite.
		All personnel entering work site are required to wear shoe covers. Shoe covers must be changed each time the worker exits the work area.

3-ILSM Const

Interim Life Safety Measures (ILSM) Assessment for Construction and Maintenance
	Project Title or Type of Work:	CLC TERRACE MODIFICATIONS
	Project No.	629-17-104

Evaluate the project using the criteria below to determine which ILSM are applicable.
	Deficiency	Y or N?	Deficiency	Y or N?
	Blocking off an approved exit	N	Installing sprinkler system (out of service)	N	Y
	Rerouting of primary egress path	N	Significantly modifying smoke or fire barrier walls	N	N
	Rerouting of secondary egress path	N	Adding an addition to an existing structure	N
	Rerouting of traffic to emergency care center	N	Taking fire alarm / sprinkler system out of service >4 hours	N
	Major renovation of an occupied floor	N	Disconnecting 4 or more alarm devices >4 hours	N
	Replacing the fire alarm system (out of service)	N	All / part of medical gas alarm panels out of service	N

1	Notify the fire department and initiate a fire watch.
2	Post signage identifying the location of alternative exits to everyone affected.
3	Inspect exits in affected areas on a daily basis.
4	Provide temporary but equivalent fire alarm and detection systems for use when a fire system is impaired.
5	Provide additional firefighting equipment.
6	Use temporary construction partitions that are smoke-tight, or made of noncombustible or limited-combustible material that will not contribute to the development or spread of fire.
7	Increase surveillance of buildings, grounds, and equipment, giving special attention to construction areas and storage, excavation, and field offices.
8	Enforce storage, housekeeping, and debris-removal practices that reduce the building’s flammable and combustible fire load to the lowest feasible level.
9	Provide additional training to those who work in the hospital on the use of firefighting equipment.
10	Conduct one additional fire drill per shift per quarter. All areas.
11	Conduct one additional fire drill per shift per quarter. Local area.
12	Inspect and test temporary systems monthly.
13	Conduct education to promote awareness of building deficiencies, construction hazards, and temporary measures implemented to maintain fire safety.
14	Train those who work in the hospital to compensate for impaired structural or compartmental fire safety features.

4-ILSM Defic

Interim Life Safety Measures (ILSM) Assessment for Life Safety Code Deficiency
	Deficiency:	CLC TERRACE MODIFICATIONS

Evaluate the deficiency using the criteria below to determine which ILSM are applicable.
	Deficiency	Y or N?	Deficiency	Y or N?
	Corridor door latching / gap / rating problems	N	Nonconforming building construction type	N		Y
	Fire door latching / gap / rating problems	N	Improperly protected vertical openings	N		N
	Smoke door latching / gap / rating problems	N	Large penetration in fire / smoke barriers	N
	Lacking a code-compliant barrier	N	Corridor walls do not extend to the structure	N
	Fire exit stairs discharge improperly	N	Fire protection systems* failure <4 hours	N	*alarm, detection or

suppression

Excessive travel distance to approved exit	N	Fire protection systems* failure >4 hours	N
Lacking two remote exits	N	Hazardous area not properly protected	N

1	Notify the fire department and initiate a fire watch.
2	Post signage identifying the location of alternative exits to everyone affected.
3	Inspect exits in affected areas on a daily basis.
4	Provide temporary but equivalent fire alarm and detection systems for use when a fire system is impaired.
5	Provide additional firefighting equipment.
6	Use temporary construction partitions that are smoke-tight, or made of noncombustible or limited-combustible material that will not contribute to the development or spread of fire.
7	Increase surveillance of buildings, grounds, and equipment, giving special attention to construction areas and storage, excavation, and field offices.
8	Enforce storage, housekeeping, and debris-removal practices that reduce the building’s flammable and combustible fire load to the lowest feasible level.
9	Provide additional training to those who work in the hospital on the use of firefighting equipment.
10	Conduct one additional fire drill per shift per quarter. All areas.
11	Conduct one additional fire drill per shift per quarter. Local area.
12	Inspect and test temporary systems monthly.
13	Conduct education to promote awareness of building deficiencies, construction hazards, and temporary measures implemented to maintain fire safety.
14	Train those who work in the hospital to compensate for impaired structural or compartmental fire safety features.

5-ILSM Contract ILSM Formal Contract

Project Title / Deficiency:	CLC TERRACE MODIFICATIONS	Project No.:	629-17-104
COTR:	Stradford Goins	Contractor:

Location and Description of Work:

The contractor will be modifying the handrails on the 3rd floor patio and installing a fence at the 3rd floor terrace.

	Date of this Formal Contract:			December 14, 2017
	Mandatory ILSM					Yes	No
	1	Notify the fire department and initiate a fire watch.					X
	2	Post signage identifying the location of alternative exits to everyone affected.					X
	3	Inspect exits in affected areas on a daily basis.					X
	4	Provide temporary but equivalent fire alarm and detection systems for use when a fire system is impaired.					X
	5	Provide additional fire-fighting equipment.					X
	6	Use temporary construction partitions that are smoke-tight, or made of noncombustible or limited-combustible material that will not contribute to the development or spread of fire.					X
	7	Increase surveillance of buildings, grounds, and equipment, giving special attention to construction areas and storage, excavation, and field offices.					X
	8	Enforce storage, housekeeping, and debris-removal practices that reduce the building’s flammable and combustible fire load to the lowest feasible level.				X
	9	Provide additional training to those who work in the hospital on the use of firefighting equipment.					X
	10	Conduct one additional fire drill per shift per quarter. All areas.					X
	11	Conduct one additional fire drill per shift per quarter. Local area.					X
	12	Inspect and test temporary systems monthly.					X
	13	Conduct education to promote awareness of building deficiencies, construction hazards, and temporary measures implemented to maintain fire safety.					X
	14	Train those who work in the hospital to compensate for impaired structural or compartmental fire safety features.					X
	Staff Training
	Subject(s)
(use above numbers)			Names/Groups Trained		Date

Dates of Fire Drills
Area	Date	Time	Area	Date	Time

6-Inspection

MEDVAMC CONSTRUCTION SAFETY INSPECTION FORM

Project Title: CLC TERRACE MODIFICATIONS Project Number: 629-17-104

	Inspector:			Inspection Date:
Possible ILSMs from the Construction Safety Assessment		Required?		In Place?	Comments
		Yes	No
1	Notify the fire department and initiate a fire watch.		X
2	Post signage identifying the location of alternative exits to everyone affected.		X
3	Inspect exits in affected areas on a daily basis.		X
4	Provide temporary but equivalent fire alarm and detection systems for use when a fire system is impaired.		X
5	Provide additional firefighting equipment.		X
6	Use temporary construction partitions that are smoke-tight, or made of noncombustible or limited-combustible material that will not contribute to the development or spread of fire.		X
7	Increase surveillance of buildings, grounds, and equipment, giving special attention to construction areas and storage, excavation, and field offices.		X
8	Enforce storage, housekeeping, and debris-removal practices that reduce the building’s flammable and combustible fire load to the lowest feasible level.	X
9	Provide additional training to those who work in the hospital on the use of firefighting equipment.		X
10	Conduct one additional fire drill per shift per quarter. All areas.		X
11	Conduct one additional fire drill per shift per quarter. Local area.		X
12	Inspect and test temporary systems monthly.		X
13	Conduct education to promote awareness of building deficiencies, construction hazards, and temporary measures implemented to maintain fire safety.		X
14	Train those who work in the hospital to compensate for impaired structural or compartmental fire safety features.		X

Other Construction Issues
	Y	N	N/A		Y	N	N/A	Comments
Construction area warning sign posted?				Adequate lighting provided in all work areas?
All construction doors (including interstitial) closed and locked?				Hand held and mounted equipment properly guarded?
Evidence of dust and debris tracked to outside of barrier?				Aisles and passageways in good repair, kept clear and properly marked?
Mat/carpet at entrance?				Egress to and from work site unobstructed?
Floor, wall, ceiling penetrations sealed properly?				Fire extinguisher on site?
				Ladders in good condition?
Hot Work or Confined Space Permits posted?				MSDS available on site?
Area free of insects and rodents?				Gas cylinders secured?
Area under negative pressure?				Evidence of smoking?
Ventilation system adequately removes toxic dust and gases from work environment?				Electrical power cords in good condition?
Workers wearing or have available appropriate PPE?				Guardrails and toe boards provided for scaffolding that is open at all sides?
Safety harnesses being worn for work >6’ off the ground?				Additional Comments:

7-Types & Risk 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 which cannot be completed within 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 complete cabling systems New Construction

Low Risk	Medium Risk	High Risk	Highest Risk
Office areas

Medical records Non-patient care areas Cafeteria Cardiology clinic Echocardiography Endoscopy Nuclear Medicine Physical Therapy Radiology/MRI Respiratory Therapy CCU Emergency Room Laboratories (specimen) Admissions Outpatient Surgery Pharmacy Post Anesthesia Care Unit (PACU) Surgical Units Any area caring for immunocompromised patients Cardiac Cath Lab

SPD

Intensive Care Units Medical Units Negative pressure isolation rooms Oncology Operating rooms Invasive procedure rooms

8-Additional Comments Other Comments

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