B05 A3-4b PCRA.docx
DOCX document 29 KB Posted
- Attached to
- Rosebud Exterior Construction Project Bid Pack 1 Federal contract opportunity
- Solicitation number
- 75H70124R00052
About this file
This document is a Pre-Construction Risk Assessment (PCRA) for a project related to the Rosebud Exterior Construction Project Bid Pack 1 federal contract opportunity.
The PCRA covers potential risks and mitigation strategies across several areas, including fire safety, utilities, confined space, environmental/occupational, security, and infection control. It requires review and signatures from the project manager, facility manager, safety officer, infection preventionist, and supervisor of the affected area.
The related federal contract opportunity is a solicitation (Solicitation Number: 75H70124R00052) for construction services at the Rosebud Hospital in Rosebud, SD. The scope of work includes a full exterior replacement, including the roof, insulation, doors, windows, siding, louvers, vestibule expansion, generator replacement, and electrical system upgrade. The contract is a Firm Fixed Price (FFP) with a Lowest Price Technically Acceptable (LPTA) evaluation, set aside for Indian Small Business Economic Enterprises (ISBEE) under NAICS code 236220. The period of performance is 540 calendar days from the Notice to Proceed, and the estimated project magnitude is between $5,000,000 and $10,000,000.
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Text version
Pre-Construction Risk Assessment – Cover Page Project Title:
PRSU Coordinator:
PCRA Submit Date:
| Project Conducted by: |
| Fac. Mgmt. I.T. Telecom Clin. Eng. Contractor: __________________________ |
| Proposed Start Date: |
Staff/Cont. Name:
Est. Duration:
Supervisor Name:
Est. Complete Date:
Telephone:
Date Project Completed:
Email:
Version: September 18th, 2019
Project Description: (include specific sites and tasks)
| ICRA Classification | |
| Class I |
Class II
Class III*
Class IV*
Section 1. Initial Project Impact Review
| Topic |
| Will project negatively impact or involve…? |
| No |
| Yes |
| Responses (If YES to any) |
Fire Safety Section 2A(1) Ceiling tile removal (less than 4 hours total)
Complete Above the Ceiling Access Permit (ACAP)
Existing fire-stop; minor barrier penetrations
Fire Safety Section 2A(2) Fire detection/alarm/suppression systems
Complete Interim Life Safety Measure (ILSM) evaluation.
Exit paths or fire/smoke barriers
Hot work practices
Extra fire load or flammable materials
Utilities Section 2B (1) Water, sewer, electricity, steam, or HVAC (including outside air intakes)
Complete the Utility System Risk Assessment (USRA)
Medical gases or vacuum
Call systems, telephones, or IT systems
| Confined Space Section 2B (2) |
| Area designated confined space |
Confined Space Risk Assessment
Environmental/ Occupational Section 2C Lead or asbestos containing materials
Complete Env./Occ. Risk Assessment (EORA)
Chemical hazards (i.e. mercury, volatile organics)
Exposure to infectious agents or mold
Security Section 2D Security systems (badge readers, cameras)
Complete Security Risk Assessment (SRA)
Security processes (tours, foot/vehicle traffic)
Infection Control Section 2E Patient care areas or critical utilities
Complete an Infection Control Risk Assessment (ICRA)
Moderate to high levels of dust, noise, vibration
More than one work shift
Project Approval
Project Manager Signature & Title
Date:
Required for: All
Facility Manager Signature
Date:
Required for: All
Safety Officer Signature
Date:
Required for: All
Infection Preventionist Signature
Date:
Required for: USRA and ICRA
Supervisor (affected area)
Date:
Required for: All
Project Close-out Facility Manager Signature
Date:
Required for: All
Safety Officer Signature
Date:
Required for: All
Infection Preventionist Signature
Date:
Required for: ICRA-Class III & IV
Supervisor (affected area)
Date:
Required for: All
File details come from the government source that posted it. Updated .