8-ICRA.docx
DOCX document 124 KB Posted
- Attached to
- Western Oregon Roofing Replacement
- Solicitation number
- 75H70126Q00020
About this file
This file is an Infection Control Risk Assessment (ICRA) template and guideline document designed for healthcare facility construction and renovation projects. The document provides standardized protocols for managing infection control risks during construction activities at healthcare facilities, particularly those operated by the Indian Health Service.
The document establishes four construction activity classifications (Types A through D) ranging from non-invasive inspections to major demolition projects, and four infection control risk assessment categories (Low, Medium, Medium-High, and High) based on facility location. A risk assessment matrix correlates construction type with risk group to determine the appropriate infection control risk group (I through IV). The file includes detailed prevention and control measures for each risk group, spanning dust containment, HVAC isolation, negative air pressure maintenance, HEPA filtration, personnel decontamination procedures, and waste management protocols. Additional risk-reduction strategies address patient safety, staff training, and facility operations during construction. The document also contains checklists for ongoing infection control monitoring during construction and a final inspection checklist upon project completion, covering barriers, air handling, traffic control, personal protective equipment, housekeeping, equipment installation, and ventilation verification. This template appears to be a standard operational guideline rather than a solicitation-specific document and would be applicable to the Western Oregon Roofing Replacement project under the Indian Health Service.
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Table 1: Definitions of Construction Activities
| Construction Type |
| Description |
| A |
| Inspections 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 with minimal dust production; installing wall covering; electrical trim and minor plumbing work; and activities that do not generate dust or require cutting of walls or access to ceilings other than for visual inspections. |
| B |
| Small-scale, short-duration activities that 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. |
| C |
| Any work that generates a moderate to high-level amount of dust or requires demolition or removal of any fixed building components or assemblies. Includes, but is not limited to sanding of wall for painting or wall covering, removal of floor coverings, ceiling tiles and case work, new wall construction, minor duct or electrical work above ceilings, major cabling activities, and any activity that cannot be completed within a single work shift. |
| D |
| Major demolition and construction projects. Includes but is not limited to activities that require consecutive work shifts, require heavy demolition or removal of a complete ceiling system, and new construction. |
Table 2: Infection Control Risk Assessment (Circle One)
| Low |
| Medium |
| Medium-High |
| High |
· Office areas
· Other:
· All patient care areas (unless stated in medium to high or high risk areas)
· Other:
· Radiology
· Pharmacy
· Dental Department
· Dining Facility/Break Room
· Laboratories (specimens)
· Special Procedures
· Other:
· Sterile Processing Areas
· Pharmacy Mixture Areas
· Other:
Table 3: Risk Assessment Matrix
Construction Activity
| Risk Group |
| A |
| B |
| C |
| D |
| Low |
| I |
| II |
| II |
| III/IV |
| Medium |
| I |
| II |
| III |
| IV |
| Medium-High |
| I |
| II |
| III/IV |
| IV |
| High |
| III |
| III/IV |
| III/IV |
| IV |
Table 4: Infection Control Construction Permit
| Project Number/Description: |
| Project Type: |
| Maintenance |
| Renovation |
| Demolition |
| New Construction |
| Maintenance |
| Other |
| Estimated Start Date: |
| Estimated Completion Date: |
| Facility Manager: |
| Phone: |
| Contractor: |
| Phone: |
| Infection Control Officer: |
| Phone: |
| Location: |
| Supervisor/Phone: |
Construction Type: (Circle One) A B C D
| Risk Group (circle one) |
| Risk Assessment: (Circle One) |
I II III III/IV IV
| Low |
| Medium |
| Medium-High |
| High |
Projected Utility Outages Impacting Infection Control (Mark all that apply)
| Electrical Power |
| HVAC |
| Potable Water |
| Sewage Disposal |
| Medical Vacuum |
| Other: |
List all construction equipment that may generate noise, vibration, and/or interference with Medical Equipment (Electro Magnetic Interference):
| NOISE |
| VIBRATION |
| VIBRATION |
COMMENTS: __________________________________________________________________________
Table 4A: Prevention and Control Measures (Mark all that apply)
| Risk Assessment |
| Prevention/Control Measure |
| I |
| Use work practices that will minimize generation of dust from construction operations. |
Immediately replace any ceiling tiles displaced for visual inspection.
| II |
| Provide means (e.g., fire-rated plastic sheeting) to prevent airborne dust from dispersing into the atmosphere. |
Water mist work surfaces to control dust while cutting.
Seat unused doors with low tack.
Block off and seal air vents.
Wipe surfaces with disinfectant.
Contain construction waste before transport in tightly covered containers.
Wet mop and/or vacuum with HEPA filtered vacuum before leaving work area.
Place dust mat at work area entrances and exits.
Isolate HVAC system in work area.
| III |
| Isolate HVAC system in work area. |
Install fire-rated barriers or implement control cube method before construction begins.
Maintain negative air pressure within work area, utilizing HEPA equipped air filtration units.
Keep barriers in tact until project is completed and area is thoroughly cleaned by housekeeping.
Vacuum work area with HEPA-filtered vacuums frequently.
Wipe surfaces with disinfectant.
Remove barriers carefully to minimize spreading dirt and debris associated with construction.
Contain construction waste before transport.
Cover waste transport containers or carts, tape coverings if lids or covers are not tight.
| IV |
| Isolate HVAC system in work area. |
Install fire-rated barriers or implement control cube method before construction begins.
Maintain negative air pressure within work area, utilizing HEPA equipped air filtration units.
Seal holes, pipes, conduits, and punctures appropriately.
Construct anteroom and require all personnel to pass through this room so then can be vacuumed with HEPA vacuum cleaner before leaving work area, or wear cloth or paper coveralls that are removed each time they leave the work area.
Require all personnel entering work area to wear shoe covers.
Keep barriers in tact until project is complete and thoroughly cleaned by housekeeping.
Vacuum work with HEPA-filtered vacuums daily or more frequently as needed.
Wet mop adjacent areas with disinfectant daily or more frequently as needed.
Remove barriers in a manner to minimize spreading dirt and debris associated with construction.
Contain construction waste before transport.
Cover waste transport containers or carts, tape coverings if lids or covers are not tight.
Table 4B: Other Risk-Reduction Strategies
Keep patient doors adjacent to the construction area closed.
Seal exterior windows to minimize infiltration from excavation debris.
Designate alternate routes in the facility that detour staff, patients, and visitors around the construction site.
Schedule major construction projects during winter months when risk of fungal infection is lowest.
Designate a construction-only elevator, entrance, and walkway for construction crew.
Remove construction debris through a window on floors above the ground level.
Relocate high-risk patients to an area removed from the construction site.
Post signage related to non-authorized entry into the work area.
Designate storage areas for construction materials.
Train and educate healthcare staff, facility workers, construction workers (Mark all that apply):
Infection Control Exposure Control Plans Hazardous Chemicals Life Safety Accident Reporting First Aid Personal Protective Equipment Reporting unexpected environmental emergencies (e.g., lead-based paint, asbestos-containing material, etc.)
Other:
Table 5: Infection Control Checklist (to be used during Construction/Renovation)
Inspector:
| Location: |
| Date: |
| Time: |
| Barriers |
| Air Handling |
| Construction signs posted |
| All windows behind barrier closed |
| Doors properly closed and sealed |
| Negative air pressure at barrier entrance |
| Holes, pipes, conduits, punctures, etc. sealed |
| Portable air flow units used to maintain negative pressure running |
Dust barriers intact and sealed
| Floor and horizontal surfaces free of dust |
| Trash and Debris |
| Ceiling tiles free of moisture |
| No visible evidence of insects (flies) |
| Traffic Control |
| Trash placed in appropriate containers |
| All doors and exits free of debris |
| Routine cleaning performed in work area |
| Restricted to construction workers and essential staff |
| “Sticky” dust mats appropriately placed/clean |
No evidence of dust outside the construction area
| Personal Protective Equipment (PPE) |
| Debris removed in covered container daily |
| Workers wearing appropriate PPE |
| Regulated medical waste containers removed from work area before work is started |
COMMENTS/ACTIONS TAKEN:
Table 6: Final Infection Control Checklist (to be used upon completion of Construction/Renovation)
Inspector:
| Location: |
| Date: |
| Time: |
Equipment
| Soap dispensers properly installed and filled. |
| Towel dispensers properly installed and filled. |
| Sinks functional. |
| Sharps containers properly installed |
Housekeeping
| Waste and excess equipment/supplies removed. |
| Surfaces and floors dust free. |
Ventilation
| Appropriate pressure relationships verified. |
| Protective coverings removed from intake and exhaust vents. |
COMMENTS/ACTIONS TAKEN:
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