Attachment 2 - 550-26-131 Specifications.pdf

Exterior Repairs and Painting Buildings

35 and 39 Project # 550-26-131

For the

VA Illiana Health Care System 1900 E. Main St., Danville, IL 61832

PROJECT MANUAL

Volume l – Division 00-13

December 22, 2025

VA Medical Center.

550-26-131, Exterior Repairs and Painting B35 and 39 12-22-2025

1900 E. Main Street Danville, IL 61832

00 01 10-1

DEPARTMENT OF VETERANS AFFAIRS

VHA MASTER SPECIFICATIONS

TABLE OF CONTENTS

Section 00 01 10

SECTION NO DIVISION AND SECTION TITLES DATE

DIVISION 00 - SPECIAL SECTIONS

00 01 10 Table of Contents 05-20

DIVISION 01 - GENERAL REQUIREMENTS

01 00 00 General Requirements 11-21 01 01 10 Infection Control 11-21 01 11 21.07 Job Meetings 11-21 01 32 16.16 Network Analysis Schedules (Design-Build Only) 05-22 01 33 23 Shop Drawings, Product Data, and Samples 06-25 01 33 24 Electronic Submittals 11-21 01 35 26 Safety Requirements for Major Projects 05-24 01 74 19 Construction Waste Management 04-22

DIVISION 02 – EXISTING CONDITIONS

02 83 33.13 Lead-Based Paint Removal and Disposal 01-21

DIVISION 03 – CONCRETE – not used

DIVISION 04 – MASONRY – not used

DIVISION 05 – METALS – not used

DIVISION 06 – WOOD, PLASTICS AND COMPOSITES – not used

DIVISION 07 - THERMAL AND MOISTURE PROTECTION – not used

DIVISION 08 – OPENINGS – not used

DIVISION 09 – FINISHES

09 91 00 Painting 01-21

550-26-131, Exterior Repairs and Painting B35 and 39 12-22-2025

1900 E. Main Street Danville, IL 61832

00 01 10-2

SECTION NO DIVISION AND SECTION TITLES DATE

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 – not used

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

04-01-2021 i

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 RESTORATION

1.10 PHYSICAL DATA

1.11 AS-BUILT DRAWINGS

1.12 USE OF ROADWAYS

1.13 TEMPORARY USE OF MECHANICAL AND ELECTRICAL EQUIPMENT

1.14 TEMPORARY TOILETS

1.15 AVAILABILITY AND USE OF UTILITY SERVICES

02-16-2021

01 00 00 -1

SECTION 01 00 00

GENERAL REQUIREMENTS

1.1 SAFETY 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 for as required by drawings and specifications.

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

COR

D. 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 general construction, alterations, necessary removal of existing structures and construction and certain other items.

1.4 SPECIFICATIONS AND DRAWINGS FOR CONTRACTOR

A. Drawings and contract documents may be obtained from the VA. Additional copies will be at Contractor's expense.

1.5 CONSTRUCTION SECURITY REQUIREMENTS

A. Security Plan:

1. The security plan defines both physical and administrative security procedures that will remain effective for the entire duration of the project.

2. The General Contractor is responsible for assuring that all sub-contractors working on the project and their employees also comply with these regulations.

B. Security Procedures:

01 00 00 -2

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.

2. Before starting work the General Contractor shall give one week’s notice to the COR so that security escort 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 COR.

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 Contracting.

C. Key Control:

1. The General Contractor shall provide duplicate keys and lock combinations to the 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.

D. Document Control:

1. Before starting any work, the General Contractor/Sub Contractors shall submit an electronic security memorandum describing the approach to following goals and maintaining confidentiality of

“sensitive information”.

2. 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.

3. Certain documents, sketches, videos or photographs and drawings may be marked “Law Enforcement Sensitive” or “Sensitive Unclassified”.

Secure such information in separate containers and limit the access

01 00 00 -3 to only those who will need it for the project. Return the information to the Contracting Officer upon request.

4. These security documents shall not be removed or transmitted from the project site without the written approval of COR.

5. All paper waste or electronic media such as CD’s and diskettes shall be shredded and destroyed in a manner acceptable to the VA.

6. Notify COR and Site Security Officer immediately when there is a loss or compromise of “sensitive information”.

7. All electronic information shall be stored in specified location following VA standards and procedures using an Engineering Document

Management Software (EDMS).

a. Security, access and maintenance of all project drawings, both scanned and electronic shall be performed and tracked through the

EDMS system.

b. “Sensitive information” including drawings and other documents may be attached to e-mail provided all VA encryption procedures are followed.

F. 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.

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 COR and

01 00 00 -4 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 COR, 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.

(FAR 52.236-10)

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

E. Workers 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 by patients or medical personnel, and Contractor's personnel, except as permitted by COR.

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 workdays. Provide unobstructed access to Medical Center areas required to remain in operation.

01 00 00 -5

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.

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

K. 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.

L. Coordinate the work for this contract with other construction operations as directed by COR.

1.7 ALTERATIONS

Not Applicable

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.

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

1.9 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

01 00 00 -6 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 (walls, ceilings, partitions, floors, mechanical and electrical work, lawns, paving, roads, walks, etc.) disturbed or removed as a result of performing required 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 workers 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).

1.10 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.

1.11 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 ensure compliance, as-built drawings shall be made available for the COR review, as often as requested.

C. Contractor shall deliver two approved completed sets ofas-built drawings in the electronic version (scanned PDF) to the COR within 15

01 00 00 -7 calendar days after each completed phase and after the acceptance of the project by the COR.

1.12 WARRANTY MANAGEMENT

A. Warranty Management Plan: Develop a warranty management plan which contains information relevant to FAR 52.246-21 Warranty of Construction in at least 30 days before the planned pre-warranty conference, submit one set of the warranty management plan. Include within the warranty management plan all required actions and documents to assure that the

Government receives all warranties to which it is entitled. The plan must be in narrative form and contain sufficient detail to render it suitable for use by future maintenance and repair personnel, whether tradesman, or of engineering background, not necessarily familiar with this contract. The term “status” as indicated below must include due date and whether item has been submitted or was approved. Warranty information made available during the construction phase must be submitted to the Contracting Officer for approval prior to each monthly invoice for payment. Assemble approved information in a binder and turn over to the Government upon acceptance of the work. The construction warranty period will begin on the date of the project acceptance and continue for the product warranty period. A joint 4 month and 9-month warranty inspection will be conducted, measured from time of acceptance, by the Contactor and the Contracting Officer. Include in the warranty management plan, but not limited to, the following:

1. Roles and responsibilities of all personnel associated with the warranty process, including points of contact and telephone numbers within the company of the Contractor, subcontractors, manufacturers or suppliers involved.

2. Furnish with each warranty the name, address and telephone number of each of the guarantor’s representatives nearest project location.

3. The plans for attendance at the 4 and 9-month post construction warranty inspections conducted by the government.

4. Procedure and status of tagging of all equipment covered by extended warranties.

01 00 00 -8

5. Copies of instructions to be posted near selected pieces of equipment where operation is critical for warranty and/or safety reasons.

B. Performance Bond: The Performance Bond must remain effective throughout the construction period

1. In the event the Contractor fails to commence and diligently pursue any construction warranty work required, the Contracting Officer will have the work performed by others, and after completion of the work, will charge the remaining construction warranty funds of expenses incurred by the Government while performing the work, including, but not limited to administrative expenses.

2. In the event sufficient funds are not available to cover the construction warranty work performed by the Government at the contractor’s expenses, the Contracting Officer will have the right to recoup expenses from the bonding company.

3. Following oral or written notification of required construction warranty repair work, the Contractor shall respond in a timely manner. Written verification will follow oral instructions. Failure to respond will be cause for the Contracting Officer to proceed against the Contractor.

C. Pre-Warranty Conference: Prior to contract completion, and at a time designated by the Contracting Officer, the Contractor shall meet with the Contracting Officer to develop a mutual understanding with respect to the requirements of this section. Communication procedures for

Contractor notification of construction warranty defects, priorities with respect to the type of defect, reasonable time required for

Contractor response, and other details deemed necessary by the

Contracting Officer for the execution of the construction warranty will be established/ reviewed at this meeting. In connection with these requirements and at the time of the Contractor’s quality control completion inspection, furnish the name, telephone number and address of a licensed and bonded company which is authorized to initiate and pursue construction warranty work action on behalf of the Contractor.

This point of contract will be located within the local service area of the warranted construction, be continuously available and be responsive to Government inquiry on warranty work action and status. This

01 00 00 -9 requirement does not relieve the Contractor of any of its responsibilities in conjunction with other portions of this provision.

D. Contractor’s Response to Construction Warranty Service Requirements:

Following oral or written notification by the Contracting Officer, the

Contractor shall respond to construction warranty service requirements in accordance with the “Construction Warranty Service Priority List” and the three categories of priorities listed below. Submit a report on any warranty item that has been repaired during the warranty period.

Include within the report the cause of the problem, date reported, corrective action taken, and when the repair was completed. If the

Contractor does not perform the construction warranty within the timeframe specified, the Government will perform the work and back charge the construction warranty payment item established.

1. First Priority Code 1. Perform onsite inspection to evaluate situation, and determine course of action within 4 hours, initiate work within 6 hours and work continuously to completion or relief.

2. Second Priority Code 2. Perform onsite inspection to evaluate situation, and determine course of action within 8 hours, initiate work within 24 hours and work continuously to completion or relief.

3. Third Priority Code 3. All other work to be initiated within 3 work days and work continuously to completion or relief.

4. The “Construction Warranty Service Priority List” is as follows:

01 00 00 -10

1.13 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 it is necessary to cross curbing, sidewalks, or similar construction, they must be protected by well-constructed bridges.

1.14 TEMPORARY TOILETS

A. Provide where directed, (for use of all Contractor's workers) ample temporary sanitary toilet accommodation with suitable sewer and water connections; or, when approved by COR , provide suitable dry closets where directed. Keep such places clean and free from flies, and all connections and appliances connected therewith are to be removed prior to completion of contract, and premises left perfectly clean.

01 00 00 -11

B. Contractor may have for use of Contractor's workers; such toilet accommodations as may be assigned to Contractor by Medical Center.

Contractor shall keep such places clean and be responsible for any damage done thereto by Contractor's workers. Failure to maintain satisfactory condition in toilets will deprive Contractor of the privilege to use such toilets.

1.15 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 amount to be paid by the Contractor for chargeable electrical services shall be the prevailing rates charged to the Government. The Contractor shall carefully conserve any utilities furnished without charge.

B. The Contractor, at Contractor's expense and in a workmanlike manner, in compliance with code and as satisfactory to the Contracting Officer, shall install and maintain all necessary temporary connections and distribution lines, and all meters required to measure the amount of electricity used for the purpose of determining charges. Before final acceptance of the work by the Government, the Contractor shall remove all the temporary connections, distribution lines, meters, and associated paraphernalia and repair restore the infrastructure as required.

C. Contractor shall install meters at Contractor's expense and furnish the

Medical Center a monthly record of the Contractor's usage of electricity as hereinafter specified.

D. Electricity (for Construction and Testing): Furnish all temporary electric services.

1. Obtain electricity by connecting to the Medical Center electrical distribution system. The Contractor shall meter and pay for electricity required for electric cranes and hoisting devices, electrical welding devices and any electrical heating devices providing temporary heat. Electricity for all other uses is available at no cost to the Contractor.

01 00 00 -12

1.16 INSTRUCTIONS

A. Instructions: Contractor shall provide qualified, factory-trained manufacturers' representatives to give detailed training to assigned

Department of Veterans Affairs personnel in the operation and complete maintenance for each piece of equipment. All such training will be at the job site. These requirements are more specifically detailed in the various technical sections. Instructions for different items of equipment that are component parts of a complete system, shall be given in an integrated, progressive manner. All instructors for every piece of component equipment in a system shall be available until instructions for all items included in the system have been completed. This is to assure proper instruction in the operation of inter-related systems. All instruction periods shall be at such times as scheduled by the COR and shall be considered concluded only when the COR is satisfied in regard to complete and thorough coverage. The contractor shall submit a course outline with associated material to the COR for review and approval prior to scheduling training to ensure the subject matter covers the expectations of the VA and the contractual requirements. The Department of Veterans Affairs reserves the right to request the removal of, and substitution for, any instructor who, in the opinion of the COR , does not demonstrate sufficient qualifications in accordance with requirements for instructors above.

- - - E N D - - -

550-xx-xxx, _________________________ December 31, 2025

01 01 10 IC-1

SECTION 01 01 10 - IC

INFECTION CONTROL

03/2023

DESCRIPTION

A. 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 Assessment Matrix of Precautions for construction and renovation for activities follows. Contractor shall request the COR provide the current form for this matrix so it may be more easily completed.

Attachment A

VA Illiana Pre-Construction Risk Assessment (PCRA) Infection Control Risk Assessment (ICRA), Interim Life

Safety Measure (ILSM), and Safety Construction Permit.

(For questions about this project, please contact the Project Manager)

Project Number#: Project Title:

Project Manager: Phone Number:

Location of Construction: Project Start Date:

Contractor Performing Work: Estimated Duration:

Permit Expiration Date:

Description of Project:

CONSTRUCTION ACTIVITIES

The following are examples of activities that do not require completion of the Pre-Construction Risk Assessment:

1. Paint and wallpaper in business offices and non-patient areas.

2. Paint in patient room if closed for painting and less than 3 sf. of wall needs patched. Filter for room unit changed after painting.

3. Installation of soap dispenser/needle box/paper towel holder in patient room

4. Repair of window blind.

5. Ceiling tile replacement for areas less than 10 2’ X 2’ tiles, if not in business offices and non-patient areas.

6. Ceiling tile replacement for area less than 5 2’ X 2’ tiles in a patient area if patient is out of the

01 01 10 IC-2

immediate area and clean up can be accomplished before patient returns.

7. Minimum repair of nurse call system/TV/Bed/Telephone.

8. Check or replace electric outlet.

9. Replace light bulb.

10. Unstop sink/commode with no water on floor.

11. Unstop commode when water on floor requires maintenance to have Housekeeping clean area immediately.

12. Repair medical gas outlet. (Front Body)

13. Air balance readings.

14. Check air-conditioning.

15. Intermediate jobs that create a moderate amount of dust inside room and is made negative by use of hepa-equipped unit with minimum 10 ACH, and all air discharged outside, hepa unit must run 2 hours after completion of job and Housekeeping must clean room before unit is removed from room. All work and use of hepa unit must be documented and copy forward to Infection Control and Safety. NOTE: All duct vents to be sealed off during work!

Yes No NOISE Will there be noise generated that will impact a department adjacent to, above, or below the construction area?

a. If so, list the departments that must be notified.

b. How are you going to reduce the noise to an acceptable level?

Yes No VIBRATION Will there be vibration generated that will impact a department adjacent to, above, or below the construction area?

a. If so, list the departments that must be notified each time this type of work will be performed.

b. How are you going to reduce the vibration to an acceptable level?

Yes No EMERGENCY PROCEDURES Are Emergency Procedures in place and posted on each job for accidental events that could greatly impact Patient Care or Life Safety to the facility? Included in these procedures are such things as:

• Emergency telephone numbers of key departments.

• A plan that describes where main valves, switches, and controls are for the area in case of an emergency.

• A plan for unexpected outages.

Yes No ENVIRONMENTAL Are any of the following environmental hazards present?

Will hazardous chemicals be used on this project? How will fumes and odors be controlled? SDS Sheets are required.

Is asbestos abatement required on this job? If so, notify Safety and Maintenance at the activation.

Is lead paint removal required on this job? If so, notify Safety and Maintenance at the activation.

Will there be hot work done on this project? If there are, then a hot work permit must be posted on the job site. All hot work must have a fire watch assigned to each area while the hot work is being performed.

Will there be a Confined Space Entry required on this project? If so, the VA Illiana

01 01 10 IC-3

confined space entry MCM must be followed.

Yes No UTILITY FAILURES Will any of the following systems be out of service at any time during the project?

CHECK ALL APPLICABLE BLOCKS.

___ Fire alarm (If out for more than 8 hours, Interim Life Safety Measures must be implemented.)

___ Sprinkler (If out for more than 10 hours, Interim Life Safety Measures must be implemented.)

___ Electrical ___ Domestic water ___ Oxygen ___ Sewage

___ HVAC

Yes No INTERIM LIFE SAFETY MEASURES (ILSM’S) Will there be any work that will require activation of the Interim Life Safety Measures during this project? Some things that will require ILSM’s to be implemented are but not limited to: CHECK ALL APPLICABLE BLOCKS.

___ Any construction that impacts an EXIT or stairs.

___ Any construction that has potential to impact access to emergency services or forces.

___ Any construction that impacts major breaches in a fire or smoke wall.

___ Taking the sprinkler system out of service more than 10 hours in a 24-hour period.

___ Taking the fire alarm system out of service for more than 8 hours in a 24 hours period, ___ Will construction affect exit routes from occupied areas adjacent to construction site?, ___ Will project affect traffic patterns in area? If yes, explain plan in additional requirements on last page.

Answering yes to any question above will require a separate ILSM to be completed. See ESM 138-35 for additional guidance and ILSM forms.

Yes No ADDITIONAL SAFETY PRECAUTIONS

The following must be completed prior to any construction activities. CHECK ALL

BLOCKS ONCE COMPLETED!

___ Separation wall will be constructed prior to project beginning.

___ Fire protection systems will remain intact.

___ Provide extra fire extinguishers in work areas (if required).

___ Maintain exit lights in work area.

___ Maintain negative air in construction area (24/7) through duration of project.

___ Return air from within the construction area to be sealed off from the rest of the building.

___ Redirect exiting not to go through construction area.

___ Put signs on doors into construction area “Construction Area – Do Not Enter”.

___ Maintain daily logs and keep a current Hot Work Permit.

___ Place sticky mats at doors exiting construction area.

___ All debris removal by covered cart.

___ Maintain clean and orderly work area.

___ Will this project affect the departments above, below and adjacent to this project?

See applicable ICRA Precautions.

Yes No AIR QUALITY AND INFECTION CONTROL (NOTE- the construction activity types are defined by the amount of dust that is generated, the duration of the activity, and the amount of shared HVAC systems.

01 01 10 IC-4

Will dust be generated during this project?

If yes, explain location of and plan for interim dust barriers in ICRA comment section below or attach floor plan with barriers clearly marked.

Will debris removal be necessary? If yes, explain plan for debris removal and control in the ICRA comments section below.

Negative airflow ventilation and filtration system in place.

Exhaust fans in place and functioning.

Is supply duct to area closed and HEPA filtration unit in place and functioning in adjacent patient care area?

Will work be done in a sterile area? If so, how are you going to maintain sterile atmosphere in work area and access to and from work area?

Infection Control Risk Assessment Matrix

Part I (Facility Management to Complete):

Using the following table, identify the type of construction project activity (Types A-D)

Type A INSPECTION AND NON-INVASIVE ACTIVITIES OR SMALL SCALE, SHORT DURATION ACTIVITIES

AND OTHER ACTIVITIES THAT DO NOT GENERATE DUST OR REQUIRE CUTTING OF WALLS OR

ACCESS TO CEILINGS OTHER THAN FOR VISUAL INSPECTION (Inspection, non-invasive activity) Yes No

Removal of ceiling tiles for visual inspection only, e.g., limited to 2 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 THAT CREATE MINIMAL DUST WHERE DUST MITIGATION CAN BE CONTROLLED (Small scale, short duration projects) Yes No

Installation of telephone and computer cabling;

Access to chase spaces;

Maximum of 4 ceiling replacements within 50 square feet.

Cutting of walls or ceiling where dust mitigation 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 (Activity generates moderate to high-levels of dust, requiring >1 work shift for completion) Yes No

Sanding of walls for painting or wall covering;

Removal of floor coverings, ceiling tiles, casework;

New wall construction;

Minor duct work or electrical work above ceilings;

Major cabling activities;

Any activity which cannot be completed within a single work shift.

Type D MAJOR DEMOLITION AND CONSTRUCTION PROJECTS (Major duration and construction activities requiring consecutive work shifts) Yes No

01 01 10 IC-5

Activities which require consecutive work shifts;

Requires heavy demolition or removal of a complete building system;

New construction or renovation over 3 days duration

Part II (Facility Management to Complete):

Please answer the following questions (circle yes or no)

1. Is disruption of essential services (e.g., ventilation, water) to patients/employees anticipated?

Yes No Comments:

2. Is relocation of patients to alternative units required or being considered?

3. Will the removal of debris pass through patient care areas?

Part III (Infection Control to Complete):

Using the following table, identify the patient risk groups that will be affected:

GROUP 1

Low Risk

GROUP 2

Medium Risk

GROUP 3

High Risk

GROUP 4

Highest Risk

1) Office areas

2) 58 Basement

3) Facility Support

(Engineering, Housekeeping, Conference Rooms, etc.)

4) Non-patient care areas not included in medium, high or highest risk group

1) Cardiology

2) Echocardiography

3) Physical Therapy

4) Respiratory Therapy

5) Patriot’s Place CLCs

6) Admission and Public Areas Patient Care Lobbies & Corridors

7) Cafeteria/Kitchen

8) Acute Medicine (58- 2)

9) Pharmacy

10) Patient care units not listed in high or highest risk group

1) Emergency Room/UC

2) Laboratories

3) Endoscopy

4) Radiology/MRI, Nuclear Medicine/Echo/CT Scan

1) Any area caring for immunocompromised patients

2) Cardiac Cath Lab

3) Negative Pressure Isolation Rooms

4) Oncology

5) Operating Rooms

6) Pre-Op, holding area

PACU

7) Central Sterile Reprocessing

8) Secondary Supply Room

9) Pharmacy compounding area

10) Other areas where invasive surgical procedures may be done, Clinic Procedure (Surgery, Wound Care Clinic, etc.

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Risk Level (circle one) Low Medium High Highest

Part IV (Infection Control to Complete) Using the following table, identify the Precaution Class (I, II, III, or IV) or level of infection control activities required for the planned construction project. Match the construction type (A, B, C, D) with the risk level (low, medium, high, highest).

Construction Project Type

Patient Risk Group TYPE A TYPE B TYPE C TYPE D

LOW risk I II II III/IV MEDIUM risk I II III IV HIGH risk I II III/IV IV HIGHEST risk II III/IV III/IV IV

NOTE- An Infection Control- Safety Construction Permit is required for Class III or Class IV projects. Refer to the shaded area on Construction Activity/Risk Group Matrix (above).

Precaution Classes (Levels of Required Infection Control Activities)

All precautions in the determined class must be followed:

PRECAUTIONS AND PROCEDURES

THAT ARE REQUIRED FOR EACH CLASS

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

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

Upon completion of Project:

1. Clean work area upon completion of task.

CLASS II 1. Provide active means to prevent air-borne 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 as needed.

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

Upon completion of Project:

1. Wipe work surfaces with cleaner/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. Upon completion, restore HVAC system where work was performed.

CLASS III 1. *Remove or Isolate HVAC system in area where work is being performed 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

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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. Continuous negative pressure monitoring is required and must be maintained >0.01

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 VA resident engineer approval for exhausting in existing exhaust ductwork.

Upon completion of Project:

1. Do not remove barriers from work area until completed project is inspected by owner’s Safety Department and Infection Prevention and 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 cleaner/disinfectant.

5. Remove isolation of HVAC system in areas where work was performed.

CLASS IV During Work:

1. Isolate HVAC system in area where work is being performed 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. Continuous negative pressure monitoring is required and must be maintained >0.01.

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 HEPA vacuum cleaner before leaving the work site or they can wear cloth or paper coveralls that are removed each time they leave the work site.

6. Provide and use adhesive walk-off mats within the anteroom. Replace used mats with new mats in accordance with manufacture’s recommendations and when dirty.

7. All personnel entering work site are required to wear shoe covers, which must be changed each time the worker exits the work area.

Upon completion of Project:

1. Do not remove barriers from work area until completed project is inspected by owner’s Safety Department and Infection Prevention and 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. Contain construction waste before transport in tightly covered containers.

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

5. Vacuum work area with HEPA filtered vacuums.

6. Wet mop area with cleaner/disinfectant.

7. Upon completion, restore HVAC system where work was performed.

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Additional Risk Assessment:

Is work being conducted in an area where exposure to active TB is possible? Yes/No

If yes, contractor must provide documentation that construction workers have been screened for active TB within 90 days of commencing work. Anyone screening positive must show proof of being on treatment.

Additional Comments:

1. Maintain manpower and equipment including dust mops, wet mops, brooms, buckets, and clean wiping rags for cleaning fine dust from floors and adjacent occupied areas.

2. Contain work areas outside of construction barriers, including spaces above ceilings, with full height polyethylene sheet barrier, tightly taped.

3. Clean up dust tracked outside of construction area immediately.

4. Temporary construction barriers and closures above ceiling must be dust tight.

5. Removal of debris must be in covered containers.

Additional Comments:

Part V: Persons Completing the Infection Control Risk Assessment (ISLM)/ISLM/Safety Construction Permit:

PERMIT REQUESTED BY:

FACILITY MANAGEMENT INFECTION CONTROL

DATE:

DATE: DATE:

SAFETY SECTION PATIENT SAFETY GEMS/IH

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DATE:

DATE: DATE:

B. 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:

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

• There is no re circulated air in this section

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

• 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.

• 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

GENERAL REQUIREMENTS

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.

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.

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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 for each phase of the project, the contractor is to submit for approval, an infection control plan which will include the design and layout of the regulated area to include the type and location of infection control construction barriers to be used, access points, ante room location, etc. 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.

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.

6. The following is a SAMPLE plan:

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SAMPLE INFECTION CONTROL PLAN

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.

A. 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

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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 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.

F. 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.

G. 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/manometer as required by OSHA 29 CFR 1926.1101(e)(5)(i). The Competent Person shall be responsible for providing and maintaining the negative pressure and air changes as required by OSHA and this specification.

2.1.6 TESTING THE SYSTEM

The negative pressure system must be tested before any disturbedance. 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.

2.1.7 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:

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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 COTR for number of units and location.

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

D. Use smoke tubes to…