Attachment 2b ICRA.docx

ATTACHMENT B

Infection Control Risk Assessment: Matrix of Precautions for Construction & Renovation

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)

· Wallcovering, electrical trim work, minor plumbing, and activities which do not generate dust or require cutting of walls or access to ceilings or other than for visual inspection.

Type B Small scale, short duration activities which create minimal dust Includes, but is not limited to:

· Opening of no more than one ceiling tile per 10 tiles

· Installation of telephone and computer cabling

· Access to chase spaces

· Cutting of walls or ceiling where dust migration can be controlled

· Minor renovation of existing space

· Wet sanding of walls

· Drilling

· Snake drain or repair sink/shower that is to remain intact and requires no cutting.

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:

· Dry sanding of walls for painting or wall covering

· Cutting of walls, removal of drywall or building finish components where work is limited to one room or suite (including removal of floor coverings, ceiling tiles, and casework)

· Wall demolition or new wall construction

· Minor duct work, plumbing work or electrical work above ceilings (not including system demolition or installation).

· Remove dead leg or cutting of wall to expose plumbing

· Multiple ceiling tiles removed

· Moderate renovation of existing space

· Major cabling activities, multiple rooms/lines where multiple access points are needed

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

Type D Major demolition and construction projects Includes, but is not limited to:

· Activities which require consecutive work shifts, the closure of a unit/wing or relocation of an entire patient area

· Requires heavy demolition or removal of a complete cabling system, HVAC, plumbing, medical gas or electrical system

· Demolition of major fixed building components, assemblies, fit-out elements or structural elements

· Astic

· New construction

· Excavation activities within proximity (as determined by ICRA team) of hospital building

· Core drilling into floor

· Major duct work (includes removal of insulation)

Permit Number: Infection Control Construction Permit

TYPE A: Inspection, non-invasive activity, minimal dust.

GROUP 1: Low Risk

XX

TYPE B: Small scale, short duration, mod-high levels of dust. .

GROUP 2: Medium Risk

TYPE C: Activity generates moderate to high levels of dust, requires greater than 1 work shift for completion.

GROUP 3: High Risk

TYPE D: Major duration and construction activities requiring consecutive work shifts.

GROUP 4: Highest Risk

where work is being performed.

Date:

performed, block off & seal air vents.

spreading of dirt and debris associated with

construction.

tightly covered containers.

utilizing HEPA equipped air filtration units

appropriately.

begins. IP signature required.

wear shoe covers.

Performed, block off & seal air vents.

completed project is thoroughly cleaned by EMS

unit before construction begins.

and cleared by Infection Prevention.

Initials:

Initials:

spreading of dirt and debris associated with appropriately.

construction.

pass through this room so they can be vacuumed.

tightly covered containers.

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

In highest risk areas. Daily readings during construction to be manually recorded by the contractor.

Infection Control Nurse Date

Unit Manager Date