Attachment 7 - 583-22-509 PCRA.pdf

Preconstruction Risk Assessment and Exposure Control Checklist

Project Name/Project No.: 583-22-507 Renovate Auditorium & C1202 Date:02/14/2022

Scope of Work Overview:

Renovating Auditorium & C1202is to accommodate the purchase of new AV equipment that will be installed in the Auditorium and Room C1202.

Other Requirements for above project:

Preliminary Analysis - Project Engineer

Hazard Concern?

(Y/N)

Asbestos }( '/ Lead Base Paint N

Confined Space N

Dust y

Fire & Smoke Walls y

Moisture/Water Leaks/Mold N

Vapors/Fumes N

Noise y

Vibration N

Remarks

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Air Pressure Relationships N

Electrical Modifications Y

Crane Operation N

Traffic Flow N

Open Outside Walls

Impact to Levels Above and N

Below

Proximity of Air Intakes N

Pest Control Within N

Construction Area

Proximity of Immune N

Suppressed Patients

Security Issues/Concerns N

ICRA Assessment Y

ILSM Assessment Y

Hot Work Permit

TB Risk Assessment

Radiation Safety N

National Environmental Policy Act (NEPA) Evaluation — GEMS Coordinator, Jeff Abshire Note: All construction projects shall have a NEPA evaluation conducted per the requirements of Engineering Policy Memorandum 138-48.

! Evaluation Date NEPA !

NEPA Evaluation

Remarks

Completed (YIN) Submitted

NEPA Evaluation submitted to

PMS A-&) A-6&,2

2Z Co o~ _____ the facility GEMS Manager?

Specific Control Measures

Asbestos — Industrial Hygiene (Laura Totten)

Yes/No Measure

Contractor to hire an asbestos abatement contractor for control and cleanup.

VA to hire independent Industrial Hygienist to inspect and clear area for re-occupancy based on monitoring and/or professional judgment.

hed asbestos protocol to be followed for work through ceilings.

Published asbe s protocol to be followed for work above ceilings.

Perimeter barrier to be nstructed in the interstitial space to isolate the construction area with other areas in the interstitial.

Project area to be encased wi spray-applied hard surface encasement material.

Provide mini containments underNg ative air in public areas.

Sealed gypsum board barrier to be co structed to isolate the construction area from the public.

Transit panels to be removed, which is c nsidered Class B removal.

Comments:

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Lead Base Paint — Safety/IH (Dan Woody or Laura Totten)

LBP reports available for testing results?

If none are available, hir vironmental company for testing.

LBP is present, hire a lead remedi 'on contractor to remove paint according to OSHA's lead safe work.

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Confined Space — Safety (Dan Woody) btain an "Entry Permit" from Safety Services prior to entering the confined space.

The EhtQTeam must be trained as an Entry Supervisor, Attendant, or Entrant.

A specific c fined space entry plan and rescue plan must be approved prior to entry into a permit-required confi ed space.

Safe entry condit ns must be achieved before and during confined space entry.

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Dust — Infection Prevention (Diana Greathouse and or Jennifer Buchs)

Sealed gypsum board barrier to be constructed to isolate the construction area from the public.

e S Trash carts will be covered when transported through the building.

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Provide negative air machine exhausted too outside. k I /fi C 2-0 Z

Provide mini containments under negative air in public areas.

Provide negative air machine in space as air se a e _ nu.c I Y rC~l. —w t I V wt IV)

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Perimeter barrier will be constructed in the interstitial space to isolate the construction area with other areas in the interstitial.

N- Mist area to decrease dust (outside work)

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Provide anteroom under negative pressure at entrance to project zone. - r Ct ZCI Z

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Fire & Smoke Walls — Engineering Supervisor and Safety (James Wallace and Bryant Garibay)

Review latest LSC drawings to determine if existing fire and/or smoke walls will be affected.

Risk to be mitigated with ILSM.

2-hour gypsum barrier to be constructed.

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Moisture/Water Leaks/Mold — IH (Laura Totten) tain any water from core drilling activities.

Dike an floor penetrations to minimize risk of leaks from construction zone.

Request ass ssment for IAC ICRA from Safety. Follow VHA M3P.

Vapors/Fumes — Safety/IH (Dan Woody or Laura Totten) e of products with low Volatile Organic Compounds (VOCs).

Prove negative air in construction zone exhausted to outside, away from intakes.

Seal work a a airtight barrier.

Cut all metal o ide the building.

Seal any floor pen trations to minimize risk of fumes through construction zone.

Shut down air hand) r to minimize infiltration of fumes from outside.

Use carbon or activa ed charcoal filters on air scrubbers or negative air machines.

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Noise — Safety/IH (Dan Woody or Laura Totten)

Schedule demolition work after normal work hours.

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Cut all metal outside the building.

Vibration — Safety/IH (Dan Woody or Laura Totten)

Schedule demolition work after normal work hours.

Coordinate with occupants in surrounding areas to explain the work occurring.

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Air Pressure Relationships — Infection Prevention and HVAC Supervisor (Diana Greathouse and Nate Fair)

Provide negative air during asbestos abatement. - G lv.G~~Y'

Provide negative air during construction. l~gS

Seal off supply and exhaust Heating, Ventilation, and Air Conditioning (HVAC) registers.

Electrical Modifications — Electric Shop Supervisor (Steve Poynts)

Additional circuits added.

Outlets or lighting moved.

Follow VA Project Electrical Inspection Checklist.

Crane Operation — Safety (Dan Woody)

Yes/No

Contact SafetNervices for review for any project crane operations.

Traffic Control — Engineering Supervisor (James Wallace)

N/A Access construction area via exterior door.

Schedule delivery of large quantities of material and demolition haul out after hours.

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Open Outside Walls — Engineering Supervisor (James Wallace)

Yes/No Measure

Construct temporary outside wall to limit the infiltration of wind, air, and temperature differences into IVA- the project site.

Comments:

Impact to Levels Above and Below — Safety/IH (Dan Woody or Laura Totten)

Coordinate with occupants in surrounding areas to explain the work occurring.

N/—)k Follow asbestos protocol when doing under floor work.

V4 Vacate areas when doing below floor work off of the catwalk.

Comments:

6lrw - ru 1}, Proximity of Air Intakes — HVAC Shop Supervisor and Safety (Nate Fair and Laura Totten)

Yes/No I Measure

Shut down air handlers to reduce infiltration of fumes from exterior activities such as painting, gasoline powered engines, roofing operations, equipment, etc.

Comments:

I rr-tq yav vLQ~ Pest Control Within Construction Area — EMS Supervisor (Robert Franklin)

Provide barriers to any open outside walls.

Contact pest controller if any evidence of pests is found during the course of the work.

Proximity of Immune Suppressed Patients — IP (Diana Greathouse and or Jennifer Buchs)

Relocate patients away from construction zone for entire project.

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Relocate patients away from construction zone during demolition operations.

Work will be done after hours to decrease risk Boni- t6~~ D

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1 em Comments:

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ICRA Assessment — Infection Prevention (Diana Greathouse and or Jennifer Buchs)

S Meet with Infection Prevention to complete ICRA assessment.

Class Assigned — I, II, III, IV

Com nts:

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ILSM Assessment — Engineering Supervisor and Safety (James Wallace and Bryant Garibay)

Yes/No Measure jj Meet with VA resident LSC expert to complete ILSM assessment.

ILSM Required

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Hot Work Permit — Engineering Supervisor (James Wallace)

Yes/No I Measure

A Hot Work Permit is required to be issued by the Project COR/Safety prior to completing any

M. welding or brazing on site.

TB Risk Assessment — IP (Diana Greathouse and or Jennifer Buchs)

The contractor must provide written certification that all contract employees assigned to the work site have had a pre-placement tuberculin screening within 90 days prior to assignment of the worksite and been found to be negative TB screening reactions. (this can be CDC two-step skin testing or an

FDA approved blood test). If a positive screen identified, please defer to VHA directive 7715.

Contractors will be required to show documentation of negative TB screening reactions for any additional workers who are added after the 90-day requirement before they will be allowed to work on the site.

Radiation Safety — Radiation Safety Officer (Jeff Mason or Mary Ann Spilker)

Yes/No I Measure

Radiation shielding and testing will be required during this project.

Comments:

Approval Signatures:

Project Engineer or COR:

Safety Officer:

Infection Control: IOIB aAV1 a r~u —1- 3

Supervisory Engineer or Chief Engineer: (,/i7' ` IV