Attachment 8 - ICRA.pdf

This is a Construction Health and Safety Form (Attachment #1) for a federal healthcare facility construction project titled "Replace Dual Duct Boxes on 2nd Floor" (Project Number 539-21-201). The project is classified as a Contracted Project with Kevin Henderson designated as the VAMC Competent Person. The scope involves correcting mixing boxes on the second floor and replacing ineffective hot and cold deck mixing boxes with fan coil or terminal units to improve ventilation and temperature control for patient care areas.

The project has been assigned an Infection Control Risk Assessment (ICRA) Class III classification based on the Risk Assessment Matrix for IC Guidelines for Construction. The project is categorized as Type C construction activity (moderate to high level of dust generation), requiring comprehensive infection control precautions during and after construction. Class III requirements include sealing holes, pipes, and conduits; constructing anteroom barriers with HEPA vacuum access; mandatory shoe covers for personnel; and prohibition of barrier removal until project completion and inspection by Safety, Infection Control, and Environmental Services Departments. Upon completion, work surfaces must be wiped with disinfectant, wet mopped, and HVAC systems isolated. The form confirms TB Risk Determination as NO, indicating tuberculosis testing is not required for contractors. Interim Life Safety Measures are specified at Level II, requiring temporary construction partitions be smoke-tight and non-combustible. The form documents signatures from the Project COR (Kevin D. Henderson), Safety Manager (Thomas C. Elder), Infection Control representative, and Construction Health & Safety Team Chair, with dates ranging from October 2020 to February 2021. Additional requirements include 14-day notice for utility shutdowns, contractor badge requirements, OSHA 10-hour or 30-hour construction worker certification, and evaluation of contractor safety records prior to contract award.