Attachment PCRA- Pre-construction Risk Assessment.pdf

VHA Pre-Construction Risk Assessment (PCRA)

VHA-PCRA-2023-1.0 Page 1 of 5

PCRA Introductory Information and Instructions

Use this template as a baseline for performing facility Pre-Construction Risk Assessments (PCRA) for Construction, Renovation, and Maintenance work (referred to as the “activity” in this document). The template provides minimum requirements for categorizing activity type(s) and safety risk to determine the level of precautions needed to prevent impact related to Construction, Renovation and Maintenance on patients, employees, and contractors.

Ensure that the activity statement of work and any drawings available are used for the PCRA assessment and included in the project file with the completed PCRA.

Communication and coordination of all types of activity with affected areas are to be included among the control measures. The development of communication and coordination plans must begin during the activity planning phase.

Facilities may customize this template to incorporate site-specific information and requirements.

NOTE: This VHA PCRA template pertains specifically to non-infection-related safety for Construction, Renovation, and Maintenance activities. It must be used in conjunction with the VHA Infection Control Risk Assessment (ICRA) for the activity, if required, which specifically addresses infection risks outside the scope of this PCRA.

PERMIT: See the last page of this document for a fillable permit form to be used for posting at the activity site.

Activity Location:

Activity Name, Number, and/or Brief Description:

Table 1 - Construction, Renovation, and/or Maintenance Activity Type and Control Measures

NOTE: If any of the bulleted criteria in a higher activity type pertains to the work that will be done (even if the other criteria are in a lower type), use the higher activity type for the VHA PCRA.

Controls defined in Table 1 for the activity must be in place before the activity begins and maintained until work is completed and the area is activated. Control measures for each activity must also include the control measures in the preceding row(s).

As the activity progresses, a full re-evaluation of remaining activity type and risk is required prior to changing the level of control measures.

Activity Type determined from Table 1:

Activity Type and Description Control Measures

Inspection/upkeep generally defined as follows:

• Work can be completed in a single shift, not to exceed 10 hours.

• Patients, employees and/or visitors may be in the area depending on the activity.

• Work that does not create dust or debris.

• Work that does not create vapors or fumes.

• Removal of ceiling tile or access to mechanical or electrical chase for visual inspection that will not impair fire safety systems and are limited to 1 tile per 50 square feet with limited

1. Immediately replace any ceiling tile, close access panels, etc., upon completion of work.

2. Site visits of construction area are required weekly by member of multi-disciplinary team.

Site visits will be documented on standard checklist.

3. Site specific safety plan, task hazard analysis, and hazard communication required to be provided by the contractor and approved where a contact is in place. For internal work the

Large Scale

Central Utility Plant

Replace pumps, motors, VFDs, surge tank. Reconfigure and repair water softener and cooling towers. Integrate Lutron and Hayz Cleveland systems. Install new catwalks.

VHA-PCRA-2023-1.0 Page 2 of 5 exposure time (not to exceed an hour for each tile) within the shift.

• Minor interior updates (e.g., replacing floor or ceiling tiles, carpentry work to include hanging signage, and painting with hand tools) that do not create vibration or noise.

• Limited building system maintenance that does not require Lock Out Tag Out (LOTO) such as plumbing on potable systems limited to faucet replacement, steam trap replacement etc. and electrical work such as replacement of bulbs, receptacles, or switches.

shop involved must work with Safety to ensure proper precautions are in place.

4. Must address identified hazards and controls that will be implemented to ensure minimal impact to patients, employees, contractors and facility.

5. Communication and coordination plan for all affected areas

Small scale Construction, Renovation and general maintenance/repair work, generally defined as follows:

• Prolonged work that may take longer than a single shift but not exceeding six months.

• Patients and employees are not to be in the area until activity is completed.

• Work that creates some noise and vibration due to power tool use.

• Selective demolition/removal of preexisting floor covering, casework, lay-in ceiling, or other architectural elements that may o disturb asbestos, lead or silica o create the potential for falling objects o create vibration and/or noise in excess of 80 dB(A) in surrounding areas.

o cause penetrations in fire or smoke barrier

• Plumbing work such as the installation of new sinks, showers and toilets and associated plumbing that requires utility outages or work on the steam system that may require:

o LOTO o The use of compressed gas cylinders

• Electrical work such as installation of conduit and wire for lighting, receptacles and switches for an area, the installation of conduit and wire for new devices such as terminal units, fans etc. Electrical work such as installation of cabling/wiring/conduit for a single device, installation of new device such as a light fixture that require LOTO.

• Air Handler and/or fan shutdown/startup and HVAC work such as replacement of a single diffuser, single terminal unit, a single device and the installation of ductwork, diffusers, and terminal units for an area that may require:

o Work on ladders o Rigging, hoisting or lifting of equipment or materials overhead

• Modification of existing fire alarm and suppression systems requiring system outages and ILSMs or obstruction of exits and or impact on corridors.

• Architectural, structural, or any other work that may cause vapors or fumes such as:

o Roofing work o Flooring work o Painting or other large-scale use of such substances.

All control measures in the row above and the following:

1. Hazard communication chemical inventory required to be provided by the contractor and approved.

2. Where construction, Renovation and maintenance are done in an accredited facility, and ILSM assessment is required to be done and ILSMs put into place in accordance with TJC LS.01.02.01 and the local facility policy including Fire watch if necessary. Staff is trained and the ILSM is verified regularly

3. Hot Work or burn permits in place and staff trained

4. LOTO procedures in place and staff trained on their use

5. Site visits will be reviewed using the criteria in standardized guide.

6. Daily inspections of the site are to be conducted by the General Contractor or shop supervisor and documented on their daily log.

Large-scale construction, renovation, or maintenance generally defined as follows:

• Work exceeding 6 months in duration.

• Patients and employees are not to be in the area until activity is completed.

All control measures in the two rows above and the following Activity Hazard Analyses and Control Plans (check all that apply):

1. Excavation safety plan in place ☐

2. Dust control plan in place ☐

VHA-PCRA-2023-1.0 Page 3 of 5

• Excavation or heavy equipment use taking place o Dig safe required utility location o Trench safety o Dust control plan o Equipment exhaust, Noise, Vibration

• Confined space entry required (permit required or not)

• Requires crane work o General crane work o Lift over buildings

• Includes elevated work o Roof work, fall protection o Window work, scaffolding and fall protection o Odor control

• Welding, cutting or use of torches requiring burn permits

• Demolition of building components and infrastructure including removal of multiple doors, walls, framing, ceilings, flooring, piping, electrical and HVAC that may o require asbestos, lead or silica abatement o create the potential for falling objects o create vibration and/or noise in excess of 90 dB(A) in surrounding areas.

o cause breaches to fire or smoke barrier

• The installation building components such as new walls, ceilings and doors including framing, drywall and associated plaster work that requires transport of significant materials through building and up elevators i.e., weight limits of floors and elevators

• Plumbing work requiring LOTO and system shutdown and startup such as the installation of:

o new medical gas systems, o steam/heating hot water, condensate systems, o Potable water and sanitary drainage, multiple sinks, showers and toilets including associated plumbing.

• Electrical work such as installation of electrical feeders, distribution panels, conduit and wire for lighting, receptacles and switches for an area, the installation of conduit and wire for new devices such as terminal units, fans etc. requiring LOTO and system isolation.

• Installation of fire alarm and suppression systems requiring outages of those systems and ILSMs or closure of exits/corridors

• Mechanical work such as the installation of air handling equipment, associated ductwork, diffusers, heat exchangers, terminal units and controls requiring lifting and support of equipment and systems.

3. Pollution prevention plan in place ☐

4. Dig safe paper work in place ☐

5. Crane lift plan in place ☐

a. Crane placement

b. Crane swing

c. Crane load evaluation

6. Fall protection plan in place and staff trained ☐

7. Confined entry plan in place and staff trained ☐

Table 2. Affected Adjacent Area Assessment

In addition to the minimum precautions noted above for the Activity Type, it is critical that the activity be coordinated with the areas adjacent to the activity to ensure operations in those areas are not disrupted or impacted. List the adjacent areas in Table 2 below and develop activity-specific coordination plans and associated communication plans with each area to address activity work that could impact or disrupt the operation of the areas, in general as follows:

• If adjacent area is vacant (e.g., work outside, construction of new building, etc.):

o Coordination is typically not necessary other than potentially traffic flow and pedestrian access.

VHA-PCRA-2023-1.0 Page 4 of 5

• If adjacent area is non-continuously occupied (e.g., areas where outpatient care is provided, employee health, etc.):

o Develop a list of activities that will potentially impact or disrupt the operation of the area (e.g., work involving noise, vibration or exit obstruction) and meet with POC to coordinate execution of work in a way that mitigates the impact (e.g., conduct work after hours).

• If adjacent area is occupied continuously (e.g., areas where inpatient care is provided, residential areas such as Community Living Centers, etc.):

o Develop a list of activities that will potentially impact or disrupt the operation of the area (e.g., work involving noise, vibration or exit obstruction) and meet with POC to coordinate execution of work in a way that mitigates the impact (e.g., move affected party temporarily).

Area Service(s)/Type(s) of Area(s)

(e.g., OR, Unit/Ward, Sterile Processing, Administrative, etc)*

Point of Contact

(POC)

POC Contact Information

Construction plan communicated to POC?

Activity Area**

Central Utility Plant Dwight Bryan 702-791-9000 x16940 Yes

Area Above

Area Below

Adjacent Area 1

Adjacent Area 2

Adjacent Area 3

Adjacent Area 4

* There may be more than one Service/type of area for each row. List all. The information entered on this table must be used in the ICRA if required.

** List the area(s) in which the construction/renovation/maintenance activity will occur.

Infection Control Risk Assessment (ICRA)

Consult with Infection Prevention and Control regarding the assessment of potential infection risks associated with the activity and the need for control measures. See VHA Directive 7715 and the VHA ICRA Template for more information.

Is an ICRA required for the Activity? Yes ☒ No ☐

VHA-PCRA-2023-1.0

Pre-Construction Risk Assessment (PCRA) Permit

This page must be posted at the entrance to the project area, or other designated area

Unique permit number:

Location and brief description of construction/renovation/maintenance

Central Utility Plant. Replacement of various equipment.

Project manager Alex Nobles Project start date 3/1/2026

Contact phone number 702-332-3018 Completion date 3/1/2027

Contractor or lead shop TBD Permit expiration date

Activity Type Inspection/Upkeep, Small-scale, or Large-scale) Large Scale

Activity Type Control measures to be in place for the duration of the activity (Check the box for the Activity Type to indicate the Control Measures)

Inspection/Upkeep

1. Immediately replace any ceiling tile, close access panels, etc., upon completion of work.

2. Site visits of construction area are required weekly by member of multi-disciplinary team. Site visits will be documented on standard checklist.

3. Site specific safety plan, task hazard analysis, and hazard communication required to be provided by the contractor and approved.

4. Must address identified hazards and controls that will be implemented to ensure minimal impact patients, employees, contractors and facility.

5. Communication and coordination plan for all affected areas

Small-scale

All control measures in the row above and the following:

1. Hazard communication chemical inventory required to be provided by the contractor and approved.

2. ILSMs in place and staff trained on situation

3. Hot Work or burn permits in place and staff trained

4. LOTO procedures in place and staff trained on their use

5. Site visits will be reviewed using the criteria in standardized guide.

6. Daily inspections of the site are to be conducted by the General Contractor and documented on their daily log.

Large-scale

All control measures in both rows above and the following Activity Hazard Analyses and Control Plans as applicable (check all that apply):

1. Excavation safety plan in place ☐

2. Dust control plan in place ☐

3. Pollution prevention plan in place ☐

4. Dig safe paperwork in place ☐

5. Crane lift plan in place ☒

a. Crane placement

b. Crane swing

c. Crane load evaluation

6. Fall protection plan in place and staff trained ☒

7. Confined entry plan in place and staff trained ☒

*The location of all Activity Hazard Analyses and Control Plans (excavation, dust, pollution, etc.) as applicable shall be identified on this permit and shall be made available to all workers on the job.

Additional requirements:

Is an Infection Control Risk Assessment (ICRA) required for the Activity? Yes ☐ No ☐

Infection Prevention and Control signature:

Date:

Project Manager signature Date

Safety Officer signature Date

Chair, Construction Safety Committee signature

Date

VHALASNobleA Text Box 11/17/2025

VHALASRileyB Text Box

VHALASRileyB Text Box 11/17/2025

VHALASRileyB Text Box

1. SHEET SIZE FOR PROPER SCALE IS 30X42. CONTRACTOR SHALL

NOT SCALE DRAWINGS BUT SHALL REQUEST THE DESIRED

DIMENSIONS FROM THE COR.

2. IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO FIELD VISIT

THE PROJECT AND VERIFY EXISTING CONDITIONS/DIMENSIONS

AND PROPOSED CONDITIONS. COORDINATE DEMOLITION

BETWEEN ALL TRADES. NOTIFY COR IMMEDIATELY OF ANY

CONFLICTS OR DISCREPANCIES.

3. GRIDLINES ARE TYPICALLY LOCATED ON THE FACE OF

FOUNDATION OR CENTERLINE OF STRUCTURE.

4. SEE CODE PLAN FOR CODE INFORMATION.

5. EXISTING DOORS SHOW AT 45 DEGREE ANGLE FOR CLARITY.

6. EXISTING WALLS SHADED FOR CLARITY.

BUILDING 5

BUILDING 2

BUILDING 3

BUILDING 4

Project Number

Building Number

Drawing Number

Dwg.

DrawnCheckedDate

Location

Project TitleDrawing Title

COR / Project Engineer

CONSULTANTS:

DateRevisions:

VA FORM 08-6231

o n e e ig h th in c h o n e fo o t o n e q u a rt e r in c h o n e fo o t th re e e ig h th s in c h o n e fo o t o n e h a lf in c h o n e fo o t th re e q u a rt e rs in c h o n e fo o t o n e in c h o n e fo o t o n e a n d o n e h a lf in c h e s o n e fo o t th re e in c h e s o n e fo o t

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E

D

C

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A

1 2 3 4 5 6 7 8 9

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E

D

C

B

A

1 2 3 4 5 6 7 8 9 of

Office of Construction and Facilities Management

Phase

ARCHITECT/ENGINEER OF RECORD:

U.S. Department of Veterans Affairs

STAMP:

STRUCTURAL AND ELECTRICAL ENGINEERS

CITRINE LLC

710 KIPLING STREET, SUITE 406

LAKEWOOD, COLORADO 80215

PH: 720-556-0887

POC: DAVID KEATING

FIRE PROTECTION ENGINEER

OLSSON, INC.

601 P STREET, SUITE 200

LINCOLN, NEBRASKA 68508

PH: 402-474-6311

POC: TODD HENRY

POC PH: 913-318-4766

517 7TH STREET

RAPID CITY, SD 57701

PH: (605) 342-9470

POC: NAME

FFD PROJECT NO:

23.2730.M01

DES IGN INC

BUILDING 5

BUILDING 2

BUILDING 3

BUILDING 4

KEY PLAN

ALEX NOBLES, COR

/2

/2

:2

:3

P

M

08/26/2025

PHASING PLANS

G-101

VA SOUTHERN NEVADA

HEALTHCARE SYSTEM IMPROVE

CENTRAL UTILITY PLANT

TC, KZJS

6900 NORTH PECOS ROAD

LAS VEGAS, NEVADA 89086

BERNIE BORJA, ALTERNATE COR

100% CONSTRUCTION

DOCUMENTS

593-22-350

GENERAL NOTES:

PHASING NOTES:

1/32" = 1'-0"1

OVERALL PHASING PLAN

PHASE

PHASING LEGEND:

A. THIS PHASE IS INDEPENDENT AND NON-SEASONAL. WORK CAN BE DONE AT ANY TIME AS COORDINATED WITH THE

COR DURING CONSTRUCTION.

B. THIS PHASE IS NON-SEASONAL. WORK CAN BE DONE AT ANY TIME AS COORDINATED WITH THE COR DURING

CONSTRUCTION. THIS WORK MUST BE DONE BEFORE PHASE I.

C. THIS PHASE IS INDEPENDENT AND NON-SEASONAL. WORK CAN BE DONE AT ANY TIME AS COORDINATED WITH THE

COR DURING CONSTRUCTION.

D. THIS PHASE IS INDEPENDENT AND NON-SEASONAL. WORK CAN BE DONE AT ANY TIME AS COORDINATED WITH THE

COR DURING CONSTRUCTION.

E. THIS PHASE SHOULD TAKE PLACE CONCURRENTLY DURING WINTER OR THE COLD SEASON. THESE ITEMS ARE NOT DEPENDENT ON ANY OTHER FACTORS OR PHASES. THESE ITEMS CAN TAKE PLACE SIMULTANEOUSLY WITH OTHER

PHASES.

F. THIS PHASE SHOULD TAKE PLACE DURING SUMMER OR THE WARM SEASON. THESE ITEMS ARE NOT DEPENDENT ON ANY OTHER FACTORS OR PHASES. THESE ITEMS CAN TAKE PLACE SIMULTANEOUSLY WITH OTHER PHASES.

G. THIS PHASE SHOULD TAKE PLACE DURING SUMMER OR THE WARM SEASON. THIS ITEM IS NOT DEPENDENT ON ANY OTHER FACTORS OR PHASES. THIS ITEM CAN TAKE PLACE SIMULTANEOUSLY WITH OTHER PHASES.

H. THIS PHASE SHOULD TAKE PLACE IN THE COLD SEASON CONCURRENTLY. THESE ITEMS ARE NOT DEPENDENT ON ANY OTHER FACTORS OR PHASES. THESE ITEMS CAN TAKE PLACE SIMULTANEOUSLY WITH OTHER PHASES.

I. WORK FOR THESE ITEMS SHOULD TAKE PLACE CONCURRENTLY, AND AFTER PHASE B.

J. FOR THIS PHASE, ITEM #19 SHOULD TAKE PLACE BEFORE ITEM #20. THESE ITEMS ARE NOT DEPENDENT ON ANY

OTHER FACTORS OR PHASES. THESE ITEMS CAN TAKE PLACE SIMULTANEOUSLY WITH OTHER PHASES.

1. REPLACEMENT OF THE HEAT RECOVERY SYSTEM IN THE BOILER ROOM IN BUILDING 2.

2. EXTEND/CONNECT CATWALK ABOVE BOILER ROOM AND CHILLER ROOM FOR ACCESS TO AIR HANDLERS IN

BUILDING 2. ADD LADDERS / STAIRS.

3. REPLACE WINDOWS WITH OPERABLE LOUVERS IN BOILER ROOM ABOVE OVERHEAD

DOOR (INTERLOCK TO CLOSE WITH FIRE ALARM ACTIVATION) IN BUILDING 2.

4. UPGRADE FACILITY-WIDE LUTRON LIGHTING CONTROLS FOR SINGLE POINT MONITORING IN CUP CONTROL

ROOM IN BUILDING 5.

5. AUTOMATE BACK-UP PUMPS LOCATED IN BUILDING 5 BASEMENT- CONNECT TO EXISTING BMS/ JCI SYSTEM FOR

CONTROLLING AND STATUS DISPLAY.

6. REPLACE EXISTING CHILLED WATER PUMP VFDS IN BUILDING 2 CHILLER ROOM.

7. REPLACE EXISTING CHILLED WATER PUMPS WITH NEW HIGH EFFICIENCY DOMESTICALLY SOURCED PUMPS IN

BUILDING 2 CHILLER ROOM.

8. RECONFIGURE THE NON-RETURN VALVE AT THE TOP OF BOILER #3 INTO A HORIZONTAL CONFIGURATION IN

BUILDING 2 BOILER ROOM.

9. REPLACE THE EXISTING CORRODED CONDENSATE RETURN/ SURGE TANK WITH A NEW STAINLESS STEEL TANK

IN BUILDING 2 BOILER ROOM.

10. AUTOMATE FUEL OIL SYSTEM LOCATED IN BUILDING 3 AND LOCATE CONTROLS IN BUILDING 2 BOILER ROOM.

11. INTEGRATE FUEL TANK SYSTEM TO HAYZ CLEVELAND CONTROLS IN BUILDING 2 BOILER ROOM (9 TANKS

TOTAL- ONLY 4 TANKS ARE CURRENTLY SHOWING ON THE SYSTEM).

12. REPLACE 5 EXISTING CONDENSER PUMPS WITH HIGH EFFICIENCY DOUBLE IMPELLER.

13. REPLACE EXISTING COOLING TOWER VARIABLE FREQUENCY DRIVES IN BUILDING 2.

14. REPLACE EXISTING COOLING TOWER UPPER SECTIONS IN BUILDING 2.

15. REPLACE EXISTING INDUSTRIAL WATER PUMP VFDS IN CHILLER ROOM BUILDING 2.

16. REPLACE EXISTING INDUSTRIAL WATER PUMPS IN CHILLER ROOM BUILDING 2.

17. INSTALL SECONDARY WATER SUPPLY TO COOLING TOWERS FROM 10" WATERLINE AT EAST SIDE OF CUP IN

BUILDING 2 COOLING TOWER YARD.

18. INSTALL NEW FIRE PROTECTION SYSTEM UNDER THE NEW CATWALKS/ WORK PLATFORMS WHICH ARE WIDER

THAN 48" IN BUILDING 2 CHILLER AND BOILER ROOMS.

19. REMOVE INOPERABLE WATER FILTRATION SYSTEM AND REPLACE WITH NEW REDUNDANT WATER

SOFTENER/ POLISHER SYSTEM IN BOILER ROOM OF BUILDING 2.

20. REPLACE THE EXISTING WATER SOFTENER COPPER PIPING WITH NEW STAINLESS STEEL PIPING AND ADD

POLISHER FOR A REDUNDANT SYSTEM IN BOILER ROOM OF BUILDING 2.

A

B

C

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D

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F

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VHALASNobleA Polygon

VHALASNobleA Callout Primary area of work.