Drawings.pdf

Low: 0% - 50%Project Manager: Alonso Bernal

Identify Hazards Evaluator Is Hazard Likely?

H-M-L

Severity H-M-L

Mitigation Needed?

Y/N Mitigation Strategies

• Inspect, and document as needed, tools prior to use.

Hand and Power Tools

AB H M Y

• Only double insulated or neutrally grounded tools can be used.

• Properly store tools when not in use.

• All guards to be in place and in good condition.

• Develop, communicate, and follow a written plan before performing electrical work to maximize safety.

• Ensue ALL electrical circuits and circuit breakers are identified properly before troubleshooting or performing electrical work.

• Identify hazards and establish safety limits of approach.

Electrical AB M H Y

• All work shall comply with NFPA 70 most recent edition.

• Verify code compliance prior to energizing.

• Inspect electrical cords before use.

• Do not use cords with damaged insulation or daisy chain them. Use GFCIs.

• Persons conducting electrical work should have the knowledge, skills and abilities necessary to perform the task.

• Open circuit breaker that supplies power.

• Open visual disconnects.

Lockout / Tagout Electrical

AB M M Y

• Lock-out and tag-out visual disconnect yourself and never rely on someone to do this for you.

• VA first lock on/last lock off.

• Follow full Engineering LO/TO SOP.

• Include VA Operations & Maintenance in LO/TO plans.

Lockout / Tagout Plumbing AB M M Y

• VA first lock on/last lock off.

• Follow full Engineering LO/TO SOP.

• Include VA Operations & Maintenance in LO/TO plans.

Mitigation Strategies

Implemented?

Comments

Date: 04/07/2022

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

CONSTRUCTION SAFETY RISK

ASSESSMENT CHECKLIST DESIGN DEVELOPMENT

FULLY SPRINKLERED

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

PhaseARCHITECT/ENGINEER OF RECORDCONSULTANT

VAMC SALT LAKE CITY, UT

660-22-114

Project Director

4/22/2022 A.Gonzales EChambers

Revisions: Date:

PHARMACY COMPOUNDNG

LRS FEDERAL LLC

8221 RITCHIE HWY SUITE 300

PASADENA, MD 21122

A/E: N/A

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

CONSTRUCTION SAFETY RISK

ASSESSMENT CHECKLIST DESIGN DEVELOPMENT

FULLY SPRINKLERED

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

PhaseARCHITECT/ENGINEER OF RECORDCONSULTANT

VAMC SALT LAKE CITY, UT

660-22-114

Project Director

4/22/2022 A.Gonzales EChambers

Revisions: Date:

PHARMACY COMPOUNDNG

LRS FEDERAL LLC

8221 RITCHIE HWY SUITE 300

Attachment B Infection Control Risk Assessment

Project Name / EWO Description:

Location of Activity:

Project Manager:

Project Manager Phone #: 801.582.1565 X4586

Alonso Bernal

Bldg. 1 Room GB01B-1

Update Non-Sterile Compounding Room

Matrix of Precautions for Construction Renovation

REVISED (1.5.22)

Start Date:

Contractor:

Contractor Phone #:

STEP #1: Using the following table, identify the Type of Construction Project Activity (Type A-D)

A) Type A

CONSTRUCTION ACTIVITY TYPES:

Inspection and Non-Invasive Activities, includes but is not limited to one or more of the following:

(1) removal of ceiling tiles for visual inspection only, e.g., limited to 1 tile per 50 square

(2) painting (but not sanding) (3) wallcovering (4) electrical trim work (5) minor plumbing,

(6) 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 which create minimal dust. Includes, but is not limited to one or more of the following:

(1) access to chase spaces (2) cutting of walls or ceilings where dust migration can be controlled (3) installation of telephone and computer cabling

Type C Any work which 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 one or more of the following:

(1) sanding of walls for painting or wall covering (2) removal of floorcoverings (3) removal of ceiling tiles (4) casework (5) new wall construction (6) minor duct work

(7) electrical work above ceilings (8) major cabling activities (9) any activity which cannot be restored back to original state within a single workshift

Type D Major demolition and construction projects. Includes, but is not limited to one or more of the following:

(1) requires heavy demolition (2) removal of a complete cabling system (3) new construction connected to occupied area

STEP #2: Using the following table, identify the Risk Groups that will be affected. If more than one group will be affected, select the higher risk group.

B) INFECTION CONTROL RISK GROUPS

Group 1

Low Risk

Office Areas or

Nonmedical associated space

Laboratories

3 West

Acute Medicine (2 East, 2 North)

B.2

B.3 Inpatient Mental Health Ward

Canteen Kitchen

Cardiology

Decontamination

Dental

Distribution

G.I. Lab Hoptel

Group 2

Medium Risk Imaging

Laundry

Nuclear Medicine

Out Patient Clinics

Patient Kitchen & Dining

Out Patient Surgery

Pharmacy (In & Out Patient)

PT / OT

Public Corridor (patient activity)

Pulmonary / Bronchoscopy

Telemetry

STEP 3: Determine Class of Precautions (I, II, III or IV) Using Matrix Below:

ICN must be consulted when the assessment indicates that Class II, III, or IV precautions are required.

TYPE A

Group 1

Group 2

Group 3

Group 4 I

I

I

II

TYPE B

II

III/IV

II

II

Construction Project Type Risk Group TYPE C

III/IV

III/IV

III

II

TYPE D

III/IV

IV

IV

IV

Group 3 High Risk

Emergency Room (ECU)

Post Antesthesia Care

All ICUs

All OR's

Sterile Processing

Ambulatory Medicine Unit (2 West)

Cardiac Cath/Angiography

Pharmacy IV Prep (Inpatient)

Dialysis Unit

Group 4 Highest Risk

Project # / EWO #:

4/1/2022 Estimated Duration:

ICN:

ICN Phone #: 801 582 1565 ex 1708

Diane Franke

20 construction days

660-22-114

Description of Required Infection Control Precautions by Class

During Construction Project Upon Completion of Project

1 Execute work by methods to minimize raising dust. 1 Clean work area upon completion of task.

2 Immediately replace a ceiling tile displaced for visual inspection

3 Contaminated materials kept away from patient transportation route and storage for clean supplies.

4 Worker traffic routes should minimize contact with patients.

In Addition to Class I Precautions:

1 Consult Infection Control Nurse prior to beginning work.

2 Educate VA staff regarding construction activity.

3 Block and seal air vents before starting.

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 Coordinate air filter maintenance with Operations. 4 Use only designated elevators (e.g. utility) for debris removal.

5 Seal unused doors with duct tape. 5 Remove and replace wet ceiling tiles.

6 Place dust mat at entrance and exit of work area

In Addition to Class I and II Precautions:

1 Consult Infection Control Nurse prior to beginning work.

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.

4 Contain construction waste before transport in tightly covered containers.

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

In Addition to Class I and II and III Precautions:

1 Do not remove barriers from work area until completed project is inspected by the owner’s Safety Department and Infection Prevention & 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 Upon completion, restore/clean HVAC system as needed where work was performed.

6 Water lines flushed at site and adjacent areas.

IP Signature: Diane Franke, Infection Prevention

1 Consult Infection Control Nurse prior to beginning work.

2 Relocate patients to area remote from construction area.

Date Reviewed: 12/16/21. Revised 1/5/22. Final 1/7/22.

Physicial ICRA needs to be signed at work site.

C

LA

SS

IV

C

LA

SS

II

I C

LA

SS

II

C

LA

SS

I

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

INFECTION CONTROL

RISK ASSESSMENT DESIGN DEVELOPMENT

FULLY SPRINKLERED

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

PhaseARCHITECT/ENGINEER OF RECORDCONSULTANT

VAMC SALT LAKE CITY, UT

660-22-114

Project Director

4/22/2022 A.Gonzales EChambers

Revisions: Date:

PHARMACY COMPOUNDNG

LRS FEDERAL LLC

8221 RITCHIE HWY SUITE 300

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

PHARMACY COMPOUNDNG DESIGN DEVELOPMENT

FULLY SPRINKLERED

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

PhaseARCHITECT/ENGINEER OF RECORDCONSULTANT

VAMC SALT LAKE CITY, UT

660-22-114

Project Director

4/22/2022 A.Gonzales EChambers

Revisions: Date:

PHARMACY COMPOUNDING ROOM | EXISTING CONDITIONS

Scale: 1/4" = 1' 0"

PHARMACY COMPOUNDING ROOM | CONCEPT REDESIGN

Scale: 1/4" = 1' 0"

PHARMACY COMPOUNDING ROOM | FLOORING PLAN

Scale: 1/4" = 1' 0"

PHARMACY COMPOUNDING ROOM | COUNTERTOP PLAN

Scale: 1/2" = 1' 0"

PHARMACY COMPOUNDNG

LRS FEDERAL LLC

8221 RITCHIE HWY SUITE 300

PASADENA, MD 21122

A/E: N/A

AutoCAD SHX Text s

AutoCAD SHX Text

30" W FULL HEIGHT FRIDGE (NIC)

AutoCAD SHX Text 48"W x 24"D WORK STATION (N.I.C.)

AutoCAD SHX Text

UNDERCAB FRIDGE (NIC)

AutoCAD SHX Text

34" W FIRE HAZARD STORAGE

AutoCAD SHX Text

EXISTING SPRINKLER

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EXISTING SPRINKLER

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TALL STORAGE (N.I.C.)

AutoCAD SHX Text

AC UNIT

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TRASH

AutoCAD SHX Text

ADA ACCESSIBLE SINK

AutoCAD SHX Text

14"D UPPER CABS

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LOCKABLE BASE CAB

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TALL STORAGE (N.I.C.)

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FAN UNIT TO BE CONCEALED ABOVE GRID CEILING

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AutoCAD SHX Text

FULL HEIGHT FRIDGE

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TALL LOCK CABINET "FLAMMABLE"

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WORK STATION

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LOW LOCK CABINET "FLAMMABLE"

AutoCAD SHX Text

WIRE SHELVING

AutoCAD SHX Text

WIRE SHELVING

AutoCAD SHX Text

UNDERCAB FRIDGE

AutoCAD SHX Text

WALL MOUNTED ADJ SHELVES

AutoCAD SHX Text

WIRE SHELVING

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38"H WORKSURFACE

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EXISTING SPRINKLER

AutoCAD SHX Text

EXISTING SPRINKLER

AutoCAD SHX Text 4'-7"

AutoCAD SHX Text COUNTERTOP CONCEPT PLAN FIELD VERIFY ALL DIMENSIONS MATERIAL: STAINLESS STEEL COUNTERTOP WITH 12"H INTEGRATED BACK SPLASH FABRICATION NOTE: POLISH & GRIND ALL WELDS SMOOTH VERIFY ALL PLUMBING FIXURES PRIOR TO FABRICATING COUNTERTOP

AutoCAD SHX Text

REVERSE OSMOSIS

AutoCAD SHX Text

WIDE-SPREAD FAUCET

AutoCAD SHX Text

EYEWASH

AutoCAD SHX Text 10'-8"

AutoCAD SHX Text 2'

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INSTALL NEW RUBBER FLOORING

AutoCAD SHX Text

INSTALL NEW TRANSITION STRIP

Manufacturer Material Color Hardware Finish Notes Millwork NeoCase Series High Pressure Laminate Willow Grey (WGR) 4" Arch Pull Nickel Or Approved Alternate

Flooring Roppe, Envire Series Rubber Sheet Natural (S122) N/A Matte Or Approved Alternate Roppe, Envire Series Transition Strip Natural (S122) Part #177 Matte Or Approved Alternate

Countertop N/A Stainless Steel 12 gauge #304 2B N/A Polished Polish smooth all welds.

Paint Sherwin Williams Latex Paint Natural Choice SW7011 N/A Satin Or Approved Alternate

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

PHARMACY COMPOUNDNG DESIGN DEVELOPMENT

FULLY SPRINKLERED

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

PhaseARCHITECT/ENGINEER OF RECORDCONSULTANT

VAMC SALT LAKE CITY, UT

660-22-114

Project Director

4/22/2022 A.Gonzales EChambers

Revisions: Date:

PHARMACY COMPOUNDING ROOM | CONCEPT ELEVATIONS

Scale: 1/2" = 1' 0"

PHARMACY COMPOUNDNG

LRS FEDERAL LLC

8221 RITCHIE HWY SUITE 300

PASADENA, MD 21122

A/E: N/A

RECOMMENDED FLOORING TRANSITION STRIPPHARMACY COMPOUNDING ROOM | FINISH SCHEDULE

AutoCAD SHX Text 2'-6 "12"

AutoCAD SHX Text 5'-1"

AutoCAD SHX Text 8'

AutoCAD SHX Text

OPEN FOR UNDER CABINET FRIDGE

AutoCAD SHX Text

PULL-OUT SHELVING TYP AT BASE CABS

AutoCAD SHX Text

FULL HEIGHT STAINLESS BACKSPLASH

AutoCAD SHX Text

30" W FRIDGE (NIC)

AutoCAD SHX Text

SPRINKLER HEAD *KEEP UNOBSTRUCTED

AutoCAD SHX Text 4"

AutoCAD SHX Text 2'

AutoCAD SHX Text 2'

AutoCAD SHX Text 2'-6"

AutoCAD SHX Text 2'-8"

AutoCAD SHX Text

2 " FILLER14" FILLER

AutoCAD SHX Text 2'

AutoCAD SHX Text 2'

AutoCAD SHX Text 2'-6"

AutoCAD SHX Text 2'

AutoCAD SHX Text

1" FILLER

AutoCAD SHX Text 3'

AutoCAD SHX Text

FAUCET

AutoCAD SHX Text

EYE WASH

AutoCAD SHX Text

REVERSE OSMOSIS ABLE TO PIVOT TO ADJACENT SINK

AutoCAD SHX Text 10'-8"

AutoCAD SHX Text 2'

AutoCAD SHX Text 2'

AutoCAD SHX Text 2'

AutoCAD SHX Text 2'-9"

AutoCAD SHX Text 8'

AutoCAD SHX Text 3'

AutoCAD SHX Text 2'

AutoCAD SHX Text 2'-11"

AutoCAD SHX Text 2'-11"

AutoCAD SHX Text

ADJUSTABLE SHELVING TYP AT UPPER CABS

AutoCAD SHX Text 8'-11"

AutoCAD SHX Text 2'-11 "34"

AutoCAD SHX Text 1'-6"

AutoCAD SHX Text 3'-5"

AutoCAD SHX Text

REFER TO SECTION DETAIL

AutoCAD SHX Text

DRAWER

4"

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

PHARMACY COMPOUNDNG DESIGN DEVELOPMENT

FULLY SPRINKLERED

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

PhaseARCHITECT/ENGINEER OF RECORDCONSULTANT

VAMC SALT LAKE CITY, UT

660-22-114

Project Director

4/22/2022 A.Gonzales EChambers

Revisions: Date:

SECTION VIEW | ADA SINK CABINET

Scale: 1" = 1' 0"

PHARMACY COMPOUNDNG

LRS FEDERAL LLC

8221 RITCHIE HWY SUITE 300

PASADENA, MD 21122

A/E: N/A

SECTION VIEW | UPPER CABINET

Scale: 1" = 1' 0"

SECTION VIEW | LOWER CABINET

Scale: 1" = 1' 0"

SECTION VIEW | LOWER CABINET WITH DOORS

Scale: 1" = 1' 0"

AutoCAD SHX Text 1'-11"

AutoCAD SHX Text 2'-11"

AutoCAD SHX Text

OPEN TO WALL

AutoCAD SHX Text

FLOOR LINE

AutoCAD SHX Text

REMOVABLE FRONT PANEL

AutoCAD SHX Text

FALSE FRONT

AutoCAD SHX Text

TOP ASSY. HARDWARE

AutoCAD SHX Text 1'

AutoCAD SHX Text 2'

AutoCAD SHX Text

TOP

AutoCAD SHX Text

MOUNTING BRACKET

AutoCAD SHX Text

ADJUSTABLE SHELVES

AutoCAD SHX Text

PRE-DRILLED PATTERN

AutoCAD SHX Text

BACK

AutoCAD SHX Text

HINGE

AutoCAD SHX Text

HARDWARE

AutoCAD SHX Text 1'-2"

AutoCAD SHX Text 3'

AutoCAD SHX Text 3'

AutoCAD SHX Text 4"

AutoCAD SHX Text

TOP

AutoCAD SHX Text

PULL OUT SHELVES ON TRACKS

AutoCAD SHX Text

LEVELER

AutoCAD SHX Text

HINGE

AutoCAD SHX Text 1'-11 "12"

AutoCAD SHX Text

TOE KICK

AutoCAD SHX Text

HARDWARE

AutoCAD SHX Text 3'

AutoCAD SHX Text

TOP

AutoCAD SHX Text

DRAWER

AutoCAD SHX Text

PULL OUT SHELVES ON TRACKS

AutoCAD SHX Text

LEVELER

AutoCAD SHX Text

HINGE

AutoCAD SHX Text 1'-11 "12"

AutoCAD SHX Text

TOE KICK

AutoCAD SHX Text

HARDWARE

4"