ICRA GNV Electrical Panel Replacement_Basement_BLDG1_Canteen_Tunnel entrance.pdf

NF/SG Veterans Health System

INFECTION CONTROL RISK ASSESSMENT (ICRA)

CHECKLIST

Yes No Construction Types Patient Risk Groups Yes No

Type A: Inspection and Non-Invasive Activities Low Risk

Type B: Small scale, short duration activities, minimal dust Medium Risk

Type C: Moderate to high level of dust Medium to High Risk

Type D: Major demolition and construction projects Highest Risk

CLASS I

Execute work by methods to minimize raising dust from construction activities.

Immediately replace any ceiling tile displaced for visual inspection.

Provide active means to prevent airborne dust from dispensing into atmosphere.

Contain construction waste before transport in tightly covered containers.

Water mist work surfaces to control dust while cutting.

Wet mop floor and/or vacuum with HEPA filtered vacuum before leaving work area.

Seal unused doors with approved duct tape.

Place dust mats at entrance and exits of work area.

Block off and seal air vents. Wipe surfaces with disinfectant.

CLASS II

Remove or isolate HVAC system in areas where work is being performed.

Isolate HVAC system in area where work in being done to prevent contamination of the duct system.

Wet mop with disinfectant.

Complete all critical barriers or implement control cube methods before construction begins.

Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.

Maintain negative air pressure within work site utilizing HEP equipment air filtration units.

Contain construction waste before transport in tightly covered containers.

Vacuum work area with HEPA filtered vacuums.

Cover transport receptacles or cars. Tape coverings.

CLASS III

Do not remove barriers from work area until project is completed and thoroughly cleaned.

Remove or isolate HVAC system in areas where work is being performed.

CLASS IV chart follows on page 2.

Construction Types Construction Classification (I-IV)

Patient Risk Groups Type A Type B Type C Type D Low Risk I II II III/IV Medium Risk I II III IV High Risk I II III/IV IV

Highest Risk II III/IV III/IV IV vhanflbakerd1 Typewritten Text

NF/SG Veterans Health System

(ICRA) CHECKLIST – Page 2

Isolate HVAC system in area where work in being done to prevent contamination of the duct system

Do not remove barriers from work area until project is completed and thoroughly cleaned.

Complete all critical barriers or implement control cube methods before construction begins.

Maintain negative air pressure within work site utilizing HEPA equipment air filtration units.

Vacuum work area with HEPA filtered vacuums. Wet mop with disinfectant.

Seal holes, pipes, conduits and punctures appropriately.

Contain construction waste and cover all transport receptacle or carts. Tape coverings.

Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.

All personnel entering worksite are required to wear shoe covers, if so directed.

CLASS IV

Construct anterooms, if appropriate, and require all personnel to pass through this room for debris removal with a HEPA vacuum cleaner or for putting on and taking off cloth or paper coveralls before entering or leaving the worksite.

vhanflbakerd1 Typewritten Text vhanflbakerd1 Typewritten Text Project name/location: Electrical Panel Replacement / Basement - near Canteen and tunnel entrance.

vhanflbakerd1 Typewritten Text Start date: October 1, 2022 vhanflbakerd1 Typewritten Text End date: October 31, 2023 vhanflbakerd1 Typewritten Text

Date: 8/17/2022