P01-Final Drawings-589A4-23-051-55 pgs.pdf

CONSTRUCTION

SUBSYSTEM

BUILDING WALL

SECTION

ELEVATION

INTERIOR

ELEVATION

DOORS

ROOM NUMBER

EXTERIOR AND

INTERIOR WINDOWS

PLAN & SECTION

DETAIL REFERENCE

REFERS TO A TYPICAL

ASSEMBLY

LOCATION ON DRAWING

SHEET

SHEET DETAIL IS

LOCATED

REFERS TO NUMBER ON DOOR

SCHEDULE, SEE SHEET A401

REFERS TO NUMBER ON

FLOOR PLAN

REFERS TO FRAME TYPE, SEE

ENLARGED ELEVATIONS ON SHEET A202

LOCATION ON

DRAWING SHEET

ARROW INDICATES DIRECTION OF

ELEVATION

SHEET LOCATION WHERE

ELEVATION IS LOCATED

Room name

A101

SIM

NUMBER INDICATES ELEVATION

ON SHEET

LOCATION ON

DRAWING SHEET

101A

A101

A101

PARTITION

TYPES

REFERS TO INTERIOR PARTITIONS,

SEE SHEET G005

REVISION

REVISIONS ARE SHOWN WITHIN

"CLOUDED" AREA REVISION

NUMBER & DATE WILL APPEAR IN

TITLE BLOCK SPACE SO LABELED

SHEET LOCATION WHERE

ELEVATION IS LOCATED

A101

DEMOLITION NOTE

REFERS TO DEMOLITION

NOTES ON THAT SHEET

X

CONSTRUCTION NOTE REFERS TO CONSTRUCTION

NOTES ON THAT SHEET

X

EXTERIOR AND

INTERIOR STOREFRONT

REFERS TO FRAME TYPE, SEE

ENLARGED ELEVATIONS ON SHEET A20200

SF

REFERS TO EXISTING GRID

LINES IN PROJECT

REFERS TO NEW GRID LINES

EXISTING GRID LINE

NEW GRID LINE

DRAWING LIST

GENERAL

G001 COVER SHEET

G002 LIFESAFETY, ABBREVIATIONS & CODE NOTES

G003 INFECTION CONTROL RISK ASSESSMENT

G004 BASEMENT FLOOR PHASING PARTIAL PLAN

G005 PARTITION TYPES

STRUCTURAL

S001 GENERAL NOTES AND ABBREVIATIONS

SS101 BASEMENT FLOOR FRAMING PLAN - NEW WORK

S301 DETAILS AND SECTIONS

ARCHITECTURAL

AD101 BASEMENT DEMOLITION PLAN

A101 BASEMENT FLOOR PLAN

A102 BASEMENT RCP

A131 ENLARGED PLANS

A201 INTERIOR ELEVATIONS AND SECTIONS

A202 INTERIOR ELEVATIONS AND SECTIONS

A301 DETAILS

A401 DOOR, WINDOW, AND STOREFRONT LEGEND, SCHEDULE & DETAILS

A601 FINISH LEGEND, NOTES & DETAILS

A603 BASEMENT FLOOR FINISH PLAN

A604 BASEMENT WALL FINISH PLAN

A701 BASEMENT FLOOR EQUIPMENT PLAN

MECHANICAL

M001 MECHANICAL NOTES, LEGENDS AND SYMBOLS

MD101 BASEMENT PLAN - MECHANICAL - DEMOLITION

MH101 BASEMENT PLAN - MECHANICAL - NEW WORK

MH102 BASEMENT PLAN - MECHANICAL - NEW WORK PRESSURIZATION

MP101 BASEMENT PLAN - MECHANICAL PIPING - NEW WORK

M501 MECHANICAL DETAILS

M502 MECHANICAL DETAILS

M801 MECHANICAL SCHEDULES

PLUMBING

P001 PLUMBING NOTES, LEGENDS AND SYMBOLS

PD101 BASEMENT PLAN - DEMO

PS101 BASEMENT PLAN - NEW WORK

P801 PLUMBING SCHEDULES

FIRE PROTECTION

FP001 FIRE PROTECTION LEGENDS AND SYMBOLS

FX101 BASEMENT PLAN - FIRE PROTECTION - DEMO

FP101 BASEMENT PLAN - FIRE PROTECTION - NEW WORK

FP103 BASEMENT PLAN - FIRE PROTECTION HAZARD CLASSIFICATION

FP501 FIRE PROTECTION DETAILS

ELECTRICAL

E001 ELECTRICAL LEGENDS AND SYMBOLS

E002 ELECTRICAL GENERAL NOTES

ED101 FLOOR PLAN - LIGHTING - DEMO

ED102 FLOOR PLAN - ELECTRICAL EQUIPMENT - DEMO

EL101 FLOOR PLAN - LIGHTING - NEW WORK

EP101 FLOOR PLAN - ELECTRICAL EQUIPMENT - NEW WORK

E501 ELECTRICAL DETAILS

E502 ELECTRICAL DETAILS

E601 ELECTRICAL DIAGRAMS

E801 ELECTRICAL SCHEDULES

FIRE ALARM

FA001 FIRE ALARM LEGENDS AND SYMBOLS

FD101 FLOOR PLAN - FIRE ALARM - DEMO

FA101 FLOOR PLAN - FIRE ALARM - NEW WORK

FA501 FIRE ALARM DETAILS

TELECOM

T001 TECHNOLOGY LEGEND, ABBREVIATIONS, AND NOTES

TD101 TECHNOLOGY DEMOLITION PLAN

TN101 FLOOR PLAN - TECHNOLOGY - NEW WORK

T501 TECHNOLOGY DETAILS

SITE MAP SYMBOLS

NOT FOR CONSTRUCTION

Project Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

Phase

ARCHITECT/ENGINEER OF RECORD STAMPCONSULTANT

321 4 5 6 7 8 9 10

DEPARTMENT OF VETERANS AFFAIRS

THINKFORM DESIGN ARCHITECT LLC

1435 VINE STREET

CINCINNATI, OH 45202

T: 855.821.0274 F: 609.644.4397 Russell DiNardo, AIA NY 031521-1

A u to d e s k D o c s

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G001

COVER SHEET RENOVATE ENVIRONMENTAL

MANAGEMENT AREA

Harry S Truman Memorial Veterans' Hospital 800 Hospital Drive Columbia, MO 65201

589A4-23-051

28 MAY 2024 TB JC

100% CONSTRUCTION

DRAWINGS MOD 1

RENOVATE ENVIRONMENTAL MANAGEMENT AREA

Harry S Truman Memorial Veterans' Hospital

800 Hospital Drive Columbia, MO 65201

Revisions: Date:

UP

FD

FD

FD

FD

ABBREVIATIONS:

A LABEL CLASS A DOOR

A/C AIR CONDITION

A/E ARCHITECT/ENGINEER

ABV ABOVE

ACT ACOUSTICAL CEILING TILE

AD AREA DRAIN

ADH ADHESIVE

ADJ ADJACENT

ADMIN ADMINISTRATION

AFC ABOVE FINISHED COUNTER

AFF ABOVE FINISHED FLOOR

AHU AIR HANDLING UNIT

ALT ALTERNATE

ALUM ALUMINUM

APPROX APPROXIMATE

ARCH ARCHITECT

ASB ASBESTOS

ASPH ASPHALT

ASSN ASSOCIATION

AUTO AUTOMATIC

AUX AUXILIARY

BAT BATTEN

BD BOARD

BEV BEVEL

BKG BACKING

BLDG BUILDING

BOT BOTTOM

BTWN BETWEEN

C TO C CENTER TO CENTER

CAB CABINET

CONC CONCRETE

CIR CIRCLE

CL CENTER LINE

CLDG CLADDING

CLG CEILING

CLG HT CEILING HEIGHT

CLR CLEAR

CMU CONCRETE MASONRY UNIT

CNTR COUNTER

COL COLUMN

CONC FLR CONCRETE FLOOR

CONSTR CONSTRUCTION

CONT CONTINUE

COORD COORDINATE

CPT CARPET OR CARPET TILE

CSWK CASEWORK

CT CERAMIC TILE

CTRL CONTROL

DAT DATUM

DC DIRECT CURRENT

DEG DEGREE

DEL DELETE

DEMO DEMOLITION

DEPT DEPARTMENT

DTL DETAIL

DIFF DIFFERENCE

DIM DIMENSION

DIR DIRECTION

DR DOOR, OR DRAIN

DR OPNG DOOR OPENING

E.J. EXPANSION JOINT

EL ELEVATION

ELEC ELECTRIC

ELEV ELEVATOR

EMER EMERGENCY

ENGR ENGINEER

EQ EQUAL

EQUIP EQUIPMENT

EQUIV EQUIVALENT

ESP ESPECIALLY

EX EXISTING

EXIST EXISTING

EXP EXPOSED

FA FIRE ALARM

FAS FASCIA

FD FLOOR DRAIN

FE FIRE EXTINGUISHER

FEC FIRE EXTINGUISHER CABINET

FIN FLR FINISH FLOOR

FIXT FIXTURE

FLR FLOOR

FP FIRE PROTECTION OR FIREPROOF

FRT FIRE RETARDANT TREATED

FRZ FREEZER

FT FEET OR FOOT

FURN FURNISH OR FURNITURE

GA GAGE OR GYPSUM ASSOCIATION

GAL GALLON

GALV GALVANIC OR GALVANIZED

GB GRAB BAR

GC GENERAL CONTRACTOR

GEN GENERAL OR GENERATOR

GL GLASS

GLU LAM GLUED LAMINATED WOOD

GT GROUT

GYP GYPSUM

GYP BD GYPSUM BOARD

HB HOSE BIBB

HC HOLLOW CORE

HDWD HARDWOOD

HM HOLLOW METAL

HT HEIGHT

HVAC HEATING, VENTILATING,

AND AIR CONDITIONING

ID IDENTIFICATION

ILLUM ILLUMINATION

INCL INCLUDED

INFO INFORMATION

INSUL INSULATION

INT INTERIOR

JAN JANITOR

J-BOX JUNCTION BOX

LAB LABORATORY

LAM LAMINATE

LAV LAVATORY

LDR LEADER

LED LIGHT EMITTING DIODE

LT LIGHT

LVD LOUVERED

LVR LOUVER

LVT LUXURY VINYL TILE

LYR LAYER

MAINT MAINTENANCE

MATL MATERIAL

MAX MAXIMUM

MECH MECHANICAL

MEMO MEMORANDUM

MEZZ MEZZANINE

MID MIDDLE

MIRR MIRROR

MISC MISCELLANEOUS

MLDG MOLDING (MOULDING)

MLWK MILLWORK

MO MASONRY OPENING

MTL METAL

MULL MULLION

NA NOT APPLICABLE

NAT NATURAL

NIC NOT IN CONTRACT

NO NUMBER

NOM NOMINAL

NUM NUMERAL

OC ON CENTER

OCC OCCUPY

OFF OFFICE

OPNG OPENING

OPP OPPOSITE

OSHA OCCUPATIONAL SAFETY

AND HEALTH ADMINSTRATION

OZ OUNCE

PART PARTIAL

PAT PATTERN

PEN PENETRATE

PERF PERFORATED

PERP PERPENDICULAR

PFT PORCELAIN FLOOR TILE

PLAS PLASTER OR PLASTIC

PLBG PLUMBING

PLYWD PLYWOOD

PNL PANEL

PRB PROFILE BASE

PRCST PRECAST

PREFAB PREFABRICATE

PRELIM PRELIMINARY

PREP PREPARATION

PREV PREVIOUS

PROP PROPERTY

PTD PAINTED

PVC POLYVINYL CHLORIDE (PLASTIC)

QA QUALITY ASSURANCE

QC QUALITY CONTROL

QT QUARRY TILE

QTB QUARRY TILE BASE

QTR QUARTER

QTY QUANTITY

R RADIUS OR RISER

RAD RADIATOR

RB RESILIENT BASE OR RUBBER BASE

RBR RUBBER

RCP REFLECTED CEILING PLAN

RCVR RECEIVER

RD ROAD OR ROOF DRAIN

REC RECESSED

RECT RECTANGLE

REF REFERENCE OR REFRIGERATOR

REINF REINFORCE

REQ REQUIRE

REQD REQUIRED

RES RESINOUS FLOORING

RESIL RESILIENT

RET RETURN

REV REVISION

RF RUBBER FLOORING

RM ROOM

RND ROUND

RO ROUGH OPENING

SALV SALVAGE

SBSTR SUBSTRATE

SCHED SCHEDULE

SCHEM SCHEMATIC

SECT SECTION

SEP SEPARATE

SF SQUARE FOOT (FEET)

SLNT SEALANT

SMK SMOKE

SPEC SPECIFICATION

SPKLR SPRINKLER

SPLY SUPPLY

SQ SQUARE

SS STAINLESS STEEL

STD STANDARD

STOR STORAGE

STR STRINGERS

STRUCT STRUCTURAL

SURF SURFACE

SUSP SUSPEND

SVT SOLID VINYL FLOOR TILE

SYS SYSTEM

T&G TONGUE AND GROOVE

TECH TECHNICAL

TEL TELEPHONE

TEMP TEMPERATURE OR TEMPORARY

THK THICKNESS

THRU THROUGH

TMPD TEMPERED

TO TOP OF ___

TRANS TRANSOM

TRTD TREATED

TYP TYPICAL

U HEAT TRANSFER COEFFICIENT

UNO UNLESS NOTED OTHERWISE

UPS UNINTERRUPTIBLE POWER SUPPLY

UTIL UTILITY

UV ULTRAVIOLET

VAC VACUUM

VAR VARIES

VCT VINYL COMPOSITION TILE

VENT VENTILATION

VERT VERTICAL

VEST VESTIBULE

VIF VERIFY IN FIELD

VOL VOLUME

W/ WITH

W/O WITHOUT

WD WOOD

WSCT WAINSCOT

WSF WELDED SEAM SHEET FLOORING

WT WEIGHT

2.1. PRIMARY APPLICABLE CODES AND STANDARDS - EXISTING BUILDING / RECONSTRUCTION

A. DEPARTMENT OF VETERANS AFFAIRS HAS ADOPTED THE LATEST EDITION OF THE FOLLOWING CODES AND STANDARDS AS A MINIMUM FOR ALL PROJECTS PERFORMED IN THE MODERNIZATION, ALTERATION, ADDITION, OR IMPROVEMENT OF ITS REAL PROPERTY AND THE CONSTRUCTION OF NEW STRUCTURES. VA DESIGN MANUALS AND MASTER SPECIFICATIONS SPECIFY OTHER CODES AND STANDARDS THAT VA FOLLOWS ON ITS PROJECTS:

1. VA DIRECTIVES, DESIGN MANUALS, MASTER SPECIFICATIONS, VA NATIONAL CAD STANDARD APPLICATION GUIDE, AND OTHER GUIDANCE ON THE TECHNICAL INFORMATION LIBRARY (TIL) (HTTP://WWW.CFM.VA.GOV/TIL/).

2. INTERNATIONAL BUILDING CODE (IBC) (ONLY WHEN SPECIFICALLY REFERENCED IN VA DESIGN DOCUMENTS, SEE NOTES BELOW).

3. NFPA 101 LIFE SAFETY CODE (SEE NOTES BELOW).

4. NFPA NATIONAL FIRE CODES WITH THE EXCEPTION OF NFPA 5000 AND NFPA 900.

5. OCCUPATIONAL, SAFETY AND HEALTH ADMINISTRATION (OSHA) STANDARDS.

6. VA SEISMIC DESIGN REQUIREMENTS, H-18-8.

7. NATIONAL ELECTRICAL CODE (NEC).

8. INTERNATIONAL PLUMBING CODE (IPC).

9. SAFETY CODE FOR ELEVATORS AND ESCALATORS, AMERICAN SOCIETY OF MECHANICAL ENGINEERS (ASME) A 17.1.

10. ASME BOILER AND PRESSURE VESSEL CODE.

11. ASME CODE FOR PRESSURE PIPING.

12. ARCHITECTURAL BARRIERS ACT ACCESSIBILITY STANDARDS (ABAAS) INCLUDING VA SUPPLEMENT, BARRIER FREE DESIGN GUIDE (PG-18-13).

13. BUILDING CODE REQUIREMENTS FOR REINFORCED CONCRETE, AMERICAN CONCRETE INSTITUTE AND COMMENTARY (ACI 318).

14. MANUAL OF STEEL CONSTRUCTION, LOAD AND RESISTANCE FACTOR DESIGN SPECIFICATIONS FOR STRUCTURAL STEEL BUILDINGS, AMERICAN INSTITUTE OF STEEL CONSTRUCTION (AISC).

15. ENERGY POLICY ACT OF 2005 (EPACT).

16. DOE INTERIM FINAL RULE: ENERGY CONSERVATION STANDARDS FOR NEW FEDERAL, COMMERCIAL AND MULTI-FAMILY HIGH-RISE RESIDENTIAL BUILDINGS AND NEW LOW-RISE RESIDENTIAL BUILDINGS, 10 CFR PARTS 433, 434 AND 435.

17. FEDERAL LEADERSHIP IN HIGH PERFORMANCE AND SUSTAINABLE BUILDINGS: MEMORANDUM OF UNDERSTANDING (MOU).

18. EXECUTIVE ORDER 13423: STRENGTHENING FEDERAL ENVIRONMENTAL, ENERGY, AND TRANSPORTATION MANAGEMENT.

19. THE PROVISIONS FOR CONSTRUCTION AND SAFETY SIGNS. STATED IN THE GENERAL REQUIREMENTS SECTION 01010 OF THE VA MASTER CONSTRUCTION SPECIFICATION.

20. VENTILATION FOR ACCEPTABLE INDOOR AIR QUALITY – ASHRAE STANDARD 62.1- 2004.

21. SAFETY STANDARD FOR REFRIGERATION SYSTEMS – ASHRAE STANDARD 15 – 2007.

B. LOCAL CODES: AS AN AGENCY OF THE FEDERAL GOVERNMENT, VA IS NOT SUBJECT TO LOCAL IMPOSITION OF CODE ENFORCEMENT PROCEDURES (DRAWING REVIEWS, BUILDING PERMITS, INSPECTIONS, FEES, ETC.). VA MUST FUNCTION AS THE AUTHORITY HAVING JURISDICTION (AHJ) AND THUS HAS THE RESPONSIBILITY TO GUARD PUBLIC HEALTH AND SAFETY THROUGH ENFORCING ITS ADOPTED CODES. HOWEVER, LOCAL AUTHORITIES SHOULD BE NOTIFIED ABOUT PLANNED PROJECTS AND GIVEN OPPORTUNITY TO REVIEW DRAWINGS PROVIDED THAT VA DOES NOT PAY FOR REVIEW OR INSPECTION FEES.

C. NOTES

1. NFPA 101 PRIMARILY ADDRESSES LIFE SAFETY AND FIRE PROTECTION FEATURES WHILE THE IBC ADDRESSES A WIDE RANGE OF CONSIDERATIONS, INCLUDING, BUT NOT LIMITED TO, STRUCTURAL STRENGTH, SEISMIC STABILITY, SANITATION, ADEQUATE LIGHT AND VENTILATION, AND ENERGY CONSERVATION. VA BUILDINGS MUST MEET THE REQUIREMENTS OF NFPA 101 AND DOCUMENTS REFERENCED BY NFPA 101 IN ORDER TO COMPLY WITH THE ACCREDITATION REQUIREMENTS OF THE JOINT COMMISSION. THEREFORE, DESIGNS SHALL COMPLY WITH THE REQUIREMENTS OF THE LATEST EDITION OF NFPA 101 AND DOCUMENTS REFERENCED THEREIN. DESIGN FEATURES NOT ADDRESSED BY NFPA 101 OR DOCUMENTS REFERENCED THEREIN SHALL COMPLY WITH THE REQUIREMENTS OF THE LATEST EDITION OF THE IBC OR AS OTHERWISE ADDRESSED IN THE VA PROGRAM GUIDE. FOR DESIGN FEATURES THAT ARE ADDRESSED BY BOTH THE IBC AS WELL AS NFPA 101 OR A DOCUMENT REFERENCED BY NFPA 101, THE REQUIREMENTS OF NFPA 101 OR THE DOCUMENT REFERENCED BY NFPA 101 SHALL BE USED

EXCLUSIVELY (THIS APPLIES EVEN IF THE IBC REQUIREMENTS ARE DIFFERENT).

2. CONFLICTS BETWEEN NATIONALLY RECOGNIZED CODES AND STANDARDS AND VA REQUIREMENTS – SHOULD A CONFLICT EXIST BETWEEN VA REQUIREMENTS AND VA ADOPTED NATIONALLY RECOGNIZED CODES AND STANDARDS, THE CONFLICT SHALL BE BROUGHT TO THE ATTENTION OF VA. THE RESOLUTION OF THE CONFLICT SHALL BE MADE BY THE AUTHORITY HAVING JURISDICTION FOR VA TO ENSURE A CONSISTENCY SYSTEM WIDE.

D. CONSTRUCTION TYPE CLASSIFICATION: TYPE II (222). THE MINIMUM FIRE RATING FOR ALL LOAD-BEARING STRUCTURAL ELEMENTS IS 2 HRS.

E. OCCUPANCY IS BASED OFF NFPA 101 TABLE 7.1.3.2

CODE NOTES:

A. BUSINESS USE:

1. 6.1.11 BUSINESS

2. SHALL COMPLY WITH CHAPTERS 38/39, NEW BUSINESS OCCUPANCIES/EXISTING BUSINESS OCCUPANCIES”

B. FIRE SUPPRESSION: THE ENTIRE BUILDING IS PROTECTED THROUGHOUT BY AN APPROVED, SUPERVISED AUTOMATIC SPRINKLER SYSTEM IN ACCORDANCE WITH SECTION 9.7.

C. OCCUPANT LOAD:

1. THERE IS NO INCREASE TO THE PROPOSED OCCUPANCY OF THE BASEMENT FLOOR.

2. OCCUPANCY FOR EACH ROOM LISTED IN PLAN BELOW. OCCUPANCY CALCULATIONS BASED ON NFPA 101 TABLE 7.1.3.2.

D. CONSTRUCTION, REPAIR AND IMPROVEMENT OPERATIONS:

1. SHALL COMPLY WITH SECTION 4.6.10, AREAS ADJACENT TO PROJECT AREA WILL BE OCCUPIED DURING CONSTRUCTION WITH ALL REQUIRED MEANS OF EGRESS AND REQUIRED FIRE

PROTECTION FEATURES REMAINING IN PLACE AND CONTINUOUSLY MAINTAINED.

E. MEANS OF EGRESS (SECTIONS 7 AND 38)

1. EXIT ACCESS CORRIDORS SERVING MORE THAN 30 SHALL BE 1-HOUR RATED (7.1.3.1).

EXCEPTION (1) REQUIREMENT SHALL NOT APPLY TO EXISTING BUILDINGS PROVIDED THE OCCUPANCY CLASSIFICATION DOES NOT CHANGE & EXCEPTION (38.3.6.1 (3)) WITHIN

BUILDINGS PROTECTED THROUGHOUT BY AN AUTOMATIC SPRINKLER SYSTEM.

2. DOORS (7.2.1.2.3.2): DOOR OPENINGS MEANS OF EGRESS SHALL BE NOT LESS THAN 32 INCHES IN CLEAR WIDTH.

3. DEAD-END CORRIDORS (38.2.5.3.1): DEAD-END CORRIDORS SHALL NOT EXCEED 50 FEET.

4. MEANS OF EGRESS (38.2.3.2): THE CLEAR WIDTH OF ANY CORRIDOR OR PASSAGEWAY SERVING AN OCCUPANT LOAD OF 50 OR MORE SHALL BE NOT LESS THAN 44 INCHES.

F. ARRANGEMENT OF MEANS OF EGRESS (38.2.5)

1. 38.2.5.1 MEANS OF EGRESS SHALL BE ARRANGED IN ACCORDANCE WITH SECTION 7.5.

2. 38.2.5.2.1 COMMON PATH OF TRAVEL SHALL NOT EXCEED 100FT (30M) IN A BUILDING PROTECTED THROUGHOUT BY AN APPROVED, SUPERVISED AUTOMATIC SPRINKLER SYSTEM IN

ACCORDANCE WITH 9.7.1.1(1).

3. 38.2.5.2.2 COMMON PATH OF TRAVEL SHALL NOT EXCEED 100FT (30M) WITHIN A SINGLE TENANT SPACE HAVING AN OCCUPANT LOAD NOT EXCEEDING 30 PERSONS.

G. TRAVEL DISTANCE TO EXITS (38.2.6)

1. 38.2.6.3 TRAVEL DISTANCE SHALL NOT EXCEED 300 FT. IN BUSINESS OCCUPANCIES PROTECTED THROUGHOUT BY AN APPROVED, SUPERVISED AUTOMATIC SPRINKLER SYSTEM.

H. INTERIOR FINISH (38.3.3)

1. INTERIOR FINISHES SHALL BE IN ACCORDANCE WITH SECTION 10.2.

2. WALLS AND CEILINGS (38.3.3.2.1): INTERIOR WALL AND CEILING FINISH MATERIALS SHALL BE CLASS A OR CLASS B IN EXITS AND EXIT ACCESS CORRIDORS.

3. WALLS AND CEILINGS (38.3.3.2.2): INTERIOR WALL AND CEILING FINISHES SHALL BE CLASS A, CLASS B OR CLASS C IN AREAS OTHER THAN THOSE SPECIFIED IN 39.3.3.2.1.

NFPA 101 BUILDING CODE DESIGN

CRITERIA:

EXIT SIGN

LIFESAFETY LEGEND:

EXIT ACCESS TRAVEL DISTANCE

FIRE EXTINGUISHER CABINETFE CAB

RATED DOOR

EXISTING 2 HOUR RATED FIRE PARTITION

EXISTING SMOKE RATED FIRE PARTITION

EXISTING 1 HOUR RATED FIRE PARTITION

EXISTING PARTITION

NEW 2 HOUR RATED FIRE PARTITION

1 HOUR RATED FIRE PARTITION

EC EXIT CAPACITY

OCC. = # OCCUPANCY = # OF OCCUPANTS

KEY PLAN

PROJECT

SCOPE

CART CLEANING

D001A

EQUIPMENT

D003A

LOGISTICS STORAGE

D003B

TOILET

D004I

STORAGE

D003C

E L

E C

T R

IC

A

L

E

UNIFORMS

D004C

PERSONAL EFFECTS

D004D

EFFECTS

D004F

HIGH DENSITY STORAGE

D004A

CONFERENCE

D004J STAGING + RECEIVING

D004

PREP COUNTER

INFECTION

D002A

REPAIR ROOM

D002

TRAINER

D004P

CHIEF

D004R

ASST. CHIEF

D004Q

EXIT ACCESS TRAVEL DISTANCE = 228' - 3"

CBD3

D019C D018

D025

D025

C003A

C003

D024

D0219E

CARTS

D004S

WORKROOM

D004K

EXIT ACCESS TRAVEL DISTANCE = 97' - 2"

EXIT ACCESS

TRAVEL

DISTANCE =

121' - 5"

EXIT ACCESS TRAVEL DISTANCE = 120' - 11"

TRASH

D001B

ELEC.

D002B

VESTIBULE

CBD1A

CORRIDOR

CBD1B

ADMIN

D004H

FE CAB

FE CAB

CBD4

CORRIDOR

PHONE OPERATOR

D004L

TOILET

D004B

OPERATOR

SUPERVISOR

D004E

OPERATOR

D004M

OPERATOR

SUPERVISOR

D004N

ELEC.

CLOSET

GRID

H-7

D004O

ELEVATOR

#4

ELEVATOR

#5

MORGUE

D031

MORGUE

D029

MORGUE

D028

MORGUE

D011

MORGUE

D025

MORGUE

D030

MORGUE

D027

STAIR

D026

FIRE PUMP ROOM

D017 M & R

D016

M & R

D012

M & R

D010

LOCKSMITH

D006

CORRIDOR

90 RATED

RATED

RATED

45 RATED

45 RATED

45 RATED

90 RATED

90 RATED

45 RATED

90 RATED

45 RATED

D

210 EC180 EC

180 EC

180 EC

180 EC

180 EC

180 EC

180 EC

180 EC

180 EC

180 EC 180 EC

OCC. = 1 OCC. = 1

OCC. = 1

OCC. = 7OCC. = 9OCC. = 1OCC. = 1

OCC. = 1

OCC. = 1

OCC. = 1

OCC. = 1

OCC. = 1

UNIFORM

EXCHANGE

D004B

OCC. = 2

OCC. = 1

OCC. = 1

OCC. = 2 OCC. = 2

OCC. = 1

OCC. = 1

OCC. = 1

RATED

90 RATED

45 RATED

OCC. = 1

Project Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

Phase

ARCHITECT/ENGINEER OF RECORD STAMPCONSULTANT

321 4 5 6 7 8 9 10

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G002

LIFESAFETY, ABBREVIATIONS &

CODE NOTES

RENOVATE ENVIRONMENTAL

MANAGEMENT AREA

Harry S Truman Memorial Veterans' Hospital 800 Hospital Drive Columbia, MO 65201

589A4-23-051

28 MAY 2024 TB JC

100% CONSTRUCTION

DRAWINGS MOD 1

N

PROJECT

NORTH

1/8" = 1'-0"

BASEMENT FLOOR PLAN - OPTION 2

INFECTION CONTROL RISK ASSESSMENT

STEP ONE: Construction, Renovation, and/or Maintenance Activity Category

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

TYPE A

Inspection and/or facility upkeep generally defined as follows:

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

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

• Work that does not create dust or debris.

• Removal of ceiling tile or access to mechanical or electrical chase for visual inspection limited to 1 tile per

50 square feet with limited 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 without sanding) that do not create dust or debris.

• Limited building system maintenance such as plumbing on potable systems limited to faucet replacement etc. and electrical work such as replacement of bulbs, receptacles, or switches.

Infection Control Risk Assessment

Matrix of Precautions for Construction & Renovation

THE PURPOSE OF INFECTION CONTROL PROCEDURES IS TO MINIMIZE THE POTENTIAL FOR THE SPREAD OF INFECTIONS DUE TO DEGRADED AIR QUALITY, ENVIRONMENTAL CONTAMINATION, OR CONTAMINATION OF WATER.

IT IS THE POLICY OF THIS MEDICAL CENTER THAT A SYSTEMATIC APPROACH BASED ON ASSESSMENT AND PLANNING WILL EFFECTIVELY MANAGE THE ISSUE OF TRANSMISSION OF INFECTIOUS DISEASES AND THE AGGRAVATION OF ALLERGIES. THE OVERALL APPROACH RELIES ON PRE-CONSTRUCTION ASSESSMENT, MANAGEMENT OF HVAC SYSTEMS, AND AGGRESSIVE USE OF A VARIETY OF BARRIERS. CONTRACTOR IS TO WORK CLOSELY WITH THE VA FACILITY MANAGEMENT SERVICE CENTER, THE INFECTION CONTROL PROGRAM STAFF AND THE SAFETY AND OCCUPATION HEALTH MANAGER TO HAVE IN PLACE A MONITORING PROGRAM TO ASSURE RIGOROUS IMPLEMENTATION OF THE REQUIRED MEASURES, REFER TO PROJECT SPECIFICATIONS.

A. THE CONTRACTOR SHALL VERIFY ALL EXISTING CONDITIONS IN THE FIELD AND COORDINATE ALL INFECTION CONTROL REQUIREMENTS WITH THE DEMOLITION AND NEW CONSTRUCTION. THE CONTRACTOR SHALL REPORT ALL DISCOVERIES TO THE OWNERS' REPRESENTATIVE FOR RESOLUTION PRIOR TO BEGINNING.

B. CONTRACTOR TO INSTALL BARRIERS AND OTHER MEASURES. CONSTRUCTION BARRIER DOOR(S) MUST BE SELF-CLOSING. PROVIDE DUST CONTROL AND CONTAINMENT STICKY MATS ON ALL ACCESS DOORS INTO CONSTRUCTION AREA. ANTE-ROOM REQUIRED AT CONSTRUCTION ENTRY. PROVIDE MANOMETER MONITORS

FOR ALL CONSTRUCTION BARRIERS.

C. CONTRACTOR TO DISPOSE OF MATERIALS BEFORE 8:00 AND OR AFTER 4:00 PM UNLESS ARRANGED WITH THE VA TO DISPOSE OF DURING NORMAL HOURS. USE ROUTE AGREED UPON BY ICRA TEAM AND COTR FOR TRANSPORT OF TRANSPORT CONTAINERS THROUGH THE FACILITY. CONTRACTORS CAN ONLY DEVIATE TO NORMAL HOURS WITH THE APPROVAL OF THE INFECTION CONTROL NURSE AND COR DUE TO PARTICULAR CIRCUMSTANCES THAT MAY OBSTRUCT PROGRESS. A CLEAR PLAN WILL HAVE TO BE SUBMITTED AND

PRECAUTIONARY INFECTION CONTROL MEASURES IMPLEMENTED.

D. CONTRACTOR TO COVER CARTS WHEN DISPOSING MATERIALS.

E. CONTRACTOR TO CHANGE MATS MULTIPLE TIMES A DAY AS NEEDED AND MOP FLOORS BEHIND THEM

MULTIPLE TIMES A DAY.

F. CONTRACTOR TO MAINTAIN CONTINUOUS NEGATIVE AIR PRESSURE WITHIN THE WORK SITE UTILIZING WINDOW EXHAUST FANS STRATEGICALLY LOCATED OR PROVIDED NEGATIVE PRESSURE AIR HEPA UNITS AND EXHAUST TO EXTERIOR OF THE BUILDING. CONTRACTOR TO INCLUDE MONITORING MANOMETER AT

ANTEROOM SO THE NEGATIVE PRESSURE CAN BE INSPECTED.

INFECTION CONTROL NOTES:

TYPE B

General maintenance and repair work generally defined as follows:

• Prolonged inspection and work that may take longer than a single shift but not exceeding a week.

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

• Work that creates minimal dust and debris.

• Interior finish or surface repairs, updates, or modifications such as repair of firewalls and barriers, and new flooring that produces minimal dust and debris. Controlled sanding activities (e.g., wet or dry sanding) that produce minimal dust and debris.

• Plumbing work such as installation or replacement of a single fixture or piping for a single fixture. Any work on sanitary plumbing including snaking of drains.

• Electrical work such as installation of cabling/wiring/conduit for a single device, installation of new device such as a light fixture that produces minimal dust and debris.

• Air Handler and/or fan shutdown/startup and HVAC work such as replacement of a single diffuser, single terminal unit or a single device that produces minimal dust and debris.

TYPE C

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

• Work requiring longer than a single week to complete but not exceeding 6 months.

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

• Demolition/removal of preexisting floor covering, casework, lay-in ceiling, or other architectural elements.

• Demolition/removal of more than 32 ft2 of drywall/framing, hard ceilings, and doors/framing and minimal infrastructure such as electrical circuits and branch piping.

• Installation of new walls, ceilings and doors including framing, drywall/plaster and associated work.

• Plumbing work such as the installation of new sinks, showers and toilets and associated plumbing.

• Shut down of sections of potable water systems.

• 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.

• Modification of existing fire alarm and suppression systems.

• Mechanical work such as the installation of ductwork, diffusers, and terminal units for an area.

TYPE D

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.

• Large-scale demolition of building components and infrastructure including removal of multiple doors, walls, framing, ceilings, flooring, piping, electrical and HVAC.

• The installation building components such as new walls, ceilings and doors including framing, drywall and associated plaster work.

• Plumbing work such as the installation of:

• new medical gas systems,

• steam/heating hot water, condensate systems,

• multiple sinks, showers and toilets including associated plumbing.

• Shutdown of potable water, steam/heating hot water, condensate, and medical gas systems.

• 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.

• Installation of fire alarm and suppression systems.

• Electrical shutdown of multiple panels.

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

TABLE TWO: Affected Area Assessment Identify the areas and associated patients that will be affected by the construction/renovation/maintenance activity (see the Figure for a visual representation of adjacent affected areas).

STEP ONE - Activity Type: TYPE D

Project start date:

Completion date:

Permit expiration date

Harry S Truman Memorial Veterans' Hospital 800 Hospital Drive Columbia, MO 65201

Infection Prevention and Control Construction/Renovation/Maintenance Permit

Unique permit number:

Location of construction /renovation/maintenance

Project Manager:

Contact Phone Number:

Contractor:

Overall Patient Risk Category (Low, Medium, High, or Highest)

Activity Category (A, B, C, or, D)

Level of Infection Prevention and Control Precautiond (I, II, III< IV)

Level of Precautions

Control Measures must be in place fomr the duration of the activity (Check the box for the activity's Level of Precautions to indicate the Control Measures)

LEVEL I 1. Perform work activity in a manner that does not create dust.

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

3. Any materials and equipment being brought into the facility must be free of contaminants and loose material.

LEVEL II All control measures in Level I and the following:

1. Provide active means to control airborne dust from dispersing into occupied areas and/or water mist surface to control dust (e.g., Mobile Dust Containment Cart or some other system).

2. Ensure worker clothing is clean and free of visible dust before leaving the work area.

3. Remove or isolate air diffusers (supply and return) to protect the HVAC system from dust and reduce air turbulence.

Rebalance system to address diffuser isolation.

4. When the work involves or impacts potable water systems including stagnation due to reduced usage, the piping shall be flushed twice a week or isolated from the main system

5. Seal doors, to prevent dust migration.

6. Contain all trash and debris in the work area. Perform daily cleaning and disposal of trash (covered) from work area using an identified exit route.

7. Any equipment, tools, or materials removed from the work area must be in sealed containers and/or cleaned of dust and debris prior to removal from the area.

8. Nonporous/smooth and cleanable containers (with a hard lid) must be used to transport trash and debris from the construction areas. These containers must be damp-wiped cleaned and free of visible dust/debris before leaving the contained work area.

9. Install a sticky (dust collection) mat at entrance of contained work area based on facility policy. Sticky mats must be changed routinely and when visibly soiled.

10. Maintain clean surroundings when area is not contained by damp mopping or HEPA vacuuming surfaces at least daily.

LEVEL III All control measures in Levels I and II and the following:

1. Ensure availability of equipment for cleaning hands.

2. Construct and complete critical barriers meeting NFPA 241 requirements. Barriers must extend to the ceiling or if ceiling tile is removed, to the deck above.

3. All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to floor and ceiling (or floor/roof deck above) and secure from movement or damage.

4. Seal all penetrations in containment barriers, including floors and ceiling, using approved materials (UL schedule firestop if applicable for barrier type).

5. Maintain .01 inches /water gauge negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors (unless a work specific waiver is approved by VHA’s Office of Healthcare Engineering); this must be maintained continuously 24/7 for the duration of the project. Exhaust discharged directly to the outdoors that is 25 feet or greater from entrances, air intakes and windows is not required to be HEPA-filtered. Exhausting discharged air into shared or recirculating HVAC systems, or other shared exhaust systems (e.g., bathroom exhaust) is prohibited.

6. Install a differential pressure sensing device (e.g., magnehelic, manometer, or digital monitoring) on exterior of work containment to continually monitor and document negative pressurization. The “ball in the wall” or similar apparatus are not acceptable.

LEVEL IV All control measures in Levels I, II and III and the following:

1. Barriers must be hard barriers unless temporary to install final barrier.

2. Containment must include an anteroom to ensure pressure control, Anteroom must be large enough for equipment staging, cart cleaning, workers’ PPE and cleaning.

3. Worker clothing and/or PPE must be removed or clean and free of visible dust before leaving the work area anteroom.

HEPA vacuuming of clothing or use of cover suits is acceptable.

4. Workers must wear shoe covers or have a method to clean shoes in anteroom Shoe covers must be removed prior to exiting the anteroom to the occupied space (non-work area). Damaged shoe covers must be changed immediately.

Additional Requirements:

Infection Preventionist Signature:

Project Manager Signature:

Date:

Date:

All control measures in Levels I and II and the following:

1. Ensure availability of equipment for cleaning hands.

2. Construct and complete critical barriers meeting NFPA 241 requirements. Barriers must extend to the ceiling or if ceiling tile is removed, to the deck above.

3. All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to floor and ceiling (or floor/roof deck above) and secure from movement or damage.

4. Seal all penetrations in containment barriers, including floors and ceiling, using approved materials (UL schedule firestop if applicable for barrier type).

5. Maintain .01 inches /water gauge negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors (unless a work specific waiver is approved by VHA’s Office of Healthcare Engineering); this must be maintained continuously 24/7 for the duration of the project. Exhaust discharged directly to the outdoors that is 25 feet or greater from entrances, air intakes and windows is not required to be HEPA-filtered. Exhausting discharged air into shared or recirculating HVAC systems, or other shared exhaust systems (e.g., bathroom exhaust) is prohibited.

6. Install a differential pressure sensing device (e.g., magnehelic, manometer, or digital monitoring) on exterior of work containment to continually monitor and document negative pressurization. The “ball in the wall” or similar apparatus are not acceptable.

LEVEL III

All control measures in Levels I, II and III and the following:

1. Barriers must be hard barriers unless temporary to install final barrier.

2. Containment must include an anteroom to ensure pressure control. Anteroom must be large enough for equipment staging, cart cleaning, workers’ PPE and cleaning.

3. Worker clothing and/or PPE must be removed or clean and free of visible dust before leaving the work area anteroom. HEPA vacuuming of clothing or use of cover suits is acceptable.

4. Workers must wear shoe covers or have a method to clean shoes in anteroom.

Shoe covers must be removed prior to exiting the anteroom to the occupied space (non-work area).

Damaged shoe covers must be changed immediately.

LEVEL IV

Controls defined below shall be completed upon completion of the activity and inspected prior to terminating measures defined in Table 5.

TABLE SIX: - Minimum Infection Prevention and Control Measures Required Upon Completion of the Activity

Measures

Cleaning:

1. Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

2. Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

HVAC Systems:

1. Remove isolation of HVAC system in areas where work is being performed. Verify that HVAC systems are clean and operational.

2. Verify the HVAC systems meet original airflow and air exchange design specifications.

Water systems:

1. Until the potable water system is activated and in use, flushing shall continue at least twice per week in accordance with VHA Directive 1061.

Construction areas must be inspected by an infection preventionist and engineering representative (and others as determined by the facility) for final activity/project close out and removal of infection prevention and control measures.

Work Area Cleaning:

1. Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

2. Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

Removal of Critical Barriers:

1. Critical barriers must remain in place during all work involving drywall removal, creation of dust and activities beyond simple touch-up work. The barrier may NOT be removed until a work area cleaning has been performed. Additional cleaning may be needed after removal of barrier.

2. All (plastic or hard) barrier removal activities must be completed in a manner that prevents dust release. Use the following precautions when removing hard barriers:

1. Carefully remove screws and painter tape.

2. If dust will be generated during screw removal, use hand-held HEPA vacuum.

3. Drywall cutting is prohibited during removal process.

4. Clean all stud tracks with HEPA vacuum before removing outer hard barrier.

5. Use a plastic barrier to enclose area if dust could be generated.

Negative Air Requirements:

1. The use of negative air must be designed to remove contaminants from the work area.

2. Negative air devices (fans, filters, monitoring and documentation equipment) must remain operational at all times and in place for a period after completion of dust creating activities to remove contaminants from the work area and before removal of critical barriers.

HVAC systems:

1. Upon removal of critical barriers, remove isolation of HVAC system in areas where work is being performed.

2. Verify that HVAC systems are clean and operational.

3. Verify and document through a TAB the HVAC systems meets original airflow and air exchange design specifications.

Water systems:

1. Until the potable water system is activated and in use, flushing shall continue at least twice per week in accordance with VHA Directive 1061.

Level of Precautions

LEVEL

I - II

LEVEL

III - IV

All control measures in Level I and the following:

1. Provide active means to control airborne dust from dispersing into occupied areas and/or water mist surface to control dust (e.g., Mobile Dust Containment Cart or some other system).

2. Ensure worker clothing is clean and free of visible dust before leaving the work area.

3. Remove or isolate air diffusers (supply and return) to protect the HVAC system from dust and reduce air turbulence. Rebalance system to address diffuser isolation.

4. When the work involves or impacts potable water systems including stagnation due to reduced usage, the piping shall be flushed twice a week or isolated from the main system.

5. Seal doors to prevent dust migration.

6. Contain all trash and debris in the work area. Perform daily cleaning and disposal of trash

(covered) from work area using an identified exit route.

7. Any equipment, tools, or materials removed from the work area must be in sealed containers and/or cleaned of dust and debris prior to removal from the area.

8. Nonporous/smooth and cleanable containers (with a hard lid) must be used to transport trash and debris from the construction areas. These containers must be damp-wiped cleaned and free of visible dust/debris before leaving the contained work area.

9. Install a sticky (dust collection) mat at entrance of contained work area based on facility policy.

Sticky mats must be changed routinely and when visibly soiled.

10. Maintain clean surroundings when area is not contained by damp mopping or HEPA vacuuming surfaces at least daily.

LEVEL II

AFFECTED AREA ASSESSMENT

Area Service(s)/Type(s) of Areas(s) (e.g., OR, Unit/Ward, Sterile Processing, Administrative, etc)

Point of Contact (POC) Point of Contact Information

Activity Area

Area Above

Area Below

Adjacent Area 1

Adjacent Area 2

Adjacent Area 3

Adjacent Area 4

EMS

PATHOLOGY

SUB-BASEMENT

KITCHEN / BioMED

PHONE OPERATOR

M & R

MORGUE / ECC

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

LOW RISK MEDIUM RISK HIGH RISK HIGHEST RISK

Non-patient care areas:

• Public hallways and gathering areas not in clinical areas

• Office areas not in clinical areas

• Breakrooms not in clinical areas

• Bathrooms or locker rooms not in clinical areas

• Mechanical/electrical rooms not in clinical areas

Patient care support areas such as:

• Waiting areas

• Clinical engineering

(biomedical)

• Materials management

• Sterile processing department – dirty side

• Kitchen, cafeteria, gift shop, coffee shop, and food kiosks

Patient care areas such as:

• Patient care rooms and areas, including spinal cord injury units

• All acute care units, including mental health

• All outpatient units and clinics

• Emergency department

• Community Living Centers, domiciliaries, and transitional residences

• Employee health

• Pharmacy – general work zone

• Medication rooms and clean utility rooms

• Imaging suites – diagnostic imaging

• Laboratory

Procedural, invasive, sterile support and highly compromised patient care areas such as:

• All transplant units

• All intensive care units

• All oncology units and chemotherapy/infusio n centers

• OR theaters and restricted areas

• Hemodialysis units

• Procedural rooms*

• Pharmacy compounding area

• Sterile processing department – clean side

• Transfusion services

• Imaging suites – interventional imaging

• Dedicated isolation wards/units for infectious diseases

TABLE THREE - Patient Risk Category: MEDIUM

Match the Overall Patient Risk Category (Low, Medium, High, Highest) determined from Table 3 with the planned construction/Renovation/Maintenance Activity Category (A, B, C, D) from Table 1 to determine the minimum Level of Infection Prevention and Control Precautions (I, II, III, or IV) using Table 4 below.

TYPE A TYPE B TYPE C TYPE D

I II II III

I

I

II

II

II

III

IV

IVIII

IV

IV

IV

LOW Risk Group

MEDIUM Risk Group

HIGH Risk Group

HIGHEST Risk Group

Patient Risk Group

Construction Project Type

An infection prevention and control permit is required for Level III and Level IV. Consult with Infection Prevention and Control for Level I and Level II.

TABLE FOUR - Class of Precautions: CLASS IV

TABLE FOUR: - Level of Infection Prevention and Control Precautions

TABLE THREE: - Patient Risk Category

Controls defined below for the Level of Precautions identified 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 Precaution Level must also include the control measures in the preceding Level(s). As the activity progresses, a full re-evaluation of remaining activity type and patient risk is required prior to downgrading the Level of Precautions.

LEVEL I

1. Perform work activity in a manner that does not create dust.

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

3. Any materials and equipment being brought into the facility must be free of contaminants and loose material.

TABLE FIVE: - Required Infection Prevention and Control Measures, by Level of Precautions

Level of Precautions

Control Measures

This page must be posted at the entrance to the project area for Level III and Level IV activities.

Project Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

Phase

ARCHITECT/ENGINEER OF RECORD STAMPCONSULTANT

321 4 5 6 7 8 9 10

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INFECTION CONTROL RISK

ASSESSMENT

RENOVATE ENVIRONMENTAL

MANAGEMENT AREA

Harry S Truman Memorial Veterans' Hospital 800 Hospital Drive Columbia, MO 65201

589A4-23-051

28 MAY 2024 TB JC

100% CONSTRUCTION

DRAWINGS MOD 1

UP UP

INSIDE SCOPE OF PHASE

OUTSIDE SCOPE OF PHASE

PHASING AREA OF WORK

KEY PLAN

PROJECT

SCOPE

ELEVATOR

#4

ELEVATOR

#5

D031

D029 D028

D011

D030 D025 D026

STAIR

D027

MORGUE

D017

FIRE PUMP ROOM

D016

M & R

D010

M & R

D012

M & R

D006

LOCKSMITH

D004L

PHONE OPERATOR

D004B

TOILET

D004E

OPERATOR

SUPERVISOR

D004M

OPERATOR

D004N

OPERATOR

SUPERVISOR

D004O

ELE. CLOSET

GRID H-7

ADMIN STAFF TO BE RELOCATED FOR THE FIRST TWO

PHASES OF CONSTRUCTION. LINENS TO BE RELOCATED

TO TRAILERS AND OTHER FLOORS DURING PHASE 1.

TEMPORARY CONSTRUCTION BARRIERS ARE PLACED TO

LIMIT CONSTRUCTION DEBRIS FROM ACCESSING OTHER

PARTS OF EMS. DEMOLITION AND CONSTRUCTION OF

PHASE 1 TO PROCEED.

PHASE 1:

STORAGE

D001

STORAGE

D001B

STORAGE

D001A

PHARMACY STORAGE

D002

LINEN CAROUSEL

D004B

LINEN

D004C VESTIBULE

STORAGE

D003B

STORAGE

D003C

ASST. CHIEF

OFFICE

D004G

SUPERVISORS

OFFICE

D004H

CHIEF OFFICE

D004I

SUPERVISORS

OFFICE

D004J

ADMIN/SECRETARY

D004K

LINEN STORAGE

D004

STORAGE

D003A

STORAGE

D003D

TOILET

D004A

LINEN STORAGE

D008

STORAGE

D003

CORRIDOR

CBD1B

1 HR TEMP CONSTRUCTION

BARRIER TO SEAL OFF LINEN

CAROUSEL

SEAL FOR TEMP

CONSTRUCTION BARRIER

D004F

MORGUEMORGUE

MORGUE

MORGUEMORGUE

MORGUE

ANTEROOM

CONSTRUCTION ENTRANCE

ELEC.

D002B

EXISTING DOOR USED AS CONSTRUCTION ENTRANCE.

BUILD OUT NEW ELEC. ROOM

SEAL FOR TEMP

CONSTRUCTION BARRIER

AFTER PHASE 1 WORK HAS BEEN COMPLETED, A

PORTION OF EQUIPMENT AND SUPPLIES ARE TO BE

TEMPORARILY RELOCATED. PHASE 2 TEMPORARY

CONSTRUCTION BARRIERS ARE ERECTED. LINENS CAN

MOVE OPERATIONS INTO THE NEWLY CONSTRUCTED

SPACE. ADMIN STAYS REMOTE. DEMOLITION AND

CONSTRUCTION OF PHASE 2 TO PROCEED.

PHASE 2:

NEW PHASE 1 DOOR

SEALED TO PROTECT

PHASE 1 OPERATIONS

DURING PHASE 2

DEMOLITION AND

CONSTRUCTION.

SEAL FOR TEMP

CONSTRUCTION BARRIER

1 HR TEMP

CONSTRUCTION

BARRIER

ELEVATOR

ELEVATOR

STAIR

MORGUE

FIRE PUMP ROOM M & R

M & R

M & R

LOCKSMITH

PHONE OPERATOR

TOILET

OPERATOR

SUPERVISOR

OPERATOR

OPERATOR

SUPERVISOR

ELE. CLOSET

GRID H-7

STORAGE

STORAGE

STORAGE

PHARMACY STORAGE

LINEN CAROUSEL

LINEN VESTIBULE

STORAGE

STORAGE

LINEN STORAGE

STORAGE

STORAGE

TOILET

LINEN STORAGE

STORAGE

CORRIDOR

MORGUEMORGUE

MORGUE

MORGUEMORGUE

MORGUE

#4

#5

D031

D029 D028

D011

D030 D025 D026

D027

D017 D016

D010

D012

D006

D004L

D004B

D004E

D004M D004N

D004O

D001

D001B

D001A

D002

D004B

D004C

D003B

D003C

D004

D003A

D003D

D004A

D008

D003

CBD1B

D004F

EXISTING DOORS USED AS

CONSTRUCTION ENTRANCE

PROVIDE A TEMPORARY BARRIER

BETWEEN PHASES

ELEC.

D002B

AFTER PHASE 2 WORK HAS BEEN COMPLETED, THE

PHASE 3 TEMPORARY CONSTRUCTION BARRIERS ARE

ERECTED. ADMIN CAN MOVE BACK INTO THEIR SPACE.

EQUIPMENT AND SUPPLIES TO BE TEMPORARILY

RELOCATED TO TRAILERS AND CLOSETS ON OTHER

FLOORS. DEMOLITION AND CONSTRUCTION OF PHASE 3

TO PROCEED.

NEW PHASE 2 DOOR SEALED TO PROTECT

PHASE 1 AND 2 OPERATIONS DURING PHASE

3 DEMOLITION AND CONSTRUCTION.

ELEVATOR

ELEVATOR

STAIR

MORGUE

FIRE PUMP ROOM M & R

M & R

M & R

LOCKSMITH

PHONE OPERATOR

TOILET

OPERATOR

SUPERVISOR

OPERATOR

OPERATOR

SUPERVISOR

ELE. CLOSET

GRID H-7

STORAGE

STORAGE

STORAGE

PHARMACY STORAGE

LINEN CAROUSEL

STORAGE

VESTIBULE

STAGING + RECEIVING

CARTS

TOILET

STORAGE

CORRIDOR

MORGUEMORGUE

MORGUE

MORGUEMORGUE

MORGUE

PHASE 3:

#4

#5

D031

D029 D028

D011

D030 D025 D026

D027

D017 D016

D010

D012

D006

D004L

D004B

D004E

D004M D004N

D004O

D001

D001B

D001A

D002

D004B

D004G

D004

D004S

D004A

D003

CBD1B

D004F

TRAINER

D004P

ASST. CHIEF

D004Q

CHIEF

D004R

WORKROOM

D004K

CONFERENCE

D004K

STORAGE

D003D

UNIFORM

D004C

ADMIN

D004H

EXISTING DOORS USED AS

CONSTRUCTION ENTRANCE

ELEC.

D002B

2 HOUR RATED FIRE PARTITION

SMOKE RATED FIRE PARTITION

1 HOUR RATED FIRE PARTITION

PARTITION LEGEND:

1 HOUR TEMPORARY CONSTRUCTION

BARRIER

U.S. OF DECK

CEILING LINE

FINISH FLOOR

FLOOR RUNNER TRACK

4" METAL STUDS @ 16" O.C.

5/8" IMPACT RESISTANT TYPE "X" GYP.

BD. BOTH SIDES

GYP BD CASING. BOTH SIDES

5 1/4"

FLEXIBLE SEALANT BOTH SIDES

EXTEND STUD FRAMING TO STRUCTURE

ABOVE

10 TEMPORARY BARRIER

FLEXIBLE SEALANT BOTH SIDES

1 LAYER OF 5/8" IMPACT RESISTANT TYPE

"X" GYP BD ON BOTH SIDE, 4" (U.N.O.)

METAL STUDS @16" O.C. PARTITION

EXTENDS TO UNDERSIDE OF DECK

ABOVE.

SLIP LEG TRACK

UL U419 1HR

Project Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

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BASEMENT FLOOR PHASING RENOVATE ENVIRONMENTAL

MANAGEMENT AREA

Harry S Truman Memorial Veterans' Hospital 800 Hospital Drive Columbia, MO 65201

589A4-23-051

10 APRIL 24 TB JC

100% CONSTRUCTION

DOCUMENTS MOD1

THE PURPOSE OF INFECTION CONTROL PROCEDURES IS TO MINIMIZE THE POTENTIAL

FOR THE SPREAD OF INFECTIONS DUE TO DEGRADED AIR QUALITY, ENVIRONMENTAL

CONTAMINATION, OR CONTAMINATION OF WATER. IT IS THE POLICY OF THE VA THAT

A SYSTEMATIC APPROACH BASED ON ASSESSMENT AND PLANNING WILL

EFFECTIVELY MANAGE THE ISSUE OF TRANSMISSION OF INFECTIOUS DISEASES AND

THE AGGRAVATION OF ALLERGIES. THE OVERALL APPROACH RELIES ON PRE-

CONSTRUCTION ASSESSMENT, MANAGEMENT OF HVAC SYSTEMS, AND AGGRESSIVE

USE OF A VARIETY OF BARRIERS. CONTRACTOR IS TO WORK CLOSELY WITH THE VA

FACILITY MANAGEMENT SERVICE CENTER, THE INFECTION CONTROL PROGRAM

STAFF AND THE SAFETY AND OCCUPATION HEALTH MANAGER TO HAVE IN PLACE A

MONITORING A PROGRAM TO ASSURE RIGOROUS IMPLEMENTATION OF THE

REQUIRED MEASURES. REFER TO PROJECT SPECIFICATIONS.

A. THE CONTRACTOR SHALL VERIFY ALL EXISTING CONDITIONS IN THE FIELD AND

COORDINATE ALL INFECTION CONTROL REQUIREMENTS WITH THE DEMOLITION AND

NEW CONSTRUCTION. THE CONTRACTOR SHALL REPORT ALL DISCOVERIES TO THE

OWNER'S REPRESENTATIVE FOR RESOLUTION PRIOR TO BEGINNING.

B. CONTRACTOR TO INSTALL BARRIERS AND OTHER MEASURES TO CONTROL

CONSTRUCTION DEBRIS. BARRIERS MAY CONSIST OF FIELD CONSTRUCTED HARD

WALL BARRIERS, MODULAR WALL SYSTEMS (STARC WALL OR SIMILAR), AND FIRE

RATED PLASTIC SHEETING WHERE AGREED TO BY THE VA INFECTION CONTROL

PROGRAM STAFF. CONSTRUCTION BARRIER DOOR(S) MUST BE SELF-CLOSING.

PROVIDE DUST CONTROL AND CONTAINMENT STICKY MATS AN ALL ACCESS INTO

CONSTRUCTION AREA. ANTE-ROOM, WHERE REQUIRED, SHALL BE AT THE

CONSTRUCTION ENTRY.

C. CONTRACTOR TO DISPOSE OF MATERIALS PRIOR TO END OF WORK DAILY. USE

ROUTE AGREED UPON BY ICRA TEAM AND COTR FOR TRANSPORT OF TRANSPORT

CONTAINERS THROUGH THE FACILITY.

D. CONTRACTOR TO USE HARD COVER CARTS WHEN DISPOSING OF MATERIALS.

E. CONTRACTOR TO CHANGE MATS MULTIPLE TIMES A DAY AS NEEDED AND MOP

FLOORS BEHIND THEM MULTIPLE TIMES A DAY AS OFTEN AS NEEDED TO PREVENT

TRACKNG OF CONSTRUCTION DUST AND DEBRIS.

F. CONTRACTOR TO MAINTAIN CONTINUOUS NEGATIVE AIR PRESSURE WITHIN

THE WORK SITE UTILIZING WINDOW EXHAUST FANS STRATEGICALLY LOCATED OR

PROVIDE NEGATIVE PRESSURE AIR HEPA UNITS AND EXHAUST TO EXTERIOR OF THE

BUILDING. WHERE REQUIRED, CONTRACTOR TO INCLUDE MONITORING MANOMETER

AT ANTEROOM SO THE NEGATIVE PRESSURE CAN BE INSPECTED.

G. MEASURES REQUIRED TO BE TAKEN FOR THE TYPE OF WORK (SEE CHART)

WILL VARY BY DEPARTMENT ADJACENCIES PER FLOOR THROUGHOUT THE HOSPITAL.

REFERENCE THE ICRA CLASS IV CHART AT RIGHT FOR THE MINIMUM REQUIREMENTS

TO BE FOLLOWED IN EACH AREA.

PHASING NOTES

1/8" = 1'-0"G004

BASEMENT PLAN PHASE 11

1/8" = 1'-0"G004

BASEMENT PLAN PHASE 22

1/8" = 1'-0"G004

BASEMENT PLAN PHASE 33

A. ALL STUD SPACING IS 16 INCHES ON CENTER MINIMUM UNLESS NOTED

OTHERWISE.

B. SEE FINISH SCHEDULE FOR LOCATION OF APPLIED FINISHES (SUCH AS

CERAMIC TILE, WALL COVERING, ETC.) THAT MAY AFFECT THE PARTITION

SURFACE AND CONSTRUCTION REQUIREMENTS.

C. WHERE CERAMIC TILE AND CEMENTITIOUS BACKER UNIT ARE NOT

SCHEDULED TO BE THE FULL HEIGHT OF PARTITION, PROVIDE GYPSUM

BOARD (TYPE 'X' @ RATED PARTITIONS) AT THOSE PORTIONS OF THE

PARTITION NOT SCHEDULED TO RECEIVE CERAMIC TILE.

D. ALL SOUND RATED WALLS OR PARTITIONS (STC 45 OR AND ABOVE) SHALL

HAVE AN ACOUSTICAL GASKET AND/OR ACOUSTICAL SEALANT AT THE

TOP, BOTTOM AND SIDES WHERE A SOUND LEAK COULD OCCUR. ALL

PENETRATIONS THROUGH SUCH PARTITIONS SHALL BE GASKETED AND

SEALED ALONG THE PENETRATION PERIMETER. IF PARTITIONS ARE FIRE-

RATED, PROVIDE UL-LABELED FIRE STOPPING IN PLACE OF ACOUSTICAL

SEALANT. AT PARTITIONS THAT ARE SOUND AND FIRE RATED, PROVIDE

ACOUSTICAL SEALANT AT PARTITION PENETRATIONS THAT DO NOT

REQUIRE FIRE STOPPING (EXAMPLE: DUCT PENETRATIONS WITH FIRE

DAMPERS).

E. ALL FIRE AND/OR SMOKE PARTITIONS, FIRE BARRIERS AND FIRE WALLS

SHALL EXTEND FROM FLOOR TO THE UNDERSIDE OF THE DECK, AND BE

ENTIRELY SEALED WITH FIRE SAFING MATERIALS PER AN APPROVED FIRE

RATED ASSEMBLY IN ACCORDANCE WITH A U.L. DESIGN, OR A DESIGN

TESTED BY A TESTING LAB APPROVED BY THE AUTHORITY HAVING

JURISDICTION. ALL PENETRATIONS THROUGH AND EDGES OF PARTITIONS

SHALL ALLOW FOR APPROPRIATE DEFLECTIONS AND MOVEMENT OF

ADJACENT MATERIALS AND RESULTING SPACES PROPERLY FILLED WITH

FIRE SAFING INSULATION AND SEALED TO MAINTAIN THE RATING

INTEGRITY.

F. ALL RATED PARTITIONS SHALL BE PERMANENTLY IDENTIFIED WITH A SIGN

OR STENCILING ABOVE THE CEILING. THE SIGN SHALL READ "X-HOUR

FIRE AND/OR SMOKE BARRIER - PROTECT ALL OPENINGS", AND BE

LOCATED A MAXIMUM 13 FEET O.C. ON CONTINUOUS WALLS. BEGIN NEW

SERIES ON ALL CORNERS. LETTERING AND ARROWS MAY BE UTILIZED TO

INDICATE THE DIRECTION AND EXTENT OF THE FIRE RATING.

G. ALL NON-RATED PARTITIONS OF COMBUSTIBLE CONSTRUCTION

EXTENDING ABOVE THE CEILING SHALL BE FIREBLOCKED AT THE TOP OF

PARTITION AND HORIZONTALLY AT INTERVALS NOT EXCEEDING 10 FEET IF

NECESSARY, WITH 2 INCH NOMINAL LUMBER ALL PENETRATIONS OF THIS

FIRE-STOPPING SHALL BE SEALED.

H. PROVIDE BRACING AT 48" O.C. MAXIMUM ABOVE CEILING TO STRUCTURAL

FRAMING WHERE PARTITION EXCEEDS THE MAXIMUM UNBRACED HEIGHT

OR WHERE REQUIRED TO PROVIDE RIGIDITY TO THE PARTITION BELOW

THE CEILING WHERE CERAMIC TILE OCCURS. ENSURE INTEGRITY OF FIRE

AND SOUND RATINGS OF PARTITION IF BRACING PENETRATES PARTITION

SURFACE.

I. NON-RATED PARTITIONS THAT DO NOT EXTEND TO STRUCTURE OR DECK

ABOVE, IN AREAS WITH ACOUSTICAL TILE CEILINGS, SHALL EXTEND A

MINIMUM OF 6 INCHES ABOVE THE CEILING. SEE NOTE 'J' ABOVE FOR

BRACING REQUIREMENTS. TOP OF PARTITION SHALL BE FIRE-STOPPED

WITH NON-COMBUSTIBLE MATERIAL (I.E. METAL STUD RUNNER).

J. PROVIDE BLOCKING AT ALL ACCESSORIES AND CASEWORK.

K. AT SPACES WITHOUT CEILINGS, SURROUNDING PARTITIONS SHALL

EXTEND TO STRUCTURE OR DECK ABOVE WITHOUT ANY VOIDS ABOVE

TOP OF WALL.

L. SEE…