ATTACHMENT 18 - Montrose.EHRM.Addendum.01.B06.20260330.pdf

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Z2DA--620-22-700 Electronic Health Record Modernization Infrastructure Upgrades - Franklin Delano Roosevelt VA Hospital, Montrose, NY
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RFP-36C77626R0033
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Amend 5 - B19.20260330.pdf PDF
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Original attachments 1-12.zip ZIP file
ATTACHMENT 3 - 01 00 00.B - Appendix B - Submittal Log.pdf PDF
ATTACHMENT 8 - 01 00 00.G - Appendix G - GPRS Triple C Montrose Full Report.pdf PDF
ATTACHMENT 16 - Montrose.EHRM.Addendum.01.B04.20260330.pdf PDF
ATTACHMENT 21 - Montrose.EHRM.Addendum.01.B13.20260330.pdf PDF
ATTACHMENT 24 - Montrose.EHRM.Addendum.01.B16.20260330.pdf PDF
ATTACHMENT 27 - Montrose.EHRM.Addendum.01.B20.20260330.pdf PDF
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ATTACHMENT 28A - Montrose.EHRM.Addendum.01.B27.20260330.pdf PDF
ATTACHMENT 32 - Montrose.EHRM.Addendum.01.B52.20260330.pdf PDF
ATTACHMENT 33A - 00 41 13.10 - Construction Estimate Breakdown Template.xlsx XLSX spreadsheet
RFI TRACKING SHEET - SOLICITATION 36C77626R0033.pdf PDF
ATTACHMENT 1 - SPECS - 620-22-700.Montrose.EHRM.Spec.IFC.20260410.pdf PDF
ATTACHMENT 5 - 01 00 00.D - Appendix D - SOP 138-06HV OCCUPATIONAL SAFETY AND HEALTH PROGRAM.pdf PDF
ATTACHMENT 11 - 01 00 00.I - Appendix I - K9245005 VAMC EHRM Montrose NY GeoReport 4.12.2024.pdf PDF
ATTACHMENT 12A - Summary.Log.Add01_20260410.pdf PDF
ATTACHMENT 13 - Montrose.EHRM.Addendum.01.B01.20260330.pdf PDF
ATTACHMENT 14 - Montrose.EHRM.Addendum.01.B02.20260330.pdf PDF
ATTACHMENT 22 - Montrose.EHRM.Addendum.01.B14.20260330.pdf PDF
ATTACHMENT 25 - Montrose.EHRM.Addendum.01.B17.20260330.pdf PDF
Amendment 2 - 36C77626R0033 0002.pdf PDF
Site visit sign-in sheet 3-23-26.pdf PDF
Attachment 1 - SPECS - 620-22-700.Montrose.EHRM.Spec.IFC.20260205.pdf PDF
Attachment 6 - 01 00 00.E - Appendix E - VHA ICRA-1.3 - Dec 9 2024.pdf PDF
Attachment 7 - 01 00 00.F - Appendix F - VHA PCRA 2024 1.1 Final.Template Fillable.pdf PDF
Attachment 8 - 01 00 00.G - Appendix G - GPRS Triple C Montrose Full Report.pdf PDF
Attachment 9 - 01 00 00.H - Appendix H - J2237038 Montrose ACM Ld Pnt InspRpt Final 8-21-2023.pdf PDF
Attachment 12 - Additional Security Badging Requirements rev 2.pdf PDF
Attachment 13 - Drawing B01 20250627.pdf PDF
Attachment 31 - Drawing B31 20250627.pdf PDF
Attachment 33 - Drawing Site 20250627.pdf PDF
RFP - 36C77626R0033.pdf PDF
Attachment 3 - 01 00 00.B - Appendix B - Submittal Log.pdf PDF
Attachment 4 - 01 00 00.C - Appendix C1 SOP 138-22HV CONST STD PROCEDURES QA FOR PROJECTS.pdf PDF
Attachment 5 - 01 00 00.D - Appendix D1 SOP 138-06HV OCCUPATIONAL SAFETY AND HEALTH PROGRAM.pdf PDF
Attachment 16 - Drawing B04 20250627.pdf PDF
Attachment 18 - Drawing B06 20250627.pdf PDF
Attachment 22 - Drawing B14 20250627.pdf PDF
Attachment 27 - Drawing B20 20250627.pdf PDF
Attachment 29 - Drawing B28 20250627.pdf PDF
Attachment 32 - Drawing B52 20250627.pdf PDF
Attachment 36 - Division Cost Breakdown.xlsx XLSX spreadsheet
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Text version

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

FULLY SPRINKLERED

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

PhaseARCHITECT/ENGINEER OF RECORD A/E:

CONSULTANT

321 4 5 6 7 8 9 10

TRIPLE C - The A/E Group 201 E. Jefferson Street, Suite 200 Syracuse, NY 13202

MAT PERKINS

(315) 484-5958

STAMP

Au to de sk

D oc s:

//6

-2

2-

M on tro se V

AM

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E H

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IU

/6

-2

2-

0.

M on tro se .E

H R

M .M

EP

.B

.rv t 3/

/2

:5

1:

P M

06G-001

DRAWING INDEX 620-22-700

06/27/2025 M. PERKINS K.

MCDERMOTT

ISSUED FOR

CONSTRUCTION

(EHRM) INFRASTRUCTURE

UPDATE

2094 Albany Post Road, Montrose, NY 10548

- DRAWING INDEX -

SHEET NUMBER SHEET NAME INCLUDED IN 35% SD INCLUDED IN 65% DD INCLUDED IN 95% CD ISSUED FOR CONSTRUCTION

GENERAL

06G-000 COVER SHEET Yes Yes Yes Yes 06G-001 DRAWING INDEX Yes Yes Yes Yes 06G-010 GENERAL PROJECT NOTES Yes Yes Yes Yes 06G-012 GENERAL INDOOR AIR QUALITY NOTES Yes Yes Yes Yes

HAZARDOUS

06H-100 HAZARDOUS MATERIAL ABATEMENT PLAN - GROUND LEVEL No Yes Yes Yes

ICRA & LIFE SAFETY

06GI300 INFECTION CONTROL PLAN & INTERIM LIFE SAFETY - GROUND LEVEL No Yes Yes Yes 06GI301 INFECTION CONTROL PLAN & INTERIM LIFE SAFETY - FIRST LEVEL No Yes Yes Yes 06GI302 INFECTION CONTROL PLAN & INTERIM LIFE SAFETY - SECOND LEVEL No Yes Yes Yes 06GI303 INFECTION CONTROL & INTERIM LIFE SAFETY DETAILS No Yes Yes Yes

ARCHITECTURAL

06A-001 ARCHITECTURAL SYMBOLS, & GENERAL NOTES No Yes Yes Yes 06A-400 ARCHITECTURAL ENLARGED VIEWS - FIRST LEVEL No Yes Yes Yes 06A-501 ARCHITECTURAL ROOF PLAN & DETAILS No Yes Yes Yes 06A-511 ARCHITECTURAL PARTITION AND FRAMING DETAILS No Yes Yes Yes 06A-512 ARCHITECTURAL PARTITION HEAD DETAILS No Yes Yes Yes 06A-531 ARCHITECTURAL CEILING DETAILS No Yes Yes Yes

INTERIORS

06IN101 INTERIOR FINISH PLAN, SIGNAGE & SCHEDULES No Yes Yes Yes

FIRE PROTECTION

06FX001 FIRE PROTECTION ABBREVIATIONS, SYMBOLS, AND DETAILS No Yes Yes Yes 06FX101 FIRE PROTECTION PLAN - FIRST LEVEL Yes Yes Yes Yes 06FX102 FIRE PROTECTION PLAN - SECOND LEVEL Yes Yes Yes Yes 06FX401 FIRE PROTECTION ENLARGED PLANS Yes Yes Yes Yes 06FX901 FIRE PROTECTION CUTSHEETS & BASIS OF DESIGN No Yes Yes Yes

MECHANICAL

06M-001 MECHANICAL ABBREVIATIONS AND SYMBOLS No Yes Yes Yes 06M-100 MECHANICAL PLAN - GROUND LEVEL No Yes Yes Yes 06M-101 MECHANICAL PLAN - FIRST LEVEL No Yes Yes Yes 06M-102 MECHANICAL PLAN - SECOND LEVEL No Yes Yes Yes 06M-401 MECHANICAL ENLARGED PLANS No Yes Yes Yes 06M-501 MECHANICAL DETAILS No Yes Yes Yes 06M-701 MECHANICAL SCHEDULES No Yes Yes Yes 06M-801 MECHANICAL CONTROL SYMBOL LEGEND AND ABBREVIATIONS No Yes Yes Yes 06M-802 MECHANICAL CONTROL DIAGRAMS No Yes Yes Yes 06M-901 MECHANICAL CUTSHEETS & BASIS OF DESIGN No Yes Yes Yes 06M-902 MECHANICAL CUTSHEETS & BASIS OF DESIGN No Yes Yes Yes

ELECTRICAL

06E-001 ELECTRICAL ABBREVIATIONS AND SYMBOLS Yes Yes Yes Yes 06E-101 ELECTRICAL PLAN -GROUND LEVEL No Yes Yes Yes 06E-102 ELECTRICAL PLAN - FIRST LEVEL No Yes Yes Yes 06E-103 ELECTRICAL PLAN - SECOND LEVEL No Yes Yes Yes 06E-401 ELECTRICAL ENLARGED PLANS No Yes Yes Yes 06E-501 ELECTRICAL DETAILS Yes Yes Yes Yes 06E-601 ELECTRICAL ONE-LINE DIAGRAMS No Yes Yes Yes 06E-701 ELECTRICAL SCHEDULES No Yes Yes Yes 06E-702 ELECTRICAL SCHEDULES Yes Yes Yes Yes 06E-901 ELECTRICAL CUTSHEETS & BASIS OF DESIGN Yes Yes Yes Yes 06E-902 ELECTRICAL CUTSHEETS & BASIS OF DESIGN No No No Yes

TELECOMMUNICATION

06T-001 TELECOMMUNICATION ABBREVIATIONS AND SYMBOLS Yes Yes Yes Yes 06T-101 TELECOMMUNICATION PLAN - GROUND LEVEL Yes Yes Yes Yes 06T-102 TELECOMMUNICATION PLAN - FIRST LEVEL Yes Yes Yes Yes 06T-103 TELECOMMUNICATION PLAN - SECOND LEVEL Yes Yes Yes Yes 06T-401 TELECOMMUNICATION ENLARGED PLANS No Yes Yes Yes 06T-501 TELECOMMUNICATION DETAILS Yes Yes Yes Yes 06T-502 TELECOMMUNICATION ROOM OIT TEMPLATE DETAILS Yes Yes Yes Yes 06T-503 TELECOMMUNICATION ROOM OIT TEMPLATE DETAILS Yes Yes Yes Yes 06T-504 TELECOMMUNICATION ROOM OIT TEMPLATE DETAILS No Yes Yes Yes 06T-601 TELECOMMUNICATION RISER DIAGRAMS Yes Yes Yes Yes 06T-603 TELECOMMUNICATION FIBER RISER DIAGRAM - NEW No Yes Yes Yes 06T-604 TELECOMMUNICATION RACK ELEVATIONS Yes Yes Yes Yes 06T-701 TELECOMMUNICATION SCHEDULES No Yes Yes Yes 06T-901 TELECOMMUNICATION CUTSHEETS & BASIS OF DESIGN Yes Yes Yes Yes 06T-902 TELECOMMUNICATION CUTSHEETS & BASIS OF DESIGN No No Yes Yes 06T-903 TELECOMMUNICATION CUTSHEETS & BASIS OF DESIGN No No Yes Yes

REFERENCE

06R-900 PHOTO REFERENCES No Yes Yes Yes 06R-901 PHOTO REFERENCES No Yes Yes Yes 06R-902 PHOTO REFERENCES No Yes Yes Yes Grand total: 62

# Revisions: Date:

1 ADDENDUM #1 03/30/2026

06G-011 REMOVED FROM

CONSTRUCTION DOCUMENTS

Ranjan Text Box

15755 SF

EXISTING HEALTHCARE -

ELEVATOR

NO. 1NO. 1

ELEVATOR

NO. 2NO. 2

STORAGE

0101 ELEV.

LOBBY

21Z21Z

STAIR

HALL A

TV ROOM

14A14A

CORRIDOR

25Z25Z

THERAPY

CORRIDOR

24Z24Z

DATA

CLOSET

01B01B

MIN

1'-0"

E1 ▬ 96.7'

OFFICE

CORRIDOR

SOILED

LINEN

REHAB

ROOM

06A06A

STAIR

HALL B

N.F.S.

0808 OFFICE

CORRIDOR

Room

HAC

MENS TLT

OFFICE

IRM

STORAGE

UTILITY

CLOSET

1818WHEELCHAIR

REPAIR

MECH.

RM.

Room

CORRIDOR

23Z23Z

MORGUE

STORAGE

17A17A

CORRIDOR

26Z26Z

OFFICE

17B17B

CLOSET

14B14B

STORAGE

17C17C

CLOSET

17D17D

TELE. CL.

01A01A

TLT

02B02B

OCCUPATIONAL

THERAPY

02A02ASTORAGE

04A04A

EXAM

ROOM

04B04B

EXAM

ROOM

04C04C

BATHROOM

04D04D

OFFICE

04E04E

EXAM

ROOM

04F04F

EXAM

ROOM

04G04G

EXAM

ROOM

04H04H

04I04I

CLOSET

04J04J

WAITING

ROOM

04K04K

RECEPTIONIST

04L04L

03A03A

BATHROOM

E2E2

E2AE2A

TLT

06B06B

STORAGE

06A106A1

OFFICE

06C06C

STORAGE

06D06D

REHABILITATION

AREA

06E06E

OFFICE

06F06F

TLT

09A09A

PIPE CL.

09B09B

SPEECH

THERAPY

10A10A OFFICE

11A11A

OFFICE

11B11BOFFICE

11C11C

TLT

11A111A1

ELEC

SERVICE

RM

13A13A

CLR

4'-0" MIN INFECTION CONTROL / DUST

CONTROL PARTITION / BARRIER

INFECTION CONTROL/DUST CONTROL

EGRESS DOOR NON-TRANSFERRING

MULTI-SHEETED ADHESIVE FLOOR PADS

PATH OF DEMOLITION/TRASH

REMOVAL TRAVEL

CONSTRUCTION LIMIT LINE

NOT IN CONTRACT AREA

DEMOLITION

LASER PARTICLE COUNT LOCATION

LIFE SAFETY SYMBOLS

PATH OF TRAVEL

(FOR CUMULATIVE DISTANCES

REFER TO SCHEDULE)

EXIT LIGHTING

TM

FIRE EXTINGUISHER CABINET (FEC)

FIRE EXTINGUISHERS (FE)

FIRE HOSE CABINETS (FHC)

HEAT DETECTOR

SMOKE DETECTOR

DIRECTION OF EGRESS

APPLICABLE BUILDING CODES

2024 NFPA 101 LIFE SAFETY CODE & 2025 NFPA 72 NATIONAL

FIRE ALARM AND SIGNALING CODE & 2025 NFPA 13 STANDARD

FOR INSTALLATION OF SPRINKLER SYSTEMS. EXCEPTION OF

NFPA 5000 AND NFPA 900

2024 INTERNATIONAL MECHANICAL CODE (IMC)

OCCUPATIONAL, SAFETY AND HEALTH ADMINISTRATION

(OSHA) STANDARDS.

VA SEISMIC DESIGN REQUIREMENTS, H-18-8

2026 NATIONAL ELECTRICAL CODE (NEC)

2024 INTERNATIONAL PLUMBING CODE (IPC)

ASME BOILER AND PRESSURE VESSEL CODE

ASME CODE FOR PRESSURE PIPING

ARCHITECTURAL BARRIERS ACT ACCESSIBILITY STANDARDS

(ABAAS) INCLUDING VA SUPPLEMENT, BARRIER FREE DESIGN

GUIDE (PG-18-13)

BUILDING CODE REQUIREMENTS FOR REINFORCED

CONCRETE, AMERICAN CONCRETE INSTITUTE AND

COMMENTARY (ACI 318)

MANUAL OF STEEL CONSTRUCTION, LOAD AND RESISTANCE

FACTOR DESIGN SPECIFICATIONS FOR STRUCTURAL STEEL

BUILDINGS, AMERICAN INSTITUTE OF STEEL CONSTRUCTION

(AISC)

ENERGY POLICY ACT OF 2005 (EPACT)

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

FEDERAL LEADERSHIP IN HIGH PERFORMANCE AND

SUSTAINABLE BUILDINGS: MEMORANDUM OF

UNDERSTANDING (MOU)

EXECUTIVE ORDER 13423: STRENGTHENING FEDERAL

ENVIRONMENTAL, ENERGY, AND TRANSPORTATION

MANAGEMENT

THE PROVISIONS FOR CONSTRUCTION AND SAFETY SIGNS.

STATED IN THE GENERAL REQUIREMENTS SECTION 01 00 00

AND 01 35 26 OF THE VA MASTER CONSTRUCTION

SPECIFICATION.

VENTILATION FOR ACCEPTABLE INDOOR AIR QUALITY –

ASHRAE STANDARD 62.1-2025; MEDICAL SPACES - ASHRAE

170-2025, NON-MEDICAL SPACES - ASHRAE 62.1-2025

SAFETY STANDARD FOR REFRIGERATION SYSTEMS – ASHRAE

STANDARD 15–2024

2024 INTERNATIONAL BUILDING CODE (IBC) WHERE DIRECTED

BY VA STANDARDS

UNLESS NOTED OTHERWISE, CURRENT EDITION OF APPLICABLE

STANDARD OR CODE SHALL BE USED

APPLICABLE BUILDING GUIDES

VA FIRE PROTECTION DESIGN GUIDE, 9TH EDITION (2023)

BUILDING CODE:

CONSTRUCTION TYPE:

TYPE II (222) PER NFPA 220, Chapter 4

TYPE OF BUILDING REHABILITATION: MODIFICATION, CHAPTER 43.

FIRE RESISTIVE CONSTRUCTION (NFPA 220 Table 4.1.1)

FIRE RESISTANCE RATING REQUIREMENTS FOR BUILDING

ELEMENTS:

STRUCTURAL FRAME 2 HOURS

NON-BEARING WALLS 0 HOURS

BEARING WALLS 2 HOURS

FLOORS 2 HOURS

ROOFS/ CEILINGS 1 HOURS

FIRE RESISTIVE CONSTRUCTION FOR OCCUPANCY (VA & NFPA 101)

FIRE RESISTANCE RATING REQUIREMENTS FOR SPACES BY

FUNCTION:

ELECTRICAL CLOSETS (DEPENDENT ON EQUIPMENT SIZE)

SMOKE COMPARTMENTS 1/2 HOUR

SOILED UTILITY ROOMS 1 HOUR

VERTICAL SHAFTS / STAIRS 2 HOURS

MEDICAL GAS / HAZARDOUS 1 HOUR

STORAGE

CLASSIFICATION OF OCCUPANCY:

EXISTING: HEALTHCARE Occupancy per Chapter 19

19.1.1.6 Where construction, alteration, or demolition operations are conducted, the provisions of 4.6.10.2 shall apply

19.1.2 Business occupancies shall include all buildings and structures or parts thereof with occupancy defined in 6.1.11

BUILDING OCCUPANCY TYPE:

EXISTING - HEALTHCARE OCCUPANCY

6.1.14.1.3 Where incidental to another occupant, areas used as follows shall be permitted to be considered part of the predominant occupancy and shall be subject to the provisions of the Code that apply to the predominant occupancy:

(1) HEALTHCARE, industrial, or storage use

6.1.14.3 Mixed Occupancies

6.1.14.3.2 The building shall comply with the most restrictive requirements of the occupancies involved, unless separate safeguards are approved.

Table 6.1.14.4.1 (a) - separation of occupancies - 2 Hr between Health Care and Business

6.2 Hazard of Contents.

6.2.1.3 For the purpose of this Code, where difference degrees of hazard of contents exist in different parts of a building or structure, the most hazardous shall govern the classification, unless hazardous areas are separated or protected as specified in Section 8.7 and the applicable sections of Chapters 11 through 43.

EXIT ACCESS TRAVEL DISTANCE:

19.2.6.2 The travel distance between any point in a room and an exit shall not exceed 150 ft.

19.2.6.3 The maximum travel distance...shall not exceed 300 ft in buildings protected throughout by an approved automatic sprinkler system in accordance with Section 9.7.

HEALTHCARE OCCUPANCY; PROTECTED = 200'-0"

OCCUPANT LOAD:

19.1.7 Occupant Load. The occupant load, in number of persons for whom means of egress and other provisions are required, shall be determined on the basis of the occupant load factors of Table 7.3.1.2 that are characteristic of the use of the space, or shall be determined as the maximum probable population of the space under consideration, whichever is greater.

MEANS OF EGRESS:

19.2.3 Capacity of Means of Egress.

19.2.3.1 The capacity of any required means of egress shall be determined in accordance with the provisions Section 7.3.

19.2.3.2 The clear width of any corridor or passageway serving an occupant load of 50 or more shall not be less than 44 in. (1120 mm).

19.2.4 Number of Means of Egress.

19.2.4.1 Means of egress shall comply with all of the following: except as permitted by 19.2.4.2-6

1) the number of means of egress shall be in accordance with section 7.4

2) not less than two separate exits shall be provided on every story.

3) Not less than two separate exits shall be accessible from every part of every story.

19.2.5.3 In building protected throughout by and approved supervised automatic sprinkler system, Dead-end corridors shall not exceed 50 ft.

PROTECTION OF VERTICAL OPENINGS:

19.3.1 Protection of Vertical Openings.

19.3.1.1 Any vertical opening shall be enclosed or protected in accordance with Section 8.6, unless otherwise permitted.

PROTECTION FROM HAZARDS:

19.3.2 Protection from Hazards.

19.3.2.1 Hazardous Areas - Any hazardous areas shall be protected in accordance with Section 8.7

19.3.2.2 The following areas shall be considered hazardous areas and shall be protected by fire barriers having a minimum 1-hour fire resistance rating in accordance with Section 8.3:

(1) Boilder and fuel-fired heater rooms

(2) Central/bulk laundries larger than 100 ft2

(3) Paint Shops

(4) Physical plant maintenance shops

(5) Rooms with soiled linen in volume exceeding 64 gal

(6) Rooms with collected trashed in volume exceeding 64 gal.

(7) Storage rooms larger than 100 ft2 and storing combustible material

The following areas shall be considered hazardous areas and shall be protected by smoke partitions in accordance with Section 8.4:

(1) Laboratories employing flammable or combustible materials in quantities less than those that would be considered a severe hazard.

(2) Storage rooms larger than 50 ft2 but not exceeding 100 ft2 and storing combustible material.

19.3.2.5 Medical Gas. Medical gas storage shall be in accordance with Section 8.7 and the provisions of NFPA 99, Health Care Facilities Code, applicable to operation, maintenance, and testing.

19.3.5 Portable fire extinguishers shall be provided in all health care occupancies facilities in accordance with Section 9.9.

PARKING SUMMARY:

NO ADDITIONAL PARKING ADDED

WIDTH PROVIDEDP: XX"

R: XX" WIDTH REQUIRED

PARTITION RATING GRAPHICS:

4 HR FIRE BARRIER

3 HR FIRE BARRIER

2 HR FIRE & SMOKE BARRIER

2 HR FIRE BARRIER

2 HR FIRE BARRIER/SHAFT

1 HR FIRE & SMOKE BARRIER

1 HR FIRE BARRIER

1 HR FIRE BARRIER/SHAFT

SMOKE PARTITION (NON RATED)

NON RATED

PARTITION RATING GRAPHIC DESIGNATION: PRIORITY

1 HIGHEST

5 LOWEST

PARTITIONS REQUIRED TO BE SMOKE RESISTANT, FIRE

RESISTANT, OR BOTH FIRE AND SMOKE RESISTANT ARE SHOWN

GRAPHICALLY ON PLANS WITH HATCH PATTERNS.

X - XX'

# ICRA SYMBOLSKEYNOTES

TN

PN

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

FULLY SPRINKLERED

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

PhaseARCHITECT/ENGINEER OF RECORD A/E:

STAMPCONSULTANT

321 4 5 6 7 8 9 10

TRIPLE C - The A/E Group 201 E. Jefferson Street, Suite 200 Syracuse, NY 13202

MAT PERKINS

(315) 484-5958

Au to de sk

D oc s:

//6

-2

2-

M on tro se V

AM

C

E H

R M

IU

/6

-2

2-

0.

M on tro se .E

H R

M .A

R C

H .B

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-0 3-

2:

:5

06GI300

INFECTION CONTROL PLAN & INTERIM LIFE

SAFETY - GROUND LEVEL

620-22-700

06/27/2025 M. Perkins K. McDermott

ISSUED FOR

CONSTRUCTION

(EHRM) INFRASTRUCTURE

UPDATE

2094 Albany Post Road, Montrose, NY 10548

1/8" = 1'-0"F1 INFECTION CONTROL PLAN & INTERIM LIFE SAFETY - GROUND LEVEL

PATH OF TRAVEL SCHEDULE - GROUND LEVEL

Mark From Room To Room Type of Travel Path Length

GROUND LEVEL

(P-o-T) Distance to Exits

E1 THERAPY 15 STAIR HALL A 14 (P-o-T) Distance to Exits 96' - 9"

1 ELEVATORS ARE TO REMAIN OPERATIONAL AT ALL

TIMES

2 ONE ELEVATOR TO BE DESIGNATED FOR

CONTRACTOR USE. CONTRACTOR TO PROTECT /

REPAIR ALL FINISHES AND FOLLOW PROPER ICRA

REMOVAL PROTOCOLS FOR ANY MATERIALS

REMOVED FROM SITE THROUGH ELEVATOR

3 DEBRIS REMOVAL PATH TO EXTERIOR -

COORDINATE PATH OF REMOVAL WITH VA COR

4 STAIRS ARE TO REMAIN OPERATIONAL AT ALL TIMES

FOR EMERGENCY EGRESS ONLY. THEY ARE NOT TO

BE USED FOR ANY CONSTRUCTION ACTIVITY.

5 TEMPORARY CONSTRUCTION BARRIER

6 PROVIDE TEMPORARY DUST TIGHT BARRIER

AROUND WORK AREA DURING ANY ACTIVITIES

WHICH PRODUCE DUST - TYPICAL

7 ANTEROOM - SEE INFECTION CONTROL & INTERIM

LIFE SAFETY DETAILS

8 TEMPORARY CONSTRUCTION BARRIER DOOR WITH

CLOSER AND LATCH AND WALK OFF MATS

9 MAINTAIN EXIT PATHWAYS FOR OCCUPANTS AT ALL

TIMES

10 SOLID GRAY HATCH DENOTES LIMITED WORK AREA -

SEE MEP AND TELECOM DRAWINGS FOR CABLING

SCOPE, TYP.

AREA OCCUPANCIES

LEVEL Name Area SF

Occupancy Requirements

OL

Occupancy

(IBC) Occupancy (NFPA) OLF Fixed Seats

GROUND LEVEL EXISTING HEALTHCARE 15755 SF I1 Health Care 120 SF 0 131

NOTE:

DEBRIS REMOVAL:

COORDINATE REMOVAL OF MATERIALS ON THIS FLOOR WITH

ASBESTOS REPORT AND PLAN.

CONFIRM WITH COR FOR FINAL PLAN AND PROCEDURE OF

MATERIAL REMOVAL WITH ANTEROOMS, HEPA FILTRATION, ICRA

PROTOCOLS, AND ROUTE THRU OCCUPIED SPACES; PRIOR TO

REMOVAL OF ANY MATERIALS.

SECURE STAIRWELLS FROM UNAUTHORIZED ENTRY DURING

CONSTRUCTION.

LIFE SAFETY:

NEW WORK DOES NOT CHANGE EXISTING SMOKE

COMPARTMENTS, EXIT PATHWAYS, OR EXITS.

# Revisions: Date:

1 ADDENDUM #1 03/30/2026

15664 SF

E1 ▬ 87.3'

TELECOM

ROOM

105105

STORAGE

106106

OFFICE

104104

TREATMENT

ROOM

103103

OFFICE

102102

ELEVATOR

LOBBY

101101

ELEVATOR

ELEVATOR

CORRIDOR

138138

STAIR

HALL 2

144A144A

CORRIDOR

144Z144Z

FEC

OFFICE

107107

CONFERENCE

ROOM

108108

CORRIDOR

109Z109Z

TWO-BEDROOM

110110

STORAGE

111111

TLT

112112

TWO-BEDROOM

113113

TWO-BEDROOM

114114

CLEAN

LINEN

115115

TLT

116116

TWO-BEDROOM

117117

TWO-BEDROOM

118118

SHOWER

ROOM

119119

TLT

120120

LAUNDRY

121121

TWO-BEDROOM

122122

TWO-BEDROOM

123123

TLT

124124

TWO-BEDROOM

125125

DAYROOM

126126

CORRIDOR

127Z127Z

CORRIDOR

128Z128Z

ONE-BEDROOM

129129

UTILITY

RM

131131

TLT

130130

ONE-BEDROOM

132132

DISTRIBUTION

ROOM

133133

NOURISHMENT

134134

MED.

PREP

135135

WARD

CLERK

136136

NURSE

STATION

137137

OFFICE

139139

ONE-BEDROOM

140140

Room

TLTTLT

CLOSET

142142

ONE-BEDROOM

143143

CORRIDOR

145Z145Z

DAY

ROOM

146146

TWO-BEDROOM

147147

TLT

148148

TWO-BEDROOM

149149

TWO-BEDROOM

150150LUXURY

CL.

151151

TLT

152152

SHOWER

ROOM

153153

TWO-BEDROOM

154154

TWO-BEDROOM

155155

TLT

156156

EMS

STORAGE

157157

TWO-BEDROOM

158158

TWO-BEDROOM

159159

TLT

160160

EQUIPMENT

STORAGE

161161

KT CLINIC

162162

CORRIDOR

163Z163Z

OFFICE

164164

STAFF

LOUNGE

165165

STAFF

LOCKER

ROOM

166166

TLT

167167

TLT

168168

VISITORS

ROOM

169169

STAIR

HALL 1

128A128A

CL

R

5'- 0"

M

IN

INFECTION CONTROL / DUST

CONTROL PARTITION / BARRIER

INFECTION CONTROL/DUST CONTROL

EGRESS DOOR NON-TRANSFERRING

MULTI-SHEETED ADHESIVE FLOOR PADS

PATH OF DEMOLITION/TRASH

REMOVAL TRAVEL

CONSTRUCTION LIMIT LINE

NOT IN CONTRACT AREA

DEMOLITION

LASER PARTICLE COUNT LOCATION

LIFE SAFETY SYMBOLS

PATH OF TRAVEL

(FOR CUMULATIVE DISTANCES

REFER TO SCHEDULE)

EXIT LIGHTING

TM

FIRE EXTINGUISHER CABINET (FEC)

FIRE EXTINGUISHERS (FE)

FIRE HOSE CABINETS (FHC)

HEAT DETECTOR

SMOKE DETECTOR

DIRECTION OF EGRESS

APPLICABLE BUILDING CODES

2024 NFPA 101 LIFE SAFETY CODE & 2025 NFPA 72 NATIONAL

FIRE ALARM AND SIGNALING CODE & 2025 NFPA 13 STANDARD

FOR INSTALLATION OF SPRINKLER SYSTEMS. EXCEPTION OF

NFPA 5000 AND NFPA 900

2024 INTERNATIONAL MECHANICAL CODE (IMC)

OCCUPATIONAL, SAFETY AND HEALTH ADMINISTRATION

(OSHA) STANDARDS.

VA SEISMIC DESIGN REQUIREMENTS, H-18-8

2026 NATIONAL ELECTRICAL CODE (NEC)

2024 INTERNATIONAL PLUMBING CODE (IPC)

ASME BOILER AND PRESSURE VESSEL CODE

ASME CODE FOR PRESSURE PIPING

ARCHITECTURAL BARRIERS ACT ACCESSIBILITY STANDARDS

(ABAAS) INCLUDING VA SUPPLEMENT, BARRIER FREE DESIGN

GUIDE (PG-18-13)

BUILDING CODE REQUIREMENTS FOR REINFORCED

CONCRETE, AMERICAN CONCRETE INSTITUTE AND

COMMENTARY (ACI 318)

MANUAL OF STEEL CONSTRUCTION, LOAD AND RESISTANCE

FACTOR DESIGN SPECIFICATIONS FOR STRUCTURAL STEEL

BUILDINGS, AMERICAN INSTITUTE OF STEEL CONSTRUCTION

(AISC)

ENERGY POLICY ACT OF 2005 (EPACT)

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

FEDERAL LEADERSHIP IN HIGH PERFORMANCE AND

SUSTAINABLE BUILDINGS: MEMORANDUM OF

UNDERSTANDING (MOU)

EXECUTIVE ORDER 13423: STRENGTHENING FEDERAL

ENVIRONMENTAL, ENERGY, AND TRANSPORTATION

MANAGEMENT

THE PROVISIONS FOR CONSTRUCTION AND SAFETY SIGNS.

STATED IN THE GENERAL REQUIREMENTS SECTION 01 00 00

AND 01 35 26 OF THE VA MASTER CONSTRUCTION

SPECIFICATION.

VENTILATION FOR ACCEPTABLE INDOOR AIR QUALITY –

ASHRAE STANDARD 62.1-2025; MEDICAL SPACES - ASHRAE

170-2025, NON-MEDICAL SPACES - ASHRAE 62.1-2025

SAFETY STANDARD FOR REFRIGERATION SYSTEMS – ASHRAE

STANDARD 15–2024

2024 INTERNATIONAL BUILDING CODE (IBC) WHERE DIRECTED

BY VA STANDARDS

UNLESS NOTED OTHERWISE, CURRENT EDITION OF APPLICABLE

STANDARD OR CODE SHALL BE USED

APPLICABLE BUILDING GUIDES

VA FIRE PROTECTION DESIGN GUIDE, 9TH EDITION (2023)

BUILDING CODE:

CONSTRUCTION TYPE:

TYPE II (222) PER NFPA 220, Chapter 4

TYPE OF BUILDING REHABILITATION: MODIFICATION, CHAPTER 43.

FIRE RESISTIVE CONSTRUCTION (NFPA 220 Table 4.1.1)

FIRE RESISTANCE RATING REQUIREMENTS FOR BUILDING

ELEMENTS:

STRUCTURAL FRAME 2 HOURS

NON-BEARING WALLS 0 HOURS

BEARING WALLS 2 HOURS

FLOORS 2 HOURS

ROOFS/ CEILINGS 1 HOURS

FIRE RESISTIVE CONSTRUCTION FOR OCCUPANCY (VA & NFPA 101)

FIRE RESISTANCE RATING REQUIREMENTS FOR SPACES BY

FUNCTION:

ELECTRICAL CLOSETS (DEPENDENT ON EQUIPMENT SIZE)

SMOKE COMPARTMENTS 1/2 HOUR

SOILED UTILITY ROOMS 1 HOUR

VERTICAL SHAFTS / STAIRS 2 HOURS

MEDICAL GAS / HAZARDOUS 1 HOUR

STORAGE

CLASSIFICATION OF OCCUPANCY:

EXISTING: HEALTHCARE Occupancy per Chapter 19

19.1.1.6 Where construction, alteration, or demolition operations are conducted, the provisions of 4.6.10.2 shall apply

19.1.2 Business occupancies shall include all buildings and structures or parts thereof with occupancy defined in 6.1.11

BUILDING OCCUPANCY TYPE:

EXISTING - HEALTHCARE OCCUPANCY

6.1.14.1.3 Where incidental to another occupant, areas used as follows shall be permitted to be considered part of the predominant occupancy and shall be subject to the provisions of the Code that apply to the predominant occupancy:

(1) HEALTHCARE, industrial, or storage use

6.1.14.3 Mixed Occupancies

6.1.14.3.2 The building shall comply with the most restrictive requirements of the occupancies involved, unless separate safeguards are approved.

Table 6.1.14.4.1 (a) - separation of occupancies - 2 Hr between Health Care and Business

6.2 Hazard of Contents.

6.2.1.3 For the purpose of this Code, where difference degrees of hazard of contents exist in different parts of a building or structure, the most hazardous shall govern the classification, unless hazardous areas are separated or protected as specified in Section 8.7 and the applicable sections of Chapters 11 through 43.

EXIT ACCESS TRAVEL DISTANCE:

19.2.6.2 The travel distance between any point in a room and an exit shall not exceed 150 ft.

19.2.6.3 The maximum travel distance...shall not exceed 300 ft in buildings protected throughout by an approved automatic sprinkler system in accordance with Section 9.7.

HEALTHCARE OCCUPANCY; PROTECTED = 200'-0"

OCCUPANT LOAD:

19.1.7 Occupant Load. The occupant load, in number of persons for whom means of egress and other provisions are required, shall be determined on the basis of the occupant load factors of Table 7.3.1.2 that are characteristic of the use of the space, or shall be determined as the maximum probable population of the space under consideration, whichever is greater.

MEANS OF EGRESS:

19.2.3 Capacity of Means of Egress.

19.2.3.1 The capacity of any required means of egress shall be determined in accordance with the provisions Section 7.3.

19.2.3.2 The clear width of any corridor or passageway serving an occupant load of 50 or more shall not be less than 44 in. (1120 mm).

19.2.4 Number of Means of Egress.

19.2.4.1 Means of egress shall comply with all of the following: except as permitted by 19.2.4.2-6

1) the number of means of egress shall be in accordance with section 7.4

2) not less than two separate exits shall be provided on every story.

3) Not less than two separate exits shall be accessible from every part of every story.

19.2.5.3 In building protected throughout by and approved supervised automatic sprinkler system, Dead-end corridors shall not exceed 50 ft.

PROTECTION OF VERTICAL OPENINGS:

19.3.1 Protection of Vertical Openings.

19.3.1.1 Any vertical opening shall be enclosed or protected in accordance with Section 8.6, unless otherwise permitted.

PROTECTION FROM HAZARDS:

19.3.2 Protection from Hazards.

19.3.2.1 Hazardous Areas - Any hazardous areas shall be protected in accordance with Section 8.7

19.3.2.2 The following areas shall be considered hazardous areas and shall be protected by fire barriers having a minimum 1-hour fire resistance rating in accordance with Section 8.3:

(1) Boilder and fuel-fired heater rooms

(2) Central/bulk laundries larger than 100 ft2

(3) Paint Shops

(4) Physical plant maintenance shops

(5) Rooms with soiled linen in volume exceeding 64 gal

(6) Rooms with collected trashed in volume exceeding 64 gal.

(7) Storage rooms larger than 100 ft2 and storing combustible material

The following areas shall be considered hazardous areas and shall be protected by smoke partitions in accordance with Section 8.4:

(1) Laboratories employing flammable or combustible materials in quantities less than those that would be considered a severe hazard.

(2) Storage rooms larger than 50 ft2 but not exceeding 100 ft2 and storing combustible material.

19.3.2.5 Medical Gas. Medical gas storage shall be in accordance with Section 8.7 and the provisions of NFPA 99, Health Care Facilities Code, applicable to operation, maintenance, and testing.

19.3.5 Portable fire extinguishers shall be provided in all health care occupancies facilities in accordance with Section 9.9.

PARKING SUMMARY:

NO ADDITIONAL PARKING ADDED

WIDTH PROVIDEDP: XX"

R: XX" WIDTH REQUIRED

PARTITION RATING GRAPHICS:

4 HR FIRE BARRIER

3 HR FIRE BARRIER

2 HR FIRE & SMOKE BARRIER

2 HR FIRE BARRIER

2 HR FIRE BARRIER/SHAFT

1 HR FIRE & SMOKE BARRIER

1 HR FIRE BARRIER

1 HR FIRE BARRIER/SHAFT

SMOKE PARTITION (NON RATED)

NON RATED

PARTITION RATING GRAPHIC DESIGNATION: PRIORITY

1 HIGHEST

5 LOWEST

PARTITIONS REQUIRED TO BE SMOKE RESISTANT, FIRE

RESISTANT, OR BOTH FIRE AND SMOKE RESISTANT ARE SHOWN

GRAPHICALLY ON PLANS WITH HATCH PATTERNS.

X - XX'

# ICRA SYMBOLSKEYNOTES

TN

PN

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

FULLY SPRINKLERED

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

PhaseARCHITECT/ENGINEER OF RECORD A/E:

STAMPCONSULTANT

321 4 5 6 7 8 9 10

TRIPLE C - The A/E Group 201 E. Jefferson Street, Suite 200 Syracuse, NY 13202

MAT PERKINS

(315) 484-5958

Au to de sk

D oc s:

//6

-2

2-

M on tro se V

AM

C

E H

R M

IU

/6

-2

2-

0.

M on tro se .E

H R

M .A

R C

H .B

.rv t

-0 3-

2:

:5

06GI301

INFECTION CONTROL PLAN & INTERIM LIFE

SAFETY - FIRST LEVEL

620-22-700

06/27/2025 M. Perkins K. McDermott

ISSUED FOR

CONSTRUCTION

(EHRM) INFRASTRUCTURE

UPDATE

2094 Albany Post Road, Montrose, NY 10548

1/8" = 1'-0"F1 INFECTION CONTROL PLAN & INTERIM LIFE SAFETY - FIRST LEVEL

PATH OF TRAVEL SCHEDULE - FIRST LEVEL

Mark From Room To Room Type of Travel Path Length

LEVEL 1

(P-o-T) Distance to Exits

E1 TELECOM ROOM 105 STAIR HALL 2 144A (P-o-T) Distance to Exits 87' - 3"

1 ELEVATORS ARE TO REMAIN OPERATIONAL AT ALL

TIMES

2 ONE ELEVATOR TO BE DESIGNATED FOR

CONTRACTOR USE. CONTRACTOR TO PROTECT /

REPAIR ALL FINISHES AND FOLLOW PROPER ICRA

REMOVAL PROTOCOLS FOR ANY MATERIALS

REMOVED FROM SITE THROUGH ELEVATOR

3 DEBRIS REMOVAL PATH TO EXTERIOR - COORDINATE

PATH OF REMOVAL WITH VA COR

4 STAIRS ARE TO REMAIN OPERATIONAL AT ALL TIMES

FOR EMERGENCY EGRESS ONLY. THEY ARE NOT TO

BE USED FOR ANY CONSTRUCTION ACTIVITY.

5 TEMPORARY CONSTRUCTION BARRIER

6 PROVIDE TEMPORARY DUST TIGHT BARRIER AROUND

WORK AREA DURING ANY ACTIVITIES WHICH

PRODUCE DUST - TYPICAL

7 ANTEROOM - SEE INFECTION CONTROL & INTERIM

LIFE SAFETY DETAILS

8 TEMPORARY CONSTRUCTION BARRIER DOOR WITH

CLOSER AND LATCH AND WALK OFF MATS

9 MAINTAIN EXIT PATHWAYS FOR OCCUPANTS AT ALL

TIMES

10 SOLID GRAY HATCH DENOTES LIMITED WORK AREA -

SEE MEP AND TELECOM DRAWINGS FOR CABLING

SCOPE, TYP.

11 TEMPORARY BARRIERS FOR ACM REMOVAL -

COORDINATE WITH COR TO LIMIT TIME BARRIERS ARE

IN PLACE.

AREA OCCUPANCIES

LEVEL Name Area SF

Occupancy Requirements

OL

Occupancy

(IBC) Occupancy (NFPA) OLF Fixed Seats

FIRST LEVEL EXISTING HEALTHCARE 15664 SF I1 Health Care 120 SF 0 131

NOTE:

DEBRIS REMOVAL:

COORDINATE REMOVAL OF MATERIALS ON THIS FLOOR WITH

ASBESTOS REPORT AND PLAN.

CONFIRM WITH COR FOR FINAL PLAN AND PROCEDURE OF

MATERIAL REMOVAL WITH ANTEROOMS, HEPA FILTRATION, ICRA

PROTOCOLS, AND ROUTE THRU OCCUPIED SPACES; PRIOR TO

REMOVAL OF ANY MATERIALS.

SECURE STAIRWELLS FROM UNAUTHORIZED ENTRY DURING

CONSTRUCTION.

LIFE SAFETY:

NEW WORK DOES NOT CHANGE EXISTING SMOKE

COMPARTMENTS, EXIT PATHWAYS, OR EXITS.

1 ADDENDUM #1 03/27/202603/30/2026

15664 SF

E1 ▬ 87.3'

TELECOM

ROOM

205205

STORAGE

206206

OFFICE

204204

TREATMENT

ROOM

203203

OFFICE

202202

ELEV.

LOBBY

201201

ELEVATOR

ELEVATOR

CORRIDOR

238Z238Z

STAIR

HALL 2

242A242A

CORRIDOR

243Z243Z

OFFICE

207207

CONFERENCE

ROOM

208208

CORRIDOR

209Z209Z

KT CLINIC

210210

STORAGE

211211

TLT

212212

TWO-BEDROOM

213213

TWO-BEDROOM

214214

CLEAN

LINEN

215215

TLT

216216

TWO-BEDROOM

217217

TWO-BEDROOM

218218

SHOWER

ROOM

219219

TLT

220220

LAUNDRY

ROOM

221221

TWO-BEDROOM

222222

TWO-BEDROOM

223223

TLT

224224

TWO-BEDROOM

225225

DAY

ROOM

226226

CORRIDOR

227Z227Z

CORRIDOR

228Z228Z

CLOSET

229229

TLT

230230 ONE-BEDROOM

231231

ISOLATION

ANTE

ROOM

232232

GUEST

ROOM

233233

NOURISHMENT

234234

MED PREP

ROOM

235235

NURSE

STATION

236236SITTING

AREA

237237

TWO-BEDROOM

239239

TLT

240240

CLOSET

241241

ONE-BEDROOM

242242

CORRIDOR

244244

DAY

ROOM

245245

TWO-BEDROOM

246246

TLT

247247

TWO-BEDROOM

248248

TWO-BEDROOM

249249LUXURY

CL.

250250

TLT

251251

FULL

BATH

252252

TWO-BEDROOM

253253

TWO-BEDROOM

254254

TLT

255255

EMS

STORAGE

256256

TWO-BEDROOM

257257

TWO-BEDROOM

258258

TLT

259259

EQUIPMENT

STORAGE

260260

TWO-BEDROOM

261261

CORRIDOR

262262

RELAXATION

ROOM

263263

STAFF

LOUNGE

264264

STAFF

LOCKER

ROOM

265265

TLT

266266

TLT

267267

VISITORS

ROOM

268268

STAIR

HALL 1

208A208A

CL

R

5'- 0"

M

IN

INFECTION CONTROL / DUST

CONTROL PARTITION / BARRIER

INFECTION CONTROL/DUST CONTROL

EGRESS DOOR NON-TRANSFERRING

MULTI-SHEETED ADHESIVE FLOOR PADS

PATH OF DEMOLITION/TRASH

REMOVAL TRAVEL

CONSTRUCTION LIMIT LINE

NOT IN CONTRACT AREA

DEMOLITION

LASER PARTICLE COUNT LOCATION

LIFE SAFETY SYMBOLS

PATH OF TRAVEL

(FOR CUMULATIVE DISTANCES

REFER TO SCHEDULE)

EXIT LIGHTING

TM

FIRE EXTINGUISHER CABINET (FEC)

FIRE EXTINGUISHERS (FE)

FIRE HOSE CABINETS (FHC)

HEAT DETECTOR

SMOKE DETECTOR

DIRECTION OF EGRESS

APPLICABLE BUILDING CODES

2024 NFPA 101 LIFE SAFETY CODE & 2025 NFPA 72 NATIONAL

FIRE ALARM AND SIGNALING CODE & 2025 NFPA 13 STANDARD

FOR INSTALLATION OF SPRINKLER SYSTEMS. EXCEPTION OF

NFPA 5000 AND NFPA 900

2024 INTERNATIONAL MECHANICAL CODE (IMC)

OCCUPATIONAL, SAFETY AND HEALTH ADMINISTRATION

(OSHA) STANDARDS.

VA SEISMIC DESIGN REQUIREMENTS, H-18-8

2026 NATIONAL ELECTRICAL CODE (NEC)

2024 INTERNATIONAL PLUMBING CODE (IPC)

ASME BOILER AND PRESSURE VESSEL CODE

ASME CODE FOR PRESSURE PIPING

ARCHITECTURAL BARRIERS ACT ACCESSIBILITY STANDARDS

(ABAAS) INCLUDING VA SUPPLEMENT, BARRIER FREE DESIGN

GUIDE (PG-18-13)

BUILDING CODE REQUIREMENTS FOR REINFORCED

CONCRETE, AMERICAN CONCRETE INSTITUTE AND

COMMENTARY (ACI 318)

MANUAL OF STEEL CONSTRUCTION, LOAD AND RESISTANCE

FACTOR DESIGN SPECIFICATIONS FOR STRUCTURAL STEEL

BUILDINGS, AMERICAN INSTITUTE OF STEEL CONSTRUCTION

(AISC)

ENERGY POLICY ACT OF 2005 (EPACT)

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

FEDERAL LEADERSHIP IN HIGH PERFORMANCE AND

SUSTAINABLE BUILDINGS: MEMORANDUM OF

UNDERSTANDING (MOU)

EXECUTIVE ORDER 13423: STRENGTHENING FEDERAL

ENVIRONMENTAL, ENERGY, AND TRANSPORTATION

MANAGEMENT

THE PROVISIONS FOR CONSTRUCTION AND SAFETY SIGNS.

STATED IN THE GENERAL REQUIREMENTS SECTION 01 00 00

AND 01 35 26 OF THE VA MASTER CONSTRUCTION

SPECIFICATION.

VENTILATION FOR ACCEPTABLE INDOOR AIR QUALITY –

ASHRAE STANDARD 62.1-2025; MEDICAL SPACES - ASHRAE

170-2025, NON-MEDICAL SPACES - ASHRAE 62.1-2025

SAFETY STANDARD FOR REFRIGERATION SYSTEMS – ASHRAE

STANDARD 15–2024

2024 INTERNATIONAL BUILDING CODE (IBC) WHERE DIRECTED

BY VA STANDARDS

UNLESS NOTED OTHERWISE, CURRENT EDITION OF APPLICABLE

STANDARD OR CODE SHALL BE USED

APPLICABLE BUILDING GUIDES

VA FIRE PROTECTION DESIGN GUIDE, 9TH EDITION (2023)

BUILDING CODE:

CONSTRUCTION TYPE:

TYPE II (222) PER NFPA 220, Chapter 4

TYPE OF BUILDING REHABILITATION: MODIFICATION, CHAPTER 43.

FIRE RESISTIVE CONSTRUCTION (NFPA 220 Table 4.1.1)

FIRE RESISTANCE RATING REQUIREMENTS FOR BUILDING

ELEMENTS:

STRUCTURAL FRAME 2 HOURS

NON-BEARING WALLS 0 HOURS

BEARING WALLS 2 HOURS

FLOORS 2 HOURS

ROOFS/ CEILINGS 1 HOURS

FIRE RESISTIVE CONSTRUCTION FOR OCCUPANCY (VA & NFPA 101)

FIRE RESISTANCE RATING REQUIREMENTS FOR SPACES BY

FUNCTION:

ELECTRICAL CLOSETS (DEPENDENT ON EQUIPMENT SIZE)

SMOKE COMPARTMENTS 1/2 HOUR

SOILED UTILITY ROOMS 1 HOUR

VERTICAL SHAFTS / STAIRS 2 HOURS

MEDICAL GAS / HAZARDOUS 1 HOUR

STORAGE

CLASSIFICATION OF OCCUPANCY:

EXISTING: HEALTHCARE Occupancy per Chapter 19

19.1.1.6 Where construction, alteration, or demolition operations are conducted, the provisions of 4.6.10.2 shall apply

19.1.2 Business occupancies shall include all buildings and structures or parts thereof with occupancy defined in 6.1.11

BUILDING OCCUPANCY TYPE:

EXISTING - HEALTHCARE OCCUPANCY

6.1.14.1.3 Where incidental to another occupant, areas used as follows shall be permitted to be considered part of the predominant occupancy and shall be subject to the provisions of the Code that apply to the predominant occupancy:

(1) HEALTHCARE, industrial, or storage use

6.1.14.3 Mixed Occupancies

6.1.14.3.2 The building shall comply with the most restrictive requirements of the occupancies involved, unless separate safeguards are approved.

Table 6.1.14.4.1 (a) - separation of occupancies - 2 Hr between Health Care and Business

6.2 Hazard of Contents.

6.2.1.3 For the purpose of this Code, where difference degrees of hazard of contents exist in different parts of a building or structure, the most hazardous shall govern the classification, unless hazardous areas are separated or protected as specified in Section 8.7 and the applicable sections of Chapters 11 through 43.

EXIT ACCESS TRAVEL DISTANCE:

19.2.6.2 The travel distance between any point in a room and an exit shall not exceed 150 ft.

19.2.6.3 The maximum travel distance...shall not exceed 300 ft in buildings protected throughout by an approved automatic sprinkler system in accordance with Section 9.7.

HEALTHCARE OCCUPANCY; PROTECTED = 200'-0"

OCCUPANT LOAD:

19.1.7 Occupant Load. The occupant load, in number of persons for whom means of egress and other provisions are required, shall be determined on the basis of the occupant load factors of Table 7.3.1.2 that are characteristic of the use of the space, or shall be determined as the maximum probable population of the space under consideration, whichever is greater.

MEANS OF EGRESS:

19.2.3 Capacity of Means of Egress.

19.2.3.1 The capacity of any required means of egress shall be determined in accordance with the provisions Section 7.3.

19.2.3.2 The clear width of any corridor or passageway serving an occupant load of 50 or more shall not be less than 44 in. (1120 mm).

19.2.4 Number of Means of Egress.

19.2.4.1 Means of egress shall comply with all of the following: except as permitted by 19.2.4.2-6

1) the number of means of egress shall be in accordance with section 7.4

2) not less than two separate exits shall be provided on every story.

3) Not less than two separate exits shall be accessible from every part of every story.

19.2.5.3 In building protected throughout by and approved supervised automatic sprinkler system, Dead-end corridors shall not exceed 50 ft.

PROTECTION OF VERTICAL OPENINGS:

19.3.1 Protection of Vertical Openings.

19.3.1.1 Any vertical opening shall be enclosed or protected in accordance with Section 8.6, unless otherwise permitted.

PROTECTION FROM HAZARDS:

19.3.2 Protection from Hazards.

19.3.2.1 Hazardous Areas - Any hazardous areas shall be protected in accordance with Section 8.7

19.3.2.2 The following areas shall be considered hazardous areas and shall be protected by fire barriers having a minimum 1-hour fire resistance rating in accordance with Section 8.3:

(1) Boilder and fuel-fired heater rooms

(2) Central/bulk laundries larger than 100 ft2

(3) Paint Shops

(4) Physical plant maintenance shops

(5) Rooms with soiled linen in volume exceeding 64 gal

(6) Rooms with collected trashed in volume exceeding 64 gal.

(7) Storage rooms larger than 100 ft2 and storing combustible material

The following areas shall be considered hazardous areas and shall be protected by smoke partitions in accordance with Section 8.4:

(1) Laboratories employing flammable or combustible materials in quantities less than those that would be considered a severe hazard.

(2) Storage rooms larger than 50 ft2 but not exceeding 100 ft2 and storing combustible material.

19.3.2.5 Medical Gas. Medical gas storage shall be in accordance with Section 8.7 and the provisions of NFPA 99, Health Care Facilities Code, applicable to operation, maintenance, and testing.

19.3.5 Portable fire extinguishers shall be provided in all health care occupancies facilities in accordance with Section 9.9.

PARKING SUMMARY:

NO ADDITIONAL PARKING ADDED

WIDTH PROVIDEDP: XX"

R: XX" WIDTH REQUIRED

PARTITION RATING GRAPHICS:

4 HR FIRE BARRIER

3 HR FIRE BARRIER

2 HR FIRE & SMOKE BARRIER

2 HR FIRE BARRIER

2 HR FIRE BARRIER/SHAFT

1 HR FIRE & SMOKE BARRIER

1 HR FIRE BARRIER

1 HR FIRE BARRIER/SHAFT

SMOKE PARTITION (NON RATED)

NON RATED

PARTITION RATING GRAPHIC DESIGNATION: PRIORITY

1 HIGHEST

5 LOWEST

PARTITIONS REQUIRED TO BE SMOKE RESISTANT, FIRE

RESISTANT, OR BOTH FIRE AND SMOKE RESISTANT ARE SHOWN

GRAPHICALLY ON PLANS WITH HATCH PATTERNS.

X - XX'

# ICRA SYMBOLSKEYNOTES

TN

PN

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

FULLY SPRINKLERED

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

PhaseARCHITECT/ENGINEER OF RECORD A/E:

STAMPCONSULTANT

321 4 5 6 7 8 9 10

TRIPLE C - The A/E Group 201 E. Jefferson Street, Suite 200 Syracuse, NY 13202

MAT PERKINS

(315) 484-5958

Au to de sk

D oc s:

//6

-2

2-

M on tro se V

AM

C

E H

R M

IU

/6

-2

2-

0.

M on tro se .E

H R

M .A

R C

H .B

.rv t

-0 3-

2:

:5

06GI302

INFECTION CONTROL PLAN & INTERIM LIFE

SAFETY - SECOND LEVEL

620-22-700

06/27/2025 M. Perkins K. McDermott

ISSUED FOR

CONSTRUCTION

(EHRM) INFRASTRUCTURE

UPDATE

2094 Albany Post Road, Montrose, NY 10548

1/8" = 1'-0"F1 INFECTION CONTROL PLAN & INTERIM LIFE SAFETY - SECOND LEVEL

PATH OF TRAVEL SCHEDULE - SECOND LEVEL

Mark From Room To Room Type of Travel Path Length

LEVEL 2

(P-o-T) Distance to Exits

E1 TELECOM ROOM 205 STAIR HALL 2 242A (P-o-T) Distance to Exits 87' - 3"

1 ELEVATORS ARE TO REMAIN OPERATIONAL AT ALL

TIMES

2 ONE ELEVATOR TO BE DESIGNATED FOR

CONTRACTOR USE. CONTRACTOR TO PROTECT /

REPAIR ALL FINISHES AND FOLLOW PROPER ICRA

REMOVAL PROTOCOLS FOR ANY MATERIALS

REMOVED FROM SITE THROUGH ELEVATOR

3 DEBRIS REMOVAL PATH TO EXTERIOR -

COORDINATE PATH OF REMOVAL WITH VA COR

4 STAIRS ARE TO REMAIN OPERATIONAL AT ALL TIMES

FOR EMERGENCY EGRESS ONLY. THEY ARE NOT TO

BE USED FOR ANY CONSTRUCTION ACTIVITY.

5 TEMPORARY CONSTRUCTION BARRIER

6 PROVIDE TEMPORARY DUST TIGHT BARRIER

AROUND WORK AREA DURING ANY ACTIVITIES

WHICH PRODUCE DUST - TYPICAL

7 ANTEROOM - SEE INFECTION CONTROL & INTERIM

LIFE SAFETY DETAILS

8 TEMPORARY CONSTRUCTION BARRIER DOOR WITH

CLOSER AND LATCH AND WALK OFF MATS

9 MAINTAIN EXIT PATHWAYS FOR OCCUPANTS AT ALL

TIMES

10 SOLID GRAY HATCH DENOTES LIMITED WORK AREA -

SEE MEP AND TELECOM DRAWINGS FOR CABLING

SCOPE, TYP.

AREA OCCUPANCIES

LEVEL Name Area SF

Occupancy Requirements

OL

Occupancy

(IBC) Occupancy (NFPA) OLF Fixed Seats

SECOND LEVEL EXISTING HEALTHCARE 15664 SF I1 Health Care 120 SF 0 131

NOTE:

DEBRIS REMOVAL:

COORDINATE REMOVAL OF MATERIALS ON THIS FLOOR WITH

ASBESTOS REPORT AND PLAN.

CONFIRM WITH COR FOR FINAL PLAN AND PROCEDURE OF

MATERIAL REMOVAL WITH ANTEROOMS, HEPA FILTRATION, ICRA

PROTOCOLS, AND ROUTE THRU OCCUPIED SPACES; PRIOR TO

REMOVAL OF ANY MATERIALS.

SECURE STAIRWELLS FROM UNAUTHORIZED ENTRY DURING

CONSTRUCTION.

LIFE SAFETY:

NEW WORK DOES NOT CHANGE EXISTING SMOKE

COMPARTMENTS, EXIT PATHWAYS, OR EXITS.

INFECTION CONTROL / DUST

CONTROL PARTITION / BARRIER

INFECTION CONTROL/DUST CONTROL

EGRESS DOOR NON-TRANSFERRING

MULTI-SHEETED ADHESIVE FLOOR PADS

PATH OF DEMOLITION/TRASH

REMOVAL TRAVEL

CONSTRUCTION LIMIT LINE

NOT IN CONTRACT AREA

DEMOLITION

LASER PARTICLE COUNT LOCATION

PATH OF TRAVEL/DISTANCE TO EXITS

TEMPORARY WALL TO EXTEND

AND BE SEALED TO DECK /

FLOOR ABOVE WHEN RATED

ENCLOSURE REQUIRED

FLOOR LINE

CEILING SYSTEM AS

SCHEDULED

EXISTING STRUCTURE

FI

NI

SH

ED

F

LO

OR

T O

UN

DE

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ID

E

OF

S

TR

UC

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FY

F

LO

OR

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FL

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HE

IG

HT

RENOVATED SPRINKLER

SYSTEM

WEEKLY CHANGED

OR MORE AS

NEEDED PRE-FILTER

FLEX DUCTMONTHLY CHANGED

HEPA FILTER

HEPA NEGATIVE AIR

UNIT

PROVIDE STICKY MATS (CHANGED END OF

EVERY SHIFT OR MORE IF NECESSARY TO

MAINTAIN CLEANLINESS).

PRESSURE INDICATOR SHALL BE AT

0.03 OR GREATER USING A DIGITAL

MANOMETER WITH DATA LOGGING. IF

NOT VERIFY ALL OPENING SUCH AS

DOOR ARE CLOSED AND/OR CHANGE

NEGATIVE AIR PRE-FILTER. DO NOT USE

A "BALL IN THE WALL" OR ANALOG

OTHER PRESSURE INDICATOR.

SUPPLY DUCTS EITHER

KEEP RUNNING OR

COVER WHEN NOT

RUNNING TO KEEP

DUST OUT.

A

V

OTAPE ALL SERVICES

TO PROTECT AGAINST

CONTAMINATION

E

FIRE EXTINGUISHER ON

PORTABLE FLOOR BRACKET

(SHALL REQUIRE MORE THAN

ONE.)

PUBLIC AREA

CONSTRUCTION AREA

ANTE ROOM

HARD BARRIER ALL THE WAY TO

DECK ABOVE

SIZE ANTE ROOM TO PROVIDE

SPACE FOR EQUIPMENT STAGING,

CART CLEANING, WORKERS' PPE

AND CLEANING, INCLUDING A HEPA

CLOTHING VACUUM

ROUTE DUCT TO EXTERIOR - SEE

PLANS FOR PROPOSED ROUTES -

CONFIRM ROUTE WITH ON-SITE

STAFF PRIOR TO INSTALLATION.

DISCHARGE AT A DISTANCE OF 25

FEET OR GREATER FROM

ENTRANCES, AIR INTAKES AND

OPERABLE WINDOWS. DO NOT

DIRECT EXHAUST INTO ANY

BUILDING SHARED EXHAUST

SYSTEM.

ANTE ROOM FAN

DOOR TO BE SELF-CLOSING AND

SELF-LATCHING - 45 MIN. FIRE

RATING PER NFPA

D7

06GI303

1/4" = 1'-0"F7 TYPICAL CONSTRUCTION LAYOUT- CLASS IV

1/2" = 1'-0"D7 CROSS SECTION A'-A'- CLASS IV

NTSF2 TYPICAL ICRA PRODUCTS

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

FULLY SPRINKLERED

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

PhaseARCHITECT/ENGINEER OF RECORD A/E:

STAMPCONSULTANT

321 4 5 6 7 8 9 10

TRIPLE C - The A/E Group 201 E. Jefferson Street, Suite 200 Syracuse, NY 13202

MAT PERKINS

(315) 484-5958

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06GI303

INFECTION CONTROL & INTERIM LIFE SAFETY

DETAILS

620-22-700

06/27/2025 M. Perkins K. McDermott

ISSUED FOR

CONSTRUCTION

(EHRM) INFRASTRUCTURE

UPDATE

2094 Albany Post Road, Montrose, NY 10548

A.

B.

C.

D.

E.

F.

G.

H.

I.

J.

K.

L.

M.

N.

O.

P.

Q.

R.

IMPLEMENT INFECTION CONTROL RISK ASSESSMENT (ICRA)

PROCEDURES AS PER THE MONTROSE VA ICRA PLAN AND AS

DIRECTED BY THE CONTRACTING OFFICER REPRESENTATIVE

(COR).

COORDINATE ALL DEMOLITION/ CONSTRUCTION DEBRIS PATH

OF TRAVEL AND INTERIM LIFE SAFETY MEASURES (ILSM) WITH

THE COR. ALL INTERIOR DOORS THAT LEAD TO THE

CONSTRUCTION SITE SHALL BE POSTED AS PER THE ISLM PLAN.

OBTAIN INFECTION CONTROL PERMIT PRIOR TO BEGINNING

WORK.

THE ONE HOUR FIRE RATED CONSTRUCTION BARRIERS SHALL

BE CONSTRUCTED PRIOR TO BEGINNING OTHER WORK.

CONSTRUCT ANTEROOM AT ENTRANCES TO CONSTRUCTION

AREAS AND REQUIRE ALL CONSTRUCTION PERSONNEL TO PASS

THROUGH THIS ROOM TO BE VACUUMED WITH HEPA VACUUM

CLEANER PRIOR TO LEAVING THE SITE.

FIRE PROTECTION SYSTEMS SHALL REMAIN FUNCTIONAL FOR

OCCUPIED AREAS ON THE FLOOR.

PROVIDE FIRE EXTINGUISHERS IN CONSTRUCTION AREAS;

REVIEW WITH COR AND VA SAFETY GROUP.

MAINTAIN EXIT LIGHTS IN CONSTRUCTION AREA.

MAINTAIN NEGATIVE AIR PRESSURE IN CONSTRUCTION AREA AT

ALL TIMES (24/7). WHETHER OCCUPIED OR NOT, THROUGHOUT

DURATION OF PROJECT USING HEPA EQUIPPED AIR FILTRATION

UNITS.

CONSTRUCTION AREA SHALL REMAIN ISOLATED FROM THE

OTHER AREAS OF THE MEDICAL CENTER; NO RETURN AIR OR

EXHAUST SHALL PASS INTO THE AREAS OUTSIDE THE

CONSTRUCTION AREA. ISOLATE HVAC SYSTEM WITHIN

CONSTRUCTION AREA TO PREVENT CONTAMINATION OF

EXISTING DUCT SYSTEM.

REDIRECT ALL MEDICAL CENTER PERSONNEL. PATIENTS AND

VISITORS SO THEY DO NOT EXIT THROUGH THE CONSTRUCTION

AREA. PROVIDE SIGNS ON DOORS INTO THE CONSTRUCTION

AREA THAT READS: "CONSTRUCTION AREA-DO NOT ENTER".

GENERAL CONTRACTOR SHALL MAINTAIN DAILY LOGS AND KEEP

A CURRENT HOT WORK PERMIT ON SITE.

TACKY MATS SHALL BE PLACED AT ALL DOORS INTO THE

CONSTRUCTION AREA AND SHALL BE MONITORED TO MAKE

SURE THEY REMAIN EFFECTIVE.

MAINTAIN A CLEAN AND ORDERLY CONSTRUCTION AREA. ALL

DEBRIS REMOVAL SHALL BE IN COVERED CARTS AND/OR

CONTAINERS.

SEAL ALL HOLES, PUNCTURES, AND PENETRATIONS FROM PIPES

AND CONDUITS APPROPRIATELY AND IMMEDIATELY TO MAINTAIN

DUST PROTECTION AND NEGATIVE AIR PRESSURE.

MAINTAIN STAFFING AND EQUIPMENT INCLUDING DUST MOPS,

WET MOPS, BROOMS, BUCKETS AND CLEAN WIPING RAGS FOR

CLEANING FINE DUST FROM FLOORS AND ADJACENT OCCUPIED

AREAS. ANY DUST TRACKED OUTSIDE OF CONSTRUCTION AREA

SHALL BE CLEANED IMMEDIATELY.

AFTER COMPLETION OF WORK: VACUUM CONSTRUCTION AREA

WITH HEPA FILTERED VACUUMS, WET MOP WITH DISINFECTANT,

REMOVE CONSTRUCTION BARRIERS (UPON APPROVAL). PATCH

OR REPAIR ANY DAMAGE FROM CONSTRUCTION BARRIER

REMOVAL AND REMOVE ISOLATION OF HVAC SYSTEM.

CONSTRUCTION BARRIERS SHALL NOT BE REMOVE UNTIL

PROJECT IS COMPLETED AND INSPECTED BY VA SAFETY

PERSONNEL, INFECTION CONTROL GROUP, AND COR.

ICRA NOTES:

ICRA SYMBOL LEGENDINFECTION CONTROL RISK

ASSESSMENT:

TABLE 1: CONSTRUCTION, RENOVATION AND/OR MAINTENANCE

ACTIVITY CATEGORY

IDENTIFY THE CATEGORY OF CONSTRUCTION PROJECT

CATEGORY A: INSPECTION AND/OR FACILITY UPKEEP

CATEGORY B: GENERAL MAINTENANCE AND REPAIR WORK

CATEGORY C: SMALL-SCALE CONSTRUCTION, RENOVATION, AND/OR

MAINTENANCE

CATEGORY D: LARGE-SCALE CONSTRUCTION, RENOVATION, OR

MAINTENANCE

THIS PROJECT: CATEGORY D

TABLE 2: AFFECTED AREA ASSESSMENT

TABLE 3: PATIENT RISK CATEGORY

IDENTIFY THE PATIENT RISK CATEGORY FOR EACH AREA LISTED IN

TABLE 2. OF THE PATIENT RISK CATEGORIES IDENTIFIED, THE ONE WITH

THE GREATEST RISK SHALL BE SELECTED AS THE OVERALL PATIENT

RISK CATEGORY FOR THE ACTIVITY.

LOW RISK: NON-PATIENT CARE AREAS

MEDIUM RISK: PATIENT CARE SUPPORT AREAS

HIGH RISK: PATIENT CARE AREAS

HIGHEST RISK: PROCEDURAL, INVASIVE, STERILE SUPPORT AND HIGLY

COMPROMISED PATIENT CARE AREAS

THIS PROJECT: HIGH RISK

CL

AS

S

II

Construction Activity Category

RISK GROUP

LOW RISK

MEDIUM RISK

HIGH RISK

HIGHEST RISK

I II II III

I II III IV

I II IV IV

II III IV IV

A

STEP 1:

IDENTIFY SPECIFIC SITE OF ACTIVITY, FOR EXAMPLE, PATIENT

ROOMS, MEDICATION ROOM, AND SO ON.

STEP 2:

IDENTIFY ISSUES RELATED TO: VENTILATION, PLUMBING, AND

ELECTRICAL IN TERMS OF THE OCCURRENCE OF PROBABLE

OUTAGES.

STEP 3:

IDENTIFY CONTAINMENT MEASURES, USING PRIOR

ASSESSMENT. WHAT TYPES OF BARRIERS (FOR EXAMPLE,

SOLIDS WALLS)? WILL HEPA FILTRATION BE REQUIRED?

STEP 4:

CONSIDER POTENTIAL RISK OF WATER DAMAGE. IS THERE A

RISK DUE TO COMPROMISING STRUCTURAL INTEGRITY (FOR

EXAMPLE, WALL, CEILING, ROOF)?

NOTE: RENOVATION/CONSTRUCTION AREA SHALL BE

ISOLATED FROM THE OCCUPIED AREAS DURING

CONSTRUCTION AND SHALL BE NEGATIVE WITH RESPECT TO

SURROUNDING AREAS.

STEP 5:

WORK HOURS: CAN OR WILL THE WORK BE DONE DURING

NON-PATIENT-CARE HOURS?

STEP 6:

DO PLANS ALLOW FOR ADEQUATE NUMBER OF

ISOLATION/NEGATIVE AIRFLOW ROOMS?

STEP 7:

DO THE PLANS ALLOW FOR THE REQUIRED NUMBER AND TYPE

OF HAND-WASHING SINKS?

STEP 8:

DOES THE INFECTION PREVENTION AND CONTROL STAFF AGREE

WITH THE MINIMUM NUMBER OF SINKS FOR THIS PROJECT?

(VERIFY AGAINST FACILITY GUIDELINES INSTITUTE (FGI) DESIGN

AND CONSTRUCTION GUIDELINES FOR TYPES AND AREA.)

STEP 9:

DOES THE INFECTION PREVENTION AND CONTROL STAFF

AGREE WITH THE PLANS RELATIVE TO CLEAN AND SOILED

UTILITY ROOMS?

STEP 10:

PLAN TO DISCUSS THE FOLLOWING CONTAINMENT ISSUES WITH

THE PROJECT TEAM, FOR EXAMPLE, TRAFFIC FLOW,

HOUSEKEEPING, DEBRIS REMOVAL (HOW AND WHEN).

Affected Area Assessment

AREA

Activity Area Area Above Area Below Adjacent Area

TR

SEE PLAN

SVC TYPE POC POC CONTACT INFO

SEE PLAN

SEE PLAN

Walter Hoffman (914) 208-6275

MATCH THE OVERALL PATIENT RISK CATEGORY WITH THE PLANNED

CONSTRUCTION PROJECT CATEGORY ON THE FOLLOWING MATRIX, TO

FIND THE CLASS OF PRECAUTIONS (I, II, III OR IV) OR LEVEL OF

INFECTION CONTROL ACTIVITIES REQUIRED.

THIS PROJECT: CATEGORY IV

TABLE 4: LEVEL OF INFECTION PREVENTION AND CONTROL

PRECAUTIONS

B C D

TABLE 5: REQUIRED INFECTION PREVENTION AND CONTROL MEASURES

BY LEVEL OF PRECAUTIONS

NOTE: LIST IS CUMULATIVE FROM CLASS I THROUGH CLASS IV)

TABLE 6: MINIMUM INFECTION PREVENTION AND CONTROL MEASURES

REQUIRED UPON COMPLETION OF THE ACTIVITY

1.

2.

1.

2.

A.

B.

C.

D.

E.

1.

2.

1.

2.

3.

1.

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:

Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces

Removal of Critical Barriers:

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 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:

Carefully remove screws and painter tape.

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

Drywall cutting is prohibited during removal process Clean all stud tracks with HEPA vacuum before removing outer hard barrier Use a plastic barrier to enclose area if dust could be generated

Negative Air Requirements:

The use of negative air must be designated to remove contaminants from the work area 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:

Upon removal of critical barriers, remove isolation of HVAC system in areas where work is being performed Verify that HVAC systems are clean and operational.

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

Water Systems:

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

CL

AS

S

III

IV

13.

14.

15.

16.

17.

18.

Ensure availability of equipment for cleaning hands Construct and complete critical barriers meeting NFPA 241 requirements.

Barriers must extend to the ceiling or if ceiling tile is removed, to deck above 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.

Seal all penetrations in containment barriers, including floors and ceiling, using approved materials (UL schedule firestop if applicable for barrier type) Maintain .01 inches /water gauge negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors, or comply with the alternative method outlined in Appendix A of this document.

These control measures must be maintained continuously 24/7 for the duration of the project.

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