S02 - Attachment 31 - Infection Control Risk Assessment (ICRA).docx
DOCX document 24 KB Posted
- Attached to
- Z1AZ--EHRM Training and Admin Space Support - Phase 2 - Hines, IL 578-21-706 (VA-21-00021817)
- Solicitation number
- 36C77621R0055
About this file
This document contains an infection control risk assessment template and federal contract opportunity notice. The risk assessment template provides guidance for classifying construction activities according to infection control risk groups and outlining corresponding contractor actions.
The federal contract opportunity is a pre-solicitation notice from the Department of Veterans Affairs seeking architect-engineer qualification packages for the EHRM Training and Administration Phase II project at the Hines, Illinois VAMC. Interested firms should submit SF-330 statements of qualifications by March 1, 2021 for design services with an anticipated 120-day performance period. The 100% SDVOSB set-aside contract value is estimated between $5-10 million. Evaluation criteria include specialized experience, professional qualifications, capacity, past performance, locality knowledge, and construction period experience. The secondary criterion is geographic proximity to the Hines VAMC.
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Text version
Infection Control Risk Assessment for Construction / Renovation Projects
| Project Name: |
| Project or Work-Order Number: |
| Project Manager or COR: |
| Extension: |
| Building Number: |
| Floor(s)/Room(s): |
| Start date: |
| Projected completion date: |
| Construction Activity |
| Infection Control Risk Group |
☐ TYPE A: DUST LEVEL Low Non-invasive activity, low noise, no vibration.
☒ GROUP 1: LOW
Office areas, FMS areas, all non-patient care areas.
☒ TYPE B: DUST LEVEL: Moderate to High Small scale, short duration, low-moderate noise, low-moderate vibration.
☐ GROUP 2: MEDIUM
All other patient care areas including general medicine floors, ultrasound, Rehab, Occupational Therapy.
☐ TYPE C: DUST LEVEL Moderate to High Requires more than one work shift (independent of working days) to complete, low-moderate noise, moderate–high vibration
☐ GROUP 3: MEDIUM/HIGH
ED, Radiology/MRI, admissions, food service areas, laboratories.
☐ TYPE D: DUST LEVEL High Major demolition and construction activities. Requires consecutive work shifts, moderate-high noise, moderate-high vibration
☐ GROUP 4: HIGHEST
Operating rooms, SPS, ICU’s, Outpatient areas, oncology, anesthesia, post anesthetic recovery, all endoscope areas, Pharmacy, Renal Dialysis
Project Class Determination Matrix
Construction Activity Type Risk Group Type “A” Type “B” Type “C” Type “D”
| Group 1 | |
| I | |
| II | |
| II | |
| III |
| Group 2 |
| I |
| II |
| III |
| IV |
| Group 3 |
| I |
| III |
| III |
| IV |
| Group 4 |
| III |
| IV |
| IV |
| IV |
Contractors Actions by Project Class
All personnel will have Emergency Preparedness training/posting/ID card.
CLASS
I
1. Execute work to minimize air-borne dust dispersed into atmosphere from construction operations.
2. Immediately replace any ceiling tile displaced for visual inspection.
3. Contain construction waste before transport in tightly covered containers.
4. Clean work area upon completion of task including wiping surfaces with disinfectant.
5. Contact EMS for appropriate preparation for return to operation(s).
CLASS
II
In addition to above:
6. Post the signed ICRA at the entrance.
7. Isolate work area from patients/staff. Use appropriate temporary barriers and more permanent containment methods (i.e., seal holes in walls, tape gaps in doors, etc.)
8. Water mist work surfaces to control dust while cutting.
9. Block off and seal supply air vents. Place filter over return/exhaust vents.
10. Place dust mat or wipe feet at entrance/exit of work area.
11. Wet mop and/or vacuum w/HEPA filtered vacuum before leaving work areas.
CLASS
III
In addition to above:
12. Install barriers to create a negative pressure ante room and/or workroom.
13. Maintain negative air pressure in work area at all times until completion utilizing HEPA-equipped air filtration units.
14. Vacuum personnel with HEPA vacuum before leaving. Or, Don-Doff coveralls each time leaving work site. All wear shoe covers changed each time exiting the area.
15. Vacuum the entire work area with HEPA vacuums or wet mop with disinfectant at the completion of project.
16. Do not remove barriers until completed project is inspected by Safety, IC-Team, EMS, and Area Manager.
17. Carefully remove barriers to minimize spread of dirt and debris. Contact EMS for final clean.
CLASS
IV
In addition to above:
18. Provide a disinfectant wipe down of any tool carts or waste transports prior to leaving the containment area.
19. Do not remove barriers until terminal clean is performed inside work zone and barriers are included in the cleaning process.
20. Perform 2nd terminal cleaning after removal of barriers. Contact EMS for final clean.
| Signatures |
| Date |
Contractor’s Signature:
(Projects Only)
Project Planner or Maintenance Worker Signature:
Supervisor Signature:
Infection Control:
File details come from the government source that posted it. Updated .