BUILDING WALL

SECTION

ELEVATION

INTERIOR

ELEVATION

DOORS

ROOM NUMBER

PLAN & SECTION

DETAIL REFERENCE

LOCATION ON DRAWING

SHEET

SHEET DETAIL IS

LOCATED REFERS TO NUMBER ON DOOR

SCHEDULE, SEE SHEET A601

REFERS TO NUMBER ON

FLOOR PLAN

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

AA-123D

A101

A101

PARTITION

TYPES

REFERS TO INTERIOR PARTITIONS,

SEE SHEET G008

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 SHEET SPECIFIEDX

REFERS TO EXISTING GRID

LINES IN PROJECT

REFERS TO NEW GRID LINES

EXISTING GRID LINE

NEW GRID LINE

SCOPE OF WORK

N

TRUE

NORTH

DIVISION NAME

CONCUR

SUBMISSION APPROVAL LOG:

DO NOT CONCUR

DIVISION NAME

CONCUR DO NOT CONCUR

DIVISION NAME

CONCUR DO NOT CONCUR

DIVISION NAME

CONCUR DO NOT CONCUR

DIVISION NAME

CONCUR DO NOT CONCUR

DIVISION NAME

CONCUR DO NOT CONCUR

DIVISION NAME

CONCUR DO NOT CONCUR

DATE

DATE

DATE

DATE

DATE

DATE

DATE

SITE MAP SYMBOLS

IMAGE: GOOGLE EARTH

Drawing File Number

Building 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

PhaseARCHITECT/ENGINEER OF RECORD STAMPCONSULTANT

321 4 5 6 7 8 9 10

JCRD

Au to de sk

D oc s:

//2

V A

Sa le m L ob by

/2

V

A Sa le m

L ob by .rv t 2/

4/

:5 3:

P

M

G001

COVER SHEET BUILDING 143 LOBBY

RENOVATION

SALEM VA MEDICAL CENTER

1970 ROANOKE BLVD, SALEM, VA 24153-6406

09 JANUARY 2026

100% CONSTRUCTION

DOCUMENTS

BUILDING 143 LOBBY RENOVATION

SALEM VA MEDICAL CENTER

1970 ROANOKE BLVD, SALEM, VA 24153-6406

658-24-104

SHEET 1 OF 59

DRAWING LIST

SHEET # SHEET TITLE

GENERAL

G001 COVER SHEET

G002 INTERIM LIFE SAFETY MEASURES, NOTES, & ABBREVIATIONS

G003 INFECTION CONTROL RISK ASSESSMENT

G004 OVERALL PHASING AND STAGING

G005 PHASE 1 & 2

G006 PHASE 3 & 4

G007 INFECTION CONTROL DETAILS

G008 PARTITION TYPES & SECTION DETAILS

STRUCTURAL

S-001 GENERAL NOTES AND ABBREVIATIONS

SS101 STRUCTURAL PLANS AND DETAILS

ARCHITECTURAL

AD101 BASEMENT LOBBY DEMOLITION PLAN

AD102 BASEMENT CORRIDORS DEMOLITION PLAN

AD111 BASEMENT DEMOLITION RCP

AD112 BASEMENT CORRIDORS DEMOLITION RCP

A101 BASEMENT PLAN - LOBBY

A102 BASEMENT PLAN - CORRIDORS

A111 BASEMENT RCP - LOBBY

A112 BASEMENT RCP - CORRIDORS

A131 CAFE & RESTROOMS ENLARGED PLANS & TOILET ACCESSORIES

A301 CONCOURSE/ CAFE ELEVATIONS & 3D VIEW

A401 INTERIOR ELEVATIONS

A501 CASEWORK / HANDRAIL/ WALL PROTECTION DETAILS

A502 EXPANSION JOINT DETAILS

A508 SEISMIC RCP DETAILS

A601 FINISH & DOOR LEGEND, SCHEDULE, NOTES & DETAILS

A602 BASEMENT FINISH PLAN - LOBBY & FINISH BOARD

A603 BASEMENT FINISH PLAN - CORRIDORS

A604 BASEMENT EQUIPMENT PLAN

A801 3D RENDERINGS

FIRE PROTECTION

FP001 FIRE PROTECTION LEGENDS & SYMBOLS

FP100 FIRE PROTECTION - SPRINKLER ZONES - EXISTING

FX101 FLOOR PLAN - FIRE PROTECTION - DEMOLITION - LOBBY

FX102 FLOOR PLAN - FIRE PROTECTION - DEMOLITION - CORRIDORS

FP101 FLOOR PLAN - FIRE PROTECTION HAZARD CLASS. - NEW- LOBBY

FP102 FLOOR PLAN - FIRE PROTECTION - HAZARD CLASS. - NEW - CORRIDORS

FP501 FIRE PROTECTION DETAILS

PLUMBING

P-001 PLUMBING NOTES, LEGEND, & SYMBOLS

P-101 BASEMENT FLOOR PLAN - PLUMBING - NEW WORK

P-401 ENLARGED FLOOR PLAN NORTH - PLUMBING

P-402 ENLARGED FLOOR PLANS NORTHEAST - PLUMBING

P-403 ENLARGED FLOOR PLANS SOUTH - PLUMBING

P-404 ENLARGED FLOOR PLANS CAFE - PLUMBING

P-501 PLUMBING SCHEDULES AND DETAILS

MECHANICAL

M-001 MECHANICAL NOTES, LEGENDS, & SYMBOLS

MD101 FLOOR PLAN - MECHANICAL - DEMOLITION - LOBBY

MD102 FLOOR PLAN - MECHANICAL - DEMOLITION - CORRIDORS

MH101 FLOOR PLAN - MECHANICAL - NEW WORK - LOBBY

MH102 FLOOR PLAN - MECHANICAL - NEW WORK - CORRIDORS

M-501 MECHANICAL SCHEDULES AND DETAILS

ELECTRICAL

E-001 ELECTRICAL LEGENDS & SYMBOLS

E-002 ELECTRICAL GENERAL NOTES

ED101 FLOOR PLAN - LIGHTING - DEMOLITION

ED102 FLOOR PLAN - ELECTRICAL EQUIPMENT - DEMOLITION

EL101 FLOOR PLAN - LIGHTING - NEW WORK

EP101 FLOOR PLAN - ELECTRICAL EQUIPMENT - NEW WORK

E-501 ELECTRICAL DETAILS

E-601 ELECTRICAL DIAGRAM

E-801 ELECTRICAL SCHEDULES

E-802 ELECTRICAL SCHEDULES

Grand total: 59

Revisions: Date:

EXISTING EXIT SIGN

LIFESAFETY LEGEND:

SMOKE BARRIER

2 HOUR RATED FIRE PARTITION

EXISTING EXIT ACCESS TRAVEL DISTANCE

EXISTING FIRE EXTINGUISHER CABINETEFEC

EXISTING COMMON ACCESS TRAVEL DISTANCE

HANDICAP ACCESSIBILTY AT

BATHROOMS. REFLECTING

67" DIAMETER CLEARANCE

EXISTING DOOR RATING

EX.

MIN

FURNITURE PLACEMENT PROVIDED/

PLACED BY THE VA

NOT IN SCOPE OF WORK

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

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

EMER EMERGENCY

ENGR ENGINEER

EQ EQUAL

EQUIP EQUIPMENT

EQUIV EQUIVALENT

ESP ESPECIALLY

EXIST EXISTING

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

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

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

1.

1.

1.

2.

a.

1.

2.

A. PRIMARY APPLICABLE CODES AND STANDARDS - EXISTING BUILDING /

RECONSTRUCTION

THE 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

STRUCTURE.

NFPA 101 LIFE SAFETY CODE, 2024 EDITION

NFPA NATIONAL FIRE CODES (WITH THE EXCEPTION OF NFPA

5000 AND NFPA 900)

NATIONAL ELECTRIC CODE (NEC)

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)

ENERGY POLICY ACT (EPAct)

VA DIRECTIVES, DESIGN MANUALS, MASTER SPECIFICATIONS,

VA NATIONAL CAD STANDARD APPLICATION GUIDE, AND OTHER

GUIDANCE ON THE TECHNICAL INFORMATION LIBRARY (TIL)

VA MENTAL HEALTH DESIGN GUIDE

INTERNATIONAL BUILDING CODE (IBC) - ONLY WHEN

SPECIFICALLY REFERENCE IN VA DESIGN DOCUMENTS

OCCUPATIONAL, SAFETY AND HEALTH ADMINISTRATION (OSHA)

STANDARDS

PHYSICAL SECURITY AND RESILIENCY DESIGN MANUAL (PSDM)

B. THE CONSTRUCTION CLASSIFICATION IS TYPE II (222). THE MINIMUM FIRE

RATING FOR ALL LOAD BEARING STRUCTURAL ELEMENTS IS 2 HOURS. IF

DURING CONSTRUCTION, ANY DAMAGE TO EXISTING FIREPROOFING IS

OBSERVED OR IF DISCOVERED THAT ANY FIRE PROTECTION IS MISSING, THE

CONTRACTOR SHALL REPAIR TO MAINTAIN FULL PROTECTION.

C. RENOVATION TO EXISTING CORRIDORS IN BUILDING 143. NO CHANGE TO

THE CORRIDOR WALL CONFIGURATIONS, EGRESS OR EXISTING:

NFPA 101 REVIEW

A. CHAPTER 39 EXISTING BUSINESS OCCUPANCIES

(39.1.1.1) THE REQUIREMENTS OF THIS CHAPTER SHALL APPLY TO

EXISTING BUILDINGS OR PORTIONS THEREOF USED AS BUSINESS

OCCUPANCIES.

B. MEANS OF EGRESS - CHAPTER 39 AND CHAPTER 7

THERE IS NO CHANGE TO THE EXISTING CORRIDOR PLAN

CONFIGURATION AND EXISTING.

C. FIRE PROTECTION EQUIPMENT - CHAPTER 39 AND CHAPTER 9

THE EXISTING CORRIDORS ARE FULLY PROTECTED WITH AN

AUTOMATIC SPRINKLER SYSTEM.

(39.3.5) EXTINGUISHMENT REQUIREMENTS. PORTABLE FIRE

EXTINGUISHERS SHALL BE PROVIDED IN EVERY BUSINESS

OCCUPANCY IN ACCORDANCE WITH SECTION 9.9.

(9.9) WHERE REQUIRED BY ANOTHER SECTION OF THIS CODE,

PORTABLE FIRE EXTINGUISHERS SHALL BE SELECTED,

INSTALLED, INSPECTED, AND MAINTAINED IN ACCORDANCE

WITH NFPA 10, STANDARD FOR PORTABLE FIRE

EXTINGUISHERS.

D. INTERIOR FINISHES - CHAPTER 39 AND SECTION 10.2

(39.3.3.2.1) INTERIOR WALL AND CEILING FINISH MATERIALS

COMPLYING WITH SECTION 10.2 SHALL BE CLASS A OR CLASS B IN

EXITS AND IN EXIT ACCESS CORRIDORS.

(39.3.3.2.2) 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..

E. NO DEAD-END CORRIDORS. NOT CHANGE TO EXISTING LAYOUT.

CODE NOTES:

KEY PLAN

PROJECT AREA

N

PROJECT

NORTH

TRUE

NORTH

EXISTING EXIT ACCESS

TRAVEL DISTANCE = 271' 4" WOMEN'S TOILET

BA-100

WOMEN'S TOILET

BB-101

MEN'S TOILET

BA-101

MEN'S TOILET

BB-121

FAMILY TOILET

BB-153

CONSULT

BF-103

CONSULT

BF-102

CONSULT

BF-101

WAITING

CB-10

WAITING

CB-9

LOBBY

CB-11

WAITING

CB-12

WAITING

CB-7

VIRTUAL HEALTH

CB-14

CONCOURSE

CB-15

INFO

CB-4

ENTRANCE

CB-2

VESTIBULE

CB-1

CORRIDOR

CG-25

RECEPTION

CB-8A

RECEPTION

CB-13A

CORRIDOR

CB-15

CAFE

BA-102

LOBBY

CB-5

CORRIDOR

CB-45

EXISTING COMMON ACCESS

TRAVEL DISTANCE = 147' 9"

EFEC

EF

EC

EFEC

EX. FEC

EFEC

PRESCR REC

BF-104

EX.

MIN

EX.

MIN

EX.

MIN

EX.

MIN

EX.

MIN

EX

MI

N

EX

EX

EX. 90 MIN

EX

EX

EXISTING

DIRTT WALL

EX.

MIN

EX

EX

. 20

EX

. 20

EX.

MIN

Building 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

PhaseARCHITECT/ENGINEER OF RECORD STAMPCONSULTANT

321 4 5 6 7 8 9 10

RD JC

Drawing File Number

Au to de sk

D oc s:

//2

V A

Sa le m L ob by

/2

V

A Sa le m

L ob by .rv t 2/

4/

:5 3:

P

M

INTERIM LIFE SAFETY MEASURES,

NOTES, & ABBREVIATIONS

BUILDING 143 LOBBY

RENOVATION

SALEM VA MEDICAL CENTER

1970 ROANOKE BLVD, SALEM, VA 24153-6406

09 JANUARY 2026

100% CONSTRUCTION

DOCUMENTS

G002

658-24-104

SHEET 2 OF 59

1/16" = 1'-0"

BASEMENT LIFE SAFETY PLAN

Revisions: Date:

EX

STAIR

UP

A.

B.

C.

D.

E.

F.

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.

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.

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.

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.

CONTRACTOR TO COVER CARTS AND WEAR BOOTIES WHEN DISPOSING MATERIALS.

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

MULTIPLE TIMES A DAY.

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:

INFECTION CONTROL RISK ASSESSMENT

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

TYPE A

Inspection and Non-Invasive Activities Includes, but is not limited to:

removal of ceiling tiles for visual inspection only e.g., limited to 1 tile per 50 square feet with limited exposure time.

Limited building system maintenance (e.g., pneumatic tube station, HVAC system, fire suppression system, electrical and carpentry work to include painting without sanding) that does not create dust or debris.

Clean plumbing activity limited in nature.

Infection Control Risk Assessment Matrix of Precautions for Construction & Renovation

TYPE B •

Small scale, short duration activities that create minimal dust and debris.

Includes, but is not limited to:

Work conducted above the ceiling (e.g., prolonged inspection or repair of firewalls and barriers, installation of conduit and/or cabling, and access to mechanical and/or electrical chase spaces).

Fan shutdown/startup.

Installation of electrical devices or new flooring that produces minimal dust and debris.

The removal of drywall where minimal dust and debris is created.

Controlled sanding activities (e.g., wet, or dry sanding) that produce minimal dust and debris.

TYPE C

Large-scale, longer duration activities that create a moderate amount of dust and debris.

Includes, but is not limited to:

Removal of preexisting floor covering, walls, casework, or other building components.

New drywall placement.

Renovation work in a single room.

Non-existing cable pathway or invasive electrical work above ceilings.

The removal of drywall where a moderate amount of dust and debris is created.

Dry sanding where a moderate amount of dust and debris is created.

Work creating significant vibration and/or noise.

Any activity that cannot be completed in a single work shift.

TYPE D •

Major demolition and construction activities Includes, but is not limited to:

Removal or replacement of building system component(s).

Removal/installation of drywall partitions.

Invasive large-scale new building construction.

Renovation work in two or more rooms.

STEP 1 - Activity Type: TYPE D

Minimum Required Infection Control Precautions by Class | Before and During Work Activity

CLASS I

1.

2.

3.

4.

Perform noninvasive work activity as to not block or interrupt patient care.

Perform noninvasive work activities in areas that are not directly occupied with patients.

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

Immediately replace any displaced ceiling tile before leaving the area and/or at end of noninvasive work activity.

1.

2.

3.

Perform only limited dust work and/or activities designed for basic facilities and engineering work.

Perform limited dust and invasive work following standing precautions procedures approved by the organization.

This Class of Precautions must never be used for construction or renovation activities.

CLASS II

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Provide active means to prevent airborne dust dispersion into the occupied areas.

Means for controlling minimal dust dispersion may include hand-held HEPA vacuum devices, polyethylene plastic containment, or isolation of work area by closing room door.

Remove or isolate return air diffusers to avoid dust from entering the HVAC system.

Remove or isolate the supply air diffusers to avoid positive pressurization of the space, If work area is contained, then it must be neutrally to negatively always pressurized.

Seal all doors with tape that will not leave residue.

Contain all trash and debris in the work area.

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.

Install an adhesive (dust collection) mat at entrance of contained work area based on facility policy. Adhesive mats must be changed routinely and when visibly soiled.

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

CLASS III

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

Construct and complete critical barriers meeting NFPA 241 requirements including: Barriers must extend to the ceiling or, if ceiling tile is removed, to the deck above, and all penetrations through the barrier shall meet the appropriate fire rating requirements.

All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release.

Plastic barriers must be effectively affixed to ground and ceiling and secure from movement or damage. Apply tape that will not leave a residue to seal gaps between barriers, ceiling or floor.

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

Containment units or environmental containment units (ECUs) approved for Class IV precautions in small areas totally contained by the unit and that has HEPA-filtered exhaust air.

Remove or isolate return air diffusers to avoid dust entering the HVAC system.

Remove or isolate the supply air diffusers to avoid positive pressurization of the space.

Negative airflow pattern must be maintained from the entry point to the anteroom and into the construction area. The airflow must cascade from outside to inside the construction area. The entire construction area must remain negatively pressurized.

Maintain negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors. Exhaust discharged directly to the outdoors that is 25 feet or greater from entrances, air intakes and windows does not require HEPA-filtered air.

If exhaust is directed indoors, then the system must be HEPA filtered. Prior to start of work, HEPA filtration must be verified by particulate measurement as no less than 99.97% efficiency and must not alter or change airflow/pressure relationships in other areas.

Exhaust into shared or recirculating HVAC systems, or other shared exhaust systems (e.g., bathroom exhaust) is not acceptable.

Install device on exterior of work containment to continually monitor negative pressurization. To assure proper pressure is continuously maintained, it is recommended that the device(s) have a visual pressure indicator.

Contain all trash and debris in the work area.

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.

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

Workers must wear shoe covers prior to entry into the work area. Shoe covers must be changed prior to exiting the anteroom to the occupied space (non-work area). Damaged shoe covers must be immediately changed.

Install an adhesive (dust collection) mat at entrance of contained work area based on facility policy. Adhesive mats must be changed routinely and when visibly soiled.

Consider collection of particulate data during work to monitor and ensure that contaminates do not enter the occupied spaces. Routine collection of particulate samples may be used to verify HEPA filtration efficiencies.

CLASS IV

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

Construct and complete critical barriers meeting NFPA 241 requirements including: Barriers must extend to the ceiling, or if ceiling tile is removed, to the deck above, and all penetrations through the barrier shall meet the appropriate fire rating requirements.

All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release.

Plastic barriers must be effectively affixed to ground and ceiling and secure from movement or damage.

Apply tape that will not leave a residue to seal gaps between barriers, ceiling or floor.

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

Construct anteroom large enough for equipment staging, cart cleaning, workers. The anteroom must be constructed adjacent to entrance of construction work area.

Personnel will be required to wear disposable coveralls at all times during Class V work activities. Disposable coveralls must be removed before leaving the anteroom.

Remove or isolate return air diffusers to avoid dust entering the HVAC system.

Remove or isolate the supply air diffusers to avoid positive pressurization of the space.

Negative airflow pattern must be maintained from the entry point to the anteroom and into the construction area. The airflow must cascade from outside to inside the construction area. The entire construction area must remain negatively pressurized.

Maintain negative pressurization of the entire workspace using HEPA exhaust air systems directed outdoors.

Exhaust discharged directly to the outdoors that is 25 feet or greater from entrances, air intakes and windows do not require HEPA-filtered air.

If exhaust is directed indoors, then the system must be HEPA filtered. Prior to start of work, HEPA filtration must be verified by particulate measurement as no less than 99.97% efficiency and must not alter or change airflow/pressure relationships in other areas.

Exhaust into shared or recirculating HVAC systems, or other shared exhaust systems (bathroom exhaust) is not acceptable.

Install device on exterior of work containment to continually monitor negative pressurization. To assure proper pressure is continuously maintained, it is recommended that the device(s) have a visual pressure indicator.

Contain all trash and debris in the work area.

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.

Worker clothing must be clean and free of visible dust before leaving the work area anteroom.

Workers must wear shoe covers prior to entry into the work area. Shoe covers must be changed prior to exiting the anteroom to the occupied space (non-work area). Damaged shoe covers must be immediately changed.

Install an adhesive (dust collection) mat at entrance of contained work area based on facility policy. Adhesive mats must be changed routinely and when visibly soiled.

Consider collection of particulate data during work to monitor and ensure that contaminates do not enter the occupied spaces. Routine collection of particulate samples may be used to verify HEPA filtration efficiencies.

CLASS V

STEP TWO: 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:

Outbuildings Office Areas, meeting Rooms Environmental Services Prosthetis Canteen Store Chapel Morgue Elevators Warehouse Police Boiler Plant Facilities Maintenance Shop

Respiratory Therpy Outpatient Clinics CBOS's Adult Day Care Psychiatry Echocardiography Physical Therapy

EEG

EKG

Occupational Health Animal Research Laboratories Dental Excluding Dental Operating Suites Canteen Food Areas Behavorial Health

Emergency Room Phlebotomy Research Laboratories, Laboratories (Patient) Pharmacy Post Anesthesia Care Unit Endoscopy Surgical Unit Medical Unit Community Living Center Pulmonary, Renal and Infectious Disease Clinic Sleep Lab Nuclear Mediciine (Building 27) Any Sterile Supply Room Radiology/MRI/CT Logistics Storage Laundry/Linen Areas

Dialysis Cardiac Cath Lab Steril Processing and Distribution Intensive Care Unit Oncology Radiation Therapy/Building 26 Operating Rooms (including Dental Operating Suite) VIR Suite Urology Procedure Room Ophthalmology Procedure Room Women's Health Procedure Room Stratton Inn Microbiology Lab Pharmacy (USP 797/800 Compounding Areas

STEP 2 - Patient Risk Group: LOW RISK

Match the Patient Risk Group (Low, Medium, High, Highest) from Step Two with the planned Construction Activity Project Type (A, B, C, D) from Step one using the table to find the Class of Precautions (I, II, III, IV or V) or level of infection control activities required.

TYPE A TYPE B TYPE C TYPE D

I II II III

I

I

II

III

III

III

IV

VIV

IV

V

V

LOW Risk Group

MEDIUM Risk Group

HIGH Risk Group

HIGHEST Risk Group

Patient Risk Group

Construction Project Type

Infection control permit and approval will be required when Class of Precautions III (Type C) and all Class of Precautions IV or V are necessary.

Environmental conditions that could affect human health, such as sewage, mold, asbestos, gray water and black water will require Class of Precautions IV for LOW and MEDIUM Risk Groups and Class of Precautions V for HIGH and HIGHEST Risk Groups.

*Type C [Medium Risk Groups] and Type D [Low Risk Groups] work areas [Class III precautions] that cannot be sealed and completely isolated from occupied patient care spaces should be elevated to include negative air exhaust requirements as listed in Class IV Precautions.

STEP 3 - Class of Precautions: CLASS III

STEP FOUR: Assess potential risk to areas surrounding the project. Using Table 4, identify the surrounding areas that will be affected and the type of impact that will occur. If more than one risk group will be affected, select the higher risk group using Table 2 - Patient Risk Group.

SURROUNDING AREA ASSESSMENT

Unit Below: Unit Above: Unit Lateral: Unit Behind: Unit in Front:

Risk Group:

Contact:

Phone:

Risk Group:

Contact:

Phone:

Risk Group:

Contact:

Phone:

Risk Group:

Contact:

Phone:

Risk Group:

Contact:

Phone:

Additional Controls:

Noise Vibration Dust Control Ventilation Pressurization Vertical Shafts Elevator/Stairs

Noise Vibration Dust Control Ventilation Pressurization Vertical Shafts Elevator/Stairs

Noise Vibration Dust Control Ventilation Pressurization Vertical Shafts Elevator/Stairs

Noise Vibration Dust Control Ventilation Pressurization Vertical Shafts Elevator/Stairs

Noise Vibration Dust Control Ventilation Pressurization Vertical Shafts Elevator/Stairs

System Impacted:

Data Mechanical Med Gases Hot/Cold Water

System Impacted:

Data Mechanical Med Gases Hot/Cold Water

System Impacted:

Data Mechanical Med Gases Hot/Cold Water

System Impacted:

Data Mechanical Med Gases Hot/Cold Water

System Impacted:

Data Mechanical Med Gases Hot/Cold Water

Additional Controls: Additional Controls: Additional Controls: Additional Controls:

Noise & Vibration Mitigation Strategies

Use diamond drills instead of powder-actuated fastners.

Schedule noise-making periods with adjacent spaces.

Use beam clamps instead of shot.

Prefab where possible.

Use tim snips to cut metal studs instead of using a chop saw.

Install metal decking with vent tabs, then use cellar floor deck hangers.

Consider compression style fittings instead of soldering, brazing, or welding.

Wet core drill instead of dry core or percussion.

Instead of jackhammering concrete, use wet diamond saws.

Use HEPA vacuums instead of standard wet/dry vacuums.

Use mechanical joining system sprinkler fittings instead of threaded.

Where fumes are tolerated, use chemical adhesive remover (floor glue) instead of mechanical.

To remove flooring, consider abrasive blasting instead of using a floor scraper.

Use electronic sheers instead of reciprocating saw for ductwork cutting.

Install exterior man/material lifts.

Ventilation & Pressurization Mitigation Strategies

HEPA to exterior.

Install temporary ductwork.

Utilize temporary HVAC equipment.

Vacate the area.

Install temporary partitions.

Use carbon filtration odors.

Impact to Other Systems Mitigation Strategies Schedule outages.

Provide temporary systems.

Back-feed electrical or medical gases.

STEP THREE:

Minimum Required Infection Control Precautions | Upon Completion of Work Activity

CLASSE

S

I, II, & III

1.

2.

1.

2.

Cleaning:

Perform 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.

HVAC Systems:

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

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

CLASSES

IV & V

1.

2.

1.

2.

A.

B.

C.

D.

E.

1.

2.

1.

2.

3.

Class III (Type C Activities only), IV, and V precautions require inspection and documentation for downgraded ICRA precautions. Construction areas must be inspected by an infection preventionist or designee and engineering representative for discontinuation or downgrading of ICRA precautions.

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:

Clean 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.

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 designed to remove contaminates from the work area.

Negative air devices must always remain operational 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 the HVAC systems meets original airflow and air exchange design specifications.

Attachment A: Infection Control Construction Permit Location of Construction:

Project Coordinator:

Constractor Performing Work:

Supervisor:

Permit Request Signature:

Permit Authorized Signature:

Project No:

Project Start Date:

Estimated Duration:

Permit Expiration Date:

Telephone:

Date:

Date:

YES NO CONSTRUCTION ACTIVITY INFECTION CONTROL RISK GROUPYES NO

GROUP 3: HIGH RISK

GROUP 2: MEDIUM RISK

GROUP 1: LOW RISKTYPE A: Inspection, non-invasive activity.

TYPE B: Small scale, short duration.

TYPE C: Activity generates moderate to high levels of dust.Requires consecutive work shifts.

GROUP 4: HIGHEST RISK

TYPE D: Major demolition and construction activities. Requires concesecutive work shifts.

Assigned CLASS CLASS I *See below for mandatory CLASS requirements

CLASS II CLASS III CLASS IV CLASS

V

CLASS I

2. Perform noninvasive work activities in areas that are not directly occupied with patients.

1. Perform noninvasive work activity as to not block or interrupt patient care.

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

4. Immediately replace any displaced ceiling tile before leaving the area and/or at end of noninvasive work activity.

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

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

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

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

1. Perform only limited dust work and/or activities designed for basic facilities and engineering work.

2. Perform limited dust and invasive work following standing precautions procedures approved by the organization.

3. This Class of Precautions must never be used for construction or renovation activities.

1. Provide active means to prevent airborne dust dispersion into the occupied areas.

CLASS II

**Implement all activities from CLASS I in addition to:

2. Means for controlling minimal dust dispersion may include hand-held HEPA vacuum devices, polyethylene plastic containment, or isolation of work area by closing room door.

CLASS III

**Implement all activities from CLASS I & II in addition to:

3. Remove or isolate return air diffusers to avoid dust from entering the HVAC system.

4. Remove or isolate the supply air diffusers to avoid positive pressurization of the space.

5. If work area is contained, then it must be neutrally to negatively pressurized at all times.

6. Seal all doors with tape that will not leave residue.

7. Contain all trash and debris in the work 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 an adhesive (dust collection) mat at entrance of contained work area based on facility policy. Adhesive 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.

11. 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.

12. 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.

13. The use of negative air must be designed to remove contaminates from the work area.

14. Negative air devices must always remain operational 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.

1. Construct and complete critical barriers meeting NFPA 241 requirements including: Barriers must extend to the ceiling or, if ceiling tile is removed, to the deck above, and all penetrations through the barrier shall meet the appropriate fire rating requirements.

2. All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to ground and ceiling and secure from movement or damage. Apply tape that will not leave a residue to seal gaps between barriers, ceiling or floor.

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

4. Containment units or environmental containment units (ECUs) approved for Class IV precautions in small areas totally contained by the unit and that has HEPA-filtered exhaust air.

5. Negative airflow pattern must be maintained from the entry point to the anteroom and into the construction area. The airflow must cascade from outside to inside the construction area. The entire construction area must remain negatively pressurized.

6. Maintain negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors. Exhaust discharged directly to the outdoors that is 25 feet or greater from entrances, air intakes and windows does not require HEPA-filtered air.

7. If exhaust is directed indoors, then the system must be HEPA filtered. Prior to start of work, HEPA filtration must be verified by particulate measurement as no less than 99.97% efficiency and must not alter or change airflow/pressure relationships in other areas.

8. Exhaust into shared or recirculating HVAC systems, or other shared exhaust systems (e.g., bathroom exhaust) is not acceptable.

9. Install device on exterior of work containment to continually monitor negative pressurization. To assure proper pressure is continuously maintained, it is recommended that the device(s) have a visual pressure indicator.

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

11.Workers must wear shoe covers prior to entry into the work area. Shoe covers must be changed prior to exiting the anteroom to the occupied space (non-work area). Damaged shoe covers must be immediately changed.

12. Consider collection of particulate data during work to monitor and ensure that contaminates do not enter the occupied spaces. Routine collection of particulate samples may be used to verify HEPA filtration efficiencies.

1. Construct anteroom large enough for equipment staging, cart cleaning, workers. The anteroom must be constructed adjacent to entrance of construction work area.

2. Personnel will be required to always wear disposable coveralls during Class V work activities. Disposable coveralls must be removed before leaving the anteroom.

CLASS IV

**Implement all activities from CLASS I, II, & III in addition to:

CLASS V

**Implement all activities from CLASS I, II, III, & IV in addition to:

Building 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

PhaseARCHITECT/ENGINEER OF RECORD STAMPCONSULTANT

321 4 5 6 7 8 9 10

RD JC

Drawing File Number

Au to de sk

D oc s:

//2

V A

Sa le m L ob by

/2

V

A Sa le m

L ob by .rv t 2/

4/

:5 3:

P

M

INFECTION CONTROL RISK

ASSESSMENT

BUILDING 143 LOBBY

RENOVATION

SALEM VA MEDICAL CENTER

1970 ROANOKE BLVD, SALEM, VA 24153-6406

09 JANUARY 2026

100% CONSTRUCTION

DOCUMENTS

G003

658-24-104

SHEET 3 OF 59Revisions: Date:

KEY PLAN

PROJECT AREA

N

PROJECT

NORTH

TRUE

NORTH

THE PROJECT SCOPE OF WORD INCLUDES THE CONCOURSE AND CORRIDORS ON

THE BASEMENT IN BUILDING 143 DURING WHICH TIME THE HOSPITAL WILL REMAIN

OPERATIONAL 24/7. ALL DEMOLITION AND CONSTRUCTION ACTIVITY IS TO OCCUR

DURING OFF-HOURS AND WEEKENDS WHEN HOSPITAL OCCUPANCY IS AT ITS LOWEST

LEVELS. WHERE DEPARTMENT AREAS CANT BE VACATED AND CORRIDORS MUST

REMAIN OPEN, WORK SHALL BE BROKEN DOWN INTO SMALL SEGMENTS SUCH THAT

EACH WORK AREA CAN BE CLEANED BY THE NEXT MORNING AT 7:30AM AND OPENED

BACK UP TO VA USE. WORK AT ELEVATOR LOBBIES ON EACH FLOOR WILL REQUIRE

ADDITIONAL PHASING SUCH THAT AT LEAST ONE ELEVATOR CAN REMAIN

OPERATIONAL AND ACCESSIBLE DURING CONSTRUCTION. CONTRACTOR IS TO

FOLLOW ALL ICRA REQUIREMENTS AND WORK CLOSELY WITH THE VA COR AND VA

INFECTION CONTROL STAFF TO MAINTAIN A SAFE ENVIRONMENT. GC TO REVIEW AND

COORDINATE ALL ABATEMENT REQUIREMENTS INTO PROPOSED PHASING. REFER TO

VA-PROVIDED ABATEMENT DOCUMENTATION. IF DIFFERENT PHASES ARE

PERFORMED CONCURRENTLY, THEN THIS MUST BE COORDINATED WITH THE VA, AND

ACCESS TRAVEL AND REQUIRED CLEARANCES MUST BE MAINTAINED THORUGHOUT

THE ENTIRETY OF CONSTRUCTION. SEE SPEC 010000 GENERAL REQUIREMENTS FOR

FACILITY HOURS OF OPERATION.

PHASING PLANS SHOW SUGGESTED SEGMENTS OF WORK FOR EACH

AREA. INDIVIDUAL PHASES SHOWN MAY BE REQUIRE TO BE BROKEN DOWN INTO

SMALLER SEGMENTS AS PER GC STAFFING AND THE AMOUNT OF WORK THAT CAN BE

ACCOMPLISHED IN THE OFF-HOURS WITH THE NEED TO BE OPENED TO THE STAFF

AND PUBLIC DURING NORMAL BUSINESS DAYS. IN ADDITION TO TEMPORARY

BARRIERS, ACTIVE SPACES ARE TO BE PROTECTED AND MAINTAINED DURING

NORMAL HOSPITAL BUSINESS HOURS BY USING ZIP WALLS, CORRUGATED BOARD,

PLASTIC SHEETS, AND HEPA FILTER EXHAUST BOXES WITH PARTICULATE COUNT

MONITORING AS NECESSARY.

IN AREAS THAT CANNOT BE FULLY VACATED OR BLOCKED OFF, EGRESS ACCESS

MUST BE MAINTAINED AT ALL TIMES. WHERE NECESSARY, GC SHALL PROVIDE STAFF

TO ESCORT VA STAFF AND PATIENTS THROUGH AN ACTIVE CONSTRUCTION ZONE

DURING THE AFTER-HOUR WORK. 5' MINIMUM CLEARANCE IS REQUIRED FOR EGRESS

ACCESS THROUGHOUT.

PHASING NOTES

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 DURING CONSTRUCTION. 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.

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 AND WEAR BOOTIES WHEN

DISPOSING OF MATERIALS.

E. CONTRACTOR TO CHANGE MATS AND MOP FLOORS BEHIND THEM MULTIPLE

TIMES A DAY, AS OFTEN AS NEEDED TO PREVENT TRACKING 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.

H. CONTRACTOR TO COORDNIATE ALL WORK WITH THE VA AND OTHER

CONTRACTORS PERFORMING WORK IN THE AREA.

I. ALL RATED WALL AND FLOOR PENETRATIONS SHALL BE SEALED IN ACCORDANCE

WITH FIRESTOPPING SPECIFICATIONS 078400.

J. AFTER THE COMPLETION OF A PHASE, THE GC IS TO COORDINATE WITH THE VA

FOR FINAL PUNCHLIST OF COMPLETION. THE FINAL PUNCHLIST WILL NEED TO BE

SIGNED PRIOR TO PROCEEDING WITH THE NEXT PHASE. ICRA OFFICIALS TO SIGN OFF

ON PHASING, LIFESAFETY PATH, CONSTRUCTION STORAGE AND CONTRUCTION

DUMPSTER.

FAMILY TOILET

BB-153

WAITING

CB-12

WAITING

CB-13

VIRTUAL HEALTH

CB-14

RECEPTION

CB-13A

MEN'S TOILET

BB-121

WOMEN'S TOILET

BB-101

CORRIDOR

CB-15

INFO

CB-4

LOBBY

CB-5

ENTRANCE

CB-2

VESTIBULE

CB-1

CORRIDOR

CG-25

WOMEN'S TOILET

BA-100

M

EN

'S T

O

IL

ET

BA

-1

CAFE

BA-102

WAITING

CB-7

WAITING

CB-8

RECEPTION

CB-8A

WAITING

CB-9

WAITING

CB-10

CONSULT

BF-102

CONSULT

BF-101

CONSULT

BF-103

CONCOURSE

CB-15LOBBY

CB-11

CORRIDOR

CB-45

EF

EC EFEC

EFEC

EFEC

PHASE 1A

PHASE 1B

PHASE 1C

PHASE 1D

PHASE 1E

PHASE 1F

PHASE 2A PHASE 2B

PHASE 2C

PHASE 2D

PHASE 2E

PHASE 2F

PHASE 2G

PHASE 2I

PHASE 2H

PHASE 3A

PHASE 3B

PHASE 3C

PHASE 3D

PHASE 3E

PHASE 3F

PHASE 3G

PHASE 3H

PHASE 3I

PHASE 3J

PHASE 3K

PHASE 3L

PHASE 4A

PHASE 4B

PHASE 4C

PHASE 4D

PHASE 4E

(POWER

WASH

ONLY)

EXISTING

DIRTT WALL

EXISTING EXIT ACCESS

TRAVEL DISTANCE = 271' 4"

EXISTING COMMON ACCESS

TRAVEL DISTANCE = 147' 9"

SCOPE OF WORK

RECOMMENDED

CONTRACTOR DUMPSTER

AND STORAGE AREA

TRUE

NORTH

N

PHASE AREA OF WORK

AREA OUTSIDE

CONSTRUCTION ZONE

1 HR TEMPORARY CONSTRUCTION

BARRIER. TYPE 10 / SEE SHEET G008

REMOVE EXISITING DEMOLITION AS

REQUIRED FOR INSTALLTION OF FULL

HEIGHT BARRIER

PHASE 1

PHASE 2

PHASE 3

PHASE 4

EXISTING 2 HR FIRE RATED

FIRE BARRIER

EXISTING SMOKE BARRIER

Building 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

PhaseARCHITECT/ENGINEER OF RECORD STAMPCONSULTANT

321 4 5 6 7 8 9 10

RD JC

Drawing File Number

Au to de sk

D oc s:

//2

V A

Sa le m L ob by

/2

V

A Sa le m

L ob by .rv t 2/

4/

:5 3:

P

M

OVERALL PHASING AND STAGING BUILDING 143 LOBBY

RENOVATION

SALEM VA MEDICAL CENTER

1970 ROANOKE BLVD, SALEM, VA 24153-6406

09 JANUARY 2026

100% CONSTRUCTION

DOCUMENTS

G004

658-24-104

SHEET 4 OF 59

1" = 20'-0"

BASEMENT OVERALL PHASING PLAN

1/64" = 1'-0"

CONSTRUCTION STAGING

KEY PLAN

PROJECT AREA

N

PROJECT

NORTH

TRUE

NORTH

FAMILY TOILET

BB-153

WAITING

CB-12

WAITING

CB-13

VIRTUAL HEALTH

CB-14

RECEPTION

CB-13A

MEN'S TOILET

BB-121

WOMEN'S TOILET

BB-101

CORRIDOR

CB-15

INFO

CB-4

LOBBY

CB-5

ENTRANCE

CB-2

VESTIBULE

CB-1

CORRIDOR

CG-25

WOMEN'S TOILET

BA-100

MEN'S TOILET

BA-101

CAFE

BA-102

WAITING

CB-7

WAITING

CB-8

RECEPTION

CB-8A

WAITING

CB-9

WAITING

CB-10

CONSULT

BF-102

CONSULT

BF-101

CONSULT

BF-103

CONCOURSE

CB-15LOBBY

CB-11

CORRIDOR

CB-45

CL

EA

R 4'

MI

N

3' 6"

M

IN

8' MIN

EF

EC EFEC

EFEC

EFEC

PHASE 1A

PHASE 1B

PHASE 1C

PHASE 1D

PHASE 1E

PHASE 1F

1 1

EXISTING

DIRTT WALL

EXISTING EXIT ACCESS

TRAVEL DISTANCE = 271' 4"

EXISTING COMMON ACCESS

TRAVEL DISTANCE = 147' 9"

FAMILY TOILET

BB-153

WAITING

CB-12

WAITING

CB-13

VIRTUAL HEALTH

CB-14

RECEPTION

CB-13A

MEN'S TOILET

BB-121

WOMEN'S TOILET

BB-101

CORRIDOR

CB-15

INFO

CB-4

LOBBY

CB-5

ENTRANCE

CB-2

VESTIBULE

CB-1

CORRIDOR

CG-25

WOMEN'S TOILET

BA-100

MEN'S TOILET

BA-101

CAFE

BA-102

WAITING

CB-7

WAITING

CB-8

RECEPTION

CB-8A

WAITING

CB-9

WAITING

CB-10

CONSULT

BF-102

CONSULT

BF-101

CONSULT

BF-103

CONCOURSE

CB-15

LOBBY

CB-11

CORRIDOR

CB-45

5'

MI

N

4' MIN CLEAR

5'

MI

N

8' MIN CLEAR

' M

IN

C

LE

AR

7' M

IN CLE

AR

EF

EC EFEC

EFEC

EFEC

PHASE 2A PHASE 2B

PHASE 2C

PHASE 2D

PHASE 2E

PHASE 2F

PHASE 2G

PHASE 2I

PHASE 2H

STAIR 6

1 1

1 1

1 1

EXISTING

DIRTT WALL

EXISTING EXIT ACCESS

TRAVEL DISTANCE = 271' 4"

EXISTING COMMON ACCESS

TRAVEL DISTANCE = 147' 9"

A.

B.

C.

D.

E.

F.

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.

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.

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.