S02 - SOW Attachment 32 - Infection Control Risk Assessment (ICRA).docx

DOCX document 24 KB Posted

Attached to
Z1AZ--EHRM Infrastructure Upgrades - Phase 2 - Hines, IL 578-21-701 (VA-21-00020757)
Solicitation number
36C77621R0058
Issued by

About this file

This document includes a Statement of Work attachment outlining infection control risk assessment requirements for a construction project, as well as a pre-solicitation notice for architecture and engineering services. The pre-solicitation notice is from the Department of Veterans Affairs and seeks SF-330 qualification packages from firms for a $20-50 million design contract. The project involves infrastructure upgrades at the Hines, Illinois VAMC and has a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses. Firms must submit SF-330s by March 11, 2021 and the selection criteria include specialized experience, professional qualifications, capacity, past performance, locality, and construction period services. The anticipated award date for the design contract is May 2021 with a 180-day period of performance.

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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 .