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'r W 0 WIN 0 N J INFECTION CONTROL RISK ASSESSMENT OCRA) ALL WORK SHALL CONFORM WITH THE OWNER'S INFECTION CONTROL AND CONSTRUCTION POLICIES, PROCESSES AND OWNER'S PROJECT -SPECIFIC INFECTION CONTROL RISK ASSESSMENT PLAN, ICRA MATRIX IC RISK CONSTRUCTION ACTIVITY TYPE LEVEL TYPE A TYPE B TYPE C TYPE D GROUP 1� CLASS I CLASS II CLASS II CLASS III/IV GROUP 2 CLASS I CLASS II CLASS III CLASS IV GROUP 3 CLASS I CLASS III CLASS III CLASS IV GROUP 4 CLASS III CLASS III/IV CLAS I/IV CLASS IV INFECTION CONTROL RISK LEVELS GROUP 1 GROUP 2 GROUP 3 GROUP 4 LOWEST MEDIUM MEDIUM HIGH HIGHEST OFFICE AREAS ALL PATIENT CARE UNITS EMERGENCY ROOM TRANSPLANT CLINIC CONFERENCE ROOMS WAITING ROOMS* RADIOLOGY AREAS SURGERY SUITES PUBLIC BATHROOMS ROCP RECOVERY ROOMS WAITING ROOMS* LABOR AND DELIVERY LABOR & DELIVERY ORs NURSERIES CARDIAC CATH / ANGIO PEDIATRICS CVICU RIO SURGERY OUTPATIENT UNITS ALL INTENSIVE CARE AREAS DIALYSIS AND TRANSPLANT NUCLEAR MEDICINE ONCOLOGY / BONE MARROW ADMISSION / DISCHARGE AREA CARDIOLOGY PHYSICAL THERAPY TANK AREA HYPERBARIC MEDICINE CAFETERIA ENDOSCOPY ECHOCARDIOGRAPHY PHARMACY ADMIXTURE LABORATORIES PHARMACY * DEPENDENT ON LOCATION CONSTRUCTION ACTIVITY TYPES INSPECTIONS AND NON-INVASIVE ACTIVITIES. INCLUDES, BUT IS NOT LIMITED TO, REMOVAL OF CEILING TILES FOR VISUAL INSPECTION LIMITED TO 1 TYPE A TILE PER 50 SQUARE FEET, PAINTING (BUT NOT SANDING) WALL COVERING, ELECTRICAL TRIM WORK, MINOR PLUMBING, AND ACTIVITIES WHICH DO NOT GENERATE DUST OR REQUIRE CUTTING OF WALLS OR ACCESS TO CEILINGS OTHER THAN FOR VISUAL INSPECTION. SMALL SCALE, SHORT DURATION ACTIVITIES WHICH CREATE MINIMAL DUST. INCLUDES, BUT IS NOT LIMITED TO, INSTALLATION OF TELEPHONE AND TYPE B COMPUTER CABLING, ACCESS TO CHASE SPACES, CUTTING OF WALLS OR CEILING WHERE DUST MIGRATION CAN BE CONTROLLED. ANY WORK WHICH GENERATES A MODERATE TO HIGH LEVEL OF DUST OR REQUIRES DEMOLITION OR REMOVAL OF ANY FIXED BUILDING COMPONENTS OR ASSEMBLIES. INCLUDES, BUT IS NOT LIMITED TO, SANDING OF WALL FOR PAINTING OR WALL COVERING, REMOVAL OF FLOOR COVERINGS, CEILING TILES TYPE C AND CASEWORK, NEW WALL CONSTRUCTION, MINOR DUCTWORK OR ELECTRICAL WORK ABOVE CEILINGS, MAJOR CABLING ACTIVITIES, AND ANY ACTIVITY WHICH CANNOT BE COMPLETED WITHIN A SINGLE WORKSHIFT. TYPE D MAJOR DEMOLITION AND CONSTRUCTION PROJECTS. INCLUDES, BUT IS NOT LIMITED TO, ACTIVITIES WHICH REQUIRE CONSECUTIVE WORK SHIFTS, REQUIRE HEAVY DEMOLITION OR REMOVAL OF A COMPLETE CEILING SYSTEM, AND NEW CONSTRUCTION. ICRA CLASSIFICATION SCHEDULE CLASS I 1. EXECUTE WORK BY METHODS TO MINIMIZE RAISING DUST FROM CONSTRUCTION OPERATIONS. 2. IMMEDIATELY REPLACE ANY CEILING TILE DISPLACED FOR VISUAL INSPECTION. ❑ 3. MINOR DEMOLITION FOR REMODELING. 1. PROVIDES ACTIVE MEANS TO PREVENT AIRBORNE DUST FROM DISPERSING INTO ATMOSPHERE. 2. WATER MIST WORK SURFACES TO CONTROL DUST WHILE CUTTING. 3. SEAL UNUSED DOORS WITH DUCT TAPE. CLASS II 4. BLOCK OFF AND SEAL AIR VENTS. 5. WIPE SURFACES WITH DISINFECTANT. ❑ 6. CONTAIN CONSTRUCTION WASTE BEFORE TRANSPORT IN TIGHTLY COVERED CONTAINERS. 7. WET MOP AND/OR VACUUM WITH HEPA FILTERED VACUUM BEFORE LEAVING WORK AREA. 8. PLACE DUST MAT AT ENTRANCE AND EXIT OF WORK AREA, 9. REMOVE OR ISOLATE HVAC SYSTEM IN AREAS WHERE WORK IS BEING PERFORMED. 1. OBTAIN INFECTION CONTROL PERMIT BEFORE CONSTRUCTION BEGINS. 2, ISOLATE HVAC SYSTEM IN AREA WHERE WORK IS BEING DONE TO PREVENT CONTAMINATION OF THE DUCT SYSTEM. 3. COMPLETE ALL CRITICAL BARRIERS OR IMPLEMENT CONTROL CUBE METHOD BEFORE CONSTRUCTION BEGINS. 4. MAINTAIN NEGATIVE AIR PRESSURE WITHIN WORK SITE UTILIZING HEPA EQUIPPED AIR FILTRATION UNITS AND MONITOR WITH MAGNEHELIC GAUGES. 5. DO NOT REMOVE BARRIERS FROM WORK AREA UNTIL COMPLETE PROJECT IS THOROUGHLY CLEANED BY ENVIRONMENTAL SERVICES DEPARTMENT. CLASS YII 6. VACUUM WORK WITH HEPA FILTERED VACUUMS. C� 7. WET MOP WITH DISINFECTANT. 8. REMOVE BARRIER MATERIALS CAREFULLY TO MINIMIZE SPREADING OF DIRT AND DEBRIS ASSOCIATED WITH CONSTRUCTION. 9. CONTAIN CONSTRUCTION WASTE BEFORE TRANSPORT IN TIGHTLY COVERED CONTAINERS. 10. COVER TRANSPORT RECEPTACLES OR CARTS. TAPE COVERING. 11. REMOVE OR ISOLATE HVAC SYSTEM IN AREAS WHERE WORK IS BEING PERFORMED. 1. OBTAIN INFECTION CONTROL PERMIT BEFORE CONSTRUCTION BEGINS. 2. ISOLATE HVAC SYSTEM IN AREA WHERE WORK IS BEING DONE TO PREVENT CONTAMINATION OF THE DUCT SYSTEM. 3. COMPLETE ALL CRITICAL BARRIERS OR IMPLEMENT CONTROL CUBE METHOD BEFORE CONSTRUCTION BEGINS. 4. MAINTAIN NEGATIVE AIR PRESSURE WITHIN WORK SITE UTILIZING HEPA EQUIPPED AIR FILTRATION UNITS AND MONITOR WITH MAGNEHELIC GAUGES. 5. SEAL HOLES, PIPES, CONDUITS, AND PUNCTURES APPROPRIATELY. 6. CONSTRUCT ANTEROOM AND REQUIRE ALL PERSONNEL TO PASS THROUGH THIS ROOM SO THEY CAN BE VACUUMED USING A HEPA VACUUM CLEANER BEFORE LEAVING WORK SITE OR THEY CAN WEAR CLOTH OR PAPER COVERALLS THAT ARE REMOVED EACH TIME THEY LEAVE THE WORK SITE. CLASS IV 7. ALL PERSONNEL ENTERING WORK SITE ARE REQUIRED TO WEAR SHOE COVERS. ❑ 8. DO NOT REMOVE BARRIERS FROM WORK AREA UNTIL COMPLETED PROJECT IS THOROUGHLY CLEANED BY THE ENVIRONMENTAL SERVICES DEPARTMENT AND RELEASED BY SAFETY AND INFECTION CONTROL. 9. VACUUM WORK AREA WITH HEPA FILTERED VACUUMS. 10. WET MOP WITH DISINFECTANT. 11. REMOVE BARRIER MATERIALS CAREFULLY TO MINIMIZE SPREADING OF DIRT AND DEBRIS ASSOCIATED WITH CONSTRUCTION. 12. CONTAIN CONSTRUCTION WASTE BEFORE TRANSPORT IN TIGHTLY COVERED CONTAINERS. 13. COVER TRANSPORT RECEPTACLES OR CARTS. TAPE COVERING. 14. REMOVE OR ISOLATE HVAC SYSTEM IN AREAS WHERE CONSTRUCTION IS BEING DONE. INFECTION CONTROL RISK ASSESMENT SCALE: 1 /16" = 1'-0" GENERAL NOTES 1. LOCATIONS OF AIR SCRUBBERS AND WALL MOUNTED PRESSURE MONITORS AS SHOWN ON DETAILS SHEET ARE SHOWN ON THIS PLAN TO ENCLOSE THE ENTIRE AREA OF CONSTRUCTION FROM THE ADJACENT OPEN AREAS. THEY ARE TO BE INSTALLED PRIOR TO THE COMMENCEMENT OF WORK AND DECONSTRUCTED AFTER COMPLETION. KEYED NOTES 1. INSTALL AIR SCRUBBER AND PRESSURE MONITOR IN THIS LOCATION. KEY PLAN SCALE: NONE i �J oop1'lw1r'1'jA ra - m s U H U U bA U k„ N 00 cs © M O ��w c� O 00 Q r5 0 e A • r-1 N CCU cd as M W � Project No. 714026 MO*2 (D2014 BH/PK Architects, Inc.