Audit

Work Activity

Enter details of activity

Take picture of work area if possible
Construction Type

TYPE A - Inspection and Non-Invasive Activities.

TYPE B - Small Scale, Short Duration Activities which create minimal dust.

TYPE C - Work Generating Moderate to High Level of Dust. Requires Demolition or Removal of Any Fixed Building Components or Assemblies.

TYPE D - Major Demolition and Construction Projects.

Risk Group That Will Be Affected

Group 1 - Low Risk

Group 2 - Medium Risk

Group 3 - High Risk

Group 4 - Highest Risk

Infection Risk Criteria Class.

Infection+Control+Risk+Assessment+(ICRA)+–+Best+Practice+Grid.jpg

Based on the Construction Type and Risk Group, please select the Risk Criteria from the chart below.

Implement the following measures before construction:
1. Execute work by methods to minimize raising dust from construction operations.
2. Immediately replace a ceiling tile displaced for visual inspection

Implement the following measures before construction:
1. Provide 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.
4. Block off and seal air vents.
5. Place dust mat at entrance and exit of work area
6. Remove or isolate HVAC system in areas where work is being performed.

Implement the following measures before construction:
1. Remove or Isolate HVAC system in area where work is being done to prevent contamination of duct system.
2. Complete all critical barriers i.e. sheetrock, plywood, plastic, to seal area from non work area or implement control cube method (cart with plastic covering and sealed connection to work site with HEPA vacuum for vacuuming prior to exit) before construction begins.
3. Maintain negative air pressure within work site utilizing HEPA equipped air filtration units.
4. Contain construction waste before transport in tightly covered containers.
5. Cover transport receptacles or carts. Tape covering unless solid lid.

Implement the following measures before construction:
1. Isolate HVAC system in area where work is being done to prevent contamination of duct system.
2. Complete all critical barriers i.e. sheetrock, plywood, plastic, to seal area from non work area or implement control cube method (cart with plastic covering and sealed connection to work site with HEPA vacuum for vacuuming prior to exit) before construction begins.
3. Maintain negative air pressure within work site utilizing HEPA equipped air filtration units.
4. Seal holes, pipes, conduits, and punctures.
5. 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 work site.
6. All personnel entering work site are required to wear shoe covers. Shoe covers must be changed each time the worker exits the work area.
7. Do not remove barriers from work area until completed project is inspected by the owner’s Safety Department and Infection Control Department and thoroughly cleaned by the owner’s Environmental Services Dept.

Implement the following measures:
1. Clean work area upon completion of task.

Implement the following measures:
1. Wipe work surfaces with disinfectant.
2. Contain construction waste before transport in tightly covered containers.
3. Wet mop and/or vacuum with HEPA filtered vacuum before leaving work area.
4. Remove isolation of HVAC system in areas where work is being peformed.

Implement the following measures:
1. Do not remove barriers from work area until completed project is inspected by the owner’s Safety Department and Infection Control Department and thoroughly cleaned by the owner’s Environmental Services Department.
2. Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.
3. Vacuum work area with HEPA filtered vacuums.
4. Wet mop area with disinfectant.
5. Remove isolation of HVAC system in areas where work is being performed.

Implement the following measures:
1. Remove barrier material carefully to minimize spreading of dirt and debris associated with construction.
2. Contain construction waste before transport in tightly covered containers.
3. Cover transport receptacles or carts. Tape covering unless solid lid
4. Vacuum work area with HEPA filtered vacuums.
5. Wet mop area with disinfectant.
6. Remove isolation of HVAC system in areas where work is being performed

Additional Requirements:

Contractor:
Project Manager:
Infection Control:
Post Construction
Contractor:
Project Manager:
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.