INTEGRIS Infection Prevention Construction Audit

• Conducted on

  Date

• Prepared by

• Location
  Address

Documentation

• Project Risk Assessment posted

  Yes

  No

  N/A

  Not Observed

• Checklist current

  Yes

  No

  N/A

  Not Observed

Air

• Negative pressure maintained

  Yes

  No

  N/A

  Not Observed

• HEPA air scrubbers in use

  Yes

  No

  N/A

  Not Observed

• Air scrubber filters clean

  Yes

  No

  N/A

  Not Observed

• Return vents filtered or sealed per PRA

  Yes

  No

  N/A

  Not Observed

Barrier

• Door closed to construction area

  Yes

  No

  N/A

  Not Observed

• Appropriate barrier utilized according to PRA

  Yes

  No

  N/A

  Not Observed

• All areas sealed at all seams

  Yes

  No

  N/A

  Not Observed

• Barriers that cross through vents are sealed appropriately

  Yes

  No

  N/A

  Not Observed

• No holes or tears in barrier

  Yes

  No

  N/A

  Not Observed

Cleanliness

• Sticky mats in place and functional

  Yes

  No

  N/A

  Not Observed

• Patient equipment and supplies removed from area or covered per PRA

  Yes

  No

  N/A

  Not Observed

• Area outside construction area remains clean

  Yes

  No

  N/A

  Not Observed

• Clean Equipment brought into high risk areas

  Yes

  No

  N/A

  Not Observed

• PPE donned and Doffed according to PRA

  Yes

  No

  N/A

  Not Observed

• Construction debris removed in cleaned covered containers

  Yes

  No

  N/A

  Not Observed

• Daily cleaning of construction area

  Yes

  No

  N/A

  Not Observed

• HEPA filter vacuum utilized for cleaning

  Yes

  No

  N/A

  Not Observed

Quality Measures

• Air particle count completed

  Yes

  No

  N/A

  Not Observed

• Negative air pressure monitored

  Yes

  No

  N/A

  Not Observed