MedicalCenter PCRA Form
Assessment of the Impact of Construction Projects
Project: 3 South Renovation Phase 1/ Location(s): 3 South / Start Date: 3/08 / End Date: 9/09
Project Coordinator: Anthony Garrelli / Contractor: Turner Construction
Risk Impact(A)Noise / Impact, duration, scheduled time of work / Significant
(B)Air / Dust / Cutting, Grinding, Sanding, etc. /
Significant(C)Infection Control / Category of Risk: 
1 – 2 – 3 – 4 – 5 / Significant
(D)Vibration / Tool use, demolition,
distance / Moderate
(E)Life Safety impact / Hot work, disabling alarms, penetrations, exit modifications, smoking / Moderate
(F)Disruption of utilities / Planned shutdowns, Construction near utility system supplies / Moderate
(G)Emergency Access / Security / Obstruct access to fire lanes or fire dept.? Site security, access control / Minimal
Brief description of work to be performed: Renovating the 3 South wing to meet new user requirements by significantly expanding patient room size and redesigning floor plan for existing unit. Need to remove all interior, existing walls; gutting the entire floor and erecting new walls, utility reroutes, and sink & bathfixtures. Approximately 25-30 contractors working in this area during Phase 1. Additional subcontractors may also be working for short duration (2-5day) tasks.
List areas of forecasted concerns for any/all of the Categories listed above / List appropriate measure(s) recommended for limiting disruption / code violation / potential adverse outcome.
(A) At various intervals of the initial phase of project, loud noise will be generated from pounding, hammering and use of high-impact power tools / Schedule times when these activities can be performed after hours or on weekends. Halt work activities if patient or family complaints are received.
(B)(C)Removing of existing walls will generate significant dust and air quality concerns. Various tasks during construction will also generate dust for the duration of the project. / Install dust mats at entrances, erect dust barrier around all walls using plastic & tape, use clean air machines for duration of project. Ventilation to be sealed from adjoining areas. Periodicinspections by Infection Control. Refer to ICRA for details
(D) Use of high-impact power tools will be in use at various times for the duration of the project. / Schedule times when these activities can be performed after hours or on weekends. Halt work activities if patient or family complaints are received.
(E) Hot work to be performed periodically and penetrations to floor slab and corridor walls will be created. Alarm system needs to be protected from dust generated during hours of work. / Notify operator of daily work in progress foralarm by-pass request. Set fire watch for all open flame work mandating extinguishers within 5 ft. Post no smoking signs and fire response procedures at each entry. Extinguishers required within 5 ft. of hot work performed and fire watch maintained. All barriers used will be of limited combustibility.
(F) Relocation of various utilities within the zone include: electric panels, medical gas and water. Ventilation will be modified during Phase 2 of project and no impact is foreseen during this phase. *Potential for accidental shut-down / failure is a concern based on previous project experience. / Utility failure plans to be distributed to adjacent patient care areas and contractors will be provided emergency response plans in the event of disruptions. Periodic shut down notices need to be distributed house-wide, with one-week advanced notice.
(G) Area to remain locked at all times for duration of project and restricted to authorized personnel. / Post signage at all points of entry and install construction cores in lock cylinders. Fire response team will be informed of project and provision for keys for emergency access will be handled by Security.
THIS FORM WILL BE DISTRIBUTED TO ALL AFFECTED AREA MANAGERS, ENGINEERING, INFECTION CONTROL, CONTRACTOR(S), SAFETY & SECURITY, RISK MANAGEMENT, NURSE ADMINISTRATION, V.P. of FACILITIES & EC COMMITTEE.
PCRA Risk Assessment Form-Completed.doc