The Infection Control Risk Assessment Form For (Construction) is a mandatory document required for any construction, renovation, or maintenance project within Canadian healthcare facilities. This document became essential following the implementation of stringent healthcare facility construction standards and infection prevention requirements across Canada. It ensures compliance with CSA Z317.13-17 standards, provincial health regulations, and federal safety guidelines. The form must be completed before commencing any construction work that could potentially impact patient care areas or create infection risks. It includes comprehensive risk evaluation criteria, preventive measures, monitoring requirements, and responsibility assignments. The document serves as both a planning tool and a legal record of infection control measures implemented during construction activities.
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1. Project Information: Basic details including project location, scope, duration, and key contacts
2. Construction Activity Type: Classification of the type of construction work (e.g., demolition, renovation, new construction)
3. Area Risk Assessment: Evaluation of the healthcare areas affected and their risk levels
4. Patient Risk Assessment: Assessment of potential impact on patient populations in adjacent areas
5. Required Precautions Matrix: Determination of required infection control precautions based on construction and patient risk levels
6. Containment Measures: Specific control measures required for the project including barriers, HVAC requirements, and cleaning protocols
7. Traffic Control: Routes for construction personnel, materials, and debris removal
8. Environmental Monitoring Requirements: Specifications for air quality monitoring and other environmental checks
9. Communication Plan: Protocol for reporting incidents and coordinating with healthcare staff
10. Sign-off and Approval: Required signatures from infection control, facility management, and construction team
1. Water System Impact Assessment: Required when construction affects water systems or presents risk of waterborne pathogens
2. Specialized Department Requirements: Additional measures for high-risk areas like operating rooms, ICU, or immunocompromised patient units
3. Interim Life Safety Measures: Required when construction impacts fire safety or evacuation routes
4. Phasing Plan: Needed for complex projects requiring multiple stages or areas
5. Contamination Prevention for Specialized Equipment: Required when construction occurs near sensitive medical equipment
6. Emergency Procedures: Special protocols for managing infection control during construction emergencies
1. Appendix A - Risk Assessment Matrix: Detailed matrix for determining risk levels based on construction activity and patient population
2. Appendix B - Infection Control Permit: Formal permit to be displayed at construction site
3. Appendix C - Daily Monitoring Checklist: Checklist for daily verification of infection control measures
4. Appendix D - Barrier Installation Specifications: Detailed specifications for various types of infection control barriers
5. Appendix E - Environmental Testing Protocols: Procedures and acceptance criteria for environmental monitoring
6. Appendix F - Incident Report Form: Template for reporting infection control breaches or incidents
7. Appendix G - Construction Personnel Training Record: Documentation of required infection control training for workers
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