Template

UMMS - ICRA 2.0 CONTAINMENT DAILY INSPECTION CHECKLIST

by Calvin Hoffmaster, from the Community

10+

Use this UMMS ICRA 2.0 containment daily inspection checklist to safeguard patients and staff during healthcare construction or renovation. Verify sealed barricades, negative pressure and ventilation controls, debris handling and cleaning routes, proper PPE and contractor IDs, traffic control and signage, and required permits. Optional checks include airflow, temperature, humidity, and particle counts.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
ICRA 2.0 Infection Control Risk Assessment and Permit
Use this UMMS ICRA 2.0 electronic template to plan and document infection control measures for construction, renovation, and maintenance in healthcare facilities. Define activity type A-D, assess patient risk areas, determine the class of precautions I-V, and outline controls for dust, noise, ventilation, and pressurization. Record impacted systems, surrounding area contacts, verification methods, and required approvals to issue and track permits safely.
by Calvin Hoffmaster, from the Community
Downloads: 10+
Get
Template
UMMS ICRA 2.0 Infection Control Risk Assessment and Permit
Use this electronic ICRA 2.0 template to assess and permit infection control measures for construction, renovation, or maintenance in healthcare facilities. Capture project details, define activity type A to D, evaluate patient risk areas, and determine the appropriate class of precautions. Document surrounding area impacts, required controls for dust, ventilation, pressurization, and systems affected including mechanical, medical gas, and water. Plan controls, specify materials, set verification methods and frequency, and record authorizations and approvals. Includes guidance to stop work and seek approval if scope changes.
by Calvin Hoffmaster, from the Community
Downloads: 0
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Template
ICRA Assessment for Healthcare Construction
This Infection Control Risk Assessment (ICRA) template supports safe healthcare construction and renovation. It captures key project details, affected departments, and maps construction activities (Types A–D) to patient risk groups to determine the appropriate ICRA class (I–IV). The checklist outlines required controls for each class, including HVAC isolation, sealing penetrations, dust mats, HEPA filtration, negative air pressure, barrier installation, PPE and shoe covers, controlled waste handling, HEPA vacuuming, and disinfectant cleaning, plus inspection and sign-off by Infection Prevention. It also prompts assessment of additional risks such as noise, vibration, air quality, utility failures, and operational impacts, with approvals and signatories from Facilities Management, Infection Prevention, and the contractor.
by Mary T. Jaco, from the Community
Downloads: 10+
Get
Template
Mercy Muskegon - ICRA Checklist
Infection Prevention and Control Construction/Renovation Checklist
by Dan Behler, from the Community
Downloads: 40+
Get

ICRA 2.0 Infection Control Risk Assessment and Permit

Use this UMMS ICRA 2.0 electronic template to plan and document infection control measures for construction, renovation, and maintenance in healthcare facilities. Define activity type A-D, assess patient risk areas, determine the class of precautions I-V, and outline controls for dust, noise, ventilation, and pressurization. Record impacted systems, surrounding area contacts, verification methods, and required approvals to issue and track permits safely.

by Calvin Hoffmaster, from the Community

10+

Get

Template

UMMS ICRA 2.0 Infection Control Risk Assessment and Permit

Use this electronic ICRA 2.0 template to assess and permit infection control measures for construction, renovation, or maintenance in healthcare facilities. Capture project details, define activity type A to D, evaluate patient risk areas, and determine the appropriate class of precautions. Document surrounding area impacts, required controls for dust, ventilation, pressurization, and systems affected including mechanical, medical gas, and water. Plan controls, specify materials, set verification methods and frequency, and record authorizations and approvals. Includes guidance to stop work and seek approval if scope changes.

by Calvin Hoffmaster, from the Community

Get

Template

ICRA Assessment for Healthcare Construction

This Infection Control Risk Assessment (ICRA) template supports safe healthcare construction and renovation. It captures key project details, affected departments, and maps construction activities (Types A–D) to patient risk groups to determine the appropriate ICRA class (I–IV). The checklist outlines required controls for each class, including HVAC isolation, sealing penetrations, dust mats, HEPA filtration, negative air pressure, barrier installation, PPE and shoe covers, controlled waste handling, HEPA vacuuming, and disinfectant cleaning, plus inspection and sign-off by Infection Prevention. It also prompts assessment of additional risks such as noise, vibration, air quality, utility failures, and operational impacts, with approvals and signatories from Facilities Management, Infection Prevention, and the contractor.

by Mary T. Jaco, from the Community

10+

Get

Template

Mercy Muskegon - ICRA Checklist

Infection Prevention and Control Construction/Renovation Checklist

by Dan Behler, from the Community

40+

Get

UMMS - ICRA 2.0 CONTAINMENT DAILY INSPECTION CHECKLIST

About author

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ICRA 2.0 Infection Control Risk Assessment and Permit

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ICRA Assessment for Healthcare Construction

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ICRA 2.0 Infection Control Risk Assessment and Permit

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