APPENDIX B

PRE-CONSTRUCTION RISK ASSESSMENT (PCRA)

MATRIX FOR DETERMINING INFECTION RISK CLASS

To determine the infection risk class for construction, renovation or maintenance work, follow 3 steps:

1. Select Project Type

Project Activity Types (A,B,C,D): Designations which define the amount of dust generated, the duration of
activity, and/or the amount of involvement with heating, ventilation and air conditioning (HVAC) and water
systems during a project.

TYPE Inspection and non-invasive activities

A Examples include:
Removal of ceiling tiles or open access for visual inspection (limited to one tile per 50 square
feet); replacement of tiles with damage or minor staining
Painting (but not sanding);
Wall covering, electric trim work, minor plumbing, and activities which do not generate dust or
require cutting of walls or access to the ceiling other than for visual inspection.
TYPE Small scale, short duration activities that may create minimal dust or disturb mold
B Examples include
Installation of telephone and computer cabling;
Entering chase spaces
Cutting of walls or ceiling where dust migration can be controlled
Minor sanding of walls for painting or wall covering
TYPE Any work that generates a moderate to high level of dust or requires demolition or removal of
C any fixed building components or assemblies
Examples include:
Major sanding of walls for painting or wall covering
Removal of floor coverings, ceiling and case work, wallpaper
New wall construction
Duct work above ceilings
Major cabling activities
Any activity that cannot be completed within a single workday
TYPE Major demolition and construction projects
D Examples include:
Removal of a complete ceiling system
Requires heavy demolition or removal of a completed system
New construction

2. Select Risk Group

Risk Groups (Low, Medium, High, Highest): Designations of areas within UCIMC identified by the concern
for possible harm to patients and other occupants and the levels of protection required.

Low Medium High Highest

Risk Group Risk Group Risk Group Risk Group
a. Office areas a. All in-patient care a. Emergency a. Transplant Units
b. Non-patient/low areas not listed in high Department b. Intensive Care Units
risk areas not specified groups b. PACU c. ISCU
elsewhere b. All Ambulatory Care c. Labor and Delivery d. Surgery, all areas
sites not otherwise d. Burn & Wound Clinic e. Sterile Processing
listed e. Food preparation areas
c. Ultrasound areas f. L&D ORs
 d. Neuropsych Ctr
e. Physical Therapy/OT
f. Diagnostic
Radiology/MRI
g. Cancer Center (except
Infusion Center)
h. Respiratory Therapy
i. Occupational Health
j. Admitting
k. Cardiology (except
cath lab areas)
l. Public corridors
m. Nuclear Medicine
n. Cafeteria
f. All laboratory areas g. Cath Labs
g. Pathology areas h. Interventional
h. Newborn Nursery Radiology
i. Outpatient invasive i. Dialysis
procedure rooms j. Oncology
k. Endoscopy areas
l. Pharmacy
Admixture areas
m. Infusion Center
n. Hydrotherapy

3. Determine Infection Risk Class

Construction Classification (Class I, II, III, IV): Designation which specifies measures necessary to safely
perform any facility construction, renovation or maintenance. This classification is determined by matching the
Construction Project Activity Type with the designated Risk Group in the matrix below.

PROJECT ACTIVITY TYPE TYPE TYPE TYPE TYPE

A B C D

RISK GROUP
Construction Classification (Class)
Low Risk Group Class I Class II Class II Class III
Medium Risk Group Class I Class II Class III Class IV
High Risk Group Class I Class II Class III Class IV
Highest Risk Group Class II Class III Class IV Class IV

Based on the infection risk class, varying degrees of infection prevention measures must be applied. These
measures are outlined in the PCRA form.