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Risk Assessment - Hazard Analysis Worksheet for Construction/ Renovation |
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Manual: Life Safety and Interim Life Safety Management Manual (Ver 4) External Reference: (JCAHO EC.8.30)
This customizable document, Risk Assessment - Hazard Analysis Worksheet for Construction/ Renovation, is taken from MCN Healthcare’s Life Safety and Interim Life Safety Management Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools. Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards. Here is some sample content from Risk Assessment - Hazard Analysis Worksheet for Construction/ Renovation:
| | RISK ASSESSMENT
HAZARD ANALYSIS WORKSHEET FOR CONSTRUCTION/RENOVATION
Construction Location:
Project Manager:
Types of Construction Activity:
Population Risk Assessment:
A = Inspection/Noninvasive Activities
1 = Low Risk: Office Areas, Unoccupied Units
B = Small scale, short duration with minimal dust
2 = Medium Risk: Other Patient Care Areas Not Listed in 3 and 4 and Admitting
C = Work generates moderate to high level of dust or requires demolition or removal of fixed components
3 = Medium to High Risk: ED, Imaging. PACU, Outpatient Surgery, Clinical Laboratory, Medical Surgical,... |
| Second excerpt: |
| | ... construction or renovation projects
4 = High Risk: ICU/CCU, OR, Maternal Child Health, GI Lab, Central Service, Pharmacy Admixture Room
Potential Compromise to:
Type of Construction Activity
List Patient Care Areas Impacted
List Non-Patient Care Areas Impacted
Population Risk Assessment
List Control Activities Needed
Air Requirements
1.
2.
3.
4.
Infection Control
1.
2.
3.
4.
Utility Failure - Check Affected Utility
Communications/Telephone
Electrical
Generator
Temperature
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