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Construction

Construction, renovation and maintenance activities can have a negative impact on health care facilities by generating dust and debris that may contain harmful microorganisms.  Examples of construction activities include adding new additions to a facility, renovating existing areas and repairing damage caused by water leaks.

In order to reduce the risk of disease transmission, the Infection Control Department collaborates with relevant stakeholders to ensure the safety of patients/residents, visitors and staff. 

The Canadian Standards Association developed a mandatory national standard for “Infection Control during construction, renovation and maintenance of health care facilities” (CSA-Z317.13-12). To comply with this CSA Standard, an Infection Control Risk Assessment (ICRA) is conducted to determine the level of risk to patients/residents before a construction, renovation or maintenance project begins.  Facilities management, the site project team, the contractor, the Infection Control Department and other stakeholders use the ICRA to perform a risk analysis of the patient population (geographical location involved) and the type of construction activity.  The analysis will determine the necessary level of infection control preventative measures to be used during the project.  IP&C shall be notified of all construction, renovation, and maintenance activities. The exceptions to this notification are Type A and B activities within Risk Group 1 and 2.

The IP&C Construction Site Monitoring Tool is used to ensure all Infection Control Measures are safely in place during construction, renovation, and maintenance projects. This checklist includes barriers, air handling, project area, traffic control, and dress code.

The Post-Construction Checklist for Newly Constructed/Renovated Areas is used to ensure new spaces are ready to be turned over to their users.

After completing the ICRA and determining the preventative measures required, the corresponding Infection Control Preventative Measures Level 1-4 are to be used. These documents provide a checklist of the required preventative measures in detail for each level of construction activity. For example, if the ICRA determined the construction activity to be preventative measures level 3, please use the corresponding Infection Control Preventative Measures Level 3 checklist.

Note: In order to fully understand and apply the principles and tools of CSA Infection Control during construction, renovation and maintenance of health care facilities (CSA-Z317.13), it is recommended that users take the CSA Course(s) (Fundamentals of Infection Control During Construction, Renovation and Maintenance of Health Care Facilities; Practical Applications of Infection Control During Construction, Renovation and Maintenance of Health Care Facilities).

For further information please contact your site Infection Control Practitioner. Contact information can be found under the ‘IPC Contacts’ header.

Education Session Videos December 2013:

"Infection Prevention and Control Health Care Facility Design Guidelines and Preventive Measures for Construction, Renovation and Maintenance Activities - May 2013"

Opening Keynote

Guideline Design

Guideline Importance

Guideline Toolkits

Guideline Exceptions

Closing Remarks