ICRA 2.0 Tool - Permit

Oct 1, 2026

Uploaded by Stanford

ICRA 2.0 tool instructions define a stepwise method to classify construction activities and determine required infection control precautions in healthcare environments. Step one assigns the planned activity to Type A–D based on dust, debris, duration, and invasiveness. Step two links affected patient areas to patient risk groups (Low to Highest). Step three maps the patient risk group and construction type to the Class of Precautions (I–V), including conditions requiring permits and elevated negative air exhaust.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages8

Reading Time20 min

AccessFree to download

Activity Type Classification

Patient Risk Group Identification

Class of Precautions Selection

Surrounding Area Risk Assessment

Step One: Using Table 1 , Identify the Activity Type (A-D) . Table 1-Activity Type: | Type A | Inspection and non-invasive activities.
Includes but is not limited to:
􀁸 Removal of ceiling tile for visual inspection-limited to 1 tile per 50 square feet with limited exposure time.
􀁸 Limited building system maintenance (e.g. , pneumatic tube station, HVAC system, fire suppression system, electrical and carpentry work to include painting without sanding) that does not create dust or debris.
􀁸 Clean plumbing activity limited in nature. | | --- | --- | | Type B | Small-scale, short duration activities that create minimal dust and debris.
Includes but is not limited to:
􀁸 Work conducted above the ceiling (e.g. , prolonged inspection or repair of firewalls and barriers, installation of conduit and/or cabling, and access to mechanical and/or electrical chase spaces) .
􀁸 Fan shutdown/startup.
􀁸 Installation of electrical devices or new flooring that produces minimal dust and debris.
􀁸 The removal of drywall where minimal dust and debris is created.
􀁸 Controlled sanding activities (e.g. , wet or dry sanding) that produce minimal dust and debris. | | Type C | Large-scale, longer duration activities that create a moderate amount of dust and debris.
Includes but is not limited to:
􀁸 Removal of preexisting floor covering, walls, casework or other building components.
􀁸 New drywall placement.
􀁸 Renovation work in a single room.
􀁸 Non-existing cable pathway or invasive electrical work above ceilings.
􀁸 The removal of drywall where a moderate amount of dust and debris is created.
􀁸 Dry sanding where a moderate amount of dust and debris is created.
􀁸 Work creating significant vibration and/or noise.
􀁸 Any activity that cannot be completed in a single work shift. | | Type D | Major demolition and construction activities.
Includes but is not limited to:
􀁸 Removal or replacement of building system component(s) .
􀁸 Removal/installation of drywall partitions.
􀁸 Invasive large-scale new building construction.
􀁸 Renovation work in two or more rooms. | Step Two: Using Table 2 , identify the Patient Risk Group(s) that will be affected. If more than one risk group will be affected, select the higher risk group. Table 2-Patient Risk Group: | Low Risk
Non-patient care areas such as: | Medium Risk
Patient care support areas such as: | High Risk
Patient care areas such as: | Highest Risk
Procedural, invasive, sterile support and highly compromised patient care areas such as: | | --- | --- | --- | --- | | 􀁸 Public hallways and gathering areas not on clinical units.
􀁸 Office areas not on clinical units.
􀁸 Breakrooms not on clinical units.
􀁸 Bathrooms or locker rooms not on clinical units.
􀁸 Mechanical rooms not on clinical units.
􀁸 EVS closets not on clinical units. | 􀁸
􀁸 Waiting areas.
􀁸 Clinical engineering.
􀁸 Materials management.
􀁸 Sterile processing department-dirty side.
􀁸 Kitchen, cafeteria, gift shop, coffee shop, and food kiosks. | 􀁸 Patient care rooms and areas
􀁸 All acute care units
􀁸 Emergency department
􀁸 Employee health
􀁸 Pharmacy-general work zone
􀁸 Medication rooms and clean utility rooms
􀁸 Imaging suites:
diagnostic imaging
􀁸 Laboratory. | ~~􀁸 ~~
􀁸 All transplant and intensive care units.
􀁸 All oncology units.
􀁸 OR theaters and restricted areas.
􀁸 Procedural suites.
􀁸 Pharmacy compounding.
􀁸 Sterile processing department
-clean side.
􀁸 Transfusion services.
􀁸 Dedicated isolation wards/units.
􀁸 Imaging suites: invasive imaging. | Step Three: Match the Patient Risk Group (Low, Medium, High, Highest) from Step Two with the planned Construction Activity Project Type (A, B, C, D) from Step One using Table 3 to find the Class of Precautions (I, II, III, IV or V) or level of infection control activities required. The activities are listed in Table 5 – Minimum Require

FAQs

How are construction activities classified in ICRA 2.0 Tool?

The activity is matched to Type A, B, C, or D in Table 1 based on how invasive it is and how much dust, debris, vibration, or noise it creates.

How do you determine the patient risk group affected by a project?

Using Table 2, identify the patient care areas impacted and select the higher risk group if multiple groups are affected.

When is an infection control permit and approval required?

Permit and approval are required when the Class of Precautions is III (Type C) or when Class IV or V is needed for the selected activity and risk group.

Oct 1, 2026

Uploaded by Stanford