ICRA 2.0 infection control risk assessment for healthcare construction

ICRA 2.0 Compliance

Infection Control Risk Assessment

The ICRA 2.0 Matrix is a critical tool used in healthcare construction to assess the level of infection control precautions required during construction and renovation activities. At Boaz Construction, we rigorously follow ICRA 2.0 standards to protect patients, staff, and visitors throughout every healthcare project.

The matrix cross-references the type of construction activity with the patient risk group to determine the appropriate class of precautions that must be implemented.

Construction Activity Types

Type	Description	Examples
Type A	Inspection and non-invasive activities	Removal of ceiling tiles for visual inspection, painting (no sanding), wallcovering, electrical trim work, minor plumbing
Type B	Small-scale, short-duration activities generating minimal dust	Cutting small openings in walls for access, installing telephone or data cabling, minor electrical work above ceilings
Type C	Activities generating moderate-to-high dust; requires more than one work shift to complete	Sanding walls, removal of floor coverings or ceiling tiles, new wall construction, ductwork, major electrical work above ceilings
Type D	Major demolition and construction projects	Activities requiring consecutive work shifts, heavy demolition, removal of complete ceiling systems, new construction

Patient Risk Groups

Group	Risk Level	Typical Areas
Group 1	Low Risk	Office areas, public corridors, storage, locker rooms, restrooms for visitors
Group 2	Medium Risk	Outpatient clinics, cardiology, echocardiography, endoscopy, nuclear medicine, physical therapy, radiology, admitting
Group 3	High Risk	Emergency rooms, labor & delivery, med/surg nursing units, newborn nursery, pediatrics, post-anesthesia care, outpatient surgery
Group 4	Highest Risk	Bone marrow transplant units, burn units, cardiac catheterization, ICU/CCU, oncology, operating rooms, sterile processing, pharmacy admixture

ICRA 2.0 Matrix of Precautions

Cross-reference the Construction Activity Type (rows) with the Patient Risk Group (columns) to determine the required Class of Precautions.

	Group 1 Low Risk	Group 2 Medium Risk	Group 3 High Risk	Group 4 Highest Risk
Type A	I	I	I	II
Type B	I	II	II	III
Type C	II	III	III	IV
Type D	III	III	IV	IV

Classes of Precautions

Class	Required Precautions
I	Execute work by methods to minimize raising dust from construction operations. Immediately replace ceiling tiles displaced for visual inspection.
II	Provide active means to prevent airborne dust from dispersing into the atmosphere. Water-mist work surfaces to control dust. Seal unused doors with duct tape. Block off and seal air vents. Place dust mat at entrance and exit of work area. Remove or isolate HVAC system in area where work is being performed.
III	Obtain Infection Control permit before construction begins. Isolate HVAC system to prevent contamination. Complete all critical barriers (hard wall or airtight plastic barriers) before construction begins. Maintain negative air pressure within work site using HEPA-equipped air filtration units. Contain construction waste before transport in tightly covered containers. Cover transport receptacles or carts. All personnel entering the work area must wear proper PPE.
IV	Obtain Infection Control permit before construction begins. Isolate HVAC system to prevent contamination. Complete all critical barriers (hard wall sealed with joint compound) before construction begins. Maintain negative air pressure within work site using HEPA-equipped air filtration units. Seal holes, pipes, conduits, and punctures. Construct anteroom and require all personnel to pass through anteroom for proper cleaning and gowning before entering patient care areas. All personnel must wear shoe covers, head covers, and proper PPE. Conduct regular environmental monitoring.

Boaz Construction’s Commitment

Every Boaz healthcare project undergoes a thorough ICRA assessment before work begins. Our teams are trained in infection control protocols, barrier construction, HEPA filtration, negative pressure management, and proper PPE usage. We work hand-in-hand with facility infection preventionists to ensure full compliance at every phase of construction.