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Infection control risk assessment icra compliance

Icra matrix 2026

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The document outlines the Infection Control Risk Assessment (ICRA) process for construction and renovation projects in healthcare settings. It categorizes construction activities into four types (A-D) based on their potential to generate dust and impact patient safety. The document also identifies patient risk groups (low to highest) and matches them with appropriate classes of infection control precautions (I-IV). Detailed guidelines for minimizing airborne dust, maintaining negative air pressure, and ensuring proper cleaning procedures are provided. Additionally, it emphasizes the need for collaboration with infection prevention staff and adapting the assessment to specific organizational needs.

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Click ‘Get Form’ to open the ICRA matrix in the editor.
Begin by identifying the Type of construction project activity (Type A–D) based on the provided descriptions. Select the appropriate type that corresponds to your project.
Next, identify the Patient Risk Groups affected by the construction. Choose the highest risk group if multiple groups are impacted.
Match the identified Patient Risk Group with the planned Construction Project Type on the matrix to determine the Class of Precautions required (I, II, III, or IV).
Fill in any additional details regarding required infection control precautions based on your selected class.
Assess surrounding areas and potential impacts by identifying adjacent units and their respective risk groups.
Complete sections regarding specific site activities, ventilation issues, and containment measures as outlined in subsequent steps.

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Who is ultimately responsible for the ICRA?

The hospital is responsible for implementing and enforcing the ICRA. Infection prevention staff or safety officers are often tasked with routine checks to ensure compliance. If the project changes, the ICRA plan must be updated immediately and re-communicated to all teams.

Where is ICRA required?

The CDC requires healthcare facilities to perform an Infection Control Risk Assessment (ICRA) before any renovation, construction or repair project.

When should an ICRA be completed?

An ICRA must be completed for all Work in any facility that potentially impacts patient care activities including work vertically or horizontally adjacent to patient care areas.

What does an ICRA plan look like?

This ICRA tool is designed to facilitate IPAC risk assessment by guiding those overseeing CRMD work (e.g., members of a multidisciplinary project team, project lead, facilities department staff) through the identification of risk groups that may be affected by their proximity or potential exposure to the proposed CRMD

What is the 5 * 5 risk assessment matrix?

Your comprehensive ICRA plan should include drawings of the hospital work zone and surrounding areas. These drawings should illustrate the Interim Infection Control Protocols that your team has decided on, and include notes of important details.

What does ICRA mean?

A 55 risk assessment matrix also known as a risk rating matrix is used to assess and prioritise risks based on the likelihood and severity of their consequences. The matrix is comprised of a grid with five columns and five rows, creating 25 individual cells. Heres an example of a risk rating matrix below.

What are ICRAs main services?

Key components of ICRA include: Determining the scope of work. Identifying potential risks to patients and medical staff. Establishing appropriate containment and infection control measures. Monitoring and documenting compliance throughout the project.

Icra matrix 2026

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