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Infection Control Risk Assessment - Book Resource

Completing Construction Paperwork (page 135): The Infection Control Risk Assessment (ICRA) and Interim Life Safety Measures (ILSM) are documents that remain live throughout a project and dictate how infection risks are controlled and what administrative actions are taken to temporarily compensate for the hazards posed by construction activities. Project managers must include ICRA and ILSM criteria in their bid documents to ensure that contractors account for any costs that these requirements add to the budget. Before construction begins, the contractor should also submit to you an ICRA plan, so that the infection prevention nurse can sign off on the ICRA permit. Your project team also needs to work with the facility and safety officer to determine ILSM requirements for each unique project circumstance. Finally, architects should follow the Facility Guideline Institute’s guidelines ( for the type of building being designed by addressing ICRA and ILSM requirements in their design plans, including demonstrating how they have mitigated infection risks and recording what hazards remain.

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