Critical Response Protocol: Bio-Containment Pressure Loss & Ventilation Failure

1. Medical Wing, Room Number & Patient Isolation Metadata

This section captures critical location and patient isolation data to establish the scope and risk level of the HVAC emergency. All fields marked mandatory must be completed before proceeding to subsequent sections.


Healthcare Facility Name

Medical Wing/Zone Identifier

Bio-Containment Room Number(s)

Bio-Safety Level (BSL) Classification

Total Number of Patients in Affected Unit(s)

Current Isolation Precautions in Effect (select all that apply)

Are patients infected with high-consequence infectious agents?


Exact Time of Pressure/Ventilation Failure Detection

Number of Clinical Staff Present in Unit at Time of Failure

Additional Isolation Metadata or Special Considerations

2. Airflow Pressure Delta & HEPA Filtration Diagnostic Check

Document all pressure differential measurements and HEPA filtration system diagnostics. Compare current readings against established baselines to determine deviation severity.


Pressure Differential Measurements (in Pascals)

Location/Room Pair

Required Baseline Pressure

Actual Pressure at Detection

Current Pressure (Post-Initial Response)

Deviation from Baseline

Within Acceptable Tolerance?

Patient Room to Anteroom
-25
-15
-18
10
 
Anteroom to Corridor
-15
-8
-10
7
 
Bathroom to Patient Room
-10
-5
-8
5
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Primary HEPA Filter Differential Pressure (Pa)

HEPA Filter Integrity Test (PAO/DEHS) Passed?


Supply Air Flow Rate (m³/h)

Exhaust Air Flow Rate (m³/h)


Were any HEPA filter housings or seals visually compromised?


Primary Cause of Pressure Loss

Critical Pressure Alarm Activated?


Additional Diagnostic Observations

3. Emergency Patient Relocation & Biological Containment Lockdown Log

Was Emergency Patient Relocation Required?


Relocation Initiation Time (if applicable)

Relocation Completion Time (if applicable)


Destination Relocation Room Number(s)

Patient Condition During Relocation

Were patients transported using negative pressure isolation pods?


I confirm that all transport personnel utilized appropriate PPE (N95 or higher, gowns, gloves, eye protection)

Biological Containment Lockdown Initiated

Containment Lockdown Procedures Implemented (select all that apply)

Was there any breach of primary containment during the incident?


Communication Log: Key Notifications and Responses

Total Staff Exposed to Compromised Environment

4. HVAC Mechanical Repair & Smoke-Testing Recalibration Checklist

Document all mechanical repairs, component replacements, and system recalibration activities. Smoke testing must verify pressure relationships before returning to normal operations.


Mechanical Fault(s) Identified (select all that apply)

Repair Actions and Component Replacement Log

Component/System

Repaired

Replaced

Part Number/Serial Number

Action Description

Technician Confidence (1-5)

Primary Supply Fan
Yes
 
SF-4B-01
Cleaned and lubricated bearings
 
HEPA Filter Set A
 
Yes
HEPA-2938-BC
Replaced due to 3-year service interval
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Was smoke testing performed to verify pressure relationships?


Smoke Testing Completion Time

Did smoke testing confirm correct airflow directionality?


Time Required to Restore System to Baseline Pressure (minutes)

Recalibration Settings Adjusted

Were backup or redundant systems activated during repairs?


Post-Repair System Performance Verification

Number of HVAC Technicians Involved in Repair

5. Infection Prevention Officer & Chief Facilities Engineer Sign-Off

Final authorization section requiring review and sign-off from both Infection Prevention and Facilities Engineering leadership before the bio-containment unit can return to normal patient care operations.


Infection Prevention Officer Reviewed All Containment Procedures?


Were any staff exposures identified requiring follow-up monitoring?


Infection Prevention Officer Risk Assessment Summary

Infection Prevention Officer Review Completion Time

Infection Prevention Officer Digital Signature

Infection Prevention Officer Name (Printed)

Chief Facilities Engineer Verified All Mechanical Repairs?


Chief Facilities Engineer Technical Validation Comments

Chief Facilities Engineer Sign-Off Time

Chief Facilities Engineer Digital Signature

Chief Facilities Engineer Name (Printed)

Is the bio-containment unit cleared for return to normal operations?


Final Recommendations and Follow-Up Actions Required

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