Healthcare construction is the most rule-bound work in NYC. Active hospitals, ambulatory care facilities, and medical office buildings have to keep patients safe and operations running while contractors are cutting drywall in the same building. ICRA (Infection Control Risk Assessment) classifications drive the daily work plan. The FGI Guidelines for Design and Construction of Hospitals govern how the finished space is allowed to be built. NYC DOB and DOH layer their own approvals on top.
Skilled Safety Management staffs healthcare construction projects across NYC with managers who understand ICRA, FGI, and the operational realities of working inside a functioning hospital.
New hospital and medical office construction at 15+ stories or 200+ ft requires a licensed Site Safety Manager under §3310. Most healthcare interior renovation work is governed by the FGI Guidelines and the facility's ICRA matrix. ICRA Class III and IV work routinely requires negative-pressure containment, HEPA filtration, sealed entries, and continuous monitoring. NYC DOH approval is required for many alteration projects in licensed healthcare facilities. FDNY hot-work permitting applies anywhere welding, cutting, or torch operations occur.
Multi-floor renovation inside an operating hospital. Negative-pressure containment verification, HEPA filtration monitoring, and daily ICRA log maintained. Direct coordination with the facility's infection prevention team and clinical operations director throughout each phase.
Two-phase medical office construction with tenant occupancy released one floor at a time. Construction Safety Engineering review for each phase, OSHA-30 safety representative on site daily, and coordination with the tenant's clinical team on access and noise schedules.
New ground-up ambulatory care facility. SSM coverage through construction and punch-list phase. NYC DOH coordination for healthcare facility alteration filing, FGI Guidelines compliance tracked in the SSM logbook, and FDNY coordination for the building's new standpipe and sprinkler systems.
Send us the DOB job number and key documents. Fixed-fee proposal back within 24 hours.
