Heckling is encouraged, but must be delivered with maximum disrespect and expediency as we only have 45-minutes to get through the presentation…..

Types of inspections:

1) Pre-Design: Verify and document existing field conditions(yes, we really do these!)

2) During Construction: Insure systems are being installed incompliance with the Owner’s Project Requirements (OPR)and the plans and specifications

3) Post Construction: Commissioning and Troubleshooting

Why are the inspections important?

Healthcare facilities are designed within a framework that recognizes the primary mission of healthcare…..

“First, do no harm”

Codes / Standards / Guidelines:

FGI Facilities Guideline Institute for Design and Construction of Hospitals and Outpatient Facilities.

Contains dedicated chapters for the design and

construction of various types of Outpatient Facilities such as:

Free Standing Emergency Departments /Primary Care Facilities /Diagnostic & Treatment Centers / Urgent Care Facilities / Cancer Centers /Outpatient Surgical Facilities /Endoscopy Facilities / Dialysis Centers /Rehab Centers / Dental Facilities.

ASHRAE 170 Ventilation for Healthcare Facilities(included within the FGI Guidelines)

NFPA 70 National Electrical Code - Article 517 – Healthcare Facilities

NFPA 99 Standard for Healthcare Facilities

NFPA 101 Life Safety Code

USP The U.S. Pharmacopeial Convention (USP) is a scientific nonprofit organization that sets standards for the identity, strength, quality, and purity of medicines, food ingredients, and dietary supplements manufactured, distributed and consumed worldwide. USP General Chapter 797 provides standards for compounding sterile preparations to promote patient safety and prevent harm.

Owner’s Project Requirements (OPR)

Many healthcare organizations and/or facilities have their own corporate design guidelines. Typically, it is required that any deviation from the guidelines or questions about the applicability of a guideline item be discussed with corporate prior to deviating from the written standards.

So,….. what type of things are we looking for in the field?

Duct failure…(medium pressure OA ductwork)

Longitudinal seam failure… (low pressure supply duct)

Hole down-stream of smoke detector –should be plugged or patched (not foil tapped)

Exhaust duct detached from fan.

Ductwork breaches jeopardize space

pressurization control, which is a major design parameter in healthcare

HVAC engineering.

NOT ALLOWED!

ALLOWED

Room Pressurization ControlFGI Guidelines – ASHRAE 170

Improperly supported flex duct (no supports / hangers)

Improper flex duct saddle (cardboard)

Poor cable management…

Poor cable managementand failed flex duct

Cabling run through fire damper opening

Failed seal at rated wall penetration

Failed seal at rated floor penetration

Fire caulk/sealant required???

CPVC Sprinkler piping –improperly supported

If CPVC sprinkler piping exists on your project, always know the location of the nearest fire sprinkler shut-off valve!

Correct

Inadequate pipe support / hangers

J-box cover required

Floor drains should never be used as conduits!

Tuna-can junction boxes are not allowed.

Improperly labeled panelboard directory

Improperly installed wrist blade handle

Leaking sprinkler pipe(Dr. Pepper bottle / containment basin)

Cleanout installed below wall

Fire proofing removed in order to install piping

Fire protection devices obscured during construction

Smoke detector

Coordinate temporary power requirements with the owner

Insure all equipment can be serviced(canister type humidifier imbedded in wall)

Remove abandoned materials (hangers, wires, ties, etc.)

Dissimilar metal contact – galvanic corrosion

Corrosion preventing hangers and supports

Questions?

Comments?