Improving Mechanical Services in Healthcare Building Projects

Mesyuarat Tahunan Jurutera-Jurutera Mekanikal JKR 2006
MEKANIKAL

IMPROVING MECHANICAL SERVICES IN
HEALTHCARE BUILDING PROJECTS.

Ir. Ang Choo Hong
Ketua Penolong Pengarah Kanan (Mekanikal)
UNIT KEJURUTERAAN MEKANIKAL,
CAWANGAN KERJA KESIHATAN,
IBU PEJABAT JKR Malaysia

Ir. Razdwan Bin Kasim
Penolong Pengarah Kanan
UNIT PAKAR PERALATAN PERUBATAN & MAKMAL,
CAWANGAN KEJURUTERAAN MEKANIKAL,
IBU PEJABAT JKR Malaysia

Wednesday, November 01, 2006

Mesyuarat Tahunan Jurutera-Jurutera Mekanikal JKR 2006

IMPROVING MECHANICAL SERVICES IN HEALTHCARE BUILDING
PROJ ECTS.

1.0 OBJ ECTIVE

The objective of this paper is to present the experiences and lessons learnt by the
Unit Kejuruteraan Mekanikal, Cawangan Kerja Kesihatan in the implementation
of healthcare building projects. The paper will capture on-site experiences and
discuss the improvements introduced via the Mechanical Brief of Design and
Build / Turnkey projects.

2.0 INTRODUCTION

Healthcare building projects in general and hospital buildings in particular,
require higher standard of mechanical services installation than the other
common building projects. Health patients need suitable environment that not
only will not cause further harm to their health, but also improve their recovery
rate. Activities within the healthcare buildings are also critical in nature. Defects
and fault incidences that may not need urgent repair in other buildings, require
immediate attention in a healthcare building.

Many hospitals built under the 8
th
Malaysia Plan (RMK8) were constructed
using the Design and Build / Turnkey (D&B/T) concept. Under this concept,
consultants are employed by Contractors to design and supervise the works, thus
performing most of what J KR would otherwise be doing. However in reality,
systems may not be designed and installed as they should and works not
properly supervised and coordinated, resulting in problems at a later stage. It is
not uncommon to find that after handing over, ie, during Defect Liability Period
(DLP), defects and maintenance issues cropped up. Thus the hospitals that have
been completed become sources of complains.

Based on the experiences above, the following measures were proposed.

3.0 SUPERVISION AND MONITORING TEAM

a. Consultants Team
The consultants should have their own teams supervising work at site. However
at site they often have to depend on the Contractors teams. This can result in a
conflict of interest and occurrences of inaccuracies in evaluation and
endorsement. Contractors argue that since the consultants are employed by
them, they should not have to employ another team to supervise the works. This
argument is unacceptable because the Contractors men should be doing the
execution while the consultants people do the supervision.

This issue is not unique to J KR projects only as it has been mentioned in the
Board of Engineers A Guide to Engineering Practice for M&E Engineers. It is
recommended that consultants have their own site supervisor and site team.
Mesyuarat Tahunan Jurutera-Jurutera Mekanikal JKR 2006 Page 1

Fig.1 : BEM, A Guide to Engineering Practice for M&E Engineers

There has also been disagreement about the responsibility of the consultants
during DLP and their role in the supervision of maintenance. The BEM
Conditions of Engagement Clause 2.7 states that,

Unless terminated under Clause 2.3, Clause 2.4 or Clause 2.5 above
the Consulting Engineer's appointment under this Agreement shall
terminate when the Consulting Engineer shall make and issue the
certificate authorising the final payment to the Contractor. The
certificate authorising the final payment means the certificate to release
the retention sum by the Client at the completion of the defects liability
period/period of maintenance.

A new clause is now added to the Mechanical brief to highlight requirements for
the consultants appointment, team at site, and their responsibilities.

2.7 (i) The Contractor shall appoint a Mechanical Consultant
registered with the Kementerian Kewangan Malaysia, the Board of
Engineers Malaysia and experienced in the specific area as required by
the government.

The Consultants appointment shall include design, supervision
and certification of works during construction period as well as defect
liability period and maintenance period and as described further in the
government brief. The Consultant shall have an adequate and qualified
team of design and supervisory staff including an experienced Resident
Mechanical Engineer. The Consultants team shall be different from the
Contractors own Mechanical team.

It is not specified here the exact number of members in the team as this would
depend on the complexity and size of a project. For smaller projects this clause
may need to be amended accordingly.


Included in the above is the requirement for the consultant to be registered with
the Kementerian Kewangan Malaysia. This is important to avoid appointing
consultants with bad records.

b. J KRs Team
On the part of J KR, the need for an experienced team to audit the works is
important. The J KR team must have sufficient numbers and experience to detect
potential installation problems before processing payment. Training is important
before an engineer is tasked to handle work at site. The team must have
knowledge of the relevant requirements of a D&B/T contract and standards.

The present Mechanical unit in CKK basically comprises engineers and staff
who started from scratch when the unit was formed, with minimum exposure on
hospital design and works. They have progressed far from then, though.

The practice that non-compliance or non-completed works (arguably said to be
minor) be rectified during Defect Liability Period (DLP), in order that payment
can be made or the project can be handed over, can be costly, financially and to
J KRs reputation. Experiences also show that many repairs and remedial works
are only completed towards the end of the DLP, thus holding up making the
installation fully functional.

The Mechanical team needs to put on written record and bring to the attention of
the head of project team the critical services not completed. The project team as
a whole must also be made aware of this as in many cases there is simply not
sufficient Mechanical staff to be on the ground for all the projects at one time.

4.0 MAINTENANCE

a) Monitoring
For some projects, maintenance during DLP is monitored from Contractors
monthly reports and clients feedback during meetings. Site visits would be
made for more serious situations. This arrangement seems satisfactory for minor
installations.

However, for hospital projects, due to the critical services mentioned earlier, a
more regular and closer monitoring system is required. A faster response to
failure and defect is necessary and the time taken for corrective action needs to
be monitored. It must be ensured that the Contractors maintenance team is
available at site. In the contract, it is now stated that the Mechanical
maintenance team shall be headed by an experienced mechanical engineer
resident at site.

However it must be noted that closer and regular monitoring would require
additional and dedicated J KR staff. It may not be always necessary to have
dedicated staff for every particular installation; instead a team can be
responsible for a number of facilities.


b) Spares During DLP
Spares during DLP fall into two major categories. First there are spares required
for repair and maintenance works and secondly the consumable items. The
contractors undertaking is stated in the D&B/T Contract thus,

59.2 The Contractor hereby expressly undertakes to remedy and
supply / replace all defective parts or items caused by normal wear and
tear, inclusive of all consumable items at his own cost

Some repair and replacement works may fall outside this definition. Damages
may be due to vandalism, neglect and other causes (abuse, environment etc).
Determining the exact cause and responsibility is not a straight and quick
process. For such situations, and where it involves critical services and safety,
the repairs must be done immediately. This requirement is now catered by a new
clause, as follow: (The list of items included however is not rigid and can be
changed as the need arises)

2.18 The following sets / nos of items / components, whichever is larger,
shall be made available to the P.D before handing over of the project
and shall be installed by the Contractor as and when directed by the
P.D. during the Defects Liability Period :

Description Percentage / nos.
From total installed
a Sprinkler head (each type) 1 % or 10 nos
b Detectors (each type) 1 % or 10 nos
c Glass (for manual breakglass) 1 % or 20 nos
d Hose reel nozzle (each type) 1 % or 10 nos
e Vehicle and Engine Battery (each type) 5 % or 1 set

Price for the above is deemed to be included by the Contractor in his
offer. The above parts shall not be used by the Contractor as spares or
replacement for the maintenance and guarantee works.

The availability of the above spares also provides some time for the hospital
authorities to put safety and security measures in place while educating the users
on the use of public facilities.

Contractors and clients have differed on the definition of consumables. Some
end users may want all items that is consumed and used up during operation to
be replenished by the Contractor. There is a need to clarify this issue, and as
such consumables are now defined only for maintenance and exclude specific
items such as fuels such as diesel and petrol, LPG, medical gases and vehicle
tyres.


5.0 TESTING AND COMMISSIONING

Testing and commissioning (T&C) are among the last items to be done before
handing over a project. Often not enough time is allocated for these activities. At
times, T & C of some components are also pushed into the DLP. Such practices
should not occur especially for critical and safety related services.

After handing over Contractors / sub-contractors tend to demobilise and scale
down workmen at site. This would mean that T &C pushed into DLP would not
get the attention they deserved.

For hospitals that start operations immediately, getting work done during DLP is
a nuisance to the patients, hospital staff and visitors. It is also a safety hazard
and much more demanding.

Even services certified as successfully commissioned have been found to be not
up to standard due to the pressure and rush to handover. Doubts on T&C have
also been raised by the clients and has become a cause of concern to J KR.

To make sure sufficient time is allocated for T&C and due care is taken, it is
now required that the Contractors detail programme shall include a T&C
period of not less than four (4) weeks for each Mechanical service and For
special places/areas/rooms or mechanical systems such as the O.T, clean room
and medical gas system the Contractor shall also furnish a report by an
independent third party specialist.

With the above provision, J KRs team can ensure that the Contractor allocates
time for T&C. For critical areas and systems, the report from third party
specialist may help to eliminate or at least reduce the concerns on T&C.

6.0 TRAINING AND TUITION

J KR have also received unsatisfactory reports on operation and maintenance
training conducted by the Contractor. It is said to be inadequate, not properly
done and sometimes claimed not done at all.

These reports could be due to the training not being properly planned and
contents poorly prepared. It could also be due to the wrong person being sent to
attend the tuition or the staff originally trained being transferred elsewhere.

The Mechanical Brief now requires the instruction to include classroom type
tuition on theories, hands- on training and the contents shall contain the
requirements of Clause 5.4.2 b) BEM/RD/PPC/11.

The training manual contents should include:
- Conceptual system design
- Systematic start up and shutting down of the various equipments
- All functional features and setting of parameters
- Safety procedures

- Emergency procedures
- Optimising operation
- First level maintenance procedure.

Clients from time to time request for retraining sessions on operation and
maintenance. Request for retraining could be because of staff turnover or
because of time lapsed between training and actual use of equipment. Though
Contractors do conduct the retraining required, this activity involves cost and
should be well organised.

The issue of retraining is now catered by the new Clause 3.11.2,

3.11.2 During the Defect Liability Period the Contractor shall
arrange for the retraining of one or more of the government staff as
directed by the P.D subject to the same duration as above.

It ought to be noted that training must be attended by the right people. The
Consultants being designer of the system should advise the Client to appoint the
right operation and maintenance staff early. They can then familiarise
themselves with the system before being trained to do the job.

7.0 AIR CONDITIONING SYSTEM

During the initial period after handing over, the hospital building is often under-
use with few patients and staff. The air conditioning heat load is low. This
results in the air conditioning system operating below the intended capacity.
Certain areas are even unused and with poor ventilation. The combination of
such factors, poor design and installation, idle system, lackadaisical
maintenance and environmental factors can contribute to condensation and
growth of fungus.

This issue will not be elaborated in this paper as it is easily a subject by itself.
The J KR team however must be alert to the more common causes such as poor
coordination, installation and operation.

a) Essential Power Supply
Currently the number of chillers that are connected to the essential supply
varies. There are projects where only one chiller is connected and there are
projects where all are connected up.

The number of equipment able to operate on essential supply will affect the size
of the generator set, but all chiller sets (chiller, cooling towers and pumpsets)
should be connected to this supply. When required during emergency any
combination can then be switched on. However to control the number of chillers
that will operate and thus limit the demand on the gen-set, the number of
AHU/FCU that can be run shall only include those serving essential areas.

the items to be wired for operation on essential power shall include but
not limited to the following:-

All chiller sets (chiller, water pumps, cooling towers etc) to serve
all essential areas, rooms etc.
AHUs/FCUs serving essential areas/rooms/department

b) Standby Requirement
For in-house J KR design, standby chiller is provided and for ease of
maintenance, the chillers are configured such that they are identical and provide
the most economical service.

Installations in current and completed D&B/T projects however show that this is
not the case. The percentage of actual standby could be as low as only 25 %.
This arrangement is not maintenance friendly as the chiller load could be split
up to numerous very small units. This happens because formerly the
requirement only states that there shall be one identical standby unit installed
without being specific about the percentage of standby capacity.

To refine the standby requirement, it is now determined that the chiller
configuration shall include identical standby unit/s to cater for a minimum
of 50 % hospital load. . Chiller sets are defined to include items such as the
chiller, water pumps and cooling towers.

In many areas in the hospital, the air conditioning system is an essential service.
For the operating theaters (OT) air conditioning supply is critical. It is noted that
most hospitals do not have back-up for the air handling units (AHU) even for
OTs.

To provide extra AHUs may be costly and there is also a constraint on space. As
a solution, AHUs for OT shall be installed with standby motors ready to be
connected when the duty blower motor fails.

8.0 MEDICAL GAS SYSTEM

If there is any mechanical system that could be said to be directly affecting the
patient than it must be the medical gas system. Its installation is specified to
comply with standards such as the HTM 2022.

Functionality need to be clarified during interaction with the client in the case of
usage of terminal units and attachments. Some of the issues that need to be
addressed are: Number of outlets (gas and electrical), and ease of use when
handling the terminal units.

Supply of gas cylinders was not a problem when J KR did the purchasing
through NSC tender. With D&B/T package contracts, cylinders of dubious
standards have been received. Problems arise when gas refilling contractor
refuses to refill the cylinders. Safety has been stated as one of the reasons to
decline. Requirement to have markings on the cylinders have proven to be
inadequate as cylinders can have all the dubious marks and it is difficult to
ascertain authenticity. Hence, in addition to requiring cylinders to be new,
unused and complying to standards, it is now specified that cylinders must also

be from reputable factory and complete with cylinder certificate issued by a
reputable body .

It is difficult to determine the quality of pipe work for medical gas once it has
been installed. Pipes, valves and fittings must be factory degreased and
delivered to site suitably packed and marked as medical gas items. These items
must be checked when delivered to site before installation.

9.0 OTHER SERVICES

a) Internal Cold Water and Sanitary Plumbing (CWS)
This system receives one of the most numbers of defect reports during DLP.
Most complains are related to fittings (broken taps, missing shower heads,
cistern failure etc). This is perhaps due to the large number of fittings involved
but it could also point to the fact that the items fixed are of low quality or low
standard of work.

CWS is a relatively new responsibility for J KR Mechanical discipline. Training
and exposure needs to be given to all our staff to ensure effective monitoring
and supervision. Closer monitoring and coordination is necessary as the works is
much more closely related to the progress of the building construction.

b) Lifts
Lifts are another front line services in a building and are very much used (and
abused) by the users. Generally there is not much complaining about this
system. However damage to lift buttons and display/indicator panels do occur. A
clause formerly specified for high rise quarters lifts have now been included to
tackle this problem. The car operating buttons, indicators and accessories must
now be anti-vandalism type and suitably protected.

Door hold function buttons has also been incorporated to avoid the crude
method of blocking the car doors with whatever is handy.

c) Fire Protection System
Being a safety related service, any reports of damage or failure need to be
attended immediately. As such most of the spares mentioned earlier that fall
outside normal maintenance spare parts are meant for the fire protection
system.

The other change made to the brief for this system is to take into account the use
of third party service for the link to the nearest Bomba station. Though the cost
may not be very high but it has been raised by Contractors. The costs shall now
be borne by the Contractor for the duration of the contract i.e till the end of the
DLP.


11.0 RECORDS

a) Settling disputes
Keeping proper and up-to-date records is important, especially in settlement of
disputes. Records on training, on who received manuals, drawings, tests results
and such documents will avoid pointing of fingers.

One mode that has been employed is by keeping an index list of the above
which can than be easily referred to.

b) Setting norms
Perhaps the major fault of the Contractor during DLP is their slow response to
complains. Repairs are said to take forever or only done at the last minute.
However what is a reasonable response time ? For a simple repair a week may
be too long, but for a service that requires imported parts and specialised skill
that period may not be sufficient.

With records and by analysing the data, important information can be obtained
and norms established. Criteria such as response time, Mean Time To Repair
(MTTR), and availability can be determined and fixed. J KR will thus be able to
set with credibility the speed and duration of repair attendance by a Contractor.

c) Learning and sharing
The records collected can be shared and become a reference for others who are
involved in similar jobs.

12.0 CONCLUSION

There is a need to balance between having a very detail Mechanical Brief, like
our specification for in-house designed works, and the need to allow innovation
and avoid interferering with the Contractor / Consultants design. A rigid
specification will also probably put the responsibility heavily on J KR and not on
the design and build Contractor as it should be. However for critical, safety
related system and installations with repeated problems, there is a need for the
specification to be clear and complete.

Systematic records must be kept and maintained. With it problematic areas can
be identified and rectified.

Common solutions can be shared, training and awareness sessions for our staff
can then be held to avoid repeating the mistakes and to enhance the quality of
delivery of our projects.

The issues raised above are only some of the lessons learnt and improvements
that have been made and need to be continuously addressed.

The suggestions earlier and the improved Mechanical Brief should not be used
as a standard document for all projects. Changes and refinement may need to be

done according to cater to the specific needs, complexity and size, among
others, of a project.

From time to time a committee can be formed to review the Mechanical Brief.
The members can look into changes introduced by individuals, adding new
standards and clauses to cater for current practice and situation.

//PaperMechCKK 011106.doc

NOTE OF THANKS

The authors would like to thank all those who have directly and indirectly contributed
to the preparation of this paper. They include all mechanical engineers and staff of
Cawangan Kerja Kesihatan, who generously shared their experiences in handling
healthcare building projects.

A special note of appreciation to Ir. Mamat Rohizan Bin Abdullah, Ramli Bin Mohd.
Yusof and Ahmad Apandi Bin Larkin of Unit Kerja Kesihatan, Cawangan
Kejuruteraan Mekanikal for their invaluable knowledge and suggestion.

Last but not least to Pengarah Cawangan Kejuruteraan Mekanikal for his guidance
and for giving us this opportunity to present this paper.

Thank you.

REFERENCES

1. Board of Engineers Malaysia, 2005, A Guide to Engineering Practice for M&E
Engineers.

2. Board of Engineers Malaysia, 1999, Conditions of Engagement.

3. Dept. of Healthcare,U.K, 1997, HTM 2022, Medical Gas Pipeline System.

4. J KR Malaysia, Mechanical Brief for Hospital.

5. J KR Malaysia, 2002, Standard Form of Design & Build / Turnkey Contract.
(PWD FORM DB/T), 2002 Edition.

ATTACHMENTS

1. Extracts from Standard Form of Design & Build / Turnkey Contract. (PWD
FORM DB/T), 2002 Edition.

2. Extracts from BEM FORM 1999

3. Extracts from Mechanical Brief for Hospital projects

4. Table of Hospital projects and chiller configuration


ATTACHMENT 1 Extracts from Standard Form of Design & Build / Turnkey
Contract. (PWD FORM DB/T), 2002 Edition..

ARTICLES OF AGREEMENT

FIRST RECITAL

(1) The Government is desirous of obtaining the design, construction, equipping*
and maintenance* of _______________________ ________________________
#(hereinafter referred to as the 'Works') at for which Works the Government has
issued to the Contractor its requirements (hereinafter referred to as 'the
Government's Requirements') and instructed the Contractor to design the Works
and to submit proposals including drawings and specification for carrying out
the Works:

2. Contractor's Obligations

2.9.1 The Contractor shall only employ local consultants for the design and
supervision of the Works and the management of the Project. Under no
circumstances will the Contractor be permitted to employ foreign consultants
except where there are no local consultants with the required expertise and
special exemption had been obtained from the Government, prior to the
execution of the Contract.

2.9.2 The Contractor shall submit a complete list of consultants to be employed for
the Works stating their job category and their obligations. The Consultants shall
be suitably qualified and competent and shall be registered with their respective
professional Boards.

2.9.3 The Contractor shall not employ any other professionals (other than those
named in his proposal) without the prior consent of the P.D.. The Contractor's
attention is also drawn to the fact that the said consultants shall be retained
throughout the Contract Period for the supervision of the Works and they shall
not be discharged without the consent of the P.D. All as-built drawings required
for the Works shall be certified by the relevant consultant.

2.10.1 The Contractor shall employ Bumiputera organisations and or professionals to
carry out specific portion of the Works on a Subcontract basis as defined under
Clause 3 1 and the amount of all these participation shall be at least 30% of the
total Contract Value.

48. Defects After Completion

48.1 At any time during the Defects Liability Period as stated in Appendix 1 hereto
(or if none stated the period is twenty-four (24) months from the date of
practical completion of the Works), any defect, imperfection, shrinkage or any
other fault whatsoever which may appear and which are due to design,
materials, goods, workmanship or equipment not in accordance with this
Mesyuarat Tahunan Jurutera-Jurutera Mekanikal JKR 2006 PageA1/ 1

Contract, shall be notified by the P.D. in a written instruction to the Contractor
who shall, within a reasonable time to be specified therein by the P.D., make
good such defects, imperfections, shrinkages or any other fault whatsoever at the
Contractor's own costs.

48.2 Notwithstanding sub-clause 48.1 above, any defect, imperfection, shrinkage or
any other fault whatsoever which may appear during the Defects Liability
Period to be made good by the Contractor, shall be specified by the P.D. in the
Schedules of Defects of which the first schedule shall be delivered to the
Contractor within fourteen (14) days and the final schedule shall be delivered
not later than twenty-eight (28) days after the expiration of the Defects Liability
Period. The defects, imperfections, shrinkages or any other fault whatsoever
specified in the Schedules of Defects shall be made good by the Contractor at
his own costs and to be completed within a reasonable time but in any case not
later than three (3) months after the receipt of the final schedule. Provided that
the P.D. shall not be allowed to issue any further instruction requiring making
good of any defect, imperfection, shrinkage or any other fault whatsoever after
the issue of the said Schedule of Defects or after twenty eight (28) days from the
expiration of the said Defects Liability Period, whichever is the later.

48.3 If the Contractor shall fail to comply with either sub-clause 48.1 or 48.2 or both
within the time so specified, the materials or works so affected may be made
good in such manner as the P.D. may think fit, in which case the costs incurred
including on-cost charges (calculated by applying the Percentage of On-cost
Charges stated in Appendix 1 to the costs incurred), shall be deducted from any
money due or to become due to the Contractor under this Contract and failing
which such costs shall be recovered from the Performance Bond or as a debt due
from the Contractor.

48.4 If any defect, imperfection, shrinkage or any other fault whatsoever be such that,
in the opinion of the P.D., it shall be impracticable or inconvenient to the
Government to have the Contractor to remedy the same, the P.D. shall ascertain
the diminution in the value of the Works due to the existence of such defects,
imperfections, shrinkages or any other fault whatsoever and deduct the amount
of such diminution from any money due or to become due to the Contractor
under this Contract, and failing which such diminution shall be recovered from
the Performance Bond or as a debt due from the Contractor.

48.5 When in the opinion of the P.D. the Contractor has made good the defects,
imperfections, shrinkages or any other fault whatsoever which he is required to
make good under sub-clauses 48.1 or 48.2, or both, the P.D. shall issue a
certificate to that effect, and the date stated in such certificate shall be the date
on which the Contractor has completed making good such defects,
imperfections, shrinkages or any other fault whatsoever. The said Certificate
shall be referred to as the 'Certificate of Completion of Making Good Defects'.


59. Maintenance of Works and Services

59.1 The Contractor shall maintain the whole of the Works and Services as listed in
the scope of maintenance of works contained in the Government's Requirements
for a period of twenty-four (24) months from the date of the Practical
Completion of the Works (hereinafter referred to as the "Maintenance Period")
and guarantee the same to be in good working conditions at all times. This
maintenance shall include services and equipment provided by the manufacturer
of the equipment installed and all materials and workmanship supplied by the
Contractor.

59.2 The Contractor hereby expressly undertake to remedy and supply/replace all
defective parts or items caused by normal wear and tear, inclusive of all
consumable items at his own cost. during the said twenty-four (24) months so
that the whole of the Works and Services is maintained in the best efficient
working order. This maintenance shall include regular and systematic checking,
cleaning, servicing, testing, calibration and services as recommended by the
manufacturer/supplier as required by the relevant authorities and necessary
adjustment to the equipment. The Contractor shall also provide
alternativeltemporary substitutes to the equipment and services as required in
the event of a breakdown of the plant. Any spare parts required for replacement
shall be made readily available during the Maintenance Period.

59.3 Replacement made or required to be made during the Maintenance Period shall
be subjected to a similar Maintenance Period from the date of replacement,
provided that such Maintenance Period shall not exceed 24 months from the
expiry date of the first Maintenance Period as aforesaid.

59.4 When in the opinion of the P.D. the Contractor has satisfactorily completed the
maintenance of the Works and Services as required under this Clause, the P.D.
shall issue a certificate to that effect, and the date named in such certificate shall
be the date on which the Contractor has completed the same. The said
Certificate shall be referred to as the "Certificate of Completion of
Maintenance".


ATTACHMENT 2 Extracts from BEM FORM (1999)

CONDITIONS OF ENGAGEMENT

2. DURATION OF ENGAGEMENT

2.7 Unless terminated under Clause 2.3, Clause 2.4 or Clause 2.5 above the
Consulting Engineer's appointment under this Agreement shall terminate when
the Consulting Engineer shall make and issue the certificate authorising the final
payment to the Contractor. The certificate authorising the final payment means
the certificate to release the retention sum by the Client at the completion of the
defects liability period/period of maintenance.


ATTACHMENT 3 Extracts from Mechanical Brief for Hospital Projects

2.0 GENERAL INSTRUCTIONS TO CONTRACTOR

2.7 (i) The Contractor shall appoint a Mechanical Consultant registered with the
Kementerian Kewangan Malaysia, the Board of Engineers Malaysia and
experienced in the specific area as required by the government.

The Consultants appointment shall include design, supervision and
certification of works during construction period as well as defect liability
period and maintenance period and as described further in the government
brief. The Consultant shall have an adequate and qualified team of design and
supervisory staff including a experienced Resident Mechanical Engineer. The
Consultants team shall be different than the Contractors own Mechanical
team.

(ii) The subcontractor for Mechanical Works shall be PKK, CIDB registered
and experienced in the specific area as required by the government.

2.18 The following sets / nos of items / components, whichever is larger, shall be
supplied to the P.D before handing over of the project :

Description Percentage / nos.
from total installed
a Sprinkler head (each type) 1 % or 10 nos
b Detectors (each type) 1 % or 10 nos
c Glass (for manual breakglass) 1 % or 20 nos
d Hose reel nozzle (each type) 1 % or 10 nos
e Vehicle and Engine Battery (each type) 5 % or 1 set

Price for the above is deemed to be included by the Contractor in his offer.
The above parts shall not be used by the Contractor as spares or replacement
for the maintenance and guarantee works but shall be installed by the
Contractor at no additional costs as directed by the P.D. during the Defects
Liability Period.

3.0. GENERAL REQUIREMENT

3.2 Detail Programme of Mechanical Work

Before the commencement of Mechanical Services, the Contractor shall
submit a detail programme of work for each individual Mechanical Services.
This detail programme shall indicate clearly the sequence of operation
required to complete the works of the Contract, the commencement and
completion dates of each section of the work and shall include a testing and
commissioning period of not less than four (4) weeks for each Mechanical
service.


3.5 Supervision and Execution of Works

The Contractor shall have in his direct employment at all times an adequate
and qualified team of supervisory and executive staff including a experienced
Mechanical Engineer to execute the works. The Contractors team shall be
different than the Consultants Mechanical team. All works shall be of good
current engineering practices and shall be carried out and supervised by
qualified, competent and skilled personnel whose quality shall be certified by
the Consultants Registered Professional Mechanical Engineer and agreed by
the P.D.

3.11 Operating Instructions and Tuition

3.11.1 After completing the installation and before handing it over the Contractor
shall arrange to instruct one or more client operators, in all aspects of correct
operation and maintenance of the installation, including checking and fault
finding in case of breakdown during normal working hours. The instruction
shall include classroom type tuition on theories and hands on training. The
Contractor shall submit in advance for the P.Ds approval a detail and
complete schedule of the training to be conducted. This period of instruction
shall extend to a minimum of four (4) weeks or as specified by P.D. with the
plant in continuous normal operation.

3.11.2 During the Defect Liability Period the Contractor shall arrange for the
retraining of one or more of the government staff as directed by the P.D.

3.13 Testing and Commissioning

3.13.2 All the testing and commissioning shall be carried out and certified by the
Consultants Registered Professional Mechanical Engineer.

For the O.T, Clean room and Medical gas system, the Contractor shall also
furnish a report by a independent third party specialist.

3.17 Comprehensive Maintenance and Guarantee

3.17.9 Consumables

The following are INDICATIVE of the type of consumables for maintenance
that shall be included and the quantity shall correspond to the manufacturer's
recommendation and be sufficient for the whole of warranty period as
indicated in the contract.

Fuels such as diesel, petrol and LPG, medical gases and vehicle tyres are not
included as consumables.

3.19 Essential Power Supply.

Besides the essential requirements, which is mentioned elsewhere in this
document and other Briefs, the Contractor is to provide any other essential

supply to all services to meet the functionality of the system/area/rooms such
as Cold/Hot Rooms, rooms/areas where delicate equipment stored such as X-
Ray Rooms, Equipment Stores, Ophthalmology Clinic, some laboratories,
Operation Theatre Departments, Operation Theatres, etc. For Air-Conditioning
and Ventilation System, the items to be wired for operation on essential power
shall include but not limited to the following:-

Sufficient nos. of chiller sets (chiller, water pumps, cooling towers etc)
to serve all essential areas, rooms etc.
AHUs/FCUs serving essential areas/rooms/department.
All exhaust fans serving essential areas and serving internalised toilets.
All areas with humidity controls.

4.0 AIR-CONDITIONING AND MECHANICAL VENTILATION
SYSTEMS.

4.5 Detail of Equipment

4.5.1 Chillers.

The configuration of the chillers shall include identical standby unit/s to cater
for a minimum of 50 % hospital load.

4.5.4 Air Handling Units / Fan Coil Units

All OTs and laboratories shall have dedicated AHU. All OTs AHU shall be
designed complete with standby motor.

4.9 Other Important Requirements

1. Air-conditioned air ducts shall be insulated with Class O surface Nitrile
rubber or PE foam. All air conditioned areas shall be designed with
ducted returns.

5.0 LIFTS, DUMBWAITERS AND ESCALATORS

5.3.15 The car operating panel buttons, indicators and accessories shall be anti-
vandalism type and suitably protected e.g with 10mm clear perspex with
countersunk screws.

5.3.16 All passengers lifts shall also cater for handicapped users e.g. Braille buttons
and markings, Synthesized voice, Handrails, Wheelchair level COP, Position
and travel direction indicators etc.

5.4 Other Important Requirement

5. The lifts shall be equipped with door hold function buttons.


6.0 MEDICAL GAS PIPELINE SYSTEMS

6.1 General.

6.1.3 Supply or rental of gas cylinders shall be decided during interaction meeting.
Gas cylinders shall be new, unused, from reputable factory and complete with
cylinder certificate issued by a reputable body. Should the gas cylinders be
rented, rental costs shall be borne by the Contractor for the duration of the
Contract i.e. till the end of the defect liability period.

6.3 Outlets & Piping

6.3.7 Pipes shall be factory degreased and certified by the factory.

6.3.8 All terminal units and accessories for pendants shall be approved by the
pendant supplier. The height of the pendants shall be determined during the
interaction meeting.

6.3.9 All works shall be pressure tested and certified by the Consultants Registered
Professional Mechanical Engineer.

7.0 FIRE PROTECTION SYSTEMS

7.3.7 Fire Alarm System

7.3.7.3 A master switch to actuate all alarm bells and flashing lights shall be provided.
The panel shall be linked to the nearest Fire Brigade Station. For link through
third party authorities, the costs shall be borne by the Contractor for the
duration of the contract i.e. till the end of the defect liability period.


ATTACHMENT 4 Table of Hospital projects and chiller configuration.

Hospital Bil / Kapasiti
Chiller
Running Standby % Standby
1 S 5 x 400 Tr 3 2 67 % (800/1200)
2 T 4 x 650 Tr 3 1 33 % (650/1950)
3 AS 4 x 700 Tr 3 1 33 % (700/2100)
4 A 5 x 200 Tr 4 1 25 % (200/800)

Mesyuarat Tahunan Jurutera-Jurutera Mekanikal JKR 2006 PageA4&5/ 1

Improving Mechanical Services in Healthcare Building Projects

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