SFHHA 2012 Annual Healthcare Summit

1. SFHHA2012 AnnualHealthcare Summit

2. The Built Environment: Passing Inspections First Time & Every Time

3. Meet Brian Before the Inspection

4. CONSTRUCTION SURVEY CHECKLIST • The following checklists were compiled to assist in the successful survey of construction. • The facility is only required to pass the final survey in order to utilize the project for its intended purpose. • It is strongly suggested that the facility utilize the following checklist to properly prepare for the 80% and final construction surveys. • http://ahca.myflorida.com/MCHQ/Plans/

5. “Resistance is futile”

6. AHCA 80 PERCENT SURVEYS • At the 80 Percent Survey, walls, ceiling assemblies and shaft walls should be completed. • Door frames, windows, stair, railings, etc., should be installed. • All mechanical equipment should be set and all ductwork and dampers installed. • All electrical equipment and devices should be in place and main power feeds connected. • Functioning Infection Control Systems. • Site access, storage and staging.

7. 80 Percent ?

8. DEFINITELY NOT READY

9. 80 Percent

10. A - TEAM

11. PERSONNEL WHO MAY BE PRESENT AT SITE • Project architect • Project engineers (MEP) • Project manager • Superintendent • Drywall contractor • Mechanical contractor • Electrical contractor • Owner or owner’s representative (at least at exit interview) • Laborers to move ladders, equipment, etc.

12. EQUIPMENT • Ladders—at least one for each discipline (large projects may require more) • Flat head and Philips screwdriver, pliers or wrench, drywall saw, etc. • Flashlight (for owner’s representative) • Two-way radios for each discipline tuned to the same frequency (for large projects) • Table and chairs at a pre-selected area for plan-review, conference and exit interview

13. JOB ISN’T DONE UNTIL…

14. PAPERWORK • Set of construction documents approved by AHCA • Sprinkler working drawings approved by AHCA • Life safety plan (preferably reduced for convenient use) • Outstanding AHCA plan review comments • All AHCA approval letters • All correspondence from AHCA • All change orders and field orders • Previous AHCA construction survey letters

15. MANUFACTURER’S DATA AND TECHNICAL INFORMATION • Proprietary systems used • Independent fire test of all rated assemblies • Damper installation instructions for each type installed (U.L. approved) • Duct smoke detector installation instructions

16. ARCHITECTURAL • Separation between construction and occupied areas (ICRA compliance) • Exits • Fire/Smoke walls • Fire rated assemblies • Steel fireproofing • Stairs and handrails clearances/tread-riser • Fire Stopping/Draft Stopping • Access panels both sides of smoke/rated barriers • Door frames UL labels • Room Sizes • Windows/Views • Scuppers or auxiliary drains

17. MECHANICAL • Plumbing rough-in (wall hung lavatory carriers) • Sleeves for pipes and ducts through rated walls • Sprinkler piping • Mechanical equipment location • Mechanical rooms • Fire pump room • Grease duct location • Medical gas piping rough-in • Damper installations

18. ELECTRICAL • Normal main service switchgear • Rough-in of bulk conduits • Panel board locations • Generator, transfer switches, transformer locations • Exit lighting • Receptacle requirement locations • Lightning protection • Wiring • Access panels • Grounding (main /equipotential /lightning)

19. ELECTRICAL • Outdoor egress lighting locations and circuiting • Location of fire alarm devices • Location of nurse call/code blue devices • Emergency generator requirements for final survey

20. AHCA FINAL SURVEY

21. NOT READY

22. NOT READY

23. READY

24. PERSONNEL WHO MAY BE PRESENT AT SITE • Project architect • Project engineers (MEP) • Project manager • Superintendent • Drywall contractor • Mechanical contractor • Electrical contractor • Owner or owner’s representative (at least at the exit interview) • Laborers to move ladders, equipment, etc. • Fire alarm contractor • Nurse call contractor • Sprinkler contractor • Generator or special emergency power contractor

25. EQUIPMENT • Ladders—at least one for each discipline (large projects may require more) • Flat head and Philips screwdriver, pliers or wrench, drywall saw etc. • Flashlight (for owner’s representative) • Two-way radios for each discipline tuned to the same frequency (for large projects) • Table and chairs at a pre-selected area for plan-review, conference and exit interview

26. PAPERWORK • Set of construction documents approved by AHCA • Sprinkler working drawings approved by AHCA • Life safety plan (preferably reduced for convenient use) • Outstanding AHCA plan review comments • All AHCA approval letters • All correspondence from AHCA • All change orders and field orders • Previous AHCA construction survey letters • Emergency evacuation plan • Fire exit drill plan • Documentation showing Sprinkler system checked • Documentation showing smoke detectors were tested in place

27. MANUFACTURER’S DATA AND TECHNICAL INFORMATION • Proprietary systems used • Independent fire test of all rated assemblies • Damper installation instructions for each type installed (U.L. approved) • Duct smoke detector installation instructions • Rated lay-in ceiling instructions • Electrical panels, switchboards, transformers, equipment instructions

28. ARCHITECTURAL • Fire/Smoke walls signage • Access panels in hard ceiling areas to witness rated wall signage • Fire rated assemblies penetrations • Door opening force (Accessibility and Life Safety) • Life Safety automatic door operation • Life Safety path of egress issues • Accessible routes (widths, handrails, ramps, cross slopes, protruding objects, wheelchair spaces, counter, transitions) • Accessible restrooms • Cubicle curtain track suspension from structure • Hurricane emergency preparedness manual • Beds/Service addition memo • As-built document submission process (final Life Safety Sheet)

29. FIRE/SMOKE RATED THROUGH PENETRATIONS

30. EXCESSIVE USE OF THROUGH PENETRATION FIRESTOP

31. FUNCTIONAL CHANGES

32. ARCHITECTURAL CERTIFICATIONS • Flame spread ratings for paint and vinyl wall coverings • Flame spread ratings for vinyl flooring, acoustical tile and building insulation • Flame resistant bedding • Flame resistant lumber • Flame resistant draperies and cubicle curtains • Critical radiant flux ratings for carpet • State elevator certificate • Spray-on fireproofing on steel • Rated concrete masonry unit certification • NOA or PA documents (marked)

33. MECHANICAL • Functioning fire/smoke dampers, exhaust fans, and air-handling units during fire alarm activation • Functioning HVAC system, chillers, refrigerant leak test, purge exhaust fan and alarm detection • Functioning duct smoke detector, pressure differential test • Roof top mounted or exterior equipment protection, clearances • Signage, labels on devices, equipment, piping, UL labels • Functioning sprinkler system (flow and tamper test) • Functioning fire pump system

34. MECHANICAL • Functioning kitchen hood, laboratory hood, pharmacy hood, exhaust systems, extinguishing system • Thermal insulation on piping • Isolation of different metals • Functioning medical gas system

35. ELECTRICAL • Load bank & NFPA-110 test reports for emergency generator (if applicable) • Isolation panel certified test reports (if applicable) • Sensitivity test reports for smoke & duct detectors • Updated panel board schedules for all panels • Circuit testing in project areas • Correct labeling on panels, disconnect switches, panel boards etc. • Engraved ID on receptacles/switches in patient care • Adequate lighting levels and circuiting in project area

36. SYSTEMS CHECK TO BE COMPLETED PRIOR AND DURING AHCA SURVEY • Fire alarm and third party tie-in & certification • Fire protection systems tests • Nurse call and code blue & certification • Medical gas system test • Dry or wet chemical suppression tests • Kitchen equipment start-up • HVAC system start-up • Equipotential grounding in patient care areas • Lighting protection certification

37. Meet Brian Before the Inspection

38. BRIAN AFTER THE INSPECTION

39. The Built Environment: Passing Inspections First Time & Every Time

40. BETTER HEALTH CARE FOR ALL FLORIDIANS