Add a Lesson Learned

Constructability (means & methods)

In Dapt Needs from Steris for Rough In

Facility name: Menorah Medical Center

Project name: MENORA-092018M-Bed Tower Expansion
Location: OVERLAND PARK, KS
Project classification: Hospital – Horizontal Expansion
Project type: Acute Care
Project number: 0972300007
Lesson Learned number: 175
Impact: Schedule


Lesson Learned/Best Practice

Prior to In-Dapt starting their initial prefab install for the OR ceilings the Steris mounting plates and med gas pigtails are needed onsite.  During install In-Dapt will attach the mounting plates and pigtails to their ceiling system.


Suggested Actions for Future Projects

By means of the OFE Delivery Schedule worksheet, add a line item to identify the “needed on site by” date for delivery prior to In-Dapt Installation and include in pull planning schedule.


Keywords

OR Ceiling, Steris, In-Dapt, Schedule, OFE

Finish Upgrades Scope of Work

Facility name: Woman’s Hospital Of Texas

Project name: WMHOTX-122018P1-5th Floor Ante-Partum Buildout & Renovation
Location: HOUSTON, TX
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3431900010
Lesson Learned number: 167
Impact: Cost, Schedule, Scope


Lesson Learned/Best Practice

Scope not clearly defined on plans but required to perform specified activities; drywall touch up/finishing, removal of existing electrical devices to remain, plumbing fixtures needed to be removed prior to new flooring install, grab bars, mechanical grilles, sprinkler head relocations to accommodate new ceiling layout.

Finish plan shows new ceramic tile flooring and wall tile at existing patient room bathrooms. However, demo plan did not provide specific notes to remove all existing fixtures and division 10 items and reinstall for new finishes.


Suggested Actions for Future Projects

At a minimum, provide more detailed notes and callouts on construction documents, particularly on the demo drawings, where removal/reinstallation of existing items to remain should be picked up.  Best practice would be to walk each area and create a specific detailed plan showing all items and their locations for further detail and clarity.


Keywords

Finishes, Renovation, Demolition, Minor, Cosmetic, Fixtures, Existing to Remain

Central Energy Plant (CEP) Temporary Plant

Facility name: Orange Park Medical Center

Project name: ORPKMC-102018M-Kitchen Expansion & Renovation
Location: ORANGE PARK, FL
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3091300034
Lesson Learned number: 164
Impact: Cost, Scope

Cost impact: $64,000


Lesson Learned/Best Practice

Air-cooled chiller rental agencies have their own operational standards for their equipment which do not always match manufacturer operational standards. A temporary variable primary chilled water system was the basis of design for this project to match the existing chilled water plant configuration. The design team worked with the temporary unit manufacturer to ensure proper operation was being met. However, the rental agency would not allow for the operation of the chillers in a variable primary system. This resulted in added piping and pumps. In addition to this, the rental agency did not provide a control interface for the rental units. This caused for additional control wiring/sequencing for the temporary units.


Suggested Actions for Future Projects

When providing a temporary chilled water plant that utilizes rental air cooled chillers, provide a primary/secondary pumping configuration. Additionally, provide the temporary control system sequence as part of the design. Review the system configuration with the contractors and rental agency to ensure that their internal operational standards are being met and controls can be accomplished.


Keywords

temporary chilled water plant, rental

Power in the Slab

Facility name: Woman’s Hospital Of Texas

Project name: WMHOTX-122018P1-5th Floor Ante-Partum Buildout & Renovation
Location: HOUSTON, TX
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3431900010
Lesson Learned number: 163
Impact: Cost, Schedule


Lesson Learned/Best Practice

Power was identified in the slab when scanning for coring after walls were framed. Required relocating walls, plumbing fixtures and rework of overhead sheetrock activities.


Suggested Actions for Future Projects

This facility is unique in that most of its normal power circuits are run in the floor slabs.  During planning/EDI efforts, it would be beneficial to scan particular areas of the floor plan to determine if power is present prior to finalizing floor plans.


Keywords

Rough-In, Scanning, EDI, Floor Slab, Electrical

Rooftop Piping Across Existing Structures

Facility name: Orange Park Medical Center

Project name: ORPKMC-102018M-Kitchen Expansion & Renovation
Location: ORANGE PARK, FL
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3091300034
Lesson Learned number: 162
Impact: Scope


Lesson Learned/Best Practice

Pipe routing seems to often be left to the installing contractor.  When rooftop piping is used, the support frames are done by the installer as a deferred submittal, but the underlying structure has to be reviewed by the design team. Field investigation should be performed to identify/incorporate existing structure components/limitations into the design documents. 


Suggested Actions for Future Projects

Large diameter piping being routed over existing roof sections needs to have those existing roof sections surveyed prior to the completion of design. The survey should identify the structural make-up of each roof section, so appropriate routing and pipe stands can be coordinated/designed into the construction documents with the structural engineer’s approval. 


Keywords

Pipe racks, Roof piping, Bar joists, pipe supports

Central Energy Plant (CEP) Replacement Coordination and Phasing

Facility name: Orange Park Medical Center

Project name: ORPKMC-102018M-Kitchen Expansion & Renovation
Location: ORANGE PARK, FL
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3091300034
Lesson Learned number: 161
Impact: Cost, Schedule, Scope

Cost impact: $15,000


Lesson Learned/Best Practice

During construction the team was able to coordinate the installation of the new utility lines in a way that minimized the overall duration of the temporary CEP services. During this process multiple phasing plans were developed to tackle the existing utility layouts that were uncovered. A complete mapping of the existing systems would have prevented the back and forth of multiple phasing plans and expedited the overall underground installation process. 


Suggested Actions for Future Projects

How to minimize the duration of a temporary CEP:
– A complete interior and exterior mapping and phasing plan should be developed prior to construction. This is advised in order to reduce potential impacts once construction begins.
– How much existing roadway/sidewalk will need to be removed/replaced to accomplish the phasing of both demo and replacement? 
– Schedule of when each existing and new item is to be removed/installed.


Keywords

CEP, Temp Equipment, 3D Mapping

Exterior Demolition Drawings

Facility name: Menorah Medical Center

Project name: MENORA-092018M-Bed Tower Expansion
Location: OVERLAND PARK, KS
Project classification: Hospital – Horizontal Expansion
Project type: Acute Care
Project number: 0972300007
Lesson Learned number: 159
Impact: Cost, Schedule


Lesson Learned/Best Practice

On future projects requiring demolition provide drawings indicating extent of work at each level.  The scope of the demolition spanned across four levels but no demo drawings were provided for the roof, only Level’s 01-04 and some exterior elevations.  The demo indicated on the drawings occurred but it was quickly identified that there were multiple discrepancies on the drawings at the roof level, and the extent of demo was not clear.  This resulted in multiple RFIs to understand the scope required, structurally and architecturally.  Due to the lack of drawings there were multiple RFIs and cost impacts associated with the extra demo.


Suggested Actions for Future Projects

For each level requiring demolition provide a drawing indicating the extent of demo required.  This will minimize RFIs and potential cost impacts. 


Keywords

Roof Demolition

HVAC Equipment Guy Wire Install

Facility name: North Florida Regional Medical Center

Project name: NRFLMC-032018M-South Tower Vertical Expansion
Location: GAINESVILLE, FL
Project classification: Hospital – Vertical Expansion
Project type: Acute Care
Project number: 3091600012
Lesson Learned number: 158
Impact: Cost, Schedule, Quality


Lesson Learned/Best Practice

Guy wires need to be installed to construction details.  Details site spacing, guy wire angles, and structural/deck mounting requirements.  Having early discussions regarding details with the MEP trades, steel detailer, and structural engineer may result in an install pattern that saves additional steel bracing and provides clearer direction for specific unit installation.


Suggested Actions for Future Projects

Include in shop drawing review for placement and install of guy wire anchors.


Related files. Click to view/download.

File 1:
8880guywiredetail5.pdf

File 2:
1759nfroofinstall3.JPG

Florida – Roofing Schedule

Facility name: UCF Lake Nona Medical Center

Project name: Lake Nona-102018M- New Hospital
Location: TALLAHASSEE, FL
Project classification: Hospital – New
Project type: Acute Care
Project number: 2689500001
Lesson Learned number: 157
Impact: Schedule, Quality

Schedule impact: 25 days


Lesson Learned/Best Practice

Roofing NOA/FPA requires that any TPO roofing system installed on a structural slab with poly iso board must be mechanically fastened every 18″ o.c. If this installation is performed during the “rainy season” (May – Sept), roofing installation progress is significantly reduced.


Suggested Actions for Future Projects

LWIC should be utilized wherever possible. If this is not feasible, special consideration should be given to the time of year in which the roof is to be installed and appropriate installation durations should be included.


Keywords

Florida; Roofing

Florida – Roofing Schedule

Facility name: UCF Lake Nona Medical Center

Project name: Lake Nona-102018M- New Hospital
Location: TALLAHASSEE, FL
Project classification: Hospital – New
Project type: Acute Care
Project number: 2689500001
Lesson Learned number: 157
Impact: Schedule, Quality

Schedule impact: 25 days


Lesson Learned/Best Practice

Roofing NOA/FPA requires that any TPO roofing system installed on a structural slab with poly iso board must be mechanically fastened every 18″ o.c. If this installation is performed during the “rainy season” (May – Sept), roofing installation progress is significantly reduced.


Suggested Actions for Future Projects

LWIC should be utilized wherever possible. If this is not feasible, special consideration should be given to the time of year in which the roof is to be installed and appropriate installation durations should be included.


Keywords

Florida; Roofing