Add a Lesson Learned

Earthwork (Div 31)

Evolving HCA standards

Facility name: Medical City McKinney

Project name: MCMKNY-102017M-BH & Rehab Relocation
Location: MCKINNEY, TX
Project classification: Hospital – Horizontal Expansion
Project type: Psych
Project number: 3833300011
Lesson Learned number: 148
Impact: Cost


Lesson Learned/Best Practice

With HCA’s ever evolving design standardization there needs to be a fixed point where design is frozen for each specific project. 


Suggested Actions for Future Projects

Document date and version of HCA standards utilized within CD drawing set,  validate HCA standards with planning manger, design manager, HCA engineering and construction manager.


Keywords

HCA Standards, MEP guidlines

Utility exploration

Facility name: Medical City McKinney

Project name: MCMKNY-102017M-BH & Rehab Relocation
Location: MCKINNEY, TX
Project classification: Hospital – Horizontal Expansion
Project type: Psych
Project number: 3833300011
Lesson Learned number: 145
Impact: Schedule, Quality, Safety


Lesson Learned/Best Practice

Utilization of extensive utility exploration limited any interruptions due to interferences with existing underground utilities, utilized extensive hydro-vac excavation, survey was coordinated into BIM, early mobilization in anticipation of city permit.  Was able to accomplish a lot of the actions because was an EDI project. 


Suggested Actions for Future Projects

As possible integrate as many of the same methods for future projects.  Key is early mobilization to be able to take advantage of any mobilization or relocation due to unforeseen utilities identified.


Keywords

Pre construction site survey

City of Orlando – As-Built Submission

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: 117
Impact: Schedule


Lesson Learned/Best Practice

The City of Orlando must review all utility as-builts prior to removing the Document Hold for a final Certificate of Occupancy. This process can be up to 30 days for each submissions with multiple submissions necessary.


Suggested Actions for Future Projects

Progress as-built surveys should be submitted when possible to reduce the schedule impact for revised documents at the end of the project.


Keywords

City of Orlando, As-Built

AHJ coordination on site utility installations

Facility name: Parkridge Valley Hospital

Project name: PRKRVH-092018M-ED Addition
Location: CHATTANOOGA, TN
Project classification: Hospital – Horizontal Expansion
Project type: Acute Care
Project number: 3424100002
Lesson Learned number: 46
Impact: Schedule


Lesson Learned/Best Practice

City required excavation of the bio-retention pond and partial storm sewer system installation before to excavating the building pad.  This was not contemplated in the schedules and delayed development of the building pad by three weeks.


Suggested Actions for Future Projects

Have civil engineer discuss excavation and site utility installations prior to completion of construction documents and include any required sequencing or special provisions in the documents.  At a minimum the contractor should meet with the AHJ to ensure a thorough understanding of their requirements.