1. Commissioning

2. What is Commissioning?

3. And the word Authority?

4. So a Commissioning Authority is:

5. What is Health Facility Commissioning?

6. What Systems are there for Commissioning ?

7. What is Commissioning as per CIBSE? Commissioning is: The advancement of an installation from the state of static completion to full working order to the specified requirements. It includes the setting to work of an installation, the regulation of the system, and the fine tuning of the system.

8. What is Commissioning as per ASHRAE? Commissioning is: A quality-focused process for enhancing the delivery of a project. The process focuses upon verifying and documenting that the facility and all of its systems and assemblies are planned, designed, installed, tested, operated and maintained to meet the owner’s project requirements.

9. What Platforms Enforce Commissioning ?

10. Are these Systems Similar? Credit RequirementEstidama IDP-R3LEED EAP 1 Engage a Commissioning Authority Review design intent and basis of design documentation Include commissioning requirements in the construction documents Develop and utilize a commissioning plan Verify installation, functional performance, training and documentation Complete a commissioning report

11. Are these Systems Similar? Credit RequirementEstidama IDP-5LEED EA 3 Complete a focused design review prior to the construction documents phase (3 rd party commissioning authority must be used)  Complete a focused design review of the construction documents  Complete a selective submittal review for commissioned equipment  Create a recommissioning management manual Contract for a warranty or post occupancy review 

12. Specific Requirements

13. What Systems should be Considered for Commissioning?

15. Does the CxA do all of these?

16. So which areas need additional specialists?

17. This will differ between companies based on their specific strengths and specialties. Currently within EKO Engineering we utilize additional specialists for:

18. So Commissioning is Just Testing and Balancing isn’t it?

19. Commissioning is:

20. And the Role of the Commissioning Authority (CxA) is to:

21. When Should Commissioning Start?

23. The Importance of Design Reviews

24. The Top 10 Commissioning Issues in Hospitals

26. Example of Issues Identified in a Design Review

27. Design Intent Design Philosophy Room Register No. DesignActual % Design Within Spec. (L/s) ToiletE1-40 100%a Patient RoomD2170 100%a D2100 100%a B1-300 100%a Balance-30 Cumulative Balance-70 Ante RoomD2100 100%a F3-80 100%a Balance20 Cumulative Balance-50

28. Tolerance 0% to -10% Specification nominates tolerance of 0 to -10 percent Room Register No. DesignActual % Design Within Spec. (L/s) ToiletE1-40-3690%  Patient RoomD2170 100%  D2100 100%  B1-300-27090%  Balance-300 Cumulative Balance-70-36 Ante RoomD2100 100%  F3-80-7290%  Balance2028 Cumulative Balance-50-8

29. Tolerance +/-10% What if we consider tolerance +/-10%? Room Register No. DesignActual % Design Within Spec. (L/s) ToiletE1-40-3690%  Patient RoomD2170187110%  D2100110110%  B1-300-27090%  Balance-3027 Cumulative Balance-70-9 Ante RoomD2100110110%  F3-80-7290%  Balance2038 Cumulative Balance-5029

30. Other Issues Identified from CxA Review

31. But How Much Does Commissioning Cost?

32. New ConstructionRetrospective Pay Back Period

33. A Parting Thought….

34. Thank You