Best Practices for Project Management, Design, and Construction of ...
Best Practices for Project Management, Design, and Construction of ... Best Practices for Project Management, Design, and Construction of ...
• To act as a board of appeals with regard to any actions taken by OSHPD related to hospital facilities and any other action taken by the OSHPD FDD; including SB 90 appeals and disciplinary action taken against an IOR. The hearing process is a formal action of the state of California and the outcome is binding. If the appellant has been adversely affected by the decision of the HBSB, the appellant may further appeal the issue for resolution by the California Building Standards Commission (Health & Safety Code Section 18945). Considerations for Appeals Applicants have an undisputed right to appeal without retaliation. Before engaging in appeals, the hospital owner should consider the following points: • Ensure that your professional design consultant or contractor has a winning argument. Codes can be open to interpretation and OSHPD’s orientation of interpretation is toward the greatest degree of safety. Be ready to show that the code unambiguously allows the design being proposed and that the application of code does not reduce safety. • Ensure that your project can endure the time it takes to appeal a comment. The informal CPR process is intended to be fairly quick, whereas the formal HBSB process can take up to a year for resolution. Projects in the plan review stage can often pursue the CPR process but may be set back substantially by an HBSB appeal. Costly delays in construction may occur from even the simple steps of the CPR process. Construction Phase Best Practice 19: Hire an IOR appropriate for the project The California Building Standards Administrative Code requires that all hospital construction be observed continuously by an OSHPD-certified IOR. The IOR is selected and hired by the hospital owner. An OSHPD-certified IOR is required to perform inspection of all alterations, modifications, and additions to existing hospital buildings and new hospital facility construction. OSHPD certifies inspectors for three levels of inspection defined as follows: • Class A IORs may inspect all phases of construction, including architectural, mechanical, electrical, fire and life safety, and structural elements. Note that this class includes major structural construction. • Class B IORs may inspect only the following phases of construction: architectural, mechanical, electrical, fire and life safety, and anchorage of nonstructural elements. • Class C IORs may inspect only specific disciplines of construction defined in regulations. (OSHPD Best Practices) Page 104 DRAFT FINAL, Sept. 2011
See Section 4 of this volume for a comprehensive review of IOR roles and responsibilities. Depending on the size and complexity of a project, OSHPD may require more than one IOR. Prior to retaining an IOR, references should be checked with hospitals and architects who worked on projects with the IOR. The prospective IOR should also have experience with similar projects. Best Practice 20: Discuss your phased occupancy plans with OSHPD field staff before construction begins Large projects sometime require that occupancy is requested for portions of the construction before all of the work is finished. Discuss your early occupancy needs with OSHPD field staff before construction begins. Use of an integrated project delivery model will address this issue up front. Best Practice 21: Avoid deviations from approved plans to minimize Amended Construction Documents Amended Construction Documents (formerly known as Change Orders) are one of the chief reasons for project delays and cost overruns. Amended Construction Documents (ACDs) are sometimes generated to meet the needs of medical staff after a project receives a building permit or originate from a contractor who has an alternative means of constructing the project (not approved by OSHPD) to save the hospital money. A building permit is issued for a specific plan reviewed project. All ACDs that materially alter the work of construction need to be reviewed by OSHPD and thus cost time and money. Hospital owners should determine the actual cost implications of an ACD prior to requesting it. Best Practice 22: Require that the contractor obtain both the hospital’s and OSHPD’s approval before deviating from the approved plans Ensure that your contract for services with the contractor requires the contractor to adhere to the requirements of the approved plans without deviation. Any work not performed to exact specifications can be ordered removed by OSHPD field staff at any time. If that happens, hold the contractor responsible for costs and lost time resulting from such deviations. Hold the general contractor (GC) responsible for understanding, complying, and building per the OSHPD-approved documents. The GC should be involved with the project early and must work with designers and the hospital to resolve construction issues prior to construction starting. Owner-driven ACDs are common in the rapidly changing healthcare industry, since needs and services needs often change. As experienced professionals, the hospital owner, designer, and contractor team must (OSHPD Best Practices) Page 105 DRAFT FINAL, Sept. 2011
- Page 53 and 54: Several drawings contain essential
- Page 55 and 56: o o o o o o o o Floor Plan - Lighti
- Page 57 and 58: Section 4: Inspector of Record Best
- Page 59 and 60: • Approved program flexes; • Ra
- Page 61 and 62: 9. The IOR shall submit verified co
- Page 63 and 64: • Log and record areas that by de
- Page 65 and 66: • Inspections completed by the us
- Page 67 and 68: Logging Inspection Requests 1. When
- Page 69 and 70: Preconstruction Meetings A preconst
- Page 71 and 72: • Explain code requirements for s
- Page 73 and 74: Concluding Remarks An IOR needs to
- Page 75 and 76: Although including the TIO Program
- Page 77 and 78: Owner The Owner is responsible for
- Page 79 and 80: Inspections The TIO Program should
- Page 81 and 82: The construction of hospitals in Ca
- Page 83 and 84: Instruction Bulletins (IBs), prepar
- Page 85 and 86: Changes will undoubtedly be require
- Page 87 and 88: Proper execution of these and the o
- Page 89 and 90: contingencies, that concur with def
- Page 91 and 92: and help in determining the cause o
- Page 93 and 94: have discovered that bids only cove
- Page 95 and 96: Best Practice 7: Determine whether
- Page 97 and 98: OSHPD believes the key to receiving
- Page 99 and 100: the design assistance from the manu
- Page 101 and 102: Permit Phase Best Practice 15: Keep
- Page 103: Comment and Process Review The deci
- Page 107 and 108: • OSHPD shall schedule a final st
- Page 109 and 110: CPC CPR DD Deferred Submittals DSE
- Page 111: (OSHPD Best Practices) Page 111 DRA
See Section 4 <strong>of</strong> this volume <strong>for</strong> a comprehensive review <strong>of</strong> IOR roles <strong>and</strong> responsibilities.<br />
Depending on the size <strong>and</strong> complexity <strong>of</strong> a project, OSHPD may require more than one IOR.<br />
Prior to retaining an IOR, references should be checked with hospitals <strong>and</strong> architects who worked<br />
on projects with the IOR. The prospective IOR should also have experience with similar projects.<br />
<strong>Best</strong> Practice 20: Discuss your phased occupancy plans with OSHPD field staff be<strong>for</strong>e<br />
construction begins<br />
Large projects sometime require that occupancy is requested <strong>for</strong> portions <strong>of</strong> the construction<br />
be<strong>for</strong>e all <strong>of</strong> the work is finished. Discuss your early occupancy needs with OSHPD field staff<br />
be<strong>for</strong>e construction begins. Use <strong>of</strong> an integrated project delivery model will address this issue up<br />
front.<br />
<strong>Best</strong> Practice 21: Avoid deviations from approved plans to minimize Amended<br />
<strong>Construction</strong> Documents<br />
Amended <strong>Construction</strong> Documents (<strong>for</strong>merly known as Change Orders) are one <strong>of</strong> the chief<br />
reasons <strong>for</strong> project delays <strong>and</strong> cost overruns. Amended <strong>Construction</strong> Documents (ACDs) are<br />
sometimes generated to meet the needs <strong>of</strong> medical staff after a project receives a building permit<br />
or originate from a contractor who has an alternative means <strong>of</strong> constructing the project (not<br />
approved by OSHPD) to save the hospital money. A building permit is issued <strong>for</strong> a specific plan<br />
reviewed project. All ACDs that materially alter the work <strong>of</strong> construction need to be reviewed by<br />
OSHPD <strong>and</strong> thus cost time <strong>and</strong> money. Hospital owners should determine the actual cost<br />
implications <strong>of</strong> an ACD prior to requesting it.<br />
<strong>Best</strong> Practice 22: Require that the contractor obtain both the hospital’s <strong>and</strong> OSHPD’s<br />
approval be<strong>for</strong>e deviating from the approved plans<br />
Ensure that your contract <strong>for</strong> services with the contractor requires the contractor to adhere to the<br />
requirements <strong>of</strong> the approved plans without deviation. Any work not per<strong>for</strong>med to exact<br />
specifications can be ordered removed by OSHPD field staff at any time. If that happens, hold the<br />
contractor responsible <strong>for</strong> costs <strong>and</strong> lost time resulting from such deviations. Hold the general<br />
contractor (GC) responsible <strong>for</strong> underst<strong>and</strong>ing, complying, <strong>and</strong> building per the OSHPD-approved<br />
documents. The GC should be involved with the project early <strong>and</strong> must work with designers <strong>and</strong><br />
the hospital to resolve construction issues prior to construction starting. Owner-driven ACDs are<br />
common in the rapidly changing healthcare industry, since needs <strong>and</strong> services needs <strong>of</strong>ten<br />
change. As experienced pr<strong>of</strong>essionals, the hospital owner, designer, <strong>and</strong> contractor team must<br />
(OSHPD <strong>Best</strong> <strong>Practices</strong>) Page 105 DRAFT FINAL, Sept. 2011
Change language