RECAPP Facility Evaluation Report

Transcription

1 RECAPP Facility Evaluation Report Alberta Health Services-Central Breton Health Centre B999A Breton Report run on: March 7, :1 AM

2 Building Name: Address: Location: Building Id: Gross Area (sq. m): Replacement : Construction : Facility Details Breton Health Centre Avenue Breton B999A 2,46. $13,26,534 Evaluation Company: Breton - Breton Health Centre (B999A) Wade Engineering Ltd. Evaluation Date: September Evaluator Name: Evaluation Details Ferdinand Gonzales/Mike Pangman Total Maintenance Events Next 5 years: $685,72 5 year Facility Condition Index (FCI): 5.19% General Summary: This is a one-storey, 2,42m² building that serves as a health centre for the town of Breton. It was built in with upgrades and additions in. The original building has a flat roof and has brick veneer and cedar wood panel cladding. The original structure consists of wood frame walls and steel frame structure over a grade beam and pile foundation. The additions in consist of similar structure and is clad with metal siding over metal stud framing with metal clad pitched roof. A number of minor problems with architectural, mechanical and electrical systems are consistent with a building of this age. Structural Summary: Original () structure comprises of slab on grade construction on grade beam on piles with wood framed walls and engineered wood joists. addition comprises of steel frame construction with OWSJ.The structure is in good condition for a building of its type and age. Envelope Summary: The building envelope in the original building () comprises of wood frame walls with brick veneer and metal cladding with fibreglass insulation and 6mil poly vapour barrier. The additions in comprises of similar construction with the difference in metal cladding. The building envelope has some minor issues but overall in acceptable condition with minor repairs required. Interior Summary: Interior walls comprises of painted gypsum with ceiling consisting of a combination of gypsum and acoustical ceiling tiles. Resilient sheet and tile flooring are located throughout the hallways and individual patient rooms with ceramic wall tile finish predominantly in washroom and bath areas. A number of relatively minor problems have been noted with the interior but otherwise building interior is in acceptable condition. Mechanical Summary: The plumbing systems of the building consists of domestic water distribution, natural gas, storm and sanitary piping, and plumbing fixtures are mostly original. Domestic hot water is supplied by two domestic hot water heaters. The washrooms fixtures have wall hung and counter mounted lavatories, and floor mounted flush valve type water closets. The shower rooms are equipped with wall mounted shower heads with hand valve operation. Custodial mop sinks are present in custodial rooms throughout the building. Stainless steel sinks are located in several rooms. Heating of the building is provided by two low pressure steam boilers which are connected to two heat exchangers (steam to hot water and steam to glycol). Heating water is circulated through perimeter finned radiation, convectors and unit heaters in the facility. Heating glycol is circulated through the air handling unit coils. There are two main air handling units, one packaged roof top unit and two furnaces that provide ventilation to the facility. Air cooled condensing units provide cooling to the air handling units. There is no ventilation system serving the doctors office. A combination of pneumatic and electric controls are used to control the mechanical equipment. Fire extinguishers are located throughout the building. Items requiring attention within the next 5 years are: - Install a ventilation system to serve the doctors office. Overall the facility appears to be in acceptable condition. Report run on: March 7, :1 AM Page 2 of 46

3 Breton - Breton Health Centre (B999A) Electrical Summary: The main electrical service to the building is fed underground from a pad mounted utility transformer. The 12/28 volt, 3 phase, 4 wire main service is made-up of a 8 amp main breaker and breaker distribution section which feeds electrical panelboards throughout the building. The building interior is illuminated by fluorescent fixtures which are a combination of T8 with energy efficient ballasts and T12 with magnetic ballasts. Exterior building perimeter lighting is provided by high pressure sodium wall and pole mounted fixtures controlled by photocells. Exit fixtures throughout the building have been upgraded to LED lamps. Emergency lighting is provided base building fixtures fed from an emergency panel with back-up power provided by an emergency diesel generator. The building is provided with a Honeywell addresable fire alarm control panel which controls devices throughout the building. The building is equipped with a DSC security system and video cameras. The buildings main telephone system is integrated with the Public Address System for building communication. The building has internet service which is distributed by Cat 5 data network cabling throughout the building. The following upgrades and repairs should be considered over the next 5 years: - Replace panelboards. Overall, the electrical systems are in Acceptable condition. Guide Condition Performance 1 - Critical Unsafe, high risk of injury or critical system failure. 2 - Poor Does not meet requirements, has significant deficiencies. May have high operating/maintenance costs. 3 - Marginal Meets minimum requirements, has significant deficiencies. May have above average operating maintenance costs. Meets present requirements, minor deficiencies. Average operating/maintenance costs. 5 - Good Meets all present requirements. No deficiencies. 6 - Excellent As new/state of the art, meets present and foreseeable requirements. Report run on: March 7, :1 AM Page 3 of 46

4 S1 STRUCTURAL Breton - Breton Health Centre (B999A) A11 Standard Foundations* Grade beam on piles in areas without basement. A13 Slab on Grade* Concrete slab on grade. A22 Basement Walls (& Crawl Space)* Concrete wall construction in crawl space. B11.1 Floor Structural Frame (Building Frame)* - & Sections Masonry concrete block around perimeter of facility. B11.2 Structural Interior Walls Supporting Floors (or Roof)* - Section Wood framed interior wall construction. B11.3 Floor Decks, Slabs, and Toppings* - & Sections Floor decks over engineered wood joists. B12.1 Roof Structural Frame* - Section Engineered wood joists in original building. Report run on: March 7, :1 AM Page 4 of 46

5 Breton - Breton Health Centre (B999A) B12.1 Roof Structural Frame* - Additions Sloped open web steel joists at pitched roofs. B12.2 Structural Interior Walls Supporting Roofs* - Section Wood framed structural walls. B12.2 Structural Interior Walls Supporting Roofs* - Additions Metal framed structural walls. B12.3 Roof Decks, Slabs, and Sheathing* - Section Concrete topping over Q-Deck at flat roof. B12.3 Roof Decks, Slabs, and Sheathing* - Additions Metal framed interior wall construction with open web steel joist construction B12.4 Canopies* Canopy over main entrance. Report run on: March 7, :1 AM Page 5 of 46

6 S2 ENVELOPE Breton - Breton Health Centre (B999A) B Brick Masonry: Ext. Wall Skin* Face brick showing minor vertical cracking on the west wall. B Metal Siding** - Section Band of metal cladding at top of walls in acute care and health clinic wings. Cladding appears to be rusting and is coming loose from fasteners. Ledge has been retrofitted with wood blocking to prevent birds from building nests. 2 - Poor Paint or replace metal siding (22m²) Concern: Portion of metal siding on the west side of the building is showing signs of rust. Recommendation: Replace metal siding on the west side of the building. Failure Replacement 214 $3,3 Medium : B Metal Siding** - Additions Metal cladding on steel frame walls. Replace metal siding (626m²) 228 $9,2 : Report run on: March 7, :1 AM Page 6 of 46

7 Breton - Breton Health Centre (B999A) B Wood Siding** - Section Health clinic: face brick and cedar siding over insulated wood frame wall. 3 - Marginal Repair and repaint wood siding (17m²) Concern: Paint on wood siding has flaked off or is non-existent in several areas. Recommendation: Repaint wood siding, repair as required. Failure Replacement 214 $6,8 Low : B Joint Sealers (caulking): Ext. Wall** - Control Joints Control joints caulking appear to have deteriorated in some areas. 2 - Poor 2 Replace control joints caulking (15m) Concern: Control joints have failed in several areas thus allowing moisture to enter wall cavity. Recommendation: Remove and replace caulking as required. Failure Replacement 214 $1,1 High : Report run on: March 7, :1 AM Page 7 of 46

8 Breton - Breton Health Centre (B999A) B Joint Sealers (caulking): Ext. Wall** - Windows Caulking around perimeter of windows appears to have deteriorated in several areas. 3 - Marginal 1991 Replace caulking (545m) Concern: Caulking has deteriorated in several areas thus allowing moisture to enter wall cavity. Recommendation: Replace caulking as required. Failure Replacement 214 $17,5 High : B Paints (& Stains): Ext. Wall** - Concrete Block Painted concrete block in service wing of the building. 3 - Marginal 2 15 Repaint concrete block (222m²) Concern: Paint appears to be cracking and flaking in several areas. Recommendation: Repaint concrete block. Failure Replacement 215 $17,8 Medium : Report run on: March 7, :1 AM Page 8 of 46

9 Breton - Breton Health Centre (B999A) B Paints (& Stains): Ext. Wall** - Wood Siding Painted wood siding in section. 3 - Marginal 2 15 Repaint wood siding (17m²) Concern: Paint appears to be fading and cracking in several areas. Recommendation: Repaint wood siding. Failure Replacement 215 $6,8 Medium : B21.3 Exterior Wall Vapour Retarders, Air Barriers, and Insulation* - & Sections Poly vapour barriers for original building indicated on drawings on roof decks and underside of uninsulated roof joints. Walls appear to rely on interior plaster finishes to act as air/vapour barrier. 25 mm painted concrete block with loose fill insulation in cores, estimated RSI of.4. Face brick over insulated wood framed wall, estimated RSI of drawings indicate poly vapour barrier at ceiling and inner face of wall framing. Vapour barrier not visible for inspection. B Aluminum Windows (Glass & Frame)** Original building, replaced in 1991 with aluminum clad wood frames with clear double glazed fixed units. Thermally broken aluminum awning vents with clear double glazing Replace windows (154m²) 231 $168,9 : Report run on: March 7, :1 AM Page 9 of 46

10 Breton - Breton Health Centre (B999A) B Vinyl, Fibreglass & Plastic Windows** addition: PVC frames with clear double glazed units and awning vent along bottom of windows. Replace windows (46m²) 228 $46,8 : B Aluminum-Framed Storefronts: Doors** Aluminum framed storefront doors are located at the main entrance of the building. 3 Replace storefront door panels (4) 218 $11,3 : B Wood Entrance Door** Exterior wood doors do not seal properly and need to be replaced. The emergency exit doors need to be removed and replaced with three double and two single doors complete with hardware and frames. 3 - Marginal 3 Replace wood doors (5) Concern: Existing exterior wood doors require replacement. Recommendation: Replace doors, giving steel consideration. Failure Replacement 214 $21,32 High : Report run on: March 7, :1 AM Page 1 of 46

11 Breton - Breton Health Centre (B999A) B23.2 Exterior Utility Doors** - Additions Steel utility doors are located in parts of the original building. 4 Replace steel utility doors (4) 228 $5,9 : B23.2 Exterior Utility Doors** - Steel Steel utility doors with glass panels are installed in the addition of the building. 4 Replace wood doors (4) 228 $7, : B23.2 Exterior Utility Doors** - Wood Painted wood utility doors are installed in parts of the original building. Replace exterior wood utility doors (4) 217 $1,3 : B23.3 Large Exterior Special Doors (Overhead)* Overhead doors are located at ambulance bays and coiling doors are located in Room 176. Report run on: March 7, :1 AM Page 11 of 46

12 Breton - Breton Health Centre (B999A) B31.1 Deck Vapour Retarder and Insulation* 5 mm rigid insulation added over original 13 mm fibreboard insulation over vapour barrier over all SBS roof deck. 26 B Built-up Bituminous Roofing (Asphalt & Gravel)** Bult-up roofing is located above the medical clinics section of the building and was installed in. It appears to have reached the end of its expected life with signs of aging visible throughout. 3 - Marginal 25 Replace roofing with SBS (272m²) Concern: Bult-up roofing has reached the end of its life cycle and should be replaced. Recommendation: Replace built-up roofing to avoid further leaking into the building. Failure Replacement 215 $41,4 High : B Modified Bituminous Membrane Roofing (SBS)** Roofing above the main entrance vestibule was installed in 1993 and was found to have no visible signs of aging when inspected Replace SBS roofing (56m²) 218 $9,7 : Report run on: March 7, :1 AM Page 12 of 46

13 B Modified Bituminous Membrane Roofing (SBS)** - 26, 28, 21 Sections Breton - Breton Health Centre (B999A) SBS roofing was installed in 26, 28 and 21 respectively and was in acceptable condition at the time of inspection with minor signs of blistering throughout. Routine maintenance will aid the roof reach the end of its effective life Replace SBS roofing (1,799m²) 233 $39,84 : B31.7 Sheet Metal Roofing** Metal roofing on addition and parts of the building were found to be in marginal conditions with signs of rusting and paint fading evident in the locations inspected. 4 Repair sheet metal roofing (4m²) Concern: Paint in several areas have visibly faded and requires repainting to effectively reach its theoretical design life. Recommendation: Repaint sections as required. Repair 214 $5, Medium : Replace sheet metal roofing (4m²) 228 $12,5 : Report run on: March 7, :1 AM Page 13 of 46

14 Breton - Breton Health Centre (B999A) B Metal Gutters and Downspouts** Metal eavestroughs and downspouts are located in areas where there is sloped metal roof. Some loose eavestrough were observed. 3 Repair Loose Eavestrough (15m) Concern: Loose eavestrough were observed on the sloped metal roof parts and should be replaced to inhibit proper drainage of water away from the building. Recommendation: Replace eavestrough on metal roofs. Repair 214 $1,1 Low : Replace Eavestroughs & Downspouts (33m) 218 $2,1 : B32.2 Other Roofing Openings (Hatch, Vent, etc)* Roof accessed through penthouse over patient wing. hazardous. Roof access through penthouse is awkward and ladder is 3 - Marginal Repair or Replace Access Ladder & Hatch. (1) Concern: Access to roof appears to be hazardous. Recommendation: Repair or replace roof hatch and ladder to ensure safe access of the rooftop. Code Repair 214 $7,5 Medium : Report run on: March 7, :1 AM Page 14 of 46

15 S3 INTERIOR Breton - Breton Health Centre (B999A) C11.1 Interior Fixed Partitions* Original building has concrete block partitions in the service wing with 2 x 4 and 2 x 6 frame partitions in the balance. The addition has concrete block and metal stud partitions. Some of the partitions have been equipped with sound attenuating fibreglass insulation. No visual evidence or reports of problems with balance of partitions. C11.3 Interior Operable Folding Panel Partitions** Folding partition installed in Room Replace interior folding partitions (14m²) 218 $17, : C11.6 Interior Glazed Partitions and Storefronts* Variety of lites and sidelites set in pressed steel frames. Good condition, but lite should be replaced with something more appropriate than unfinished plywood. C12.1 Interior Swinging Doors (& Hardware)* - Section Lead lined solid core wood doors to X-ray suite. Magnetic hold open devices on doors in firewall and smoke separations. Balance of hardware standard butts, closers, locksets, latchsets and stops. Hardware has been revised over the years with result that keying system no longer master keyed properly. Retrofitted locksets should be changed to conform to master keying system. C12.1 Interior Swinging Doors (& Hardware)* - Section & Additions Large majority of doors are solid core wood, rated and non rated, glazed and solid. Doors in health clinic wing set in wood frames, balance are pressed steel. Report run on: March 7, :1 AM Page 15 of 46

16 C12.2 Interior Entrance Doors* - Section and Additions Wood doors and metal frames. Breton - Breton Health Centre (B999A) C12.3 Interior Fire Doors* - Section Magnetic hold open devices on doors in firewall and smoke separations. Tied into fire alarm system. C12.3 Interior Fire Doors* - Additions Rated hollow metal steel doors set in existing steel frames as part of fire code safety upgrading. Doors and frames are in good condition. Rekey Building and Tracking System Concern: The facility is not fully secured as a master tracking system was not initiated and keys were copied. Recommendation: The Health Centre facility requires a complete master rekeying and a tracking system initiated. The old locks are over the estimated life span. Operating Efficiency Upgrade 215 $23,954 Medium : C13.2 Fabricated Compartments (Toilets/Showers)** Prefinished floor mounted steel toilet partitions. Replace fabricated compartments (5) 217 $6,7 : Report run on: March 7, :1 AM Page 16 of 46

17 Breton - Breton Health Centre (B999A) C13.5 Wall and Corner Guards* Metal and plastic corner guards were found to be installed in some parts of the hallway. C13.1 Lockers** Metal full and half lockers found in mens and womens staff changerooms. 3 Replace full (27) and half (26) lockers. 218 $28,5 : C13.12 Storage Shelving* Metal shelving in kitchen area, wood shelving in storage areas and movable filing system located in Medical Records Room 117. C13.14 Toilet, Bath, and Laundry Accessories* Mirrors, paper towel and tissue dispensers, soap dispensers and paper towel receptacles. C31.6 Tile Wall Finishes** Ceramic tile wall finishes were found in rooms 113, 118, and some washrooms and showers. No visible signs of wear and tear was evident at the time of inspection. 4 Replace ceramic wall tiles (199m²) 217 $55,8 : Report run on: March 7, :1 AM Page 17 of 46

18 Breton - Breton Health Centre (B999A) C31.11 Interior Wall Painting* Painted concrete block walls, frame walls finished with painted plaster and gypsum lath. Repair and refinish affected areas Concern: Some water damage due to leaking windows and leaking pipes in CSR and should be monitored. Recommendation: Should water damage be of a concern, repair and refinish affected areas as required. Repair 214 $5, Low : C Painted Concrete Floor Finishes* Painted concrete were found in mechanical and laundry rooms. No visible signs of wear and tear. C32.2 Tile Floor Finishes** Ceramic tile in washrooms, shower rooms and kitchen areas. Apply non-stick coating onto quarry tiles (57m²) Concern: Quarry tile in kitchen is hazardous when wet. Emery strips placed on tile in circulation areas. Recommendation: Add non-slip coating to avoid slipping hazards. Program Functional Upgrade 214 $2,5 High : Replace ceramic floor tiles (88m²) 217 $16,9 : Report run on: March 7, :1 AM Page 18 of 46

19 Breton - Breton Health Centre (B999A) C32.4 Wood Flooring** Wood flooring was installed in Room 161 and is original to the building. 3 Replace wood flooring (18m²) 217 $1,5 : C32.7 Resilient Flooring** Vinyl asbestos tile in corridor, sheet vinyl in patient rooms and medical procedure rooms, conductive vinyl tile in surgery and delivery rooms Replace resilient tile and sheet flooring (1,361m²) 217 $82,6 : C32.7 Resilient Flooring** - Hallways Flooring in hallway was replaced with vinyl sheet in Replace vinyl sheet flooring (219m²) 22 $19,3 : Report run on: March 7, :1 AM Page 19 of 46

20 Breton - Breton Health Centre (B999A) C32.8 Carpet Flooring** Carpet in office administration areas of the addition. Carpet showing visible signs of wear, tears and buckling in localized areas. 3 - Marginal 15 Replace carpet (237m²) Concern: Carpet showing visible signs of wear, tears and buckling in localized area. Recommendation: Replace carpets. Failure Replacement 215 $13,3 Medium : C33.2 Ceiling Paneling (Wood)* Wood panel was installed partially in Room 22. C33.6 Acoustic Ceiling Treatment (Susp. T-Bar)** additions and existing corridors are equipped with suspended T-bar ceilings. 25 Replace T-Bar ceiling (964m²) 217 $49,4 : C33.7 Interior Ceiling Painting* - Section and Additions Gypsum lath and plaster ceilings in most areas of original building. Report run on: March 7, :1 AM Page 2 of 46

21 S4 MECHANICAL Breton - Breton Health Centre (B999A) D21.4 Sinks** There are approximately 3 enamel sinks in custodial rooms and 11 stainless steel sinks in the building. 3 Replace (14) Sinks 218 $26,7 : D21.5 Showers** - Section Fiberglass shower complete with shower head and manual controlled mixing valve. 3 Replace (2) Showers 217 $4,8 : D21.5 Showers** - Addition Fiberglass shower complete with shower head and manual controlled mixing valve. 3 Replace (2) Showers 218 $4,8 : Report run on: March 7, :1 AM Page 21 of 46

22 Breton - Breton Health Centre (B999A) D21.6 Bathtubs** - Addition There is one fiberglass bathtub complete with manual controlled faucet. 3 Replace (1) Bathtub 218 $2,5 : D21.6 Bathtubs** - Specialty There is one specialty bath tub for patients who require assistance. 5 - Good 21 3 Replace (1) Bathtub 24 $8, : D21.1 Washroom Fixtures (WC, Lav, Urnl)** - Section There are approximately 7 floor mounted flush valve vitreous china water closets and 1 wall hung and counter mounted vitreous china lavatories in washrooms throughout the building. 35 Replace Washroom Fixtures (7-WC, 1-Lav) 217 $31,5 : Report run on: March 7, :1 AM Page 22 of 46

23 Breton - Breton Health Centre (B999A) D21.1 Washroom Fixtures (WC, Lav, Urnl)** - Addition There are approximately 4 vitreous china floor mounted flush tank water closets and 4 counter mounted vitreous china lavatories in washrooms serving the addition. 35 Replace Washroom Fixtures (4-WC, 4-Lav) 223 $15,7 : D21.1 Washroom Fixtures (WC, Lav, Urnl)** - Patient Rooms There are approximately 16 floor mounted auto-flush valve vitreous china water closets and 16 counter mounted vitreous china lavatories in washrooms serving the patient rooms Replace Washroom Fixtures (16-WC, 16-Lav) 234 $6,2 : D Pipes and Tubes: Domestic Water* Domestic water piping is mainly copper. D Valves: Domestic Water** There are isolation valves installed on the domestic cold and hot water systems throughout the building. 4 Replace (6) Valves: Domestic Water 228 $18, : Report run on: March 7, :1 AM Page 23 of 46

24 Breton - Breton Health Centre (B999A) D Piping Specialties (Backflow Preventers)** A backflow preventer is provided on the domestic water supply to the boilers. 2 Replace (1-1mm) Piping Specialties (Backflow Preventer) 217 $6,1 : D Domestic Water Heaters** There are two State gas fired domestic hot water heaters located in the mechanical room. One has an input of 179, btu/hr and the other 36, btu/hr and both have a storage capacity of 1 USGal Replace (2) Domestic Water Heaters 223 $9,4 : D23.1 Waste and Vent Piping* A combination of cast iron and copper piping used for gravity sanitary waste and vent piping was observed in the building. D23.3 Waste Piping Equipment* A sump pump is installed in the boiler room. D24.1 Rain Water Drainage Piping Systems* Rain water runs to rooftop drains, which connect to internal rain water leaders and discharged at grade level. Rain water leaders are cast iron. Slopped roof uses eaves trough system. Report run on: March 7, :1 AM Page 24 of 46

25 Breton - Breton Health Centre (B999A) D Roof Drains* The roof drains are fitted with debris screens and are incorporated into the roof system. D29.13 Vacuum Systems (Medical and Lab)** The facility includes a vacuum pump manufactured by Airco. 3 Replace (1) Vacuum Systems (Medical and Lab) 218 $4, : D29.16 Medical Air System* There is a medical air compressor manufactured by Ohio that provides compressed air to the medical systems. D31.2 Gas Supply Systems* The natural gas piping feeds the heating boilers, make-up air units, furnaces and domestic hot water heaters. The gas meter is located at the south east corner of the building. D Heating Boilers & Accessories: Steam** There is one Cleaver Brooks, model M5S2, gas fired steam boilers. The input heating capacity is 5 mbh Replacement (1) Heating Boilers & Accessories: Steam 234 $1, : Report run on: March 7, :1 AM Page 25 of 46

26 Breton - Breton Health Centre (B999A) D Heating Boilers & Accessories: Steam** 1986 There is one Volcano, model MF125E, gas fired steam boilers. The input heating capacity is 125 HP Replacement (1) Heating Boilers & Accessories: Steam 221 $1, : D Chimneys (& Comb. Air): Steam Boilers** Original boiler flues extend through the roof of the mechanical room. Common flue from mechanical room to roof. 35 Replace (12m) Chimneys (& Comb. Air): Steam Boilers 223 $8,9 : D Water Treatment: Steam Boilers* Steam system complete with chemical treatment program. D Furnaces** There are two Trane furnaces that serve administration areas of the building. 5 - Good Replace (2) Furnaces 224 $8,7 : Report run on: March 7, :1 AM Page 26 of 46

27 Breton - Breton Health Centre (B999A) D Chimneys (& Comb. Air): Furnace* Class B vent chimney serving the furnaces. 5 - Good 1999 D Fuel-Fired Unit Heaters** Gas fired unit heater serving the garage Replace (1) Fuel-Fired Unit Heaters 229 $3,8 : D Chimney (& Comb. Air): Fuel-Fired Heater* Class B vent chimney D Refrigerant Condensing Units** - There is a Trane air cooled condensing unit serving the penthouse air handling unit. 25 Replace (1) Refrigerant Condensing Unit 217 $6,6 : Report run on: March 7, :1 AM Page 27 of 46

28 Breton - Breton Health Centre (B999A) D Refrigerant Condensing Units** There is a Trane air cooled condensing unit serving the main mechanical room air handling unit. It is located outside of the mechanical room at grade level Replace (1) Refrigerant Condensing Unit 224 $2, : D Air Handling Units: Air Distribution** - There is a built-up air handling unit providing ventilation to the building located in the main mechanical room. It is equipped with a glycol heating coil, DX cooling coil, filter section, mixing box, supply air fan and return air fan. 3 Replace (1) Air Handling Units: Air Distribution 218 $1, : D Air Handling Units: Air Distribution** The main air handling unit is located in the penthouse mechanical room manufactured by Trane. It is equipped with a glycol heating coil, DX cooling coil, filter section, mixing box, supply air fan and return air fan Replace (1) Air Handling Units: Air Distribution 228 $1, : Report run on: March 7, :1 AM Page 28 of 46

29 D Air Handling Units: Air Distribution** - Doctors Offices Breton - Breton Health Centre (B999A) There is no mechanical ventilation provided for the doctors offices. This does not meet building code requirements particularly given the space usage. 2 - Poor 3 Install (1) Air Handling Units: Air Distribution Concern: There is no mechanical ventilation provided for the doctors offices. This does not meet building code requirements. As this space is used for medical purposes it must have proper ventilation. Recommendation: Install an air handling system to serve the doctors offices. Code Upgrade 214 $4, High : D Ducts: Air Distribution* The duct distribution system consists of sheet metal insulated supply air ducts, ceiling return air plenums and sheet metal return air ducts. D Air Outlets & Inlets: Air Distribution* Wall mounted grilles and ceiling mounted diffusers are used for supply and return air. D Hot Water Distribution Systems** Heating hot water is distributed to finned tube radiation, unit heaters, and convectors. Heating glycol is distributed to air handling unit coils. Several circulation pumps are located in the main mechanical room and include the primary heating hot water pumps, glycol heating pumps and the radiation pumps. All piping is insulated and labeled. 4 Replace Hot Water Distribution Systems (based on 246 m2 gfa) 228 $27, : Report run on: March 7, :1 AM Page 29 of 46

30 Breton - Breton Health Centre (B999A) D Fans: Exhaust** General exhaust fan in penthouse mechanical room. There are various roof mounted exhaust fans serving the facility. 3 Replace Fans: Exhaust (based on 246 m2 gfa) 218 $57,8 : D Ducts: Exhaust* Sheet metal ductwork connects the floor level exhaust grills to the various exhaust fans throughout the building. D Air Outlets and Inlets: Exhaust* Ceiling and wall mounted exhaust grills are connected to the exhaust ductwork. D34.5 Heat Exchangers** Two shell and tube heat exchangers is located in the main mechanical room. One is a steam to glycol and the other is a steam to hot water unit. 3 Replace (2) Heat Exchangers 218 $34,1 : Report run on: March 7, :1 AM Page 3 of 46

31 D Packaged Rooftop Air Conditioning Units (& Heating Units)** There is a Lennox roof mounted packaged air conditioning unit serving the kitchen. Breton - Breton Health Centre (B999A) 3 Replace (1) Packaged Rooftop Air Conditioning Unit 218 $15, : D Convectors** There are convectors serving the entries. 4 Replace (5) Convectors 228 $4,1 : D Finned Tube Radiation** There are finned tube radiation cabinets located along the perimeter of the building. 4 Replace Finned Tube Radiation (based on 246 m2 gfa) 228 $134,8 : Report run on: March 7, :1 AM Page 31 of 46

32 Breton - Breton Health Centre (B999A) D Unit Heaters** Hydronic unit heaters serve mechanical rooms and other areas. 3 Replace (4) Unit Heaters 218 $1, : D Electric and Electronic Controls** Electric thermostats serving some devices throughout the building. 3 Replace Electric and Electronic Controls (based on 246 m2 gfa) 218 $19,3 : D Pneumatic Controls** A pneumatic control system serves the building systems including the air handling units and control valves. Pneumatic thermostats in rooms control finned tube radiation and reheat coil control valves. The system includes an air compressor and air dryer. 4 Capacity Size 217 Capacity Unit N/A Replace Pneumatic Controls (based on 246 m2 gfa) 217 $57,8 : D42 Standpipes* The building has a standpipe system and hose cabinets throughout. Report run on: March 7, :1 AM Page 32 of 46

33 Breton - Breton Health Centre (B999A) D43.1 Fire Extinguisher, Cabinets and Accessories* There are fire extinguishers located throughout the building, located in cabinets. They are reportedly inspected annually. D49.4 Dry Chemical Fire Extinguishing Systems (Kitchen Hood)** The exhaust hood located in the kitchen is equipped with a wet chemical fire suppression system. 4 Replace (1) Wet Chemical Fire Extinguishing Systems (Kitchen Hood) 228 $14,5 : Report run on: March 7, :1 AM Page 33 of 46

34 S5 ELECTRICAL Breton - Breton Health Centre (B999A) D Main Electrical Transformers (Utility Owned)* The main service enters the building in the mechanical room from a pad mounted utility owned transformer. D51.2 Secondary Electrical Transformers (Interior)** There are two dry type step down transformers, with an approximate size of 5 kva manufactured by GE. 4 Replace (2) Secondary Electrical Transformers (Interior) 217 $4,6 : D51.3 Main Electrical Switchboards (Main Distribution)** The main electrical switchgear is manufactured by Suare D and is rated at 12/28 V, 3 phase, 4 wire, 8 amp. 4 Replace (1) Main Electrical Switchboards (Main Distribution)* 228 $34,6 : Report run on: March 7, :1 AM Page 34 of 46

35 D51.5 Electrical Branch Circuit Panelboards (Secondary Distribution)** - Breton - Breton Health Centre (B999A) There are electric panelboards serving mechanical equipment, lighting and plug-in circuits located throughout the building. The panelboards are manufactured by Westinghouse and are original to building construction. There is a 4 amp sub-distribution panel fed from main distribution that feeds the other panelboards. 2 - Poor 3 Replace (9) Electrical Branch Circuit Panelboards (Secondary Distribution) Concern: The panelboards have exceeded their life expectancy and are obsolete. Replacement parts are no longer available. Recommendation: Replace 8 panelboards and 1 sub distribution panel. Failure Replacement 214 $47,6 Low : D51.5 Electrical Branch Circuit Panelboards (Secondary Distribution)** There are electric panelboards serving mechanical equipment, lighting and plug-in circuits located throughout the building. The panelboards are manufactured by Square D and range from amps. 3 Replace (3) Electrical Branch Circuit Panelboards (Secondary Distribution) 218 $15,9 : D51.5 Electrical Branch Circuit Panelboards (Secondary Distribution)** - 22 There are electric panelboards, 225 amp, serving mechanical equipment, lighting and plug-in circuits located throughout the building. The panelboards are manufactured by Square D. 5 - Good 22 3 Replace (5) Electrical Branch Circuit Panelboards (Secondary Distribution) 232 $26,5 : Report run on: March 7, :1 AM Page 35 of 46

36 D Switchboards, Panelboards, and (Motor) Control Centers** Breton - Breton Health Centre (B999A) Several motor starters are provided for individual pumps and fans in the building. The majority are manufactured by Westinghouse 3 Replace (3) Motor Starters 218 $58,5 : D52.1 Electrical Branch Wiring* Electrical branch wiring is (observed to be copper) throughout and is run in EMT conduit. D Interior Fluorescent Fixtures** Fluorescent strip fixtures using either T-8 or T-12 technology are the predominant lighting type in the building. Incandescent fixtures using compact fluorescent technology are the next most prevalent interior lighting type. Replace Interior Fluorescent Fixtures (based on 246 m2 gfa) 218 $231,1 : D Emergency Lighting Built-in* Emergency lighting is provided by lighting connected to an emergency lighting panel that is served by a generator during power failure. D Exit Signs* Illuminated exit signs using LED technology indicate the paths of egress throughout the building. Report run on: March 7, :1 AM Page 36 of 46

37 Breton - Breton Health Centre (B999A) D Exterior H.P. Sodium Fixtures* Wall-mounted fixtures are provided around the exterior of the building. The fixtures use high pressure sodium bulbs. Pole-mounted high pressure sodium fixtures are present on surrounding parking lot. D53.1 Detection and Fire Alarm** The building is provided with an addressable Honeywell NFS-32C fire alarm system. Detection devices located in the building include smoke, heat detectors and pull stations. Annunciation devices include strobe lights and bells/speakers. 5 - Good Replace Detection and Fire Alarm System (based on 246 m2 gfa) 232 $96,3 : D Security Access** A DSC security system has been provided to monitor all exit doors. The control panel is located at the nurses station. 25 Replace Security Access (based on 246 m2 gfa) 217 $77,1 : D Video Surveillance** A security camera system is installed in the facility and consists of cameras located throughout the building. Monitors and video recorders are located at the server room Replace (8) Video Surveillance System 227 $56,4 : Report run on: March 7, :1 AM Page 37 of 46

38 Breton - Breton Health Centre (B999A) D Telephone Systems* The building is equipped with a telephone system. D Data Systems* The building is equipped with a Local Area Network Using Cat 5 wiring which is served from patch panels and central servers which include internet access. 2 D53.5 Public Address and Music Systems** The telephone system is used as an intercom/paging system and is connected to an amplifier for general building communication. 2 Replace (1) Public Address and Music Systems 217 $5,9 : D53.7 Other Communications and Security Systems* A nurse call system with two way conversation capability has been provided in all patient rooms with the control console at the nurses stations. 5 - Good D59.2 Packaged Engine Generator Systems (Emergency Power System)** The building is equipped with a Diesel fired emergency generator is located outside of the building. Nameplate was not visible Replace (1) Packaged Engine Generator Systems (Emergency Power System) 234 $64,9 : Report run on: March 7, :1 AM Page 38 of 46

39 Breton - Breton Health Centre (B999A) S6 EQUIPMENT, FURNISHINGS AND SPECIAL CONSTRUCTION E11.6 Commercial Laundry and Dry Cleaning Equipment* Laundry equipment of washer, dryers, press, ironer and laundry tub. No operating defects noted or reported. E12.8 Medical Equipment* Medical equipment are found in patient rooms and abandoned operating rooms. E19.3 Food Service Equipment* Typical commercial kitchen appliances and equipment. Counter not large enough to accommodate new equipment in single location. Walk-in freezer and cooler in kitchen constructed of wood frame walls with cement plaster finish. A body holding room lacks refrigeration but is never used for more than one to two hours at a time. E19.4 Residential Equipment* Pantry units of steel construction and combining sink, stove and refrigerator. Additional refrigerator and microwave added to staff pantry. E21.2 Fixed Casework** - Section Display, hospital, kitchen, laboratory, medical, nurse station and residential casework were found throughout section of the building. Stainless steel casework found in the kitchen. 35 Replace casework (131m²) 217 $14,7 : Report run on: March 7, :1 AM Page 39 of 46

40 Breton - Breton Health Centre (B999A) E21.2 Fixed Casework** - Additions Display, hospital, medical, nurse station and residential casework were located throughout additions of the building. 35 Replace casework (16m²) 223 $1,8 : E Blinds** - Additions Vertical louvre blinds in additions. Replace vertical louvre blinds (49m²) 218 $5,9 : E Curtains and Drapes** - Section Drapes and horizontal blinds in section. 3 Replace drapes and horizontal blinds (18m²) 217 $12,9 : E22.4 Moveable Multiple Seating* Portable multiple use seating, benches and tables are located in various areas of the original and additions of the building. Report run on: March 7, :1 AM Page 4 of 46

41 Breton - Breton Health Centre (B999A) F14.5 Liquid and Gas Storage Tanks* Oxygen tanks stored in a fenced area on the south west part of the property. Report run on: March 7, :1 AM Page 41 of 46

42 S8 SPECIAL ASSESSMENT Breton - Breton Health Centre (B999A) K12.9 Shipping/Receiving (Size, Location, Accessibility)* The current receiving area is inadequate as it does not have a ground mounted dock. Supplies have to be unloaded from pallets or carts by hand and item by item with large items being sent back if the delivery truck does not have a power gate. 3 - Marginal Loading Dock Installation Concern: A ground mounted loading dock should be installed for ease of unloading supply trucks. Recommendation: Install ground mounted loading dock. Program Functional Upgrade 214 $33,126 Medium : K21.1 Building Entrance/Reception (Location)* Main entrance vestibule and doors require upgrading to make it barrier free. Completed Public Entrance Upgrade Concern: Install a new Public Entrance into the outpatient corridor so that visitors to Lab, Physio, OT, D.I and Speech do not need to come through the Nursing Unit and Main Entrance. Current entrance has created several issues with regards to accessibility. Program Functional Upgrade 213 $35,674 High : K22.1 Location of Client Programs (Appropriate)* The building has two public entrances, one ambulance entrance, and three service entrances serving the acute care, health clinic and service wings. The single story is organized around two long east/west corridors serving patient rooms and treatment areas with the nursing station at the physical core. A long north/south corridor runs through the building with the administration and service wings at opposite ends. A secondary corridor links the health clinic. Circulation is segregated from patient/visitor trafrfic. The extra wide corridor serving as waiting room is less than ideal. Report run on: March 7, :1 AM Page 42 of 46

43 Breton - Breton Health Centre (B999A) K23.2 Program Spaces* Building basically functions well. Contamination problems with the laundry and kitchen could easily be resolved when the Extended Care wing, with a new kitchen, is constructed. Storage space is very short throughout the building. Diagnostic Imaging Renovation Concern: Storage space is very short throughout the building. Recommendation: The diagnostic imaging area requires a complete redesign of the department to accommodate new equipment and CR conversion. Program Functional Upgrade 214 $14,66 Low : K32.2 Heating (Correct Level, Fluctuations)* The administration addition to the main facility (+/- 1m2) does not have adequate heating during the winter months and staff use electric heaters which impacts the electric. 3 - Marginal Extend perimetre heating to admin area Concern: The perimeter heating system needs to be extended into the administration area. Recommendation: Extend perimeter heating to administration area. Operating Efficiency Upgrade 213 $24,259 Low : K32.3 Air Conditioning/Cooling* Air conditioning added to kitchen and administration areas, balance of building does not have cooling. Report run on: March 7, :1 AM Page 43 of 46

44 Breton - Breton Health Centre (B999A) K32.4 Air Quality (Exhaust, Ventilation & Humidity)* Difficulties reported in achieving comfortable temperatures throughout the building. Most rooms have window vents and mechanical ventilation is acceptable with exception of the Pharmacy. Areas of the building are reported to be very dry. Dayroom, board room and patient rooms are the only smoke free areas in the hospital. K41.1 Barrier Free Route: Parking to Entrance* Sidewalk at main entrance is flush with asphalt. 2 K41.2 Barrier Free Entrances* Barrier free access required into and within building, washrooms. Complies. 28 K41.3 Barrier Free Interior Circulation* Interior circulation at hallways appears to be adequate. K41.4 Barrier Free Washrooms* The patient washrooms require a renovation to accommodate privacy and provide barrier free access. This issue was identified in the Health Facilities Review. Continuing Care Washroom Privacy Concern: An upgrade to the facility is required to accommodate privacy and provide barrier free access. Recommendation: Continuing care washroom privacy. Barrier Free Access Upgrade 214 $1,936,66 High : Report run on: March 7, :1 AM Page 44 of 46

45 Breton - Breton Health Centre (B999A) K43.1 Asbestos* Asbestos has been removed from fan room and is likely present on piping throughout the building. Condition is acceptable providing areas are left undisturbed. K43.2 PCBs* None noted or reported. K43.4 Mould* None noted or reported. K43.7 Ozone Depleting Substances (CFC's, HCFC's, Halon)* None noted or reported. K43.9 Other Hazardous Materials* Chemicals and cleaning supplies in appropriate storage containers. Report run on: March 7, :1 AM Page 45 of 46

46 Breton - Breton Health Centre (B999A) K51.1 Site Documentation* Prime Consultant: Wade Engineering Ltd. of Evaluation: 213 Areas Evaluated: All **no site plan provided at the time of inspection, documentation provided is a rough sketch only and not to scale. 5 - Good 213 BretonHealthCentre-Site.jpg K51.2 Building Documentation* Prime Consultant: Wade Engineering Ltd. of Evaluation: 213 Areas Evaluated: All 5 - Good 213 Main Floor Plan Report run on: March 7, :1 AM Page 46 of 46