Commissioning of health care facilities
The specific requirements of health care facilities go far beyond those of most buildings, and construction problems or system failures can be a matter of life and death. CSA Group has developed a new standard to help facility designers and builders tackle these challenges in order to meet demands for new and renovated health care facilities that are accessible, safe and secure.
Based on the well established Z320 - Building Commissioning Standard and Check Sheets – we developed Z8001 – Commissioning of Health Care Facilities - with additional requirements and guidance to cover the unique risks and challenges that apply to health care facilities.
- Builds on the core commissioning requirements of CSA Z320 to address special considerations involved in the commissioning of health care facilities
- Reflects the OASIS principle – Operations, Accessibility, Safety/Security, Infection Prevention & Control, and Sustainability
- Utilizes a ‘phased in approach’ – starting with the pre-design phase and extending through construction to the commissioning of individual building components, to commissioning the complete integrated systems as a whole
- Includes architectural, transportation, fire suppression, plumbing, HVAC, control, integration, electrical, and communication systems
This is the first edition of CSA Z8001, Commissioning of health care facilities. It supersedes the previous CSA Group Standards for this subject, published in 1993 and 2005 under same title, but with the designations Z318.0 and Z318. This Standard provides requirements for the commissioning of health care facilities and all related building systems.
The superseded Z318 Standards were stand-alone documents. With the publication in 2011 of the general standard, Z320 Building commissioning , the Technical Committee on Health Care Facility Engineering and Physical Plant agreed to use Z320 as the basis of a new Standard, as a companion document to the new Z8000 Canadian health care facilities. This Standard includes most of Z320, as well as additional requirements and guidance specific to health care facilities. It applies to new construction and to renovations of existing buildings or facilities.
Note - The Preface and committee lists for CSA Z320 have been provided in Annex N for reference.
This Standard was prepared by the Subcommittee on Commissioning of Health Care Facilities, under the jurisdiction of the Technical Committee on Health Care Facility Engineering and Physical Plant, and the Strategic Steering Committee on Health Care Technology, and has been formally approved by the Technical Committee.
This Standard has been developed in compliance with Standards Council of Canada requirements for National Standards of Canada. It has been published as a National Standard of Canada by CSA Group.
This Standard provides requirements for the commissioning of health care facilities and all related building systems. It applies to new facilities, and renovations and additions to existing facilities.
This Standard is based on CSA Z320, Building commissioning, with additions as appropriate to address the special requirements for health care facility commissioning.
This Standard is intended to assist the commissioning team in the preparation and implementation of a commissioning plan. This plan specifies commissioning requirements for newly installed or renovated building systems and includes, but is not limited to, descriptions of the following:
a) the commissioning process;
b) the resources required to complete commissioning;
c) the responsibilities of the commissioning team; and
d) the sequence and integration of commissioning activities.
This Standard applies to building services that support medical equipment and systems, but does not apply to the operational commissioning of the equipment or systems, whether installed by the owner or by others.
Note - Although the commissioning activities under this Standard do not include the commissioning of medical equipment and systems (e.g., sterilizers and MRI machines) the facility commissioning process is likely to include steps to ensure that contracts with external companies for equipment commissioning are being followed.
The Standard does not include clinical commissioning.
Note: Clinical commissioning refers to the activities undertaken to determine the readiness of staff, procedures, and other non-infrastructure elements of the clinical program prior to commencement of patient care. This is generally done in-house as part of the program team requirements.
1.2 Specific systems
The systems covered in this Standard include, but are not limited to:
a) architectural (building envelope, fenestration, door hardware and interior space assemblies that are environmental separators);
b) vertical and horizontal transportation systems;
c) mechanical systems, including
i) plumbing systems (domestic cold and domestic hot water, storm and sanitary drain systems, medical gases, fuel oil systems);
ii) HVAC and refrigeration systems; and
iii) fire protection and fire suppression;
d) control systems and integration (BAS, energy management control systems, and lighting control systems);
e) electrical (incoming utility, main switchgear and branch distribution, essential power generation and distribution, UPS systems, lighting, and fire alarm and detection systems);
f) electronic safety and security (access control, intrusion detection, and CCTV); and
g) communication (structural cabling, wireless systems, nurse call, paging systems, and life safety communication systems).
1) The systems used in the HCF, and the resulting commissioning requirements, will depend on the scope and complexity of the HCF.
2) HCFs have multiple communication systems for the safety of patients, staff and visitors (e.g., emergency assistance alarms; infant abduction; patient wandering, etc.).
1.2.2 Building enclosure and site services
For the purposes of this Standard, commissioning includes:
a) the building enclosure; and
b) site services outside the building, insofar as they affect the safety, reliability, and effectiveness of health care delivery.
1) Examples of site services outside the building include:
a) emergency duress stations;
b) multiple utility service connections; and
c) exterior storage of medical gases.
2) The extent to which site services will be included will be defined in the commissioning plan.
In CSA standards, shall is used to express a requirement, i.e., a provision that the user is obliged to satisfy in order to comply with the standard; should is used to express a recommendation or that which is advised but not required; and may is used to express an option or that which is permissible within the limits of the standard.
Notes accompanying clauses do not include requirements or alternative requirements; the purpose of a note accompanying a clause is to separate from the text explanatory or informative material.
Notes to tables and figures are considered part of the table or figure and may be written as requirements.
Annexes are designated normative (mandatory) or informative (non-mandatory) to define their application.