BASELINEASSESSMENTTOOLWORKBOOK

BASELINE ASSESSMENT TOOL

TheBATwasdeignedtocollectinformationtoguidethedesignmakingprocessforretrofittingsmallhealthcarefacilitiesintheCaribbean.ItwasdevelopedaspartofPhaseIoftheSmartHealthCareFacilitiesintheCaribbean

ProjectfundedbyUKAIDandimplementedbyPAHO.

ThisworkbookisdesignedtoassistintheapplicationoftheBATbyprovidingadetailedexplanationofalltheaspectsofthetoolandhowitshouldbeadministered.

PAHOwishestoacknowledgetheteamthatworkedtodevelopthecontentandlayoutforthisworkbook.These

personsincluded:

EditorDr.DanavanAlphen,TechnicalProjectCoordinator,PAHO

Developers

ArchitectRonnieLettsome,BritishVirginIslandsElectricalEngineerAlexWilliams,St.VincentandtheGrenadines

PeerReviewandFormatting

DisasterManagementSpecialist,SharleenDaBreo,BritishVirginIslandsContingencyPlanningSpecialist,SheniahArmstrong,BritishVirginIslands

ElectricalServicesEngineer,Mr.LatchmanBholasingh,JainConsultant,TrinidadandTobagoLtd

TABLEOFCONTENTS1.0BUILDING/PROPERTYCOMPONENTS(AUDIT) 41.1 GeneralBuildingInformation 41.2 Building/PropertyComponentAudit 51.3 BuildingAssessmentGuide 62.0AVAILABILITYOFGFA(GROSSFLOORAREA) 93.0ENERGYCONSERVATION(AUDIT) 104.0WATERCONSERVATION(AUDIT) 174.1 Background 174.2 WaterCatchment/Treatment 174.3 SewageTreatment 174.4 Utility/ConsumptionData 174.5 WaterConsumption 185.0INDOORENVIRONMENTALQUALITY(AUDIT) 235.1 LightingLevels 235.2 HumidityLevels 245.3 CarbonDioxide(CO2Levels) 246.0OCCUPANTSURVEY 26

AnnexesTABLEOFFIGURESFigure1SMARTProcessFlowChart 1Figure2BaselineAssessmentToolProcessMapPhase1 2Figure3BaselineAssessmentToolProcessMapPhase2 2Figure4TableF1GeneralBuildingInformationForm 4Figure5TableF2Building/PropertyComponentAudit 5Figure6F-15ChartingGrossFloorArea 9Figure7SampleElectricalBillandF3ElectricalConsumptiontable 10Figure8ImageofwindturbinesandTableF4-RenewableEnergy 11Figure9F5-StandbyGenerator 11Figure10F6-Lighting(FluorescentandLedTubes) 12Figure11F7-Lighting(other) 13Figure12F8-Air-conditioning 14Figure13ExamplesofInverterAirConditioner 14Figure14F9-Refrigeration 15Figure15F10-MedicalEquipmentForm 15Figure16F11FormforWasherDryerApplianceData 16Figure17F12EnergyConsumptionchartsforWaterHeaters 16Figure18F13EnergyconsumptionchartforMiscellaneousElectricalLoads 16Figure19F14ChartingwaterconsumptionforToiletsandUrinals 18

OVERVIEW

heBaselineAssessmentTool(BAT)isdesignedtocollectbaselineinformationtoguidethefacility’sretrofittingdecision-makingprocess.ItcomplementstheHospitalSafetyIndex(HSI)andtheGreenChecklist.ItalsoincludesthecompilationofdetailedinformationneededtopreparethedesignsandScopeofWorks

forretrofittingandnewconstruction.Thisprocessrequiresalevelofskillanduseofspecializedequipment.Theelementsfordatacollectionincludesthefacility’senergyconsumption(audit),waterconsumption(audit),IndoorEnvironmentalQuality(IEQ),BuildingComponents,Occupantsurvey,andLandUse(localzoningregulations).TheBaselineAssessmentToolconsistsof:

1.0 Building/PropertyComponents(Audit)2.0 EnergyConservation(Audit)3.0 WaterConservation(Audit)4.0 IndoorEnvironmentalQuality(IEQ)5.0 OccupantSurvey6.0 LandUse

Figure1SMARTProcessFlowChart

Alwaysrefertolocalguidelinesforenergyconservation,waterconservation,IndoorAirQualityandLandUse.Alsolocalregulationtoguidehowmuchsolarenergycanbeuseandtradedtothelocalgrid.

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WHENANDHOWSHOULDTHEBATBEAPPLIED?

The Baseline Assessment Tool (BAT) helps to estimate the costs and benefits of sustainable investments anddetermineswhereto focusthesecosts inprovidingthegreatest“green” impact. Thetool isusedfollowingtheapplicationoftheGreenChecklistasshownasfollows:

Figure2BaselineAssessmentToolProcessMapPhase1

Figure3BaselineAssessmentToolProcessMapPhase2

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TheapplicationoftheBATinvolvesvariousaspectsincluding:

• SiteVisits–Toobservethebuildingduringthewalk-throughanddocumentthebuildingphysicalcharacteristics,conductinterviewsandcollectrecordsnotpreviouslyprovidedduringtheHSIandgreenchecklistassessments.IftheHSIwasnotbeenapplied,itshouldbenotedthattheBATcanalsobeappliedwithouttheHSIandcangoalongwiththegreenchecklist.

• Interviews–Withthefacilitymanager,operator,and/orkeysitepersonnel

• Recordscollection–Collectandcompiletherecordsnecessary(energyandwaterconsumptionandcosts,hoursofoperation,occupancyratesetc.overtheprevioustwoyears(minimum.Facilitiesmustbeoperatingunderanindependentelectricityandwatermeter

• Datacapture–lightingandCarbonDioxidelevelsaswellasoccupancysatisfactionlevelsetc.

• Recordsreviewandanalysis–Reviewandanalysisofrecordscollected

• Report–Reportonthefindingsrelatedtobuildinguseandoperatingcosts.

WhoshouldapplytheBAT?

Ateamofexperiencedprofessionalsincludinganelectricalengineer,architect/buildinginspectorortechnicianshouldapplytheBATandshouldbeabletoundertakeappropriatecalculationstodetermineenergyandwaterperformanceassessmentsandsavingsrecommendations.Theseindividualsmustablebeabletocaptureindoorairqualitydatausingbasictoolsandmatchtheresultsagainstthestandardsdefinedinthisworkbook.

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Section 1

BUILDING/PROPERTY COMPONENTS (AUDIT)

1.1 General Building Information

INSTRUCTIONALNOTE:ConsiderexaminingOccupancyCertificate,PlanningApprovaldocuments,Constructiondesignsetc.toobtainthisevidence.Thisinformationisnecessaryinordertoallowtheusertoundertakethecalculationsneededtodetermine:1. SpaceRequirements.2. WaterCapacityusingHSI

Standards.3. Compliancewithlocal

planningandbuildingstandardsandcodes.

4. Determineairflow,illumination,ventilationofthebuilding.

5. Whatkindofuse(parking,circulation,access,etc.)

6. Exteriorlandusage.7. AestheticRequirements

(moreGovernmentsarenowsettingstandardsforuniformityinstateownedbuildings–e.g.commonalityindesigns,colour,landscaping,signage).

Figure4-TableF1GeneralBuildingInformationForm

1.2 Building/Property Component Audit

INSTRUCTIONALNOTE:Acomponentauditwillbeperformedtocapturecriticaldataonvariousaspectsofthebuilding.TheBuildingComponentAuditisusedtoproduceacompleteinventoryofabuilding(includingequipment)andisusedtoidentifydeficienciesandtodeterminethescopeofworksrequiredforretrofitting.Areastobeexaminedincludethestructure,wallsandroof,securityandareviewofsafetyissues.

Figure5-TableF2Building/PropertyComponentAudit

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1.3 Building Assessment GuideThepurposeofthisguideistoprovideasetofdetailedcriteriatoassistinthecompletionoftheBATandinunderstandingthetypeofinformationthatneedstobecollected.TheBuilding/PropertyComponentAuditisgroupedintothree(3)categoriesofbuildingcomponents;forexample,exteriorandinteriorbuildingelementsandsafety/codecompliance.ExteriorBuildingElements1.3.1 Foundation/Structure• Assessthefoundation,columns,beamsorstructuralwallsforanysignsoffailureordistresssuchassettling,subsidence,severecrackingorcrushinganddocument.Besuretohighlighttheareaofdamagewithphotosforreference.1.3.2 ExteriorWalls• Inspecttheexteriorwallsurfaces(insideandoutside)foranysignsofwaterintrusion,surfacecracksorseparationissues.Besuretohighlightdamagedareaswithphotosforreference. 1.3.3 Roofsystem/Drainage• Inspecttheroofsystem,flashing,downspouts,gutteringandallitsconnections.Makenoteofanydamagetotheroofingmembrane,displacedflashing,leaksandanyvisiblecracksonanyflatconcreteroofsections.Inaddition,documenttheconditionofalldrainsandculvertsespeciallyatinvertlocationswherewaterenterfromsurfaceandroofrun-offs.1.3.4 Windows• Makenoteofallwindowtypes,size(widthxheight),quantity,conditionandanythermalcharacteristicsandwhethershuttersorburglarbarsarepresent.Itisalsoimportanttodocumenttheexistingwindowheightfromabovethefinishfloorlevel.Alsonoteifwindowshuttersareavailableandifnot,thequalityofwindowsavailable,e.g.hurricanegradewindows.1.3.5 Doors• Makenoteofallexteriordoortypes,size(widthxheight),quantity,conditionanddirectionofswing(LeftHandorRightHand).Alsodocumentanyissuesaffectingtheoperationofthedoorsincludingitshinges,jambs,lockingdevicesandanyfailureofemergencydevices(crashbarmechanisms).

Note:Asbuiltdrawingsarenecessarytoassessthefoundation.CarefullyconsidercolourrequirementinconjunctionwiththeownersofthefacilitytoensureconformitywithGovernmentlocalstandardsandorpreferences.

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InteriorBuildingElements

1.3.6 Ceiling• Inspecttheconditionoftheceilingsforanydeficienciesorproblemsincludingsoilingordiscoloration

bywaterdamageoranycracksifitisanexposedconcreteslab.Itisimportanttodocumentiftheceilingcontainsanyhazardousmaterials(asbestos)orotherunsafeconditions.Noteiftheceilingisadrop/suspendedceilingandtakeitsoveralldimensions(LengthXWidth)forretrofittingpurposes.

1.3.7 InteriorWall

• Documenttheconditionofallinteriorwalls(includinganypartitions)andtheirconnectionstoeachother.Itishelpfultonotethatsomecountrieshavehalfawallwithglassinthepartitionwallsetc.

1.3.8 InteriorDoors• Makenoteofallexteriordoortypes,size(widthxheight),quantity,conditionanddirectionofswing

(LeftHandorRightHand).Itisimportanttonoteifthedoorsprovideanyfireresistanceanddocumentanyissuesaffectingtheoperationofthedoorincludingitshinges,jambsandlockingmechanisms.

1.3.9 Flooring• InadditiontotheHSI,itisimportanttodocumenttheconditionofthebuildingsflooringandany

issuesrelatingtohealthandsafetyconcernsincludingslippingortrippinghazards.

1.3.10 FixedFurniture/Equipment• Itisimportanttodocumentfixedfurnituresuchascountertopsurfaces,andcabinets.Allequipment

beingreplacedshouldbewelldocumentedandcategorisedwithrecommendationforreplacement(medicalandnon-medicaltypeequipment).

Safety/CodeCompliance1.3.11 MeansofExit

• Verifyanddocumentifallexitdoorsareeasytoopenandifequippedwithpanicbarlocksandarevisiblewithwell-lightedexitsignageabovedoors.Exitdoorsandexitaccesscorridorsshouldbewelllightedwitheveryareaofthebuildingprovidingatleasttwo(2)meansofexits.Thewidthoftheexitdoors,staircases(twoormorestoreybldgs.)shouldbewideenoughforevacuationandcomplywithlocalbuildingcodes.

1.3.12 FireControl• Besuretodocumenttheavailability,quantityandconditionofallportablechemicalfire

extinguishersandanyfirehosesandindicatetheirlocationsthroughoutthebuilding.If

Note:CarefullyconsidercolourrequirementinconjunctionwiththeownersofthefacilitytoensureconformitywithGovernmentlocalstandardsandorpreferences.

Note: Takenoteof the typeof flooring, its locationandcorresponding square footage (length xwidth)forretrofittingpurposes

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available,verifyiftheyhavebeeninspectedbythelocalfiredepartmentauthoritiesandwhethertheyhavebeencheckedannuallyandcertified.Verifyifextinguishersarelocatedinorclosetokitchenareas.Alsochecktodetermineiffireseparationwallsexistforshaftsandcorridors.AllHalonfireextinguishersinthefacilityshouldbereplacedsinceHalonasanextinguishingagentisnolongerrecommended.

1.3.13 FireAlarm• Documenttheavailability,quantityandconditionofallsmokedetectorsandifanyfirealarmsystemexists.

Itisidealforthebuildingtobeequippedwithafirealarmsystemthatissuppliedwithemergencybackuppowerandsmokedetectorsthatareconnectedtoapermanentandvisiblecentralfirealarmpanel.Itisrecommendedforthesystemtobeconnectedtothelocalfiredepartmentsystem(ifapplicable).Avoicecommunicationsystemshouldalsobeintegratedinthesystemwithasoundalarm.Ifasprinklersystemexists,ahydraulicoperatedalarmbell,actuatedbytheflowofsprinklerwatershouldbepresent.

1.3.14 EmergencyLighting

• Verifyanddocumenttheavailability,quantityandconditionofallemergencylighting.Besuretotesttheunitsandverifyiftheymeetlocalandinternationalstandards.Theequipmentshouldbefreefromdust,rustandprovidesadequateilluminationinlargeareassuchascorridorsandexits.

1.3.15 FireResistance

• Concreteconstructedbuildingsprovidesomeleveloffireresistance.Iftherearetimbercolumns,wallsandmetalstudwallspresent,verifyifthewallsarecoveredwithgypsumboard(allsides).Alsocheckstairstodetermineiftheyareconcreteorfireproofedsteel.Note:onehourratedfireseparationwallsforone-storeybuildingsandtwohourratedfortwo-storeybuildings.

1.3.16 ProvisionforAccessibility

• Documentifthefacilityhasaccessibilityramprequirementsforthephysicallychallenged.Itisimportantthatalllevelsofthebuildingareaccessible.Alldoorwaysandcorridorsshouldhaveadequatewidthandallbathroomsandshowersshouldbeequippedwithgrabbarsandotherphysicallychallengedequipment.Alsodocumentwhetherthereissufficientaccessibilityforabulanceaswellastheconditionofparkingareas,accessroadwaystoandfromthefacilityaswellastheexistanceofanyplatformsorsidewalksandtheircondition.

1.3.17 PerimeterFencing/Security• Assesstheconditionandintegrityoftheperimeterfencing,gatesandallitsconnections.Itisessentialthat

thefacilityprovidessomelevelofsecurityandmaintainscontrolofallpedestrianandvehiculartrafficenteringthefacilityandcompound.Ifsecuritysystemsarepresent,documentitsconditionandanyimprovementsthatcanbemade.

Note:EquipmentcertifiedbytheAmericanswithDisabilitiesAct(ADA)oranyotherreputableActisacceptable.

Note:EquipmentcertifiedbytheAmericanswithDisabilitiesAct(ADA)oranyotherreputableActisacceptable.

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Section 2 AVAILABILITY OF GFA (GROSS FLOOR AREA)

AnotherkeyissuetobeassessediswhethertheallowableGFAontheparticularsitehasincreasedsincethebuildingwasfirstconstructed.Zoninganddensityareoftenchangedovertimetoallowforsmartgrowthandtoaddresssocioeconomictrends.IfmoreGFAisavailable,addingtoanexistingbuildingcouldbeexploredincoordinationwithupgradingworks.Insomecases,ifallowableGFAhasincreasedsignificantly,therecouldevenbeabusinesscasetoteardownandrebuildratherthanretrofit.AlwaysrefertolocalguidelinestodetermineGFAplotratiorequirementsfordevelopmenttypes.

Figure6F-15ChartingGrossFloorArea

INSTRUCTIONAL NOTE: WhencalculatingGFAyouwillneedameasuringtapeandcalculator.S1-Measurethelengthandwidthoftheinsideofthebuilding'swalls.S2-Multiplythelengthandwidthmeasurementsinordertofindthesquarefootage.S3-Multiplythesquarefootagetimesthenumberoffloorsinthebuilding.S4-Subtractthesquarefootageofanyelevatorshafts,lobbies(otherthanonthefirstfloor),orroomsthathouseonlyequipmentusedforthebuilding'soperation.Theresultisthegrossfloorarea.Seeadjacentdiagram.

Figure 8 Gross Floor Area Calculation

Section 3 ENERGY CONSERVATION (AUDIT)

Thehealthcaresectorisinneedofcosteffectivesolutionstoaddresstherisingcostofenergyandthehealthimplicationsofenergyuse.Onceafacilityhasdevelopedanenergybaselinebytrackingandmeasuringitsenergyuse,itcanbegintozeroinonkeyareasofinefficiencyandreviewpotentialenergyreductionstrategieswithaneyeforwhatwillworkgiventhefinancialresourcesoftheorganization.Improvingtheenergyefficiencyreducesenergycost,greenhousegasemissionsandpollutionassociatedwiththeburningoffossilfuels.Datacollectedtobeconsideredforenergyauditareasfollows:

a) EnergyConsumptiondata(atleast2yearsdatatakenfromelectricalbills):

b) RenewableEnergyGenerators,ifapplicableandtheirenergyproduction.

c) StandbyGeneratorspecificationsd) Lightingdatawhichincludescategorizationoflighting

typesandassociatedload.Theformsonlighting,seenatFigures9and10identifiesdifferentlampsthatarecommoninpublicbuildings,ifthelampiscoveredbyafrosteddiffusertheauditorwillberequiredtoremovethecovertoobtainthebulbcount.

e) AirConditioningcoolingcapacity,refrigeranttypeandenergyefficiencyratios.

f) Refrigerationcapacity,refrigeranttypeandenergyconsumption

g) Medicalequipmentenergyconsumptionh) Washer&Dryerscapacity,consumptionandenergyefficientratingsi) WaterHeatertype,capacityandenergyefficiencyj) MiscellaneousElectricloadsandphantomloads

INSTRUCTIONALNOTE:Always obtain and use most currentdata fromlocalutilitycompanies.Useanelectricalengineerortechnician toperform audit based on datacollected.

Figure7SampleElectricalBillandF3ElectricalConsumptiontable

TheutilitybillcanbeusedtodeterminethepresentconsumptioninPeakkVAorfuelsurchargeandenergyusageinkWh.BasedontheTariffstructuretheengineerwilldetermineanapproachtoenergysavingeitherinreductionofPeakkVAorreductioninconsumption.Afterimplementationofenergysavingmeasurestheelectricitybillcanbeusedasatooltotrackhowefficienttheimplementationprocessisbytrackingenergyusageoveraperiodoftime.

Figure8ImageofwindturbinesandTableF4-RenewableEnergy

Figure9-F5-StandbyGenerator

INSTRUCTIONALNOTE:Examplesofrenewableenergysystemsinclude:Photovoltaic,System,windturbinessimilartoVaderPietWindFarmArubaseeninadjacentimage.

INSTRUCTIONALNOTE:Fillintheinformationbasedonwhatpresentlyexist,ifany.Alsonotethesizeofanyfuelstorage.Thefueltypecanbedeterminedfromthemodelnumber.Anexampleofastand-bygeneratorisseenintheadjacentimage.

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Figure10F6-Lighting(FluorescentandLedTubes)

INSTRUCTIONALNOTE:Informationincludedinthisformmustbesupportedby‘As-Built’drawings.Considerthefollowingformulaforuse(No.ofbulbsXwattageXhoursperweek).Iftheasbuilddrawingsconnotbefoundthenafloorplanshouldbecompleted)Examplesofthelightingsystemsincludefluorescenttubesseenintheadjacentimage,andLEDTubesasseenbelow.GivespecsBallasttypecanbedeterminedusingaballastchecker.

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INSTRUCTIONALNOTE:Informationincludedinthisformmustbesupportedby‘As-Built’drawings.Considerthefollowingformulaforuse(No.ofbulbsXwattageXhoursperweek).Examplesofthevariousbulbsareincludedintheadjacenttablesections.

Figure11F7-Lighting(other)

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Figure12F8-Air-conditioning

Note:Thebrandandthemodelnumberareprintedontheunit.Someunitscarryconsumptioninformationontheindoorandoutdoorunite.g.Westinghouse,auditorsareaskedtonotethatinformationshouldthereforebecollectedfrombothunitsandnotewhichunitsareinverterintheremarkssection.

Note:Inverterunitsareusuallylabelledinverterontheindoorunit.Therefrigeranttype,consumptionandenergyconsumptionratioscanbeseenonthelabellocatedonthesideoftheindoorunit.

INSTRUCTIONALNOTE:Model: ACBrand/Model-CanbeusedtodetermineCapacityandPowerifitisnotshownontheunitEER: EnergyEfficiencyRatioCOP:CoefficientofPerformance

Figure13ExamplesofInverterAirConditionerIndoorunitlabel

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Figure14F9-Refrigeration

Figure15F10-MedicalEquipmentFormandsampleequipmentinformationlabels.

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Figure16F11Formforwasher/dryerappliancedata

Figure17F12EnergyConsumptionchartsforWaterHeaters

Figure18F13EnergyconsumptionchartforMiscellaneousElectricalLoads

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Section 4 WATER CONSERVATION (AUDIT)

Thewaterconservationauditisdesignedtohelpanalyzewateruseintheselectedhealthfacility.Someitemsmaynotapplytoallfacilities.4.1 BackgroundLocalwaterprovider:_______________________________________________________________________________Wheredoesyourwatercomefrom?____________________________________________________________________Numberofbuildingsatfacility:____________________ Sizeofbuildings(area):____________________Areaofgrounds:_________________________ Numberofemployeespershift:___________________Numberofshiftsperday:_____________________________________________________________________________Averagenumberofvisitors/occupantsperday(ifapplicable):________________________________________________Waterpressureatyourfacility:________________________(psi)

ConservationNote:Oftenreducingwaterpressurebymerely10or15percentcanreducewaterconsumptionsignificantlywithoutinterferingindailyconsumptionactivities.Waterpressurethatistoohighcanresultinleaks.

4.2 WaterCatchment/TreatmentArethereanyundergroundcisternsonsite? ❑Yes❑NoIfyes,whatisthecapacity?(LxWxD)x7.48 Gallons:_______(Dimensionstakeninfeet,1cuft=7.48galls) Arethereanywaterstoragetanksonsite? ❑Yes❑NoIfyes,whatisthecapacity?Gallons:_________Howarethestoragetanks/cisternsfilled? ❑Rainwater❑PortableIsthewaterbeingtreatedbeforeuse? ❑Yes❑NoIfyes,howisthisbeingdone?______________________________________________ 4.3. SewageTreatmentTypeofsewagesystem:❑Undergroundseptictank❑TreatmentPlant❑PublicSewer Whatisthecapacity?(LxWxD)x7.48Gallons:___________ No.ofbuildingsserved?_________________4.4 Utility/ConsumptionDataNOTE:Auditorsareencouragedtonoteifameterservestwo(2)ormorebuildings.Watermeter/s(utilitymeters):

Meter# SizeofMains AreaservingAnnualwaterconsumptionMeter_____________________________ ________________ __________________Meter___________________ __________ ________________ __________________Monthlyconsumption(Year1)Jan________Feb________March________April________May________June________July_______Aug________Sept________Oct________Nov________Dec________Monthlyconsumption(Year2)Jan________Feb________March________April________May________June________July________Aug________Sept________Oct________Nov________Dec________

4.5 Water Consumption Numberofrestrooms:_____________NumberofWaterClosets(total):____________Type:FlushTank/FlushValveNumberofWaterClosetsFlushTanksType___________________________________

NumberofWaterClosetsFlushValveType___________________________________NumberofWaterClosetsfordisabledpeople_________________________________ArefixturesADACompliant?________________________________________________________________Note:Manyfixtureshavetheaverageflowrateprintedonthefixtureitself,alongwiththemakeandmodel.Ifyoucannotfindthisprintedinformation,consultyourmaintenancestafforfacilitymanager.4.5.1 WaterClosets/Urinals

4.5.2 Restroom Faucets (Lavatory Basins) Number of restroom faucets (total): _______ Condition: __________ Are faucets equipped with aerators? � Yes � No Are faucets equipped with automatic or metered shutoff mechanisms? � Yes � No

4.5.3 ShowersNumberofshowers(total):______Condition:___________4.5.4 FountainsNumberofdrinkingfountains:_____Condition:___________________Arefountains❑refrigeratedor❑nonrefrigerated?❑wheelchairaccessible?

4.5.5Summary(PlumbingFixtureCountForm)Thelistingofplumbingfixturesshouldbesummarizedintheattached“FixtureCountForm”‘Thedatacollectionshouldpayattentiontothefollowing:

Figure 7 Demonstration of Flow rate data collection

Figure19-F14Chartingwaterconsumptionfor Water Closets and Urinals

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• TypesofWaterClosetsFlushValveorFlushTanks• Peakperiodsofuse• Estimatednumberofhoursperdayfixturesareinusee.g.Numberofclinics

perweek,estimatedquantityofpatientsperweek.4.5.5 Kitchens/CafeteriasNumberofkitchen/Cafeteriaareas:________Numberofmealspreparedperday___________Numberofkitchensinks/faucets:______Condition:_____________Arekitchenfaucetsequippedwithaerators?❑Yes❑NoDorefrigeratorsusewatercoolantsystems?❑Yes❑NoArerefrigeratorsequippedwithicemakers?❑Yes❑NoDorefrigeratorsprovidedrinkingwater?❑Yes❑NoIfYES,isthewaterfiltered❑Yes❑NoDokitchensuse:❑garbagedisposals❑composting❑neitherIsthereadishwasher?❑Yes❑NoNumberofdishwashers:______Make&Model:______________________Averagenumberofloadsperday:_______Waterconsumptionperload:_______(gpm)Aredishespre-washed?❑Yes❑NoIspotablewaterusedforpre-washingdishes?❑Yes❑NoIsdishwasherwastewaterreused?❑Yes❑NoDoestheflowofwatertothegarbagedisposalstopwhenthedisposalmotorstops?❑Yes❑No(Manydisposalshavetwowater-supplylines,onetothebowlandonetothegrindingchamber.Checkboth.)Aretheregreasetrapsavailableatthefacility?❑Yes❑NoHowoftenisitmaintained___________Make&Model:_____________________Condition:_________________________________Arethereanyicemachines?❑Yes❑NoIfYES_____#❑air-cooledor_____#❑water-cooled?Arekitchenfloorshosedclean?❑Yes❑NoHowoften?___________Arehosesequippedwithhigh-pressure,waterefficientnozzles?❑Yes❑No4.5.6 LaundryConsumptionArelinenswashedon-site?❑Yes❑NoNumberofdaysperweek________________Numberofstaff__________Numberofshifts__________Numberofwashingmachines_________ TypesofwashingmachinesFrontLoad________TopLoad__________WasherExtractor_____________Numberofpoundsoflaundryprocessedperday______________IshotwatersuppliedtotheLaundry?____________________Sourceofhotwater:Boiler_______ElectricWaterHeater__________,GasWaterHeater___________Aretherehotwaterstoragetanks?___________Hotwaterstoragecapacity________GallsWhereistheLaundryWastewatersentto?_______________________4.5.6 LaboratoryConsumptionNumberofLabs(totalinfacility):____Numberofsinks/faucets:______Condition:___________________Arefaucetsequippedwithaerators?❑Yes❑NoListlabequipmentthatuseswaterinanyway:Equipment Amountused Closed-loop? Potable?orRe-used?_____________________ ________ ❑Y❑N ____________________________________ ________ ❑Y❑N _______________

AnexampleofWaterConsump-tionperloadavailableonfixtureshttps://water.usgs.gov/edu/qa-home-percapita.html

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Describelabprocedural/clean-uppracticesthatconsumewater. ___________________________________________________________________________________________________________________________________________________________________________________________________________________________

Areproceduresandclean-uppracticespostedinthelab?❑Yes❑No4.5.7 MechanicalConsumptionNumberofwaterheater(s):_____Size:_________Location:___________________Condition:_________________Arewatersoftenersinuse?❑Yes❑No Number:______Location:___________Condition:_______________Issoftenerregenerationautomated?_____❑Yes❑No___Ifautomaticregeneration,isitinitiatedby:timemetersensorArecoolingtowersinuseatyourfacility?❑Yes❑No Number:_____

Note:Foreachcoolingtower,approximatehowmuchmake-upwaterisneededorusedtoreplacewaterlosttoevaporation,andlossesfrompumppackingandotherprocessinefficiencies.

Areboilersinuseatyourfacility?❑Yes❑No Number:_____Condition:______________

Note:Foreachboiler,approximatehowmuchmake-upwaterisneededorusedtoreplacewaterlosttoblow-down,evaporation,andotherprocessinefficiencies.Checksettingsforleveloftotaldissolvedsolids(TDS)atblow-downandfrequency.

Arewater-cooledaircompressorsinuse?❑Yes❑NoArewater-cooledpumpsinuse?❑Yes❑NoListanyothermachinesthatusenon-contactcoolingwater:__________________________________________________

4.5.8 Heating,VentilatingandAirConditioning(HVAC)ConsumptionWhattypeofHVACsystemdoyouhave?______________________________________DoesyourHVACsystemhavecondensatecollectionand/orre-use?❑Yes❑NoIsyourHVACsystemalwayson?❑Yes❑NoIsyourHVACsystem❑air-cooledor❑water-cooled?Ifwater-cooled,isyoursystem❑openloopor❑closed-loop?

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CONSERVATIONNOTE:Monitorandrecordlandscapingaverageconsumptionlevels.Forexample,hosesandnozzlesusesinsprinklersystemsasseenbelow.Considerusingrainharvestingandtheuseofwatertankstofurtherconservewater.

Note:Thereareseveralmajorheating,ventilatingandairconditioning(HVAC)systemtypesinuse,forexampleCentralChilledwatersystems,SplitACsystems,PackagedACSystemsandwindowunits.Theaboveimageprovidesanillustrationofanair-cooledchiller.

4.5.9 CleaningUseMotorPool:Numberofvehicles:_____wherearetheywashed?_______Howfrequently?_____Numberofwatercraft:______Wherearetheywashed?__________Howfrequently?______Arehosesused?❑Yes❑NoArehosesequippedwithfine-spray/high-pressure/water-efficientnozzles?❑Yes❑NoAredry-clean(ratherthanwet-clean)practicesandproceduresinplace?(i.e.sweepinsteadofhosing,scrapebeforespraying,etc.)❑Yes❑NoArewindowswashedonaregularbasis?❑Yes❑NoHowoften?______________Aresidewalksandoutsidewallspressure-washedonaregularbasis?❑Yes❑NoHowoften?________________4.5.10 JanitorialUseArejanitorialstaffawareofwaterconservationefforts?❑Yes❑NoArethereareasthatjanitorsmop?❑Yes❑NoWhere:_____________________________Areamopped(ft2):___________Howoften?__________________Arehosesused?❑Yes❑NoAredry-clean(ratherthanwet-clean)practicesandproceduresinplace?(i.e.sweepinsteadofhosing,scrapebeforespraying,etc.)❑Yes❑NoListotherjanitorialpracticesthatconsumewater.Task Where Howoften Averagewaterused_________________________________________________________________________________________________________________________________________________________________________________________________________________ 4.5.11LandscapingConsumptionDoesyourlandscapeusemulch?❑Yes❑NoDoesyourfacilityhaveanirrigationsystem?❑Yes❑No Type:_____________Wheredoesthesystemirrigate?___________________________Howoften?__________________Istherearaingaugeincorporatedinyoursystem?❑Yes❑NoAretheremanualoverridecontrolsforyoursystem?❑YesNoArehosesusedforirrigation?❑Yes❑NoArehosesequippedwithfine-spray/high-pressure/water-efficientnozzles?❑Yes❑NoDoesyourfacilityhaveanypoolsorfountains?❑Yes❑NoNumber:___Capacity___________Whenarefountainsrunning?____________Typicalwaterconsumption?__________Dofountainsuserecycledwater?❑Yes❑NoAretheypartofaclosed-loopsystem?❑Yes❑NoArepavedareas❑sweptclean❑blowncleanor❑hosed?

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4.5.12MaintenanceArefaucets,pipesandplumbingcheckedregularlyforleaks?❑Yes❑NoHowoften?_____________Isthereregularlyscheduledpreventivemaintenanceinyourfacility?❑Yes❑NoIsmaintenancedocumentedwithstandardrecordsorinspectionlogs?❑Yes❑NoIfyoucontractwithamaintenancecompany:Howquicklydoesmaintenancestaffrespondandrepairleaks?_____________________________Ifyoucontrolyourownmaintenanceprogram:Howdoyouhandlereportingandrepairofleaks?____________________________Howquicklyareleaksusuallyrepaired?____________________________________

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Section 5 INDOOR ENVIRONMENTAL QUALITY (AUDIT)

Indoorenvironmentalquality(IEQ)referstothequalityofabuilding’sinteriorenvironmentinrelationtothehealthandwellbeing of those who occupy space within it. IEQ is determined by many factors, including lighting, air quality,ventilationandhumidity/dampconditions.Someexistinghealthcarefacilitieshaveapoorindoorenvironmentaland/orairquality(IEQ/IAQ).IEQencompassesthermalcomfort,humidity,ventilation,lightingandnoiselevels.Anidealindoorenvironmentintermsofoccupants’health,comfort,safetyandsatisfactionisanimportantconsiderationwhenassessingindoorenvironmentalquality.5.1 LightingLevels1Theoutdoorlightlevelisapproximately107,527luxonbrightestsunlightwhichmaycauseeyepaintoabout400luxatsunriseor sunset on a clear day. In thebuilding, in the area closest towindows, the light levelmaybe reduced toapproximately 1,000 lux. In themiddle area it may be as low as 25 - 50 lux. Additional lighting equipment is oftennecessarytocompensateforthelowlevels.Earlier, itwascommonwith light levels in therange500 -1000 lux fornormalactivities. In recentyears theNationalRenewableEnergyLaboratory(USDepartmentofEnergy)inAssociationwiththeIESNAandASHRAEhasprovidedmorestringent guidelines with respect to recommended lighting levels and Lighting Power densities for various types ofbuildings. Today the recommended lighting levels have been reduced in instances where environmental qualitystandards are not compromised, light level ismore common in the range 400 - 750 lux - depending on activity. Forprecisionanddetailedworks,thelightlevelmayevenapproach1000-1500lux.Thetablebelowisguidanceforrecommendedlightlevelindifferentworkspaces: HOSPITALS Area- Activities Type of Work Recommended Lux – (Minimum)

Doctors’ offices General lighting 500 (400) Critical Care Examination Working table 500 Waiting areas for reading 300 Bathrooms General 200 – (100) Examination Rooms General 500 Library Reading Areas 500 – (400) Treatment Cubicles General 300 Outpatient Clinic General 500 Corridors –Nursing Areas 150 Kitchen 500 Laboratory Specimen Collection 500 Occupational Therapy (Working table) 500 Operating room (General) 500 – (500)

Operating Table task lighting 10000 – (3000) (X-ray suite) adjustable lighting 0 – 100 – (0 – 50)

Dentistry (General) 300

(Chair) 10000 – (3000) Maternity ward Birthing Room 1000

(Deliver area) general 10000 – (3000)

1ReferenceIlluminationEngineeringSocietyofNorthAmerican,IES(NA)LightingHandbook,NinthEdition

INSTRUCTIONAL NOTE:Equipment needed to testlighting levels include: LUXMeter, which measureslight intensity. The lux(symbol:lx)istheSIunitofluminance and luminousemittance, measuringluminous flux per unitarea. It is equal to onelumenpersquaremetre.Inphotometry,this isusedas a measure of theintensity, as perceived bythe human eye, of lightthathitsorpassesthroughasurface.Lux Metre is seen in theimagebelow.

Post Delivery 500 Patient rooms (General) 150 (Localized lighting: beds) 500

5.2 HumidityandTemperatureLevelsCorrecthumidityisessentialtopatienthealth,staffcomfortandpreventionofelectrostaticdamagetomedicalequipment.Themedicalindustrygoalistotreattheinjuredorillinasafeandcomfortableenvironment.Hospitalstaffmustalsohaveacomfortableenvironment,sotheyareattheirbestinordertoperformproperdiagnosisandtreatment.ASHRAE/ANSIStandard170-2008haspublishedguidelinesforenvironmentalconditionsinhospitalareas.Thisincludestherequirementstoensurethatthereisadequatefreshairsupplytotheareaandalsothereareadequateairchangestoensurethatthebuild-upofCarbondioxideisprevented.Hospitalsalsohavevariousroomswithvariouspurposes.Theyrangefromwaitingroomstointensivecareunits,x-rayfacilitiesandsurgeryrooms.Allofthesetypesofroomsrequireadegreeofairqualitywhichincludesspecificrequirementsforhumidity.Deviationsfromthemid-rangeofrelativehumidity(RH)of40-60%canreduceairqualitybycausinganincreasedgrowthofbacteria,airborneinfection,soreeyes,sorethroat,increasedstaticanddust,andprematurecoagulation.Itisrecommendedthathospitalsshouldbekeptattemperatureandhumiditylevelsasperthefollowingchart: Hospital Areas Temp (°F) Humidity OACH TACH Delivery Room 68-75 F 20-60 % 4 20 Treatment Rooms 70-75F 20-60 % 2 6 Triage 70-75F Max 60 % 2 12 Radiology Waiting 70-75 F Max 60 % 2 12 Toilet NR NR 10 Laboratory 70-75F NR 2 6 Examination Room 70-75F Max 60% 2 6 OACH- Outside Air Changes per Hour TACH- Total Air Changes per Hour 5.3 CarbonDioxide(CO2Levels)SinceCarbonDioxide(CO2) isexhaledbypeopleatpredictable levels, itscontentintheairmaybeasignificantindicationofairquality.AmeasureofCO2indicatestheamountoffreshairsupply;15cfmventilationrateperoccupantcorrespondsto 1000 ppmCO2 and 20 cfm ventilation rate per occupant corresponds to 800ppmC02.TheCarbonDioxide(CO2)standardlevels(recommendedinASHRAEStandard62-11989)VentilationforAcceptableIndoorAirQualityisasfollows:

• Classroomsandconferencerooms15cfmperoccupant• Officespaceandrestaurants20cfmperoccupant

INSTRUCTIONALNOTE:Theairhumiditymetercanmeasure relative airhumidity, temperature,and CO2 levels. If thehumidityistoohigh,mouldmightoccuronthewallsoron the roof. This means ahealth risk for everyone inthatenvironment.AirHumidityMeterasseenbelow:

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• Hospitals25cfmperoccupantThereferencedCO2levelsareasfollows:

• 350–450ppm:–Background(normal)outdoorairlevel• Lessthan600ppm:-Acceptablelevels• 600–1,000ppm:-Complaintsofstiffnessandodors

• 1,000ppm :- recommendedASHRAE2andOSHA3standards (CO2 concentrationat this level shouldnotexceed1,000ppm)

• 1,000–2,000ppm:-Levelassociatedwithcomplaintsofdrowsinessandpooair.• 2,000–5,000ppm:-Levelassociatedwithheadaches,sleepiness,andstagnant,staleandstuffyair.

Adversehealtheffectsexpected.• Greaterthan5,000ppm:-Exposuremayleadtoseriousoxygendeprivationresultinginpermanent

braindamage,comaandevendeath.*ppm–Partspermillion;cfm–cubicfeetperminute

Figure20-IEQformsample

2ASHRAE,standsfortheAmericanSocietyofHeating,RefrigeratingandAir-ConditioningEngineers3OSHAistheUnitedStatesDepartmentofLabourOccupationalSafetyandHealthAdministration 25

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Section 6 OCCUPANT SURVEY

Occupantsurveysarehighlyeffectiveasawaytojudgethecurrentperformanceofabuilding.Afterall,theoccupantsarethepeoplewhospendthemosttimeinthebuilding.Anoccupantsurveywillhighlightanyday-to-daybuildingperformancethatfallsbelowtenants’expectationsandcanalsohighlightthermalcomfort,noise,glare,transportandotheroperationalissues. 6.1 PATIENT/STAFF OCCUPANCY SATISFACTION SURVEY 1. In which country do you live?

Name of Country: __________________________________________

2. Please identify your relationship to the facility

� Employee � Visitor � Patient� Other (please specify) __________________________________________

3. Do you understand the concept of "greening" buildings? � Yes � No � Not sure

4. Which of the following renewable energy sources do you know about? � Solar � Geothermal

� Wind Energy � Bio Energy

� None

5. Do you give consideration to energy and water conservation in your normal functions? _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 6. On an average, how much time do you spend at the facility in one week?

� Less than 40 hours � More than 40 hours � Not sure 7. How do you get to the facility?

� Walk � Private Vehicle � Public Transport� Other (please specify) __________________________________________

8. Approximately how many miles is the drive to the facility? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 9. If you use a vehicle or public transportation to get to the facility, please provide some details about the vehicle.

� Make of vehicle ____________________ � Model of vehicle ____________________ � Year____________________ � Not sure____________________

INSTRUCTIONALNOTE:To be effective, the auditwill be carried out in ahighly structured mannerso that the results canallow comparison with awell-established,benchmarkeddatabaseofcriteria.Inordertoassessif the conditions at thefacility is contributing toillness, absenteeism or ahigh turnover rate, thefollowing information isrequired.Thesequestionsmayberevisitedoncetheproject is complete andworkers have had achance to use the facilityfor some time todetermine the changesmade had any impact onwork conditions andindoor environmentalquality (lighting, airquality,dampconditions).

10. How satisfied are you with the lighting (in the facility)? _________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ 11. Does the lighting affect your ability to function normally?

� Yes � No � Not sure 12. Can you point out specific problems with the lighting?

No problem Problems Not sure Glare � � � Reflections � � � Direct Sunlight � � � Faulty fixtures � � � Other (please specify) __________________________________________

13. Overall does the air quality enhance or interfere with your ability to function normally?

� Enhance � Interfere � Not Sure 14. How satisfied are you with the air quality (i.e. stuffy/stale air, odour) at the facility?

� Very satisfied � Moderately satisfied � Not satisfied � Not sure/prefer not to answer

15. Does direct sunlight enter any of the windows and doors?

� Yes � No � Not sure 16. Does the temperature of the facility affect your ability to function normally?

� Yes � No � Not sure 17. Does the ventilation (movement of air) of the facility affect your ability to function normally?

� Yes � No � Not sure 18. In your opinion is the building (facility) strong/safe?

� Yes � No � Not sure 19. Would you feel comfortable in the building during a tropical storm or hurricane?

� Yes � No � Not sure 20. What improvements would you like to see to the building?

� Better lighting � Operable windows � Operable doors � Air conditioning � Reliable electricity � Reliable water supplyOther (please specify) __________________________________________

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Section 7 REFERENCES

AmericanSocietyforHealthcareEngineeringoftheAmericanHospitalAssociation,(2010).BriefingforCMSonReductionofLow-LevelHumidityinShort-TermPatientCareAreas,AmericanSocietyforHealthcareEngineeringoftheAmericanHospitalAssociation,Chicago,IL.

ASHRAE/ANSIStd170-2008VentilationofHealthCareFacilities2008Table7-1ASHRAR.orgIlluminance-RecommendedLightLevel,(n.d.).ViewedMay31,2017fromEngineeringtoolbox.com:

http://www.engineeringtoolbox.com/light-level-rooms-d_708.html#81743976InternationalPlumbingCode2012Table103MeasuringLightLevels,(n.d.).ViewedMay31,2017from

sustainabilityworkshop.autodesk.com:https://sustainabilityworkshop.autodesk.com/buildings/measuring-light-levels.

Nortec,(n.d.).WhyHumidifyHospitalsandCareFacilities.ViewedMay31,2017,fromHumidify.com:

https://www.humidity.com/m/0/14-705-why-humidify-hospitals-brochure.pdf.OutdoorLightingLevels,(n.d.).ViewedMay30,2017fromEngineeringtoolbox.com:

www.engineeringtoolbox.com/light-level-roomRequiredLightLevels,(n.d.).ViewedMay31,2017frompilux-danpex.gr:http://pilux-

danpex.gr/downloads/Required_Light_LevelsEN.pdf.Richman,EricE.,(n.d.).RequirementsforLightingLevels.ViewedMay21,2017fromusace.army.mil:

http://www.usace.army.mil/Portals/2/docs/Safety/EM%20385-1-1,%202014%20Sections/EM%20385-1-1%202014%20Section%2007.pdf.

ScottHerr,D.(2011).WhitePaper/CaseStudyMC2000AtomizingHumidifiersInHospitals.CARELUSA.Pennsylvania,

USA.StanleyRea,M.(ed.)2000.IESNALightingHandbookReferenceandApplication,9thedn,IlluminatingEngineering

SocietyofNorthAmerica,USA

Annex 1

ResourceFormstobeutilizedduringtheapplicationofthe

Baseline Assessment Tool.

GENERAL BUILDING INFORMATION FORM Name of Facility: Location: Property Block/Parcel no. Size of Property: Building Orientation: Building Floor Area: No. of Floors: No. of parking spaces: Visitors ____________ Workers__________ Building Capacity: - No. of Beds No. of Employees: Full-time ___________ Part-time ______________ Year Constructed: Type of Building Construction: Type of Roof Construction: PAHO Hospital Safety Index (HSI) Applied: Yes q No q If yes, is the report available? Note any past damage to the facility:

ANNEXF-1

BUILDING/PROPERTY COMPONENT AUDIT As-0built drawings are needed to complete this section of the BAT,

particularly to provide information pertaining to the measurements of the foundation. Component Systems Quantity/

Square Area Issues

(Condition) Additional Comments

1.0 Exterior Building Elements

1.1 Foundation/ Structure

1.2 Exterior Walls

1.3 Roof System/Drainage

1.4 No. of Windows

1.5 No. of Doors

2.0 Interior Building Elements

2.1 Ceiling

2.2 Interior Walls

2.3 No. of Doors

2.4 Floors

2.5 Fixed Furniture/ Equipment (Built In, No. of Cupboards, No. of Cabinets)

3.0 Safety Elements

3.1 Means of Exit

3.2 Fire Control

3.3 Fire Alarm

3.4 Emergency Lighting

3.5 Fire Resistance

3.6 Provisions for Handicap/ Accessibility

3.7 Perimeter Fencing/ Security

ANNEXF-2

ELECTRICITY CONSUMPTION

YEAR

1

Month Days in Period

Usage (kWh)*

Fuel Surcharge /

Peak Demand kVA

Cost per kWh*

Cost per KVA Total Cost

January February March April May June July August September October November December

YEAR

2

Month Days in Period

Usage (kWh)*

Fuel Surcharge /

Peak Demand kVA

Cost per kWh*

Cost per KVA Total Cost

January February March April May June July August September October November December

Fixed Charges: *NB: Obtain most current data from local utility companies. VAT:

ANNEXF-3

NB:Photovoltaic,System,windturbinesetc.

RENEWABLE ENERGY SOLAR POWER

Number of PV Panels

Total Area of PV Panels

Peak Watts (kW)

Size of Battery Bank

Grid Tied / Off Grid

Annual Power Production (kWh)

WIND POWER Number of Turbines

Size of Battery Bank

Power Rating kW

Capacity Factor 30-40%

Grid Tied / OFF Grid

Annual Energy Rating kWh

ANNEXF-4

STANDBY GENERATOR Brand / Model Stand by Power

Rating KW Standby Power

Rating (kVA) Voltage Phase Power Factor

STANDBY GENERATOR DETAILS Does generator system provide full emergency power to the facility [Y / N]? If the generator does not provide full emergency power to facility, then list areas supplied by generator:

ANNEXF-5

LIGHTING Fluorescent Tubes

LOCATION Number of Fixtures

Lamp Wattage

Ballast Type

Number of Lamps per

Fixture

Fixture Wattage

Ballast Power

Total Power

KW

Hours / Month

Energy Usage KWHr

LED Tubes

LOCATION Number

ofFixtures

LampWattage

NumberofLamps/Fixture

FixtureWattage

TotalPowerKW

Hours/Month

EnergyUsagekWh

Remarks

ANNEXF-6

LIGHTING(OTHER)COMPACTFLUORESCENTLAMPS(CFL)

Location NumberofFixtures

LampWattage

TotalWattagekW

HoursperMonth

EnergyUsagekWh

COMMENTS

LEDLAMPSLocation Number

ofFixturesLampWattage

TotalWattagekW

HoursperMonth

EnergyUsagekWh

COMMENTS

INCANDESCENTLAMPSLocation Number

ofFixturesLampWattage

TotalWattagekW

HoursperMonth

EnergyUsagekWh

COMMENTS

HALOGENLAMPSLocation Number

ofFixturesLampWattage(W)

TotalWattagekW

HoursperMonth

EnergyUsagekWh

COMMENTS

HighIntensityDischarge(HID)LAMPSLocation LAMPTYPE

MH/HPS/MVNumberofFixtures

LampWattage

BallastPower

TotalPower

Hours/Month

EnergyUsagekWh

OTHERLAMPTYPESLocation LAMPTYPE Number

ofFixtures

LampWattage

BallastPower

TotalPower

HOURS/Month

EnergyUsagekWh

ANNEXF-7

AIR-CONDITIONING

Location & Remarks

Quantity

Type

Model

Thermostat Setting (Celsius /

Fahrenheit)

Cooling Capacity

Electrical Power (W

)

Refrigerant Efficiency

Hours per Week

WATTS

British Thermal

Units (BTU)

EER

COP

SEER

NOTES. Model:ACBrand/Model-CanbeusedtodetermineCapacity&PowerifitisnotshownontheunitEER: EnergyEfficiencyRatioSEER:SeasonalEnergyEfficiencyRatioCOP: CoefficientofPerformance

ANNEXF-8

REFRIGERATION

Location & Remarks

Quantity

Model

Capacity Cu. Ft

Voltage (V)

Amps (A)

Power (W)

Temperature Setting

(Hi/Med/Lo)

Refrigerant

Year

ANNEXF-9

MEDICAL EQUIPMENT Equipment Name Model Voltage (V) Amps (A) Power (W) Hours per Week

ANNEXF-10

WASHERSQTY TYPEFrontLoad

/TopLoad/Washer

Manufacturer/Model

Capacity/kgs VOLTAGE AMPERAGE POWER YEAR

DRYERSQTY TYPE

Gas/ElectricalManufacturer/Model

Capacity/kgs VOLTAGE AMPERAGE POWER YEAR

ANNEXF-11

WATERHEATERS

Location & Remarks

Quantity

Type Electric / Gas

Tank / Tankless

Model

Capacity (Gal.)

Voltage (V)

Amps (A)

Power (W)

Energy Factor

(EF)

ANNEXF-12

MISCELLANEOUS ELECTRICAL LOADS

Location & Remarks

Quantity

Name of Appliance Model

Voltage (V)

Amps (A)

Power (W)

Hours Per

Week

ANNEXF-13

Note: Most toilets are either gravity flush, flush valve/flushometer/tankless, or pressurized tank types.

Flush rate, if unknown, may be determined by calculating the volume of water in the tank.

TOILETS/URINALS

Toilet /Urinal type

Quantity

Flush Rate Location Condition

Are toilets equipped with automatic water-flushing systems? ❑ Yes ❑ No If so, what is the timing cycle? _______ Are the sensors/timers coordinated with regular work hours? ❑ Yes ❑ No

ANNEXF-14

PLUMBINGFIXTURESCOMMERCIALWATERFIXTURECOUNTFORM

Facilityname:Address BuildingNo.Date: Inspectedby:

Fixture Occupancy TypeofSupplyControl

LoadValues

InWaterSupplyFixtures

Units(wsfu)

#ofunits

Equal#ofWaterSupplyFixtureunits

Cold Hot Total BathroomGroup Private FlushTank 2.7 1.5 3.6 BathroomGroup Private FlushValve 6.0 3.0 8.0

Bathtub Private Faucet 1.0 1.0 1.4 Bathtub Public Faucet 3.0 3.0 4.0 Bidet Private Faucet 1.5 1.5 2.0

CombinationFixture Private Faucet 2.25 2.25 3.0 Dishwashingmachine Private Automatic - 1.4 1.4 DrinkingFountain Offices,etc. 3/8”Valve 0.25 - 0.25

HouseBibb - - - - 2.5 KitchenSink Private Faucet 1.0 1.0 1.4 KitchenSink Hotel,

RestaurantFaucet 3.0 3.0 4.0

LaundryTrays(1-3) Private Faucet 1.0 1.0 1.4 Lavatory Private Faucet 0.5 0.5 0.7 Lavatory Public Faucet 1.5 1.5 2.0

ServiceSink Offices,tec. Faucet 2.25 2.25 3.0 ShowerHead Public MixingValve 3.0 3.0 4.0 Showerhead Private MixingValve 1.0 1.0 1.4

Urinal Public 1”FlushValve

10.0 - 10.0

Urinal Public ¾”Flushvalve

5.0 - 5.0

Urinal Public FlushTank 3.0 - 3.0 WashingMachine(8lb) Automatic 1.0 1.0 1.4 WashingMachine(8lb) Public Automatic 2.25 2.25 3.0 WashingMachine(15lb) Public Automatic 3.0 3.0 4.0

WaterCloset Private FlushValve 6.0 - 6.0 WaterCloset Private FlushValve 2.2 - 2.2 WaterCloset Public FlushValve 10.0 - 10.0 WaterCloset Public FlushValve 5.0 - 5.0 WaterCloset Publicor

PrivateFlushometer

tank2.0 - 2.0

TotalFixtureUnits_____________________

FixtureUnitsConvertedIntogpm_______________________________

ANNEXF-14A

TABLEFORESTIMATINGDEMAND

SUPPLYSYSTEMSPREDOMINATELYFORFLUSHTANKS SUPPLYSYSTEMSPREDOMINATELYFORFLUSHVALVESLOAD DEMAND LOAD DEMAND

(WaterSupplyFixtureunits)

(GallonsPerMinute)

(CubicFeetPerMinute)

(WaterSupplyFixtureunits)

(GallonsPerMinute)

(CubicFeetPerMinute)

1 3.0 0.04101 2 5.0 0.0684 3 6.5 0.86892 4 8.0 1.06944 5 9.4 1.256592 5 15.0 2.00526 10.7 1.430376 6 17.4 2.3260327 11.8 1.577424 7 19.8 2.6463648 12.8 1.711104 8 22.2 2.9676969 13.7 1.831416 9 24.6 3.28852810 14.6 1.951728 10 27.0 3.6093611 15.4 2.058672 11 27.8 3.71630412 16.0 2.13888 12 28.6 3.82324813 16.5 2.20572 13 29.4 3.93019214 17.0 2.27256 14 30.2 4.03713615 17.5 2.3394 15 31.0 4.1440816 18.0 2.90624 16 31.8 4.24102417 18.4 2.459712 17 32.6 4.35796818 18.8 2.513184 18 33.4 4.46491219 19.2 2.566656 19 34.2 4.57185620 19.6 2.620128 20 35.0 4.678825 21.5 2.87412 25 38.0 5.0798430 23.3 3.114744 30 42.0 5.6135635 24.9 3.328632 35 44.0 5.8819240 26.3 3.515784 40 46.0 6.1492845 27.7 3.702936 45 48.0 6.4166450 29.1 3.890088 50 50.0 6.68460 32.0 4.27776 60 54.0 7.2187270 35.0 4.66788 70 58.0 7.7534480 38.0 5.07984 80 61.2 8.18121690 41.0 5.48088 90 64.3 8.595624100 43.5 5.81508 100 67.5 9.0234120 48.0 6.41644 120 73.0 9.75864140 52.5 7.0182 140 77.0 10.29336160 57.0 7.61976 160 81.0 10.82808180 61.0 8.15448 180 85.5 11.42964200 65.0 8.6892 200 90.0 12.0312225 70.0 9.3576 225 95.5 12.76644250 75.0 10.0260 250 101.0 13.50168275 80.0 10.6944 275 104.5 13.96956300 85.0 11.3628 300 108.0 14.43744400 105.0 14.0364 400 127.0 16.97736500 124.0 16.57632 500 143.0 19.11624750 170.0 22.7256 750 177.0 23.661361000 208.0 27.80544 1000 208.0 27.805441250 239.0 31.94952 1250 239.0 31.949521500 269.0 35.95992 1500 269.0 35.959921750 297.0 39.70296 1750 297.0 39.70296

ANNEXF-14B

AVAILABILITY OF GFA (GROSS FLOOR AREA) Description of Project Results Notes

No. of buildings on plot:

Maximum height of buildings:

No. of plot(s):

(A) Plot area:

(B) Building area:

(c) Total Floor area:

Site Coverage (e.g. % of plots covered by building [B/A x 100]

Plot ratio ( divide total floor area expressed in ratio e.g. 1:07) [1:C/A]

ANNEXF-15

PAHOBaselineAssessmentTool2017