Queensland Health Capital Infrastructure Requirements – 4
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Queensland Health – Capital Infrastructure Requirements i
Volume 1 Overview
Capital Infrastructure Requirements -
Volume 1 Overview
The Capital Infrastructure Requirements
provide a consistent and standardised
approach to health capital infrastructure
planning and design in Queensland Health
which directly links client requirements to the
built solution and promotes the application of
contemporary and evidenced based standards.
Queensland Health Capital Infrastructure Requirements – 4
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Queensland Health – Capital Infrastructure Requirements ii
Volume 1 Overview
Queensland Health Capital Infrastructure Requirements – 4
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Queensland Health – Capital Infrastructure Requirements iii
Volume 1 Overview
Capital Infrastructure Requirements - Volume 1 Overview
Published by the State of Queensland (Queensland Health), August 2020
This document is licensed under a Creative
Commons Attribution 3.0 Australia licence.
To view a copy of this licence, visit creativecommons.org/licenses/by/3.0/au
© State of Queensland (Queensland Health) 2020
You are free to copy, communicate and adapt the work, as long as you attribute the State
of Queensland (Queensland Health).
For more information contact:
Capital and Asset Services Branch, Corporate Service Division , Department of
Health, Queensland Health, GPO Box 48, Brisbane QLD 4001,
email CAS_Correspondence@health.qld.gov.au.
An electronic version of this document is available at
https://www.health.qld.gov.au/system-governance/policies-standards/doh-
policy
Queensland Health disclaimer
Queensland Health has made every effort to ensure the Queensland Health
Capital Infrastructure Requirements (CIR) are accurate. However, the CIR are
provided solely on the basis that readers will be responsible for making their own
assessment of the matters discussed. Queensland Health does not accept liability
for the information or advice provided in this publication or incorporated into the
CIR by reference or for loss or damages, monetary or otherwise, incurred as a
result of reliance upon the material contained in the CIR.
The inclusion in the CIR of information and material provided by third parties
does not necessarily constitute an endorsement by Queensland Health of any
third party or its products and services.
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Version
Author
Version Description
Released
Date
Approved for
Release by
1.0
Health Planning
and Infrastructure
Division,
Queensland
Health
First public release
28 May 2012
DDG, Health
Planning &
Infrastructure
Division
1.1
Health
Infrastructure
Branch
Name changed from
Capital Infrastructure
Minimum
Requirements to CIR
Approved
5 April 2013
DDG, System
Support
Services
2.0
Health
Infrastructure
Branch
Second public release.
Updated information
regarding Legionella,
infection control and
other minor edits.
3 September
2014
DDG, Office of
the Director-
General
3.0
Capital and Asset
Services Branch
Updated to align with
the new water risk
management
provisions under the
Public Health Act 2005
(February 2017)
7 August 2017
DDG, Corporate
Services
Division
4.0
Capital and Asset
Services Branch
Incorporation of BIM,
updated references,
refreshed layout,
compliance statement
and checklist process
reviewed.
22 October
2020
DDG, Corporate
Services
Division
Queensland Health Capital Infrastructure Requirements – 4
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Contents
1 Introduction 1
1.1 Release notes 1
1.2 Disclaimer regarding compliance 2
1.3 Use of other guidelines and policies 2
2 Objectives 2
2.1 Referral agency and further information 3
2.2 Associated requirements 3
2.3 Scope for application 4
2.4 Facilities covered 4
2.5 Facilities excluded 6
2.6 Advice on alterations to existing facilities 7
2.6.1 Scoping of works 7
2.6.2 Architecture 7
2.6.3 Engineering 7
2.7 Compliance requirements 8
2.7.1 Affected areas 8
2.7.2 Unaffected areas 8
2.7.3 Conversion 8
2.7.4 Undiminished safety 9
2.7.5 Long-range improvement 9
2.8 Maintenance 9
2.9 Work health and safety 10
2.10 Limitations constraints and opportunities 10
2.10.1 Planning process 10
2.10.2 Consultation 10
3 How to read 10
3.1 Structure of CIR 10
3.2 Levels of recommendation 12
3.3 Checklists 12
4 How to use the CIR 13
4.1 Interpretation of the CIR 13
4.1.1 Purpose of interpretation 13
4.2 Public health facilities 13
4.3 Context of the CIR 13
4.4 Strategic infrastructure assessment 15
4.5 Building performance evaluation 15
4.6 Approval-in-principle process 15
4.7 Compliance and accreditation 16
4.8 Equivalent alternatives and departures 16
5 Other building regulations 17
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5.1 National Construction Code (NCC) 17
5.2 Food services regulations 17
5.3 Work health and safety 17
6 General requirements 18
6.1 Stakeholders 18
6.2 Risk management 19
6.3 Design stages and costs estimating 19
6.3.1 Design stages 19
6.3.2 Cost estimating per stages 19
6.3.3 Lifecycle costing 20
7 Selecting a building construction procurement strategy 21
8 Terms and definitions 22
9 Abbreviations and acronyms 34
9.1 Common CIR abbreviations and acronyms 34
10 References 36
10.1 Standards 36
10.2 Policies and implementation standards 43
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Tables
Table 1 2020 Queensland healthcare provider facility types ....................................................... 4
Table 2 Queensland Health steps for functional design brief approval ................................. 16
Table 3 Queensland Health steps for architectural and engineering documents approval
16
Figures
Figure 1 CIR document suite ................................................................................................................ 11
Figure 2 Infrastructure design CIR context ....................................................................................... 14
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1 Introduction
The purpose of the Capital Infrastructure Requirements (CIR) is to provide a consistent
and standardised approach to health capital infrastructure planning and design in
Queensland Health, which directly links client requirements to the built solution and
promotes the application of contemporary and evidenced-based standards.
Queensland Health consists of the Department of Health, the Queensland Ambulance
Service and 16 independent Hospital and Health Services (HHSs) situated across the state.
1.1 Release notes
In May 2012, the CIR was originally published as the Capital Infrastructure Minimum
Requirements. In 2013, the document was renamed with removal of the word ‘minimum’ in
2012 from the title.
A revised version in 2015 included details of the water risk management plan provisions
under the Public Health Act 2005 for water quality, including other water-related hazards
in healthcare facilities (https://www.health.qld.gov.au/public-health/industry-
environment/environment-land-water/water/risk-management).
This 2020 revised version now updates the CIR to align to the Queensland Health digital
delivery requirements released in 2019, commonly referred to as Queensland Health
Building Information Modelling (BIM) guidelines. This includes the Project Information
Requirements (PIR) and the Design and Construction BIM Execution Plans. This revised
version of the CIR also includes updates to codes, standards and policy references, and
general document edits for readability and ease of use.
Acknowledgements
Queensland Health wishes to acknowledge other jurisdictions for valuable content made
available in their respective CIR and a range of other capital infrastructure planning
documents. In particular, the following references have been very helpful:
• Victorian Department of Health, Design Guidelines for Hospitals and Day Procedures
Centres
• South Australian Department of Health, Schedule 18, Design Specifications, Functional
Brief
• NSW Health, Scope of Services, Project Delivery Standards Part F
• NSW Health, Technical Series TS11 – Engineering Services and Sustainable Development
Guidelines.
The preparation of the CIR has been made possible through the efforts of a large number
of people from both the public and private sectors. Appreciation is extended to all those
individuals and their respective organisations who contributed to the CIR.
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1.2 Disclaimer regarding compliance
The individual parts of the CIR are not stand-alone or exhaustive as to their subject matter
and must be considered in light of and within the context of the other parts of the CIR.
Nothing in the CIR implies that compliance with them will automatically result in
compliance with other legislative or statutory requirements. Similarly, nothing in the CIR
implies compliance with the Australian Standards (AS), the National Construction Code
(NCC) or Queensland Development Code. Parts of the CIR, such as room layout sheets,
necessarily show elements which may be the subject of those legislative or statutory
requirements. Every effort has been made to ensure such compliance, however no
guarantees are made. It is the responsibility of each user to check and ensure compliance
with legislative and statutory requirements.
As the name suggests, the documents provided are requirements. Users—whether
Queensland Health staff, contractors or consultants—are advised to seek expert opinion on
the important issue of health facility design whilst considering the CIR. Many of the
concepts covered by the CIR require a minimum level of knowledge of health facilities and
health facility design. Due to the generic nature of the CIR, all the individual circumstances
cannot be anticipated or covered. Furthermore, the CIR do not cover the operational
policies of individual facilities.
Delivery of excellence in healthcare as well as the provision of a safe working environment
will depend on appropriate operational policies. The authors of the CIR, as well as those
involved in the checking or approval of the CIR, accept no responsibility for any harm or
damage, monetary of otherwise caused by the use or misuse of the CIR. Every effort has
been made to check the CIR 4th Edition for errors and inconsistencies.
1.3 Use of other guidelines and policies
This CIR is a consolidation of relevant material from numerous guidelines and policies
available from both Australia and overseas.
There are several Queensland Health policies that impact on design and therefore need to
be considered and referenced during a design project. Policy will change over time, current
Queensland Health policies are available at:
https://www.health.qld.gov.au/system-governance/policies-standards/doh-policy.
2 Objectives
Queensland Health is focused on meeting the strategies outlined in My health,
Queensland’s future: Advancing health 2026. Five principles underpin the vision, direction
and strategic agenda:
1. Sustainability—we will ensure available resources are used efficiently and effectively for
current and future generations.
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2. Compassion—we will apply the highest ethical standards, recognising the worth and
dignity of the whole person and respecting and valuing our patients, consumers,
families, carers and health workers.
3. Inclusion—we will respond to the needs of all Queenslanders and ensure that,
regardless of circumstances, we deliver the most appropriate care and service with the
aim of achieving better health for all.
4. Excellence—we will deliver appropriate, timely, high quality and evidence-based care,
supported by innovation, research and the application of best practice to improve
outcomes.
5. Empowerment—we recognise that our healthcare system is stronger when consumers
are at the heart of everything we do, and they can make informed decisions.
6. Focus area ‘4.1 Smart technology and infrastructure’ and ‘4.2 Research and new ideas
into practice’ are key strategies for health infrastructure. The CIR supports this strategy
for Queensland Health.
2.1 Referral agency and further information
Queries regarding interpretation or for further information contact should be made through
Capital and Asset Services Branch, Department of Health via email at
CAS-Correspondence@health.qld.gov.au.
2.2 Associated requirements
The CIR must be read in conjunction with associated requirements from the following
organisations:
eHealth
For all ehealth Queensland enquires, email eHealth-Comms@health.qld.gov.au
Communicable Diseases and Infection Management
Queensland Health
PO Box 2368
Fortitude Valley
Brisbane QLD 4006 Australia
CDIM_Managers@health.qld.gov.au
National Health and Medical Research Council
Clinical Practice Guidelines, Information for Guidelines Developers, National Institute for
Clinical Studies including infection control
GPO Box 1421
Canberra ACT 2601 Australia
nhmrc@nhmrc.gov.au
http://nhmrc.gov.au/
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2.3 Scope for application
The adoption of the Queensland Health CIR demonstrates Queensland Health’s
commitment to achieving infrastructure and asset strategies outlined in My health,
Queensland’s future: Advancing health 2026.
The CIR have been developed to assist in the preparation of project design briefs for all
Queensland Health facility types.
CIR Volume 2 Functional design brief is applicable to all health infrastructure projects
regardless of their size or complexity.
CIR Volume 3 Architecture and facility design and Volume 4 Engineering and infrastructure
are also mandatory for all capital infrastructure projects during the planning, design and
delivery stages, plus for any asset replacement and significant maintenance activities. A
decision to deviate from any of the CIR project must adhere to the process outlined in
Section 4.8.
The PIR document is mandatory for all capital infrastructure projects during the planning,
design and delivery stages, plus for any asset replacement and significant maintenance
activities.
Relevant health infrastructure projects include extensions, expansions and refurbishments
of existing buildings in addition to work associated with new buildings.
All projects are required to review the checkpoints or checklists and submit a non-
conformance declaration form detailing any deviations from specified requirements
provided in CIR Volumes 3 and 4. The BIM Metrics for Projects spreadsheet must also be
completed so the value of BIM on projects can be tracked and assessed.
Requests for exceptions to the CIR will be submitted through the project steering
committee who will review the requirements of these documents in their entirety and will
make recommendations to relevant senior officers within the project’s governance
framework.
Building cost and/or size are not necessarily indicators of appropriateness of applications
for exclusions. A relatively small capital infrastructure works project on a medium to large
facility can have a significant urban design and functionality impact. Projects must comply
with the CIR in full as a default position.
The CIR do not cover private health infrastructure used only for provision of private health
services.
2.4 Facilities covered
The types of facilities that the CIR are intended to cover are as follows:
Table 1 2020 Queensland healthcare provider facility types
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Facility group
Common names
Acute care hospitals
licensed private acute
hospital
hospital—acute other
hospital, primary health
care centre, health service,
outpatients clinic
hospital—acute outpost
primary health care centre,
(health) clinic, outpatients
clinic
Psychiatric hospitals
Residential aged care services
care service facility
nursing home, nursing
centre, nursing care unit,
residential care, aged care
facility, house, home
Young disabled residential care
services
residential care service
lodge or centre
Alcohol and drug treatment centres
Hostels and other residential services
community care unit
Hospices
Same day facilities
Non-residential health services
Birthing centre
Community health facilities
and youth mental health
adolescent community
Torres Strait Islander
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Facility group
Common names
Community Health—program
Health contact centre
Independent living units
Multi—-purpose health services
Oral health services
Pathology laboratories
Public health
Public trading facilities
Transition care program
Previously declared hospital
Organisation facilities
Source: Queensland Health QHIK Data Elements - Health Care Provider Facility Type
It is intended that the CIR will apply to third party partnership agreements to ensure a
consistent approach in the planning, management and approval for the use of Queensland
Health real property assets (land and buildings).
2.5 Facilities excluded
The following facilities are excluded from the scope of the CIR:
• non-government aged residential care facilities
• community residential facilities
• private hospitals
• correctional centres or facilities
• medical practitioners and associated consulting rooms
• pharmacies—retail and standalone
• support residential facilities
• residential housing.
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2.6 Advice on alterations to existing facilities
In many cases, facilities are already in existence when new developments or
redevelopments of old buildings are planned. All capital infrastructure projects will comply
with the CIR and statutory requirements.
The following advice is provided with regard to application of the CIR within existing
facilities.
2.6.1 Scoping of works
All capital infrastructure planned works must have a clear plan of the scope of works prior
to commencement of work. At a minimum the scoping of planned projects must include an
infrastructure assessment, a risk assessment and scope of building services. A business
case may be required to compare redevelopment costs to a new build.
2.6.2 Architecture
Requirements for compliance of partial redevelopments should be evaluated in
consultation with Queensland Health. The point at which the percentage of redevelopment
work triggers a requirement for upgrade of the entire facility to comply with current
standards and the CIR, must be assessed as part of the scope of works. While the trigger
point has previously been experienced up to the 50 per cent level, every project must be
individually assessed based on a balance of cost, need and overall viability.
For existing Health Planning Units (HPUs) within health buildings that are being
cosmetically redecorated without re-planning, compliance with the CIR is confined to those
applying to surfaces and finishes being altered.
2.6.3 Engineering
The CIR apply to the engineering services of all new health facility types covered.
Refurbishment or upgrading of existing health facility engineering services such as heating,
ventilation and air conditioning services, hydraulic services, medical gas services, electrical
and communication services, will require compliance with the CIR in the same manner but
independently of the building works.
Engineering services within existing HPUs being refurbished will require full compliance
with the CIR for the entire HPU as determined by the project scope of works. All
refurbishment work within the previous three years will be counted as part of the building
services project assessment of works required.
If compliance with the CIR is required due to any building work, change of use or services
upgrade, then compliance with all engineering requirements is also required. For example,
if the air-conditioning system for 70 per cent of an existing operating unit is being
refurbished, then the entire air-conditioning system for the unit should comply with the
CIR.
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Any alterations or extensions that require a change to the water supply system will require
assessment of possible impacts on water quality of the existing system, including other
water-related hazards, and must meet the requirements of the water risk management plan
provisions under the Public Health Act 2005 (
https://www.health.qld.gov.au/public-
health/industry-environment/environment-land-water/water/risk-management).
2.7 Compliance requirements
Queensland Health facilities and supporting engineering services shall be designed and
installed in accordance with the NCC Volume 1 Building Code of Australia (BCA) as ‘deemed
to satisfy’ as a preferred position.
Fire engineering should only be undertaken when the result of the engineered solution will
not unduly constrain future flexibility and expansion.
Thermal modelling to meet the requirements of the NCC Volume 1, Section J may be utilised
as a method of demonstrating compliance. This is considered a ‘deemed to satisfy’
approach via a non-prescriptive option.
Where renovation or replacement work is done within an existing facility, all new work
and/or additions shall comply with applicable sections of the CIR.
The requirements of Section 2.6.3 above should be followed in relation to water supply
systems.
2.7.1 Affected areas
In redevelopment projects and additions to existing facilities, only that portion of the total
facility affected by the project shall be required to comply with applicable sections of the
CIR, except where the amount of works is equal to or exceeds 50 per cent of the total facility
area. In this instance the entire facility will be upgraded to comply with current standards
and the CIR.
2.7.2 Unaffected areas
Those existing portions of the facility and its associated building systems that are not
included in the redevelopment but are essential to the functionality or code compliance of
the redeveloped spaces shall, at a minimum, be brought into compliance commensurate
with the new works functional requirements and safety.
When construction on redeveloped areas is complete, the facility shall provide acceptable
care and safety to all occupants.
2.7.3 Conversion
When a building is converted from one occupancy to another, it shall comply with the new
occupancy requirements.
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2.7.4 Undiminished safety
Redevelopments including new additions shall not diminish the safety level that existed
prior to the start of the work. Safety in excess of that required for new facilities is not
required.
2.7.5 Long-range improvement
Nothing in the CIR shall be construed as restrictive to a facility that chooses to do work or
alterations as part of a phased long-range safety improvement plan.
All hazards to health and safety and all areas of non-compliance with applicable codes and
regulations shall be corrected as soon as possible in accordance with a plan of correction.
2.8 Maintenance
In planning, designing and specifying a health facility, the recurrent costs involved in
maintaining the building infrastructure need to be an important consideration. The primary
maintenance objective should be to keep the building condition compliant with the CIR.
Health facility managers are required to establish an asset management program to ensure
that infrastructure is maintained to an appropriate standard. In the delivery of their design
and specifications the architect and engineers should optimise the impact of maintenance
on the life cycle costs of the facility. Factors impacting on maintenance costs include
building materials, finishes, fitments, plant and access for maintenance purposes.
Under the Queensland Government Maintenance Management Framework
1
,it is a mandatory
requirement to undertake a maintenance demand assessment of each building to quantify
the demand for maintenance as the initial step in the planning and delivery of annual
maintenance on the building.
This process includes assigning appropriate standards that each health facility building will
be maintained at within the building portfolio. Conducting a maintenance demand
assessment will ascertain the total maintenance requirements of the building portfolio
which includes the requirement for each building.
The scope of maintenance work in the demand assessment process will be a combination
of:
• preventative maintenance which takes into account expert advice and manufacturers’
recommendations
• condition-based maintenance works identified in maintenance assessment reports
• deferred (backlog) maintenance
1
Queensland Government, Maintenance Management Framework.
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• maintenance to meet mandatory, statutory and health and safety requirements
• reactive maintenance estimates based on historical information.
2.9 Work health and safety
It is a requirement to comply with all federal and Queensland work health and safety
legislation, policies and guidelines, including general Queensland requirements and
Queensland Health specific requirements.
2.10 Limitations constraints and opportunities
2.10.1 Planning process
The CIR Volume 2 Functional design brief uses health service plans and models of
care/service delivery as primary sources of information for design requirements. The
‘Functional design brief’ document is to inform and educate the design team and others
involved in the procurement process.
2.10.2 Consultation
The CIR are not intended to replace the formal consultation required between the design
team and user groups, but to enhance communication and understanding between all
parties. The architect and the design team are part of an educational process that involves
all the user groups, project management teams and selected patient or community
reference groups. The CIR ensure that the participants are adequately informed of the
terminology and information being used.
3 How to read
3.1 Structure of CIR
The CIR is structured into four volumes summarised below and in Figure 1:
• Volume 1 Overview
• Volume 2 Functional design brief
• Volume 3 Architecture and health facility design
• Volume 4 Engineering and infrastructure.
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Figure 1 CIR document suite
CIR Volume 2 Functional design brief
• Section 1 Principles: provides the overall context and design principles, incorporating
both Queensland Government and Queensland Health aims and requirements. It covers
specific areas of the functional design brief for which Queensland Health has a
preferred or standardised approach.
• Section 2 Manual: provides an example of a standard format for the functional design
brief presentation.
• Section 3 Functional design brief specifications and example: provides examples of a
completed functional design brief.
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CIR Volume 3 Architecture and health facility design
• Section 1 Principles: contains the principles applicable to Queensland Health
development. This section generally does not specify how compliance is achieved in
detail but outlines overarching requirements and checkpoints for design compliance.
• Section 2 Manual and Specifications: includes mandatory requirements, rationale,
examples and checkpoints Section 2 also includes relevant specifications for key items
associated with architecture for health facility and healthcare development works for
Queensland Health.
CIR Volume 4, Engineering and infrastructure
• Section 1 Principles: contains the building services design principles applicable for
Queensland Health developments. This section generally does not specify how
compliance is achieved in detail but outlines overarching requirements which must be
adhered to.
• Section 2 Manual: provides specific content per discipline, including application of the
principles, requirements and technical details. Each discipline also includes checklists
for the designers reference, a table of minimum deliverables by project phase, and a
non-conformance declaration form for submission of details regarding deviations from
specified requirements.
3.2 Levels of recommendation
The following definitions apply to categories of recommendations made throughout the CIR:
Category
Definition
Minimum standard
Principles, requirements and checkpoints shall be assumed to
represent conditions relevant to meeting a standard that supports
functional and technical requirements. A minimum standard
however, does not necessarily mean it is an optimal standard.
Recommended
On some occasions a standard is mandatory but a higher standard
is recommended. The intention is to guide designers who wish to
voluntarily upgrade the facility to a higher standard and wish to
know what the higher standard is.
3.3 Checklists
A number of checklists have been provided as tools to assist designers in completing
planning and design tasks relating to the CIR.
The purpose of these checklists is to verify compliance with the key prescriptive
requirements. The checklists themselves are not part of the mandatory requirements of the
CIR but a non-conformance declaration is a mandatory deliverable as part of a capital
infrastructure work program. These will need to be submitted along with other project
reporting requirements at each design stage such as master plan, project definition plan,
schematic design, detailed design and contract documentation.
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It is acknowledged that particularly in the early stages of planning and design, some
documents are iterative such as Volume 2 Functional design brief. Checkpoints and
therefore non-conformance declarations may need to be revisited when key project
planning and design documents are refined in line with the capital infrastructure lifecycle
stages.
4 How to use the CIR
4.1 Interpretation of the CIR
4.1.1 Purpose of interpretation
The individual parts of the CIR are not stand-alone or exhaustive as to their subject matter
and must be considered in light of, and within, the context of the other parts of the CIR.
4.2 Public health facilities
The CIR provides the requirements for the planning and briefing of public health
infrastructure. Queensland Health administers compliance with the CIR through the
planning and design project phases, conditions of contracts for design consultants and
contractors, as well as internal management policies.
4.3 Context of the CIR
The planning and delivery of health infrastructure projects is undertaken within the context
of whole-of-government policy and process as per the Queensland Government Capital
Works Management Framework. The CIR assumes that the overall context of project
initiation and development will be within the Queensland Government Gateway Review
(assurance) process and under the Project Assessment Framework (PAF). These documents
relate specifically to a capital delivery process that has been sanctioned by Queensland
Health. Other service planning, assessment and prioritisation processes occur within
Queensland Health before the decision is made to proceed with a capital solution. Once
this decision is made then the steps in the capital delivery process must be consistent with
the government’s capital works management process.
Figure 2 illustrates the sequence of the gateway review and PAF processes in parallel with
statewide, HHS and facility level health service planning and infrastructure design
processes.
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Figure 2 Infrastructure design CIR context
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4.4 Strategic infrastructure assessment
The term strategic infrastructure assessment refers to a range of strategic levels, early phase
capital infrastructure planning processes. These processes involve determining future
requirements of land, buildings, building services, equipment and site improvements such
as car parking, to support the operational needs of health services. Assessments of current
capital infrastructure also need to be carried out during early strategic planning.
The accumulated activities of strategic infrastructure assessment form a capital
infrastructure planning (CIP) study. The range of activities conducted as part of the study,
may vary widely depending on the required objectives and outcomes of the study. The
desired outcome of capital infrastructure planning is early identification of a preferred
capital infrastructure solution for a recognised service need.
A list of Queensland Health terms relating to strategic infrastructure assessment and their
descriptions is provided in Appendix A.
4.5 Building performance evaluation
A building performance evaluation (BPE) should be considered as a whole of project lifecycle
process which continues for the duration of a capital infrastructure project up to post
occupancy stage. The requirements of the BPE should be understood and addressed prior to
commencing the strategic assessment and continuing throughout all planning and design
documentation processes.
4.6 Approval-in-principle process
All Queensland Health infrastructure projects must comply with the CIR and go through an
approval process. The steps for this process are explained in tables 2 and 3.
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Table 2 Queensland Health steps for functional design brief approval
Step
Process
One
Queensland Health staff and private consultants will have access to the CIR
readily through the Queensland Health website. The CIR will be accompanied
by non-conformance declaration form, which must be completed prior to
submission of documentation.
Two
The strategic level sections of the functional design brief, including an
accommodation brief, are completed and submitted to Queensland Health
together with the non-conformance declaration form. Queensland Health
assesses the application in accordance with the CIR and issues an approval in
principle with or without conditions.
The strategic level functional design brief may now be used as the basis of the
full functional design brief and for the initial stages of master planning. It will
also be used in the PAF preliminary evaluation.
Three
The full functional design brief (operational level) is developed and submitted
to Queensland Health together with the non-conformance declaration form.
Queensland Health assesses the application in accordance with the new
infrastructure design CIR and issues an approval in principle with or without
conditions. The full functional design brief comprising strategic and
operational level information is now available to inform master planning and
the PAF first stage business case.
Table 3 Queensland Health steps for architectural and engineering
documents approval
Step
Process
One
Queensland Health staff and private consultants will have access to the
CIR readily through the Queensland Health website. The CIR will be
accompanied by non-conformance declaration form which must be
completed prior to submission of documentation.
Two
Where a departure from the CIR is sought, the departure including the
supporting technical documents will be submitted through the course of
the project, and a statement of other effected associated clause with the
impact of the requested departure to that clause.
Three
Queensland Health assess the application in accordance with the CIR, to
determine the impact of the departure and issue either an approval in
principle for the departure with or without conditions or a rejection.
4.7 Compliance and accreditation
It is not intended that compliance with the CIR implies that the facility will automatically
qualify for accreditation under the National Safety and Quality Health Service Standards.
While the physical standard of a facility is relevant, accreditation is mainly concerned with
hospital management and patient care practices.
4.8 Equivalent alternatives and departures
The CIR are not designed to restrict innovation which might improve performance and/or
outcomes, but rather to support and encourage consistency and best practice. A primary
objective of the CIR is to achieve a desired performance result or service.
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Prescriptive limitations, when given, such as exact minimum dimensions or quantities, are
intended to describe a practical standard for normal operation. Where specific
measurements, capacities or other standards are described, equivalent alternative solutions
may be deemed acceptable if it is demonstrated that the intent or desired performance
result of the standards has been met or improved.
As such, the CIR encourages a continuous process of improvement and strongly promotes
alternative ideas, innovations and evidence-based design improvements.
Where a project wishes to pursue an alternative solution, a departure shall be sought from
Queensland Health. All departures shall be submitted through the project steering
committee and approval sought from senior officer/s (Chief Executive and relevant Capital
and Assets Services Branch senior officer or Executive Director) for the individual project.
The approving officers might request on its own discretion further supportive information to
clarify the departure and inform their decision.
It should be noted that only genuine requests leading to improvements or better value
outcomes will be considered.
5 Other building regulations
Compliance with the CIR does not imply compliance with any other regulations. Nor does it
relieve any professional from their professional duties of care requirements
.
5.1 National Construction Code (NCC)
The NCC includes Volume 1: BCA and the Volume 3: Plumbing Code of Australia (PCA). The
requirements of the CIR may be in addition to or in excess of the NCC requirements. In such
situations, the higher standard or further requirements of the CIR will be required. Nothing
in the CIR implies that compliance with a provision of the NCC is not required.
Both the NCC and the CIR refer to other codes and standards. When such standards are
referenced by the NCC or the CIR as required, they also become a mandatory requirement.
5.2 Food services regulations
All food service regulations will overwrite the CIR. Any impact of compliance issues arising by
requirements from food services regulations will not require a request for departure, rather
an explanatory note as part of the project reporting process.
5.3 Work health and safety
Queensland Health, its workers and others in the hospital and community health sector
expect their workplaces to be safe. Work health and safety must be an integral part of the
design process and is applicable to all projects undertaken by Queensland Health and their
designers.
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Project managers, design managers, architects, engineers and others involved in the design
process, have an important role to play in identifying health and safety risks that could arise
throughout the life cycle of the building or structure and, where practicable, eliminating
risks through design.
Often the most cost-effective and practical approach is to avoid introducing a hazard to the
workplace in the first place—by eliminating it from the workplace design.
Safe design is a strategy aimed at preventing injuries and disease by considering hazards as
early as possible in the planning and design process. A safe design approach considers the
safety of those who construct, maintain, clean, repair and demolish a building or structure
as well as those who work in it. Safety can be enhanced through choices in the design
process. These decisions are made in consideration of other design objectives such as
aesthetics, practicality and cost.
In respect of legislative requirements, the Work Health and Safety Act 2011 indicates that
designers of structures can influence the safety of these products before they are used in
the workplace. These people have a responsibility, so far as is reasonably practicable, to
ensure these products are without risks to the health and safety of people who are at or
near the workplace. Queensland Health as a client and other members of the project team,
such as people influencing the design, engineers, interior designers, project manager and
contractors have similar duties.
The designer must ensure, so far as is reasonably practicable, that the plant, substance or
structure is designed to be without risks to the health and safety of persons—
Refer to the Work Health and Safety Act 2011 and associated regulations for further details.
6 General requirements
6.1 Stakeholders
Stakeholders are those individuals, groups and organisations who are likely to be impacted
by, and/or have an interest in, the decisions and actions of Queensland Health.
The purpose of consulting stakeholders for all stages of infrastructure project planning and
design, is to understand who may impact the outcomes of the project and what the nature of
information sharing or their input may need to be to reach desired objectives.
A matrix of stakeholders would be developed including categories and associated list of
names. Points to consider might include:
• the major benefits a stakeholder will receive from the project
• likely attitudes toward the project
• what constitutes success for the stakeholder.
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6.2 Risk management
A risk management plan must be prepared on project initiation and updated throughout the
project stages. The cost impact of risks must be included in a risk management plan and
their relationship to contingencies.
Queensland Health’s Integrated Risk Management Policy states that: ‘Queensland Health will
manage risk in a proactive, integrated, and accountable manner”, to ensure that risks are
identified, analysed, prioritised and managed through continuous improvement and
performance management strategies’.
2
The policy includes five governance principles; quality, transparency, clear accountability,
responsive and integrated to be applied to risk management.
6.3 Design stages and costs estimating
6.3.1 Design stages
The Queensland Health capital infrastructure delivery process incorporates the following
design stages:
• master plan
• project definition plan
• schematic design
• detailed design.
Depending on the procurement and delivery methodology the following parts can also
apply:
• tender documentation
• contract documentation
• as built documentation
• post construction and defects liability.
6.3.2 Cost estimating per stages
The confidence level required on cost estimation for each project stage is determined by the
Queensland Government’s, Capital Works Management Framework – Estimate Categories and
Confidence Levels policy advice note dated June 2010.
3
2
Queensland Health (2012) Integrated Risk Management Policy
3
Department of Housing and Public Works
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Preliminary costs should be estimated to return a minimum confidence level in the order of
the P50 interval (50 per cent probability) (Cat 2 equivalent) for preliminary business case
review when later measured against the more detailed P90 (Cat 3 equivalent) costs
presented for investment decision on completion of the detailed business case.
Cost estimation in the early stages of the master plan and project definition phase is
primarily based on the use of square metre rates, benchmarking, taking location factors into
account and applied to a clustered schedule of accommodation (SOA). The clusters normally
represent grouping of individual department areas of a similar type or co-location or can
represent stand-alone buildings that contain a single department.
In the project definition planning phase the clusters can be more detailed and the SOA
should list each individual department and all external covered areas.
In schematic design cost estimation is based on elemental estimates prepared by measuring
detailed quantities priced at unit rates.
From detailed design onwards all areas should be detailed enough for accurate measure and
elemental costing based on defined rates.
Cost estimation for all stages will include client costs, information communications and
technology, and furniture fit out and equipment.
Refer to Queensland Health PIR document to ascertain the requirements for the use of
design BIM/s to inform the cost planning activities including whole of life costs.
6.3.3 Lifecycle costing
The approach to lifecycle costing must be aimed at minimising the cost of long-term asset
maintenance and represent value for money.
The objectives of lifecycle planning are to:
• determine the total cost of ownership and operation of an asset to ensure service
continuity
• establish a sound basis on which decisions are made by evaluating the total cost of any
investment decision, rather than just looking at the short-term impact or the initial
capital costs
• identify the impact of refurbishment and maintenance decisions on asset disposal
plans.4
All buildings and capital infrastructure owned and managed by Queensland Health will be
appropriately maintained incorporating best practice whole of life considerations to support
the delivery of healthcare services.5
4
Queensland Government (2010) Strategic Asset Management Framework, Life-Cycle Planning
5
Queensland Health (2011) Building and Infrastructure Maintenance Policy
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Lifecycle costing must support Queensland Health’s requirement for building and
infrastructure maintenance to minimise whole
-of-life costs and ensure that any risks to
Queensland Health are effectively managed while ensuring that the physical condition of
buildings and supporting infrastructure is kept to a standard appropriate for their service
function.
7 Selecting a building construction
procurement strategy
In accordance with the Queensland Government Procurement policy, procurement strategy
and contract selection for government buildings is required, among other things, to achieve
value for money.
The CIR are for use in a range of project procurement methodologies as endorsed by
Queensland Health.
The common procurement methods broadly used are:
• traditional fully documented—lump sum
• design and construct—lumps sum
• managing contractor—Design and Construction Management
• alliance
• bundling.
Refer to the suite of Queensland Government Capital Works Management Framework
documents available online www.hpw.qld.gov.au
for detailed guidance material.
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8 Terms and definitions
Term
Definition
Accommodation brief The accommodation brief is a listing of the key
functional rooms and spaces and their number, which
make up a department or facility. It is used at the
strategic functional design brief stage.
Building information modelling The sharing and leveraging of structured information
over the asset lifecycle.
Building performance
evaluation
A methodology developed to support the systematic
evaluation of health service buildings and facilities.
Capital Infrastructure
Requirements
Term used to describe the four volumes of
requirements for Queensland Health capital
infrastructure planning and design.
Capital infrastructure planning Determines the requirements of land, buildings,
building services, equipment and site improvements
(for example car parks) to support operational needs of
health services now and in the future.
Circulation space The space required within a department or unit to
enable movement and functionality between individual
rooms/ spaces for example the corridor that joins two
rows of rooms or the entrance alcove to a room.
Circulation space is nominated as a percentage of total
usable floor area prior to the development of the
design.
Clinical service
department/unit
A service in the facility where clinical services are
provided directly to patients, for example:
emergency
inpatient
interventional suites/perioperative
outpatients
ambulatory/day areas.
Clinical services capability
framework
A standard set of minimum capability criteria for
service delivery and planning. The capability of any
health service is recognised as an essential element in
the provision of safe and quality patient care.
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Term
Definition
Clinical support unit A service with specific design requirements that
supports direct clinical care to the patient, for example:
• medical imaging
• nuclear medicine
• pharmacy
• pathology.
Commercial space The designated commercial areas of a site.
Commissioning—infrastructure There are two types of commissioning:
• building commissioning—refers to the physical facility
completion for occupation by the contractor. The
activities include the successful running of all plant
and equipment
• operational commissioning—refers to activities
undertaken leading up to handover of the building to
the users. Typical activities include familiarisation of
staff with safety, security and communications
systems.
The main objectives of appropriately commissioning a
facility are to:
• ensure new facilities and equipment are ready for
occupancy and use, i.e. fit for purpose
• ensure that the new equipment meets all government
legislative requirements
• train staff in the operation of new equipment and
safety procedures
• identify any minor defects which require rectification
by the contractor
• receive all warranties and procedure manuals.
Concept plan
The plan establishes the areas of a site/s where future
development would occur (in line with service
requirements). The plan incorporates:
• service map with precincts identified for future
development
• service activity zones within a precinct for example
proposed uses, co-location proposals
• main transport routes to the site and within the site
• block drawings (at department level) of the proposed
buildings including scale and footprint.
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Term
Definition
Condition assessment
The methodology employed to determine the condition
of assets owned and maintained by an organisation or
service. Accurate and standardised asset condition
data enables asset managers to accurately target their
limited maintenance funds to provide maximum user
benefit.
Cost benchmark The cost model, based on real, similar facilities, used to
evaluate project costs for a similar type of building.
Design development Design development includes:
• completion of design in detail including architectural
and engineering design
• confirmation that the design meets current
government policies
• confirmation of the cost estimate to demonstrate the
project is within budget
• obtaining agreement or sign off from users.
Expansion space An area nominated in the functional design brief to be
included for future service delivery expansion.
Facility A complex of buildings, structures, roads and
associated equipment, that represents a single
management unit for financial, operational
maintenance or other purposes.
Feasibility study
Evaluates options against a set of agreed criteria and
presents a:
• detailed analysis of a preferred facility development
strategy
• realistic estimate of the total project investment.
Fittings Fixed items attached to walls, floors or ceilings that do
not require service connections such as curtains, IV
tracks, hooks, mirrors, blinds, joinery and pin boards.
Fixtures Fixed items that require service connection (for
example electrical, hydraulic, mechanical). This includes
basins, light fittings, clocks and medical service panels.
Not to be confused with ‘fixed equipment’ such as
theatre pendants.
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Term
Definition
Functional areas Areas or zones within a clinical, clinical support or non-
clinical support service. For example, the functional
area of a clinical service may include the following:
• main entry/reception/clerical area
• assessment/procedural area
• staff offices/administrative and management area
• staff amenities area
• inpatient area including outdoor areas.
Functional design brief
A description of the functions to be accommodated and
the relationships between functions for a proposed
capital project. The functional design brief should
identify how the project meets the objectives and
policies of the organisation.
Functional relationships The co-dependencies and interdependencies of areas
within the facility as a whole, and of individual clinical,
clinical support and non-clinical support services.
Functional spaces
The key functional spaces within a facility being:
• clinical areas
• clinical support areas
• non-clinical support areas
• staff administration areas
• multipurpose outdoor space
• commercial space
• circulation space.
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Term
Definition
Furniture, fittings and
equipment (FFE)
Furniture, fittings and equipment that are additional to
the basic building structure. As per the Australasian
Health Facility Guidelines, FFE is grouped into
categories as follows:
Group 1: items supplied and fixed by the contractor.
These are included in the construction contract.
Group 2: items supplied by the client and fixed by the
contractor. These include items that are transferred but
require installation by the contractor, or where the
client chooses to buy a piece of equipment and give it
to the contractor for installation.
Group 3: items supplied and installed by the client.
These include all moveable items that can easily be
transferred or installed by staff and major items of
electro-medical equipment that are purchased from the
project budget but are installed and commissioned by a
third party.
Group 4: consumable items purchased and installed by
the client outside the capital budget. This category
includes bed linens, foodstuffs and disposable
supplies.
Future proofing The future functionality of the facility will not be unduly
compromised by changes in models of care or service
delivery or the advent of new technology.
Health facility planner A health facility planner undertakes area wide planning
for health facilities or planning of a particular unit on
the basis of projected consumer/client need. This does
not include facility design, architectural plans or
construction.
Health planning unit
All the rooms, spaces and internal circulation that make
up a particular health service department and that are
necessary for that department to function.
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Term
Definition
Health service plan
Health service plans provide information on the current
and projected health needs of a population, contain
evidence-based service models, and outline a process
for change, including defined service goals, objectives
and strategies.
The health service planning process aims to ensure that
health services align and grow with changing patterns
of need while making the most effective use of
available and future resources.
Service planning must precede and inform other types
of planning—including capital infrastructure, workforce
and information management.
Hot floor The floor/s of the facility on which the technical suites
are located. Ideally on one floor but not always possible
in a large facility.
Infrastructure assessment
An assessment of the suitability of existing
infrastructure in the delivery of health services. It
incorporates the physical and functional aspects of
buildings and building services and equipment and
includes:
• building condition assessment including strengths
and deficiencies
• assessment of current function in delivering health
services (for example role in service activities) and
issues with the asset in performing the required
function
• current use and potential capacity to meet service
requirements for example frequency of use, purpose,
changes over time
• rectification costs, where required.
Land assessment An assessment of potential sites for the acquisition of
land for a health facility. This assessment includes:
• future expansion areas
• access to road networks and public transport
• issues such as urban design, town planning and
cultural heritage.
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Term
Definition
Master plan
A thorough investigation of a feasible range of facility
planning options which meet the services needs/gaps,
resulting in confirmation of the site location and a
recommended plan for the future development of the
health service/agency, within a prescribed timeframe
and estimate.
Master planning Identifies a preferred infrastructure development
strategy for the site to meet future service
requirements. The plan includes:
• future health service requirements
• building condition assessment and site assessment
• infrastructure assessment
• SOA
• local and state planning requirements
• environmental impact assessments
• determination of open space areas
• assessment traffic and roads on and near the site
including public transport
• car parking
• geotechnical analysis of the site
• site development options and the preferred option
• staffing of proposed development
• category 2 cost estimate of the preferred option
• risk mitigation and management plan.
Model of care
A description of how care is managed and organised,
providing the clinical and organisational framework for
the service.
Model of service delivery A description of how non-clinical support services are
managed and organised, providing the organisational
framework of the service.
Multipurpose space
A category of space which can accommodate a range of
functions including group meetings (staff or patient),
multi-disciplinary meetings and patient therapy spaces.
NCC
The regulation controlling construction of all building in
Australia and any subsequent or updates. Incorporates:
• Volume 1 – BCA (Classes 2-9)
• Volume 3 – National PCA
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Term
Definition
Operational policies A statement outlining the objectives, principal
functions and modes of operation of facility, a
department, particular service or activity at a non HHS
level. At HHS level there are operational briefs and local
work instructions/procedures.
Patient journey A component of the facility model of care and in
general terms means the following stages of the patient
pathway or patient flow through the healthcare system:
• access
• diagnosis
• treatment and intervention
• inpatient care
• discharge
• outpatients.
Pneumatic tube system (PTS) A system incorporating a series of tubes through which
cylindrical containers are propelled. Small bore PTS
distribute pharmaceutical goods and specimens. Large
bore PTS distribute waste and dirty linen to a central
location.
Pod A group of core spaces.
PPE Personal protective equipment includes gloves, gowns,
masks, aprons, caps, shoe covers and goggles.
Principal
consultant/consultants
In most projects the principal consultant will be the
architect. The principal consultant is responsible for
leadership of the consultant team.
Consultants are responsible to the project control group
to provide specialist expertise and advice in
management, planning, design and construction.
For large or complex projects, a project manager or
director will be responsible for leadership of the
consortia of consultants and sub-consultants.
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Term
Definition
Project assessment framework
(PAF)
PAF ensures that project management is undertaken
effectively across the Queensland public sector and
delivers value for money to the government from its
significant investment in project activity.
PAF is a whole-of-government project assessment
process that establishes a common approach to
assessing projects at critical stages in their lifecycle. Its
aim is to maximise the benefits returned to government
from project investments.
Project brief The project brief is a document initially prepared on
completion of PDP which summarises the client needs.
It defines all elements of the project, states project and
budget objectives, service delivery outcomes and can
be used as a benchmark to measure quality outcomes
at the end of the project. It may be updated throughout
subsequent stages of the project.
The project brief includes the design brief, project
procurement strategy, ICT requirements, project
program, cost estimates and prequalification service
risk rating for the project.
Project definition plan Clearly defines the scope of the building required to
accommodate services to be provided by a new facility.
The PDP details options for operational policies,
models of care and accommodation requirements in
the new facility.
Project design brief Part of the project brief, the project design brief
outlines planning and design principles, and the
functional requirements of the project.
Project information
requirements
A document defining Queensland Health required uses
of BIM and identifying the information required at
specific project stages.
Project manager The project manager works with the procurement
manager in managing the project on behalf of the
project owner. The project manager's responsibility is to
manage the scope, time, cost, quality, resources,
communications and risk aspects of the project.
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Term
Definition
Project director The project director, Queensland Health capital
infrastructure projects, is the person who has the
authority to run the project on a day-to-day basis on
behalf of the project board (steering committee). The
project director brings together and manages all
aspects of the program or project to deliver within
budget, time and scope.
Refurbishment Standards Australia defines this as ‘work intended to
bring an asset up to a new standard or to alter it for a
new use.'
Room data sheets A briefing document providing information on the
minimum requirements for each room in the facility
incorporating room details, room fabric, fittings, FFE
with associated Services.
Schedule of accommodation A schedule of accommodation specifies the number
and size of rooms that will be required, the
relationships between rooms and groups of rooms, the
finishes, equipment, furniture that will fit the room for
its functional purpose and the environmental
conditions that will assist the purpose. Environmental
conditions might include temperature range, humidity,
air movement and acoustic isolation.
Schematic design
Preparation of design briefs and layout, including key
physical elements, areas, locations, and volumes
including basic building services systems and cost
estimate.
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Term
Definition
Site assessment
An assessment of land and other property related
aspects of a site/s to identify future development
opportunities. The assessment incorporates:
• site access such as roads and parking
• access to building services such as power and water
• proximity to other health services
• social and cultural aspects of the site such as
suitability of the development in relation to
surrounding uses and impacts on neighbouring
developments such as noise and traffic
• natural environment including features and design
opportunities
• statutory impacts for example zoning, flood levels
• sustainability of services during redevelopment
• size of site for example; collocation and commercial
opportunities and public open space and future
expandability
• physical attributes for example geology, gradient and
climate
• financial costs for example demolition of existing
structures, site preparation, water upgrade
• economic analysis for example other land use
options, impact on services.
Strategic business case
This provides a preliminary justification for the program
or project based on a strategic assessment of business
needs and a high-level assessment of the program or
project’s likely costs and potential for success.
Telehealth Telehealth is the transmission of health-related
services or information over the telecommunications
infrastructure. As such, telehealth includes both
telemedicine, which involves providing clinical services
remotely, and non-clinical elements of the healthcare
system, such as education.
Travel The space that is required for the circulation of people
and goods both vertically and horizontally in a facility.
Examples include: ramps, lift wells, links, tunnels, main
corridors and detached covered ways joining two
buildings.
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Term
Definition
Treatment area The BCA defines this as 'an area within a patient care
area such as an operating theatre and rooms used for
recovery, minor procedures, resuscitation, intensive
car
e and coronary care from which a patient may not be
readily moved.'
Universal design
A non-discriminatory design approach that provides
increased usability for everyone without the need for
adaption or specialised design.
User
A user is defined as those people who have
experienced services (staff member, contractor, patient,
relative or friend) or who could potentially access
services provided by Queensland Health in the future.
Wayfinding
Wayfinding is a methodology of arranging indicators
such as signs, light, colour, materials and pathways to
guide people to their destinations. A successful
wayfinding program is intuitive and self-navigable, and
it protects the overall visual integrity of the site.
Wayfinding is specific to its place and visitors.
Wayfinding system
A wayfinding system is more than just signs; it
encompasses architecture, landscape architecture,
technology infrastructure, lighting, landmarks and
orientation points.
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9 Abbreviations and acronyms
9.1 Common CIR abbreviations and acronyms
The following table provides a list of abbreviations and acronyms used throughout the CIR
volumes.
Acronym
Term
.IFC
Industry foundation classes
AAAC
Association of Australasian Acoustical Consultants
ACH
Air changes per hour
AHU
Air handling units
AIP
Approval in principle
AS
Australian Standards
AusHFG
Australasian Health Facility Guidelines
BCA
Building Code of Australia
BEM
Building engineering maintenance
BEP
BIM execution plan
BIM
Building information modelling
BMS
Building management systems
BPE
Building Performance Evaluation
CCTV
Closed circuit television
CCU
Coronary care unit
CCU
Critical care unit
CD
Contract documentation
CID
Community infrastructure designation
CIP
Capital Infrastructure Planning
CIR
Capital infrastructure requirements
CLR
Contaminated land register
CMMS
Computerised maintenance management system
CPTED
Crime prevention through environmental design
CSCF
Clinical Services Capability Framework
DD
Detailed design
DECC
Department of Environment and Climate Change
EBD
Evidence-based design
ED
Emergency Department
EDB
Electrical distribution boards
EMR
Environmental management register
EPA
Environmental Protection Agency
EPR
Environmental Protection Regulation
ESD
Environmentally sustainable development
ESD
Ecological sustainable development
EWIS
Emergency Warning and Intercom System
FECA
Fully enclosed covered area
FFE
Furniture, fittings and equipment
FTE
Full time equivalent
GP
General Practitioner
HACCP
Hazards analysis critical control point
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Acronym
Term
HAI
Healthcare associated infections
HB
Handbook
HHSs
Hospital and Health Services
HPU
Health planning unit
HSIA
Health Service Information Agency
HVAC
Heating ventilation and air-conditioning
ICT
Information and communication technology
ICU
Intensive care unit
IPU
Inpatient unit
IT
Information technology
LPS
Lightning protection system
MI
Medical imaging
MP
Master plan
MSB
Main switchboard
MSP
Medical services panels
MSSB
mechanical services switchboards
NCC
National Construction Code
NHMRC
National Health and Medical Research Council
NICU
Neonatal intensive care unit
NSP
Network service provider
OHS
Occupational health and safety
PACS
Picture archive and communication system
PAF
Project assessment framework
PCA
Plumbing Code of Australia
PDP
Project definition Plan
PFC
Power factor correction
PICU
Paediatric Intensive care unit
PIR
Project information requirements
PPE
Personal protective equipment
PTS
Pneumatic tube system
RCDs
Residual current devices
RDS
Room data sheet
RIS
Radiology information system
RMO
Resident medical officer
SD
Schematic design
SOA
Schedule of accommodation
UPS
Uninterruptible power supply
VAV
Variable air volume
VOC
Volatile organic compound
WOG
Whole of Government
WOL
Whole of life
WRMP
Water risk management plan
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10 References
10.1 Standards
The following standards have been grouped as ‘general’ or discipline specific. All designers
are required to adhere to the requirements of the AS irrespective of whether these are listed
as discipline specific standards or not. The grouping is provided to assist designers only as a
ready reference.
Category
Standard
General
• National Construction Code of Australia, including:
o Building Code of Australia
o Plumbing Code of Australia.
• AS/NZS 1170 series - Structural design actions
o AS/NZS 1170.0:2002 - Structural design actions—Part 0: General
principles
o AS 1170.1:1989 – Structural design actions—Part 1: Dead and live
loads and load combinations
o AS/NZS 1170.2:2011 (R2016)—Structural design actions—Part 2: Wind
actions
o AS 1170.4:2007 (R2018)—Structural design actions—Part 4:
Earthquake actions in Australia.
• AS 1432:2004 (R2016)—Copper tubes for plumbing and drainage
applications
• AS/NZS 2107:2016—Recommended design sound levels and
reverberation times for building interiors
• AS 2021:2015—Acoustics—Aircraft noise intrusion—Building siting and
construction
• AS/NZS 2243 series—Safety in laboratories
o AS/NZS 2243.1:2005—Safety in laboratories—Planning and
operational aspects
o AS/NZS 2243.2:2006—Safety in laboratories—Chemical aspects
o AS/NZS 2243.3:2010—Safety in laboratories—Microbiological safety
and containment
o AS/NZS 2243.4:2018—Safety in laboratories—Ionizing radiations
o AS/NZS 2243.5:2004—Safety in laboratories—Non-ionizing
radiations - Electromagnetic, sound and ultrasound
o AS/NZS 2243.6:2010—Safety in laboratories—Plant and equipment
aspects
o AS 2243.7:1991—Safety in laboratories—Electrical aspects
o AS/NZS 2243.8:2014—Safety in laboratories—Fume cupboards
o AS/NZS 2243.9:2009—Safety in laboratories—Recirculating fume
cabinets
o AS/NZS 2243.10:2004—Safety in laboratories—Storage of chemicals.
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Category
Standard
• AS 2252 series—Controlled Environments
o AS 2252.4—Controlled Environments—Biological Safety Cabinets
Classes I and II—Installation and Use
o AS 2252.5—Controlled Environments—Cytotoxic Drug Safety
Cabinets—Design, Construction, Installation, Testing and Use
o AS 2252.6—Controlled Environments—Clean Workstations—Design,
Installation and Use
• AS/NZS 2293 series—Emergency evacuation lighting and exit signage for
buildings
o AS/NZS 2293.1:2018—Emergency evacuation lighting and exit
signage for buildings: System design, installation and operation
o AS/NZS 2293.2:2019—Emergency evacuation lighting and exit
signage for buildings: Routine service and maintenance
o AS/NZS 2293.3:2018—Emergency evacuation lighting and exit
signage for buildings: Emergency luminaires and exit signs.
• AS/NZS 2982:2010—Laboratory design and construction—General
requirements
• AS/NZS 3000:2007—Electrical Installations
• AS/NZS 3013:2005—Electrical Installations—Classification of the Fire and
Mechanical Performance of Wiring System Elements.
• AS/ISO 3001 Risk Management
• AS 3996:2019—Access covers and grates
• AS/NZS 4187:2014—Reprocessing of reusable medical devices in health
service organisations
• AS 4260:1997 (R2018)—High efficiency particulate air (HEPA) filters—
Classification, construction and performance
• AS/NZS 4536:1999 (R2014) —Life Cycle Costing—An Application Guide
• AS/NZS ISO 31000:2009—Risk Management—principles and guidelines
• ISO 14644 series—Cleanrooms and Associated Controlled Environments
o AS ISO 14644.1:2017—Cleanrooms and Associated Controlled
Environments: Classification of air cleanliness by particle
concentration
o AS ISO 14644.2:2017—Cleanrooms and Associated Controlled
Environments - Part 2: Monitoring to provide evidence of
cleanroom performance related to air cleanliness by particle
concentration
o AS/NZS 14644.3:2009—Cleanrooms and Associated Controlled
Environments—Part 3: Test methods
o AS/NZS ISO 14644.4:2002 (R2016)—Cleanrooms and Associated
Controlled Environments: Design, construction and start-up
o AS/NZS ISO 14644.5:2006 (R2016)—Cleanrooms and associated
controlled environments—Part 5: Operations
o AS/NZS ISO 14644.7:2006 (R2016) —Cleanrooms and associated
controlled environments—Part 7: Separative devices (clean air
hoods, gloveboxes, isolators and mini-environments)
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Category
Standard
o ISO 14644-16:2019—Cleanrooms and associated controlled
environments—Part 16: Energy efficiency in cleanrooms and
separative devices.
• HB 436:2013—Risk management Guidelines
• HB 260: 2003—Hospital acquired infections: Engineering down the risk.
• AS 4970-2009 Protection of trees on development sites
• ISO 19650—2018 Organization and digitization of information about
buildings and civil engineering works, including BIM—Information
management using BIM
Discipline specific
Communications
• AS/NZS 3013:2005—Electrical installations—Classification of the fire and
mechanical performance of wiring systems elements
• AS/NZS 3080:2003—Telecommunications installations—Generic cabling
for commercial premises
• AS/NZS 3084:2017—Telecommunications installations—
Telecommunications pathways and spaces for commercial buildings
• AS/ACIF S009:2009—Installation requirements for customer cabling
Electrical
• AS/NZS 1680.1:2006—Interior and workplace lighting—General principles
and recommendations
• AS/NZS 1768:2007—Lightning Protection
• AS/NZS 2500:2004—Guide to the safe use of electricity in patient care
• AS/NZS 3003:2018—Electrical installations—Patient treatment areas of
hospitals, medical, dental practices and dialyzing locations.
• AS/NZS 3009:1998—Electrical Installations—Emergency Power Supplies
in Hospitals
• AS/NZS 3017:2007—Electrical installations—Verification guidelines
• AS/NZS 3439 series—Low-voltage switchgear and control gear
assemblies
o AS/NZS 3439.1:2002—Low-voltage switchgear and control gear
assemblies: Type tested and partially type tested assemblies
o AS/NZS 3439.2:2002—Low-voltage switchgear and controlgear
assemblies: Particular requirements for busbar trunking systems
(busways)
o AS/NZS 3439.3:2002—Low-voltage switchgear and controlgear
assemblies: Particular requirements for low-voltage switchgear and
controlgear assemblies intended to be installed in places where
unskilled persons have access for their use—Distribution boards
o AS/NZS 3439.4:2009—Low-voltage switchgear and controlgear
assemblies: Particular requirements for assemblies for
construction sites
o AS/NZS 3439.5:2009—Low-voltage switchgear and controlgear
assemblies: Particular requirements for assemblies for power
distribution in public networks.
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Category
Standard
• AS CISPR 14.1:2018—Electromagnetic Compatibility, or internationally
recognized equivalent(s)
• Standards Australia—Handbook on Electromagnetic Compatibility
Standards and Regulation
Fire
•
AS 1221:2003—Fire Hose Reels
• AS 1603 series—Automatic fire detection and alarm systems
o AS 1603.1:1997 (R2016) —Automatic fire detection and alarm
systems: Heat detectors
o AS 1603.2:1997 (R2016)—Automatic fire detection and alarm systems:
Point type smoke detectors
o AS 1603.3:2018—Automatic fire detection and alarm systems: Heat
alarms
o AS 1603.5:1996 (R2016)—Automatic fire detection and alarm
systems: Manual call points
o AS 1603.7:1996 (R2016) —Automatic fire detection and alarm
systems: Optical beam smoke detectors
o AS 1603.8:1996 (R2016)—Automatic fire detection and alarm
systems: Multi-point aspirated smoke detectors
o AS 1603.11:2018—Automatic fire detection and alarm systems: Visual
warning devices
o AS 1603.13:2018—Automatic fire detection and alarm systems: Duct
sampling smoke detectors
o AS 1603.14:2001—Automatic fire detection and alarm systems: Point
type carbon monoxide fire detectors
o AS 1603.15:2002 (R2016) —Automatic fire detection and alarm
systems: Remote indicators.
• AS 1670 series—Fire detection, warning, control and intercom systems
o AS 1670.1:2015—Fire detection, warning, control and intercom
systems—System design, installation and commissioning: Fire
o AS 1670.3:2018 - Fire detection, warning, control and intercom
systems—System design, installation and commissioning: Fire
alarm monitoring
o AS 1670.4:2004—Fire detection, warning, control and intercom
systems—System design, installation and commissioning:
Emergency warning and intercom systems
o AS 1670.5:2016—Fire detection, warning, control and intercom
systems—System design, installation and commissioning: Special
hazardous systems
o AS 1670.6:1997—Fire detection, warning, control and intercom
systems—System design, installation and commissioning: Smoke
alarms.
• AS 1668.1:2015—The use of ventilation and air conditioning in
buildings—Fire and smoke control in buildings
• AS 1851:2012—Routine service of fire protection systems and equipment
• AS 2118 series—Automatic fire sprinkler systems
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Category
Standard
o AS 2118.1:2017/Amdt 1-2017—Automatic fire sprinkler systems:
General systems
o AS 2118.2:2010—Automatic fire sprinkler systems: Drencher systems
o AS 2118.3:2010—Automatic fire sprinkler systems: Deluge systems
o AS 2118.4:2012—Automatic fire sprinkler systems: Sprinkler
protection for accommodation buildings not exceeding four storeys
in height
o AS 2118.6:2012—Automatic fire sprinkler systems: Combined
sprinkler and hydrant systems in multistorey buildings
o AS 2118.8:1997 (R2013)—Automatic fire sprinkler systems: Minor
modifications
o AS 2118.9:1995 (R2013)—Automatic fire sprinkler systems: Pipe
support and installation
o AS 2118.10:1995 (R2013) —Automatic fire sprinkler systems: Approval
documentation.
• AS 2419 series—Fire hydrant installations
o AS 2419.1:2017—Fire hydrant installations: System design,
installation and commissioning
o AS 2419.2:2009—Fire hydrant installations: Fire hydrant valves
o AS 2419.3:2012—Fire hydrant installations: Fire brigade booster
connections.
• AS 2441:2005 (R2018) —Installation of fire hose reels
• AS 2444:2001—Portable fire extinguishers and fire blankets
• AS 2941:2013—Fixed fire protection installations
• AS 4118:1996 (R2013—Fire Sprinkler system components
• AS 4428 series—Fire detection, warning, control and intercom systems
o AS 4428.0:1997 (R2016)—Fire detection, warning, control and
intercom systems—Control and indicating equipment: General
requirements and test methods
o AS 4428.1:1998 (R2016) —Fire detection, warning, control and
intercom systems—Control and indicating equipment: Fire
o AS 4428.3:2010—Fire detection, warning, control and intercom
systems—Control and indicating equipment: Fire brigade panel
o AS 4428.4:2016 - Fire detection, warning, control and intercom
systems—Control and indicating equipment: Emergency intercom
control and indicating equipment
o AS 4428.5:1998 (R2016)—Fire detection, warning, control and
intercom systems—Control and indicating equipment: Power supply
units
o AS 4428.6:2018—Fire detection, warning, control and intercom
systems—Control and indicating equipment: Alarm signalling
equipment
o AS 4428.7:1999 (R2016)—Fire detection, warning, control and
intercom systems—Control and indicating equipment: Air handling
fire mode control panel
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Category
Standard
o AS 4428.10:1998 (R2016) —Fire detection, warning, control and
intercom systems—Control and indicating equipment: Alarm
investigation
o AS 4428.16:2015—Fire detection, warning, control and intercom
systems—Control and indicating equipment: Emergency warning
control and indicating equipment.
• AS ISO 14520 (various parts):2009—Gaseous fire-extinguishing systems—
Physical properties and system design
Hydraulics
• AS/NZS 1596:2014—The storage and handling of LP Gas
• AS 3500:2018—Plumbing and drainage Set
• AS 4032:2005 (R2015) —Water supply—Valves for the control of hot water
supply temperatures
• AS/NZS5601:2013 Gas installations
Lifts
• AS 1428 (Set)—2010—Design for access and mobility;
• AS 1735 (Set) —2016—Lift, Escalators and moving walks
• AS 4431:2019—Guidelines for safe working on new lift installations in
new constructions
• EN81.1 Safety Rules for the Construction and Installation of Lifts—Part
1—Electric Lifts
• EN115
• ASME A17.1
• CIBSE Guide D Transportation Systems in Buildings
Mechanical
• AS 1324.1:2001 - Air filters for use in general ventilation and air-
conditioning: Application, performance and construction
• AS 1668 series - The use of ventilation and air-conditioning in buildings
o AS 1668.1:2015—The use of ventilation and air-conditioning in
buildings: Fire and smoke control in multi-compartment buildings
o AS 1668.2:2012—The use of ventilation and air-conditioning in
buildings: Ventilation design for indoor air contaminant control.
• AS 1668.4:2012 - The use of ventilation and air-conditioning in buildings:
Natural ventilation of buildings
• AS/NZS 3666 set—Air handling and water systems of buildings
• AS 3892:2001 (R2016) —Pressure equipment-Installation
• AS 4254 (Set): 2012—Ductwork for air-handling systems in buildings
• AS 4343:2014—Pressure equipment—Hazard levels
• AS 4260:1997 (R2018) - High efficiency particulate air (HEPA) filters -
Classification, construction and performance
• AS 4426:1997 (R2018)—Thermal insulation of pipework, ductwork and
equipment-Selection, installation and finish.
• HB 260:2003—Hospital acquired infections—Engineering down the risk
• Seismic Restraint Manual (Guidelines for Mechanical Services by
SMACNA)
• CIBSE Guides, particular Guide B for commissioning
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Category
Standard
Medical gases
• AS 1210:2010—Pressure vessels
• AS 1894:1999—The storage and handling of non-flammable cryogenic
and refrigerated liquids
• AS 4484:2016—Gas cylinders for industrial, scientific, medical and
refrigerant use - Labelling and colour coding
• AS 2030 (various)—Gas Cylinders (series).
• AS 2120:1992—Medical suction equipment
• AS 2120.3:1992—Suction equipment powered from a vacuum or pressure
source
• AS 2473.3-2007—Valves for compressed gas cylinders—Outlet
connections for medical gases
• AS 2568:2019—Purity of medical air produced rom on-site compressor
systems
• AS 2896:2011—Medical gas systems—Installation and testing of non-
flammable medical gas pipeline systems
• AS 3840.1:1998—Pressure regulators for use with medical gases
• AS 4041:2006—Pressure piping
• AS 4332:2004—The storage and handling of gases in cylinders
• AS 4484:2016—Gas cylinders for industrial, scientific, medical and
refrigerant use - Labelling and colour coding.
• BS 5682 Specification for terminal units, hose assemblies and their
connectors for use with medical gas pipeline systems
Security
• AS/NZS 1158 Set:2010—Lighting for roads and public spaces
• AS/NZS 2201 Set:2008—Intruder alarm systems Set
• AS/NZS 2208:1996—Safety Glazing Materials in Buildings
• AS 4485.1:1997—Security for Health Care Facilities (Part 1: General
Requirements)
• AS 4485.2:1997—Security for Health Care Facilities (Part 2: Procedures
Guide)
• AS 4083:2010—Planning for Emergencies; Healthcare Facilities
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10.2 Policies and implementation standards
Policy, guidelines and implementation standards will change over time, current Queensland
Health documents are available at:
https://www.health.qld.gov.au/system-governance/policies-standards/doh-policy
.
Queensland Government policies
Queensland Government Asbestos Management Policy for its Asset
Queensland Government Capital Works Management Framework
Queensland Government Design Guidelines for Government Buildings
Queensland Government Digital Enablement for Queensland Infrastructure—Principles for
BIM Implementation
Queensland Government Maintenance Management Framework
Queensland Government Procurement Policy
Queensland Government Project Assessment Framework
Queensland Government Strategic Asset Management Framework
Queensland state planning policy guideline: mitigating the adverse impacts of flood, bushfire
and landslide
Queensland Health policies
Clinical Services Capability Framework
Department of Health Health, safety and wellbeing policy (QH-POL-401:2018)
Department of Health Risk Management (QH-POL-070:2015)
Queensland Health Project Information Requirements: Building Information Modelling (QH-
GDL-374-9:2019)
Queensland Health Single asset identifier (SAID) guideline (QH-GDL-354-1-1:2017)
Queensland Health wayfinding guidelines (QH-GDL-343-6-1)
Queensland Health Workplace and Office Accommodation Guideline (QH-GDL-057-2008)
Queensland Health directives
Healthier Food and Drinks at Healthcare Facilities (QH-HSD-049:2019)
Hospital Car Parking—Patient and Carer Car Parking Concessions (QH-HSDIMP -042-2:2017)
Hospital Car Parking Provisions (Hospital) (QH-HSD-042:2014)
Hospital Car Parking—Provision of Staff Parking (QH-HSDGDL-042-1:2014)
Other references
ANSI/ASHRAE Standard 154: Ventilation for Commercial Cooking Operations
ASHRAE ‘HVAC Design Manual for Hospitals and Clinics’.
ASHRAE: Standard 170: Ventilation of Health Care Buildings
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Association of Australasian Acoustical Consultants (AAAC) Guideline for Health
Care Facilities.
AusHFG Isolation Room—Engineering and Design Requirements
Australian Drinking Water Guidelines 2011
CIBSE Guide A, Environmental Design (2015)
Seismic restraint manual guidelines for mechanical systems, SMACNA
UK Health Department—Health Technical Memorandum 03-01: Specialised ventilation for
healthcare premises. Part A - Design and installation