Zulekha Hospitals, Sharjah

B+G+12 Extension Project

Validation of Green Initiatives,

Sustainability Measures & HSE

May 25, 2012

(rev3)

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 LEED
A prescription for Sustainable Design

The LEED Rating System

recognizes the unique nature
of healthcare facilities while
maintaining close alignment
to LEED for New Construction.

2
Global Engineering Systems understands that
healthcare facilities have unique needs:

•Strict regulatory requirements

•24/7 operations
•Specific programmatic demands
•Energy and water use intensity
•Chemical use
•Infection control requirements
•Heightened need for patient privacy
•Health Safety Environment

Many healthcare facilities are already designed to be

long-lasting, durable buildings, a core principle of
sustainable design.

3
 LEED Credits for Healthcare: New Construction V3, 2009
Sustainable Sites (SS) Credit Categories – 110 Points
Water Efficiency (WE)

Energy & Atmosphere (EA)

Materials & Resources (MR)

Indoor Environmental Quality (IEQ)

Innovation in Design (ID)

Regional Priority (RP)

26 10 35 14 15 6 4
Possible Possible Possible Possible Possible Possible Possible
Points Points Points Points Points Points Points

R
Innovation in Design Exemplary Credits for achievements beyond the credit
requirements (as specified, where applicable).
4
 Evaluation of
Energy and environment friendly
features
• Design features of the Hospital has been compared
with Sustainable Buildings on the following
– Site Selection
– Water Efficiency
– Energy and Atmosphere
– Materials and Resources
– Indoor Environmental Quality
• Buildings across the world are rated by uniform
guidelines under Sustainable Buildings
• The Project’s systems and architectural features have
been compared with those of baseline buildings to
arrive at how the project’s building is rated

5
 Sustainable Sites
• The site selected is not a farm land, wet land, hazardous
substances site
• The project shares existing parking/transportation
infrastructures
• Greenfield habitat & natural resources are not been disturbed.
• Bus stop location indicating 2 bust stops within ¼ mile radius
• Google map indicating all basic services within ½ mile radius
• Architectural plan showing reflectance value of Ground floor &
Roof plan in heat island effect
• Community connectivity – Several community amenities near
to project location
• Energy Saving LED lighting for Exteriors proposed

26 18
Possible Points
Points Scored 6
 Sustainable Sites – Credit Ratings
Credit
No.
Credit Name Points Supporting documents
Yes ? No
18 3 5 SUSTAINABLE SITES

Y Prereq 1
1 Credit 1
5 Credit 2
1 Credit 3
6 Credit 4.1
1 Credit 4.2
3 Credit 4.3
2 Credit 4.4
1 Credit 5.1
1 Credit 5.2
1 Credit 6.1
1 Credit 6.2
1 Credit 7.1
1 Credit 7.2
1 Credit 8
3
Construction Activity
Required Erosion and Sedimentation Control Draft Plan
Pollution Prevention
1) Client Undertaking Letter
Site Selection 1
2) Site Master plan/google map
Development Density &
5 1)Google map indicationg 10 basic services within 1/2 mile radius
Community Connectivity
Brownfield Redevelopment 1 Not applicable
Alternative Transportation,
6 1)Bus Stop location google map indicating 2 bus stops within 1/4 mile radius
Public T ransportation Access
Alternative Transportation,
As- built architectural plans showing location of 9 Bicycle racks and 1
Bicycle Storage & Changing 1
Changing rooms.
Rooms
Alternative Transportation,
As- Built Architectural Plans showing location of Preferred parking for 5 nos.
Low-Emitting & Fuel-Efficient 3
low emitting and fuel efficient vehicles.
Vehicles
Alternative Transportation, As built Architectural Plans showing location of Preferred parking for 1 nos.
2
Parking Capacity carpool/vanpool along with parking calculation
Site Development, Protect or
1 Not Achievable
Restore Habitat
Site Development, Maximize
1 Not Achievable
Open Space
Stormwater Design, Quantity
1 Not Achievable
Control
Stormwater Design, Quality
1 Not Achievable
Control
1)As built architectural drawing(Ground floor plan) showing reflectance value
Heat Island Effect, Non-Roof 1 SRI 40.4 of covering over 50% (10 nos.) parking
2)T echnical specification sheet for covering
1)As built architectural drawing(Roof plan) showing reflectance value SRI 78
Heat Island Effect, Roof 1 of 95% roof area
2)T echnical specification sheet for roof material
Light Pollution Reduction 1 Exterior Light Layout??

7
 Water Efficiency
• Water efficient landscaping
• Reduction in water usage – In Sanitary applications, Eco
friendly Medical equipment
• RO plant – fed water for calorifiers & steam generators which
avoids frequent blowdowns
• Water saving sterilisers and washers,
(Getinge Eco system) which can save
upto 75 % water over similar sterilisers
• Use of water savers/low flow taps &
sensor operated taps to reduce by 30%

10 04
Possible Points
Points Scored
8
 Water Efficiency
Credit No. Credit Name Points Supporting Documents
Yes ? No
4 0 2 WATER EFFICIENCY

Water Use Reduction-20%

Y Prereq 1 Required Water calculations with proposed flow and flush rate for water sanitary fixtures.
Reduction
Water Efficient Landscaping, No
2 2 Credit 1 02-04 Landscaping Plan provided
Potable Use or No Irrigation
Innovative Wastewater
2 Credit 2 2 Water calculations with proposed flow and flush rate for water sanitary fixtures.
Technologies
2 2 Credit 3 Water Use Reduction 02-04 Water calculations with proposed flow and flush rate for water sanitary fixtures.

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 Energy & Atmosphere
Optimisation of energy through various systems – Brief

– Natural ventilation & passive cooling

– Heat recovery systems in Air conditioning
– BMS system to maximize energy performance
– High efficiency heating & cooling equipment
– Central lighting control system
– High efficiency switch gears, lights, appliances & fixtures
– Light pollution minimized by proper illumination
– Designed to measure water & energy performance
– Insulated wall & doubly glazed windows
– Temperature/Humidity monitoring system for automatically
adjust building conditions and linked to Building
automation system
– Enhanced refrigerant management – Non CFC refrigerant
with low global warming & ozone depletion potential.

10
 Energy & Atmosphere
Main Energy utility systems in the project

• Airconditioning – main equipment

• Airconditioning – auxiliaries (pumps)
• Auxiliaries –AHUs, FAHUs
• Building Management System
• Electrical and Lighting
• Hot water generation
• Medical equipment systems

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 Energy & Atmosphere
Airconditioning – main equipment
– The design features of the chillers, which
account for upto 55 % of the total power
consumption, already exceed the ASHRAE
(American Society for Heating, Refrigerating
and air conditioning Engineers) standards of
baseline power consumption
– The chillers are fitted with variable speed
control- one of the most energy-efficient ways
of operating chillers at the highest efficiency at
all capacity utilisation
– The chillers selected are of the most modern,
energy-efficient one, and is being nowadays
sought after by many customers who are going
in for Green Building Certification
– Variable speed control helps the power
consumption at all operating loads-especially
when there is partial load and is expected to
save about 25 % over conventional chillers

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 Energy & Atmosphere
How the chillers of Zulekha Hospital Project compare

• *Inference on the above comparison:

– Chillers installed for this project save a minimum of 25 % of
conventional chillers
* Source: website of York chillers 13
 Energy & Atmosphere
Airconditioning – auxiliaries
– Chilled water system with pumps
controlled with variable speed to
save on pumping energy
– All AHUs (air handling units), which
together account for upto 10 % of
the total power, are also with
variable speed controls, enabling
optimum energy consumption at all
running times
– FAHU (fresh air handling unit) is with
heat recovery unit, thus utilising the
cooling energy of the exhaust air.
This design is also exceeding the
recommendations of ASHRAE
standards

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 Energy & Atmosphere
Airconditioning – AHUs & FAHU’s
– AHUs in OTs and ICUs have double
cooling arrangement, i.e provided
with units using chilled water coils
normal airconditioning units, so
that during chiller trippings, the
normal units can continue with
power supplied by the generator.
This will ensure continuous
availability of air conditioning
even when there is power trippings

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 Energy & Atmosphere
BMS (Building Management System)
– Chillers, pumps and the other auxiliaries are to be
controlled with BMS, thus enabling through
automatic operation, thus operation exactly to
the requirements, making the operation more-
energy efficient
– BMS will also ensure that the main and auxiliary
equipment all operate a optimum conditions
always, thus making the
process energy-efficient
– BMS also facilitates lesser
dependence on manpower

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 Energy & Atmosphere
Electrical & Lighting system
– Generator and UPS power supply systems-power supply for the
most critical areas such as Radiology, Labs, OTs, ICUs, etc. are
provided with uninterrupted power supply and generator supply
backup
– Secondary critical areas like cath labs, select HVAC systems etc.
are provided with generator power supply backup
– Power supply to OTs is provided through isolated power supply to
avoid any earth leakage problems
– Electrical system is to have capacitors to make the pf 0.99, thus
reducing fixed losses
– Energy-efficient lamps provided in the entire building,
– LED lights in common areas like lift lobbies especially in places
where there is round-the-clock lighting
– Lighting in common areas are to be regulated through automatic
controls, thus avoiding wastage
– Televisions provided in the patient rooms are to be of the energy-
efficient LED type

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 Energy & Atmosphere
Hot Water system
– Hot water recirculating pumps which
optimises the power consumption &
usage
– Stepless thyristor controlled calorifiers
which sequences all heating elements
operation as per temperature & water
flow demand
– Booster pumps will have energy
efficient type of capacity control
i.e variable speed drive, for both
cold water and hot water

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 Energy & Atmosphere
Medical equipment system
• Energy efficient LED lights for Operation theatres
• Energy & Water efficient CSSD equipment saves
approximately 75% water.
• Zero boil off MRI unit which requires less frequent
refilling of Helium

35 11
Possible Points
Points Scored

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 Energy & Atmosphere
Credit No. Credit Name Points Supporting Documents
Yes ? No
11 3 21 ENERGY AND ATMOSPHERE

1)OPR
Fundamental Commissioning of
Y Prereq 1 2)BOD
the Building Energy Systems
3)Commissioning plan

Y Prereq 2 Minimum Energy Performance Energy Simulation report- rev 01

Fundamental Refrigerant
Y Client Undertaking Letter
Prereq 3 Management
4 2 13 Credit 1 Optimize Energy Performance 1 to 19
12% New Buildings 1
14% New Buildings 2
16% New Buildings 3
18% New Buildings 4
20% New Buildings 5

22% New Buildings 6

24% New Buildings 7

26% New Buildings 8
28% New Buildings 9 Energy Simulation report-rev01
30% New Buildings 10
32% New Buildings 11
34% New Buildings 12
36% New Buildings 13
38% New Buildings 14
40% New Buildings 15
42% New Buildings 16
44% New Buildings 17
46% New Buildings 18
48% New Buildings 19
1 6 Credit 2 On-Site Renewable Energy 1 to 7
1% Renewable Energy 1
3% Renewable Energy 2
5% Renewable Energy 3 Specification of Solar water heater(300l capacity) provided
7% Renewable Energy 4
9% Renewable Energy 5
11% Renewable Energy 6
13% Renewable Energy 7
1)OPR
2 Credit 3 Enhanced Commissioning 2 2)BOD
3)Commissioning plan
Enhanced Refrigerant
2 Credit 4 2 Client Undertaking Letter
Management

3 Credit 5 Measurement & Verification 3 M & V Plan

2 Credit 6 Green Power 2 Not attempted

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 How the parameters of systems of Zulekha
Hospital Project compare with
baseline/conventional Buildings

Energy
Conventional/
Zulekha
S.No. Parameter Unit Baseline Remarks
Building
Building
AC chiller chiller more energy efficient than baseline
1 energy COP* 2.78 3.12 model, by 10%, at 100 % load , and 25 % more
efficiency energy efficient across operating priods
AC chiller chiller more energy efficient than baseline
2 specifci energy kW/TR 1.26 1.14 model, by 10%, at 100 % load , and 25 % more
consumption energy efficient across operating priods

Lighting in public reduced lighting specific power means reduced

3 watts/sq.ft 1.7 1.36
areas energy consumption and reduced load on AC
COP-coefficient of performance, a parameter used to rate chiller's efficiency,
refrigeration effect I kW/input power in kW

21
 How the parameters of systems of Zulekha
Hospital Project compare with
baseline/conventional Buildings
Architectural

Conventional/
Dubai Zulekha
S.No. Parameter Unit Baseline Remarks
Municipality Building
Building

reduced U value means

reduced heat transfer
Exterior wall,
1 btu/hr.ft2 .OF 0.124 0.091 0.087 across walls and thus
U vale
reduced energy
consumption for cooling
reduced U value means
reduced heat transfer
2 Roof btu/hr.ft2 .OF 0.063 0.073 0.05 across walls and thus
reduced energy
consumption for cooling
reduced glass area means
reduced heat transfer from
Window-wall
3 % 16 8 outside and thus reduced
ratio
energy consumption for
cooling
Glass
better heat resistant
4 shading 0.35 0.28
property of glass
coefficient
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 Materials & Resources
Architectural features
– The insulation characteristics of the wall & roof
systems were found much better than
conventional buildings
– Window to wall ratio , which influences the heat
ingress and hence the energy consumption of a
building, found to be less than standard buildings,
indicating that there is lesser heat gain from
ambient
– More than 20% recyclable materials being used
like vinyl flooring, Dry wall partitions, Aluminium
ceilings, steel
– Use of high performance doubly glazed glass
windows
– More than 30% materials used in the project are
regionally sourced.
– Excavation materials reused for landfills
in areas assigned by local authorities
– Non use of materials that has potential 14 03
to absorb and release indoor pollutants. Possible Points
– Use of durable products and materials that Points Scored
require low maintenance
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 Materials & Resources
Credit No. Credit Name Points Supporting Documents
Yes ? No
3 3 8 MATERIALS AND RESOURCES

Storage & Collection of

Y Prereq 1 Required Drawing showing the assigned area for 5 nos. collecting bins for recyclables.
Recyclables

Building Reuse, Maintain Existing

3 Credit 1.1 01-03 Not attempted
Walls, Floors & Roof

Building Reuse, Maintain 50% of

1 Credit 1.2 1 Not attempted
Interior Non-Structural Elements

1 1 Credit 2 Construction Waste Management 01-02 Construction Waste Management Plan

2 Credit 3 Materials Reuse 01-02 Not Achievable

Project will procure at least 10% of construction materials containing recycled

content by cost.Recycled content specification is incoporated in the
1 1 Credit 4 Recycled Content 01-02
GBPP.Contractor to focus on materials containing recycled content during
purchase of building materials.

Project will procure regional materials of at least 10% by cost.Regional materials

1 1 Credit 5 Regional Materials 01-02 content specification is provided in the GBPP.Contractor to follow the specifications
during purchase of materials.

1 Credit 6 Rapidly Renewable Materials 1 Not attempted

1 Credit 7 Certified Wood 1 Not attempted

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 Indoor Environmental Quality
– Minimum indoor air quality performance designed by
ASHRAE standards
– Environmental tobacco control – No smoking zone hospital
wide
– Indoor air quality management plan
– Minimum use of low emitting materials like paints, flooring
systems, composite wood etc
– Non use of ozone depleting chemicals in mechanical
equipment
– Solvent based paints to avoid gas pollutants

14 03
Possible Points
Points Scored

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 Indoor Environmental Quality
Credit No. Credit Name Points Supporting Documents
Yes ? No
7 5 3 INDOOR ENVIRONMENTAL QUALITY

Y Prereq 1 Minimum IAQ Performance Required Outdoor air rate calculations table based on ASHRAE 62.1-2007

Environmental Tobacco Smoke

Y Prereq 2 Required Client Undertaking Letter declaring non-smoking policy in building.
(ETS) Control

Drawings showing permanent monitoring air flow meters and CO2 sensors with
alarm generating systems that provide feedback on ventilation system
1 Credit 1 Outdoor Air Delivery Monitoring 1
performance(monitoring equipment to generate alarm when conditions vary by
10% or more than setpoint via visual

1 Credit 2 Increased Ventilation 1 Not Achievable

Construction IAQ Management Sample Construction IAQ Management plan has been provided. GES will cordinate
1 Credit 3.1 1
Plan, During Construction and verify the implementtaion during construction

Construction IAQ Management Sample Construction IAQ managent plan has been provided. Contractor to
1 Credit 3.2 1
Plan, Before Occupancy implement the flush out program as per the specification, before occupancy

Low-Emitting Materials, VOC limit specifications have been added. The project will comply with the
1 Credit 4.1 1
Adhesives & Sealants specified low VOC limits during the procurement of adhesives and sealant

Low-Emitting Materials, Paints & VOC limit specifications have been added. The project will comply with the
1 Credit 4.2 1
Coatings specified low VOC limits during the procurement of adhesives and sealant

Low-Emitting Materials, Flooring

1 Credit 4.3 1 Not attempted
Systems

Low-Emitting Materials,
1 Credit 4.4 Composite Wood & Agrifiber 1 Not attempted
Products
Indoor Chemical & Pollutant Drawing showing the location of roll mat and indicating MERV 13 filters in all AC &
1 Credit 5 1
Source Control FAHU units.
Controllability of Systems, Drawing indicating individual lighting controls for minimum 90% (minimum) of
1 Credit 6.1 1
Lighting building occupants.

Controllability of Systems, Drawing indicating individual comfort controls for minimum 50% (minimum) of
1 Credit 6.2 1
Thermal Comfort building occupants.

1 Credit 7.1 Thermal Comfort, Design 1 Design document ensuring project has followed ASHRAE 55-2004 in HVAC design

1 Credit 7.2 Thermal Comfort, Verification 1 Thermal comfort survey plan

Daylight & Views, Daylight 75% of
1 Credit 8.1 1 Not Achievable
Spaces

Daylight & Views, Views for 90%

1 Credit 8.2 1 Not Achievable
of Spaces

26
 Innovation & Design Process
– Reduction in green emission
– Alternate transportation for staff
– Pneumatic tube transport
system for efficient
transportation of materials
in building

6 02
Possible Points
Points Scored

27
 Regional Priority Credits

– More than 30% materials used in

the project are regionally
sourced

4 0
Possible Points
Points Scored

28
 Relation ship with LEED
Yes ? No
18 3 5
SUSTAINABLE SITES

4 4 2
WATER EFFICIENCY

8 6 21
ENERGY AND ATMOSPHERE

3 3 8
MATERIALS AND RESOURCES

7 5 3
INDOOR ENVIRONMENTAL QUALITY

2 1 3
INNOVATION AND DESIGN PROCESS

0 0 4
REGIONAL PRIORITY CREDITS

42 22 46
PROJECT TOTAL ESTIMATE

29
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 Health, Safety & Environment
• Health and Safety
– HEPA filters are provided- in all critical
areas like OTs, ICUs, Isolation rooms,
Cathlab to maintain air quality
– Areas like OTs, Isolation rooms are
provided with Pressure monitors, to
maintain required room pressure always,
thus avoiding possibility of contamination
– Hygienic air handling units-materials made
of SS 316, to maintain hygienic
requirements
– Medical-grade RO water purification
system-to supply water to Dialysis .
Periodical water quality tests scheduled to
be carried out to ensure required quality of
RO water
– All openings are sealed with fire-sealing
and HILTI-certified (German agency)

30
 Health, Safety & Environment
• Health and Safety- Fire Fighting
System
–FM 200-Automatic fire suppression system
have been provided in critical areas like
main IT server room, BMS control room, and
Medical Records room for effective fire
suppression without damages to critical
equipment items
–All areas provided with automatic sprinkler
systems
–Stair case pressurisation fans provided at
the right places will restrict the smoke and
fire from entering into the fire exit stairs
–Fire zoning-a unique system installed ,
separates the building onto two zones, to
prevent fire spreading from one zone to
another
–Individual rooms and corridors provided
with fire-rated doors

31
 Health, Safety & Environment
• Health , Safety and Environment
– Smoke extract diffusers with necessary ducting & fan is provided in
the fire exit staircase doors to keep the exit route clear from smoke.
– Emergency (UPS) as well as generator power supply is available,
and Central battery for complete lighting in the building, during any
power outages
– Addressible fire detection & alarm system with voice alarm
– Emergency & exit lights with central battery power supply.
– Pneumatic tubes transportation system – a feature which will reduce
manpower, energy, time, for materials, intra-building transportation
– Fusible link & motorised fire dampers are provided in the areas
where the HVAC ducts are passing through shafts
– All AHUs & FAHUs are interfaced with fire alarm system which shuts
off the equipment during fire
– IPS system for operation theatres for patient safety
– All AHUs above ceiling are equipped with sound attenuator to
reduce the sound below less than 50dB
– PA system for all communication within the building
– Access Control for preventing unauthorized entry to restricted areas
– CCTV for closed monitoring of the facility

32
 Conclusion
• The energy systems features of the Hospital Project
have been compared with those of standard
Buildings
• The project’s building excels in most of the features
compared, i.e
• Energy Efficiency of chillers, which indicates an
energy savings potential of 25 % than conventional
ones and of auxiliaries (AHUs, pumps)
• Excellent BMS (Building Management System), thus
automating the control process and reducing
dependence on manpower
• Sound level of chillers lesser than that of
conventional chillers
33
 Conclusion
• The architectural features of the Hospital Project have been
compared with those of standard Buildings
• The project’s building excels in all the features compared
• The building has all the basic features which will make a Green
Hospital to be a modern 150-bed multispeciality, energy
efficient and environmental friendly facility
• The project to have features exceeding those of Standard
Buildings and meeting those of Green Buildings
• The project is designed to meet sustainability goals and to
provide a healthy, safe environment.

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