tA Queensland Government - parliament.qld.gov.au · commissioned by Queensland Health through Project Services Department of Public Works on 14 June 2010. This study investigates

tA Queensland ~ Government

LAiD UPON THE TABLE OF THE HOUSE

No.:blk12.W.2.

2 3 /\UG 2012 MP: jjQVJ.Spy1~~

Clerk's Signature:

Preliminary lnfrastru Planning Stud

Beaudesert H Volume 1 of 2 August 2010

Please note:

This report contains confidential information intended for the exclusive use of Queensland Health. No confidentiality is waived or lost by mistaken transmission. Information contained within this report is valid as at the date of issue only.

"PRINTED COPIES ARE UNCONTROLLED" Endorsed by HIPEC---<:loes not represent Queensland Health policy at this time

About this study The Preliminary Infrastructure Planning Study for the Beaudesert Hospital was commissioned by Queensland Health through Project Services Department of Public Works on 14 June 2010. This study investigates future infrastructure for the Beaudesert Hospital based on the options endorsed by Queensland Health's Integrated Policy and Planning Executive Committee.

This Preliminary Infrastructure Planning Study was undertaken from 1 May 2010 to 13 August 2010 and was prepared by Woodhead Pty Ltd with the assistance of Philip Chun and Associates, Arup Pty Ltd, MRP Hydraulic and Fire Service Consultants Pty Ltd, Norman Disney and Young and Rider Levett Bucknall under the direction of Queensland Health's Planning and Coordination Branch. Every effort has been made by Woodhead Pty Ltd and sub-consultants to investigate and document in sufficient detail, and within the timeframe, the infrastructure issues, gaps and requirements for Queensland Health in relation to the Beaudesert Hospital future service provision.

Assumptions The options for future expansion/redevelopment of the Beaudesert Hospital have been generated in response to service needs projected through to 2026/27. The service needs have been identified in the Queensland Health Service Activity Data Report prepared by Queensland Health.

Redevelopment options have been developed to meet 2026/27 projections with Option 2 incorporating staging to match intermediate (e.g. 2016) service demands.

The study has also been prepared on the basis of available information with regards to the condition of existing buildings and information provided in sub-consultants' reports.

Another key assumption made during completion of this study includes the accuracy of information provided by external parties in regards to the existing facilities.

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Contents 1 Executive summary ............................................................................................ 8

2 Introduction ...................................................................................................... 1 0

2.1 Objective .............................................................................................. 1 0

3 Study context ................................................................................................... 11

3.1 Locality ....................................................................... -................ :': ..... , .. 11

3.2 Beaudesert Hospital site ....................................................................... 11

3.3 Beaudesert Hospital building history ..................................................... 11

3.4 Existing built environment. .................................................................... 12

3.5 Beau desert Hospital maintenance issues ............................................. 17

3.6 Beau desert Hospital development proposals ........................................ 17

3. 7 Site constraints ..................................................................................... 17

3. 7.1 Heritage issues ....................................................................... 17

3.7.2 Town planning/designation issues .......................................... 17

3.8 Consultation ......................................................................................... 17

4 Health services ................................................................................................. 18

4.1 Design and functionality of facility ......................................................... 18

4.1.1 Current service provision of Beaudesert Hospital .................... 18

4.2 Future health services .......................................................................... 19

4.3 Infrastructure gaps ................................................................................ 25

5 Inspection reports ............................................................................................ 26

5.1 Method ................................................................................................. 26

5.2 Exclusions ............................................................................................ 26

5.3 Overlap ................................................................................................. 26

5.4 Current site and infrastructure condition ............................................... 26

5.5 Building viability .................................................................................... 28

6 Current risks ..................................................................................................... 29

6.1 Building life ........................................................................................... 29

6.2 Compromised patient care .................................................................... 29

6.3 Fire ....................................................................................................... 29

6.4 Accident ............................................................................................... 29

6.5 Infection control .................................................................................... 29

6.6 Security ................................................................................................ 30

6.7 Health and safety .................................................................................. 30

6.8 Disadvantage to persons with a disability ............................................. 30

6.9 Staff, patient and visitor dissatisfaction ................................................. 30

6.10 Excessive running costs ....................................................................... 30

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6.11 Failure of building services systems ..................................................... 30

6.12 Legal action .......................................................................................... 30

7 Options ............................................................................................................. 31

7.1 Option 1 -Status Quo (minimum requirements) ................................... 31

7.1.1 Scope of this option ................................................................ 31

7.1.2 Capital cost ............................................................................. 31

7.1.3 Whole-of-life costs .................................................................. 31 7.1.4 Advantages ............................................................................. 31 7 .1. 5 Disadvantages ........................................................................ 32

7.2 Option 2 ................................................................................................ 33

7.2.1 Scope of this option ................................................................ 33

7.2.2 Capital cost ............................................................................. 33

7 .2.3 Whole-of-life costs .................................................................. 33 7.2.4 Advantages ............................................................................. 33 7.2.5 Disadvantages ........................................................................ 34

7.3 Option 3 ................................................................................................ 37

7.3.1 Scope of this option ................................................................ 37 7.3.2 Capital cost ............................................................................. 37 7.3.3 Whole-of-life costs .................................................................. 37

7.3.4 Advantages ............................................................................. 37 7.3.5 Disadvantages ........................................................................ 38

8 Options analysis .............................................................................................. 41

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List of Tables Table 1: Current and future bed requirements for Beaudesert Hospital (bed projections) .... 21

Table 2: Option 1 analysis ................................................................................................... 41



List of Diagrams Diagram 1: Beaudesert Hospital 1935 ................................................................................. 12

Diagram 2: Beaudesert Hospital building relationship .......................................................... 15

Diagram 3: Beaudesert Hospital existing departments- ground floor. ................................. 16

Diagram 4: Beaudesert Hospital proposed Option 2 site plan .............................................. 35

Diagram 5: Beaudesert Hospital Option 2 ............................................................................ 36

Diagram 6: Beaudesert Hospital proposed Option 3 plan .................................................... 39

Diagram 7: Beaudesert Hospital Option 3 ............................................................................ 40

Note: Volume 2 of the Preliminary Infrastructure Planning Study of Beaudesert Hospital provides detailed support information covering engineering and building condition assessment and comparison of areas to the Australasian Health Facility Guidelines.

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Acknowledgements This study has been prepared by Woodhead Pty Ltd with input from the following sub-consultants:

• Philip Chun and Associates

• Arup Pty Ltd

• MRP Hydraulic and Fire Service Consultants

• Norman Disney and Young

• Rider Levett Bucknell.

The study has been prepared under the direction of:

• Jodi Hallas, Acting Director, Health Service District Planning Support Unit, Planning and Coordination Branch, Policy Planning and Asset Services

• Marguerite Mobbs, Acting Assistant Director, Planning and Coordination Branch, Policy, Planning and Asset Services

• Jennie Love, Manager, Preliminary Infrastructure Planning, Health Service Planning Support Unit, Planning and Coordination Branch, Policy, Planning and Asset Services, Health Planning and Infrastructure Division

• Megan Dickie, Project Manager, Health Project Services, Department of Public Works

with the assistance of:

• Stephen O'Connor, Executive Director, Corporate Services, Logan and Beaudesert Hospitals, Metro South Health Service District

• Gail Gordon, Acting Executive Director, Logan and Beaudesert Hospitals, Metro South Health Service District

• Michael Chalmers, Director of Nursing, Beaudesert Hospital, Metro South Health Service District

• Stephen Joyce, Nurse Unit Manager, Beaudesert Hospital, Metro South Health Service District

• Pauline Wessling, Executive Administration Officer, Beaudesert Hospital, Metro South Health Service District

• Peter Bentley, Building, Electrical and Mechanical Manager, Logan and Beaudesert Hospitals, Metro South Health Service District

• Janine Dixon, Manager of Operational Services, Beaudesert Hospital

• Raelea Stewart, Manager Service Planning, Planning and Coordination Branch, Policy Planning and Asset Services

• Kirsten Mayne, Principal Planning Officer, Planning and Coordination Branch, Policy Planning and Asset Services

• Michael Byrne, Senior Project Manager, Project Services, Department of Public Works

• Michele Smith, Project Director, Metro South, Capital Delivery Program, Health Planning and Infrastructure Division

Key project team members who have worked on this study are recorded in Volume 2 of the Preliminary Infrastructure Planning Study for the Beaudesert Hospital (Volume 2), Appendix 1.

The time, interest, care and comment of those involved in this study is greatly appreciated.

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Commercial-in-confidence This document may contain commercial-in-confidence information. The document has been produced for the sole use of Queensland Health, and should not be provided to external organisations without the written approval of the Deputy Director-General, Health Planning and Infrastructure Division, Queensland Health.

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1 Executive summary This study has been prepared on behalf of Queensland Health to assess the condition of the Beaudesert Hospital to provide the future service requirements through to 2026/27 and beyond. The study will provide three options for the future development of the Beaudesert Hospital. Option 1 will establish the minimum requirements to allow the facilities to continue running in their current form (Status Quo). Both Options 2 and 3 will provide proposals on the current site (Brownfield) with Option 2 providing a lower cost, more basic development, staged to meet the predicted growth in activity and providing infrastructure to support midwifery model of maternity care. Option 3 addresses the predicted growth, but with a more comprehensive re-configuration of spaces to more accurately address current guidelines, Option 3 does not provide infrastructure to support a maternity service at Beaudesert Hospital.

For the preparation of this study assessments were made on the infrastructure of the Beaudesert Hospital, including the condition of the existing building, the presence of asbestos, condition of building services, building life, compliance with relevant current codes and standards and site constraints. In identifying risks associated with infrastructure, mitigation strategies that may be in place at an operational level were not incorporated within the risk identification and assessment.

In preparing this study inspections were carried out by structural and civil engineers, building surveyors, architects, hydraulic engineers, electronic engineers, mechanical engineers, electrical engineers, fire services engineers and security services engineers. The assessments provided by the nominated professionals were used to assess the condition of the current facilities and develop the options for redevelopment.

The Beaudesert Hospital site currently consists of a main Hospital building with several smaller ancillary buildings surrounding it. The Hospital was commissioned in July 2000 to replace the original ageing facility. It generally remains current with regard to disability access and is in good condition requiring only intermittent maintenance. Some upgrade is required to achieve compliance under the Australian Health Facility Guidelines.

Option 1, the Status Quo Option, does not provide for significant infrastructure change and therefore will not resolve the future service requirements for Emergency, Anaesthetic, Surgical, Children's and Medical services.

The scope of Option 1 principally addresses issues of building code compliance and ongoing maintenance necessary to meet Occupational Health and Safety guidelines for the operation of the facility.

The cost of proposed works for this Option has been developed on the basis of minor works packages and will be in the order of cost $3.188 million (Category 2 cost estimate at July 2010).

Option 2 addresses the need for improved Emergency accommodation and provides the opportunity to separate Allied and Community Health and ambulatory care services from the clinical/inpatient care areas of the Hospital.

Under this Option the original maternity suite is reinstated and upgraded to meet current standards and requirements allowing infrastructure to support a midwifery model of maternity care being provided at Beaudesert Hospital.

The developing workload indicates that if expansion/alteration is staged to meet increasing demand, minor internal alterations will be required in 2011/12, expansion of Allied and Community Health will be required in 2016/17 and internal alterations to accommodate the inpatient workload (29 overnight beds by 2021/22 and increasing to 34 overnight beds by 2026/27) will be required.

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The forecast project cost for Option 2 is estimated to cost $20.591 million (Category 2 cost estimate at July 2010).

Option 3 is a more comprehensive development of the facility to better meet the Australasian Health Facility Guidelines for inpatient accommodation and includes the expansion of emergency and ambulatory care services outlined in Option 2 by increasing departments to accommodate increased patient throughput and improved security and separation between clinical/inpatient care areas and ambulatory services.

This Option is based on maternity services for the Beaudesert area being provided at Logan Hospital.

The forecast project cost for Option 3 is estimated to cost $22.470 million (Category 2 cost estimate at July 2010).

The main disadvantage of Option 1 is the distribution of outpatient services and Allied Health treatment areas throughout the inpatient and clinical areas of the Hospital. This constitutes risks associated with cross infection and impacts upon patient privacy and staff safety.

Option 2, as presented offers a basic solution that will provide capacity to resolve most of the service delivery inpatient accommodation and address some non compliance with the Australasian Health Facility Guidelines. Option 2 allows for a midwifery model of maternity care to be provided at the Hospital.

Option 3 covers the service level requirements outlined in the Service Activity Data Report prepared by Queensland Health. This Option provides staged development to meet the rate of growth predicted in population and service planning numbers. It can be processed over four stages including a future (uncosted) opportunity to increase the number of single beds. Option 3 allows for maternity services to be provided at Logan Hospital.

An options analysis has been incorporated within the study which reviews the benefits and risks of each option. It is important to stress that although Option 1 will meet future service demands it will not achieve full compliance to current standards. Option 2 and 3 provide viable solutions to better address non compliance and future health services needs, but with different quality outcomes.

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2 Introduction Beaudesert Hospital has been in operation since 1900 and provides front line hospital care to the residents of Beaudesert and its surrounding communities.

The opening of Logan Hospital in 1990, which has grown to become one of the busiest hospitals in Queensland, has resulted in a change in the role of Beaudesert Hospital.

In 2004 surgical and maternity services at Beaudesert Hospital were closed due to staff shortages. However the proximity of high level surgical and maternity services at Logan Hospital ensured that Beaudesert residents continue to receive high quality care without having to travel to Brisbane.

Beaudesert Hospital continues to provide emergency and general medical services as well as a number of visiting specialist services.

Queensland Health is undertaking a project to develop a Primary Maternity Services Plan for Beaudesert Hospital which will consider the commencement of midwifery model of maternity care at the Hospital.

Current physical infrastructure at Beaudesert Hospital is relatively new and is in good condition. Expansion and internal reconfiguration will be required to some areas within the Hospital to meet future service requirements. Internal refurbishment would be required to reinstate a maternity service if this was identified as a requirement for the Hospital in the future.

The Preliminary Infrastructure Planning Study aims to identify infrastructure options to address the identified health service requirements at Beaudesert Hospital to 2026/27. The Preliminary Infrastructure Planning Study incorporates an assessment of the condition of the buildings and building services, the impacts on the delivery of health services on the existing campus and identification of options to address infrastructure gaps.

2.1 Objective The key objectives of the study are to:

• provide a brief review of the adequacy of existing infrastructure arrangements and facilities as it relates to the core service requirements

• identify options for the future development of infrastructure to meet the core service requirements

• develop concept plans and options castings including:

- provision of a cost effective and efficient concept plan

identification of the capital cost impacts of the preferred option

• undertake broad analysis across all options to assist Queensland Health determine a preferred option.

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3 Study context

3.1 Locality The Logan-Beaudesert catchment is located south of Brisbane and includes the local government areas of Logan City and the eastern part of the Scenic Rim Regional Council to the New South Wales border. It covers a geographical area of 3,179 square kilometres.

In 2008 the Estimated Residential Population of Logan-Beaudesert was 295,346 people. Residents from the catchment represented 6.9 per cent of the total Queensland 2008 population. In 2008 Logan and Beaudesert had a relatively young population, with a higher than average number of families with young children.

The Logan-Beaudesert catchment contains high density urban areas and sparsely populated semi-rural communities. It also includes new residential developments that were previously rural or bushland areas. These areas require new facilities for the growing population including recreation, education, transport and health facilities.

On 1 July 2009, the Commonwealth Government replaced its geographical area classification system. Beaudesert was previously classified as 'rural', however under the new system it is classified as 'outer metropolitan'.

3.2 Beaudesert Hospital site The Beaudesert Hospital is located within the Beaudesert township, on the corner of Tubber and Tina Streets and is just a few streets east of the Mount Lindsay Highway, north of the town centre.

The site runs in a north-south direction along Tina Street with the southern end of the site previously housing the main Hospital. In 2000 these buildings were demolished to make way for the new Hospital and its facilities. Currently a Helicopter Landing site sits where the original Hospital was located. The southern end of the site is predominantly flat however an embankment separates the Helicopter Landing site and car park from street level with the western part of the site sloping gently away from the Helicopter Landing site.

The middle of the site has been carved out to allow the new Hospital building to sit just below street level. The natural downward slope of the site allowed for the main building to become double storey to the north. The service road to the west follows the gentle contours of the original ground level down to the north as does the patienUambulance drop-off access road to Tina Street. From its highest level to the lowest the site drops about 10 metres south to north.

Refer to Volume 2, Appendix 15 for the photographic survey of the site and associated buildings.

3.3 Beaudesert Hospital building history The Beaudesert Hospital was originally opened on 30 June 1900. Initially the Hospital consisted of two wards and a total of five beds. The Hospital was continually added to and adapted to suit the increasing needs of the Beau desert Shire.

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Diagram 1: Beaudesert Hospital 1935

MA1'E!RNI1'Y WARD, GENERAL HOSPl'fAL AND NURSi~S QUARTERS, ll$AUIJESERT

Source- http://queenslandplaces.com.au

In 1999 demolition began on all the original Hospital buildings to make way for the new single Hospital building. The new Hospital was commissioned on 1 July 2000 and is currently still in use.

3.4 Existing built environment The Beaudesert Hospital is a collection of different departments and services housed mostly in one main building. The Hospital site contains various other ancillary buildings as shown in Diagram 2 and described on the following pages.

The main Hospital building is of brick construction with a two storey structure at the northern end. The lower ground floor comprises plant rooms and live-in accommodation for staff. The accommodation hosts a common living space with kitchenette and three double bedrooms each with en-suite.

The main Hospital ground floor comprises a suspended concrete slab and predominantly lightweight internal wall construction. The ceilings consist of both tiled and painted flush plasterboard construction throughout. Floor coverings are either vinyl or carpet. A conditions audit is provided in Volume 2, Appendix 16.

A plant room located in the roof cavity is accessed through internal stairs from the north and south. It has a bunded concrete floor with concrete block walls through to the underside of roof sheeting which makes it fire isolated.

Generally engineering services throughout are compliant with current standards, are in excellent condition and the building is structurally sound. The building generally complies with the current Building Code of Australia requirements and building access complies with the current accessiblity requirements under Australian Standard 1428.1.

There are a number of other smaller ancillary buildings on site including:

• Medical Superintendant's house

• substation

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• staff covered outdoor area

• maintenance shed

• bin and equipment store

• service delivery area

• car parking

• Helicopter Landing site.

All ancillary buildings are considered to be in good condition and fit for purpose.

Diagram 3 provides the existing departmental configuration of the Hospital. The original design intent of the departments is shown in Volume 2, Appendix 14.

In addition to the on-site buildings there are two off-site Queensland Health buildings within the Beaudesert township. These buildings are currently occupied as permanent doctor's

• residences which have three bedrooms each. These buildings are located at 63 Brooklands Drive and 112 Brooklands Drive, Beaudesert. They do not form part of this audit.

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3.5 Beaudesert Hospital maintenance issues The roof drainage system was being upgraded at the time of the inspection and should now be functioning properly.

The age of the chillers has been noted as an issue in the Hospital's Strategic Maintenance Plan and the chillers have been noted in the mechanical report as needing replacement in the short to medium time frame (refer Volume 2, Appendix 11 ).

No other major building maintenance issues are noted by the District.

3.6 Beaudesert Hospital development proposals Queensland Health advises that there are currently no major capital works projects underway for the Beaudesert Hospital.

At the time of the audit a new reception desk was being installed in the Emergency Department and the roof drainage system was being upgraded.

Work was also being undertaken on the Day Respite Centre noting that this is a Commonwealth funded and managed facility located on Queensland Health grounds.

3.7 Site constraints No major site constraints were noted for the Beaudesert Hospital at the time of this study and all proposed options are easily accommodated within the site.

3.7.1 Heritage issues

The Queensland Heritage Register, maintained by the Environmental Protection Agency under the Queensland Heritage Act 1992 does not record any heritage listed buildings on the Beaudesert Hospital site.

3.7.2 Town planning/designation issues

Beaudesert Hospital is not listed on Department of Infrastructure and Planning's community infrastructure database and is therefore not a designated site.

Proposals for development or redevelopment on this site will require either Development Application to the local authority or Ministerial Designation of the site.

3.8 Consultation Consultation was undertaken with the nominated sub-consultants, the Metro South Health Service District staff and Queensland Health. The consultation process was used to inform options for redevelopment set out in this study.

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4 Health services

4.1 Design and functionality of facility The Hospital provides key healthcare services for the local community as set out below.

The current facility however suffers from compromised departmental functionality issues resulting from underutilisation of clinical facilities.

In particular, the Surgical Procedures area and Birthing Suites are currently underutilised in this building. These departments are potentially on stand-by in the event that they may need to be reinstated in the future. Allied Health currently occupies many of the Maternity ward rooms and these staff would require relocating if birthing services resumed at the Hospital Surgical and maternity services for the Beaudesert population/catchment are currently provided at either the Logan Hospital or the Gold Coast Hospital.

The original Hospital was capable of providing 42 beds (including maternity). Overtime there have been a number of internal changes to the Hospital which has included conversion of beds to other purposes. The current infrastructure can provide 33 beds with 22 beds with an average daily occupancy rate of 16 beds. This includes a four-bed Paediatric Ward, a threebed High Dependency Unit and a Palliative Care Ward.

Of the existing rooms at the Beau desert Hospital approximately 69 per cent comply with the Australian Health Facility Guidelines (refer Volume 2, Appendix 13).

4.1.1 Current service provision of Beaudesert Hospital

The Hospital currently provides complimentary services to the Logan Hospital by directly servicing the eastern part of the Scenic Rim Regional Council. The main building was commissioned on 1 July 2000 and benchmarked hospital design for Queensland at the time. All clinical services are housed within this one building. The services currently provided by the Hospital are listed below:

Medical services

• General Medicine

• Palliative Care

Other medical services

• Emergency Medicine

• Oral Health

• Specialist Outpatient Clinics (Mental Health, Surgery, Obstetrics, Gynaecology)

Support services:

• Allied Health Services

• Drug and Alcohol Services

• Indigenous Health Services

• Medical Imaging

• Pathology

• Pharmacy

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4.2 Future health services Beaudesert Hospital is anticipated to provide a core level of service based on the Clinical Services Capability Framework Version 3.0. The facility will provide a minimum suite of Level 2 services.

Bed requirements for the Beau desert Hospital are based on projected activity levels for services at the Hospital, and calculated using endorsed Queensland Health planning benchmarks where available. Where no endorsed benchmarks are available, benchmarks have been drawn from various sources. Beaudesert Hospital activity is based on providing services to residents of the Scenic Rim Regional Council within the boundaries of the Metro South Health Service District.

Bed requirements for Beaudesert Hospital were calculated using endorsed Queensland Health service planning benchmarks where available. Where no endorsed benchmarks were available, benchmarks have been drawn from various sources including Queensland Health Statewide Health Service Plans, Victorian Capital Planning Benchmarks and Australian College of Emergency Medicine. Current models of care, referral patterns and admission practices were applied.

The bed types and treatment spaces set out in Table 1 reflect the categories according to definitions in the Review of the More Beds for Hospitals Strategy including overnight beds, same day beds and bed alternatives.

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Table 1: Current and future bed requirements for Beaudesert Hospital (bed projections)

Category A: Beds

A1. Overni -

I I I I I

Medical 23 23 7 9 11

Surgical 0 0 3 3 4

(maternity) -at both Logan and Beaudesert 0 0 1 1 1

Hospitals

Paediatric 0 0 0 0 0

Emergency Department Short Stay -Adult 0 0 0 0 0

Emergency Department Short Stay - Paediatric I 0 I 0 II 0 I 0 I 0

Intensive Care Unit/Paediatric Intensive Care Unit/High 0 0 0 0 0 Dependency Unit

Cardiac Care Unit 0 0 0 0 0

Neonatal (Neonatal Intensive Care Unit/Special Care 0 0 0 0 0

Nursery)

Mental Health -Acute child and youth 0 0 0 0 0

Mental Health -Acute adult 0 0 0 0 0

Mental Health -Acute older persons 0 0 0 0 0

Sub- and non-acute- Palliative care 2 2 2 2 2

Sub- and non-acute - Rehabilitation 0 0 0 0 0

Sub- and non-acute- Geriatric Evaluation 0 I 0 II 5 I 6 I 8

Management

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A2. Same Day Beds

Medical

I

0

I

0

II 2

I 2

I 2

Surgical 0 0

-at both Logan and Beaudesert 0 I 0 Hospitals

Paediatrics 0 0 0 0 0

Sub- and non-acute 0 0 0 0 0

Total same day beds 0 0 4 4 4

A3. Bed Alternatives

Chemotherapy Chairs/Trolleys I 0 I 0 II 0 I 0 I 0

Renal Dialysis Chairs/Trolleys I 0 I 0 II 0 I 0 I 0

Stage 1 Recovery bays I 6 I 6 II 2 I 2 I 2

Day surgery Chairs/Trolleys (Stage 2 recovery bays) 0 0 0 I

0 I 0

Ante Natal day assessment unit chairs 0 0 Included in projections for same day obstetric beds

Total bed alternatives 6 6 2 I

2 I

2

Totals for Category A

Total A1 Overnight beds I 33 I 33 ~ 26 I 29 I 34

Total A2 Same day beds 0 0

I

4

I

4

I

4

Total A3 Bed alternatives 6 6 2 2 2

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alternatives

Category B: Emergency Department treatment spaces

Total emergency treatment spaces I I 7 7 II 7 I 7 I 7

(including adult and paediatric spaces)

Category C: Operating/Intervention Rooms

Medical imaging- Computed Tomography (CT) Scan 0 0 0 0 0

Medial imaging- Fluoroscopy 0 0 0 0 0

Medical imaging- General x-ray 1

Medical imaging- mammography 0 0

I

0

I

0

I

0

Medical imaging - Ultrasound 0 0 0 0 0

Medical imaging- Magnetic Resonance Imaging (MRI) 0 0 0 0 0

Delivery suite- maternity at both Logan and 2 2

Beaudesert Hospitals

Operating Suite 2 2

Endoscopy I Bronchoscopy Rooms 0 0 0 0 0

Cardiac Catheter Laboratory 0 0 0 0 0

Category D: Consultation/Treatment/Procedure Rooms

Outpatient /Ambulatory care unit clinics I 3 I 3 II 3 I 3 I 3

Source : Queensland Health

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4.3 Infrastructure gaps The following information summarises the deficiencies in the existing infrastructure in meeting the projected service demand as highlighted in Section 4.2. Further detail on infrastructure gaps is incorporated in Volume 2, Appendix 17.

In assessing and identifying infrastructure gaps the Australasian Health Facility Guidelines have been utilised to determine non compliance.

Emergency and Outpatient

• Undersized rooms such as the new reception, dirty utility, lounge, senior nurse's office, and general store.

• Deficient in the provision of a triage desk, triage cubicle, examination bay, isolation bay, decontamination room, psychiatric treatment space, quiet/grieving room, play area within the waiting room, parenting room, accessible toilet, patient shower, ensuite, equipment store, beverage bay, drug store, and dedicated ambulance office and reception.

Inpatients and Medical Services

• Undersized rooms such as wards, ward en-suites, ward toilets, ward showers, patient laundry, cleaner's room, staff station and staff office.

• Deficient in the provision of a dedicated geriatric ward, dedicated isolation room, accessible toilet, clean linen bay, disposal holding room, general store, and hand wash bays.

Maternity Services

• Deficient in the provision of dedicated consultation rooms, child friendly waiting room, multipurpose education room, resuscitation bay/cot, feeding room, and preparation room.

Surgical and Peri-operative Services

• Undersized rooms such as the clean utility, dirty utility, cleaner's room, change rooms and ablutions

• Deficient in the provision of holding bays, anaesthetic induction room, and clean up room.

General

• The Rehabilitation, Medical Imaging, Pharmacy, Mortuary and Allied Health Departments currently all have some rooms that are slightly undersized however these rooms all currently function adequately.

Infrastructure gaps relating to structural, hydraulic, electrical, communications, security, fire, mechanical, and Building Code of Australia compliance are covered in Section 5.

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5 Inspection reports

5.1 Method The site inspection for the Beau desert Hospital was conducted on 8 June 2010. It involved the assessment of the structural and civil conditions by Arup Pty Ltd, the hydraulic services assessment by MRP Hydraulic and Fire Service Consultants Pty Ltd, the electrical, fire, security, and communication services assessment by Norman Disney and Young, the building surveyor's assessment by Philip Chun and Associates and the architectural and building condition assessment by Woodhead Pty Ltd.

5.2 Exclusions The audit was confined to the Beaudesert Hospital site on the corner of Tina and Tubber Streets Beaudesert. A non-invasive visual inspection was carried out throughout the main Hospital building, adjacent utility sheds and externally on all other campus buildings where possible. Some areas were off limits due to staff and patient movements.

The two Queensland Health Doctor's residences within the Beaudesert township were excluded along with the Commonwealth day respite centre.

5.3 Overlap There is some overlap between building specialist reports where the same problem has been identified by different specialists.

The overlap of issues have been recognised and accounted for in the cost for rectification.

5.4 Current site and infrastructure condition During the inspections carried out by the various specialist sub-consultants, key existing infrastructure issues were identified by the various disciplines. Key issues from individual specialist reports are provided in detail within Volume 2, Appendices 3-11 and summarised below.

Structural/civil report

• Requirement to address some minor general maintenance and upkeep issues such as patching of the cracks in the pavement, roadways and car park areas, replacement of the compression material between concrete slabs in footpaths, grinding of the hazardous external slab corners, replacement of damaged kerbs, and internal monitoring of superficial wall cracks.

• Provision of a pedestrian footpath recommended with access ramps on the western side of the south eastern car park to separate pedestrians from vehicles.

Building report

• Enclosure of space beneath stairs to form cupboard to provide fire separation required.

• Exit signage should be upgraded.

• Handrails/balustrades to external stairway/ramp to be upgraded for compliance.

• Building elements including services, electrical and mechanical upgraded to meet compliance with Building Code of Australia 2009 Part J energy efficiency provisions.

• Upgrade and increase of some internal accessible sanitary facilities to meet Australian Standards.

• Signage to be upgraded to meet disability codes.

"PRINTED COPIES ARE UNCONTROLLED" Endorsed by HIPEC--<Ioes not represent Queensland Health policy at this time

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Hydraulic report

• Minimal Potable water backup systems.

• No backflow prevention devices in place on the potable water supply on cleaner sinks.

• No backflow prevention devices in place on the back up water supply tank.

• Minimal rainwater harvest in place.

• Signage indicating location of thermostatic mixing valves.

• Water damage of ceiling tile adjacent to thermostatic mixing valves in ward suggests long term water leak. Regular maintenance required to eliminate future issues.

Electrical assessment

Key issues from the electrical report that will be required for any expansion or upgrade include:

• feasibility study by Energex for the high voltage supply capacity at the Beaudesert substation

• upgrade of existing pad mount transformer and emergency generator

• additional uninterrupted power supply systems

• upgrade of Exit signs.

Communications report

• Tidy up all data cables in the main computer room and each communications cupboard, secure each communications room and cupboard with electronic access control

• Provision of air conditioned redundancy in the main computer room

• Provision of updated record books at each cabinet.

• Provision in the main computer room of a power outlet located above the cabinet which presently does not have one.

• Provision of a second power outlet to each rack to provide redundancy.

• Provision of uninterrupted power supply units to support active equipment installed in the cabinets in the event of a power failure.

• Review the need to upgrade the Hospital local area network to provide a level of redundancy.

• Mount the nurse call power supply unit located in the communications room in a secured position on one of the walls. Tidy up all cabling to prevent any accidental damage or disconnection.

• Provision of pay television services (Foxtel or Austar) for enhanced patient experience.

Security report

• Upgrade the doors fitted with mechanical digital locks to integrate them into the Concept 4000 security system.

• Review the need to install duress buttons in high security risk areas.

• Investigate the power supply unit for the cameras and rectify if a problem exists.

• The location where the new Digital Video Recorder will be installed should be a secure area not accessible to members of the public. The Closed Circuit Television system design should be carefully considered as the system grows in size.

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Fire services report

• The general condition of the fire systems installed appears to be satisfactory with the exception of the condition of external elements.

• The kitchen hood suppression system should be re-instated or should be fully decommissioned and removed from site.

Mechanical report

• In general the plant appears to be in good condition for its age and it appears to be well maintained. Staff indicated that it performs satisfactorily throughout the year.

• The air cooled chillers are nearing the end of their economic life and they should be budgeted for replacement in the short to medium time frame.

• Chilled water piping runs underground from the external chiller enclosure to the Hospital. The condition of the pipe and its insulation cannot be easily ascertained. Failure of the pipe will result in cessation of cooling to the Hospital. No special investigation of the pipework is required unless critical processes requiring cooling are undertaken with the Hospital.

• The Hospital is currently operating below full occupancy and if this scenario is to be maintained into the medium or long term a plan to minimise energy consumption of the mechanical services should be investigated.

5.5 Building viability Currently the main Hospital building is 10 years old and in excellent condition. It is fit for its original purpose and with regular maintenance and minor compliance adjustments, to meet code compliances, the building will serve Beaudesert for many years to come.

The development of community services and the planned increase in ambulatory care activity generate an increase in floor area of approximately 1 000 square meters.

There will also be some internal alterations to address change to the model of service and an increase to car park capacity of around 50 cars.

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6 Current risks

6.1 Building life Based on structural surveys, staff consultation and visual inspection Hospital building conditions are summarised as follows:

• main Hospital building -good condition (minor repairs and ongoing upkeep warranted)

• Medical Superintendent's house- good condition (general maintenance warranted)

• maintenance/storage sheds- good condition.

The Beaudesert Hospital is 10 years old. Based on Queensland Health expected building asset life it is feasible that the main buildings would have approximately 30 additional years of delivering current service without requirement for major upgrade/replacement. . Plant and equipment life would be significant less and should be managed through standard replacement programs as required.

6.2 Compromised patient care • Some loss of privacy to patients and Allied Health clients resulting from services

intermingling within the one building.

• Outpatient/Emergency services are located at the Hospital front door, causing disruption to normal activities when emergency presentation happens.

• The main nurse control point is remote from the Emergency area translating into risk to inpatients when staff are drawn to the Emergency Department to attend to emergency presentations.

6.3 Fire • Fire hydrants and fire hose reels installed externally need to have their condition

monitored to identify any deterioration due to sun damage. Some of the external equipment is showing signs of ageing due to sun damage.

• Kitchen hood suppression system is installed to the kitchen exhaust hoods, however this system is currently not functioning and there is no signage to indicate this.

• Alterations or additions to the existing building would require further compliance assessment.

6.4 Accident • There are a number of minor compliance issues relating to handrails and height of

steps, loading platform, etc.

• There are a number of cracks in the pathways that have potential as trip hazards.

• Traffic flow and risks associated with parking and signage, corner mirrors and helicopter landing activity may require further investigation.

6.5 Infection control • Management of waste and the cleaning/handling of dirty instruments within the

surgical procedure areas should be investigated further.

• Lack of a formal isolation bedroom, with separate ensuite and gowning lobby in the inpatient area and within the Emergency Area.

• Transport of food and waste products through the main corridor to the inpatient areas provides exposure to outpatients, allied health clients and the general public.

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6.6 Security • The Extended Access Control System consists of a 'Concept 4000' system that can

be expanded as the Hospital expands. The Extended Access Control System secures the front entrance, Pharmacy, theatres, some administration office and the entrance doors to the Emergency Department. The card format used is based on 26-bit Wiegand format, which is a less secure format, compared to other existing card formats available on the market.

• Some of the doors were fitted with mechanical digital locks, which work independently from the Concept 4000 system. Mechanical digital locks are less secure than the Concept 4000 electronic access control and do not provide any logs of who has accessed a particular room.

• The closed circuit television power supply unit has handwritten instructions written on it, which suggests that the unit is not functioning properly all of the time.

6. 7 Health and safety • Bathroom does not include a height adjustable bath and the Hospital reports that it is

not utilised at present due to potential for staff injury.

• The bathroom adjacent to Emergency Department is not big enough for resuscitation team to work on a patient if required. It should be noted that the use of the bathroom by the resuscitation team in Emergency Department would be rare.

• Resuscitation room is too small to accommodate a full retrieval team and offers no ability to exhaust contaminated air from the room to the outside of the building.

6.8 Disadvantage to persons with a disability • Lack of tactile warning indicators to some areas where there is a change of levels.

• Lack of easily found compliant accessible toilets.

• Ensuites are not compliant with code- at least one should be able to accommodate a person with disabilities.

6.9 Staff, patient and visitor dissatisfaction • Emergency Department triage desk and reception is open to visitors and does not

provide acceptable levels of security for staff and limits patient confidentiality.

• Allied Health and Community personnel are spread throughout the facility reducing opportunity for cross referral and support between disciplines.

6.10Excessive running costs Some areas of the facility could be shut down for periods of time to reduce energy consumption at times when areas are not required.

6.11 Failure of building services systems There were no existing or pending issues that could lead to building service systems failure within the current facility identified during this study.

6.12Legal action There are no known legal action risks arising from the existing infrastructure.

As indicated in the 'status quo' issue there are some areas of risk that need to be attended to maintain compliance with building codes and reduce Occupational Health and Safety concerns.

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7 Options

7.1 Option 1- Status Quo (minimum requirements) Option 1, the Status Quo Option, does not resolve the Level3 Service requirement for Emergency services or the Level 2 service requirements for Anaesthetic, Surgical, Children's and Medical services. The implication is that the shortfall in service provision will be met by other hospitals outside the Beaudesert Hospital catchment area.

7 .1.1 Scope of this option

The scope of this Option is limited to minor alterations within the building envelope that will address issues of compliance and safety for the ongoing operation of the Hospital. This will therefore address many issues of non compliance with respect to the Building Code of Australia and the Disability Discrimination Act 1992, but does not fully address the requirements of Australasian Health Facility Guidelines.

This will therefore include a number of minor alterations works to assist with code compliance and some minor alterations to address the delivery of patient care services safely such as:

• alterations within the Emergency Department/Inpatient area to enlarge the Resuscitation room to allow a retrieval team to safely prepare a patient for helicopter transfer to an alternative facility, and to provide a negative pressure environment (exhaust) from this area

• improvement to security and storage for drugs within the Emergency Department

• creation of isolation capability within the Emergency Department and Inpatient areas

• improvement to create separation between Inpatient/Clinical areas of the Hospital and Ambulatory Care services

• consolidation of Nurse control within the inpatient area and improvements to the overview of Emergency Department activity from this area

• conversion of some existing public toilets to cater for people with a disability.

7 .1.2 Capital cost

Option 1 costs are based on the upgrading of existing building fabric and services to allow for the ongoing provision of healthcare services from the existing facilities. Category 2 cost estimates based of the aforementioned and including consultant fees and contingency allow for an estimated cost of $3.188 million.

7.1.3 Whole-of-life costs

The existing buildings are around 10 years old and are in good condition. The buildings will start to require some maintenance and replacement of some plant and equipment at around 15 years of age and it is suggested that alterations be scheduled to fit into this timeframe as best advantage can be achieved without waste.

7.1.4 Advantages

There are a number of advantages in this approach including:

• minimal capital cost and reduced disruption to the ongoing operation of the Hospital

• flexibility to revisit the proposition and implement changes as they are required in the future

• increased flexibility within the approach -currently services are provided from the facility with little inconvenience to users, even though some areas are not purpose designed for the current function.

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7 .1.5 Disadvantages

Disadvantages include:

• projected health service requirements particularly for Emergency, Anaesthetic, Surgical, Children's and Medical services will not be met in this Option

• the continued distribution of Outpatient services and Allied Health treatment areas throughout the Inpatient and clinical areas of the Hospital

• continued risks associated with cross infection and impacts upon patient privacy and staff safety due to current configuration of the Hospital

• escalation of costs will accrue against work that could be planned and completed now, at a reduced overall cost.

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7.2 Option 2 Through a staged construction approach, Option 2 provides some expansion and internal reconfiguration to achieve service demand predicted to 2026/27 including a midwifery model of maternity care provided at Beaudesert Hospital.

7.2.1 Scope of this option

Option 2 addresses the need for improved emergency services accommodation and provides expansion to the existing facility to separate Allied and Community Health and ambulatory care services from the clinical/inpatient care areas of the Hospital.

Many of the issues listed in Option 1 will be accommodated in this proposal, with the increased floor area providing flexibility and some opportunity to address many issues of non compliance with respect to the Building Code of Australia and the Disability Discrimination Act 1992, but does not fully address the requirements of Australasian Health Facility Guidelines.

This Option also provides infrastructure to support a midwifery model of maternity care at Beaudesert Hospital.

The developing workload indicates that if expansion/alteration is staged to meet increasing demand, minor internal alterations will be required in 2011/12, expansion of Allied and Community Health will be required in 2016/17 and internal alterations to accommodate the inpatient workload (needing 29 overnight beds by 2021/22 and increasing to 38 overnight beds by 2026/27) will be required.

7 .2.2 Capital cost

Option 2 costs are based on the provision of refurbishment and expansion of existing infrastructure to meet the future service requirements of Beaudesert Hospital. Option 2 provides category 2 cost estimates including furniture, fittings and equipment, consultant fees and contingency at an estimated cost of $20.591 million (cost estimate at July 201 0).

7.2.3 Whole-of-life costs

Staging the upgrade works to take full advantage of the useful life of current fitout and equipment provides good value for money. The current operation of the Hospital manages to deliver services from spaces that are not purpose designed, but as there are a number of areas that are under utilised, the staff are able to adapt and complete tasks without increasing risk to themselves or their patients.

This Option will address increasing energy costs through asset improvement; however, will not resolve all infrastructure issues and therefore continued cost increases are anticipated as the building continues to deteriorate.

7 .2.4 Advantages


• minimal initial capital cost (through staging) and reduced disruption to the ongoing operation of the Hospital

• flexibility to revisit the proposition and implement focussed changes as they are required in the future.

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"PRINTED COPIES ARE UNCONTROLLED" Endorsed by HI PEG-does not represent Queensland Health policy at this time


Disadvantages include the following:

• Main disadvantage is the distribution of outpatient services and Allied Health treatment areas throughout the inpatient and clinical areas of the Hospital. This constitutes risks associated with cross infection and impacts upon patient privacy and staff safety.

• Escalation of costs will accrue against work that could be planned and completed now, at a reduced overall cost.

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7.3 Option 3 Option 3 fully resolves the Level 3 Service requirement for Emergency services and the Level 2 service requirements for Anaesthetic, Surgical, Children's and Medical services.

7 .3.1 Scope of this option

Option 3 is a more comprehensive development of the facility to better meet the Australasian Health Facility Guidelines for inpatient accommodation and includes the expansion of emergency and ambulatory care services outlined in Option 2 by increasing departments to accommodate increased patient throughput and improved security and separation between clinical/inpatient care areas and ambulatory services.

All of the issues listed in Option 1 will be accommodated in this proposal, with the increased floor area providing flexibility and some opportunity to address many issues of non compliance with respect to the Building Code of Australia and the Disability Discrimination Act 1992. This Option will also fully address the requirements of Australasian Health Facility Guidelines.

This Option is based on maternity services for the Beaudesert area being provided at Logan Hospital.

It is proposed that this Option will be completed under one contract, therefore minimising the duration of disruption to service delivery, but generating wider impact on the delivery of services.

7 .3.2 Capital cost

Option 3 costs are based on the provision of minor refurbishment and expansion of existing infrastructure and new build facilities to meet the future service requirements of Beaudesert Hospital. Option 3 provides category 2 cost estimates including furniture, fittings and equipment, consultant fees and contingency allow for an estimated cost of $22.470 million (cost estimate at July 2010).

7 .3.3 Whole-of-life costs

All new build stock will be designed and built to maximise opportunities of performance in energy, water, waste, etc while attending to the detail design in order to minimise maintenance requirements and guaranteeing the lasting qualities of the fabric and systems.

Due to the continued use of existing infrastructure during the phasing of the project it must be mentioned that the maintenance cost and issues due to the overall ageing of buildings and systems will have an impact in recurring costs as well as continued maintenance.

7.3.4 Advantages


• shortest possible period of disruption to service delivery

• compliance with all Australasian Health Facility Guidelines and Building Code of Australia standards

• allowance for the development of modern and innovative models of care

• increased opportunities for ecologically sustainable development and maximised benefits from energy efficient design principles

• reduced escalation against work that can be planned and completed now, at a reduced long-term cost.


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Disadvantages include high initial capital cost and significant disruption to the ongoing operation of the Hospital during construction.


Page 38 of 42

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8 Options analysis Options analysis has been undertaken in comparison to the principles as stipulated within the terms of reference for the Preliminary Infrastructure Planning Study.

• Make maximum use of current infrastructure through refurbishment, refit, reconfigure and expansion, and if required, new infrastructure.

• Compliance with the current access code requirements including provision of the Disability Discrimination Act 1992.

• Achieve value for money in capital and recurrent costs without compromising service provision.

• Any proposed program of works shall not minimise the existing functionality of the facilities and not compromise the future development.

• All options will consider, allow for and include environmentally sustainable design principles.

• Preferred option must demonstrate future proofing as a key principle.

Table 2: Option 1 analysis

Option features • Maintains status quo, addresses compliance issues to reduce risk and improve safety

Rationale • Minimise disruption to existing Hospital operation, maintain lowest expenditure but ensure facilities are safe. Excess area can continue to be maintained as storage, spare area until required at minimal cost.

Benefits • Lowest possible level of expenditure in the short term .

Risks • Predicted growth may not follow the expected service pathways and this could result in a need for additional facilities at Beaudesert

Assumptions • Access to appropriately trained staff will continue within the local area, improved technology will be available and provide improved efficiency.

• The current level of support provided by Logan Hospital will continue into the future.

Criticality • The facility will not support the projected service demand by 2021/22 whereby refurbishment will be required to demand.

Resource implications • Capital cost of $3.188 million

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Option features • Staged alterations to the Hospital with improved separation between ambulatory clients and inpatients will increase capability to address the predicted demand to 2026, with potential for future growth beyond.

• Midwifery model of maternity care is provided at Beaudesert Hospital within this Option.

Rationale • Staged development could be attractive for funding and can provide some improvement in the short term, where a single large project will take time to design and construct and will create disruption to operation of the facility.

Benefits • Staged development provides the opportunity to tailor the design during the process to take advantage of new technology and improved work practices as the project progresses.

Risks • Stages may be interrupted and the rate of improvement in service delivery will be slow in comparison to the increasing need within the community. This may create a loss of confidence and could affect the long-term viability of the Hospital

Assumptions • Funding will be available to allow staging .

• Service demand will follow predicted growth expectations for the area.

• Queensland Health endorsement to provide midwifery model of maternity care at Beaudesert Hospital.

Criticality • The ability to attract and maintain staff in the local area

• The facility will not support the projected service demand by 2021/22 whereby refurbishment will be required to demand



Option features • A more comprehensive refurbishment of the existing Hospital, with increased capability and capacity to meet the projected needs of the catchment population to 2026. The project will be completed under one contract, with scheduling of the works to minimise temporary work.

Rationale • The current facility has under-utilised areas within the Hospital and the opportunity to redevelop to improve efficiency and create a more distinct separation between services could provide improvement.

Benefits • The early improvement in service delivery will encourage long-term support for use of the Hospital

Risks • Design and construction for this scale of project will disrupt service delivery and could cause inconvenience to the local community.

Assumptions • Maternity services for the catchment are only provided at Logan Hospital.

Criticality • The ability to attract and maintain staff in the local area

• The facility will not support the projected service demand by 2021/22 whereby refurbishment will be required to demand


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tft Queensland ~ Government woodheadT.

Preliminary lnfrastru Planning Stud

Beaudesert H Volume 2 of 2 September 2010

Please note:

e

This report contains confidential information intended for the exclusive use of Queensland Health. No confidentiality is waived or lost by mistaken transmission. Information contained within this report is valid as at the date of issue only.

"PRINTED COPIES ARE UNCONTROLLED" Endorsed by HIPEC---<loes not represent Queensland Health policy at this time

List of Appendices

1 Key project team members ................................................................................ G

2 Architect's report ............................................................................................... 8

2.1 Scope ..................................................................................................... 8

2.2 Method ................................................................................................... 8

2.3 Exclusions .............................................................................................. 8

2.4 Standards used ...................................................................................... 8

2.5 lssues ..................................................................................................... 8

2.6 Conclusions and recommendations ........................................................ 9

2. 7 Existing functional relationships ............................................................ 13

3 Structural engineer's report ............................................................................ 15

3.1 Scope/method/exclusions ..................................................................... 15

3.2 Standards used .................................................................................... 15

3.3 Condition assessment .......................................................................... 15

3.4 Issues ................................................................................................... 16

3.5 Conclusion and recommendations ........................................................ 18

4 Civil engineer's report ...................................................................................... 19,

4.1 Scope/method/exclusions ..................................................................... 19

4.2 Standards Used .................................................................................... 19

4.3 Discussion of Issues ............................................................................. 23

4.4 Conclusion and recommendations ........................................................ 24

5 Building surveyor's report ............................................................................... 25

5.1 Scope ................................................................................................... 25

5.2 Method ................................................................................................. 25

5.3 Exclusions ............................................................................................ 25

5.4 Standards used .................................................................................... 25

5.5 Issues ................................................................................................... 27

5.6 Conclusions and recommendations ...................................................... 36

6 Hydraulic engineer's report ............................................................................. 38

6.1 Scope ................................................................................................... 38

6.2 Method ................................................................................................. 38

6.3 Exclusions ............................................................................................ 40

6.4 Standards used .................................................................................... 41

6.5 Issues ................................................................................................... 41


7 Electrical engineer's report ............................................................................. 43

7.1 Scope ................................................................................................... 43

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7.2 Method ................................................................................................. 43

7.3 Exclusions ............................................................................................ 43

7.4 Standards used .................................................................................... 43

7.5 lssues ................................................................................................... 43

7.6 Conclusions and recommendations ..................................................... .45

8 Communications engineer's report ................................................................ 46

8.1 Scope ................................................................................................... 46

8.2 Method ................................................................................................. 46

8.3 Exclusions ............................................................................................ 46

8.4 Standards used .................................................................................... 46

8.5 Issues ................................................................................................... 46

8.6 Conclusions and recommendations ..................................................... .47

9 Security engineer's report ............................................................................... 49

9.1 Scope ................................................................................................... 49

9.2 Method ................................................................................................. 49

9.3 Exclusions ............................................................................................ 49

9.4 Standards used ................................................................................... .49

9.5 Issues ................................................................................................... 49


10 Fire services engineer's report ....................................................................... 51

10.1 Scope ................................................................................................... 51

10.2 Method ................................................................................................. 51

10.3 Exclusions ............................................................................................ 51

10.4 Standards used .................................................................................... 51

10.5 lssues ................................................................................................... 51


11 Mechanical engineer's report .......................................................................... 52

11.1 Scope ................................................................................................... 52

11.2 Method ................................................................................................. 52

11.3 Exclusions ............................................................................................ 52

11.4 Standards Used .................................................................................... 52

11.5 Issues ................................................................................................... 52


12 Cost estimate .................................................................................................... 54

13 Comparison of options to Australasian Health Facility Guidelines .............. 57

14 Schedules of accommodation ......................................................................... 67

15 Beau desert Hospital plans .............................................................................. 77

16 Beaudesert Hospital photographic survey ..................................................... 81

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17 Conditions audit ............................................................................................. 121

18 Infrastructure gaps ......................................................................................... 133

List of Tables Table 1: Existing infrastructure table ....................................................................................... 9

Table 2: Beaudesert Hospital structural recommendations ................................................... 18

Table 3: Main Hospital building classification ........................................................................ 28

Table 4: Ancillary buildings classification .............................................................................. 28

Table 5: Doctor's residence building classification ................................................................ 28

Table 6: Compliance of buildings to relevant codes and standards ....................................... 28

Table 7: Beaudesert Hospital substation transformer capacity ............................................ .43

Table 8: Beaudesert Hospital emergency generator capacity .............................................. .44

Table 9: Beaudesert Hospital option 1 cost estimate ............................................................ 54

Table 10: Beaudesert Hospital Option 2 cost estimate ......................................................... 55

Table 11: Beaudesert Hospital Option 3 cost estimate ......................................................... 55

Table 12: Comparison of Options to Australasian Health Facility Guidelines 2009 ............... 57

Table 13: Comparison of existing areas to Australasian Health Facility Guidelines ............... 58

Table 14: Existing schedule of accommodation .................................................................... 67

Table 15: Comparison of existing areas to Australasian Health Facility Guidelines ............... 73

Table 16: Accident and Emergency Department conditions audit ....................................... 121

Table 17: Birthing/Maternity ward conditions audit.. ............................................................ 123

Table 18: Front of house conditions audit ........................................................................... 125

Table 19: General ward conditions audit... .......................................................................... 126

Table 20: Oral and Community Health conditions audit ...................................................... 128

Table 21: Services conditions audit .................................................................................... 129

Table 22: Staff amenities conditions audit .......................................................................... 130

Table 23: Theatres conditions audit .................................................................................... 131

Table 24: Infrastructure gaps .............................................................................................. 133

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"PRINTED COPIES ARE UNCONTROLLED" Endorsed by HIPEC---<foes not represent Queensland Health policy at this time

List of Diagrams Diagram 1: Beaudesert Hospital existing condition organigram ............................................ 13

Diagram 2: Beaudesert Hospital site layout .......................................................................... 20

Diagram 3: Comparison of existing areas to Australasian Health Facility Guidelines ............ 65

Diagram 4: Beaudesert Hospital existing site plan ................................................................ 77

Diagram 5: Beaudesert Hospital ground floor plan- original design intent ........................... 78

Diagram 6: Beaudesert Hospital ground floor plan- current use ........................................... 79

Diagram 7: Beaudesert Hospital lower floor plan .................................................................. 80

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1 Key project team members

Architectural consultant- Woodhead Pty Ltd

Maria Asenjo- Associate (Brisbane) Email: [email protected]

Paul Johnson- Health Care (Brisbane) Email: [email protected]

Gavin Adams- Regional Principal (Brisbane) Email: [email protected]

Garry Coff- Health Facilities Planner (Adelaide) Email: [email protected]

Cameron Grant- Project Leader (Brisbane) Email: [email protected]

Level 9, 333 Ann Street, Brisbane Phone: 07 3221 1333 Fax: 07 3221 6111

Building Code of Australia 2009 consultant- Philip Chun and Associates

Sean lgoe -Assistant Building Surveyor Email: [email protected]

49 Gregory Terrace, Spring Hill Phone:0738393499 Fax: 07 3839 2699

Structural/civil consultant- Arup

Stephanie Sarta -Structural/Civil Engineer Email: [email protected]

Richard Fairhead -Structural Engineer Email: Richard. [email protected]

Level 4, 108 Wickham Street, Fortitude Valley Phone: 07 3839 3499 Fax: 07 3839 2699

Hydraulics Consultant- MRP

Adams Williams - Hydraulic Services Designer Email: [email protected]

PO Box 8143, Woolloongabba Phone:0733977888 Fax: 07 3397 6888


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Mechanical/electrical/communications/fire services- Norman Disney & Young

Greg Symes -Senior Mechanical Engineer Email: [email protected]

Dwayne Smith -Fire Services Engineer Email: [email protected]

Pramod Pillai - Senior Electrical Engineer Email: [email protected]

41 Raff Street, Spring Hill Phone: 07 3120 6800 Fax: 07 3832 8330


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2 Architect's report

2.1 Scope The purpose of this report is to record the current condition of the Beaudesert Hospital, assess the existing spatial and relational arrangements of the various rooms and departments, record the current services provided by the Hospital and review any issues the users of the buildings may have with regard to each building's function. This information along with that of accompanying consultants will be used in this report to present potential options for upgrade, expansion and future development.

This report has been prepared following a physical inspection of the site carried out on 12 April 2010. The inspection was carried out by Cameron Grant and Joshua Greaney of Woodhead Brisbane office and is accompanied by a photographic study of the facility.

2.2 Method Drawings retrieved from the Project Services website (http://www.projectservices.Qid.gov.au/home/home.asp) were used and compared with the actual building(s) on site. Meetings were held with the various building managers and the information gathered was collated to form this report.

2.3 Exclusions This inspection was generally limited to areas unoccupied by patients and to areas physically accessible at the time of the visit. Informed assumptions have been made for these inaccessible areas. Some ancillary buildings, such as the Medical Superintendant's house, were limited to external assessment only.

2.4 Standards used An understanding of Australian Standard 1428.1-2010 and Australian Standard 1428.2-992 allowed for a more informed view of the options available for this facility during the site visit. These standards are used when comparing the current Hospital with current requirements of the Building Code of Australia 2009.

The Australasian Health Facility Guidelines are used to assess the Hospital against current Queensland health care design standards. The comparison assessment is found in Appendix 8 of this report.

2.5 Issues The building is under-utilised for the services it was designed for. The Operating Theatres and Maternity wards are generally disused for original intent and occupy a large portion of the floor area. The Maternity wards are currently used as Allied Health training rooms, consulting rooms and equipment stores.

Numerous access points along the southern and eastern elevations make access to different departments potentially confusing.

Community Health seems disassociated with the main foyer. An internal thoroughfare may be useful.

Access to wards seems removed from main foyer and difficult to navigate. Currently access is via crossing the Emergency Department and ambulance zones to access wards from main drop-off zone.

The building generally complies with the current Building Code of Australia 2009 requirements however is deficient with some current Australasian Health Facility Guidelines standards.

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2.6 Conclusions and recommendations An assessment has been undertaken to evaluate if the existing infrastructure can meet the requirements of the future service plan.

Table 1: Existing infrastructure table

Key components of Services Plan Ability of existing infrastructure to meet requirements of Plan

1. General comments Of the 209 existing rooms on site (excluding Community Health) approximately 25 per cent are below Australasian Health Facility Guidelines requirements. The concentration of the minor shortfall is in the Imaging Department and Dental Surgery, with many of the en-suites in the wards falling short of the required areas. The average occupancy is of 16 beds although there are 34 potential spaces available including three in the High Dependency Unit, one Palliative Care and four Paediatrics. The main areas to be re-developed/increased in efficiency/space are the Emergency and the Community Health Departments.

2. Provide Level 3 emergency service The existing unit area falls short of complying with the Level 3 service provision in the Australasian Health Facility Guidelines by 272.8m2

.

Five treatment bays have been provided (including the eye consultant room) however they are all undersized to be considered as resuscitation bays. There is currently no dedicated resuscitation bay. Lack of a consult room with en-suite could compromise patient privacy especially when a sexual assault consultation room is required. A complying ambulant toilet could not be identified in the unit, however nearby amenities could be brought to compliance. The unit lacks adequate trolley space and no disposal room has been identified. Staff amenities are not locally situated. This should only be corrected if adversely affecting performance of the unit.

3. Provide Level 2 adult medical While a Level 2 service provision is required in the services Service Activity Data Report (May 201 0), the

Australasian Health Facility Guidelines provides a generic Inpatient accommodation list for all service levels. The existing unit area falls short of complying with the service provision in the Australasian Health Facility Guidelines by 354.9m2

.

According to the Health Planning Units of the Australasian Health Facility Guidelines the current inpatient accommodation lacks the following:

• dedicated geriatric Ward

• dedicated patient isolation ward

• clean utility

• clean linen bay

• disposal hold

• general storage

• hand wash bays

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• dedicated accessible toilet to department Redevelopment should including these. Rooms that are currently undersized are:

• patient laundry

• cleaner's room

• staff station

• staff office Compliance of en-suites to be confirmed. Area is slightly small for compliance with the Australasian Health Facility Guidelines. The patient lounge and dirty utility should be reconfigured to comply with the Australasian Health Facility Guidelines. Most of these can be accommodated through reuse of existing rooms and room sharing within the department.

4. Provide Level 2 children's medical The Paediatric Ward is sufficient for the application. services

5. Provide Level 2 surgical services The existing unit area is deficient of 149.2m2 according to the Australasian Health Facility Guidelines. The non sterile preparation room, dirty utility, clean utility, cleaner's room, change rooms and ablutions are all under the required area listed in the Australasian Health Facility Guidelines. The Central Sterile Supply Department is provided from the Logan Hospital.

8. Provide Level 1 maternity services While a Level 1 service provision is required in the service activity data report (May 201 0), the Australasian Health Facility Guidelines minimum service level is Level3. The existing unit area has an excess of 141.8m2 according to the Australasian Health Facility Guidelines. According to the Australasian Health Facility Guidelines the department lacks the following:

• three dedicated consultation rooms

• child friendly waiting room

• dedicated multi-purpose staff/antenatal/postnatal education room

• two dedicated cot spaces

• resuscitation bay/cot

• feeding room

• feeding preparation room . Many of these spaces could be shared with other Departments if required. Currently the Maternity Department is used for Allied Health offices and consultation rooms. These would need relocating for Maternity to be reinstated.

9. Provide Level 3 Medication services A Level 3 pharmaceutical service lacks 89.8m2

according to a Level 3 service provision in the Australasian Health Facility Guidelines. The Beaudesert Hospital will continue to be outsourced by the Logan Hospital Pharmacy Department and therefore the existing space is sufficient for the predicted demand.

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10. Provide Level 2 pathology services A holding room has been provided and the specimen's with on site laboratory taken to Logan Hospital for analysis. This process will

continue in the future.

11 Provide Level 1 medical imaging While a Level 1 service provision is required in the services Service Activity Data Report (May 2010), the

Australasian Health Facility Guidelines minimum service level is Level 2. The existing unit area has a deficit of 24.1 m2 according to the Australasian Health Facility Guidelines. The current department has an undersized film/chemical store and cleaner's room.

12. Provide Level 1 rehabilitation With the rehabilitation department occupying most of the services maternity ward the department has an excess of

258.2m2. The clinical supplies room within this

department is currently undersized.

13. Provide Level 3 palliative care Current wards are suitable to accommodate palliative services care services.

14. Disability Discrimination Act (1992) Most corridors and door approaches are compliant. compliance. The current non compliance may be managed through

the obtaining of a certificate and management plan from a disability discrimination consultant. Where major non compliant items are identified they should be corrected. This includes providing compliant accessible toilets throughout.

15. Assessment on the continued An upgrade of regulations and changes in services will demand on the building fabric require reassessment of the main building for future

expansion proposals. There is scope for expansion on site and for refurbishment to ease the tension on future demand.

16. Functional lifecycle of current Structural fabric of main buildings on the site is buildings identify life point to 2026 considered to be in good condition.

17. Services: electrical The electrical services are in good condition with only exit signs and kitchen over hood requiring attention. Loading would require reassessment with building increase.

18. Services: communications The system is in good condition with minor works required to meet compliance.

19. Services: fire services The kitchen hood suppression system should be re-instated, or fully decommissioned and removed from site. The fire alarm system is otherwise in satisfactory condition.

20. Services: mechanical The system is in good condition however the air cooled chillers will require replacing in the near future.

21. Services: hydraulic The system is in good condition with minor works required for compliance. Capacity should be reassessed in the event of building expansion.

22. Site infrastructure The site is generally in good condition although the road surfaces are showing signs of deterioration.

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23. Structural condition • main Hospital building- excellent

• Medical Superintendant's house- good

• substation - good

• Day Respite Centre - undergoing refurbishment

• staff shed -good condition

• maintenance shed -good condition

• bin store- good condition

• equipment store - good condition

• service delivery - good condition

• parking- fair condition

• helicopter pad - good condition

24. Building viability into the future 'fit for The building is generally in good condition and fit for purpose' purpose. There is sufficient room to expand, refurbish,

and rearrange the facility to meet future demands with minimal impact on the existing infrastructure.

25. Critical infrastructure issues e.g. Emergency Department is undersized in its components Maternity, Emergency Department, and should be expanded to meet the space Operating Theatre requirements of the Australasian Health Facility

Guidelines. The Community Health is also isolated, undersized and should be increased to meet the needs of the department. If the Maternity services are reinstated the facility should be expanded to accommodate the relocation of the Allied Health Department's room currently located in the former birthing suites.

26. Building Code of Australia 2009 Items identified in the consultants report should be compliance made good where they relate to health and safety, fire

safety and accessibility.

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2.7 Existing functional relationships The following relationship diagram illustrates the existing clinical relationships of the facilities at Beau desert Hospital.

Diagram 1: Beaudesert Hospital existing condition organigram


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3 Structural engineer's report

3.1 Scope/method/exclusions Structural inspection of the Beaudesert Hospital was undertaken on 8 June 2010 by Stephanie Sarta and Richard Fairhead of Arup. Other consultants were present to carry out inspections under different disciplines. In order to carry out the building assessment efficiently, the consultants were split up in different groups based on their expertise. Arup was accompanied by officers from Beaudesert Hospital.

The extent of Arup's scope of services was to assess the condition of the main building of Beaudesert Hospital only, thus other buildings located within the Beaudesert Hospital complex are excluded from the assessment (i.e. the Medical Superintendant's residence).

The method of assessment was to review all available existing documentation, carry out visual condition assessment of the Hospital building, take photographic evidence where appropriate and have discussion with the Hospital staff where possible and appropriate to do so.

No detailed calculations or quantitative assessments of the adequacy or compliance of the building with past or current design codes were carried out in the course of the inspections described herein, nor were any enquires made of statutory authorities in connection with the existing services on the site.

Due to the fact that most structure and some facade elements are hidden by finishes, ceilings and other coverings, the assessment is based on a limited total area of the building. Note that thorough visual inspection was only conducted on accessible spaces throughout the building, i.e. where the space is inaccessible due to height restriction or safety issues, inspection could only be made from a safe point of access. In accordance with scope of the services and due to the time frame of the assessment any materials sampling, testing or invasive investigation were not undertaken for this assessment.

3.2 Standards used No particular standards were used in assessing the Beaudesert Hospital facility (see above for exclusions on detailed calculations/design or quantitative assessments of the existing structure).

3.3 Condition assessment The Beaudesert Hospital complex is approximately 10 years old, being opened on 1 July 2000. The main Beaudesert Hospital building is mainly single storey, with a small part on the northern side having two storeys to provide temporary accommodation for staff on the lower level. The building comprises load bearing blockwork walls with cavity brick construction around the perimeter of the building and internal conventionally reinforced concrete columns. The building flooring comprises mainly conventionally reinforced concrete slab on footing with parts of the building having concrete slab on ground and suspended concrete slab. The foundation to the building consists of pad footings, each with allowable bearing capacity of 600kPa (note that this value is derived from structural drawings 'for tender' and confirmation of this bearing capacity is needed from 'as built' drawings). The roof is a mixture of steel members and timber trusses, supporting corrugated metal sheeting roof cladding. The building stability is provided by the perimeter load bearing blockwork wall and a staircase core on the north side of the building. Three car park areas are located on ground, two within the facility and one outside of the facility (recessed street parking).

There is a steel framed roof awning at the main entrance to the Hospital building, presumably to provide weather protection at the main patient drop-off area to the Hospital.

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The following structural drawings were available for our review:

• footings and lower ground floor slab plan "For Tender" Issue A

• ground floor slab plan "For Tender'' Issue B

• roof plan "For Tender" Issue B

• plant room slab plant "For Tender" Issue A

• foundation plan and details "Uncontrolled Copy For Construction" Issue K

• lower floor plan and details "Uncontrolled Copy For Construction"

• ground floor plan south "Uncontrolled Copy For Construction"

• ground floor plan north "Uncontrolled Copy For Construction"

• block wall marking plan north "Uncontrolled Copy For Construction"

• roof framing plan sheet 1 "Uncontrolled Copy For Construction"

• roof framing plan sheet 2 "Uncontrolled Copy For Construction"

• porte cochere roof framing plan sections * details sheet 1 "Uncontrolled Copy For Construction"

3.4 Issues The building appears to be in good condition for its age. From the areas available for review, there did not appear to be any major structural issues with the building, however the following was noted during the visual condition assessment:

3.4.1 Crack on internal finishes around the perimeter of building

The majority of cracks on internal partition walls were found mainly along the perimeter of the building. Due to the arrangement of the timber trusses at the roof, it is suspected that the cracks may be caused by the timber trusses shrinking and swelling (due to change of moisture level) over the years, putting movement loads onto the load bearing perimeter blockwork wall thus causing cracks on the internal partition walls which do not generally accommodate movements very well. For a building of this age, cracks caused by natural building movement are considered common and are not generally deemed structural issues. It is suggested that monitoring of these cracks and to report any sudden increase in numbers and/or size of the cracks for further investigation.

Photo 1 -Cracked render at corner of internal walls Photo 2 - Crack on internal partition wall

3.4.2 Minor efflorescence on blockwork wall

Some parts of the external blockwork wall were found to have minor efflorescence (calcium deposit on the surface of blockwork wall). Efflorescence occurs when moisture moves through the blockwork wall and bringing with it calcium, a component of the brick. As the moisture leaves the brick the calcium is deposited on the surface of the wall. This would typically be deemed as aesthetic issue. It would be advisable to schedule a blockwork maintenance regime to wash off the calcium deposit to restore the aesthetic of the wall. If aesthetic of the Hospital building is considered a priority, it may be possible to speed up the process of the calcium leaching by hosing down the wall with water however we do not believe this action is necessary.

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Photo 3 - Minor efflorescence on blockwork wall

3.4.3 Leak on ceiling tile

During our inspection, a leak stain on ceiling tile was observed at the northern side of the building (beds 24-27). The Hospital maintenance staff advised during the preliminary meeting that it was recently discovered that some parts of the roof is allegedly missing the flashing, however they are unsure of the location of the missing flashing. The leak in this room could either come from the location of the missing flashing or it may be condensation leak from the air conditioning system. Without lifting up the ceiling tile and looking into the ceiling space the source of the leak could not be confirmed, however this was not possible as the area surrounding the room was busy during inspection.

As the leak occurs in a ward room it is important to identify the source of the leak, rectify any issue and have the ceiling tile replaced to prevent any health hazard that it may cause to patients staying in this ward.

Photo 4 -Leak stain on ceiling tile in beds 24-27

3.4.4 Insufficient waterproofing membrane turn-up at plant room

It is noted that the waterproofing membrane at the plant room only has approximately 10-20mm turn up to the raised. concrete slab on which the mechanical plants sit on. For plant rooms it is typical to have approximately 1 00-150mm of waterproofing membrane turn-up to ensure that the mechanical plants are kept dry. As Hospital maintenance staff was not aware of any issue raised with the maintenance of the mechanical plants, it is assumed that this waterproofing membrane detail has not caused any issue with moisture getting into the mechanical plants. Monitoring of the result of the plant maintenance regime may be carried out to ensure there is no slab moisture issue with the mechanical plants.

Photo 5 -Insufficient waterproofing membrane turn up at plant room

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3.5 Conclusion and recommendations In general the Beaudesert Hospital facility appears to be in good condition for its age. During inspection the following issues were identified to note for monitoring and/ or maintenance purposes.

Table 2: Beaudesert Hospital structural recommendations

Item Risk(s) Recommendation

Crack on internal finishes No major risks identified at present. Monitoring of the cracks to be included in Hospital maintenance regime.

Minor efflorescence of No major risks identified at present. Cleaning up of wall to be blockwork wall included in Hospital

maintenance regime.

Leak on ceiling tile May present health hazard with Carry out further investigation moisture and/ or mould on leak on source of leak and replace stain. stained ceiling tile.

Insufficient waterproofing May carry moisture into raised plant Monitor result of plant membrane turn-up slab however this has not been maintenance regime to ensure

identified on plant maintenance there is no slab moisture issue. regime.

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4 Civil engineer's report

4.1 Scope/method/exclusions The inspection of the civil engineering aspects of the Beaudesert Hospital was undertaken on 8 June 2010 by Stephanie Sarta and Richard Fairhead of Arup. Other consultants were present to carry out inspections for other disciplines. In order to carry out the building assessment efficiently, the consultants were split up in different groups based on expertise. Arup was accompanied by Beaudesert Hospital Maintenance staff.

The extent of Arup's scope of services was to assess the condition of the civil works and structural aspects of the Beaudesert Hospital complex. In accordance with scope of the services and the time frame of the assessment, detailed calculations or quantitative assessments have not been carried out nor has the adequacy or compliance of the civil works with past or current design codes been assessed. Enquires with local statutory authorities in connection with the existing services on the site has not been carried out and materials sampling, testing or invasive investigation has not been undertaken. The civil works assessment is limited to what was evident from a visual inspection of the areas of th~ site external to the buildings. This has not included areas around the Day Respite Care and Therapy Centre and Medical Superintendent residence.

The assessment involved review of available existing documentation, a visual condition assessment of the complex, photographing relevant items and holding a discussion with the Hospital staff where possible and appropriate to do so.

4.2 Standards Used The following guidelines were used as reference:

• The Scenic Rim Regional Council Design Guidelines (Beaudesert Shire Council Design and Construction Manual, Design Requirements, Issue B, date: 31 Jan 2005) section 2.4.12 Parking refers to Austroads- Guide to Traffic Engineering Practice Parking Part 1i for design of car parks in the Shire. This document has been superceded by Austroads Guide to Traffic Management Part 11: Parking.

• The Building Code of Australia 2010 has also been referenced for disabled parking requirements.

No other standards have been referenced. This report is a summary of the condition of the visible aspects of the areas of the site external to the building.

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"PRINTED COPIES ARE UNCONTROLLED" Endorsed by HIPEC---does not represent Queensland Health policy at this time

Diagram 2: Beaudesert Hospital site layout

The Beaudesert Hospital complex was opened on 1 July 2000 so is almost 10 years old. The southern portion of the site is taken up with the helicopter landing area, the middle portion is the Hospital buildings and the northern smaller portion is generally vacant with the exception of the diesel generator, chillers and a pad mount transformer.

There are four access points to the Hospital site from Tina Street which bounds to the site to the west. Tina Street is a two-lane two-way road without line marking.

With reference to Figure 1:

• access #1 is a two way access, providing site access to the circulating road

• access #2 is a two way access providing access to the Hospital public car park

• access #3 is entry only to the ambulance drop off I pick up area at the main Hospital building entrance

• access #4 is an exit only cross-over, for exit from the circulation road and the ambulance drop off I pick up area at the main building entrance.

Parking for the Hospital consists of thirty 90 degree angle car park spaces on Tina Street, an on-site public car park in the south eastern corner of the site with 44 car park spaces and four disabled car park spaces, and further parking for eight cars plus two disabled car park spaces on the western side of the building, accessed from the circulation road.

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Within the site, footpaths are provided from the larger car park to the building and from the building to the western car park. There is a public footpath along Tina Street on the eastern side of the site.

4.2.1 Pavements

All roadways within the site and the parking on Tina Street have asphalt concrete pavement. The tender drawings provided to the assessment team suggest that three different types of pavement have been used, but no as-built information has been provided to confirm this.

Generally the condition of the asphalt concrete pavement is reasonable with some minor cracking in all areas. The more significant deterioration is in parts of the circulation road which are understood to be older than ten years, in the southern and south-western part of the site. Pavement patching has been carried out on the circulation road at the south western part of the site adjacent to the helipad (refer photos 7 and 8) and also at the inner side of the hairpin bend in the roadway to the sheds (refer photo 9). The cracking in other areas of the circulation road and car parks is similar to that on the western side of the building (refer photo 6). Some sections of kerb and channel and shallow concrete drainage channels have cracking and some concrete is broken away (refer photos 7 and 9 below).

Photo 6- Cracking in circulation road pavement at west side of building.

Photo 8- Patched pavement at south east part of the site, adjacent to the helipad

Photo 7 - Patched pavement at south east part of the site, adjacent to the helipad

Photo 9 -Pavement patching on circulation road and cracking in the drainage channel.

The loading dock on the southern side of the building has concrete pavement with several long cracks.

Photo 10- Loading dock pavement.

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The helipad and access to the helipad is constructed of concrete. It is not known when this pavement was constructed but from the extent of inspection of this restricted area that was possible, it appears to be generally in reasonable condition, with no obvious significant deterioration.

Photo 11 - Helipad and helipad access pavement

The footpaths on the site are constructed of concrete, and are also generally in reasonable condition. There are some locations of differential settlement between paths and building thresholds.

Photo 12- Differential settlement between path and building.

At some locations the compressive filler in the footpath joints has deteriorated.

The set of stairs on the western side of the building (at grid N12) appears to have settled approximately 30-40mm, as indicated by the strip of bare concrete below the painted side walls. Notwithstanding the stairs and adjacent paths are in reasonable condition with no significant cracking or breaking away of concrete.

Photo 13- Ground settlement of concrete stairs from concrete footpath as seen on unpainted parts of stairs

4.2.2 Drainage

The southern end of the site is the high point with gentle slopes away from the helipad to the west, south and east. From the approximately grid 1, the site falls more steeply to the north and the vacant land to the north of the buildings falls more steeply again to the north eastern corner of the site.

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Drainage is a combination of overland flow and a formal underground drainage system. The plans provided (Alexander Browne Cambridge and Partners Pty Ltd drawings, Preliminary Road Layout Plan Sheet 1 (31935/15918/DD/C2) and Sheet 2 (31935/15918/DD/C3)) indicate that the underground drainage is collected to a point within the circulation road at the north east corner of the building and discharged to Tina Street, though there is no information regarding the location or size of the stormwater system it is proposed to be connected to. There are collection pits over the site, in all roadways and car parks and within the grassed areas. The vacant area to the north of the building would drain by overland flow to the north eastern corner of the site.

4.2.3 Services

For details of services refer to the services report. Services are not part of the civil works inspection and reporting.

4.3 Discussion of Issues From preliminary discussion with Hospital staff, there does not appear to be particular issues that the Hospital maintenance staff are aware of or consider as requiring attention.

4.3.1 Pavements

The pavement appears to be performing adequately in most locations with the exception of those areas identified in section 3.2 with areas of patching. As it is understood this section of the circulation road is older than the rest of the facility (age is unknown), this is not unexpected but due to the localised areas suggest a localised cause of deterioration. It is noted that none of the patching appears to be recent so it may be that pavements are currently satisfactory, but if the frequency of patching is high further investigation should be carried out in these areas to identify the cause and carry out pavement reconstruction including replacement of the subgrade material if required.

In the areas of cracking the pavement is not currently deteriorating but these should be patched to prevent ingress of water which could lead to pavement break down.

Similarly the concrete pavement in the loading dock should be patched to prevent water ingress.

4.3.2 Drainage

It is not known if there are any problems with the current drainage system in terms of capacity or condition. Some of the grated inlets are of the older style, but there is no need to replace these if they are performing satisfactorily.

4.3.3 General

If the client wishes to understand whether all disability access requirements have been met a specific study would be required as it is beyond the scope of this assessment. As a general observation, there appears to be paths of adequate width at relevant locations to provide access for wheel chair users. A specialist access study would be required to confirm that all relevant Australian requirements for disability access are complied with.

There are no segregated pedestrian routes within the car parks.

The total number of parking spaces is 82 car parks and six disabled parking spaces. Table 3.1 of Austroads Guide to Traffic Management Part 11: Parking provides guidelines for car park numbers. For a Hospital it suggests:

"1 space for every 3 licensed Hospital beds in ward areas plus five for every operating theatre plus one for every 25 m2 of gross floor area of all areas not assessed as ward areas or operating theatres."

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As the Hospital is 40 bed facility, 14 car parks would be required for the beds, leaving 68 spaces to satisfy the operating theatre and gross floor area requirements. At the preliminary meeting with Hospital staff we were informed that the Hospital is currently only operating as an approximately 16-23 beds facility thus the number of car parking is likely to satisfy the requirements for its current 16-23 bed Hospital facility. Should the Hospital runs at its full capacity, if it is assumed there are two operating theatres, there would be 58 spaces for the non-ward and non-theatre areas, meeting the requirements for 1450m2

• If approximately more than two thirds of the floor area of the Hospital is ward or operating theatre then the total number of parks would be in the vicinity of being appropriate. This assessment should be checked with the relevant accurate information.

In accordance with the Building Code of Australia 2009, section 03.5, one disabled space is required for every 50 car parking spaces or part thereof, so two disabled parking spaces would be required and this is complied with.

Widths of roadways and crossovers have not been checked for compliance with standards.

4.4 Conclusion and recommendations On the basis of the inspection carried out as discussed in this report, there does not appear to be any civil infrastructure elements in need of major repair. The following actions should be considered immediately:

• patching of the cracks in the pavement in the roadways and car park areas

• patching of the cracks in the concrete pavement in the loading dock

• replacement of the compression material between concrete slabs in footpaths, where it has deteriorated

• grinding of the corners of slabs where differential settlement has created a trip hazard at the building thresholds

• replacement of kerb and channel where it has cracked significantly and is breaking up.

Further works that may be considered:

• investigation of the areas of pavement that have had significant patching to identify the cause and carry out repairs

• commissioning of a study to confirm compliance with disability codes

• if there are particular issues with drainage, a study of the drainage patterns on the side and an assessment of the drainage system.

• provision of a pedestrian footpath with access ramps on the western side of the south eastern car park to separate pedestrians from vehicles.

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5 Building surveyor's report

5.1 Scope Scope of works includes the following aspects:

• inspect and comment on the building legislation compliance of the buildings and structures on the site(s)

• identify matters that do not comply and recommend steps to meet requirements of the Building Code of Australia 2009

• identify matters that require immediate attention to achieve compliance, as well as those that will require attention should the building undergo major refurbishment

• include within the report the class of building(s) and compare against various certificates, building approvals

• review access for people with disabilities. The report is not considered to be a detailed audit of compliance into disability discrimination.

Philip Chun only accepts responsibility for the signed original copy of this report.

Philip Chun accepts no responsibility for any loss suffered as a result of any reliance upon this report other than as being accurate at the date of assessment/property was inspected for the purpose of this report.

5.2 Method In preparing this report the following methods have been carried out by Philip Chun.

A non-invasive, visual'walk- thru' inspection conducted on 8 June 2010 of the existing Hospital precinct, to review building/s against the requirements of the current Building Code of Australia 2009.

5.3 Exclusions The following exclusions are not part of this Infrastructure Renewal Project report due to either restricted access or as directed by Queensland Health:

• assessment of the building for compliance with The Disability Discrimination Act 1992 (Commonwealth) and Anti-Discrimination Act 1991 (Queensland)

• Doctor's residence - single detached private dwelling located on site (restricted access).

5.4 Standards used Where this report refers to Building Code of Australia 2009 this references the revision of the Code current at the date of this report. In terms of Australian Standards used, refer Building Code of Australia 2009 Specification A 1.3 which list documents adopted. Some of the more frequently referenced Australian Standards in this report are:

• Australian Standard 1428.1-2001- Design for access and mobility

• Australian Standard 1657-1992- Fixed platforms, walkways, stairways and ladders

• Australian Standard 1670-2004 - Fire detection, warning, control and intercom systems

• Australian Standard 2293.1-2005 - Emergency escape lighting and exit signs

• Australian Standard 2419.1-2005 - Fire hydrant installations

• Australian Standard 2441-2001 - Installation of fire hose reels

• Australian Standard 2444-2005 - Portable fire extinguishers and fire blankets.

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In preparing this report the following research has been carried out by Philip Chun.

5.4.1 Building Act and regulations

Unless noted otherwise, this report assumes Beaudesert Hospital complies with the Queensland Building Act 1975 and regulations enacted at the time building approval was granted.

Existing buildings may require upgrade of entire building to current standards.

As previously mentioned, Section 81 of Queensland Building Act 1975, applies to proposed alterations to an existing building. An existing building or part of a building may require upgrade to conform with current standards if the proposed alterations, including any previous structural alterations completed or approved in the previous three years, represent more than half (50 per cent) the total volume of the original building, or the safety of persons accommodated in or using the building, or the risk of fire spread to adjoining buildings warrants the requirements.

Inspection identified majority of Beaudesert Hospital underwent full re-development in 2000.

5.4.2 Fire compartments

Visual inspection identified Hospital was divided into series of fire/smoke compartments.

Understanding any proposed development would involve fire compartmentation, consideration may require the re-direction and treatment of services. Any service through a firewall must be treated in accordance with Part C3 of Building Code of Australia 2009 or may require re-direction to avoid penetrating the fire wall. It is recommended services engineers be consulted to determine the implications of services penetrating through fire/smoke walls and forming different fire compartments.

5.4.3 United building

The Building Code of Australia 2009 permits adjacent buildings to be considered one united building for the purposes of achieving compliance. If considered a united building then the requirements for the most onerous part of the building (i.e. Hospital - Type 8 construction) would apply to all parts of the building.

Site contains several ancillary buildings, however, they are individual 'stand alone' buildings deemed adequately separated (i.e. >6m apart) from each other, therefore, not considered as 'united' buildings.

5.4.4 Alternative Solutions

This report is an assessment against the Deemed-to-Satisfy provisions of Building Code of Australia 2009.

Taking into consideration the main Hospital underwent full re-development in year 2000, it would appear Building Code of Australia 2009 (excluding Part J energy efficiency provisions) and Australian Standards requirements were adopted.

It is recommended a copy Certificate of Classification be provided to Philip Chun, in order to obtain holistic understanding on buildings life and fire safety strategy.

5.4.5 Certificate of classification

The Certificate of Classification for the buildings was not available at the time this report was prepared. It is assumed that the current building occupancy is in accordance with the classification and conditions described on the Certificate of Classification.

Page 26 of 136


5.5 Issues To assist in identifying the key Building Code of Australia 2009 non compliance matters within this report, some of the more onerous issues are highlighted below:

5.5.1 Main Hospital

• Enclosure of space beneath stairs to form cupboard (i.e. two cleaner's cupboards under stairs serving plant area) has no fire separation. Enclosing walls and ceiling must have a fire resistance level of not less than 60/60/60 and fitted with a -/60/30 self closing fire door.

• Handrails/ balustrades serving external stairway/ramp do not meet compliance.

• Sanitary facilities for people with disabilities, in some instances do not meet compliance with Building Code of Australia 2009 and Australian Standard 1428.1 requirements.

• Exit signage should be upgraded to ensure compliance with Australian Standard 2293.1 is achieved.

This report also summarises the identified areas of non compliance with the Building Code of Australia 2009 and outlines recommended actions.

Section 81 of the Queensland Building Act 1975 provides a building may be upgraded to current standards if:

• alterations represent more than half of the total volume of the original building

• the safety of persons accommodated in or use the building, or the risk of fire spread to adjoining buildings warrants the upgrade.

Section 81 requires building work not reduce the existing:

• level of fire protection for persons accommodated in, or using, the building

• level of resistance to fire of the building

• safeguards against the spread of fire to adjoining buildings and structures

• level of emergency egress from the building or structure.

Other issues to be investigated include:

• review of fire services and connection with existing system

• services penetrations through fire and smoke compartments.

Understanding where alterations may involve fire compartmentation, it is recommended services consultants advise the implication of the re-direction or treatment of services passing through proposed new fire/smoke walls.

5.5.2 Description of the Buildings

The current site is occupied by main Hospital building a few ancillary buildings and a helicopter landing pad. As mentioned earlier in this report, Philip Chun did not conduct an internal inspection of the 'stand alone' Doctor's residence.

Main Hospital underwent a major re-development in 2000.

Main Hospital building consists of masonry construction (concrete slab) combined with steel/timber framing and roof members. External cladding made up of render/face brickwork. Roof material is 'color bond' metal sheeting.

Ancillary buildings (shed and workshop) are on all slab on ground with metal frame/roof members and cladded in 'colorbond' metal sheeting.

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Buildings were served via series of external fire hydrants (dual pillar outlets) along with fire/smoke detection, call points and occupant warning system, fire indicator panel located on ground floor foyer of main Hospital, internal/external fire hose reels, portable fire extinguishers were all provided.

For the purpose of Queensland building legislation and the current Building Code of Australia 2009, the following existing building(s) were part of the non-invasive 'walk-thru' inspection conducted by Philip Chun on 8 June 2010 and identified the following:

Table 3: Main Hospital building classification

Building Use Health care/administration/staff accommodation

Classification Class 9a/Ciass 5/Ciass 3

Rise in storey 2

Type of construction Type B

Floor areas (approx. only) >2000m2

Climate zone 2

Note: Staff Accommodation (Class 3 port1on) 1s located on lower level 'basement' portion of building. Hospital (Class 9a/5) portion is entirely located on ground floor.

Table 4: Ancillary buildings classification

Building Use Workshop/shed

Classification Class ?b/8

Rise in storey 1

Type of construction Type C

Climate zone 2

Table 5: Doctor's residence building classification

Building Use Vacant

Classification Class 1a (single detached dwelling)

Rise in storey 1

Type of construction Type C

Floor area (approx. only) 200m2

Climate zone 2

Bnck house, used as Doctor's pnvate residence, was not Inspected due to restricted access.

Table 6: Compliance of buildings to relevant codes and standards

Part A- General Provisions

Part A3- Classification of buildings ,.Clause~~~ {Oescriptiob':; '~~ OGmmerit. ~;, ')'~';: ',,, ~omptiai)c~ :~~ .. ,.' ... ·. ~r

A3.3 Multiple Building Class 9a - health care Note only classification Class 5 -offices/administration

Class ?b/8 -workshop/store Class 3 - Nurses accommodation

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Part B- Structure

Part 81 -Structural provisions Clause . ·.·· , Description

81.2 Loads

Part C - Fire Resistance

Part C1 - Fire resistance and stability 9/i{use , Description C1.1 Type of Construction

required.

C1.2

C1.10

Calculation of rise in storeys.

Fire hazard properties.

Part C2 - Compartmentation and separation

The objective of this part Philip Chun has not undertaken a is to safeguard people structural analysis of the existing from injury caused by building. structural failure. Reference should be made to the

structural engineers report.

~·· Compliance

Main Hospital building and Nurse QuartersType 8 construction. Remainder of buildings all Type C construction.

Main Hospital (class 9a) located on ground floor, whilst staff accommodation (class 3) is located on lower 'basement' ground level. Remainder of buildings are all single storey.

Stipulates minimum fire hazard properties of materials susceptible to the effects of flame or heat.

No investigation was undertaken to determine the fire resistant construction of the building. It is assumed the building complied with building legislation at time of construction.

Two

Single storey

No testing of the buildings floor, wall and ceiling linings was undertaken to ensure compliance with fire hazard properties.

Clause Desti"ipUon " ···· 'Comment .'' Compliance " !~ i_ C2.5 Class 9a occupancies This part protects

must be separated into patients from the spread compartments as per of fire/smoke. C2.5. Patient care areas must be divided into fire compartments with floor area no more than 2,000m2

.

Ward areas must be divided into floor areas no more than 1 ,000m2 with walls having fire resistance level 60/60/60. Additionally, the ward areas are to be separated into floor areas of no more than 500m2 with smoke proof walls complying Spec C2.5.

Visual inspection and discussion with on site maintenance personnel confirm buildings have no fire/smoke separation and no fire/smoke doors installed.

"PRINTED COPIES ARE UNCONTROLLED"

Generally complies. Fire/smoke walls were identified throughout Hospital. Class 9a (patient/ward) areas appeared to be divided into fire/smoke compartments and fire separated from Class 5 (administration) area.

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Endorsed by HIPEC---<:Ioes not represent Queensland Health policy at this time

,oJr

C2.12 and Separation of equipment C2.13

Part_~3 .p· .. :. ofopemngs ('bllco.':¥¥ ,; [ !Ul ,,L

C3.15 Openings for service installations.

Part D- Access and egress

Clause. Descdption D1.2 Number of exits required

D1.4

D1.5

D1.6

Exit travel distances

Distances between alternative exits.

Dimensions of exits and paths of travel to exits.

To limit spread of fire Complies. from electrical equipment Plant room (located in roof void) and to enable and battery room (basement) uninterrupted operation including doors were fire of emergency equipment separated. in event of a fire.

. Co/flr•JJ:mt, '"''\,, ~,,, 'C"' !liJt ' !, '> ,; $:~; ,; '

Maintain the Philip Chun is unable to verify all performance of building penetrations provided between elements by limiting fire fire rated elements are tested spread through service systems. The maintenance and installations. review of fire rated penetrations

should be undertaken in accordance with Australian Standard 1851.

A minimum of two exits Appears compliant is required at each level.

Distance of travel to exits is to meet the following requirements. Patient care areas - 12 metres to a point of choice of two exits and total travel to one of those exits of 30 metres.

Patient care areas - at least nine metres and not more than 45 metres apart.

Exit paths must be of sufficient width to permit occupants to evacuate within a reasonable period of time.

Compliant. Class 3 portion is <20 metres to single exit serving the storey.

Appears compliant.

Generally compliant, with exception to corridor (grid 12) serving as waiting area outside pre-op as it contains TV mounted from ceiling. Overhead obstruction <2 metres head clearance (as per photo below)

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'PRINTED COPIES ARE UNCONTROLLED" Endorsed by HIPEC-does not represent Queensland Health policy at this time

Clause D1.7

D1.10

Descriptioo Travel via fire-isolated exits

Discharge of exits

Part 02 - Construction of exits Clause Description

D2.13 Treads and risers

D2.14

D2.16

D2.17

D2.20

D2.21

D3.3

Landings

Balustrades or other barriers

Handrails

Swinging doors

Operation of latch

Access to buildings

Parts of building to be accessible

Comment Enables occupants to safely enter an exit which discharges at a safe location.

Requires safe discharge from an exit to a road or open space.

Comment This clause prescribes dimensions for the rise and going of stairs.

To permit the safe movement of persons using stairways.

To minimise the risk of a person falling from a roof, stairway or raised floor level.

Handrails to be provided to all stairs and ramps. In health-care buildings, handrails must be provided to one side of all corridors used by patients.

Doors should swing in the direction of egress.

To minimise the risk of delayed evacuation by the operation of the door latch.

Comment External access to the principal public entrance of the building is to be provided from the boundary, accessible car parking and adjacent and associated buildings.

Specifies which parts of the building are required to be accessible.


Compliant. Note: main Hospital (patienUward areas) is also served via two fire isolated exits, which is over and above Building Code of Australia 2009 requirements.

Generally compliant.

Q{jmpliaote Appears compliant.

Compliant.

Appears compliant.

Non-compliant. Egress ramp located at rear of building (as per photo below).

Compliant.

Compliant.

Compliance Generally compliant. Access suitable for a person with a disability was provided to principal entry of Hospital.

Generally compliant.

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Endorsed by HIPEC-does not represent Queensland Health policy at this time

Clause

03.5

03.6

03.8

Description

Car parking

Identification of access facility

Tactile indicators

Comment

Where car parking is available on site, a disabled person's car space is required at the rate of 1 per 1 00 car spaces or part thereof.

To identify required disabled facilities.

Tactile indicators assist blind or visually impaired persons to avoid hazardous situations.


.. Cgmpliaf)ce.

Accessible car parking spaces (x 4) were provided. Signage should be updated for clarity.

Generally compliant. Although some accessible toilets were not compliant with Australian Standard 1428.1 in relation to the following: • overall dimensions (too small)

• installation of shelves

• height of mirrors and basins (too high)

• Braille and tactile signage

• lift off hinges to be provided.

The Braille and tactile signage should be located on the wall, door latch side between 1.25 metres and 1.35 metres from finished floor level -to be provided to all male, female and disabled sanitary facilities.

Generally compliant, with exception being rear (west) stairway/ramp. Tactile indicators are required if used by public to following areas such as stairway/ramps etc (refer photo below)

Note: Tactile ground surface indicators must be Type B indicators in accordance with Australian Standard 1428.21.

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Endorsed by HIPEC--<Joes not represent Queensland Health policy at this time

PartE -Services and equipment

E1.3

E1.4

E1.6

E2.2

Fire hydrants

Fire hose reels

Required to facilitate the fire brigades fire fighting operation and provide full coverage to all parts of the building.

Provision of a suitable fire hose reel system to enable initial attack on a fire. Hose reels should protect all parts of the building.

Portable fire extinguishers Fire extinguishers are required adjacent to any relevant risk area.

General requirements Requirements for minimising smoke hazards to occupants. Prescribes fire detection and alarm systems. Fire indicator panel located on ground floor, main entry to building.


Site is served via series of external fire hydrants, acting as ring main. Overgrown foliage restricts visual detection of some pillar hydrants (refer photo below).

Hydrant booster system was identified. No evidence of appropriate signage in accordance with Australian Standard 2419.1 (i.e. block plans, pressure and flow test results), location of emergency access point etc).

Generally compliant

Fire extinguishers were provided throughout the building. Signage (pictorial) should be located two metres above finished floor level. The location of signage in some instances is too low.

Appears complaint. Smoke detection and alarm, call points and sounders installed throughout buildings. No test of this system was undertaken. It is recommended to engage a fire services contractor to test the system to ensure compliance with Australian Standard 1670.1 and Australian Standard/NZS 1668.1 Smoke alarm system was also installed in Class 3 portion.

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Endorsed by HIPEC--does not represent Queensland Health policy at this time

E4.2

E4.5

E4.6

Emergency lighting requirements

Exit signs

Direction signs

Part F- Health and amenity

Part F2 - Sanitary and other facilities Clause. ·~~;" Qescriptjqnf:~;"

~-~

F2.3 Facilities in Class 3 to 9 buildings.

. '

Emergency lights are required to be installed throughout the building.

Exit signs must be provided and located above all exit doors.

Direction for occupants to find their way along an exit path of travel

Comment •• ;;,: .

Toilet facilities are to be provided in the building based on the number of occupants within the building. For class 9a building:

• males patients:

- toilets: 1-16 occupants requires two pans plus an additional pan per eight persons.


A test of the emergency lighting was not undertaken. It is recommended an electrical contractor undertakes a test to ensure operation of the lighting is compliant.

Exit lighting should be illuminated at all times. Several signs throughout were not illuminated. The exit signs should be rectified to ensure they are illuminated at all times. It is noted the existing 'EXIT signs have been installed and acknowledge this system was compliant at the time of construction, however, all exit signs should now be 'running man'.

A test of the exit signage was not undertaken. It is recommended an electrical contractor undertakes a test to ensure operation of the exit signs is compliant.

:QoQ7pliance ·· _I: .. ;;:

Number of occupants serving building has not been provided therefore accurate assessment on number of sanitary facilities has not been conducted. Several ancillary buildings relied on shared facilities with main Hospital building.

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Clause Description .. ,Comrrient··· .. ··. Compllance

- basins: one per every eight persons.

• female patients: - toilets: 1-16

occupants requires two pans plus an additional pan per eight persons.

- basins: one per every eight persons.

F2.4 Facilities for people with Toilet facilities for Persons with disability sanitary disabilities disabled persons' are facilities were provided in main

based on the number of Hospital, however majority did other sanitary facilities not comply with Australian provided. Standard 1428.1. Nurses'

quarters did not contain an accessible sanitary facility. Some items to note are:

• mirrors to start from 900mm above finished floor level.

• shelf is required by Table F2.4 of the Building Code of Australia 2009.

• coat hooks to be provided.

• lift off hinges to doors.

Part F4- Light and ventilation Clause .. ·Description Comment Compliance

F4.4. Artificial lighting Location and other Artificial lighting is provided requirements for throughout the building as required artificial lighting. required.

F4.9 Airlocks Requirements for Mechanical ventilation is a airlocks where toilets combination of ducted and split open directly into other systems provided throughout rooms. most buildings.

It is assumed the mechanical ventilation system installed complies with Australian Standard 1668.2 and Australian Standard 3666.1.

Part J - energy efficiency

Part J1-J8 Objective Description Comment ::; ,. ~·;· ·compli<ince .·:.::~ ..

J1 -J8 Application of part Part J Energy Efficiency Energy efficiency proviso's Provisions of the commenced 2006 therefore were Building Code of not undertaken as part of re-Australia 2009 requires development in 2000. buildings, including its It was noted alternate water services, to be capable source (tanks) were recently of reducing greenhouse installed for irrigation purposes gas emission by only. An energy efficient efficiently using energy consultant may be able to

provide a detailed analysis regarding energy efficient capabilities.

Page 35 of 136


Queensland Building Code of Australia variation

QLD Part G101 G/a{Jse 5{JJ~scription 'C{~ '.J -:1 Comment· .,·~, Comp1ian'§e ,''C'I ~; . Queensland Prevention of falls from This provision applies No inspection of the roof was G101.1 buildings or structures. where a person is undertaken. It is recommended

exposed to the hazard of a further inspection of the roof is falling from a building or undertaken to ensure roof safety structure while cleaning system has been provided to or maintenance work is ensure compliance with being carried out. Australian Standard 2626.

Queensland Development Code

MP 6.1 fi.lapse '.T i'{;)~;Jscription >:!!r ~Qcjmment ,i!!? , Cofrjpliant;/e ,J MP 6.1 Maintenance of fire safety It is noted, the building The following fire safety

systems. owner has a installations were noted: responsibility to ensure • penetrations through fire-rated all fire safety installations construction are maintained in

• air-handling systems accordance with Australian Standard • fire detection and alarm 1851. systems

• fire extinguishers

• fire hose reels

• fire hydrants

• emergency lighting

• emergency power supply

• exit door hardware

• exit signs

• emergency vehicular access.

Philip Chun recommends these systems are maintained in accordance with Australian Standard 1851.

5.6 Conclusions and recommendations Based upon the non-invasive visual 'walk through inspection only and review of available documentation of the Beaudesert Hospital, and considering the Hospital underwent full redevelopment in 2000, the buildings achieved an acceptable level of compliance, with exception to a few minor areas.

Philip Chun makes the following recommendations, in order to raise the buildings level of compliance.

The object of these recommendations being to identify those matters that achieve greatest benefit in upgrading the level of building code compliance.

• Enclosing walls and ceiling to two cleaners cupboards (under stairs serving plant area) to be upgraded to have an fire resistance level of not less than 60/60/60 and fitted with a -/60/30 self closing fire door.

• Handrails/balustrades serving external stairway/ramp to be upgraded to meet compliance Building Code of Australia 2009 Part D and Australian Standard 1428.1.

Page 36 of 136


• Exit signage should be upgraded to ensure compliance with Australian Standard 2293.1 is achieved.

• A review of the fire safety installations should be undertaken to ensure all systems are being maintained in accordance with Australian Standard 18510.

• Buildings elements, including services, electrical and mechanical upgraded to meet compliance with Building Code of Australia 2009 Part J Energy Efficiency provisions.

• Internal dimensions for clear circulation in some sanitary facilities for people with disabilities, do not meet compliance with Building Code of Australia 2009 and Australian Standard 1428.1 requirements.

• Ensure accessible facilities and features for a person with a disability meet Australian Standard 1428.1 requirements Areas to be upgraded include: symbol to people with disabilities car parking spaces, provision of tactile indicators, Braille/tactile signage to sanitary facilities.

• Over the past few years, there has been a great deal of attention placed on the community and industry to provide suitable amenity for a person with a disability. The facilities provided for people with a disability within the building do not comply with the provisions of the Building Code of Australia 2009, however, care should also be taken in providing and locating reasonable amenities for a person with a disability in the building. Attention is directed to the fact that both The Disability Discrimination Act (1992) and The Anti Discrimination Act Queensland may impact on the operation of the building.

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6 Hydraulic engineer's report

6.1 Scope The main Hospital building consists of all the main Hospital departments and services including from the main entry from Tina Street, the Hospital admittance and administration department, the Emergency Department, Outpatients, X-ray Department, Physiotherapy, Pathology, Pharmacy, Allied Health, Community Services, Occupational Therapy, Speech Pathology, general wards, operating theatres and the main kitchen.

Staff facilities are located on the lower level, with fully self contained quarters. Store shed located on the south western side of the site houses a softened water plant and old swimming pool equipment which has been made redundant.

Included in the scope of this report:

• sanitary plumbing and drainage

• trade waste plumbing and drainage

• cold water reticulation

• hot water reticulation

• gas reticulation

6.2 Method This report will outline the hydraulic services current infrastructure, conditions, standard compliance issues and any other relevant requirements.

Limited existing hydraulic services drawings were available therefore the following report is based on a visual inspection undertaken by Adam Williams of MRP Hydraulic and Fire Services Consultants Pty Ltd on 8 June 2010.

No camera survey or other means were used in the preparation of this report and photographs are available indicating the conditions of the existing hydraulic services upon request. The report has been based on information obtained through Q Build, Project Services, the Hospital engineering and maintenance department and any records keep on site.

Outlined below is a summary of each of the hydraulic services components and a brief description of the function, capabilities and any problems with each service for the main Hospital site.

6.2.1 Existing sanitary plumbing and drainage system

Description

The main Hospital facilities are serviced by the local Regional Council's sewerage system, assumed to be located at the northern end of the site.

The main Hospital building is elevated above the ground providing sufficient clearance for all services to cross in whilst allowing for excellent access for maintenance purposes. The majority of the main Hospital sanitary drainage is elevated, dropping into the ground in the northern end of the void area, connecting to an existing sewer chamber on the central, northern end of the main building.

Page 38 of 136


The pipe work in the services void building is a mixture of cast iron and Upvc each of the systems are in excellent condition and with little or no evidence of damage nor major maintenance or rectification works required.

It is understood that all in ground drainage pipes are uPVC pipe with solvent weld (glued) fitting and connections.

Sanitary fixtures

The sanitary fixtures are generally in excellent condition, all seem original from the Hospital's redevelopment approximately ten years ago.

All the tapware is original and also in excellent condition. Ongoing maintenance is required to ensure that all equipment remains in first class working order.

The tapware is generally chrome plated brass.

Main kitchen stainless fixtures and fittings

The stainless steel benches, sinks and basins in the main kitchen are in excellent condition and would only need replacement or modification subject to the extent of the master planning requirements.

Basins and associated tapware fittings, and connections are in good condition and are suitable for continuing use.

Ward/staff amenities fixtures and fittings

The patient and staff amenities including showers, water closets and basins are in good condition.

Treatment/operating and other area fixtures and fittings

All patient treatment, operating area and associated Hospital infrastructure services are all in good condition and would not need replacement or modification subject to the extent of the master planning requirements.

6.2.2 Existing trade waste plumbing and drainage system

Description

The main Hospital building central kitchen is currently serviced by one 2,000 litre grease interceptor trap, located adjacent to the western side entry to the kitchen, the current capacity of the grease trap is sufficient for the existing trade waste load however confirmation will be required to ensure compliance with the relevant local authority trade waste policy as applicable.

6.2.3 Cold water supply

Description

The Hospital is currently supplied with a 65mm domestic water supply connection from the council water main located on the corner of Tina and Tubber Streets.

The town water supply reticulates around the site supplying potable drinking water to all Hospital facilities, generally crossing within the services area under the building.

Reduced pressure zone valves and backflow prevention devices are located under the building, clearly labelled to indicate fixtures connected to.

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A 5,000 litre storage tank provides back up water supply, via variable speed drive pump, to selected fixtures throughout the main Hospital, indicated by signage at the fixture. The staff are encouraged to use the backup water supply taps to maintain fresh water supply within the tank. There were no backflow prevention valves visible fitted to this tank.

There is an additional5,000 litre storage tank located within the garden on the north-eastern corner which collects roofwater for irrigation purposes. There are no pumps associated with this tank.

The water supply is reticulated within the Hospital in copper tube type 'B' generally within the void below the main Hospital building and also crossing within ceiling space above.

There are two separate water softening plants. The older plant within the store shed adjacent to the old swimming pool area provides softened water to the kitchen only. The newer plant located within the mezzanine plant room provides softened water to selected fixtures throughout the main Hospital building.

Isolation valves were sometimes located in 'hard to reach' areas within ceiling spaces which may introduce maintenance issues.

Detergent dispensers within the cleaner's room did not appear to have backflow prevention devices installed.

6.2.4 Hot water supply

Description

The hot water plant is located outside the main kitchen area which consists of two separate plants, two Rheem 275 litre gas storage cylinders for the main Hospital and two Rheem 265 litre high temperature gas storage cylinders for the kitchen. Both plants reticulate to the nominated areas via a flow and return system with circulating pumps. Both hot water plants appear to be in good condition, however deterioration of the hot water insulation is evident from being exposed to direct sun and weather.

The main Hospital building has thermostatic mixing valves located in ceiling spaces and it is understood these are maintained in accordance with the relevant authority and standard requirements.

6.2.5 Gas service

Description

The Hospital is currently supplied with gas from an on site storage tank, the tank located on the south western side of the building adjacent to the loading dock area.

Gas is then reticulated to the hot water units and kitchen from this point.

Any new gas requirements will need to be addressed as part of the master planning to ensure compliance with Australian Standard 5601 and other relevant gas codes.

6.3 Exclusions This report is based on visual inspections only and covers all the hydraulic services for the main Hospital site located in Beaudesert, the report excludes the following and was based on visual inspections only.

• no camera surveys and the like were undertaken for the preparation of this report

• excavations of existing services

• minimal removal of existing inspection chamber covers where practicable

• removal and any wall sheeting , roof sheeting and the like to review the existing installation

Page 40 of 136


• flow and pressure testing of the existing potable water supply to the Hospital

• potable water analysis

• calculation of hot water demand and existing system capabilities

• calculation of fixture unit lading and sanitary plumbing sizing and flow capabilities

• calculations of the potable water demand and pipe sizing confirmation

• flow and pressure testing of the existing fire services for the main Hospital campus

• obtaining any additional hydraulic services plans and details from the local regional council authority.

6.4 Standards used The hydraulic engineer's report is compliant with the following current/relevant Australian Standards and Codes pertaining to the works described herein:

• Australian Standard 3500 - National Plumbing and Drainage Code Parts 1 - 4

• Australian Standard 5601/AG601-2002- Gas Installations

• Queensland Health Guidelines

6.5 Issues 6.5.1 Sanitary plumbing and drainage

The existing sanitary plumbing and drainage system within the main Hospital site is in good condition, this is based on visual inspection and discussions with the Engineering Department personal.

It is understood that there have been no problems with the drainage systems.

6.5.2 Trade waste plumbing and drainage

The main Hospital site has one trade waste system comprising as follows:

Kitchen - 2,000 litre grease trap

The existing trade waste systems currently complies with all relevant local authority and Australian Standard requirements and would only need to be modified if the use/load/demand of these facilities was altered as part of any redevelopment of the site.

Cold water reticulation

The existing cold water supply from the town main is currently adequate for the main Hospital site demand based on current total use. All existing pipework is in good condition and is generally sized in the majority of locations to meet any additional loads that may occur.

The 5,000 litre potable water back up storage tank may be deemed to be insufficiently sized. There is the possibility to upsize to a minimum 24 hour storage capacity.

Hot water reticulation

The condition of the hot water plant is in good condition with no issues reported from staff or maintenance personal. The storage cylinders were replaced in 2006 and are generally in good condition and are maintaining the supply of hot water to meet the current demand.

The location of the thermostatic mixing valves is generally located within the ceiling space of the ground floor level.

Gas reticulation

The main Hospital site is supplied from a 10 kilo litre gas cylinders which appear to be in good working order, maintaining sufficient capacity to meet the current site demand.

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6.6 Conclusions and recommendations The hydraulic services installation within the Beaudesert Hospital facility is in good condition with the majority of the hydraulic services maintained where applicable by the Queensland Health Engineering and Maintenance staff on site with outside contractors where required.

Regular ongoing maintenance is evident where applicable and the existing hot water systems have been replaced.

The main issues of concern relate to the following:

• minimal potable water backup systems

• no backflow prevention devices in place on the potable water supply on cleaners sinks

• no backflow prevention devices in place on the back up water supply tank

• minimal rainwater harvest in place

• signage indicating location of thermostatic mixing valves

• water damage of ceiling tile adjacent to thermostatic mixing value in ward suggests long term water leak. Regular maintenance required to eliminate future issues.

Depending on the final options for the main Hospital site redevelopment and the onsite facilities it is believed that the hydraulic services main infrastructure is sound and that modifications/replacement/renewal of sections of the hydraulic services systems can be accommodated to suit any proposal or options agreed.

Any future planning on the combined sites will need to take into account changes or increases in hydraulic services loads and demands which may require increased capacity of any of the services currently in place, however there is some scope of expansion, without compromising any of the current hydraulic services installations.

In summary the hydraulic services are in reasonable condition based on the demand, hydraulic services loads and age of each of facilities currently reviewed as part of this report.

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7 Electrical engineer's report

7.1 Scope Inspections of the Hospital occurred on 8 June 2010. The inspections were undertaken by Norman Disney and Young Consulting Engineers. The scope of the inspection included the main Hospital building.

7.2 Method The method of inspection was to visually review main building service components within the building and discuss the functionality with Hospital maintenance personnel.

7.3 Exclusions The adjacent Day Respite Centre building was not included in the inspection report. This report is based on what can be reasonably ascertained from visual inspection and from comments received from site staff.

7.4 Standards used The standards used in determining this report include:

• Australian Standard!NZS 3000- S.A.A Wiring rules

• Australian Standard 3008 - Electrical installation - selection of cables

• Building Code of Australia 2009

• Australian Standard 1768- Lightning protection

7.5 Issues

7.5.1 Incoming supply

Beaudesert Hospital is a low voltage customer with Energex padmount 500 kVA transformer located on site.

The Hospital has only one incoming feeder from Energex pole -13527. The cabling to the transformer SC22254 is underground from this Energex pole. The incoming 11 KV feeder from the Energex HV Beaudesert substation to Energex pole 13527 is not a dedicated feeder and is via overhead lines.

7 .5.2 Substations

There is only one pad mount transformer on site. The capacity of the transformer is given in the table below:

Table 7: Beaudesert Hospital substation transformer capacity

Substation Transformer Transformer Current Maximum Location Demand

Number Number size Capacity (Amps)

1- SC22254 Tina St 1 500kVA 695A 640A

It appears that the Energex padmount transformer is only 12 years old and it appears to be in good working condition. According to the energy details received from Energex, the maximum demand readings taken on May 2010 was 640A and is more than 90 per cent of the transformer capacity. The transformer feeds the Day Respite Centre switchboard (single phase supply) and the Hospital main switchboard (three phase supply). The Energex meter panel is located externally in an enclosure.

Page 43 of 136


Energex has advised that the existing padmount transformer needs to be upgraded if any Hospital refurbishments are to take place which require additional electrical power requirements.

7 .5.3 Generators

There is only one diesel generator on site. The capacity of the transformer is given in the table below:

Table 8: Beaudesert Hospital emergency generator capacity

Generator Number Location Manufacturer Size Year

G- Tina St Mecc Alte Spa- Alternator

265kVA 1995 Perkins 1300 Engine

The generator is housed in a container near the pad mount transformer and the chiller location. The fuel tank capacity is 1,400 Litres and the fuel tank is built into the container. The generator appears to be in good working condition. There is a dummy heater load for load testing located adjacent chiller enclosure. The diesel generator is tested on a regular basis based on the test results.

The exhaust hood located on the roof of the container appears to have rusted and it requires upgrade.

The generator G-supplying the Beaudesert Hospital main switchboard essential services is 15 years old. It appears to be in good working condition. In the course of time, this generator will need to be replaced taking into account the availability of spare parts and maintenance.

The generator has been tested on a regular basis according to test data.

If future increased load is anticipated, it is recommended to upgrade the generator to increased capacity to cater for future increased load requirements.

7.5.4 Uninterruptable power supply

There are several small local systems within the Hospital which supply operating theatres, security systems, paging system, IT equipments and the like. There is no central system.

To improve the redundancy of the Hospital, it is recommended that a central system is installed in N+1 configuration to supply those critical areas in the Hospital. This will improve the redundancy of the supply and decrease the chances of localised outages.

7 .5.5 Main switchboard and distribution boards

The Hospital has a main switchboard rated at 2500A. The main switchboard is located in the lower ground floor switch room. The main switchboard has essential generator and non essential sections. The kWh private metering at the main switchboard does not appear to be working.

A few of the distribution boards are old and have old type breakers installed and they need to be replaced as it is not possible to install new breakers on these chassis.

It is recommended that circuit breakers be upgraded to residual current breakers with overload protection to suit current Australian Standard 3000 standards.

Page 44 of 136


7 .5.6 Diesel storage systems

The Hospital generator diesel storage is incorporated into the generator enclosure. The fuel capacity is 1,400 litres which is approximately 20 hours operation. For increased electrical load requirements, along with installation of new generator, it is recommended to install an in-ground fuel storage system with more fuel storage capacity, considering that there is only one Energex supply to site and one transformer for the Hospital.

7 .5. 7 Interior lighting

The Hospital lighting appears to be in good working condition. Most of the corridor and room lighting is on essential and non-essential lighting circuit controlled by different light switches. There are areas within the Hospital where the lighting needs to be upgraded. It is recommended to install an automated lighting system for energy efficiency. Fluorescent luminaries are used for most of the internal lighting.

7.5.8 Emergency and exit lighting

The Hospital has a computer monitored emergency and exit system. No issues have been reported and regular computerised testing is done.

Some of the exit signs do not have the 'running man sign' and some of them were not in working condition. To comply with the current regulations, these would need to be upgraded.

7 .5.9 General power

The general power outlets located at various areas of the Hospital are colour coded to suit the essential and non essential supply. They appear to be in working condition. External power outlets are weather proof type.

7.6 Conclusions and recommendations If the Hospital is upgraded or expanded, which requires more power supply, the following works is required to be undertaken to the existing Hospital:

• feasibility study by Energex for the high voltage supply capacity at the Beaudesert substation

• upgrade existing padmount transformer

• upgrade existing generator

• additional uninterruptable power supply systems.

Other works recommended are:

• review replacement of old exit signs with 'running man sign' exits

• replace existing rusted generator exhaust hood.

Page 45 of 136


8 Communications engineer's report




8.4 Standards used The standards used in determining this report include:

• Australian Standard/NZS 3000 - S.A.A. wiring rules

• Australian Standard/NZS 3080 - Telecommunications installations- generic cabling for commercial premises.


• Australian Standard/ACIF S009- Installation requirements for customer cabling

• Australian Standard 1768- Lightning protection

• ICTSTD- Information and communications technology cabling standard for telecommunication distribution - ID0711 v1.3.

8.5 Issues 8.5.1 Telephone and data services

There is a main computer room and several small communications cupboards spread over the entire Hospital. The rooms do not comply with the Information and Communications Technology Cabling Standards. Such items include but are not limited to:

• insufficient clearance around the rack

• no electronic access control on the doors

• no air conditioned redundancy (main computer room)

• one ceiling mounted power outlet to service the two cabinets in the main computer room instead of one power outlet dedicated to each cabinet

• no air conditioned (small communications cupboards)

• no light (small communications cupboards)

• Hospital local area network does not appear to have any sort of redundancy in the event that a component fails.

The main computer room is located adjacent to the reception area and serves as the main distribution frame room. It houses the main telephone frames, two data cabinets, an Alcatel Omni PCX4400 private automatic branch exchange system, some Telstra equipment and a wall mounted fibre optic break out tray for the main Telstra incoming optical fibre lead-in from the street.

Page 46 of 136


The private automatic branch exchange system, which provides telephone services as well as and DECT cordless telephone services to the Hospital has some spare capacity and appears to function satisfactorily with no issues reported by the staff.

The data cables in all cabinets were not neatly bundled. The communications cabinets in the main computer room are almost filled up to capacity with about ten per cent spare capacity left for one cabinet and 30 per cent spare capacity left for the other cabinet. Communications cabinets installed in the small cupboards are on wheels and have generally about 60 per cent spare capacity.

8.5.2 Nurse call/patient wandering systems

The existing nurse call system is based on an Austco system. Nurse call, staff assist and emergency buttons are generally located in bedrooms, operating theatres with the emergency button located near the door entrance and the nurse call button located on a pendant. Light Emitting Diode (LED) type panel annunciators are located in corridors. The power supply unit for some of the nurse call system field devices was located on a shelf at the bottom of a table in the communications rooms. This is a risk hazard as there is a potential to accidentally disconnect cables from the power unit.

A patient wandering system (Smartwalk) is used to track a certain category of patient. The nurse call and patient wandering systems appear to function satisfactorily and no issues were reported by the staff.

8.5.3 Master antenna television

The master antenna television system within the Hospital provides digital free to air service. The system appears to function satisfactorily and no issues were reported by the staff.

8.5.4 Intercoms system

An intercom system is provided at the main entrance to permit staff to communicate with after hours patients. The intercom system appears to function satisfactorily and no issues were reported by the staff.

8.6 Conclusions and recommendations 8.6.1 Telephone and data services

• tidy up all data cables in the main computer room and each communications cupboard

• secure each communications room and cupboard with electronic access control

• provision of a redundant air conditioning system in the main computer room

• provision of updated record books at each cabinet (NDY did not notice any record books during inspection)

• provision in the main computer room of a power outlet located above the cabinet which presently does not have one

• provision of a second power outlet to each rack to provide redundancy. Power outlet to be fed from a different distribution board (if feasible)

• provision of uninterruptable power supply units to support active equipment installed in the cabinets in the event of a power failure

• review the need to upgrade of the Hospital local area network to provide a level of redundancy.

8.6.2 Nurse call system

Mount the nurse call power supply unit located in the communications room in a secured position on one of the wall. Tidy up all cabling to prevent any accidental damage or disconnection.

Page 47 of 136


8.6.3 Master antenna television

Provision of pay television services (Foxtel or Austar) for enhanced patient experience.

Page 48 of 136


9 Security engineer's report




9.4 Standards used The standards used in determining this report include:-

• Australian Standard!NZS 3000- S.A.A wiring rules

• Australian Standard!NZS 3080- Telecommunications installations- generic cabling for commercial premises.


• Australian Standard!ACIF S009 - Installation requirements for customer cabling

9.5 Issues 9.5.1 Electronic access control system

The electronic access control system consists of a Concept 4000 which can be expanded as the Hospital expands. The electronic access control system secures the front entrance, Pharmacy, Theatres, some administration office and the entrance doors to the Emergency Department. The card format used is based on 26 bit Wiegand format which is a less secure format compared to other existing card formats available on the market.

Some of the doors were fitted with mechanical digital locks which work independently from the Concept 4000 system. Mechanical digital locks are less secure than the Concept 4000 electronic access control and do not provide any logs of who has accessed a particular room.

The electronic access control system appears to function satisfactorily and no issues were reported by the staff.

9.5.2 Closed circuit television

The closed circuit television system consists of a four channel DS micro digital video recorder (with no spare capacity available, a LCD monitor, four fixed cameras and a power supply unit for the cameras. The image quality of the live footage was acceptable. The digital video recorder, LCD monitor and power supply unit are located in one of the offices. The power supply unit has handwritten instructions written on it, which suggests that the unit is not functioning properly all of the time.

The closed circuit television system appears to function satisfactorily and no issues were reported by the staff.

Page 49 of 136


9.6 Conclusions and recommendations 9.6.1 Electronic access control system

• upgrade the doors fitted with mechanical digital locks to integrate them into the Concept 4000 security system

• review the need to install duress buttons in areas where there is a high potential for staff or patients to be assaulted.

9.6.2 Closed circuit television

• investigate the power supply unit for the cameras and rectify if a problem exists

• the Hospital is currently expanding their closed circuit television system with a new camera and new nine channel digital video recorder. The location where the new digital video recorder will be installed should be a secure area not accessible to members of the public. NDY highlight that in the long term the closed circuit television system design should be carefully considered as the system grows in size.

Page 50 of 136


10 Fire services engineer's report




1 0.4 Standards used The standards used in determining this report include:

• Australian Standard 1670.1 -2004- Fire detection, warning, control and intercom systems

• Australian Standard 1670.4-2004- Sound systems and intercom systems for emergency purposes

• Australian Standard 2444 - 2001 - Portable fire extinguishers and fire blankets-selection and location

• Australian Standard 2441 - 2005 - Installation of fire hose reels

• Australian Standard 2419- 2005 - Fire hydrant installations

• Building Code of Australia 2009.

10.5 Issues In general, the fire detection and occupant warning systems appear compliant and are typically installed to best practice methods.

Fire hydrants and fire hose reels installed externally need to have their condition monitored to identify any deterioration due to sun damage. Some of the external equipment is showing signs of aging due to sun damage.

A kitchen hood suppression system is installed to the kitchen exhaust hoods, however this system is currently not functioning, and there is no signage to indicate this.

There is no requirement to carry out any system upgrade within the foreseeable future.

10.6 Conclusions and recommendations The general condition of the fire systems installed appears to be satisfactory with the exception of the condition of external elements as noted above. There are no mandatory requirements to achieve compliance with current standards.

The kitchen hood suppression system should be re-instated, or it should be fully decommissioned and removed from site.


Page 51 of 136

11 Mechanical engineer's report

11.1 Scope This report covers the air conditioning and mechanical ventilation systems including the direct digital control system, medical gases, freezer and cold rooms and the hot water generation plant serving the main Hospital building.

11.2 Method The method of inspection was to visually review and photograph the mechanical systems within the building and the air cooled chiller plant in the external secure enclosure. The operation of the plant was also discussed with Hospital personnel. The inspection was undertaken on 8 June 2010 by NDY.

11.3 Exclusions Adjacent sheds and the nearby Commonwealth building were not inspected. This report is based on what can be reasonably ascertained from visual inspection and from comments received from site staff.

11.4 Standards Used The standards used in reviewing the installation include:

• Australian Standard 1668

• Australian Standard 3666

• Building Code of Australia 2009.

11.5 Issues The systems were installed approximately 10 years ago. They will generally comply with current Australian Standards and Building Code of Australia 2009 requirements.

Since installation of the mechanical services, the Building Code of Australia 2009 has been enhanced with energy requirements as described in Appendix J. It is likely that the existing systems will have good compliance with this standard although some components may not strictly meet the current requirements. There is no statutory requirement to upgrade an existing installation to comply with current regulations.

The air cooled chillers are unlikely to meet current energy requirements however as discussed below they are likely to need replacement in the short to medium future. Replacement of the air cooled chillers with new chillers will result in compliance with current energy requirements.

The chiller plant is in reasonable condition for its age (approximately 10 years) and its outdoor location. Replacement of these chillers (as noted above) should be envisaged in the short to medium time frame due to corrosion of the frames and the condenser coils.

Unfortunately inspection of the underground chilled water piping is difficult without excavation to access the pipe and insulation. From experience, a number of underground chilled water piping systems have failed when the protection of the pipework and its insulation breaks down. If this pipework did fail it would result in cooling being unavailable to the Hospital.

Page 52 of 136


The Hospital is currently operating with less than full occupancy and full usage of the operating theatres. It was noted that most areas within the Hospital were air conditioned and consequently the energy costs to operate the air conditioning are unlikely to have reduced in proportion to the occupancy. If this scenario was to remain for some time it would be recommended that the operation of the air conditioning and mechanical ventilation systems be investigated to ascertain if modifications to the systems and control routines could be made to reduce energy costs.

Some reworking of the condensate piping from the lower ground fan coil units in the accommodation rooms was noted. It appears that these modifications were undertaken to address a problem with the drain piping. It appears that this issue has been addressed.

11.6 Conclusions and recommendations In general the plant appears to be in good condition for its age and it appears to be well maintained. Staff indicated that it performs satisfactorily throughout the year.

The air cooled chillers are nearing the end of their economic life and they should be budgeted for replacement in the short to medium time frame.

Chilled water piping runs underground from the external chiller enclosure to the Hospital. The condition of the pipe and its insulation cannot be easily ascertained. Failure of the pipe will result in cessation of cooling to the Hospital. No special investigation of the pipework is required unless critical processes requiring cooling are undertaken with the Hospital.

The Hospital is currently operating below full occupancy and if this scenario is to be maintained into the medium or long term a plan to minimise energy consumption of the mechanical services should be investigated.

Page 53 of 136


12 Cost estimate Table 9: Beaudesert Hospital option 1 cost estimate

Amendments to Emergency Department Amendments to inpatient areas

Net Trade Costs Locality Factor Design Contingency Managing Contractors Fees Novated Consultants Construction Costs

CONSTRUCTION CONTINGENCY Construction Contingency

PROFESSIONAL FEES AND AUTHORITIES Consultant Fees DPW Fees QBSA Financial Review Q-Leave Levy

CLIENT COSTS Q Health Costs (incl decanting) FF&E + ICT

PROJECT RESERVE

FORECAST COST® JULY 2010

ESCALATION PROVISION

Cost Escalation

FORECAST PROJECT COST@ JULY 2010

ons

0 m2 0.0% 5.0%

23.0% 8.0%

5.0%

8.0% 1.1%

5.00%

-Architectural enhancements to existing buildings -Cost Escalation after July 2010 -Land Costs - Land Holding Costs - Headworks Charges - Goods and Services Tax (GST)

Source: Rider Levett Bucknall


1,100,000 700,000

123,000

196,000 27,000

104,000 15,000

123,000

Endorsed by HIPEC--<loes not represent Queensland Health policy at this time

Page 54 of 136

Table 10: Beaudesert Hospital Option 2 cost estimate

New Building Works Refurbishments

Gro.ss Floor Area

New Building Works Refurbishments Exte rna I Works Net Trade Costs Locality Factor Design Contingency Managing Contractors Fees Novated Consultants Construction Costs


PROFESSIONAL FEES AND AUTHORITIES Consultant Fee.s DPWFees QBSA Financial Review Q-Leave Levy

CLIENT COSTS Q Health Costs (incl decanting) FF&E + ICT

PROJECT RESERVE

FORECAST COST @J.ULY 2010


Cost Escalation

FORECAST PROJECT COST @JULY 2010

722m2 1,661 m2

2,383 m2

722m2 1,661 m2

2,383 m2 8.0% 5.0%

12.0% 5,5%

5.0%

6.0% 0.8%

5.00%

-.Architectural enhancements to existing buildings -Cost Escalation after July 2010 -Land Costs - Land Holding Costs - Headworks Charges -Goods and Services Tax (GST)



547,000

.656,000 82,000 4,000

64,000

601,000 6,717,000

Endorsed by HIPEC--<Ioes not represent Queensland Health policy at this time

Page 55 of 136

Table 11: Beaudesert Hospital Option 3 cost estimate

New Building Works Refurbishment$

l3ross Floor Area

New Building Works Refurbishments External Works Net Trade Costs Locality Factor

Works

D,esign Cqntingency Managing Contractors Fees Novated Consultants Constn.u:tion Costs


PROFESSIONAL FEES AND AUTHORITIES Consultant Fees DPWFees QBSA Financial Review Q-Leave Levy

CLIENT COSTS Q Health costs (iricl decanting) FF&E + ICT

PROJECT RESERVE

FORECAST COST ®.JULY 2010


Cost Escalation

FORECAST PROJECT COST @JULY 2010

992m2 1,661 m2

.2,6p3 m2

99.2 m2 1,661 1]12

2,653 m2 8.0% 5.0%

12.0% 5.6%

5.0%

6.0% 0.8%

5.

-Architectural e.nhancements to existing buildings - Co.stEsca latio.n after July 201 0 -Land Costs - Land Holding Co$ts - Headworks Charges - Goods and Services T$X (GST)


$


619,000

743,000 93,000

4,000 72,000

655,000 6,841,000


Page 56 of 136

13 Comparison of options to Australasian Health Facility Guidelines

Table 12: Comparison of Options to Australasian Health Facility Guidelines 2009

Department Australasian Health Facility Option 1 Option 2 Option 3 Guidelines 2009 Comparison

Outpatients Refer Appendix 13, Diagram 3 X .;' .;'

of this report.

ED Refer Appendix 13, Diagram 3 X .;' .;'

of this report.

Inpatients Refer Appendix 13, Diagram 3 X .;' .;'

of this report.

Surgical Refer Appendix 13, Diagram 3 X .;' .;'

of this report.

Allied Health Refer Appendix 13, Diagram 3 X .;' .;'

of this report.

Dental Refer Appendix 13, Diagram 3 X .;' .;'

of this report.

Medical Imaging Refer Appendix 13, Diagram 3 X .;' .;'

of this report.

Pharmacy Refer Appendix 13, Diagram 3 X .;' ./

of this report.

Mortuary Refer Appendix 13, Diagram 3 X .;' .;'

of this report.

Kiosk Refer Appendix 13, Diagram 3 X .;' .;'

of this report.

Kitchen Refer Appendix 13, Diagram 3 X .;' .;'

of this report.

Administration Refer Appendix 13, Diagram 3 X .;' .;'

of this report.

Community Refer Appendix 13, Diagram 3 X .;' .;'

Health of this report.

Page 57 of 136


Table 13: Comparison of existing areas to Australasian Health Facility Guidelines

AH Room As Room Code drawn Area No

area m2 m2

Page 58 of 136


AHFG Code

Room As drawn

15.8

HFG Area

12.0

128.3


Room No

BEA034

BEA037 BEA038


Page 59 of 136

AHFG Code

Room As drawn

HFG Area


Room No


Page 60 of 136

AHFG Code

Room As drawn

HFG Area

m2


Room No


Page 61 of 136

AH Code

Room As drawn Area


Room No


Page 62 of 136

I

AHFG Code

KEY:

Room

Circulation designed

Engineering designed

Total Area

Total Area

Non Compliant with HFG Area Non Compliant with HFG Function

As drawn

area m2

3234.2

,'

HFG Area

m2


Room No


3234.2

1066.5

Page 63 of 136


Page 64 of 136

"PRINTED COPIES ARE UNCONTROLLED" Endorsed by HIPEC--<:!oes not represent Queensland Health policy at this time

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DRDPOFF AREA

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IJON4JMPLIA~CE RoOM WITH N!FG FUNCniON

~ IQ

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14 Schedules of accommodation Table 14: Existing schedule of accommodation

AHFG Room As Code drawn Area

in Area m2

m2


Room No

Page 67 of 136

AHFG Code

Room As HFG drawn Area in Area m2

m2


Room No

Page 68 of 136

AHFG Code

Room As HFG drawn Area in Area m2

m2


Room No

Page 69 of 136

AHFG Code

CHST-10

EN S-ST

Room As drawn

HFG Area

in Area m2

9.7 10.0


Room No

BEA095

Page 70 of 136

AHFG Room As HFG Room Code drawn Area No

in Area m2 m2

STEQ-14 Store 3 18.2 14.0 BEA134

EN S-ST En-suite 3.7 5.0 BEA135

STEQ-14 Store 4 16.7 14.0 BEA136


STEQ-14 Store 5 17.9 14.0 BEA138


STEQ-14 Store 6 18.0 14.0 BEA140


4BR-ST 4 Bed Ward 1 40.6 42.0 BEA142

WCPU-3 we 3.1 3.0 BEA143

SHOT Shower 3.1 4.0 BEA144

4BR-ST 4 Bed Ward 2 40.5 42.0 BEA145


WCPU-3 we 3.1 3.0 BEA147

1BR-ST 1 Bed Ward 1 23.6 15.0 BEA148


4BR-ST 4 Bed Ward 3 41.3 42.0 BEA150


WCPU-3 we 3.1 3.0 BEA152

1BR-ST 1 Bed Ward 2 22.4 15.0 BEA153


1BR-ST 1 Bed Ward 3 26.6 15.0 BEA155


4BR-ST 4 Bed Ward 4 - Paediatrics 42.6 42.0 BEA157

- Balcony 13.8 - BEA158

STGN-9 General Store 11.0 9.0 BEA159

BATH Bathroom 16.4 15.0 BEA160

CLUR-14 Clean Utility/Medication 19.9 14.0 BEA161

OFF-S12 Office 11.8 12.0 BEA162

DTUR-10 Dirty Utility 10.6 10.0 BEA163

OFF-CLN Staff Room/ Hand Over 29.1 15.0 BEA164

- 3 Bed Ward High Dependency Unit 59.2 - BEA165


SSTN-20 Staff Station 18.9 20.0 BEA167

4BR-ST 4 Bed Ward 5 40.1 42.0 BEA168

WCPU-3 we 3.2 3.0 BEA169

SHST Shower 3.2 3.0 BEA170

4BR-ST 4 Bed Ward 6 40.5 42.0 BEA171

SHST Shower 3.2 3.0 BEA172

WCPU-3 we 3.2 3.0 BEA173

WCST StaffWC 4.8 2.0 BEA174

OFF-S9 Office 10.1 9.0 BEA175

CLRM-5 Cleaner Room 3.6 5.0 BEA176

LAUN-PT Patient Laundry 3.7 6.0 BEA177

BBEV-ENC Patient Kitchen 6.4 5.0 BEA178

"PRINTED COPIES ARE UNCONTROLLED" Page 71 of 136

Endorsed by HIPEC--<Ioes not represent Queensland Health policy at this time

AHFG Code

Room

Circulation designed

Engineering designed

Total Area

Total Area

As drawn


HFG Area

Endorsed by HIPEC---<loes not represent Queensland Health policy at this time

Room No

3234.2

1066.5

47.5

4348.2

Page 72 of 136

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PBlR'R BTR;.A11 :oc:20 HPl cp· i\ieA ;TN-10 ~UR'S

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1 Wheelchair leaners Roo

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7.9

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Room. QTV

Share.d Shared --t-

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-Shared

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1 Sllared

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~re.c

hare.c

J-WBJV'.~

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snaned•

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23.

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3 Shared 'Shared-

8 18

Shared -4-

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Sharsd Shared

""'Siihled

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Shared ""Siiied ""8iiied

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Net~·

RefertO:CFront of Hou_se. Rwer.loFront. o( Housi

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!Referto

Refer to Refer to Snared,

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Refer to: R8ferto·Shared Actot'rrn Refer to ~rontor Housi

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[Refer can be l.Dcatedir\Admiri.Zone can be l.Dcatei'l

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SUBTOTAL ~

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- "-

IPalienrLounge

BaY Cleaners Room .Clean ilit;·'+ Medicatlonstore-l~yOm --lmosal eelingRoom

II IS!a~~eas; lstoreEquiprren •. lstore Genetlll

I Staff

F

Shareo

Shared

T -.4 T 3' l4' ""12 8

Shared

12_ Sharei'f'

<r 8 w

5

Shared I Rererto·Shared'

ID

15. ·Shared

Q;l tr a;

~

i "' ~· g 0 .....

I. <Q

"' (iJ

"' (/)

0 h r::: (/)

iii iir

~· if "' ~ ~ 12. ~ G) r::: ~ §' CD (/)

!J' Q.

l .l[ I 'ii m ~

o" I~ a.Z o--l .,m 00 ()

"O !l.o

"" ~m ::: :>-

""' -m

~~ @0 ~ 0 ~~ o.::O Io "' .,r ,.m """' "C ~

!l. .!1 "' 5' ;;;·

~ "

I ~nr;e

\/l.f("

vvCST TRMT

Room I Existing Area m2.1

taffRoom oiJet Publit'·.Assisted .,.

Toilet Staff 1-rr_~a!fr!entRoom

Notes

1on

20 I : I ~~ 4

~:~----------------------------~---------

l..::lean Up Fl8s.h :Sterifi?Zit1ori_ ""··· , I I : ~1 ~ ----+-------i;:l ~l--+---1 ------'------'-11P-11'i

:TEC I STSS-1

BMEQ-· ...§E'TUP'

ore- Sterile·

I I:J~y Mobile Equipment SetUp Room

~ ~u- -:BW Bay Blanket·Warmer

t:l ~~fi Cleaners Room

10 1 2,5 2.5 1 8 T

TO 1 2 2 I 9 9 2 9 18

~.::. 11 ~-lll -''-arrB8seRecovery- 1 9 9 _UR-8 Clean Utility 1 1 n .., n

IUR-12 Dirty .. Utility T 12 12 T Change.:Staff. Shared. Sh-ared Shared .J_Refer+-n·~t-:.ffA.-. .... .-. .................. rl.,'-'

Staff Room "Shared Sh::~r~ -- --··· ........ ._.,,,,,,_. .... o!:!uOn

~rea Refer to· Staff A-ccommodation Wcsr· staff T61let _1 , a· 3

BBEV'-OP Bevera,ge Bav. 1 4 4 OFF-89 Office 1 Staff 1 9 B

~oom_ -1- -1- Shared _l Shared _J. Shared Refer to. Shared Accommodat: ...... I viRCULATION >O%) I I SUB-~-·.

I WAIT-SUB Wai I CHPT Ch<ini::le G1

' IBRI

::::;nared Shared Refer to. Shared Accammodat1orr Shared Shared Refer to: Shared AccOmmodation

Shared Shared Shared RefBrto Sh£~red-Accommodatlbn 1 20 20

--

-----·' I 1 1 ,

u1=1y General care (4.Cots) _l 1 ::lfl

I. - ~:~athii"lg I Examination - Breast Feed: Room - Formula Room

LATION(30%) I I ! I : I• .I I -IO)UC 10TAL. ..... .,. ~ ----

7irrt&i~. !:1:-+-~:;· ~ ' -:-~~ ~

WCAS PatientToilet.Accessible TRMT Treatment-Speech Pathology. CONS, ConsUlt Clini.cal Psy~:h

t---"0'-'FF'--'"-'So - : ___ __ I I 1 FJ~ =t==*=F

Store Diete;ct;'::cs'--------------------------l-J----I----O-F_:F--S-9----I'=Off:::;;:_ic::._e:;::S::o!:ci:!!ai!::W;c,.o_' ___ _

Po··· ___ __ I I : I -~ I ~ I --STGN-9 Store General 1 12 12

OFF-89 Office 1 Staff 1 9 9 DTUR-S Oirty Utility Sub I 1 8 :

i.3red Shared TReferto.Sh8:redActom·mbdation -Cleaners Room Share~ Shareo Shared Refer to Shared Accommodation

OFF-S9 Offi.ce Director 1 9 9 L- c'lFF-~q e Physio 1 9 9.

WCST TDIIetS!aff 1 3 3 --CIRCULATION 25% 36.5

. ,· .~~~ RECl-10 Rec~ptfon I Workstation

WAIT-SUB Sub Wait ~----Z~&$Bf=t=m·~~y~~

!1' g-[ .![ ::c 'ii rn' o" I<!! c.Z 0 _, rom m D

[8 _g3! ro rn :::> ~ ;o -m l?c: roZ roO ;;:o ~~ "-"' :cO ro r w r ,m :rD

" ' 0

Q !!l.

I

HFG Code

STGN-8 -

STSS~I2

WCAS STBK-20 CLUP-P

--

WCPU'S -

OFF-S9 BME0-4 BME0-4

--

STGN-9 STGN-9 STGN-9 OFF-89

PBTR'H·9 -

GENXR CHPT

CHPT-0 DARK ULTR

CHPT'D WCPT

-DFF-S9

WAIT-SUB PHA'CO

-OFF-89 0FF-S9 STDR'5 BHWS,A

STGN,g

-STBf<,2D CLRM-5

-

DENSR,14 PBTR'H-6 BHWS-A

---

' -

-

WAIT-SUB MOR-VR

--

OFF'S9 MOR,AU

-MOR-CU

---

CLRM-5 -

SRM-30 CHST-1D CHST'10

MEET-L-20 WCST

PROP-2

MEET-L-15 DTUR-12 STBK-20 STE0-2D BBEV-OP STDR-5

Room

Store Specimen Collection Room Sterile .Store Toilet Specimen COfli=ctibn Accessible Specimen Storage/ Pack/ DistribLJtio.n· Clean Up I Stenlisatfbn CIRCULA TJON {26% SUB TOTAL

!I .. _.,_ ' Waiting A rea Toilet Baby Change Toilet Public· Reception Clencal Workroom BaY Equiprnent Bay Mobile Trolley Ctea ne rs Room PAC Server Room StOre c:;i:meral Store Film Store Disc Pacs.Manag~rs·Office

pafi8nt HOlding Bay Bay Unen, General X-Ray Room Pati~ntChange

Patient Change Accessible Dark Room Ultrasound Ultrasound Change Ultrasound we PACS Reporting Office RadiologiSt CIRCULATION 130% SUB TOTAL

-.1.

Waiting Area Pharmacy-counter Interview Room Office Drug I nformatfon Office Di-rector Store Accountable Orugs Bav Hand Wash As·sembly Disp.ensing Assembly.Store Refrlgerated·Store Store Bulk Cleaners Room Presa[ption Register Store CIRCULATION 25% SUB TOTAL

-~~~ Dental Surgery Single PatientBaV Recovery Bay Hand Wa.sh BaY Resus Trolley lnstrumetn Processing I Sterile Store Dirty Utility I Disosa1 Hold Bay Unen StOre r;3en e fa I Cleaners Room OffiCe SenJOtOentist Workstation CIRCULATION (25%) SUB TOTAL

Waiting Area Viewin Room Entrv Lobov Chanoe.Staff Office 1 Staff Auto psv Room Bodv Store Clean Up Area CIRCULA TJ ON (25%) SUB. TOTAL

l<lm:~ Main Kitchen Including Salad /Meat Prep and Dish Wash Cold Roorh Dry Room Freezer Bulk Store Cleaners Rrioril Beverage I Sandwich Preparation CIRCULATION 25% SUB TOTAL , ~:&:¥.1!1i!Jl~~A1l:l~@_l!f~I'iE '

Staff. Room with BeVerage· Bay Staff Change' Male Sta.ff Change Female Meeting IT raining Room Staff, Toilet Staff Lockers CIRCULATION 25% SUB TOTAL

s: .~ll«~-Meeting Room f.InteNiew Dirli/Utility Genera!Btore Equipment Store Bay Beverage Drugs. Store

E_xisting Area m2. Room HFG'Area Total Notes QlY m2 Aream2

1 8 8 1 23 23 1 9 9 I 5 5 1 20 20 1 12 12

23.75 118:75

Shared Shared Shared Refer to ED Accommodation Shared' .Share.d Shared Refer to 'Share'd Atcomhlbd at ion

1 3 3 Shared Sharerl Shared RBt.er to ED ACcommodation

1 9 g: 1 4 4 1 5 5

Shared. Shared Shared Refer to ·share"d Atcommi:Jdatiofl 1 IO 10 1 9 9 1 9 9. 1 9 9 I 9 9 1 B 8

Shared Shared Shared Refer: to Shared Accommodation 1 30 30 1 2 2 1 4 4· 1 6 6.

1 12- 12 1 4 4 1 4 4 1 5,7 5.7 1 9 9

45.51 197.21

' "

1 5 5 I B 9 I 9 9 1 9 9 1 9 9 1 4 4 1 2 2 1 20 20 I 9 9 1 6 6

1 30 3G 1 5 5 1 6 6

30.75 153.75

~ 2 14 26 1 6 6

1 1 1 Shared Shared Shared Refer to :Shar~d Accommodation

I ID 10 Shared. snared Shared Refer to.Shar8d Accommodation Share-d Shared Shared Refer to Shared Accommodation Shared Shared Share·d Refer' to Shared AccoiTimDdatio-n Shared Shared Shared Refer to Shared Accommodation Shared snared Shared Refer to Share"d ACcominodatiofl Shared Shared Shared Ref-erto·shared Accommodation

11.25 56.25 •.

1 g 9 1 8 8 1 6 6

Shared Shared Shared 1 9 9 1 30 3G 1 9 g

l 8 6 19;25 96,25

.?

1 ;3~ 35 1 4 4 1 4 4 1 4 4 1 15 15 1 5 5 1 ro 10

19.25 96.25

1 30 30 1 10' 10 1 10 10 1 20 20 2 3 3 1 4 4

19.25 96;25

' •' 2 15 30 1 12 12 1 20 20 1 20 20 1 4 4 1 a a

- - --

~ ~ :l. .!J I 1i m 0

l~ o-1 ., m ~ 0

~g iil,

~rn $ )>

3.~ f'c ., z <1>0 ~ 0 ~~ "-"' Io ., r ~ r :m ,-o

"0 0

0

~ !!!. 5' ~-

3" .,

Hffi Code

DISP-10 STPS-8

OFF'89 BRBS

CLRM-5 WGAS

BLIN

' .. \z,.

Room

Disposal. Hold, StOre .Ph"otOCopier f.Sfationiiry Office Administration·1 Staff Bay. Resus Trolley Cleaners·Room Baby. Chi3hge Bay l.:.lnen CIRCULATION 125% SUS TOTAL

---~~

,, IRiant Roam ·;..•--G.uoif,Y ·.fl'·. Was.h· sav FSink Prant'room sua TOTAL Departmeiital Area Sub Total circur~it(On·Area Sub Total

I&E~, iy,J,:

"+0 ·~--··<

111terOepartmeflfal C~mmunltation Space·s (1.0%)

Total Area

Existing Area m21 Room HFGArea Tolal Notes. QlY m2 Aream2

1 12 12 1 B B 7 9 ________!J_ 1 T 1 I 5 I 1 2

36.5"

1m

1 I 40 40

"t ;; TSEIC' to.u 60 TSO· 7.5"

-20. ,,. e-x: r·c, ,we: 20: .. TS,Gv 12q., TSG -10""'

·~-c ~----·· TSC-TI3C·:Zf;:.; 1 -"' TSC· ~:~~ 285 > r .,., 'TI'!O :n .! ·r ... ' TBC. 50,

f 40 40 100 100

995

~ ~ 4543,4 600.75 817,2

ag's.4 536.1

•

tJ ..a. iii" en

<Q TUBBER STREET Ql OJ 3

~ CD II)

KEY Ill s::: <I>

Ll I I "' c. 2 c:: CD

1. HOSPITAL ~ Ul

G 2: MEDICALSUPERINTENDENl'S HOUSE ~ CD ;:;. ::l 3. SUBSTATION a: :I: 4. EXISTING DAY RESPITE CENTRE ~ 0

5. STAFF SHED iii' Ul 6. MAINTENANCE SHED - "C

<I> -· >< -7. BIN STORE c;;· II)

8. EQUIPMENT STORE § -<Q "C

9. SERVICE/ DELIVERY "' ji;' 10. PARKING ~ ::l

'0 Ul 11. HELICOPTER PAD ii) :;,

1 ~ ""'" w w 0:::: b:i <( z: i=

!J' I I .... 1 - I ... """I" ENTRY c. 0

i ~ I

~= ~~ g-~ .,m w 0 "r> ~0

~~I I~ I I ~!>EXIT -om ~rn <1 ENTRY "')> g, -m De ~B ~~ ~;ti Io "r "r =m =>"0 "0 ' 2. .!!' !!!.

i- I I ~A.Cil ~-

1<1 ENTRY E9 0 5 10 20 50 .....

0 -GENERAl WARDS

0 M • .O...Tffif'JlTY WARD

Ill SUPPLV STORES

• ALLIED HEN.JH

Ill E>£RGENCV DEPARTMENT

[j' II IMJ:l.GfNG

Q. 0 0 SURGICAL ~ Q.

~ 0 ADMINlSTRATION

I • ~~ OUTPAJIENTS

0,

Ill I~ PHARMACY

g-~ ro rn II KIOSK m 0 "0 !2-o Ill DENTALCUI\IC ii J:! -ern

Ill ~"' }\t.LIED fiJ-jt)_c_aMMIJIIITY HEPI...TJ-1 m )> g;u • KlTCHEN -rn De ~ ~ Ill MORTU..A.RY "0 "-z ~~ Io ro r .,. s:q

"C Q. ~-

!'t ,-;;;·

§' ro

··- --·-···--'

0 1 2 5 1Q

----- i EB

tJ a;· <Q Ql 3 ~ OJ (!) Ill

~ ~ ::t

a: ~ §I

a "' :::. Q. :::!> 0 0 ...,

"" iii :::. I

0

<2· s· !!!. 1i} en <Q· :::. s· CD" ~

0 GS\IERAL WAADS

• SUPPLY STORES

11!11 AlUED HEAL1H

• E=MERGEtv.::Y DEPARTMENT

~ II IMA<>NG 0

~ tJ SURGICAL c. ~ 0 PDMINISTRATION I

~= Ill OUTPATIENTS

!:~ • PHAA\IACir 0 _, rom

II ~ 0 KIOSK ~ 0 !l.o

Ill D8\ITALCUNIC. i;~ -om "(/) ~ )> Ill ALUEDAND GOMMUNfTY HEAL1H g, -m • KIT tHEN Oc ~B II MORTJ.,JAR'f ~a "'-z ~il Io ro r ~ r §q

"0 2. ~·

!!!. 5' ~-

3 ro

-z q '~~~ •YJr

EB ~ 0 1 2

Di10POFF /\REA

10

1? <Q iil 3 !'.' to m ~ [fl ~

i5= {g

~ a § Q. ::t! 0 0 -, "0 iii :::. I

g ~ :::t <:: [fl

b

0

D,

Cl

p

0 a

0 D

a

I] 0

<:: .!!!

,0 -S};, Q. .._ 0

<2 .._ ~ Q

~ p': t:i

5} 0 ::r: t:: 3l Q) "b ::> Ill Q)

co r': E ~ tn .!!! a

I]

0

D

0 D

b

0 0,

:o

0

0

'0 "

0,

0

0

!:!'!;

D

0

"

NOILVOW<I"JO~~v ;;,Ls II S3~1Al:I3S 1N3/>J3S\f8 II

"1138\f S3:JIJ\H3:S N3d0 D

16 Beaudesert Hospital photographic survey (Photos to be read in conjunction with Appendix 17 - Conditions Survey)

Exterior Photographs

14. Tina Street view of Hospital 15. Tina Street booster hydrant and electrical sub-station

16. North east view of Hospital 17. North east face of Hospital

18. Wards entrance- public entry path 19. Wards entrance- public entrance

20. Ambulance entrance 21. Main drop off/entrance of Hospital



22. Main entrance of Hospital 23. Hospital main entrance- needle disposal unit

24. Eastern elevation -kiosk behind 25. Hospital Community Health entrance

26. Tina Street entry path (south east corner) 27. Entry path drinking fountain

28. Hospital plaque from previous buildings 29. Hospital car park- publidprivate

30. Hospital helipad entrance 31. Southern elevation from across helipad



32. Hospital helipad 33. Southern elevation (services zone)

34. Main southern entrance 35. Southern entrance to basement area

36. South east view 37. Gardener's shed (northern elevation)

38. Gardener's shed (southern elevation) 39. Equipment store/bin store

I r7 \

40. Bin store (internal) 41. Equipment store (internal)



42. Staff covered lunch area 43. Day Respite Centre (under refurbishment)

44. Day Respite Centre (under refurbishment) 45. Staff verandah (outside lunch room)

46. Western elevation- southern portion 47. Western elevation- theatres section

48. Western elevation- theatres section 49. Western courtyard between Maternity and Theatres

50. Western courtyard between Maternity and Theatres 51. South western corner- Maternity Wing



52. Secondary staff parking- western boundary 53. Maternity Wing - north western corner

54. Hospital northern elevation 55. Medical Superintendant's House- northern elevation

56. Medical Superintendant's House- southern elevation

Lower Ground Level Photographs

57. Open service area 58. Open service area

59. Open service area with electrical room in background 60. Service corridor



61. Mechanical plant 62. File archive

63. Potable water tank 64. Electrical room

65. Staff accommodation - storage alcove 66. Staff accommodation - kitchenette

67. Staff accommodation -living room 68. Staff accommodation- bedroom 1 en-suite

69. Staff accommodation - bedroom 1 70. Staff accommodation - bedroom 1



71. Staff accommodation - bedroom 2



Ground Level Photographs

Outpatients/Main Entrance

77. Main entry- Outpatients waiting

72. Staff accommodation - bedroom 2 en-suite

7 4. Staff accommodation - bedroom 3 and en-suite


78. Main entry- Outpatients waiting



79. Main entry- kiosk 80. kiosk

81. Main entry- cafe zone 82. Administration/Pharmacy reception

83. Administration/Pharmacy reception 84. Outpatient consultation rooms

85. Nurse station- consultation room 1 86. Nurse station- consultation room 1

87. Nurse station- consultation room 1 88. Dirty utility


Endorsed by HIPEC---<loes not represent Queensland Health policy at this time

89. Dirty utility 90. Consultation room 2

91. Consultation room 2 92. Consultation room 2

93. Consultation room 3 94. Store 95. Consultation room 4

96. Consultation room 4 97. Outpatient consultation toilet

98. Consultation room 3 99. Consultation room 3



Pharmacy

100. Pharmacy reception counter 101. Pharmacy counter 102. Drug shelves

103. Pharmacist office 104. Pharmacy work bench

1 05. Pharmacy work bench/drug store 106. Pharmacy store

107. Pharmacy 108. Pharmacy office



Reception/medical records

109. Medical records store 11 0. Records office 111. Records Office

112. Reception office 113. Medical records office

114. Reception office 115. Reception office

Community Health

116. Community Health interview room 117. Community Health interview room



118. Community Health hallway wall basin 119. Community Health officer's office

120. Community Health officer's office 121. Community Health officer's office

122. Dietician's office 123. Dietician's office

124. Dietician's office 125. ATSI office

126. ATSI office 127. Entry hall 128. Waiting area



129. Community Health waiting area 130. Community Health waiting area

131. Mental Health, Drug & Alcohol Services office 132. Mental Health, Drug & Alcohol Services office

133. Indigenous Health office 134. Indigenous Health office

135. School Health 136. School Health

Dental Clinic

137. Corridor access to Dental Clinic 138. Dental Clinic reception



139. Dental Clinic interview room 140. Dental Clinic interview room

141. Dental Clinic play area/waiting area/reception 142. Dental Surgery 1

143. Dental Surgery 2 144. Dental Surgery 2

145. Dental Surgery 3 146. Dental Surgery 3

147. Dental Technician's room 148. Dental Technician's room



149. Dental store 150. Dental store

Morgue

151. Morgue preparation room 152. Morgue preparation room

153. Morgue cold room 154. Morgue cold room

155. Toilet adjacent morgue 156. Toilet adjacent morgue



Bulky goods store/reception

157. Sterile store 158. Sterile store 159. Supply department

160. Store entry 161. Compactus unit 162. Product store 163. Clean linen store

164. Supply department 165. Supply department

166. Loading dock 167. Dirty linen pick-up 168. Receiving area



Hospital kitchen

169. Kitchen scullery 170. Kitchen scullery

171. Kitchen entry and write-up desk 172. Kitchen entry preparation

173. Kitchen entry preparation 17 4. Kitchen entry preparation

175. Kitchen entry preparation 176. Kitchen cold room

177. Cleaner's cupboard 178. Write up desk 179. Dry store 180. Kitchen cold room



181. Freezer 182. Freezer 183. Cold room 184. Kitchen staff office

185. Kitchen staff office- ceiling stains 186. Kitchen staff office

Staff Facilities/ Administration

187. Secondary Hospital entry 188. Cleaner's cupboard 189. Staff room corridor

190. Female wash basin 191. Female shower room 192. Female toilet 193. Unisex ocker room



194. Male wash basin 195. Male shower room 196. Common air lock 197. common air lock

198. Seminar room 199. Seminar room

200. Seminar room 201. Seminar room audio visual 202. Store

203. Utility room 204. Utility room

205. Director of Nursing's office 206. Director of Nursing's office



207. Medical Superintendant's office 208. Medical Superintendant's office

209. Administration reception/office/waiting 210. Administration reception/office/waiting

211. Administration reception/office/waiting 212. Hospital memorabilia

Operating Theatres

213. Common shower 214. Common toile 215. Accessible toilet 216. Hand basin

217. Lobby off main corridor 218. Male change room


Endorsed by HIPEC--{joes not represent Queensland Health policy at this time

219. Male change room 220. Female change room

221. Female change room 222. Pre-operation area

223. Pre-operation area 224. Cleaner's store

225. Surgeon's tea room 226. Surgeon's tea room

227. Central Nurses station 228. Central Nurses station



229. Nurses write up station 230. Central Nurses station

231. Clean utility 232. Interview room

233. Interview room 234. Recovery

235. Recovery 236. Patient toilet

237. Patient toilet 238. Patient change 239. Dirty utility



243. Operating entry 244. Operating entry

245. Operating entry 246. Scrubs room

247. Procedure room/Endoscopy 248. Procedure room/Endoscopy

249. Operating Theatre 250. Operating Theatre


Endorsed by HIPEC---<Ioes not represent Queensland Health policy at this time

251. Operating Theatre 252. Decontamination/disposal

254. Packaging room

255. Packaging room 256. Non sterile store

257. Sterile stock store 258. Sterile stock store

259. Operation set up 260. Two way cupboard 261. Waiting corridor


Endorsed by HIPEC---<Joes not represent Queensland Health policy at this time

Allied Health and previous Maternity Wards

262. Main corridor- waiting zone 263. Physiotherapy room

264. Physiotherapy room 265. Physiotherapy room



270. Physiotherapist office 271. Speech Pathologist consultation room


Endorsed by HIPEC---<Joes not represent Queensland Health policy at this time

272. Speech Pathologist consultation room 273. Clinical supplies 274. Clinical supplies

275. Clinical supplies 276. Cleaner's cupboard 277. Accessible toilet 278. Accessible toilet

279. Main corridor to Maternity Wing 280. Occupational Therapy room

281. Occupational Therapy room 282. Occupational Therapy room

283. En-suite room 284. En-suite room 285. En-suite room 286. En-suite room


Endorsed by HIPEC--<:foes not represent Queensland Health policy at this time

287. Meeting room (previously birthing suite) 288. Meeting room (previously birthing suite)

~

289. Meeting room (previously birthing suite) 290. Meeting room balcony

291. Occupational Therapist office 292. Occupational Therapist office

293. Corridor to store 294. Store 295. Store (previously clean utility)

296. Store (previously clean utility) 297. Store (previously dirty utility)



298. Store (previously dirty utility) 299. OT assessment room (previous nursery)

300. Occupational Therapy assessment room 301. Occupational Therapy assessment room

302. Occupational Therapy assessment room 303. Occupational Therapy assessment room

304. Equipment store (previous Maternity Ward) 305. Equipment store (previous Maternity Ward)

306. Equipment store {previous Maternity Ward) 307. En-suite



308. Cleaner's/linen store (previously Maternity Ward) 309. Cleaner's/linen store (previous Maternity Ward)

310. Cleaner's/linen store (previously Maternity Ward) 311. En-suite 312. Egress stair

313. Consultation office (previously Maternity lounge) 314. Consult office (previously Maternity lounge)

315. Nurse's station 316. Nurse's station- Maternity corridor

317. Service corridor- north west wing 318. Nurse's station



319. Equipment store 2- previous 1 bed maternity ward 320. En-suite

321. Equipment Store 3- previous 1 bed Maternity ward 322. Equipment store 3- en-suite

323. Equipment store 4- previous 1 bed Maternity 324. Equipment Store 4- previous 1 bed Maternity ward

325. Equipment store 5- previous 1 bed Maternity 326. Equipment Store 5 327. Equipment store 6- en-suite

328. Equipment store 6- previous 1 bed Maternity 329. Equipment store 6- previous 1 bed Maternity



330. Maternity four bed ward -1 331. Maternity four bed ward -1

332. Maternity four bed ward -1 333. Maternity four bed ward -1 shower and toilet

334. Maternity four bed ward -2 335. Maternity four bed ward -2

336. Maternity four bed ward -2 toilet and shower 337. Maternity four bed ward -2 ceiling stains

338. Maternity one bed ward 339. Maternity one bed ward en-suite

"PRINTED COPIES ARE UNCONTROLLED" Page 111 of136


340. Maternity one bed Ward 341. North wing egress stair

General Wards

345. Bathroom - wards 346. Bathroom - wards

347. Bathroom- wards 348. Children's Ward

349. Children's Ward 350. Children's Ward



351. Children's Ward 352. High Dependency Ward

353. High Dependency Ward 354. High Dependency Ward entry

355. En-suite - High Dependency Ward 356. Nurse's station

357. Nurse's station 358. Nurse's station

359. Four bed ward 360. Clean utility



361. Clean utility 362. Dirty utility

363. Dirty utility 364. Staff room

365. Staff room 366. Staff room

367. Staff room- office 368. Staff room - office

369. Staff room - office 370. Patient laundry 371. Cleaner's store 372. Staff toilet



373. Staff toilet 37 4 Patient kitchen

375. Patient lounge 376. Patient lounge

377. Patient lounge 378. Patient lounge

379. Patient lounge- television room 380. Cleaner's store (beneath stair)

Imaging

381. Ultrasound room 382. Ultrasound room



383. X-Ray waiting 384. X-Ray toilet 385. Ultrasound room 386. X-ray change 1

387. X-ray change 1 388. X-Ray

389. X-Ray 390. X-Ray

391. X-Ray 392. X-Ray archive 393. X-Ray -work room

394. X-Ray - work room 395. X-Ray - work room



396. X-Ray- developing room 397. X-Ray- developing room

398. Mobile X-ray unit storage 399. X-Ray corridor

Emergency

400. Corridor to X-Ray 401. Linen store

402. Bay 4 403. Bay 4

404. Bay 3 405. Bay 1



406. Plaster room 407. Plaster room

408. Lounge/tea room 409. Emergency room Nurse's station

410. General store/clean utility 411. General store/dean utility

412. Ambulance entry 413. Eye treatment room

414. Eye treatment room 415. Eye treatment room



416. Proposed Emergency Department reception 417. Proposed Emergency Department reception

418. Pathology collection 419. Bathroom

420. Bathroom

Mechanical Room (roof space)

421. Southern access stair to plant room 422. Roof space adjacent plant room



423. Roof space plant room- mechanical ducts 424. Roof space plant room -electrical cabinet

425. Roof space plant room 426. Northern access stair to plant room



17 Conditions audit Table 16: Accident and Emergency Department conditions audit

Accident and Emergency Department (ground level)

Floor Walls Ceiling Doors Windows Comment

c 0

Room Name OJ c n c c c c c ~ .Q 2 0 0 0 0 0

~ :;::;

"' ~ :;::;

~ ~ en .c en OJ '6 .c .c '6 .c .c

"' c "' ~ OJ "' OJ "' OJ "' .0 ·c: c c ·c: c ·c: x c a. ·c: c a. ·c: c a. ·c: c "' 0 0 0 0

~ 0 >. 0 >. 0

(f) u:: (.) (.) ::J (.) u:: w (.) u:: (.) f- u:: (.) f- u:: (.)

Ultrasound c v G FR PL G p T p G sc p G Refer Photos 381-382, 385

Change Room 1 c CA G FR PL G p T p G sc p G Refer Photo 386-387

Cleaner c v G FR PL G p F PL G sc p G Refer Photo 380

Senior Nurse Office c v G FR PL G p T p G sc p G

Lounge c CA F FR PL G p T p G sc p G Refer Photo 408

Plaster Room 1 c v G FR PL G p T p G sc p G Refer Photos 406-407

Change Room 2 c v G FR PL G p T p G sc p G

Dark Room c v G FR PL G p T p G sc p G Refer Photos 396-397

X Ray Work Room c v G FR PL G p T p G sc p G Refer Photos 393-395

Film/Optical Store c v G FR PL G p T p G sc p G Refer Photos 392

Medical Imaging c v G FR PL G p F PL G sc p G Refer Photos 388-391

Store c v G FR PL G p T p G sc p G Refer Photo 94

Dirty Utility c v G FR PL G p T p G sc p G Refer Photos 88-89

Clean Utility/General Store c v G FR PL G p T p G sc p G Refer Photos 410-411

Staff Station c v G FR PL G p T p G sc p G Refer Photo 409

Bathroom c v G FR PL G p F PL G sc p G Refer Photos 419-420

Waiting c CA G FR PL G p T p G sc p G Refer Photos 383

LEGEND ·Interior

Condition Floor Wall Rnishes Ceiling ·Door Window

G good C· concrete B/M brick I mnonry P. paint T tiles SC solid core AL aluminium

F fair V vinyl.sheet PB plaster-board SK skirting F flush HC hollow core PC powder coat

PO poor T timber HP hard plaster PC powder coating P paint P paint AD an.odised

"CP carpet FRfi:amed LAM laminate PR pre-finished GL glass

R rubber TP' textured paint CL cladding

CT ceramic tiles MP Metal .Pan

Source: Woodhead Pty Ltd



Accident and Emergency Department (ground level)


c

Room Name ~ c ~ c c c c c 0 2 .Q 0 0 0 0 +' :a 1/) +' +' .c ~ +'

ti .c ii ti C) .c ~ ii "'

.c ii "' "' .c ii _a 1/) c c c c 1/) c a.

1/) c a. 1/) c a.

1/) c ::J '2 0 0 '2 0 '2 x 0 ,., '2 0 ,., '2 0

~ '2 0

(f) u: (.) (.) ::::; (.) u: UJ (.) u: (.) 1-- u: (.) u: (.)

Bay 1 c v G FR PL G p T p G sc p G AL GL G Refer Photo 405

Bay 2 c v G FR PL G p T p G sc p G AL GL G

Bay 3 c v G FR PL G p T p G sc p G AL GL G Refer Photo 404

Bay4 c v G FR PL G p T p G sc p G AL GL G Refer Photo 402-403

Consulting Room (Eye) c v G FR PL G p T p G sc p G Refer Photos 413-415

Triage c v G FR PL G p T p G sc p G Under construction to be modified- Refer Photos 416-417

Pathology c v G FR PL G p T p G sc p G Under construction to be modified- Refer Photo 418

Nurse Station c v G FR PL G p T p G sc p G Refer Photos 85-87

Consulting Room 2 c CA G FR PL G p T p G sc p G Refer Photos 90-92

Consulting Room 3 c CA G FR PL G p T p G sc p G Refer Photos 93, 98-99

Consulting Room 4 c CA G FR PL G p T p G sc p G Refer Photo 95-96

Outpatient Consultation WC c v G FR PL G p T p G sc p G Refer Photo 97

LEGEND- Interior

Condition Floor Wall Finishes Ceiling Door .Window

Ggood c concrete BIM brick I masonry Ppaint T tiles SC solid core AL aluminium

F fair V vinyl si:Jeet PB plaster-board SK skirting F flush H C hollow core PC powder coat

PO poor· T timber HP' hard plaster PC powder coating P paint P paint AD anodised

CP carpet FR framed LAM laminate PR. pre-finished GL glass

R rubber TP• textured paint C:L cladding

CT ceramic tires 1\ilP Metal Pan

Source: Woodhead Ply Ltd



Table 17: Birthing/Maternity ward conditions audit

Birthing/Maternity Ward (ground level)


c 0

Room Name Q) c u c c c c c

~ 0 ::J 0 .Q g 0 0

.<:: ~ t; Ol ~ .<:: "' :1§ .<:: .<:: "" .<:: "" "' c VI ~ Q) "' '6 Q) "' '6 Q) "' '6

.0 ·;:: c c ·;:: c ·;:: x c c. ·;:: c c. ·;:: c c. ·;:: c ::J 0 0 0 0 .::: 0 >- 0 >- 0 (f) u::: (.) (.) :.:::; (.) u::: w (.) u::: (.) t- u::: (.) t- u::: (.)

Occupational Therapy c v G FR PL G p F PL G sc p G AL GL G Connected to en-suite and external balcony. Refer Photos 280-282

Patient WC/Shower c v G FR PL G p F PL G sc p G AL GL G Refer Photo 283

Meeting/Training Room c v G FR PL G p F PL G sc p G AL GL G Connected to en-suite and external balcony. Refer Photos 287-290

En-suite c v G FR PL G p F PL G sc p G Refer Photos 284-286

2 Bed Ward 2/Store 1 c v G FR PL G p T p G sc p G AL GL G Connected to en-suite. Refer Photos 304-306

2 Bed Ward 2/Store 2 c v G FR PL G p T p G sc p G AL GL G Connected to en-suite. Refer Photos 308-311

Lounge c CA G FR PL G p T p G sc p G AL GL G Connected to external balcony. Refer Photos 313-314

1 Bed Ward/Store 2 c v G FR PL G p T p G sc p G AL GL G Connected to en-suite. Refer Photos 319-320

1 Bed Ward/Store 3 c v G FR PL G p T p F sc p G AL GL G Connected to en-suite, stains to ceiling tiles. Refer Photos 321-322




4 Bed Ward 1 c v G FR PL G p T p G sc p G AL GL G Connected to external balcony. Refer Photos 330-333

Connected to external balcony, stains to ceiling tiles. Refer Photos 4 Bed Ward 2 c v G FR PL G p T p F sc p G AL GL G 333~337

1 Bed Ward c v G FR PL G p T p F sc p G AL GL G Connected to en-suite, stains to ceiling tiles. Refer Photos 338-340

Occupational Therapist c CA G FR PL G p T p G sc p G Refer Photos 291-292

Store c v G FR PL G p T p G sc p G Refer Photos 283-286, 293-294

LEGEND- Interior

Condition Floor Wall Firiish&s Ceiling Door Window

G good C concrete B/M brick/ masonry P paint T tiles SC solid core AL aluminium

F fair V vinyl sheet PB plaster-board SK skirting F flush HC hollow core PC powder coat

PO poor T timber HP hard plaster PC powder coating P paint P paint AD anodised

CP carpet FRrramed LAM laminate PR pre-finished GL glass

R rubber TP !extured paint CL cladding

CT ceramic iiles MP Metal Pan


"PRINTED COPIES ARE UNCONTROLLED" Page 123of136


Birthing/Maternity Ward (ground level)


c: 0

Room Name ~ c: u c: c: c: c: c: 0

~ 0 0 2 0 0

.<::: :;:; :;:;

.<::: "' :;:;

.<::: .<::: :;:;

.<::: :;:;

1i) '6 OJ '6 ~ '6 0> '6 0> '6 0> '6 "' c: "' "' "' "' .a ·c: c: c: ·c: c: ·c: x c: c. ·c: c: c. ·c: c: c. ·c: c:

:::> 0 0 0 0 ~

0 >. 0 ~

0 en u::: () () ::::; () u::: w () u::: () f- u::: () u::: ()

Dirty Utility/Store c v G FR PL G p T p G sc p G Refer Photos 297-298

Clean Utility/Equip Store c v G FR PL G p T p G sc p G Refer Photos 295-296

OT Assessment Room c v G FR PL G p F PL G sc p G Refer Photos 299-303

Staff Station c v G FR PL G p T p G sc p G Refer Photos 315-316, 31 B

Clinical Supplies c v G FR PL G p F PL G sc p G Refer Photos 273-275

Disabled WC c v G FR PL G p F PL G sc p G Refer Photos 277-278

Cleaner c v G FR PL G p F PL G sc p G Refer Photo 276

Speech Pathology c v G FR PL G p T p G sc p G Refer Photos 271-272

Physiotherapy c v G FR PL G p T p G sc p G Refer Photos 263-270 ~- - ------

LEGEND -Interior

Condition Floor Wall Anishes Ceiling Door Will dow

G good C concrete S/M brick I masonry P paint T tiles sc solid coree AL aluminium

F fair V vinyl sheet PB plaster-board SKskirting F flush HC hollow coree PC powder <:oat

PO poor T timber HP hard plaster PC. powder coating P paint P paint AD anodised

CP carpet FR framed LAM laminate PR pre-finished GL glass

R rubber TP textured paint CL cladding

CT ceramic tiles MP Metal Pan


"PRINTED COPIES ARE UNCONTROLLED" Page 124of 136


Table 18: Front of house conditions audit

Front of house (ground level)


c 0

Room Name ~

c u c c c c c .Q 2 s 0 .Q g 0

:a "' :;::; :a ~ .<::: 1il "' '0 .<::: '0 .<::: .<::: '0 .<:::

"' "' c "' ~ Q) "' Q) "' Q) "' .0 ·c: c c ·c: c ·c: x c a. ·c: c a. ·c: c a. ·c: c :::l 0 0 0 0

~ 0 >- 0

~ 0

(f) u: u u ::::; u u: UJ u u: u t- u: u u: u Kiosk c v G FR PL G p F PL G sc p G AL GL G Refer to Photos 79-81

Store c v G FR PL G p F PL G sc p G

Senior Admin c CA G FR PL G p T p G sc p G Refer to Photos 198-211

Equipment Store c v G FR PL G p T p G sc p G

Reception c CA G FR PL G p T p G sc p G Refer to Photos 82, 112, 114-115

Active Medical Records c v F FR PL G p T p G sc p G Refer to Photos 109-111, 113

Pharmacy c v G FR PL G p F PL G sc p G Roller door to service lobby. Refer to Photos 103-108

PublicWC 1 c v G FR PL G p F p G sc p G

PublicWC 2 c v G FR PL G p F p G sc p G

Pharmacy Reception c v G FR PL G p T p G sc p G Refer to Photos 1 00-1 02

Pharmacy Store 1 c v G FR PL G p T p G sc p G

Pharmacy Store 2 c v G FR PL G p T p G sc p G

Recovery Store c v G FR PL G p T p G sc p G

LEGEND- Interior

Condition Floor Wall Finishes Ceiling Door Window

G good C concrete BIM brick1 masonry P paint T tiles SC solid i:cire AL aluminium

F fair V :vinyl sheet PB plaster-board SK skirting F flush HC hollow core PC powder coat

PO poor Ttimber HP hardplaster PC powder coating P paint P pairtt AD anodised

·cp carpet FR framed LAM laminate PR precfinished GL glass

R rubber TP textured paint CL. cladding

CT ceramictiles MP Metal Pan



Endorsed by HI PEe-does not represent Queensland Health policy at this time

Table 19: General ward conditions audit

General Ward {ground level)


c: 0

Room Name ~ c: :s c: c: c: c: c: :8 ~

0 0 0 0 0 .r:. ~ .r:. U) E .r:. ~ .r:.

:;::; .r:. ~ 1i) 'C "' 'C U) c: U) ~ "0 Q) U) Q) U) Q) U)

.0 ·c: c: c: ·c: c: ·c: x c: a. ·c: c: a. ·c: c: a. ·c: c: :::J 0 0 0 0 > 0 > 0 ?:: 0

(/) u:: (.) (.) ::::; (.) u:: UJ (.) f- u:: (.) u:: (.) u:: (.) '

PatientWC c v G FR PL G p F PL G sc p G

Mobile X Ray Equipment c CA F FR PL G p p PL G sc p G Refer to Photos 298

Physiotherapy c v G FR PL G p T p G sc p G Refer to Photos 263-270

Cubicle 1 c v G FR PL G p F PL G sc p G Refer to Photo 267


Store Utility c v G FR PL G p T p G sc p G Refer to Photo 268-269



Office c CA G FR PL G p T p G sc p G Refer to Photos 270

Kitchen c v G FR PL G p F PL G sc p G Refer to Photos 27 4

Cleaner c v G FR PL G p F PL G sc p G Refer to Photos 271

Social Worker Office c CA G FR PL G p T p G sc p G Refer to Photos 268-269

StaffWC c v G FR PL G p F PL G sc p G Refer to Photos 272-273

Staff Hand Over c CA G FR PL F p T p G sc p G Refer to Photos 264-266

Num Office c CA G FR PL G p T p G sc p G Refer to Photos 267

Dirty Utility c v G FR PL G p F PL G sc p G Refer to Photo 262-263

Medication c v G FR PL G p F PL G sc p G Refer to Photo 260-261 --

LEGEND - Interior

Condition Floor Wall Finishes Ceiling Door Window

G good C concrete BIM brick I masonry P paint T lites SC solid core AL aluminium

F fair V vinyl.sheet PB plaster-board SKs~irting F Hush HC hollow .core PC powder coat

PO poor T.iimber HP. hard plaster PC powder coating P paint P paint AD anodised

CP carpet FR,framed LAM laminate PR pre-finished GL glass




"PRINTED COPIES ARE UNCONTROLLED" Page126of136


General Ward (ground level)


c 0

Room Name ~

c u c c c c c 0 2 0 0 0 .Q 0

~ ~ UJ ~ :;::;

~ :;::;

.<::: 1ii Ol .<::: .<::: '6 .<::: .<::: '6 UJ UJ c UJ ~ Q) UJ Q) UJ Q) UJ .0 ·c: c c ·c: c ·c: x c a. ·c: c a. ·c: c a. ·c: c :J 0 0 0 0

~ 0 >- 0

~ 0

(f) u:: (.) (.) ::::; (.) u:: w (.) u:: (.) f- u:: (.) u:: (.)

Bathroom c v G FR PL G p F PL G sc p G Refer to Photos 345-347

General Store c v G FR PL G p F PL G sc p G Refer to Photo 342

Clinical Supplies c v G FR PL G p F PL G sc p G Refer to Photo 273-275

DisabledWC c v G FR PL G p F PL G sc p G Refer to Photos 277-278

Cleaner c v G FR PL G p F PL G sc p G Refer to Photos 276

Speech Pathology c v G FR PL G p T p G sc p G Refer to Photos 270-272

TV Room c CA G FR PL G p T p G sc p G Refer to Photos 379

Lounge c CA G FR PL G p T p G sc p G Refer to Photos 375-378

4 Bed Ward 1 c v G FR PL G p T p G sc p G AL GL G Refer to Photos 330-333

4 Bed Ward 2 c v G FR PL G p T p G sc p G AL GL G Refer to Photos 334-337

Staff Station c v G FR PL G p T p G sc p G Refer to Photos 356-358

3 Bed Ward c v G FR PL G p T p G sc p G AL GL G Refer to Photos 352-355

4 Bed Ward (Pediatric) c v G FR PL G p T p G sc p G Refer to Photos 348-351

2 Bed Ward c v G FR PL G p T p G sc p G AL GL G

1 Bed Ward c v G FR PL G p F PL G sc p G Refer to Photo 343-344 I

4 Bed Ward 3 c v G FR PL G p T p G sc p G AL GL G

LEGEND • Interior

Condition Roor Wall Finishes Ceiling Door .Window

G good C concrete B/M brick/ masonry P pairit T tiles SC solid core AL aluminium

F fair V vinyl sheet PB plaster-board SK .skirting F flush HC hollow core PC powder coat

PO poor T timber HP. hard plaster PC powder coating P paint P paint AD anodised







Table 20: Oral and Community Health conditions audit

Oral and Community Health (ground level)


<:: 0

Room Name ~ <:: i3 <:: <:: <:: <:: <:: ~ 2 0 0 0 0 0

~ U! ® ~ £§ :;::; 00 .<: '0 00 Cl .<: .<: .<: .<: '0 U! <:: U! ~ <ll U! <ll U! <ll U! .0 ·c: <:: <:: ·c: <:: ·c: ><

<:: 0.. ·c: <:: 0.. ·c: <:: 0.. ·c: <:: :::> 0 0 0 0 ,., 0

~ 0 ,., 0

(/) u::: () () ::::; () u::: w () t- u::: () u::: () t- u::: ()

Central Waiting c v G FR PL G p T p G sc p G Refer to Photos 77-78, 81-84

Children's Health/ School Health c CA G FR PL G p T p G sc p G Refer to Photos 135-136

Wait/Play Area c CA G FR PL G p F p G sc p G Refer to Photo 141

Dental Store c v G FR PL G p T p G sc p G Refer to Photos 149-150

Dental Surgery 1 c v G FR PL G p T p G sc p G AL GL G Refer to Photo 142

Dental Surgery 2 c v G FR PL G p T p G sc p G AL GL G Refer to Photos 143-144

Dental Surgery 3 c v G FR PL G p T p G sc p G AL GL G Refer to Photos 145-146

Dental Lab c v G FR PL G p T p G sc p G Refer to Photos 147-148

Community Health Officer c CA G FR PL G p T p G sc p G AL GL G Refer to Photos 119-121

Dietition c CA G FR PL G p T p G sc p G AL GL G Refer to Photos 122-124

ATSI Health c CA G FR PL G p T p G sc p G AL GL G Refer to Photos 125-126

Interview Room c CA G FR PL G p T p G sc p G AL GL G Refer to Photos 116-117 I

Waiting Area c CA G FR PL G p T p G sc p G Refer to Photos 128-130

Mental Health Drug and Alcohol Services c CA G FR PL G p T p G sc p G AL GL G Refer to Photos 131-132

Indigenous Health Worker c CA G FR PL G p T p G sc p G AL GL G Refer to Photos 133-134 ---

LEGEND- Interior

Condition Floor Wall Anlshes Ceiling Door Window

Ggood C· concrete B/M brick/masonry P paint T tiles SC solid core AL aluminium

F fair v.vinyl sheet PB plaster-board SK skirting F flush HC hollow core PC powder coat

PO poor Ttimber HP hardpla;ster PC powder coating P paint P paint AD anodised

·cp carpet FR framed LAM lamimite PR pre-finished GL glass






Table 21: Services conditions audit

Services (ground level)


<:: 0

Room Name (]) <:: u <:: <:: <:: <:: <::

~ 0 2 0 .g g 0 s ~ ~ If) :;::;

.<: 1i) 0> .<: '0 .<: '0 .<: '0 .<: '0 If) <:: If) ~ (]) If) (]) If) (]) If) .n ·c: <:: <:: ·c: <:: ·c: x <:: c. ·c: <:: c. ·c: <:: c. ·c: <:: :::1 0 0 0 0

~ 0

~ 0

~ 0

en u:: u u ::J u u:: w u u:: u u:: u u:: u

Sterile Store c v G FR PL G p F PL G sc p G Refer to Photos 157-158

Cleaner Store c v G FR PL G p F PL G sc p G Refer to Photo 162

Supply Department c v G FR PL G p F PL G sc p G Refer to Photos 159-168

Dirty Linen c v G FR PL G p T p F sc p G Ceiling tiles missing. Refer to Photo 167

Emergency Linen c v G FR PL G p T p G sc p G Refer to Photo 163

Servicing Area c v G FR PL G p T p F sc p G Ceiling tiles missing. Refer to Photo 166

Preparation Room c v G FR PL G p F PL G sc p G A GL G Cold room connection (fridge and freezer) Refer to Photos 151-152

we c v G FR PL G p T p G sc p G Refer Photos 155-156

Morgue c v G FR PL G p SK F T p G sc p G Cold room connection. Refer to Photos 153-154

LEGEND -Interior

Condition Floor Wall Rnishes Ceiling Door VI/in dow

Ggaod C· concrete B/M brick./ masonry P paint T tiles SC solid core AL aluminium


PO poor T timber HP hard plaster PC powder coating P pairit P paint AD anodised

CP carpet FR fi"amed LAM laminate PR pre-finished GL glass




""PRINTED COPIES ARE UNCONTROLLED" Page 129of136


Table 22: Staff amenities conditions audit

Staff amenities (ground level) i


c 0

Room Name ~ c u c c c c c .Q 2 0 0 0 0 0

:a ~ "' :;::; :;::;

~ .<:: ~ 1ii .<:: 1ii C) .<:: ~ ii ., .<:: ii ., .<:: .,

"' c "' "' "' "' ..c ·c: c c ·c: c ·c: x c a. ·c: c a. ·c: c a. ·c: c ::J 0 0 0 0 ,., 0 ,., 0 ,., 0 en i.L u u ::::; u i.L UJ u f- i.L u f- i.L u f- i.L u

Office c v G FR PL G p T p F sc p G Stains to ceiling tiles. Refer to Photos 184-186

Staff Change c v G FR PL G p F PL G sc p G Refer to Photo 190-197

Lockers c v G FR PL G p F PL G sc p G Refer to Photo 193, 197

WCMale c v G FR PL G p F PL G sc p G Refer to Photos 194-195

WC Female c v G FR PL G p F PL G sc p G Refer to Photos 190-193

Staff Lounge c v G FR PL G p T p G sc p G AL GL G

Seminar Room c CA G FR PL G p T p G sc p G AL GL G Refer to Photos 198-201

Library and Photocopy c CA G FR PL G p T p G sc p G Refer to Photos 203-204

Executive Support c CA G FR PL G p T p G sc p G Refer to Photos 209-211

Medical Superintendent c CA G FR PL G p T p G sc p G Refer to Photos 207-208

Director of Nursing c CA G FR PL G p T p G sc p G Refer to Photos 205-206

Store c v G FR PL G p T p G sc p G Refer to Photo 202

Cleaners c v G FR PL G p F PL G sc p G Refer to Photo 188

LEGEND" Interior

Condition Floor Wall Rnishes Ceiling Door 111/indow

G good C concrete 6/M brick I masonry P paint T tiles SC solid core AL aluminium


PO poor Ttimber HP hard plaster PC powder coating P paint P paint AD anodised



CT ceramidile.s MP Metal Pan




Table 23: Theatres conditions audit

Theatres (ground level)


<:: 0

Room Name "' <:: u <:: <:: <:: <:: <:: ~ 0

~ g 0 g g 0

.<::: "" .<::: "' "" .<::: .<::: .<::: "" 1il '0 0> '0 ~ '0 "' '0 "' '0 "' '0 "' <:: "' "' "' "' .0 '2 <:: <:: '2 <:: '2 x <:: c. '2 <:: c. '2 <:: c. '2 <::

::r 0 0 0 0 >- 0 >- 0 >- 0 (f) u:: u u :.:::; u u:: w u t- u:: u t- u:: u t- u:: u

Staff Change 1 (Male) c v G FR PL G p T p F sc p G Refer to Photo 218-219

Staff Change 2 (Female) c v G FR PL G p T p G sc p G Refer to Photo 220-221

WC1 c v G FR PL G p F p G sc p G Refer to Photo 214

Shower c v G FR PL G p F p G sc p G Refer to Photo 213

Staff Room c v G FR PL G p T p G sc p G Refer to Photos 225-226

WC/Shower c v G FR PL G p F p G sc p G Refer to Photo 215

Pre OpWait c v G FR PL G p T p G sc p G Refer to Photos 222-223

Staff Base c v G FR PL G p T p G sc p G Refer to Photos 227-230

Patient Change c v G FR PL G p T p G sc p G Refer to Photos 236-238

Interview c v G FR PL G p SK F T p G sc p G Refer to Photos 232-233

Cleaner c v G FR PL G p F PL G sc p G Refer to Photo 224

Recovery Suite c v G FR PL G p T p G sc p G Refer to Photos 234-235

Procedure Room/Endoscopy c v G FR PL G p F PL G sc p G Refer to Photos 247-248

Scrub c v G FR PL G p F PL G sc p G Refer to Photo 246

Operating Entry c v G FR PL G p F PL G sc p G Refer to Photos 243-245

Operating Room c v G FR PL G p F PL G sc p G Refer to Photos 249-251

Theatre Exit Lobby c v G FR PL G p T p G sc p G

LEGEND- Interior

Condition Floor Wall Rnishes Ceiling Door Window

Ggood C concrete B/M brick I masonry Ppaint T tiles SC solid core AL aluminium


PO poor T timber HP hardplaster PC powder coating P paint P paint AD anodised

cp· carpet FR fi'amed LAM laminate PR pre-finished GL glass

R rubber 1'P textured paint CL cladding





Theatres (ground level)

Floor Walls Ceiling Doors Windows Comment c: 0

Room Name OJ c: u c: c: c: c: c: ~ 0

~ ~ 0 0 ~ 0

.<::: ~ "' .<::: rn ~ .<::: ~ .<::: .<::: :2 1i) rn c: '0 rn ~ OJ rn OJ rn '0 OJ rn "0 .c ·c: c: c: ·c: c: ·c: x c: a. ·c: c: a. ·c: c: a. ·c: c: ::J 0 0 0 0 >- 0 ?: 0 >- 0 UJ u:: () () ::::; () u:: w () t- u:: () u:: () t- u:: ()

Dirty Utility c v G FR PL G p T p G sc p G Refer to Photos 239-241

Equipment Store c v G FR PL G p F PL G sc p G Refer to Photo 242

SetUp c v G FR PL G p F PL G sc p G Refer to Photos 259-260

Sterile Stock Store c v G FR PL G p F PL G sc p G Refer to Photos 257-258

Packaging Room c v G FR PL G p F PL G sc p G Refer to Photos 254-255

Non Sterile Stock c v G FR PL G p F PL G sc p G Refer to Photo 256

Decontamination Disposal c v G FR PL G p F PL G sc p G Refer to Photos 252-253

LEGEND - Interior

Condition Roar wan Finishes Ceiling Door Window

G good C· concrete B/M brick I masonry Ppaint T tiles SC solid tore AL aluminium

F fair V. vinyl sheet PB plaster-board sK skirting F flush HC hollow core PC powder coat

PO poor Ttimber HP hard plaster PC powder coating P paint P paint AD anodised

cp· c.u:pet FR fi"amed LAM laminate PR pre-finished Gl.. glass

R rubber TP· taxtured paint CLcladding



"PRINTED COPIES ARE UNCONTROLLED" Page 132of136


18 Infrastructure gaps Table 24: Infrastructure gaps

SITE KEY INFRASTRUCTURE REQUIREMENT 2026

Beaudesert Level 3 service provision of Emergency and Outpatient Department services (Maximum 7 treatment spaces)

Required departmental area : 445.9m2

Dirty Utility

1 Triage desk with view of waiting room

1 Triage cubicle

5 Treatment bays.

Emergency Department Reception

1 Isolation I Decontamination room

1 Psychiatric treatment space

1 Quiet I Grieving room

Lounge

Play area associated with Waiting room

Parenting Room

Accessible Toilet

Patient Shower

En-suite

Senior Nurse Office-

General store

Equipment Store

Beverage Bay

Drug store

Ambulance Offices/Store/Drug Store

Ambulance Reception

Level 2 service provision of Inpatients I Medical services

Required departmental area: 1089m2

En-suites/Showers/Toilets

8 Bed Geriatric Ward

4 bed Wards

INFRASTRUCTURE GAPS CURRENT FACILITY

Current infrastructure provides 173.1m2 plus associated circulation spaces leaving a departmental area deficit of 272.8m2 Although many spaces are shared with adjacent departments

The current dirty utility for outpatients is just under the required 1Om2 required in the Australian Health Facility Guidelines.

No dedicated triage desk provided in current facilities as required in the Australian Health Facility Guidelines.

No Dedicated Triage Cubicle provided in current facilities as required in the Australian Health Facility Guidelines.

1 resuscitation bay and 4 examination bays required in the Australian Health Facility Guidelines. Currently no dedicated examination bay provided.

New reception is undersized. 20m2 is required as per the Australian Health Facility Guidelines for space and functionality however only 9m2 is currently provided

No special precautionary room provided in current facilities as required in the Australian Health Facility Guidelines.

No provision in current facility for psychiatric treatment in current Emergency Department or adjacent departments

Currently utilise existing consultation rooms for grieving families and interview purposes, no dedicated room in current facilities

Current lounge is undersized by 2.1 m2 according to the Australian Health Facility Guidelines.

No dedicated play area in current waiting room as required in the Australian Health Facility Guidelines. Waiting room is shared between Emergency and Outpatients.

No Dedicated Parenting room provided in current facilities as required in the Australian Health Facility Guidelines.

No Accessible Toilet is provided in current facilities as required in the Australian Health Facility Guidelines.

No patient shower is provided in current facilities as required in the Australian Health Facility Guidelines.

There is currently no dedicated en-suite in current facilities as required in the Australian Health Facility Guidelines.

Office is currently undersized. It is 7.9m2 and 9.0m2 is required.

The store is only 4.8m2 whereas the Australian Health Facility Guidelines calls for 8m2

No dedicated equipment store is provided in current facilities as required in the Australian Health Facility Guidelines.

There is currently no beverage bay as required in the Australian Health Facility Guidelines.

There is currently no Dedicated drug store as required in the Australian Health Facility Guidelines. Drugs are housed in the general store/ clean utility.

Currently there is no provision for ambulance offices (x 2) or associated store or drug store as required in the Australian Health Facility Guidelines. The stores could be shared

Current department lacks a dedicated ambulance reception as required in the Australian Health Facility Guidelines.

Current infrastructure provides 734.1m2 plus associated circulation spaces leaving a departmental area deficit of 354.9m2

Generally en-suites are provided to all rooms however all of them fall short of complying with the areas required in the Australian Health Facility Guidelines.

There is currently no dedicated geriatric ward as required in the Queensland Health Service Activity Data Reporl.

Generally the four bed wards fall just short of the 42m2 required to comply with the Australasian Health Facility Guidelines. Most are approximately 40m2•



SITE KEY INFRASTRUCTURE REQUIREMENT 2026 INFRASTRUCTURE GAPS CURRENT FACILITY

Patient Isolation Room The department lacks a patient isolation room required in the Australasian Health Facility Guidelines.

Patient Lounge The current patient lounge has sufficient floor area however does not meet the Australasian Health Facility Guidelines for functionality layout.

Patient Laundry The Patient Laundry is only 3.7m' whereas the Australian Health Facility Guidelines calls for 6m2•

Cleaner's Room The Cleaner's Room is only 3.6m' whereas the Australian Health Facility Guidelines calls for 5m2•

Dirty Utility The dirty utility is disproportionate compared to the requirements in the Australian Health Facility Guidelines.

Staff Station The staff station is undersized at 18.9m'. The Australian Health Facility Guidelines calls for 20m'. It is also awkward functionally with a thoroughfare through it to the High Dependency Unit.

Staff office The staff office is just undersized at 11.8m' compared with the 12.0m2 required by the Australian Health Facility Guidelines.

Accessible Toilet and Shower No dedicated accessible toilet to Wards. Required in the Australian Health Facility Guidelines.

Associated spaces as per Australian Health Facility Guidelines Current facility lacks key departmental infrastructure, including: clean linen bay, disposal hold, general storage and hand wash bays

Departmental Adjacencies Current department lacks direct access to Surgical and Medical Imaging facilities.

Level 1 service provision of Maternity services

Required departmental area: 175.5m2 Current infrastructure provides 253.4m2 plus associated circulation spaces providing a departmental area excess of 141.8m2

3 Consultation rooms No consultation rooms currently provided in Maternity department

1 Child friendly waiting room No dedicated waiting area currently provided in Maternity department

1 Multipurpose staff/antenatal/postnatal education room No dedicated education room in Maternity department. Current facility utilises converted 4 bed ward as meeting/training room

2 Cot spaces 1 cot space only is provided in the paediatrics ward.

1 Resuscitation bay/cot no dedicated resuscitation bay cot is provided within the hospital

Associated spaces as per Australian Health Facility Guidelines Current facility lacks key departmental infrastructure, including: feeding room, feeding preparation room,

Generally the Maternity ward services Generally the Maternity ward is replaced with Allied Health Services

Level 2 service provision of Surgical/Peri Operative services

Required departmental area : 558.2m2 Current infrastructure provides 409.0m2 including associated circulation spaces leaving a departmental area deficit of 149.2m2

Non Sterile Preparation Room The non-sterile preparation room only has 9.6m' whereas the Australian Health Facility Guidelines calls for 12.0m'.

Dirty Utility The Dirty Utility only has 7.7m' whereas the Australian Health Facility Guidelines calls for 1 O.Om'.

Clean Utility The Clean Utility only has 6.0m' whereas the Australian Health Facility Guidelines calls for 7.0m'.

Cleaner Room The Cleaner room only has 2.1 m• whereas the Australian Health Facility Guidelines calls for s.om•.

General Change Rooms and Ablutions Most come under the required area listed Australasian Health Facility Guidelines

Associated spaces as per Australian Health Facility Guidelines Current facility lacks holding bay's

Provision of low volume Central Sterile Services Department Current infrastructure provides no dedicated Central Sterile Service Department. The Logan Hospital currently provides this services for Beaudesert Hospital and will continue current outsourcing arrangements with Logan Hospital

Level 1 service provision of Rehabilitation/Allied Health services

Required departmental area: 182.5m2 Current infrastructure provides 440.7m2 giving a departmental area excess of 258.2m2

En-suites The conversion of the Birthing suites into Allied Health rooms has meant these rooms now have en-suites. This is not a requirement however the en-suites do not currently meet the requirements of en-suites as listed in the Australian Health Facility Guidelines.

Clinical Supplies Room The Clinical Supplies Room is currently 18.3m' and therefore does not comply with the 20.0m' required in the Australian Health Facility Guidelines.

""PRINTED COPIES ARE UNCONTROLLED" Page 134of136


SITE KEY INFRASTRUCTURE REQUIREMENT 2026 INFRASTRUCTURE GAPS CURRENT FACILITY Level 2 service provision of Pathology services Current collection service for Pathology samples will continue.

Associated spaces as per Australian Health Facility Guidelines Currently no provision for dedicated Pathology services within facility other than a holding room. Testing is carried out in the Logan Hospital.

Level 1 service provision of Medical Imaging services

Required departmental area: 197.21m2 Current infrastructure provides 173.1 m2 including associated circulation spaces leaving a departmental area deficit of 24.1 m2

Film/ Chemical Store The current Film/ Chemical Store is 11.3m2 and is non compliant with Australian Health Facility Guidelines which requires 16.0m2•

Cleaner's Room The Cleaner's room is currently 2.6m2 but must be 5.0 to comply with the Australian Health Facility Guidelines.

Level 3 service provision of Pharmacy services Continue to outsource services from Logan Hospital I Required departmental area: 153.75m2 Current infrastructure provides 64.0m2 plus associated circulation spaces leaving a departmental area deficit of 89.8m2

Level 1 service provision of Mortuary services The open area and refrigerated body storage is adequate with excess being transferred to Logan Hospital on occasion as required.

Required departmental area : 96.25m2 Current infrastructure provides 22.8m2 plus associated circulation spaces leaving a departmental area deficit of 73.45m2

Mortuary Cool Store The Mortuary Cool Store is 14.7m2 and is required to be 25m 2 according to the Australian Health Facility Guidelines.

Associated spaces as per Australian Health Facility Guidelines Additional rooms required for compliance to Australian Health Facility Guidelines are a waiting area.

Total required development area

Required area : 5896. 7m2 Current infrastructure provides 4348.2m2 plus associated circulation spaces leaving a development area deficit of 1548.5m2

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tA Queensland Government - parliament.qld.gov.au · commissioned by Queensland Health through Project Services Department of Public Works on 14 June 2010. This study investigates