Appendix B - VAMC Providence - Bulk Oxygen Commissioning Report.pdf

Mechanical/Electrical Engineers

300 UNICORN PARK DRIVE, 5TH FLOOR, WOBURN, MA

01801 (P) 781.481.0210 (F) 781.481.0203 (W) www.f-t.com

Providence Veterans Affairs Medical Center Bulk Oxygen Replacement

Commissioning Report

March 26, 2018

Prepared For:

Providence VA Medical Center

Prepared By:

Fitzemeyer & Tocci Associates, Inc.

300 Unicorn Park Drive, 5th Floor Woburn, MA 01801

781.481.0210 | 781.481.0203

Table of Contents

SECTION 1: FINAL REPORT

Executive Summary

Project Description

Commissioning Results

SECTION 2: COMMISSIONING PLAN

SECTION 3: REPORTING

Commissioning Site Visit Reports

SECTION 4: CHECKOUT

Testing Reports

SECTION 1: FINAL REPORT

Executive Summary

Fitzemeyer and Tocci Associates were sub-contracted by WBRC to perform commissioning services for the Veterans Affairs Medical Center – Bulk Oxygen replacement project located at 830 Chalkstone

Avenue in Providence, Rhode Island. Commissioning involvement began in October 2016 and final closeout review was conducted in December 2017.

The intent of building commissioning is to ensure that the turnover of the project results in a building with systems that perform as specified by the design team, as intended by and as purchased by the building owner.

Project Description

The project originally consisted of the installation of a new liquified oxygen (LOX) system on the north-east side of the facility across Armed Forces Blvd from B wing. This scope also included the installation of all supporting infrastructure (electrical power, controls wiring, conduit and medical gas piping) for the new

LOX skid and the relocation of the existing emergency oxygen supply connection (EOSC) from its current location on the south-eastern side of Building 1 to the southwestern side of Building 1.

The current LOX vendor indicated the intention to refurbish and reutilize the existing LOX tanks at the new pad location on Armed Forces Blvd during construction of the project. This, accompanied by a revised pricing exercise that exceeded the original project budget, required a revision and reduction in overall project scope. This reduced scope maintained the operation of the existing LOX skid at its current location, struck the installation of a new skid at the newly construction pad on Armed Forces Blvd and included the relocation of the EOSC.

The completion of the project resulted in a pad, with supporting infrastructure, that can support the installation of a new LOX skid. Newly installed medical gas piping was connected to the existing medical gas system in close proximity to the existing skid so that once the existing skid is decommissioned, the newly installed skid can be brought online with minimal disruptions in system service. The newly installed

EOSC will provide a more convenient location for EOSC hook-up and will also facilitate adherence to code.

Commissioning Results

Commissioning scope of the installation was considerable reduced with the reduction in scope. The commissioning scope was revised with the issuance of Addendum 2 and executed as applicable per the construction documents. All installation was field verified to be per contractual obligations. The commissioning team was not notified by the contractor that field testing be a certified testing technician was completed until after the testing was conducted. The testing agency certifications were reviewed, along with the final testing report, and found to meet project requirements as they were applicable with the revised scope.

SECTION 2: COMMISSIONING PLAN

SECTION 3: REPORTING

Commissioning Site Visit Reports

SECTION 4: CHECKOUT

Testing Reports

Commissioning Plan

Project: VA Bulk Oxygen CX

Project Number: 160405.01

Location: Providence, RI

Prepared By:

300 Unicorn Park Drive

Woburn, MA 01801

781.481.0210 | 781.481.0203

Prepared For:

Department of Veteran Affairs Medical Center

Providence, RI

Table of Contents

COMMISSIONING

1.1 Definition of Commissioning

1.2 Purpose of the Commissioning Plan

1.3 Commissioning Objectives

1.4 Acronyms

PROJECT INFORMATION

2.1 Project Details

2.2 Project Team Organization

2.3 Roles and Responsibilities

2.3.1 Owner

2.3.2 Owners Representative

2.3.3 Design Professionals

2.3.4 Contractor

2.3.5 Subcontractors

2.3.6 Commissioning Authority

COMMISSIONING PROCESS

3.1 Construction Phase Activities

3.2 Acceptance Phase Activities

3.3 Warranty Phase Activities ............................................. Error! Bookmark not defined.

COMMISSIONING

1.1 Definition of Commissioning

Commissioning is a systematic process of ensuring that the building systems perform according to the design intent and the owner’s operational requirements. All equipment and systems should be installed according to manufacturer’s recommendations and the best practices and standards of the industry. Commissioning activity should start in the design phase of the project and extend through the warranty phase of the project.

1.2 Purpose of the Commissioning Plan

The purpose of the commissioning plan is to provide direction for the commissioning process. In addition to providing direction for the commissioning process the plan also identifies the systems to be commissioned, defines roles of members of the commissioning team. The commissioning plan will be updated throughout the project and will re-distributed and reviewed with the commissioning team during commissioning meetings.

1.3 Commissioning Objectives

• Review design and contract documents for potential issues that could prevent the overall design from meeting its capability requirements.

• Document that equipment is installed per manufacturers installation requirements.

• Verify that all equipment and systems receive full operational checkout performed by the installing contractors.

• Demonstrate, through functional performance testing, that equipment and systems perform according to their original design intent.

• Review the completeness of operations and maintenance manuals and ensure that design specifications regarding quantity and format are met.

• Attend training and document that the building owners’ operations and maintenance staff are properly trained on the operation and maintenance of the equipment.

1.4 Acronyms

A/E Architect and design engineers GC General contractor

ATC Automatic Temperature Controls MC Mechanical contractor

BAS Building Automation System MEP Mechanical, Electrical, Plumbing

BOD Basis of Design NCL Non-conformance Log

CM Construction Manager O&M Operations and Maintenance

CX Commissioning OPR Owner’s Project Requirements

CxA Commissioning Authority PC Plumbing Contractor

EC Electrical contractor PM Project Manager

FP Fire Protection Subs Subcontractors to General

FTP Functional testing procedures TAB Testing and balancing

PROJECT INFORMATION

2.1 Project Details

Project Name: VA – Bulk Oxygen CX

Project Location: Providence VA Medical Center

Building Type: Medical Clinic

Square Footage: N/A

Building Description: Medical Center

Owner Agency: Department of Veterans Affairs

Scheduled Completion Date: 2/28/18

2.2 Project Team Organization

Team Member Organization Contact Information

Owner Providence VA Medical Center

830 Chalkstone Ave Providence, RI 02908

Ray Picard 401-459-4760 x 1552 raymond.picard@va.gov

Prime Consultant

WBRC

30 Danforth Street, Suite 306 Portland, ME 04101

William Pogar 207-828-4511 x 101

Will.pogar@wbrcae.com

Design Team:

Woodward & Curran

980 Washington Street Dedham, MA 02026

Paul O’Brien

General Contractor:

Williams Building Company 196 Old Townhouse Road West Yarmouth, Ma 02673

Mechanical Contractor:

B.L. Mechanical

726 Quaker Highway Uxbridge, MA 01569

Ben Sherblom 508-779-7401

Commissioning Service Provider:

300 Unicorn Park Drive, 5th Floor

Woburn, MA 01801

Matthew Wheeler 781-481-0210 mwheeler@f-t.com

Testing Agency:

Med Gas Testing, LLC

10 Hawes Drive Freetown, MA 02717

Dennis Meunier 508-971-6963

Feb3@comcast.net mailto:raymond.picard@va.gov mailto:Will.pogar@wbrcae.com mailto:mwheeler@f-t.com mailto:Feb3@comcast.net

2.3 Roles and Responsibilities

2.3.1 Owner

The owner plays an important role in the Commissioning Process throughout the duration of the project. The owner facilitates and supports the CxA and is the party who provides final acceptance of the Commissioning Process. Responsibilities of the owner/owners representative include but are not limited to:

• Provide input in developing the Owner’s Project Requirements document for the project.

• Attend design phase meetings and provide input to design discussions.

• Review and approve any changes made to the basis of design by the deign team

• Assign and schedule operations and maintenance personnel and schedule them to participate in the various progress meetings, training sessions and observations and inspections.

2.3.2 Owners Representative

The owner’s representative works directly for the owner, but does not have the authority to approve submittals or make commitments. The owner’s representative should act as a direct liaison between the owner and the commissioning authority and should be in direct contact with the CxA, project team and owner for the duration of the project.

2.3.3 Design Professionals

The various disciplines of the design team will collaborate closely with the CxA to ensure the design is clear and meets all intended design requirements. Responsibilities of the design professional include but are not limited to:

• Participate and assist in the documentation of the Owners Project Requirements.

• Development of the basis of design document

• Prepare contract documents, including the integration of the commissioning process requirements and activities.

• Attend the pre-design and design phase coordination and review meetings

• Attend the construction phase pre-bid and pre-construction meetings

• Attend the commissioning team meeting’s

• Review and incorporate, as appropriate, the CxA’s comments from their submittal reviews.

• Participate in the initial operations and maintenance personnel and occupant training session by presenting the project basis of design.

• Specify and verify that adequate training requirements are provided in the contract documents.

2.3.4 Contractor

All contractors are responsible for integrating the commissioning process into their operations. Primarily, this includes educating their workers on what commissioning is, this project’s basis of design, and the responsibility of each worker for a quality job. Individual contractors shall complete the start-up forms provided by the CxA and assist in the

Functional Testing Procedures completed per the oversight of the CxA. Following is an outlined summary of the Contractors responsibilities.

• Include costs for commissioning process activities in the contract price.

• Include commissioning process requirements and activities in each purchase order or subcontract written

• Attend the commissioning team meetings

• Include commissioning process activities and milestones in the project schedule

• Provide submittals to the owner, design professionals, and CxA

• Complete the construction checklists as the work is accomplished. Provide the completed checklists to the CxA.

• Demonstrate the performance/assemblies and operation of systems to the CxA.

• Implement the training program as detailed in the contract documents.

2.3.5 Subcontractors

• Include costs for commissioning process activities in the contract price

• Provide all the information required for the operation and maintenance of the system of assembly as part of the initial submittal

• Provide the requirements to maintain the warranty as part of the initial submittal

• Coordinate and accomplish factory tests as detailed in the contract documents

• Provide training as detailed in the contract documents

• Demonstrate the performance/assemblies and operation of systems to the CxA.

2.3.6 Commissioning Authority

• The CxA will organize and lead the commissioning team

• Facilitate development of the Owners Project Requirements

• Verify the commissioning process activities are clearly identified in the contract documents

• Integrate the commissioning process activities into the project schedule

• Prepare a commissioning plan that describes the extent of the commissioning process to accomplish the Owners Project Requirements. Update the CX plan during each phase of the project to incorporate changes and additional information.

• Review the contract documents with respect to completeness in all areas relating to the commissioning process. This includes verifying that the Owners Project

Requirements have been achieved, and that there are adequate devices included in the design to properly test the systems and assemblies and document proper performance.

• Attend the pre-bid meeting to detail the commissioning process requirements and answer questions from bidders

• Attend the pre-construction meeting to detail the commissioning process requirements of the project to the contractor and subcontractors

• Develop the issues log to be used throughout the duration of the project

• Review submittals, shop drawings and RFI and offer comments related to Cx issues

• Review operation and maintenance manuals for completeness and accuracy

• Coordinate contractor training

• Attend a portion of the contractor training sessions to verify the objectives of the training are being met

• Witness system and assembly testing

• Periodically review record drawings for accuracy with respect to the installed systems

• Assemble the final documentation into the final commissioning report

• Review building operations with facility staff at the conclusion of the first ten months of occupancy and review monitoring and data collection related to environmental and energy performance during this period.

COMMISSIONING PROCESS

3.1 Construction Phase Activities

Sub-contractor Kickoff Meeting

The purpose of the sub-contractor kickoff meeting is to bring all sub-contractor members of the commissioning team together, with the construction management team and owner’s representation, to review what will be required of them during the commissioning process. Draft start-up documentation and draft FTPs will distributed to team members at this meeting so that they can review what will be required of them during start-up and functional testing procedures.

Commissioning Plan Development

The Commissioning Plan is a living document that outlines the organization, schedule, allocation of resources, and documentation requirements of the commissioning process. The initial Commissioning Plan is created during the Pre-Design Phase, but it may also be developed during the Design Phase. This timing depends on when the commissioning authority is brought on-board and when the Commissioning Team is officially formed.

Commissioning Contract Documentation Development

At this stage of the design process, after the design documentation reviews have been conducted, the CxA will use the latest design documentation issued and begin development of DRAFT commissioning contract documentation. Commissioning contract documentation consists of the following:

• Non-conformance Log – The NCL will track issues discovered through the entire commissioning process. This may include issues developed during the pre-design or design phases of the project, therefore the NCL should be developed as soon as items are identified. This record will be on-going throughout the project. A place holder may be put into the NCL for the response to design review comments but a separate design review comment log will be maintained separate from the NCL.

• Commissioning specification – The CX specification should be integrated into the project technical specifications. The commissioning process is intended to be integrated with the normal construction process, start-up and testing activities.

• DRAFT Start-up documentation – Draft start-up documentation will be created for equipment deemed “non-ancillary”. This includes equipment such as boilers, air handling units, chillers, domestic hot water heaters, generators, etc.

• DRAFT Functional Testing Procedures – Draft functional testing procedures will be developed from the design documentation. These functional testing procedures will be updated and finalized based upon the receipt by the CxA of the approved controls submittal approved by the engineer of record.

Site Visits

Periodic site visits will be conducted throughout the project to confirm that construction progress is in line with the latest revised project schedule. In addition to observational site visits, the CxA will hold periodic commissioning meetings in the early phases of the project to update the project schedule and update the status of the equipment start-ups. Site visit frequency will pick up towards the end of the construction, when TAB reports have been received, ATC point to point check-outs have been received and functional testing activity begins to increase

Weekly commissioning meetings will also be conducted as the functional testing of equipment begins to ramp up and the issues identified become more frequent requiring closer coordination of the commissioning team.

Functional Testing Procedures

The CxA shall schedule functional testing through the CM or GC and will notify affected sub-contractors. The CxA will require functional checklists to be completed and submitted, with the necessary signatures, confirming that the system is ready for functional testing. The CxA shall oversee, witness and document the integrated testing of all equipment and systems according to the specifications and the CX Plan. The CM Subs shall execute the tests. The control system is to be tested before it is used to verify performance of other components or systems. A completed point to point verification can be used to validate that the ATC contractor has completed this checkout.

Minor deficiencies can be made during functional testing at the discretion of the CxA, however results of all testing will be documented on the testing procedures and the NCL as applicable.

Non-Conformance Log

The NCL will be updated throughout the project to reflect non-conformance items identified during all phases of the project. The NCL will also be updated as items are resolved. Items will not be removed from the list after their closure and will take the form of a “running record” of non-conformance items.

3.2 Acceptance Phase Activities

Equipment Start-Up

A Pre-Functional Inspection Checklist is developed and completed for all non-ancillary equipment being commissioned. The checklist captures equipment nameplate and characteristics data, and confirms the as-built status of the equipment or system. The checklists ensure that the systems are complete and operational and document the installation of components and completion of systems.

The checklists are prepared by the commissioning authority from manufacturer’s data, drawings and specifications to include the required installation, checkout, and start up procedures.

The installing subcontractors date and initial the checklists as the construction and start-up is completed. The commissioning authority reviews and verifies the completed checklists before scheduling the functional testing.

Functional Testing Procedures

The CxA shall schedule functional testing through the CM or GC and will notify affected sub-contractors. The CxA will require functional checklists to be completed and submitted, with the necessary signatures, confirming that the system is ready for functional testing. The CxA shall oversee, witness and document the integrated testing of all equipment and systems according to the specifications and the CX Plan. The CM Subs shall execute the tests. The control system is to be tested before it is used to verify performance of other components or systems. A completed point to point verification can be used to validate that the ATC contractor has completed this checkout.

Minor deficiencies can be made during functional testing at the discretion of the CxA, however results of all testing will be documented on the testing procedures and the NCL as applicable.

Warranty Period (Enhanced Commissioning Activity)

During the warranty period, seasonal testing and other deferred testing required is completed according to the specifications. Tests are executed and deficiencies corrected by the appropriate subs, witnessed by the CxA. Any final adjustments to the O&M manuals and as-builts due to the testing are made. Approximately 10 months into the warranty period, a one day review session is held on site to review systems operation with O&M staff prior to expiration of the warranty. Appendix R is designated to include the results of this session.

Final Commissioning Report

After completion of all commissioning activities, the Commissioning Authority will write a final report documenting the overall results of the commissioning process and recommending acceptance of the commissioning process and related documentation to the owner.

The final commissioning report will include an overview or summary of the commissioning process, major results of the process, the final commissioning issues log and resolutions, commissioning progress and field reports, a deferred testing log, an unresolved issues log, a lessons-learned evaluation, and concluding with a recommendation to accept the process as complete.

Systems to be commissioned:

HVAC/ELECTRICAL/PLUMBING

Building automation system integration X Medical gas systems X

Grounding and bonding systems X Medium voltage electrical distribution system

X

Lighting and lighting controls systems X Piping installation review X

CX Site Visit Report

300 Unicorn Park Drive, 5th Floor, Woburn, MA 01801 (P) 781.481.0210 (F) 781.481.0203 (W) www.f-t.com

REPORT #: 160405.001 PROJECT NAME: VAMC Providence Bulk Oxygen

Replacement Commissioning

REPORT DATE: 12/5/2017 PROJECT #: 160405.01

VISIT DATE(S): 12/1/2017 REPORT BY: Matthew Wheeler

• Purpose of Commissioning Site Visit

1. The purpose of the site visit was to review the installation and connection of a new emergency oxygen supply connection (EOSC) and the construction of a new concrete pad and associated infrastructure to support the installation of a new Liquified Oxygen (LOX) system.

2. The original scope of the commissioning was considerably reduced with the issuance of addendum 2 (dated July 21, 2017). This addendum and reduction in scope caused nearly a year delay in the execution of the project.

Installation and interconnection of the new LOX system at the newly constructed pad will not be completed until the selection of the permanent LOX supply vendor.

3. Newly installed oxygen piping now stubs up through the concrete pad for eventual permanent LOX connection. A new EOSC valve box was located adjacent to the current permanent LOX location. The original EOSC location has been abandoned and the tie-in of the new EOSC to the existing oxygen piping in the C-wing basement is complete.

4. Rough electrical is completed to a pedestal mounted electrical panel at the newly constructed concrete pad and ties into an existing junction box located in the B-wing basement for future connection to panel XH per design.

5. The commissioning team received notification that the EOSC tie-in was already completed in late November and that pressure testing on the new EOSC was also completed. F&T was not notified while pressure testing was being conducted so a pressure testing report should be provided by the installing contractor for review.

• Comments

1. B-wing basement oxygen piping wall penetration. Rubber link type seal installed per detail 1-M-201 on drawing M-

501(PICTURE 1).

PICTURE 1

300 Unicorn Park Drive, 5th Floor, Woburn, MA 01801 (P) 781.481.0210 (F) 781.481.0203 (W) www.f-t.com

2. B-wing basement electrical conduit penetration, connects to duct bank to new LOX pad. Two spare conduit connections capped at coring. (PICTURE 2)

PICTURE 2

3. Cap of newly installed oxygen piping in basement of C-wing basement. This is the location for the future tie-in of the new LOX system to the existing oxygen system. (PICTURE 3)

PICTURE 3

Spare conduit

300 Unicorn Park Drive, 5th Floor, Woburn, MA 01801 (P) 781.481.0210 (F) 781.481.0203 (W) www.f-t.com

4. Newly installed, locked EOSC panel with schedule 40 pipe sleeve through wall. (PICTURE 4)

PICTURE 4

5. EOSC connection, isolation valve and pressure gauge installed per design. (PICTURE 5)

PICTURE 5

300 Unicorn Park Drive, 5th Floor, Woburn, MA 01801 (P) 781.481.0210 (F) 781.481.0203 (W) www.f-t.com

6. EOSC tie-in to existing oxygen distribution line with isolation and check valve. (PICTURE 6)

PICTURE 6

7. The existing EOSC valve box wall penetration was observed to not be “bricked-in” per drawing M-201.

8. The spill pad for the newly installed EOSC valve was also not complete at the time of the site visit.

Submitted by: Matthew Wheeler Date: 12/5/17

January 25, 2017 PROJECT: Underground Oxygen Pipeline at V.A.M.C. of Providence, RI SUBMITTED TO: B.L. Mechanical, Inc. of Uxbridge, MA

Med Gas Testing, LLC * 10 Hawes Drive * Freetown, MA 02717 * DennisMeunier.99@gmail.com * 508.971.6963

MEDICAL GAS TEST REPORT

DATE & TIME

January 25, 2017 9:30 AM

PROJECT

Underground Oxygen Pipeline

V.A.M.C.

830 Chalkstone Avenue

Providence, RI 02908

SUBMITTED TO

B.L. Mechanical, Inc.

726 Quaker Highway

Uxbridge, MA 01569

CERTIFIED BY

Dennis W. Meunier, Medical Gas Verifier

ASSE 6030 Certification #00012750 by NITC Expires 27May2020

Contents of this report are certified to be correct as of the date and time noted.

Subsequent changes to these medical gas / vacuum systems may render the report obsolete and may necessitate additional testing.

Med Gas Testing, LLC * 10 Hawes Drive * Freetown, MA 02717 * DennisMeunier.99@gmail.com * 508.971.6963

TESTING SUMMARY

On the date(s) noted, Dennis Meunier, Medical Gas Verifier, of Med Gas Testing, LLC, verified the medical gas systems for the purposes of certification to the Facilities Guidelines Institute (FGI) document, “Guidelines for Design and Construction of Health Care Facilities – 2014” and the National Fire Protection Association (NFPA) document “99-2012 – Level 1,” as pertains to the above-named project.

Test results concluded the medical gas equipment and distribution of medical gases, as pertains to said project, met the guidelines set forth in FGI [GDCHOF] 2.1-8.4.4 Medical Gas & Vacuum Systems, and the standards set forth in NFPA [99] 99.5.1.12.3 System Verification, and were certified for connection to the pending bulk source and to the hospital’s existing distribution system.

TEST DATES

On-site testing for this report took place on January 25, 2017.

SCOPE OF WORK

A new two-inch, underground oxygen pipeline was installed from location of pending bulk source to inside crawl space of hospital closest to pending bulk source.

INSTALLERS

Mark Lewis of BL Mechanical, Inc., Uxbridge, MA; ASSE 6010 ID #12003114 by NITC

Med Gas Testing, LLC * 10 Hawes Drive * Freetown, MA 02717 * DennisMeunier.99@gmail.com * 508.971.6963

PATIENT OUTLETS & SAMPLE PORTS

Location

System

New or

Existing

(N / E)

5.1.12.3.3 Cross

Connection

(OK / Fail)

5.1.12.3.6 Piping Purge

(Clean)

5.1.12.3.10 Pressure Drop

(Gases <6 PSI Vac >12”Hg)

5.1.12.3.10 Vacuum

Flow

(>85 LPM)

5.1.12.3.10.5 Critical Care

Sustain

170 LPM

(>3 seonds)

5.1.12.3.11 Concentration

(OXY>99%)

(AIR:20-23%)

(Other>99%)

5.1.12.3.13 Labeling

(OK / Fail)

Comments

Pass

Fail

Crawl Space 2-inch pipeline

OXY N OK Clean 1 NA >3 <1%OXY (nitrogen test gas in pipeline)

OK Pass

PURITY TESTING

System

5.1.12.3.8.1

Nitrogen

Source Gas

5.1.12.3.7 Piping

Particulate Test

(<1 mg)

5.1.12.3.8.4 5.1.12.3.12.3 Hydrocarbons

(<5ppm)

5.1.12.3.8.6 5.1.12.3.12.3

Dew Point (<500ppm) (<35degF)

Carbon Monoxide

(<10ppm)

Carbon Dioxide

(<500ppm)

Fail

Crawl Space 2-inch pipeline

OXY Nitrogen <1mg ND ND ND ND