VA_Lexington_Contractor_Industry_Day_Elekta 2.pdf

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Y1DA--Construct New Radiation Oncology Building Minor Construction - Lexington Leestown 596-335
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36C77626Q0252
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This document is a Contractor Industry Day presentation for building a radiation therapy vault for an Elekta Linac at the Lexington VA Health Care System. The presentation outlines the construction, inspection, and acceptance process required for successful equipment installation and is addressed to potential bidders and stakeholders involved in the project.

The document establishes four primary objectives: understanding the implementation sequence and construction's role in the critical path; coordinating clear interfaces among the VA, architect/engineer (A/E), general contractor, trades, physicist, and Elekta; building to critical specifications including dimensions, utilities, delivery access, and room readiness; and passing formal readiness inspections as gates to delivery and installation. The Elekta implementation lifecycle comprises six phases: Plan (design coordination and final drawings), Build (vault, utilities, and delivery path), Inspect (slab/pit verification and progress inspections), Deliver (rigging, staging, and equipment movement), Install (Linac assembly, integration, and testing), and Accept (physics acceptance and handoff). Responsibility is distributed among three parties: Elekta issues equipment requirements and conducts readiness inspections; the VA/A-E team owns contract documents and incorporates Elekta requirements into design; and the General Contractor builds to approved documents with required tolerances and supports installation interfaces. Four formal inspection gates verify readiness: Gate 1 (pit/vault slab geometry), Gate 2 (progress on rough-ins and utilities), Gate 3 (final completion and cleanliness), and Gate 4 (punch-list closure before mobilization). Successful contractors achieve outcomes through building from one coordinated set of documents, protecting critical dimensions through early surveys, surfacing conflicts via RFIs, and planning final inspection, delivery access, and installation support as construction milestones.

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Non-Confidential Information and Basic Personal Data

CONTRACTOR INDUSTRY DAY

Building a Ready Vault for an Elekta Linac Pre-construction • Construction • Inspections • Acceptance

Lexington VA Health Care System

What this Industry Day needs to accomplish Give bidders a clear picture of Elekta’s role and the construction conditions required for a successful installation.

01 UNDERSTAND

The overall implementation sequence and where construction sits on the critical path.

02 COORDINATE

Clear interfaces among VA, A/E, general contractor, trades, physicist and Elekta.

03 BUILD RIGHT

Critical dimensions, utilities, delivery access and room readiness must follow approved plans.

04 PASS THE GATES

Site inspections are formal readiness gates leading to delivery and installation.

The Elekta implementation lifecycle Construction is not a standalone activity. Each phase creates the conditions for the next.

PLAN

Design coordination Final drawings

BUILD

Vault, utilities and delivery path

INSPECT

Slab / pit Progress / final

DELIVER

Rigging, staging and equipment push-in

INSTALL

Linac assembly, integration and test

ACCEPT

Customer physics acceptance handoff

Critical path principle: design decisions, construction readiness, inspection results and delivery logistics must stay aligned.

Who owns what during construction The strongest projects treat coordination as shared work, with clear accountability at every interface.

ELEKTA

Issue equipment planning requirements and final drawings

Coordinate site planning and construction questions

Conduct readiness inspections

Plan delivery, rigging, installation and acceptance testing

VA / A-E TEAM

Own the contract documents and permitting design

Incorporate Elekta requirements into architectural and engineering plans

Coordinate shielding design with physicist of record

Resolve design changes and approve penetrations

GENERAL CONTRACTOR

Build to approved contract documents and required tolerances

Coordinate trades, access, staging and protection

Complete utilities, finishes and punch-list work

Support inspections and installation interfaces

What “ready for Elekta” means The contractor’s work must support equipment geometry, utilities, access and a clean handoff to installation.

ROOM & GEOMETRY

• Table pit / slab built to approved dimensions

• Critical dimensions and floor flatness verified

• Fascia wall, mounts and penetrations coordinated

MEP & CONTROLS

• Permanent power and chilled water operational

• CITB and building interfaces installed by trades

• Required safety circuits, network and controls complete

ACCESS & LOGISTICS

• Delivery route dimensions confirmed

• Staging area available and protected

• Vault and control room accessible for Elekta teams

FINISH & TURNOVER

• Vault and control room construction complete

• Dust-free condition and finishes protected

• Punch-list items closed before final readiness gate

Site inspections are readiness gates Each visit verifies the work needed to protect the delivery and installation plan.

GATE 1

PIT / VAULT SLAB Verify pit location, depth, raceway, slab flatness and key geometry before work is concealed.

GATE 2

PROGRESS Verify substantial completion of rough-ins, fascia framing, mounts, utilities and delivery planning.

GATE 3

FINAL Verify vault and control room are complete, clean, operational and ready for equipment.

GATE 4

TRANSITION TO INSTALL Confirm remaining punch-list items are closed or have an accepted plan before mobilization.

Final readiness is a GO / NO-GO decision for mobilization and delivery.

From final inspection to acceptance Once the site is released, contractor support remains essential through delivery and install.

PREP

Secure toolboxes, protect finishes, clear staging and confirm access.

DELIVER

Coordinate truck access, rigging route, unloading and movement into the vault.

INSTALL

Maintain controlled access and provide trade support for final connections.

TEST

Elekta completes system installation and acceptance testing activities.

HANDOFF

Acceptance documentation is provided to customer physics for commissioning.

The goal is a clean construction-to-installation handoff with no surprises in access, utilities or room condition.

What successful contractors do differently The best outcomes come from early coordination, disciplined execution and quick issue resolution.

BUILD FROM ONE COORDINATED

SET Elekta requirements are incorporated into the project contract documents.

PROTECT THE CRITICAL

DIMENSIONS Survey and verify before concrete, framing and finishes make corrections difficult.

SURFACE CONFLICTS EARLY Raise RFIs and trade conflicts while options are still available.

PLAN THE HANDOFF Treat final inspection, delivery access and installation support as construction milestones.

Questions and discussion

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