Background

Cornwall Regional Hospital (CRH) is in Mount Salem, Montego Bay which is two miles from the Montego Bay city centre. The Hospital is a 10-story building with a 400-bed capacity that was built in 1974. CRH is the only fitted Type A hospital providing specialist services to the county of Cornwall (Westmoreland, Hanover, St. James, Trelawny).

The hospital was built with natural air ventilation. However, the 1st to 5th floors were subsequently fitted out with central air conditioning. Approximately 25 years ago, these central air systems were updated to ensure adequate cooling of the spaces using split air conditioning units.  The original ducting system was never removed nor comprehensively rehabilitated.

Owing to the increase in population with a higher demand for services, the air conditioning systems had become progressively non-functional thereby hampering the operation of the hospital.  Since 2009, there have been reports of indoor air quality concerns on the 1st to 4th floors. The air quality problems climaxed in September 2016 resulting in the scaling down and relocation of some services to the Mount Salem Health Centre and neighbouring hospitals as well as the evacuation of the main hospital building.

Along with the poor air quality, several other problems have emerged such as water leaks, mould & possible noxious gases from sewage system. Extensive structural defects and deficiencies with electrical and plumbing were also identified.

In response to the problems being experienced throughout the hospital complex, the MOH, with the assistance of UNOPS & PAHO (Envirolabs), commenced a process of rehabilitation.

Through the UDC, MEPIT and Structural Engineering consultants have been engaged to address these problems and Architects& Quantity Surveyors have been engaged for the redevelopment & expansion of the 1st floor – Accident and Emergency Department and the 5th floor Operating Theatre and for the rehabilitation of the entire building. Contracts are now in place for the installation of new ventilation and air conditioning units and related electrical works for the various floors.

Prior to the manifestation of the air quality problems above, portions of the 4th and 6th Floors in respect of the Maternity and Neonatal wards were redesigned, works contracts awarded and are now in progress through PROMAC which is funded by the European Union.

Given the multiplicity of the problems, the various agencies, consultancies and works contracts involved, the MOH took the decision to establish a Programme Management Office (PMO) to monitor, direct and report on all contracts related to the main building rehabilitation and to provide comprehensive management in order to restore the hospital to acceptable operations within the shortest possible time and at optimum cost.

The PMO has now developed a master programme schedule which outlines the timelines for existing and proposed individual projects and their inter-dependencies – this illustrates the MOH’s objective of having a fully functional facility by no later than 2020 November.

 

PART 1 GENERAL

• Summary

1. Commissioning is intended to achieve the following specific objectives; this section covers the Commissioning Authority’s responsibilities for commissioning:
2. Verify that the work is installed in accordance with the Contract Documents and the manufacturer’s recommendations and instructions, and that it receives adequate operational checkout prior to start-up: Start-up reports and Pre-functional Checklists are utilized to achieve this.
3. Verify and document that functional performance is in accordance with the Contract Documents: Functional Tests performed by Contractor and witnessed by the Commissioning Authority are utilized to achieve this.
4. Verify that operation and maintenance manuals submitted to Ministry of Health are complete: Detailed O&M data submittals are specified.
5. Verify that the Ministry of Health’s operating personnel are adequately trained: Formal training conducted by Contractor is specified.
6. Commissioning, including Functional Tests, O&M documentation review, and training, is to occur after start-up and initial checkout and be completed before Substantial Completion.
7. Coordinate and direct all the commissioning activities in a logical, sequential and efficient manner using consistent protocols and forms, centralized documentation, clear and regular communications and consultations with all necessary parties, frequently updated timelines and schedules and technical expertise.
8. The Commissioning Authority is employed by Ministry of Health. The Commissioning Agent will report to directly to the Programme Management Office. All reports to the MOH should be submitted to the PMO for review prior to submission.
9. Estimated Contract Period – Minimum 2.5 years
   1. Pre-Functional – 4 months
   2. Construction – 1 year
   3. Post Occupancy – 1 year

 

1.02      SCOPE OF COMMISSIONING

1. The following are to be commissioned:
2. Plumbing Systems:
3. Water heaters.
4. Booster pumps.
5. Medical gas systems
6. Sprinkler Systems
7. Stationary Fire Pumps
8. HVAC System, including:
9. Major and minor equipment items.
10. Piping systems and equipment.
11. Ductwork and accessories.
12. Terminal units.
13. Control systems and monitors.
14. Sound control devices.
15. Vibration control devices.
16. Variable frequency drives.
17. Building Management System (BMS)
18. Special Ventilation:
19. Fume hoods.
20. Laboratory pressurization
21. Specialty fans.
22. Egress pressurization.
23. Electrical Systems:
24. Power quality.
25. Emergency power systems.
26. Uninterruptible power systems.
27. Lighting controls other than manual switches.
28. Lightning Protection
29. Photo Voltaic Systems (PV)
30. Electronic Safety and Security:
31. Security system, including doors and hardware.
32. Fire and smoke alarms
33. Communications:
34. Voice and data systems.
35. Public address/paging.
36. CCTV & Access Control
37. Other equipment and systems explicitly identified elsewhere in Contract Documents as requiring commissioning.
38. Indoor Air Quality Procedures: The Commissioning Authority will coordinate; Contractor will execute; see Section 01 5719 – Temporary Environmental Controls.

 

1.03      REFERENCE STANDARDS

1. ASHRAE Guideline 1 – The HVAC&R Technical Requirements for the Commissioning Process; 2007, with Errata (2012).
2. CSI/CSC MF – Masterformat;
3. PECI (MCP) – Model Commissioning Plan; Current

 

1.04      SUBMITTALS

1. Commissioning Plan:
2. Submit preliminary draft for review by Ministry of Health and Architect within 30 days after commencement of Commissioning Authority contract.
3. Submit revised draft to be included in the construction contract documents, not less than 4 weeks prior to bid date.
4. Submit final plan not more than 90 days after commencement of construction, for issuance to all parties.
5. General Commissioning Specifications.
6. Submit preliminary draft for review by Ministry of Health and Architect at start of construction documents phase or within 30 days after commencement of Commissioning Authority contract, whichever is later.
7. Submit final draft for review by Ministry of Health and Architect not less than 6 weeks prior to bid date.
8. List of Pre-functional Checklists to be developed:
9. Submit preliminary list at start of construction documents phase or within 30 days after commencement of contract, whichever is later.
10. Submit revised list not less than 6 weeks prior to bid date, for inclusion in the construction contract documents.
11. Submit final list not more than 60 days after start of construction.
12. Pre-functional Checklists:
13. Submit preliminary draft at start of construction documents phase or within 30 days after commencement of contract, whichever is later.
14. Submit revised draft for review by Ministry of Health and Architect not less than 6 weeks prior to bid date, for inclusion in the construction contract documents.
15. Submit final draft to Contractor not less than 4 weeks prior to start-up of particular items to be commissioned.
16. List of Functional Test procedures to be developed:
17. Submit preliminary list at start of construction documents phase or within 30 days after commencement of contract, whichever is later
18. Submit revised list not less than 6 weeks prior to bid date, for inclusion in the Contract Documents; this is intended to be a list of titles, not full description of the tests.
19. Submit final list not more than 60 days after start of construction.
20. Functional Test Procedures:
21. Submit preliminary draft at start of construction documents phase or within 30 days after commencement of contract, whichever is later.
22. Submit revised draft for review by Ministry of Health and Architect not less than 6 weeks prior to bid date, for inclusion in the construction contract documents.
23. Submit final draft to Contractor not less than 4 weeks prior to start-up of particular items to be commissioned.
24. Training Plan.
25. Submit preliminary draft for review by the Ministry of Health and Architect not less than 6 weeks prior to start-up of particular items to be commissioned.
26. Recommissioning Manual: Submit within 60 days after receipt of Ministry of Health’s instructions to proceed with preparation.
27. Commissioning Record: Submit to Contractor for inclusion with O&M manuals.
28. Final Commissioning Report: Submit to Ministry of Health

 

1.05      QUALITY ASSURANCE (Qualification & Experience)

1. Commissioning Agent/Firms Qualifications: The Commissioning Agent (CxA) must have a technical background and an in-depth expertise with the commissioning process including verification techniques, functional performance testing, system equipment and O&M knowledge.
2. The CxA must be a member of the AABC Commissioning Group (ACG) or a similar organization with a Certified Commissioning Authority (CxA) program that has achieved at minimum accreditation by the American National Standards Institute (ANSI).
   • The CxA must have on staff Certified Commissioning Technicians (CxT’s) to provide support to the CxA.
3. The CxA must have documented commissioning process experience on at least two building projects with a similar scope of work in the Health Sector.
   • The experience must extend from early design phase through at least 10 months of occupancy.
4. The CxA must be an independent consultant, or an employee of the design or construction firm who is not part of the project’s design or construction team, or a disinterested subcontractor of the design or construction team.

 

1.6        Payment Schedule

Pre-Functional – 40%

1. Commissioning Plan – 10% of the Contract Price, shall be paid upon submission and approval of Commissioning Plan against receipt of a claim/invoice.
2. General Commissioning Specification – 15% of the Contract Price shall be paid upon submission of Final Draft General Commissioning Specifications.
3. Pre-Functional Checklist and List of Functional Procures – 15% of the Contract Price upon receipt and approval.

Construction Phase – 50%

1. Functional Test Procedures – 15% of the Contract Price upon receipt and approval
2. Services other than training (as included in Commissioning Record and or Progress Report) – 20% of the Contract Price for services performed and documented in the Commissioning Record and/or progress report will be paid in equal monthly instalments during the construction phase, upon submission and approval of invoices.
3. Training – 5% of the Contract Price upon submission of Training Plan
4. Final Commissioning Report inclusive of the final draft of Recommissioning Manual – 10% of Contract Price upon submission and approval of Final Commissioning Report

Post Occupancy Phase 10%

1. Post Occupancy Phase inclusive of Final Draft Report – 10% of Contract Price upon submission and approval of final post occupancy phase report.

 

PART 2 PRODUCTS

2.01      DOCUMENTATION IDENTIFICATION SYSTEM

1. Give each submitted form or report a unique identification; use the following scheme.
2. Type of Document: Use the following prefixes:
3. Commissioning Plan: CP-.
4. Pre-functional Checklist: PC-.
5. Functional Test Procedure: FTP-.
6. Functional Test Report: FTR-.
7. Commissioning Report: CR-.
8. System Type: Use the first 4 digits from CSI/CSC MF (Master Format), that are applicable to the system; for example:
9. 2300: HVAC system as a whole.
10. 2320: HVAC Piping and Pumps.
11. 2330: HVAC Air Distribution.
12. Component Number: Assign numbers sequentially, using 1, 2, or 3 digits as required to accommodate the number of units in the system.
13. Test, Revision, or Submittal Number: Number each successive iteration sequentially, starting with
14. Example: PC-2320-001.2 would be the Pre-functional Checklist for equipment item 1 in the HVAC piping system, probably a pump; this is the second, revised submittal of this checklist.

 

PART 3 EXECUTION

3.01      COMMISSIONING PLAN

1. Prepare and maintain the Commissioning Plan, covering commissioning schedule, Prefunctional Checklist and Functional Test procedures, coordination requirements, and forms to be used, for all parties in the commissioning process.
2. Call and chair meetings of the Commissioning Team when appropriate.
3. Give Contractor sufficient notice for scheduling commissioning activities.
4. Develop a comprehensive start-up and initial systems checkout plan with cooperation of Contractor and subcontractors.
5. Commissioning will be phased (by floors, for example) to minimize the total construction time.
6. PECI (MCP) may be used as a guide for the Commissioning Plan.
7. ASHRAE Guideline 1.1 may be used as a guide for the Commissioning Plan.
8. Avoid replication of information included in the construction contract documents to the greatest extent possible.
9. Basis of Design Documentation: Detailed documentation of the functional requirements of the project; descriptions of the systems, components, and methods chosen to meet the design intent; assumptions underlying the design intent.
10. Prepared By: Architect and Associated Consultants.
11. Copy to be furnished to Commissioning Authority for use in preparation of the commissioning plan.
12. Review the construction contract documents for Contractor submittals of draft checklists, draft test procedures, manufacturer start-up procedures, and other information intended for the use of the Commissioning Authority in preparing the Commissioning Plan.
13. Commissioning Schedule:
14. Coordinate with Contractor anticipated dates of start-up of each item of equipment and system.
15. Contractor’s scheduling responsibilities are specified in the construction contract documents.
16. Revise and re-issue schedule monthly.
17. Pre-functional Checklists and Functional Tests are to be performed in sequence from components, to subsystems, to systems.
18. Deliver relevant Pre-functional Checklists and Functional Test Procedures to Contractor in time to avoid delay.
19. Commissioning Team: Project manager or other designated person of:
20. Ministry of Health’s building or plant operation staff.
21. Commissioning Authority.
22. Construction Manager.
23. Design professional’s design team.
24. General Contractor.
25. HVAC subcontractor.
26. HVAC control system subcontractor.
27. HVAC testing, adjusting, and balancing (TAB) subcontractor.
28. Electrical subcontractor.
29. PV Contractor or Agent
30. Plumbing subcontractor.
31. Communications subcontractor.
32. Other subcontractors who will be required to perform commissioning activities.

 

3.02      CONSTRUCTION CONTRACT DOCUMENTS

1. General Commissioning Specifications: Prepare general commissioning specifications coordinated with and integrated into the Contract Documents prepared by Architect.
2. Include general procedures applicable to all types of items to be commissioned and specific procedures for each type of work.
3. Identify Contractor submittals needed for purposes of commissioning, that are not otherwise required to be submitted.
4. Use SpecLink Section 01 9113 – General Commissioning Requirements.
5. Pre-functional Checklists: Develop detailed Checklists for each item to be commissioned.
6. List of Checklists to be Developed: Prepare and maintain a detailed list of titles, not full text.
7. The Checklist forms are intended to be part of the Contractor’s Contract Documents.
8. Functional Testing: Develop detailed procedures for each item to be commissioned; submit for review by Ministry of Health and Architect.
9. List of Test Procedures to be Developed: Prepare and maintain a detailed list of titles, not full text.
10. The forms the Commissioning Authority will use to report Functional Test results are not intended to be part of Contractor’s Contract Documents, but the Functional Test Procedures that must be executed by the Contractor must be made part of the Contract Documents, by modification if necessary.
11. Develop any other reporting forms Contractor will be required to use; if they are likely to require a substantially different amount of work than the Contractor can reasonably anticipate, they must be included in the construction contract documents.
12. If any part of the documents described above have not been developed by the bid date, coordinate with Architect the issuance of modifications to the construction contract documents

 

3.03      PREFUNCTIONAL CHECKLISTS

1. Pre-functional Checklists – Content: Prepare forms for Contractor’s use, in sufficient detail to document that the work has been installed in accordance with the Contract Documents and the manufacturer’s recommendations and instructions, and that it receives adequate operational checkout prior to start-up.
2. Prepare separate Checklists for each type of equipment, system, or other assembly, customized to the item.
3. Identify each Checklist by using the contract documents identification number or name, if any; if none, create unique identifiers for each Checklist; do not rely on Contractor to number checklists.
4. Multiple identical or near-identical items may appear on a single Checklist provided there is space to record all required data for each separately; label each set of data uniquely.
5. Include space to record manufacturer name, model number, serial number, capacity and other relevant characteristics, and accessories and other features as applicable; include space to record “as specified”, “as submitted”, and “as installed” data.
6. Include space to record whether or not the required submittals have been received; list each separate type of submittal.
7. Include line items for each physical inspection to be performed.
8. Include line items for each operational inspection to be performed, such as checking switch operation, fan rotation, valve and damper stroke, and measuring actual electrical loads.
9. Include separate section for sensors and actuators, with space for documenting actual physical location and calibration measurements; provide a separate generic calibration checklist identified wherever referenced.
10. Include spaces to record that related Checklists for related work upon which this work depends have been completed
11. Pre-functional Checklists – Format:
12. Provide a cover sheet showing name of equipment item or system, documentation identification number (see Documentation Identification Scheme), names of accessory components involved, and identification of related checklists.
13. Include on cover sheet space for Contractor’s use in attesting to completeness; provide spaces for the signatures of the general contractor and each subcontractor or other entity responsible, customized to the project and the type of item.
14. Include on the cover sheet, above the signature block, the following statement: “The work referenced in this Checklist and other work integral to or dependent on this work is complete and ready for functional testing. The checklist items are complete and have been checked off only by parties having direct knowledge of the event.” Include two checkboxes:
    1. “This Checklist is submitted for approval with no exceptions.”
    2. “This Checklist is submitted for approval, subject to the attached list of outstanding items, none of which preclude the performance of safe and reliable functional tests. A statement of completion will be submitted upon completion of the outstanding items.”
15. Use a consistent, tabular format for all Checklists, with one line per checklist activity.
16. For each line item, provide space for initials and date, and identification of the subcontractor or other entity responsible.

 

3.04      FUNCTIONAL TEST PROCEDURES

1. Develop test procedures in sufficient detail to show that functional performance is in accordance with the Contract Documents and shows proper operation through all modes of operation where there is a different system response, including seasonal, unoccupied, warm-up, cool-down, part- and full-load.

1. Obtain assistance and review by installing
2. Itemize each test sequence in step-by-step order, with acceptance criteria for each step and for the test as a
3. Include test setup instructions, description of tools and apparatus, special cautions,
4. Avoid procedures that would void or otherwise limit warranties; review with Contractor prior to
5. For HVAC systems, procedures may include energy management control system trending, stand-alone datalogger monitoring or manual functional
6. Obtain explicit approval of Contractor in regard to feasibility and safety prior to
   1. Functional Test Report Forms: Prepare forms in advance of testing, using a consistent format; include all test procedure information given to Contractor and:
      1. Report Identifier (see Documentation Identification Scheme).
      2. Test
      3. Formulas to be used in
      4. Yes/No check boxes for each step of
      5. Space to record results, document deficiencies, and make
      6. Signature and date block for Commissioning
   2. Functional Test Prerequisites: Include space to verify all of the following items on each Functional Test Report Form, unless truly inapplicable:
      1. All related equipment has been started up and start-up reports and Pre-functional Checklists submitted and approved ready for Functional
         1. For hydronic systems, check that:
            • Piping system flushing is complete and required report
            • Water treatment system is complete and
            • Test and balance (TAB) is complete and
         2. All control system functions for this and all interlocking systems are programmed and operable in accordance with the Contract Documents, including final set points and schedules with debugging, loop tuning and sensor calibrations completed, with space for signature of controls
         3. Incomplete items identified by Architect during closeout inspections have been corrected or
         4. Safeties and operating ranges have been
         5. A copy of the specified sequence of operation is
         6. A copy of applicable schedules and setpoints is
         7. A copy of the specified Functional Test Procedures is
         8. The Functional Test Procedures have been reviewed and approved by the applicable
         9. Vibration control report approved (if required).
         10. False loading equipment, system and procedures
         11. Sufficient clearance around equipment for
         12. Original values of pre-test setpoints that need to be changed to accommodate testing have been recorded, with a check box provided to verify return to original values (include control parameters, limits, delays, lockouts, schedules, ).
         13. Any other items on the Pre-functional Checklist or Start-up Reports that need to be re-verified

 

3.05      CONSTRUCTION PHASE

1. Coordinate the commissioning work with Contractor and Construction Manager; ensure that commissioning activities are being incorporated into the master schedule.
2. Perform site visits, as necessary, to observe component and system installations. Attend planning and job-site meetings to obtain information on construction progress. Review Contractor’s meeting minutes for issues relating to the commissioning process. Assist in resolving discrepancies.
3. Commissioning Kick-Off Meeting: Plan and conduct a meeting early in the construction phase to review commissioning activities and responsibilities with all parties involved. Require attendance by all members of the Commissioning Team.
4. Conduct periodic meetings as necessary to coordinate, resolve planning issues, and aid in resolution of deficiencies, minimizing the time spent by Contractor and Ministry of Health personnel; hold meetings at least monthly.
5. Submit periodic progress reports to Ministry of Health and Contractor.
6. Review Contractor shop drawing submittals applicable to systems being commissioned for compliance with commissioning needs; verify that Ministry of Health’s responsibilities are clearly defined in warranties.
7. Review and approve submittals directly related to commissioning.
8. Deliver Pre-functional Checklists and Functional Test procedures to Contractor.
9. Verify satisfactory completion of Pre-functional Checklists by Contractor by reviewing checklists and by site observation and spot checking; provide formal approval when satisfactory.
10. Verify start-up of all systems by reviewing start-up reports and by site observation; provide formal approval when satisfactory.
11. Coordinate, witness and approve Functional Tests performed by Contractor. Coordinate retesting until satisfactory performance is achieved.
12. HVAC Commissioning:
    1. Gather and review the control sequences and interlocks and work with Contractor and design engineers until sufficient clarity has been obtained, in writing, to be able to prepare detailed Functional Test procedures.
    2. Witness all or part of HVAC piping test and flushing procedures, sufficient to be confident that proper procedures were followed; document testing and include documentation in O&M manuals.
    3. Witness all or part of duct testing and cleaning procedures, sufficient to be confident that proper procedures were followed; document testing and include documentation in O&M manuals.
    4. Review TAB Plan prepared by Contractor.
13. Before TAB is executed, witness sufficient Functional Testing of the control system to approve it to be used for TAB.
14. Verify air and water systems balancing by spot testing, by reviewing completed reports, and by site observation; provide formal approval when satisfactory.
15. Analyze trend logs and monitoring data to verify performance.
16. Witness and document testing of systems and components over which the Commissioning Authority does not have direct control, such as smoke control systems, tests contracted directly by Ministry of Health, and tests by manufacturer’s personnel; include documentation in O&M manuals.
17. When Functional Testing for specific systems or equipment is specified to be performed by the Commissioning Authority rather than the Contractor, perform such testing without assistance of Contractor.
18. Maintain a master deficiency and resolution log and a separate testing record. Provide written progress and test reports with recommended actions.
19. O&M Data: Review submitted operation and maintenance data for completeness; provide formal approval if satisfactory.
20. Notify Contractor and Ministry of Health of deficiencies in procedures or results; suggest solutions.

 

3.06      TRAINING

1. Training Plan: Prepare a comprehensive Training Plan, incorporating draft training plans submitted by Contractor.
2. Include a 4hour session by the HVAC design engineer covering the overall HVAC system and equipment design concepts, with one-line schematic drawings.
3. Include a 3hour session by the Commissioning Authority on the use of the blank Pre-functional Checklists and Functional Test report forms for re-commissioning purposes.
4. Establish criteria for determining satisfactory completion of training.
5. Verify that training was satisfactorily completed; provide formal approval if satisfactory.

 

3.07      CLOSEOUT

1. Commissioning Record: Use the same format and organization as specified for the O&M
   1. Include the Final Commissioning Plan and Final
   2. For each product or system and equipment item, include the following organized as indicated, with separator tabs:
      1. Design intent documentation, furnished by Architect or
      2. Detailed operational
      3. Start-up plan and approved start-up
      4. Filled out Pre-functional
      5. Filled out Functional Test reports; trend logs and monitoring reports and analysis; other verification
      6. Training plan and training
      7. Recommissioning recommendations, including time schedule and procedures; include blank copies of all Pre-functional Checklists and Functional Test report
   3. Final Commissioning Report: Include:
      1. Executive
      2. List of participants and
      3. Brief facility
      4. Overview of commissioning scope and general description of testing and verification
      5. For each item commissioned, an evaluation of adequacy of:
         1. The product itself; e. compliance with the contract documents.
         2. Installation
         3. Functional performance; include a brief description of the verification method used and observations and conclusions from the
         4. O&M documentation, including design
         5. Operator
      6. List of all outstanding non-compliance items, referenced to the specific functional test, inspection, trend log, , where the deficiency is documented.
      7. List of unresolved issues, seasonal or deferred testing, and other concerns that could affect facility
      8. Recommendations for improvement to equipment or operations, future actions, commissioning process changes, (about four to six pages).
      9. Attach appendices containing all commissioning documentation, including logs, minutes, reports, deficiency lists, communications, findings, , except that specified to be part of the Commissioning Record.
   4. Recommissioning Manual: Revise the Commissioning Plan documents, checklists, and Functional Test forms as necessary based on accepted recommendations of the final Commissioning Provide step-by-step instructions for recommissioning, blank forms, and cross-references to O&M data needed during recommissioning.

 

3.08      POST-OCCUPANCY PHASE

1. Coordinate deferred and seasonal Functional Tests; verify correction of
2. On-Site Review: 10 months after Substantial Completion conduct on-site review with Ministry of Health’s
   1. Review the current facility operation and condition of outstanding issues related to the original and seasonal
   2. Interview staff to identify problems or concerns they have operating the facility as originally
   3. Make suggestions for improvements and for recording these changes in the O&M
   4. Identify areas of concern that are still under warranty or are the responsibility of the original construction
   5. Assist facility staff in developing reports, documents and requests for services to remedy outstanding
   6. Final Post Occupancy Report: Include:
      1. Executive Summary
      2. Overview of post-occupancy findings and general comments on facility operations, outstanding issues and post occupancy comparative analysis related to original commissioning results.
      3. Report on staff feedback related to problems or concerns along with suggestions for improvements in the operations and maintenance.
      4. List of all outstanding Now- Compliance Items that are still under warranty.