could include: functionality, medical equipment, building systems,
architectural finishes, mechanical, plumbing, electrical, communication,
fire and life safety, and transportation systems.
18.104.22.168 Special Studies. Any of the surveys described above could
include special studies where required for a specific facility. The more
common types of special studies include:
a. Economic Analysis - New vs. add/alt construction vs.
lease, etc. (Required for all projects with a projected cost
of million or more.)
c. Hazardous/Toxic Substances - Asbestos, PCB's, Lead in
d. Maintenance and Repair Deficiencies.
e. Uniform Federal Accessibility Standard and Americans With
Disabilities Act Accessibility Guidelines.
1.10 Types of Construction. Construction levels and building types are
outlined in MIL-HDBK-1190, Chapter 1 (reference 1f). For facilities, the
1.10.1 Permanent Construction. Facilities built in the United States,
its territories, or possessions are to be of permanent construction with
a life expectancy of 25 years or more.
1.10.2 Semi-Permanent Construction. Facilities built outside of the
United States, its territories, or possessions are to be semi-permanent
construction with a life expectancy of 5 to 25 years unless the normal
building practices of the host country, Status of Forces Agreements
(SOFA), or other agreements stipulate permanent-type construction.
1.10.3 Contingency Facilities. Typical freestanding medical contingency
facilities are to be semi-permanent construction with a life expectancy
of 15 years, durable, and consistent with locally available building
1.10.4 Temporary Construction. This type of construction may be
authorized as an emergency measure or as an interim solution as approved
and coordinated through formal request from the using Military
Departments to TMA/DMFO. Follow individual Military Department rules and
regulations for construction of these facilities.
1.11 Total Building Commissioning.
Commissioning is defined by the
building industry as the process of verifying that all building systems
perform interactively according to the design intent, and the systems
meet the Owner's operational needs. Implementation of commissioning for
a complex medical facility requires a higher level of comprehensive
oversight of both the design and construction process.
Typical of the
building systems/system interfaces found in the larger MTFs which may
Complex HVAC systems, including electronic digital control