MIL-HDBK-1191
SECTION 3:
SITE DEVELOPMENT
3.1
General. This section provides guidance on the siting of
medical facilities. Each new facility or addition will be sited in
conformance with an approved installation master plan developed by the
using Military Department. The site will be coordinated with the using
Military Department representative (i.e. Army Health Facility Planning
Agency, Navy Bureau of Medicine and Surgery, and/or Air Force Health
Facilities Division).
3.1.1
Community Planning. Siting of facilities shall consider
the planning goals and objectives of the surrounding community to
achieve a harmonious future relationship between the facility and the
community. Such planning shall be coordinated in compliance with
Executive Order 12372 (reference 3a) as implemented by DoD Directive
4165.61 (reference 3b).
3.2
Site Design. In siting facilities, emphasis shall be
placed on operation, function, energy efficiency, safety, security,
aesthetics, and preservation of natural site characteristics. Spacing
of buildings shall allow for natural light, air circulation and fire
safety. Parking, pedestrian access, vehicular traffic, and force
protection also require careful consideration.
3.2.1
Topography and Natural Resources. A conscious and active
concern for the value of topography and natural resources should be
considered in the siting of facilities in accordance with DoD Directive
5500.5 (reference 3c). Natural site features such as ground forms,
water, rocks, ledges, trees, and others shall be preserved and utilized
in the design to the greatest extent feasible.
3.2.1.1
Multilevel Entrance Related to Grades. Hospital functions
usually benefit from placing service activities, i.e. food service,
materiel, housekeeping, and stores, on one floor level and patient
contact functions such as inpatient admissions, emergency, and
outpatient clinics on another floor level. If existing topographic
characteristics permit, they may be used to obtain this multilevel
configuration, with entrances placed at the appropriate functional
level. Elevations for these floors are selected in relation to
existing topography to balance cut and fill while providing drainage
near the structure.
3.2.1.2
Drainage. Drainage design is a basic site design
consideration and is accomplished with the siting and orientation of
buildings, location of parking lots and roads, consideration of
topography, and compliance with functional site requirements. All site
support facilities, i.e. buildings, parking lots, roads and walks, must
be graded to ensure positive drainage. Positive drainage for each
major site element must be coordinated into a total site drainage
system. Existing drainage ways are used to retain the original
character of the site and to avoid unnecessary earthwork. Identify
existing drainage ways as a part of the First (S1) Design Submittal and
use as the basis for designing the drainage plan.
3.2.1.3
Earthwork:
3-1
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