1. Delay in approvals from regulatory bodies took longer than expected, delaying the start of certain activities. 2. Shortage of skilled labor led to slower than planned progress on activities like electrical works, furniture works, and installation of machines. 3. Weather conditions were unfavorable during foundation and walls work, causing a delay of 10-15 days in those activities.

2. CASE STUDY OF…..
The Columbus hospital proposed in Hubli is a 200
bed speciality private hospital for treatment of caner.
The hospital will come up on a 12 acre plot between
Hubli-Dharwa. A leading construction company has
come forward to complete the hospital works from
concept to commissioning in 9 months.
The promoters are willing to spend a premium to
complete the hospital in 9 month time and are not
particular about type of construction,ie,RCC,steel
frame etc.

3. THE KEY REQUIREMENT ARE AS FOLLOW…
*200 bed hospital of which 40 are for critical care(ICU), 40
For pre and post operative care
*4 operation theatres-2 Major(Minimum 800 SFT) and 2
minor(minimum 400 SFT each)
*One full fledged Diagonstic laboratory(1500 SFT)
*One 24*7 pharmacy(360 SFT min)
*Doctors rooms,Nurses enclosures, Change rooms
*Office with billing counters(min 2000 sqft) for all
administrative staff
*Wheel chair parking bays, stretcher parking bays in all
floors
*One cafetaria with 50 person capaity
*One conference room with multimeadia equipment(300 sft
min)
*Parking for ambulances,4 wheelers, two wheelers
*Reception and enquiry counter
*All amenities should be accessible for disabled persons
*Incinertor, waste storage and disposal area
*Generator and fuel storage area

4. OFFICE OF STATEWIDE HEALTH PLANNING
AND DEVELOPMENT(OSHPD)
The office of statewide health planning and development
facilities development division (OSHPD FDD),the building
permitting agency for all california hospitals, cannot issue a
building permit until the conditional use permit has been
granted. The goal is to have the time frames for discretionary
approvals and OSHPD permitting track together. No
municipality or country can issue a building permit for a
hospital since the hospital seismic safety act in 1983. In this
capacity, OSHPD is responsible for the development of
regulations and the implementation of senate bill 1953.
Hospitals are vert complex buildings and california has its own
building code for hospitals. This code includes codes for
structural integrity following an earthquake as well as quality
and performance requirements in other areas that are superior
to the national codes. Therefore it is very important to select
architects and engineers who have experience in the design of
hospitals in california.

5. The licensing section of the
department of health service will
request final fire safety approval
from OSHPD FDD in preparation for
the hospital to be eligible for
Medicare cerification upon approval,
the hospital will be granted a
certificate of occupancy
recongnizing that it is now complete
and ready to receive patients

6. THE METHODOLOGY IS GIVEN IN THE
FOLLOWING FLOW CHART
SELECTION OF SITE
SURVEYING AUTO
CAD DRAWING
ANALYSIS OF STRUCTURE
DESIGN OF STRUCTURE
RESULT AND DISCUSSION

8. CONCEPT DESIGN
Uppon approval of the specific program a concept design is preapared that
develops the available space into the floor plans, interior elevations,
stacking and blocking daigrams building sections, exterior elevations , and
asite plan A major addition or replacemnet uses the
same process but in a broader frame of reference.
The concept design should be detailed enough to obtain a general cost-
per-sqaure foot estimate based upon historial cst factors in the
hospital’s location.
This information while limited is often the basis for the development
of a total project cost budget.
This will be construction budget that the executive administration
and the board may approve for the entire project.
Therefore, it’s very important that percentage contingencies for
infation, unknown exisiting conditions, costs increase during
construction are included in the construction costbudget.
While the concept construction budget is cruical, the project approval
will be based upon the total project cost.

9. TOTAL PROJECT BUDGET COST
The total project cost budget includes architects and engineers fees,
medical equipment, furnishings and fixtures, OSHPD building permit fees
and project contingencies.
A general rule for total project cost is to multiply the construction cost
by 1.5 loss of business revenue, financing conditional use permit fees ,
non-construction related the goal of this phase isbto
obtain all the decisions necessary to move on to preparing the
construction documents when this phase is approved. Design
development is the most labor intensive for hospital personal as the
rooms require many detail decisions.
At the conclusion of this phases the design development package is
submitted is necessary prior to proceeding with construction
documents, adittioanly, if a public hearing was held, comments that
may affect design should be received from the local municipality.
The cost estimate is updated to confirm if the project is with in the
budget.

10. SPECIFICATION OF STRUCTURES
:
* The building roof is designed as RCC
* The flooring concrete of plain cement concrete
using broken stone will be finished with marbles
* All the surface will be plastered and all ceiling
areas…
*All the joineries like doors, windows and
ventilators are designed to meet the standard
code provisions.
*All farmed structure like column,
faoting,beam,lintels and roof are designed in
working stress methods of create M20,Grad of
stres fe 415.
*Lump sum provisions have been made towards the
arrangements, electrifications, elevation and
supplying and fixing of furnitures and peety
superrvision charges

11. Requirements needs in Hospital
*Instrument table:-to hold instruments during
surgering
*X-Ray viewer :-veiw and realize the results from xray
* Resucitation bag:- quikly assist a patient wo is not breathing on theirown
*Analytic balance:-measre abd contain samples in thelab
*Oxygen regulator:-help ensure patients ,recive proper amount of oxygen
during surgery
*Patient trolly:-move patients b/w rooms before and after surgery
*Defibrillator:- shock the heart of a patient incardiac arrest

12. *inculator:- grow culters in the lab
*Bloodbank :- store blood and plasma until eeded refrigration
*Operating:- properly lighting the patient during theater lamp surgery
*instrument:- store instrumets to be used in cabinet surgery
*Suction machine:-assist in removng liquids during surgery
*Xray safe light:-For patient safety when taking xrays
*Centrifuge:-separate substances like blood cells
*Vital signs monitor :-used during surgery to make sure that the patient is
stable

13. *anesthetic machine:- provide a steady release of anestgetic during
surgery
*Autoclave:-sterilize equipment before use
*Ventilator(infabt):-assist a patient who is unable to breathe on their own
*operating theater table:- hold patients during surgery
*ultrasound machine -visualize internal organs in a localizes area
*mammography unit:- visualize bret tissue
*portable xray machine:-take xrays without movig the patient
*standard xray machine:- take a xrays of patients who are brought to
rediology

18. Case Study
The Columbus Hospital proposed in Hubli is a
200 bed speciality private hospital for treatment
of Cancer. The hospital will come up on a 12
acre plot between Hubli - Dharwad . A leading
construction company has come forward to
complete the hospital works from concept to
commissioning in 9 months. The promoters are
willing to spend a premium to complete the
hospital in 9 month time and are not particular
about type of construction ,i.e, RCC, Steel
frame etc.

19. GROUND FLOOR

20. 1ST/2ND/3RD/4TH FLOOR

21. 5TH FLOOR

22. 6TH FLOOR

24. Chemotherapy
Machines
ECG Machines Robotic Surgery
MRI Scan Machines EKG Machines Dialysis Machines
CT Scan Machines Defibrillators BRAC Analysis
PET-CT Scan Machines Anesthesia Machines VENTANA PD-L1
Assay
Proton Therapy
Machines
Ultrasound Immunotherapy
Tomotherapy Machines Hematology Analyzer /
Cell counter
Therascreen EGFR
RGQ PCR Kit
Radiation Therapy Biochemistry Analyzer Laboratory Equipments
Electrosurgical Units Infusion Pump Oxygen Cylinder
Patient Monitors Syringe Pump Nebulizer Machine
Ventilator Suction machine IMRT Scan Machines
BP, Diabetes, Pulse,
Heart Rate Monitors
Stethoscopes Procedural Medical
Equipment
X-Rays Machines Thermometers Acute Care

27.  Lack of Accuracy in Time Estimation : Wrong estimation of time is the
primary reason for delay in project completion. Time estimate should be both
logical and practical.
 Change In Project Scope : Change in project scope is the main reason for bot h
time overrun and cost overrun.
 Unfavourable Weather Conditions : Extreme Weather conditions slower
the pace of work.
 Lack of Accuracy in Cost/Budget Estimation : Wrong estimation is one of
the main reason for delay in project completion.
 Labour Shortages : Lack of skilled labours is one of the main reason fordelay
in construction work.
 Inefficient Material and Equipment : Inadequate amount of raw materials
will lead to more time consumption.
 Delay in Approvals : Legal/government approvals may consume more time
than our assumption.
 Lack of Funds : insufficient funds ( money ) will also leads to delay in project
completion.
 Lack of Communication : Poor communication and coordination between the
customer , project manager , team members and workers.
 Subcontractor Challenges : Subcontractor may take more time to complete
there work which causes delay in completing the main project.

28.  Over estimation of benefits and under estimation of costs. Using poor
methods for estimating of costs and benefits.
 Undefined scope of
 Customer may ask
 Insufficient amount
the project.
for change in the project plan of
funds.
after the work starts.
 Lack of monitoring and tracking of project developments.
 Lack of legal documentation.
 Not maintaining proper project diary and project procedure manual.
 Lack of co-ordination between project manager and subcontractors.
 Lack in estimation of resources , man-power , materials , money , methods.
 Systems and methods are not clearly defined.
 Not adopting proper safety measures. Workers will not using PPE kits
while working.
 Lack of leadership and decision making of project manager.
 Improper planning of the project.
 Lack of quality in the building.
 Wastage of materials due to human error.
 Change in law , tax , government and duties.

29. EVENTS/ACTIVITIES SCHEDULED TIME ( IN DAYS )
15 DAYS
50 DAYS
50 DAYS
30 DAYS
20 DAYS
10 DAYS
10 DAYS
20 DAYS
05 DAYS
20 DAYS
15 DAYS
15 DAYS
10 DAYS
PLANNING
FOUNDATION
WALLS
RCC
STAIRCASE
ELECTRICAL WORKS
FURNITURE WORKS
SANITARY WORKS
WATERPROOFING
FLOORING PAINTING
INSTALATION OF MACHINES
CLOSEING
TOTAL
270 DAYS = 9 MONTHS

30.  A Gantt chart is a type of bar chart that illustrates a project schedule named after
Henry Gantt, who designed such a chart around the years 1910–1915. This chart
lists the tasks to be performed on the vertical axis, and time intervals on the
horizontal axis. The width of the horizontal bars in the graph shows the
duration of each activity . Gantt charts illustrate the start and finish dates of the
terminal elements and summary elements of a project.
0 50 100 150 200 250
PLANNING
FOUNDATION
WALLS
RCC
STAIRCASE
ELECTRICAL WORKS
FURNITURE WORKS
SANITARY WORKS
WATERPROOFING
FLOORING
PAINTING
INSTALATION OF
MACHINES
CLOSEING

31. TIME OVERRUN ANALYSIS SHEET
PROJECT NAME:
CONSTRUCTION
OF HOSPITAL.
MONTH: JULY
PROJECT CODE: 119EC21 YEAR: 2022
PROJECT MANAGER:
TEAM 2

32. SL.
NO
EVENTS/ACTIVI
TIES
SCHEDULE
D TIME (IN
DAYS)
ACTUAL
TIME
(IN DAYS)
TIME
OVERRU
N
TIME
OVERRU
N
%
REASON
01. PLANNING 15 DAYS 20 DAYS 05 DAYS 33% 5 DAYS DELAY
02. FOUNDATION 50 DAYS 60 DAYS 10 DAYS 20% 10 DAYS DELAY
03. WALLS 50 DAYS 65 DAYS 15 DAYS 30% 15 DAYS DELAY
04. RCC 30 DAYS 44 DAYS 14 DAYS 46% 14 DAYS DELAY
05. STAIRCASE 20 DAYS 30 DAYS 10 DAYS 50% 10 DAYS DELAY
06. ELECTRICAL
WORKS
10 DAYS 20 DAYS 10 DAYS 100% 10 DAYS DELAY
07. FURNITURE
WORKS
10 DAYS 20 DAYS 10 DAYS 100% 10 DAYS DELAY
08. SANITARY WORKS 20 DAYS 20 DAYS 0 0 ON TIME
09. WATERPROOFING 05 DAYS 05 DAYS 0 0 ON TIME
E10. FLOORING 20 DAYS 30 DAYS 10 DAYS 50% 10 DAYS DELAY
11. PAINTING 15 DAYS 25 DAYS 10 DAYS 66% 10 DAYS DELAY
12. INSTALATION OF
MACHINES
20 DAYS 40 DAYS 20 DAYS 100% 20 DAYS DELAY
13. CLOSEING 05 DAYS 05 DAYS 0 0 ON TIME