Title
Guidelines for Hospital Infrastructure Construction
Law
Doh Administrative Order No. 109-a
Decision Date
May 2, 2002
DOH Administrative Order No. 109-A establishes guidelines for managing the construction phase of infrastructure projects in hospitals and health facilities, ensuring safety, cleanliness, and compliance with building regulations to protect users and maintain operational integrity during construction.
A

Objective of the Guidelines

  • Establish standards for properly managing infrastructure projects.
  • Ensure orderly construction activities.
  • Maintain safety and cleanliness in hospital and institutional areas during construction.

Scope and Coverage

  • Applies to all DOH existing, ongoing, and future infrastructure projects nationwide.

Definitions

  • Building Permit: Required official authorization before construction-related work begins.
  • Occupancy Permit: Certificate issued after final inspection confirming compliance with building and fire codes.
  • Project Site: Includes construction area, temporary facilities area, and access routes.
  • Construction Site: Actual site of construction or repair/renovation work.
  • Variation Order: Change directive affecting work quantity, new work items, or plan alterations.

General Guidelines and Procedures

Permits

  • Building Permit mandatory before starting any project.
  • Building Permit number and project billboard must be displayed on site.
  • Occupancy Permit and Bureau of Fire Protection clearance required before project turnover.

Temporary Facilities

  • Limited to warehouse for materials, field office with toilets and meeting room, laborers' pavilion with toilets.
  • All temporary facilities must be inside project site, enclosed by temporary fencing.
  • Materials for fencing include corrugated G.I. sheets, cocolumber or formlumber framing, painted finish.
  • No temporary housing for staff or laborers allowed; existing temporary housing to be demolished promptly.

Security and Safety

  • Prohibited activities for contractor staff on site: cooking, eating, smoking, drinking alcohol, laundry, sleeping, loitering, urination.
  • Portable toilets mandated at practical locations.
  • Staff and workers must wear uniforms with visible ID cards.
  • Hard hats required in designated areas.
  • "Sari-sari" store allowed only for contractor staff, within the project site and hidden from public view.
  • Temporary fencing maintained during project suspension.
  • Separate entrances for contractor staff and equipment distinct from main hospital entrance.

Good Housekeeping Practices

  • Daily clearing of garbage at least 30 minutes before work shift ends.
  • Collection and removal of debris and excess materials to designated disposal areas.

Variation Orders

  • Variations prohibited during construction phase.
  • Changes permitted after contract period or defects liability period.
  • Material substitutions allowed only if stronger/more durable and funds certified available.

Monitoring and Evaluation via Contractors Performance Evaluation System (CPES)

  • DOH Central Office, regional Centers for Health Development, and hospitals to establish CPES Implementing Units.
  • CPES-IUs assess contractor performance twice: at ~50% completion and upon project completion.
  • Reports sent to Secretary of Health and relevant national agencies for action.
  • CPES-IU composed of a Unit Supervisor, Technical Personnel (from engineering, administration, nursing, departments), and a Clerk.
  • Supervised technically by NCHFD Director III.

Effectivity

  • Guidelines effective immediately upon issuance by the Secretary of Health on May 2, 2002.

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