BBA Summer Training Report
BBA Summer Training Report
ON
                 GLOBAL INSTUMENT CO.
                         AMBALA CANTT
LABORATORY DESIGN
AND MAINTENANC
LABORATORY DESIGN AND MAINTANCE
iii
  Contents
  Acknowledgements              vi Glossary of terms viii Executive summary   xiv
SECTION 1 Introduction 1
2.2 Storage 4
2.4 Furniture 7
SECTION 6 Planning 27
6.4 Costs 34
6.6 Quality 36
SECTION 7 Design 37
7.4 Budget 41
7.5 Procurement 42
SECTION 8 Construction 45
8.3 Documentation                                                         48
8.4 Testing and commissioning                                                          49
References 62
Further information 63
                      Acknowledgements
                      Principal coordinator
Scientific contributors
                      Mr Allan Bennett, Public Health England (WHO Collaborating Centre for Applied
                      Biosafety and Training), United Kingdom of Great Britain and Northern Ireland
                      Ms Marianne Heisz (Deputy team lead), Public Health Agency of Canada (WHO
                      Collaborating Centre for Biosafety and Biosecurity), Canada
                      Mr Joe Tanelli, Public Health Agency of Canada (WHO Collaborating Centre for
                      Biosafety and Biosecurity), Canada
Project management
Reviewers
Dr Christina Carlson, World Health Organization, Switzerland and Centers for Disease
Control and Prevention (WHO Collaborating Centre for Biosafety and Biosecurity), United
States of America
Prof. David R Harper, Chatham House – Centre on Global Health Security, United
Kingdom of Great Britain and Northern Ireland
Ms Heather Sheeley, Public Health England (WHO Collaborating Centre for Applied Biosafety
and Training), United Kingdom of Great Britain and Northern Ireland
Technical editing
Ms Fiona Curlet
Financial support
Development and publication of this document have been made possible with financial
support from the Global Partnership Program, Global Affairs Canada, the Biosecurity
Engagement Program, United States Department of State and the Defense Threat
Reduction Agency, US Department of Defense.
                    Glossary of terms
                    Accident: An inadvertent occurrence that results in actual harm such as infection, illness,
                    injury in humans or contamination of the environment.
                    Aerosol: Liquid or solid particles suspended in air and of a size that may allow inhalation
                    into the lower respiratory tract (usually less than 10 micrometres in diameter).
                   Biosecurity: Principles, technologies and practices that are implemented for the
                   protection, control and accountability of biological materials and/or the equipment, skills
                   and data related to their handling. Biosecurity aims to prevent their unauthorized access,
                   loss, theft, misuse, diversion or release.
                   Bunding: A tank of a minimum height used to contain spills which can then be drained or
                   pumped under control. It is usual to provide bunding which has a volume equivalent to
                   110% of the potential spill volume.
SECTION
1 INTRODUCTION
Section 2 covers the design features for core requirement laboratories that must be incorporated in all
laboratories. For laboratories where a risk assessment has determined that heightened control measures
are required for some laboratory processes, additional risk control measures, design features or
modifications may be necessary to maintain a safe working environment. These additional considerations
are described in section 3. Where the risk assessment indicates maximum containment measures are
required, the design features are outlined in section 4.
The information in this monograph on laboratory design and maintenance is designed to accompany and
support the fourth edition of the WHO Laboratory biosafety
manual (1) (core document) and other associated monographs. The manual and the monographs adopt a
risk- and evidence-based approach to biosafety rather than a prescriptive approach to ensure that
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laboratory facilities, safety equipment and work practices are locally relevant, proportionate to needs and
sustainable.
The other associated monographs provide detailed information and help implement systems and strategies
on the following specialized topics: risk assessment (2), biological safety cabinets and other primary
containment devices (3), personal protective equipment (4), decontamination and waste management (5),
biosafety programme management (6) and outbreak preparedness and resilience (7).
When building a new laboratory, or repurposing or renovating an existing laboratory, those responsible for
the ownership and management of the laboratory must determine how to manage biological and chemical
hazards by the implementation of risk control strategies; which should then drive the planning and design
of the facility. To accomplish this goal, before starting the design process for the construction, repurposing
or renovation, a thorough risk assessment is required to identify the hazards and decide the risk control
measures that need to be incorporated into the design. A needs assessment should also be performed to
define any other laboratory design features required to reduce the risks or facilitate needed functions.
The likelihood of an incident (such as an exposure to and/or release of a biological agent) and the severity of
the consequences are analysed in the risk assessment.
This risk assessment must consider, for example, the biological agents to be handled, procedures to be
performed and the workflow of the procedures (including specimens, personnel, consumables, waste).
Depending on the type and magnitude of risk identified, core requirements, heightened control measures or
maximum containment measures may be necessary to control the biological risks. More information on
conducting risk assessments can be found in section 2 of the fourth edition of the WHO Laboratory biosafety
manual (1) and in Monograph: risk assessment (2). The risk assessment monograph provides risk assessment
templates to help support and justify decisions on laboratory requirements.
The necessary risk control measures and design features that are identified should be the basis for design
professionals to plan the design, construction, repurposing or renovation of the laboratory. Sections 5 to 10
outline basic principles of the phases of laboratory construction projects, including performing the initial risk
assessment, typical design stages, and construction, commissioning, operation and maintenance of a new,
repurposed or renovated facility.
SECTION
                                  DESIGN CONSIDERATIONS -
                                                                                                        3
 2                        CORE REQUIREMENTS
2.1 Facility space
 assisted, carried or even dragged if illness or injury has occurred.  Hidden spaces
or surfaces, such as behind or underneath furniture and equipment, can be
accessed for maintenance, cleaning and decontamination.  There is adequate space
and access for any necessary safety equipment, such as isolation switches, fire
extinguishers and safety showers.
enough for the planned laboratory operations (for example, for big trolleys, if used) and compliant with any
national regulations.
These corridors and exits must be kept clear at all times to allow emergency exit; they must not be used as
storage locations. Similarly, do not use technical areas and plant rooms (for example, wastewater treatment
areas) as extra storage areas.
2.2 Storage
2.2.2 Chemicals
Specialized storage cabinets need to be available for hazardous reagents and chemicals, such as those with
flammable, oxidizing or corrosive properties. Space for emergency supplies such as eye washes, first-aid
materials and biological or chemical spill kits must also be provided and be appropriately located.
2.2.3 Specimens
Specimen storage may require large amounts of refrigerator or freezer space within the facility.
Electrical supplies to refrigerators and freezers, their resilience to interruption, the likely additional heat
gain as well as temperature monitoring of these devices and associated alarms need to be taken into
consideration. Physical security of specimens may also need to be considered depending on associated
biosecurity requirements, any mandatory legislative requirements and a biosecurity risk assessment.
2.2.4 Waste
Enough floor space must be provided to enable safe and secure storage of waste before it is
decontaminated or transported for disposal. Space must also be provided to facilitate waste movement,
which may include the use of trolleys or the loading of waste disposal trucks; therefore, doorways and
corridors must be sufficiently wide to accommodate these needs.
The location of waste and/or waste decontamination units (such as autoclaves) must be considered so
that odour and excessive heat generated do not affect other areas or personnel in the laboratory. Where
an incinerator is available onsite or where waste is collected and disposed off-site, consideration needs to
be given to necessary segregation, secure storage and, importantly, custody of any sensitive or infectious
waste before decontamination, destruction or final disposal. Further information on waste disposal can be
found in Monograph: decontamination and waste management (5).
2.3.1 Walls and floors  Walls and floors must be smooth and continuous surfaces. This may require the
use of coving, whereby curved edges (rather than corners or crevices) are introduced using mouldings
between the floor and walls, and, where needed, between walls and walls or walls and the ceiling. 
Materials used for walls and floors must be easy to clean, and impermeable and resistant to the chemicals
and disinfectants used in the laboratory. For example, vinyl or linoleum are suitable materials for floors.  If
used, tilework must be sealed to avoid dirt and other contaminants accumulating in the grouting and
seams.
2.3.2 Windows
   Windows should normally be sealed but may be openable when the laboratory is
                                                                                                               6
    designed to be naturally ventilated.  If openable, they must be designed to prevent insects or
vermin entering the laboratory, and they should be lockable.  Openable windows should be easily
operated and remain easily accessible to facilitate opening and closing as needed.  Natural ventilation
2.3.3 Doors
   Doors to the core requirements laboratory must be lockable and must have a vision panel to see into the
laboratory. Internal laboratory doors must be fitted with vision panels so that workers are visible and to
prevent collisions.  Doors must be compliant with applicable building regulations (for example, fire
ratings), should preferably be self-closing, and wide enough to move equipment, materials or waste
easily.  Doors should be appropriately labelled. At a minimum they should have:
- the international biohazard symbols where biohazardous materials are handled or stored,
- the contact details of the responsible person for the laboratory, in case of an emergency, and
-         an indication that access to the area is restricted. External doors and windows should be secured
against the entry of pests and wildlife based on the local circumstances.
2.4 Furniture
Consider the following specifications for furniture in the laboratory.  Furniture must be easily cleanable,
robust to withstand planned use.  Furniture must not include any fabric surfaces which may
contaminants.  Furniture on lockable wheels can be easily moved, allowing easy access for cleaning
and/or decontamination.  Furniture with ergonomic adjustment features allows for comfort while working
and
can help reduce the possibility of incidents/accidents.  Curtains and blinds with absorbent surfaces
must not be used as they may accumulate dust and are not easily cleaned if material is spilled on or
near them.  Carpets and rugs must not be used including carpet tiles.
Consider the following specifications for bench tops.  Bench tops must be impervious to water and
resistant to heat and the chemicals and disinfectants that may be used in the laboratory, for example,
                                                                                                                7
acids, alkalis and organic solvents.  Wood, tile, metal, concrete or painted bench tops are acceptable if
they are appropriately sealed so that they are easily cleanable and resistant to the chemicals used in the
laboratory.
 Bench tops should have curved edges wherever possible for easy cleaning.
2.5.3 Lighting
Lighting must be adequate for all activities. The specific lighting needs may vary for different areas of the
laboratory. Therefore, the lighting requirements of procedures should be assessed so that those needing
more light (or low light levels) can be appropriately lit (or shaded) using artificial means, while using
natural daylight wherever possible to save energy. Undesirable shadows, reflections and glare should be
avoided. The direction of light sources must be designed so that personnel can avoid working in their
own shadow. Emergency lighting needs to be bright enough and available long enough to ensure safe
exit from the laboratory and also containment of the current work if the situation allows. It is also
important to consider glare from daylight through windows as well as undesirable solar heat gain.
These systems should be selected, designed and installed in such a way as to avoid undesirable airflow or
turbulence on and around working surfaces. Care should be taken when installing supplementary wall
                                                                                                                  8
mounted comfort cooling systems or adding ceiling fans and/or using fixed and oscillating desk or pillar
fans which can produce high velocity and turbulent airflows as such airflows often conflict directly with
biosafety needs.
Where high heat loads or airflows are emitted, supplementary systems to facilitate cooling and/or heat
removal should be considered. Equipment producing high airflows should be sited with due consideration
to equipment and work that may be sensitive to room airflows, for example, open bench work.
SECTION                                                                                      9
3 DESIGN CONSIDERATIONS -
Where heightened control measures are applied, it is important to reassess the residual risk after the risk
control measure is selected and estimate whether this measure has effectively bought the residual risk to
an acceptable risk.
Where the laboratory is part of a larger facility, such as a hospital, or an academic or research institution,
the build site of the laboratory may be in a separate building. If a separate building is not possible, then the
laboratory may be in an area located behind or away from common walkways between other rooms or
buildings of the facility.
Where the laboratory must share a building with other departments or faculties, consider placing the
laboratory at the end of a corridor with no onward access, and/ or constructing wall(s) and/or doors to
separate the laboratory from unrestricted areas of traffic.
Where specific procedures are being conducted within the laboratory, physical separation may also be
achieved by building additional rooms or by incorporating a primary containment device (such as a BSC)
into the laboratory design. In addition, separating the heating ventilation and air conditioning system could
be considered.
3.2.2 Anterooms
An anteroom is an intermediary room used to create an additional layer of separation and safety between
the heightened control measures laboratory and outside rooms or the general laboratory. Anterooms are
commonly used as a changing area, where laboratory coats and other PPE that are to be used inside the
laboratory are put on. This room provides personnel with a place to remove and store personal clothing
before putting on the dedicated laboratory clothing that may be potentially contaminated once in the
laboratory. Laboratory clothing must be stored separately from personal clothing. The anteroom may also
be used to house a hand-washing sink and as a storage room for the laboratory.
In rare cases, where considerable aerosol generation in the laboratory is expected, the anteroom can act
as part of a pressure cascade to prevent any backflow of air. For more information on pressure
differentials, refer to subsection 3.4.
Anteroom doors should normally be opened one door at a time so that both the outer and inner doors are
never open at the same time, with the inner door opening into the laboratory space. This sequential
opening may be specified as a required procedure that all personnel must adhere to. Alternatively, an
electronic interlocking system can be installed. In this case, it is important to consider emergency escape
procedures, should this automated system fail. Self-closing doors may also be helpful.
Controlled access systems vary in method and complexity. Generally, the simpler the controlled access
system, the more likely it is to be used and maintained effectively. Examples of controlled access systems
that may be used in the facility design include non-reproducible keys, card pass readers, access code key
pads or a reception and/ or security desk.
It is important to note that any controlled access system must also have an appropriate monitoring and
management system if they are to be used effectively. Procedures must be in place for detection and
follow-up of failures, accidents or breaches. As the need for heightened control measures increases, it is
important to ensure that the access systems log both entry to and exit from the facility, and are
designed to allow entry and exit of only one person at a time to prevent unauthorized access.
The most commonly used engineering control for limiting aerosol risks is a primary containment device, for
example, a BSC. In addition to reducing exposure to aerosols, these devices also act to isolate aerosol-
generating work or equipment from other areas of the laboratory.
Different types of BSCs are available. Other non-standard designs of primary containment devices have
come into use for several reasons, including cost, portability and requirements for a customized design.
Workflow steps where there is a risk of generating aerosols are often conducted inside a BSC (or other
primary containment device) that is held at a pressure lower than the laboratory space (negative pressure).
In open-fronted devices, this pressure difference causes air to be drawn into the front opening in a laminar
flow and at a velocity which will normally prevent the release of most of an aerosol from the cabinet,
assuming correct use. Air is passed through a series of HEPA filters and then exhausted back into the room
or to the outside atmosphere depending on the type of cabinet and installation arrangement. In order to
provide protection to the user of the BSC, other laboratory personnel and the wider environment, the BSC
must be:  set up and used correctly,
More information on the types, functions and uses of BSCs and other containment devices can be found in
Monograph: biological safety cabinets and other primary
containment devices (3).
The movement of contaminated waste should be kept to a minimum, especially when the risks associated
with handling waste from biological agents increase, either because the biological agents have more severe
consequences or the likelihood of exposure increases. When the risks of handling contaminated waste are
high, barrier type decontamination systems (double-ended autoclaves) may be needed, and even
incinerators. Note that national or international regulations and standards may require local
decontamination of potentially infectious waste.
Enhanced autoclave functions include double-ended machines with hermetic barriers and special
programmes, cycles and test functions. Where such enhanced functions are indicated by the risk
assessment, it is essential to ensure that these functions are specified in detail in the user requirement
specification. In addition, care must be taken in the formal process of qualification and validation, including
all necessary and rigorous factory testing together with onsite acceptance and performance testing.
In a small number of cases, and in line with the risk assessment, a dedicated liquid disposal sink and drain
may be required for liquid waste in order to prevent the release of potentially contaminated liquid waste
outside the laboratory. Alternatively, an effluent decontamination system can be used for larger volumes
where highrisk liquids cannot practically be collected and treated in small volumes. An effluent
decontamination system helps decontaminate potentially contaminated liquids using either heat or
chemical treatment before disposal into a sink or public sewer system. Heat decontamination is usually
more expensive to install and maintain. However, the effectiveness of chemical decontamination may be
difficult to monitor, and corrosion of the drains or tanks is common. Decontamination may be done
immediately, as the liquid enters the system, or the liquid may be collected and stored in specialized
tanks and then decontaminated in bulk before disposal into normal waste systems. Devices to prevent
backflow, including deep seal syphons, which take into consideration pressure cascades and ventilation
systems, may also be used to prevent any contaminated liquids, aerosols, vapours or chemicals from
moving back up the drain.
An emergency escape route from inner segregated areas must be established and communicated to
personnel to enable them to use it effectively. If electronically controlled access systems are used,
contingencies for emergency response must be considered in case the access system fails; for example, if
there is power failure. In case of a medical emergency, personnel inside the facility must be able to call for
help. Emergency systems, and associated monitoring and response procedures, are particularly important
if a laboratory allows personnel to work alone.
The medical emergency response team (onsite or external) should be informed about the risks of the
biological agents that are handled in the laboratory and the medical equipment that is accessible close to
SECTION
                  DESIGN
CONSIDERATIONS -
 4            MAXIMUM CONTAINMENT
            MEASURES
For the majority of laboratory activities, laboratory facilities will be designed to perform work safely under
core requirements, or with certain heightened control measures in accordance with the risk assessment.
However, in exceptional circumstances, a facility designed with maximum containment measures will be
required to control the highest risks. These high risks arise from work with biological agents that have severe
consequences and when there is a high likelihood of exposure to and/or release of these biological agents.
It is important to understand that laboratories requiring maximum containment measures are very
expensive to plan, design and build. They are also very expensive to operate and maintain. The high-risk
operations often mean these laboratories will fall under national regulations and oversight mechanisms for
biosafety and biosecurity. This means special permits or approvals must be sought even before starting the
planning process for such a laboratory. These facilities require a very high level of technical expertise and
experience, not only for their planning, design and construction, but also for their operation and
maintenance. It is essential before starting such a project to ensure that trained and experienced personnel
are available for all aspects of the project, including the design, construction, operation and maintenance.
For these reasons, before building a maximum containment facility, other options for the work must be
considered such as the use of an alternative biological agent or procedure where possible, or the outsourcing
of work to another appropriate facility.
  The following information on facilities with maximum containment measures is not exhaustive
  and is intended only as introductory material. Before such a laboratory is constructed and put
  into operation, intensive consultations should be held with national authorities, biosafety
  experts and other institutions that have had experience in operating similar facilities to
  determine the exact design specifications.
Supplies and materials brought into the cabinet line must be introduced through an integral double-door,
pass-through autoclave, dunk tank or fumigation chamber. Once the outer door of the transfer device is
securely closed, personnel inside the laboratory can open the inner door to bring the materials into the
cabinet line. The doors of the autoclave or fumigation chamber should also be interlocked in such a way
that the outer door cannot open again (after the inner door has been opened) unless the autoclave has
been operated through a sterilization cycle or the decontamination chamber has been successfully
decontaminated.
The breathing air system must be equipped with a back-up system (typically bottled air or large reservoirs of
compressed air with a fail-safe connection to the breathing air line) to allow for a safe exit from the
laboratory should the primary breathing air system be compromised. A decontamination shower in an
airlock is also needed for safe exit from the suit laboratory before removal of the suit.
SECTION 4 DESIGN CONSIDERATIONS - MAXIMUM CONTAINMENT MEASURES                                  21
As with a cabinet line laboratory, there must be effective systems to allow for the safe
introduction of materials and specimens into the laboratory. Again, this can be through
double-ended autoclaves, dunk tanks and fumigation chambers.
There are significant differences in the ventilating systems of the cabinet line
laboratory and suit laboratory:
4.3.1 Cabinet line laboratory  The laboratory room must be maintained at negative
pressure supported by a pressure cascade through the entrance rooms and
anterooms. There must be a dedicated system with alarms and monitoring covering all
critical system and operating conditions.  The laboratory ventilation must have HEPA
filtration of both the supply and exhaust air (normally double HEPA).            Redundant
exhaust fans are required to provide a back-up to ensure that the facility remains
under negative pressure at all times even in the event of an exhaust fan failure. The
supply and extract systems must be interlocked to prevent over-pressurization.           The
cabinet line must be operated at negative pressure to the surrounding laboratory at all
times.
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   The supply air to the cabinet line may be drawn from within the room through a HEPA
filter mounted on the cabinet or supplied directly through the supply air system (but
always through a HEPA filter).  Exhaust air from the cabinet line must pass through a
minimum of two HEPA filters before release outdoors.
The containment system must have adequate back-up systems to ensure maintenance
of negative pressure under foreseeable failure conditions.
4.3.2 Suit laboratory  Dedicated room air supply and exhaust systems are required.
The supply and exhaust components of the ventilating system are balanced to provide
directional airflow within the suit area from the area of least risk to the area(s) of
greatest risk.  Redundant exhaust fans are required to provide a back-up, thereby
ensuring that the facility remains under negative pressure at all times even in the
event of an exhaust fan failure. There should also be redundancy within the power
supply to the facility to ensure continuous operation.  All critical ventilation, pressure
differential, life safety and operational systems must be continually monitored and
have alarms. An appropriate system of controls must be used to prevent positive
pressurization of the suit laboratory.  HEPA-filtered supply air must be provided to the
suit area, decontamination shower and decontamination airlocks or chambers. The
exhaust air from these areas must be passed through two HEPA filters in series before
release outdoors.  Exhaust air from the suit laboratory must be passed through two
HEPA filters in series before release outdoors. Alternatively, after double HEPA
filtration, exhaust air may be recirculated, but only within the suit laboratory.  Under
no circumstances should the exhaust air from the maximum containment suit
laboratory be recirculated to other areas. Great care must be taken if air within the
suit laboratory is to be recirculated.  The build-up of chemical fumes from
disinfectants and other activities must be taken into account if considering any
recirculation of air. The possible impact to animal rooms on recirculation of air must
also be considered.  The protective suits will require a dedicated, breathing air system,
with multiple layers of redundancy to ensure personnel safety all times.
All protective HEPA filters need to be tested and certified annually. The HEPA filter
housings may be designed to allow the filter to be decontaminated in place before
SECTION 4 DESIGN CONSIDERATIONS - MAXIMUM CONTAINMENT MEASURES                                 23
                                                                                              19
removal. Alternatively, the filter can be removed in a sealed, gas-tight primary
container for subsequent decontamination and/or destruction by incineration.
All liquid waste (effluents) from the suit area, autoclave, decontamination chamber,
decontamination shower and cabinet line must be decontaminated before discharge.
Heat treatment is the preferred method since it can be validated more consistently
and reliably than chemical treatment. Effluents may also require adjustment to a
neutral pH and temperature reduction before discharge. Backflow prevention
mechanisms should be installed in all effluent drains as well as deep siphons to prevent
backflow of air and aerosols. These siphons should be deep to cope with normal
pressure and loss of negative pressure in the room. As with room ventilation, HEPA-
protected drainage vents will require two HEPA or equivalent filters in series to
prevent release of drainage vapours and aerosols to atmosphere. Depending on the
results of the risk assessment, water from personal showers and toilets in the outer
changing area, which are outside the containment measures, may be discharged
directly to the sewer system without treatment. The personal hygiene shower in the
cabinet line facility may be treated in an effluent treatment plant depending on the risk
assessment.
SECTION
SECTION
                  FRAMEWORK OF A                                               5
                LABORATORY PROJECT
The process of a typical project to build, renovate or repurpose a laboratory begins
with the facility idea or requirement, proceeds through planning to design,
construction, commissioning, operation and maintenance. While this conceptual
framework outlines the typical steps and stages of most laboratory construction
                                                                                              21
projects, it is a guide only and the framework may vary widely depending on place and
time, governance, procurement methods, markets and many other factors. The steps
and stages in the framework are expanded and illustrated at each main stage in the
       following sections. Some important elements require careful attention,
 SECTION
       especially budgets, personnel and schedules.
       Details of the planning, layouts and design requirements adopted for the facility
       are determined directly by the risk assessment and needs assessment.
       Therefore, before the construction, repurposing or renovation process can
       begin, a detailed risk assessment must be carried out in order to determine the
specific risk control measures that need to be implemented. In addition, a facility-
specific needs assessment is required to define all other design features needed for
the laboratory.
6 PLANNING
To facilitate the process of planning, designing, constructing, operating and
maintaining a laboratory or facility, it may be useful to use a model approach to help
map out and understand the various stages and activities that are required. Various
models, including nationally recognized systems, exist that outline work stages and
detail the tasks and outputs required at each stage. Those involved in the planning
should identify useful model resources and/or consult their national architect´s
organization and building regulatory agency early in the planning phase.
Planning (Figure 6.1) can be divided into two parts: the pre-planning phase and the
planning phase. The pre-planning phase comprises everything that precedes and leads
up to the start of the project; it includes the initial idea, the identification of need at
the senior level and the agreement to proceed in a particular direction. The main
activity of the planning phase is to bring together a team of relevant experts to
perform a risk assessment and a needs assessment. The risk assessment identifies the
need for risk control measures and indicates if core requirements are enough for the
planned laboratory or if heightened control measures or even maximum containment
measures are advisable. The needs assessment will establish the nature and purpose
of the laboratory and define the details of the work that will be performed there and
all the equipment required.
It is important during the planning phase that realistic costs are determined, and that
key deliverables are established that support project goals and serve as progress
milestones.
                                                                                       22
The following national planning tools were reviewed during the development of this
monograph:
 the Royal Institute of British Architects (RIBA) plan of work – 2013 (9), and
Other national systems and concepts exist and can be used as planning tools. In the
absence of a nationally recognized system, one or both of the above-mentioned tools
can be accessed online and are free of charge to use (see references and the further
reading/information section).
23
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The project team will initially include selected members of the organization for which the facility is being
constructed. Construction professionals can be added later and are often appointed by the organization
undertaking the design-related tasks. Afterwards, the project team may expand further as builders and
subcontractors are employed to carry out the construction and commissioning work.
procurement, design, construction, installation, commissioning, handover and operational training of users of
the completed laboratory. The project manager can also support the development of a budget to secure
enough funding to complete the laboratory and put it into operation.
Information on performing a risk assessment (Table 6.1), can be found in Monograph: risk assessment (2).
This monograph includes short and long risk assessment templates and associated guidance.
A needs assessment should consider the following issues (among others).  Planned purpose of the
   Reasons for the repurposing/renovation/construction; for example, need for increased safety measures
following the outcome of the risk assessment, or need for additional space because of an increased number
of duties.  Processes that require rooms; for example, animal work, sterilization work, or work
    needing aeration or controlled temperatures.  Amount of space required, based on, for example,
personnel.  Nature of specimen (organs, liquids, specimen in sealed tubes, microbial culture)
    and analysis methods to be used (for example, culture, polymerase chain reaction, serology) and their
related requirements (for example, separate rooms for different tasks).  Adjustments required in the
 SECTIO 7 DESIGN                                                                                                26
specimen workflow; for example, separate specimen reception or space, and equipment for specimen
storage.  General building regulations; for example, fire alarms or sprinkler systems.  Adequate availability of
utilities; for example, sufficient power supply, water supply, wastewater treatment and removal, waste
discard and similar requirements for autoclaves.  Locally available maintenance and service expertise. 
Necessary environmental control systems.  Personnel facilities; for example, toilets, rooms for breaks, or
office spaces separate from laboratory working spaces.  Floor space requirements for all physical elements
(equipment, personnel, biosafety controls), for facilitating movement (walkways, hallways), for storage of
consumables and reagents and for additional facilities (toilets, rooms for breaks, offices).  Technical space for
the location of the building engineering services, as well as space
 for services to pass between floors in multistorey buildings – riser space.  What currently exists;
for example, laboratories embedded in hospitals, and comparison with needs assessment.
Table 6.1 Risk control measures needed based on a risk assessment and the related needs based on a needs
assessment for an antibiotic testing laboratory for tuberculosis
                        CHARACTERISTICS OF THE BIOLOGICAL AGENT
Biological agent(s)             Mycobacterium tuberculosis
Table 6.1 Risk control measures needed based on a risk assessment and the related needs based on a needs
assessment for an antibiotic testing laboratory for tuberculosis (continued)
    FACTORS CONSIDERED IN                 RISK CONTROL MEASURES RESULTS OF NEEDS
    RISK ASSESSMENT                                             ASSESSMENT
Other factors that may affect                  ensure restricted access   § need for system that ensures
laboratory operations                                                          only authorized personnel
         occasional crime in the                                              have access (such as keys, key
area                                                                           cards)
                                                                           § bars to windows on the ground
                                                                               floor
Potential situations in which         § BSC (to process suspected or       § space, electric supply and
exposure or release could occur           documented specimens of                      exhaust for BSC
§ aerosol exposure to and/or              MDR-TB and XDR-TB)               § consideration of workflow (for
    release of M. tuberculosis from   § respiratory protective                 example, avoiding placing BSC
    a spill                               equipment                            in high-traffic areas)
§ contact with contaminated           § gloves, gowns and respiratory      § space to store respiratory
    surfaces                              protective equipment when            protective equipment and other
§ improperly treated waste                handling                             PPE
                                          waste and decontaminating
                                          spills
    SECTIO 7 DESIGN                                                                                                                     28
BSC = biological safety cabinet; MDR-TB = multidrug-resistant tuberculosis; PPE = personal protective equipment; XDR-TB = extensively
drug-resistant tuberculosis
6.4 Costs
Planning a new facility or the refurbishment or repurposing of an existing facility normally requires a business
case to justify the need for the proposed laboratory project and to secure the required funding. This business
case will be built on the risk assessment and needs assessment and should demonstrate the benefits that will
be produced by the facility against the estimated cost of building/renovating/repurposing it. It is fundamental
to identify all the anticipated costs that will be incurred during planning, designing, constructing,
commissioning, delivering, operating and maintaining any new, refurbished or repurposed facility.
These costs include the following:  cost of the land on which to build (if applicable), and any services
and access
proceed (if
applicable);
 cost of the time of various teams/people required at each of the following stages
- planning
- design
- construction
- training – training required for all laboratory users and technical and                   maintenance support personnel
    (ongoing)
- maintenance – including specialists for certification and validation, and for the first 5 years of occupancy
and use;  materials costs – all the building materials required to construct the building;
n equipment costs – all the equipment required to fit out the laboratory;  consumables costs – all of the
example, pipettes, gloves, slides, waste bags, reagents, PPE) for the first 5 years;
n training costs – training courses (onsite and off-site) and training placements;  development costs –
including SOPs;
n   operating costs – costs besides staffing time/costs, that is spare parts and other consumables (oils,
    gaskets, filters) for the first 5 years;  cost of operating the facility including miscellaneous costs (for
    example, cost of
    activities not directly related to the laboratory work such as specimen transportation or specimen
collection) for the first 5 years;  maintenance costs – above the base level laboratory operating cost, including
    planned preventative maintenance and periodic shutdowns as and when required;
- energy and utilities required to operate the facility (ongoing for the first 5 years);
    and
   other costs not listed above but which may be specific to the project, country or
     region.
It is advisable also to include a contingency allowance in the estimation of costs. This allowance is a
percentage figure added to the total cost to cover unforeseen events and changes, or anything missed or not
fully considered. As the project progresses, the costs become more certain and the contingency allowance
can be reduced accordingly.
evaluated. Developing an initial schedule will normally be the responsibility of the project manager. This
schedule will then be confirmed or adjusted on appointment of a builder.
Establishing a schedule may be based on a required or fixed end date or, more realistically, on time blocks
with the end date predicated on the start date which is finalized only once a contract is in place with a
builder. Any fixed end date chosen must be realistic.
Construction contracts once signed will normally be based on an agreed price and a fixed schedule with a
start date and an end date. Changes to these dates will generally have a financial impact.
However, as the project progresses, small delays will inevitably occur. Delays are cumulative and
consequently the remaining tasks will need to be done in less time if the end date is to be met. This often has
an adverse effect on the installation quality and on the testing and commissioning activity. Under such time
pressure, the installation and subsequent testing and commissioning activities may be poorly executed which
may undermine the previous work and result in trouble and danger for the users. It is therefore essential for
all laboratory projects to ensure that the construction schedule is practical and realistic, and includes
contingencies for expenditure and delays. Time allowed for testing and commissioning must be realistic and
strictly defended by the project manager.
6.6 Quality
Quality is of key importance in the design and construction of a laboratory facility. The quality of design,
workmanship and finishing are fundamental elements and must meet the requirements of the risk
assessment, needs assessment and the articulation of the user requirement brief and user requirement
specification. The quality of the final designs and specifications, the accuracy of the schedule and budget, and
the quality of the project management are all vital components of the total quality. Quality management
should run through the project from beginning to end. If quality is taken into consideration at all stages of the
project, it will help ensure that the final product meets the required standard.
 SECTIO 7 DESIGN                                                                                                  31
SECTION
    7 DESIGN
Once all of the elements of the risk assessment and needs assessment have been fully considered and
defined, a comprehensive list of all the facility’s needs will emerge. From this list, a user requirement brief
(subsection 6.3) and then a user requirement specification (subsection 7.1) must be developed that
communicate to the design team and subsequent construction team what requirements define the project
(Figure 7.1)
 SECTIO 7 DESIGN                                                                                                32
                                                             Seek advice on
                                                           procurement routes
                                                               available
                                Appoint additional
                              designers or contractors
Concept design
Detailed design
Unacceptable outcome
Stop process
When a final design and layout have been agreed upon, more specific design work may be necessary for the
technical aspects of the facility. Detailed design drawings, specifications and equipment schedules, and later
shop drawings, may be needed for laboratory furniture, fixtures and fittings, mechanical and electrical
components, static load-bearing components, and plumbing and air conditioning systems, among others.
The finalized designs must consider ergonomics for the laboratory users in all planned workflows. In
addition, careful attention should be paid to ensure maintenance can be carried out effectively. It is a good
idea to obtain an independent review or peer review at each stage of the design (subsection 7.3.4) and also
to carry out benchmarking. Benchmarking is a way of assessing other existing facilities that perform the
same or similar functions and evaluating and reviewing the risk control measures they use in order to
establish a clear target for the level of quality to be achieved for the project.
Benchmarking must allow an optimized user requirement specification to be reached that is most functional
and cost-effective to meet the requirements informed by the risk assessment and needs assessment.
Figure 7.2 gives three examples of workflow diagrams that illustrate layouts for laboratories requiring core
requirements, common heightened control measures, and more comprehensive heightened control
measures.
Figure 7.2 Examples of workflow diagrams for laboratories with core requirements and heightened control
measures as informed by the outcome of a risk assessment. These laboratories have similar laboratory
activities but different risks. The core requirement laboratory works on biological agents that can be
handled without containment. The laboratory with common heightened control measures includes a
biological safety cabinet (BSC). The laboratory with additional heightened control measures for handling
more hazardous infectious biological agents has a BSC, uses two inactivation methods, safety buckets in the
centrifuge and waste inactivation by an autoclave. In the table below the workflow diagrams, the
 SECTIO 7 DESIGN                                                                                                 36
laboratory equipment needed for the core requirements is in black text, and the additional equipment for
heightened control measures is in orange text.
7.3.3 Detailed design
Detailed design (also known as technical design) is the final step of the design process. In this stage, detailed
drawings, specifications, schedules and lists needed to facilitate the construction process are produced. This
design should clearly describe in detail all the elements, systems and equipment that will be built and
installed to form the functioning facility.
Further information will still be needed to enable the final manufacture and installation of some parts – such
as steelwork and ductwork shop drawings – but the completion of the detailed design allows the construction
phase of the project to start.
It can also be useful to seek independent peer review of the new laboratory design proposals; this can be
done at each design stage. Peer review takes time and involves financial costs, but such review is essential as
the complexity of the design increases. Peer reviews can be undertaken by suitably experienced in-house
personnel, or by independent specialists and experts.
7.4 Budget
Finalization of the user requirement specification should allow the design team to produce an accurate
estimate of the facility’s final construction cost. It is important to consider this before moving forward so that
the costs can be justified to those funding the project. The finalization process requires a person skilled in
estimating the costs associated with various design features, risk control measures, and/or resources being
requested, and taking account of the needs specified in the user requirements.
During this stage, a contingency allowance should be considered. About 10–15% of the estimated facility
cost may be added during the construction process to cover changes or adjustments that will almost
certainly need to be made. Furthermore, costs must also be added to finance parallel and post-construction
activities, such as commissioning and training activities. These activities will ensure that the constructed
facility is not only finished, but functional and able to be used and maintained. Refer also to subsection 6.4.
In many cases, a fixed budget is provided (by government, for example) or is available (through a donor, for
example), which can be a constraint for the project. Under such circumstances, it is essential to define the
laboratory activities of the planned facility and to assess if it will fully meet the requirements of the risk
assessment and needs assessment.
 SECTIO 7 DESIGN                                                                                                      37
It is important to realize that a construction process, a renovation or a repurposing could take several years
from planning to handover. In this time, equipment from manufacturers can become obsolete and/or be
replaced by new models. It is therefore important to include such contingencies in the budget and to track
these changes with equipment manufacturers and the design team or builders who are providing the
infrastructure support.
Excessively long planning and building processes may result in unnecessary cost increases, which can reduce
the viability of the laboratory project. Similarly, if a budget is not available or is insufficient, or if the targets of
the user requirements are too high, then the project may need to be stopped or substantially revised at this
stage, or even earlier in the planning and design process.
Further iterations of the user requirement specification may be required to ensure that the project design
matches the approved budget, or the budget may need to be adjusted. Engineering options may need to be
discussed and equivalent alternatives for a given product or system explored to balance cost. However,
quality and performance should match the original design requirement; otherwise any savings made in
capital costs could be lost because of increased owning and operating costs. Cheaper but potentially inferior
system components should be avoided, as they may in fact turn out to be far more expensive in the medium
and long term with increased breakdown frequency and higher ongoing maintenance and repair costs.
7.5 Procurement
Procurement is a broad topic. Rules and requirements governing procurement may vary from country to
country and organization to organization. Rules for procurement in the public sector may not always be fully
compatible with the complex needs of a successful laboratory project.
If procurement rules allow, it is safer to complete the design as an independent and separate preliminary
activity and have it fully costed and peer reviewed before the appointment of the construction company (the
so-called design–bid–build approach). The independent design team can be retained by the laboratory
management or facility owner to manage the quality controls throughout the construction phase and advise
the laboratory management on the completeness of the testing, commissioning, documentation and training
needed before the formal handover.
Another procurement route is the so-called design and build route, where the design and construction phases
are undertaken by one company. Any changes made to the design tend to incur substantial costs, and these
generally increase more as the project moves closer to completion. In addition, a decrease in quality is
common in design and build with inevitable consequences on critical completion activities, such as testing
and commissioning. Appointing and authorizing an independent body to undertake quality control may help
here.
      8
SECTION
                            CONSTRUCTION
The construction phase (Figure 8.1) normally starts on a fixed date and has a fixed
schedule or programme, which is one of the conditions of the contract between
the senior management/owner and the builder (or principal contractor).
The builder will typically take possession of the site at the start of construction, which
becomes their legal responsibility, and which is returned only at completion and
handover of the project. The builder is responsible for security of the site during the
construction phase. The builder will also become responsible for the health and safety
of all workers and visitors to the site as well as all people in the vicinity of the site
including the general public.
Some preliminary tests may also be performed to confirm design assumptions (for
example, capacity of the electrical supply, water supply, drainage and sewerage
systems and other utilities), especially on existing equipment, services or utility
supplies where refurbishment, repurposing or expansion is being undertaken.
Construction phase                 Approval to proceed from
                                                                     39
                                  design to construction phase
Appoint contractor
Start construction
                                         Complete fit-out:
                                   - risk control measures are
                                           implemented
Figure 8.1
        Project flowchart, construction phase
Further detailed construction and engineering work may also be required involving
the following areas:  layout of laboratory rooms, location, size and layout of
    technical spaces, support areas and plant rooms (where not included at the design
    stage);
n calculations for system components (where not included at the design stage);
n water supply;
n electricity supply including various voltages, mono and triphase supplies; and  wastewater effluents
In complex laboratories, the movement of materials through the facility spaces, as well as the planned
movement of people, specimens containing biological agents and associated waste streams can also be
mocked up and physically tested.
One quality control measure that is vital in all laboratory construction projects is the continuous protection
of all surfaces, finishes and installed equipment. If they are not protected during construction, they can be
damaged. The integrity of the finished flooring, for example, will considerably affect facility cleaning or
decontamination and durability. The same is true for walls and for benches and other surfaces. Good
management at all levels and clear specifications for protection can help reduce all but accidental damage,
which should always be rectified before final handover.
8.3 Documentation
If the planning and design phases have been carried out effectively, clear and detailed documentation
(drawings and specifications) should be available to direct the construction team to accurately complete
the laboratory project construction. Communication, coordination and management of the various
actions and actors is an important part of the process and is key to success in construction. Scrutiny of
everything and at every level by those responsible for the design, its proper functioning and its formal
sign off should be ensured at all stages of the project.
Detailed records should be kept of all meetings and all decisions that are mutually agreed. The project
manager should discuss and collectively agree with the builder and subcontractor(s) their specific roles
and responsibilities. This agreement should be recorded in a formal contract before the beginning of the
construction process. Additional methods of accountability may need to be implemented, such as the use
of signature sheets for builders and/or subcontractors to acknowledge when they have reviewed and
agreed with any discussions, and/or other written documentation described in Table 8.1. Control of
changes is important as almost all changes will affect costs and may also affect project time schedules.
In Table 8.1 some common formal documented communication and recording methods are explained.
These are not the only methods used. Documented communications may vary by name and purpose
depending on the time and place and the type of contract being used. Documents may also include
instructions of the project manager, early warning notices and technical queries.
Change control order To track changes and associated costs and possible delays
 Technical submittal            When approval is required for proposed components and systems
                                by the builder
 Defect notice                  A document indicating that an item has been rejected and must be
                                made good or replaced by the builder/installer
 As-built drawing               An update that reflects all changes made by the builders
 Technical documents (as part   A document from the builder on deliverables which outlines the
 of the operating and           specifications of the system or feature, how to use it and how it
 maintenance manuals)           must be maintained to function effectively.
When the construction phase comes to an end, the facility or the renovated/ repurposed laboratory must
be thoroughly inspected and checked for quality, compliance and functionality against the design
documents before it is handed over to the senior management and it becomes operational. Other
approval processes may be necessary before full operation (licensing, for instance). Depending on the size
and purpose of a laboratory, it might be necessary to check and test elements at both the beginning and
the end of the construction phase. Any defects should be identified in the testing and commissioning
phase by the project manager and design team and must be satisfactorily corrected by the
builder/subcontractor prior to final handover.
Commissioning involves the testing of all items constructed, fitted or installed to show that they are
complete and functional according to previously agreed specifications. Commissioning should occur
throughout the construction phase, checking, testing and approving what is being executed, against the
user requirement specification and/ or the more detailed project design drawings and specifications.
Commissioning is usually carried out by the person responsible for installation, checking is performed by a
commissioning engineer, and verification and scrutiny by the designer (or an independent entity). On more
complex projects, an independent commissioning agent can be used to carry out this function and should
be engaged to advise from early in the design phase.
As changes may be required and made throughout the construction process, commissioning agents
(and/or the project manager and design team) must review all written communications and technical
documentation for conformity and alignment with the design specifications.
Handover of any construction project is a milestone and responsibility shifts from the builder back to
the senior management/facility owner and laboratory manager. It is essential in all laboratory projects
that the facility is completely finished before the handover is agreed.
At the handover, functional testing of all equipment and systems must be complete and inspected, and
fully signed off against all technical documentation. In addition, all construction design features must be
approved as they are specified in the as-built information. If these elements are not completed
satisfactorily, then handover should be delayed until the project manager has received the needed
approvals from the design team and/or the commissioning and validation team as described in the list
below.
The responsibility of the project manager is to ensure that all the testing, commissioning, validation,
verification and qualification tasks – however simple or complex – are complete, specifically in the
opinion of a suitably qualified and competent person undertaking the inspection. It is also important
that the as-built information and the operation and maintenance manuals (see subsection 9.3) are
complete, comprehensive, accurate and useful. These will underpin all the operation and maintenance
of the laboratory. Scrutiny at this stage of the project must be complete.
When evaluating the completed laboratory systems for acceptance, in addition to installation quality,
the following points may also need to be considered/tested:  repeatability of the system operation
under various outside influences, such as
    temperature, humidity and pressure;  operational stability of the system for a period of time
conditions, including normal, emergency and recovery modes of operation;  efficiency of the
operating costs; and  ability to maintain systems, including proper and safe access to components
and
    owner training, to ensure a long-term, high-level performance; this might include safe 24-hour access to
    such systems and necessary normal lighting and emergency lighting.
Formal assessment of laboratory processes for biosafety vary around the world and are most often found
in countries with national oversight systems. In these cases, inspectors (authorized by the national
authority or another competent authority) inspect laboratories against an acceptable standard (often a
national biosafety standard). If the laboratory meets the standard, it may be certified. Many countries do
not certify and simply authorize activities in laboratories that have been found to meet the national
standard.
To identify necessary certification, national regulations can give guidance. National regulations should be
consistent with standards of the International Organization for Standardization and the International
Electrotechnical Commission.
  Operational phase
                                        Start operational phase
Continual improvement
Skilled engineers and trades people who maintain and repair the structure, facilities and equipment of
the laboratory should have knowledge of the nature of the work of the laboratory, and of the importance
of safety regulations and procedures. Testing of engineering controls after servicing, for example, testing
the efficiency of BSC after new filters have been fitted, may be carried out by or under the supervision of
the biosafety officer. Ideally the hazards of the laboratory should be removed or isolated before
engineering or repair work is undertaken. Engineering and maintenance personnel may need to enter
laboratories with clearance and supervision by the biosafety officer and/or the laboratory manager.
Establishing SOPs can standardize and facilitate common understanding and execution of laboratory
entry and exit procedures for non-laboratory personnel.
Where possible, maintenance services and systems should be located outside the main laboratory space,
even for core requirement laboratories, to avoid the need for maintenance personnel to enter the
laboratory. This reduces the risk to these personnel and minimizes interruptions to the laboratory work.
The following example for HEPA filter maintenance illustrates what needs to be considered to maintain
this equipment (based on the risk assessment and/or needs assessment).
                                                                                                        47
   Clearly define minimum clearance requirements around the housing (typically
provided or recommended by the manufacturer) to ensure sufficient space to test and remove
the HEPA filter or any associated housing components.  Clearly label the HEPA housing with
biohazard symbols to ensure that it is obvious
    to anyone who has access to the technical space that the HEPA filter housing is potentially
contaminated. Ideally, access to any plant room containing such equipment should be
controlled and restricted.  Clearly identify the HEPA housing and which areas of the
containment space it
    serves so that it can be referenced in a maintenance/testing schedule.  The HEPA housing should
have a visual monitoring device to provide an indication of both the performance and state of the
HEPA filter in use (such as a pressure differential monitoring gauge across the HEPA filter).  The
HEPA housing should be designed to withstand structural changes from pressure
    fluctuations and not be distorted during filter installation due to over tightening.  The HEPA
housing should be mounted to a solid frame such as the floor in a plant room, or a steel frame in
the ceiling space with appropriate vibration restraints to withstand any structural shifts.
- Are parts and travel included in the costs of the service contract?
Table 9.1 Example of planned preventative maintenance – external rainwater drainage system
                          PLANNED PREVENTIVE MAINTENANCE TASK LIST NO: A001
                   ELEMENT: EXTERNAL ENVELOPE ITEM: RAINWATER DRAINAGE SYSTEM
 Weekly             Visual inspection   Report obvious obstructions, arrange   Visual inspection from ground level; look
                    only                safe access and clear.                 over entire system and identify any
                                                                               problems.
 Monthly            Check all           Clear away obvious obstructions and    Using safe temporary access
                    downpipes,          collections of debris. Report any      equipment and working in a buddy
                    hoppers,            obstructions or blockages requiring    system, inspect key locations in
                    gullies and         further action/equipment and arrange   rainwater guttering system; if required
                    junctions           action to clear.                       use additional safety equipment.
                                                                               Where further action is indicated
                                                                               arrange safe work\ access.
Equipped with such plans for building elements, services and equipment, from the simple to the
complex, a comprehensive planned preventative maintenance schedule can be carried out that will
ensure correct, safe and reliable operation of all building systems.
Other parts and tools could be similarly stored, which will help the technician to rapidly respond to
and resolve the emergency or breakdown. Shadow boards for organizing a set of tools are common
in many industries. In secure technical areas and locked plant rooms, such boards are an effective
                                                                                                          50
and inexpensive way of managing tools needed for maintenance. Alternatively, if
feasible, a mobile tool station can be useful.
In addition to having obvious spare parts and consumables and the necessary tools, repair kits for
specific systems, such as water pipe networks, may be useful. For smaller pipes, repair kits can
include some spare pipe and fittings as well as some proprietary repair kits. For larger pipes,
temporary repairs may be done with tapes and bands to resolve the problem until a more
permanent repair can be undertaken. The time between temporary repairs and final repair must be
kept short. A well-trained, responsive and reactive technical team must be available to respond to
this type of problem.
n log book
A laboratory quality management system or a suitable log book can be used to record observations
which should be acted upon as necessary based on a supervisory review by the laboratory manager
or maintenance supervisor. All personnel working in the laboratory can be involved in laboratory
quality management, including safety and security personnel. Laboratory users should identify and
record simple issues such as: peeling paint, peeling sealants, wet patches, water marks or traces of
water leaks, rusty pipes and smoke or odd smells. A mechanism is needed to notify maintenance
personnel of such observations so as to prevent bigger problems occurring later. An inventory