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Texas Healthcare Facility: 16 Issues Found

An anonymized plan review of a Texas healthcare project uncovered 16 issues—including exit signage coordination, duplicate room numbers, and life safety plan conflicts—before permit.

16
Issues found
3
Disciplines
2
Codes referenced
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Key findings

Missing Exit Signage Coordination on Reflected Ceiling Plan

Architectural

High

The Life Safety Plan (G208) specifies multiple exit signs (labeled "EX" and "EXIT") along egress paths and at stair enclosures, such as near "SHAFT #7" and "STAIR ST8SA". However, the Reflected Ceiling Plan (A138) completely omits exit sign symbols in its plan views and legend, failing to show these devices within the ceiling grid layout.

Duplicate room number ST823 assigned to both TRAUMA ELEV #9 and STAFF TLT

Architectural

High

Room number ST823 is assigned to two different spaces on the Level 08 RCP: TRAUMA ELEV #9 (ST823) located at the northwest elevator core near grids J-H / 6.7-6.2, and STAFF TLT (ST823) in the central support area south of the patient corridor.

Smoke compartment occupant loads conflict with mixed-use Building Area Schedule

Architectural

High

The "LIFE SAFETY PLAN - SMOKE COMPARTMENTS - LEVEL 08" plan calculates occupant load by classifying the entire SC01 and SC02 areas as "INST SLEEP" with a blanket 120 SF/occ factor (14,298 SF yields 120 OCC; 16,475 SF yields 138 OCC), resulting in a total of 258 occupants. However, the "BUILDING AREA AND OCCUPANCY LOAD SCHEDULE" for Level 08 shows the floor contains mixed uses—including 1,435 SF...

Room ST804 named 'CHART' on M108 but 'NOURISH' on A108 in west nurse station support area

Mechanical

Medium

The mechanical ductwork plan (M108) labels room ST804 as 'CHART' in the west-side nurse station support zone, while the architectural plan (A108) labels the same room tag ST804 as 'NOURISH'. These are in the same spatial area of the building (adjacent to the Main Nurse Station, Main Meds, and Nurse Manager rooms). The conflicting room names indicate the room function may have been revised on th...

Nurse Manager office tagged ST810 on M108 but ST806 on A108

Mechanical

Medium

The mechanical ductwork plan (M108) shows the Nurse Manager room with tag ST810 in the west-side nurse station support zone, while the architectural plan (A108) shows the same Nurse Manager room with tag ST806 in the same area. Both are clearly labeled as the 'Nurse Manager' room and are in the same spatial position adjacent to the Main Meds, Clean Utility, and corridor areas. The room number t...

Issue categories

Electrical
Panelboards, circuits, emergency power, and electrical code compliance
Architectural
Egress, accessibility, room layouts, finish plans, and building code compliance
Fire Protection
Fire barriers, egress, sprinklers, and IFC compliance

More example findings

Missing Exit Signage Coordination on Reflected Ceiling Plan
Architectural
High

Summary: The Life Safety Plan (G208) specifies multiple exit signs (labeled "EX" and "EXIT") along egress paths and at stair enclosures, such as near "SHAFT #7" and "STAIR ST8SA". However, the Reflected Ceiling Plan (A138) completely omits exit sign symbols in its plan views and legend, failing to show these devices within the ceiling grid layout.

Why it matters: As indicated by the project's coordination requirements, exit signage must align with the ceiling grid, soffits, and bulkheads. Omitting exit signs from the RCP creates a high risk of field clashes with light fixtures, diffusers, or sprinklers, and can lead to non-compliant placement where signs ...

Suggested next step: Please update the Reflected Ceiling Plan (A138) to include all required exit signs shown on the Life Safety Plan (G208) to ensure proper coordination with the ceiling layout and other ceiling-mounted devices.

RFI draft: Please update the Reflected Ceiling Plan (A138) to include all required exit signs shown on the Life Safety Plan (G208) to ensure proper coordination with the ceiling layout and other ceiling-mounted devices.

Duplicate room number ST823 assigned to both TRAUMA ELEV #9 and STAFF TLT
Architectural
High

Summary: Room number ST823 is assigned to two different spaces on the Level 08 RCP: TRAUMA ELEV #9 (ST823) located at the northwest elevator core near grids J-H / 6.7-6.2, and STAFF TLT (ST823) in the central support area south of the patient corridor.

Why it matters: Duplicate room numbers will cause errors in the finish schedule, door schedule, equipment schedule, and all room-based coordination documents. Subcontractors referencing room ST823 will be unable to determine which space is intended, leading to misdirected work, incorrect finishes, and potential ...

Suggested next step: Clarify which space should retain room number ST823 and assign a unique room number to the other space. Update all affected schedules and plans accordingly.

RFI draft: Clarify which space should retain room number ST823 and assign a unique room number to the other space. Update all affected schedules and plans accordingly.

Smoke compartment occupant loads conflict with mixed-use Building Area Schedule
Architectural
High

Summary: The "LIFE SAFETY PLAN - SMOKE COMPARTMENTS - LEVEL 08" plan calculates occupant load by classifying the entire SC01 and SC02 areas as "INST SLEEP" with a blanket 120 SF/occ factor (14,298 SF yields 120 OCC; 16,475 SF yields 138 OCC), resulting in a total of 258 occupants. However, the "BUILDING AREA AND OCCUPANCY LOAD SCHEDULE" for Level 08 shows the floor contains mixed uses—including 1,435 SF...

Why it matters: Using a blanket "INST SLEEP" classification for the smoke compartments ignores the more densely occupied spaces explicitly listed in the schedule (such as the Assembly area, which alone generates 94 occupants). This under-calculation of the smoke compartment occupant load (258 vs 294 occupants) c...

Suggested next step: Clarify the correct occupant load for smoke compartments SC01 and SC02. Update the smoke compartment occupant load calculations to incorporate the actual mixed functions of space detailed in the Building Area Schedule, and verify that egress capacities and refuge areas are siz...

RFI draft: Clarify the correct occupant load for smoke compartments SC01 and SC02. Update the smoke compartment occupant load calculations to incorporate the actual mixed functions of space detailed in the Building Area Schedule, and verify that egress capac...

Room ST804 named 'CHART' on M108 but 'NOURISH' on A108 in west nurse station support area
Mechanical
Medium

Summary: The mechanical ductwork plan (M108) labels room ST804 as 'CHART' in the west-side nurse station support zone, while the architectural plan (A108) labels the same room tag ST804 as 'NOURISH'. These are in the same spatial area of the building (adjacent to the Main Nurse Station, Main Meds, and Nurse Manager rooms). The conflicting room names indicate the room function may have been revised on th...

Why it matters: At 50% Construction Documents, discrepancies in room names between mechanical and architectural plans suggest the mechanical engineer may be working from an outdated room program. A charting room and a nourishment room have different HVAC requirements (nourishment rooms may need additional exhaus...

Suggested next step: Please confirm the correct room name and function for room ST804 in the west nurse station support area. Is this room a 'CHART' (charting) room or a 'NOURISH' (nourishment) room? The mechanical and architectural plans show different designations, which may affect HVAC design r...

RFI draft: Please confirm the correct room name and function for room ST804 in the west nurse station support area. Is this room a 'CHART' (charting) room or a 'NOURISH' (nourishment) room? The mechanical and architectural plans show different designations, ...

Nurse Manager office tagged ST810 on M108 but ST806 on A108
Mechanical
Medium

Summary: The mechanical ductwork plan (M108) shows the Nurse Manager room with tag ST810 in the west-side nurse station support zone, while the architectural plan (A108) shows the same Nurse Manager room with tag ST806 in the same area. Both are clearly labeled as the 'Nurse Manager' room and are in the same spatial position adjacent to the Main Meds, Clean Utility, and corridor areas. The room number t...

Why it matters: Inconsistent room numbering between mechanical and architectural plans can cause confusion during construction, commissioning, and facility operations. Room tags are used for equipment scheduling, controls programming, and maintenance identification. If the mechanical system references ST810 for ...

Suggested next step: Please confirm the correct room number tag for the Nurse Manager office in the west nurse station support area. The mechanical plan (M108) shows ST810 while the architectural plan (A108) shows ST806. Please coordinate and issue revised room numbering.

RFI draft: Please confirm the correct room number tag for the Nurse Manager office in the west nurse station support area. The mechanical plan (M108) shows ST810 while the architectural plan (A108) shows ST806. Please coordinate and issue revised room number...

Room Number ST823 Assigned to Different Rooms: STAFF TLT on A108 vs TRAUMA ELEV #9 on A138
Architectural
Medium

Summary: On the Architectural Floor Plan (A108), room number ST823 is assigned to 'STAFF TLT' (a staff toilet room). On the Reflected Ceiling Plan (A138), room number ST823 is assigned to 'TRAUMA ELEV #9' (the trauma elevator). Additionally, A138 also labels a separate 'STAFF TLT' as ST823 elsewhere on the same sheet, resulting in a duplicate room number on the RCP and a conflicting room identification ...

Why it matters: Inconsistent room numbering between the architectural floor plan and the reflected ceiling plan can cause confusion during construction, ceiling installation coordination, and finish scheduling. Trades referencing ST823 would not know whether the designation applies to the staff toilet or the tra...

Suggested next step: Request the architect to clarify the correct room number for TRAUMA ELEV #9 and confirm that ST823 is assigned exclusively to STAFF TLT. Update the Reflected Ceiling Plan (A138) to correct the room tag for TRAUMA ELEV #9 and eliminate the duplicate room number.

RFI draft: Request the architect to clarify the correct room number for TRAUMA ELEV #9 and confirm that ST823 is assigned exclusively to STAFF TLT. Update the Reflected Ceiling Plan (A138) to correct the room tag for TRAUMA ELEV #9 and eliminate the duplicat...

Occupancy load schedule arithmetic errors: stated occupant counts do not match area ÷ OLF for any category
Architectural
Medium

Summary: The Building Area and Occupancy Load Schedule shows occupant counts that do not equal the stated area divided by the stated occupant load factor for all five categories. Accessory storage: 4,217 SF ÷ 300 SF/person = 14.06 → should be 15 occupants, but schedule states 19. Assembly unconcentrated: 1,435 SF ÷ 15 SF/person = 95.67 → should be 96 occupants, but schedule states 94. Business: 2,271 SF...

Why it matters: A plan reviewer will verify occupant load calculations by dividing each area by its load factor. None of the five categories produce the stated occupant count, which will trigger a correction notice. The assembly undercount (94 stated vs. 96 calculated) means two occupants in the highest-density ...

Suggested next step: Verify the occupant load calculations for all five function categories in the Building Area and Occupancy Load Schedule. Confirm whether the stated areas and occupant load factors are correct and recalculate occupant counts to match. If detailed room-by-room calculations produ...

RFI draft: Verify the occupant load calculations for all five function categories in the Building Area and Occupancy Load Schedule. Confirm whether the stated areas and occupant load factors are correct and recalculate occupant counts to match. If detailed r...

Prefabricated wall assembly designation inconsistency: XCMP-B6-2 vs XMCP-B6-2 on same detail
Architectural
Medium

Summary: Within the same detail group (Detail 2/A300), the assembly identifier is spelled two different ways. The detail title/reference reads "EXTERIOR ASSEMBLIES - XCMP-B6-2" while the assembly key table within the plan detail labels the system as "XMCP-B6-2" (letters C and M are transposed). Both labels appear on the same sheet and refer to the same wall assembly.

Why it matters: Conflicting assembly designations will create confusion when cross-referencing specifications, schedules, and other drawings. A plan reviewer may flag the discrepancy during permitting, and subcontractors may be uncertain which tag to use for material procurement and submittals. If the specificat...

Suggested next step: Clarify the correct assembly designation for the Plate Metal Panel Prefabricated Wall System — is it XCMP-B6-2 or XMCP-B6-2? Update all occurrences on A300 and any other sheets/specifications referencing this assembly to use a single, consistent tag.

RFI draft: Clarify the correct assembly designation for the Plate Metal Panel Prefabricated Wall System — is it XCMP-B6-2 or XMCP-B6-2? Update all occurrences on A300 and any other sheets/specifications referencing this assembly to use a single, consistent tag.

GYP/PT-6 ceiling type tagged at conflicting heights: +8'-2" vs +11'-0" on same plan
Architectural
Medium

Summary: Ceiling type GYP/PT-6 is consistently shown at +8'-2" throughout the Level 08 RCP in patient room soffit zones and corridor-side bulkhead areas. However, in the southeast perimeter area near Patient Beds 24-26, GYP/PT-6 is also tagged at +11'-0". Both the +8'-2" and +11'-0" heights for GYP/PT-6 appear within the same drawing area, confirming the discrepancy.

Why it matters: A 2'-10" height discrepancy for the same ceiling type creates confusion for the ceiling framing and drywall contractor. If GYP/PT-6 defines a specific gypsum assembly/finish, the significant height difference suggests either the type designation or the elevation callout is incorrect in one locati...

Suggested next step: Confirm the correct ceiling type and height at the south perimeter near Patient Beds 24-26. If the +11'-0" ceiling is a different assembly, update the type designation; if the height is incorrect, revise the elevation callout.

RFI draft: Confirm the correct ceiling type and height at the south perimeter near Patient Beds 24-26. If the +11'-0" ceiling is a different assembly, update the type designation; if the height is incorrect, revise the elevation callout.

Patient Bed 4 (ST841) missing ACT-1 ceiling type designation on RCP
Architectural
Medium

Summary: All comparable standard patient bedrooms on Level 08 show both an ACT-1 +9'-0" ceiling type tag and a PL-1 +8'-10" ceiling type tag. Patient Bed 4 (ST841) only shows PL-1 +8'-10" with no ACT-1 ceiling type tag. The immediately adjacent Patient Bed 5 (BARIATRIC) (ST842) and Patient Bed 3 (ST840) both include both ceiling type designations.

Why it matters: Without the ACT-1 ceiling type and height tag, the ceiling installer cannot confirm the acoustical tile ceiling type and installation height for this room. Per Note A, the default would be ACT-1 at 8'-6", but all adjacent patient rooms are noted otherwise at +9'-0", creating a 6-inch ambiguity in...

Suggested next step: Confirm the ACT ceiling type and installation height for Patient Bed 4 (ST841) and add the missing ceiling type tag to the RCP.

RFI draft: Confirm the ACT ceiling type and installation height for Patient Bed 4 (ST841) and add the missing ceiling type tag to the RCP.

Ceiling material discrepancy for isolation rooms between general notes and plan
Architectural
Medium

Summary: RCP Note K directs the contractor to "SEAL PENETRATIONS ABOVE AND BELOW ACOUSTICAL TILE CEILINGS IN ISOLATION AND PROCEDURE ROOMS." However, the isolation rooms shown on the plan (such as PATIENT BED 2 (ISO)) are explicitly tagged with gypsum board ceilings ("GYP/PT-1"), not acoustical tile.

Why it matters: Isolation rooms require tightly sealed ceilings to maintain critical pressure differentials for infection control (typically utilizing monolithic gypsum). Discrepancies between the specified ceiling material and the sealing instructions may lead to improper construction or failure during HVAC pre...

Suggested next step: Clarify whether isolation rooms will have acoustical tile ceilings (as implied by Note K) or gypsum board ceilings (as tagged on the plan), and update the notes to reflect the correct material sealing requirements.

RFI draft: Clarify whether isolation rooms will have acoustical tile ceilings (as implied by Note K) or gypsum board ceilings (as tagged on the plan), and update the notes to reflect the correct material sealing requirements.

Conflicting bulkhead detail reference between general notes and plan callouts
Architectural
Medium

Summary: RCP Note D instructs the contractor to "REFER TO #1/A450 FOR TYPICAL BULKHEAD DETAIL." However, throughout the reflected ceiling plan, the specific bulkhead detail callouts explicitly reference detail "8/A450".

Why it matters: Conflicting detail references can lead to the wrong framing, bracing, or finishing method being used for the gypsum bulkheads, requiring rework to meet the architect's actual design intent.

Suggested next step: Clarify whether the typical gypsum board bulkhead detail is 1/A450 (per Note D) or 8/A450 (per the plan callouts), and reconcile the references.

RFI draft: Clarify whether the typical gypsum board bulkhead detail is 1/A450 (per Note D) or 8/A450 (per the plan callouts), and reconcile the references.

Inconsistent room suffix assignment for Patient Bed 27 (ISO) support rooms
Architectural
Medium

Summary: The project convention assigns the "A" suffix to Patient Toilets and "B" to Ante Rooms (e.g., "PAT TLT ST846A" and "ANTE ROOM ST846B" for Bed 9). However, for Patient Bed 27 (ISO) ST864, the suffixes are reversed: "ANTE ROOM ST864A" and "PAT TLT ST864B".

Why it matters: Reversing standard suffix conventions can cause misinterpretation of room data sheets and finish schedules, leading to incorrect finish materials (such as flooring or wall protection) being installed in the wrong room type.

Suggested next step: Clarify if the suffixes for Patient Bed 27 (ISO) support rooms should be revised to match the project convention (Ante Room ST864B, Pat Tlt ST864A).

RFI draft: Clarify if the suffixes for Patient Bed 27 (ISO) support rooms should be revised to match the project convention (Ante Room ST864B, Pat Tlt ST864A).

XCW-6 curtain wall spandrel infill labeled as “INSULATED SPANDREL GLASS” vs “INSULATED SPANDREL PANEL”
Architectural
Medium

Summary: Within the XCW-6 curtain wall detail group, the section labels the spandrel infill as “INSULATED SPANDREL GLASS”, but the plan labels it as “INSULATED SPANDREL PANEL”.

Why it matters: Glass spandrel vs opaque spandrel panel are materially different systems and can change fabrication, thermal performance, and installation detailing. This can lead to incorrect curtain wall shop drawings and procurement.

Suggested next step: Clarify whether the spandrel infill for XCW-6 is intended to be insulated spandrel glass or an insulated spandrel panel, and update the section/plan notes to be consistent.

RFI draft: Clarify whether the spandrel infill for XCW-6 is intended to be insulated spandrel glass or an insulated spandrel panel, and update the section/plan notes to be consistent.

RFT-2 roof insulation material misspelled/inconsistent: “POYISOCYANURATE” vs “POLYISOCYANURATE”
Architectural
Medium

Summary: In the RFT-2 roof assembly, the tapered insulation is labeled “TAPERED POYISOCYANURATE ROOF INSULATION TO DRAIN”, while another note in the same detail specifies “POLYISOCYANURATE ROOF INSULATION”.

Why it matters: Inconsistent material naming can cause plan review comments, specification/submittal confusion, and errors in product selection (especially where insulation type and performance are being checked).

Suggested next step: Confirm the intended insulation material for RFT-2 and correct the note text so the material name is consistent throughout the detail.

RFI draft: Confirm the intended insulation material for RFT-2 and correct the note text so the material name is consistent throughout the detail.

This is an anonymized example. Findings shown are excerpts for illustration. Actual project details have been modified to protect client confidentiality.

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