Building Water Quality Commissioning in Healthcare Settings: Reducing Legionella and Water Contaminants Utilizing a Construction Scheduling Method

Construction activities in healthcare settings potentially expose building occupants to life-threatening waterborne pathogens, including Legionella. The lack of a building water quality commissioning (BWQC) process has been identified as a substantial construction risk factor associated with disease cases and deaths. A BWQC schedule method was developed as a technical note to address gaps between the construction, commissioning, and operation phases of work to establish water quality and safety for a building water distribution system. The BWQC schedule method enables healthcare organizations to meet commissioning criteria set forth in guidelines and regulatory requirements for implementing a water management program (WMP) prior to initiating patient care operations. The authors used Office Timeline^® Pro+Edition V7.02, Office Timeline LLC, Bellevue WA 98004, USA to depict a Gantt chart as a BWQC schedule listing key project tasks and milestones of construction and water management activities. Design and construction professionals, in conjunction with healthcare organizations, should examine the BWQC construction schedule method and customize it for project-specific implementation. Additionally, building owners should consider incorporating the method into an organization’s construction policies for a standardized approach to BWQC practices.