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Indian Standard
RECOMMENDATIONS
FOR
BASIC REQUIREMENTS
OF GENERAL
HOSPITAL BUILDINGS
PART
1 ADMINISTRATIVE
AND HOSPITAL
DEPARTMENT
BUILDINGS
Functional
Requirements
in Buildings
Sectional
SERVICES
Committee,
BDC 12
Chairman
SHRI G. C. MATHUR
National Buildings Organization,
G Wing,
Nirman Bhavan, New Delhi 110011
Representing
Members
SHRI AJAYA BHARADWAJ
SHRI S. SHARMA ( Alternate
Chxx~ ARCHITECT
Bombay
Government
of Tamil
Ministry
of Railways
( Research,
Design and
Standards Organization, Lucknow )
JOINT DII~ECTOR, ARCHITECTURE ( Alternate )
Director General of Health Services ( Ministry of
SARI P. C. JAITLY
Health and Family Welfare ), New Delhi
Engineer-in-Chiefs
Branch, Army Headquarters,
SHRI B. D. KSHIRSAOAR
New Delhi
SHRI L. R. LALLA ( Alternate)
Central Public Works Department, New Delhi
SHRI H. R. LAROYA
SHRI R. K. A~~A~WAL ( Alternate )
University of Roorkee, Roorkee
P~OF G. M. MANDALIA
The Institution of Engineers ( India ), Calcutta
LT-GEN T. B. NAN~A
Corporation of Calcutta, Calcutta
SHRI BIMAL KRISHNA ROY
Institute of Town Planners, New Delhi
SHRI SAYED S. SHAFI
SRRI C. S. SAINI (Alternate )
Central Building Research
Institute
( CSIR ),
SHRI M. R. SHARMA
Roorkee
National Buildings Organization, New Delhi
SHRI K. S. SRINIVASAN
SHRI M. M. MISTRY ( Alternate)
( Continued on page 2 )
0
INDIAN
Cofyright
STANDARDS
1984
INSTITUTION
This publication
is protected under the Indian Copyright Act ( XIV of 1957) and
reproduction in whole or in part by any means except with written permission of the
publisher shall be deemed to be an infringement of copyright under the said Act.
Members
(Alternate
Suri
General,
Acoustical
IS1 ( Ex-oficio
Engineers,
Member )
Secretary
SHRI A. K. SAINI
Assistant Director ( Civ Engg ), IS1
Panel
For
Basic
Requirements
Buildings,
of Hospitals
BDC 12 : Pl
and
Other
Health
Directorate
General,
Armed
Forces Medical
Services, New Delhi
Central Public Works Department, New Delhi
Voluntary Health Association of India, New Delhi
Directorate General of Health Services ( Ministry
of Health and Family Welfare ), New Delhi
Central Designs Bureau for Medical
and Health
Buildings ( Directorate
General of Health
Services 1. New Delhi
( Continued on pugs 2 1)
Indian Standard
RECOMMENDATIONS FOR
BASIC REQUIREMENTS OF GENERAL
HOSPITAL BUILDINGS
PART 1 ADMINISTRATIVE AND HOSPITAL SERVICES
DEPARTMENT BUILDINGS
0. FOREWORD
0.1 This Indian
8.2 Construction
of a large number of hospitals
having different
bed
strengths is being planned in the country both in public as well as in the
private sector.
These hospitals must provide certain basic needs to the
patients
as well as create a good working
condition
for the doctors,
nurses and technicians.
Optimum
utilization
of the national
resources
also demands that these hospitals should be planned and constructed
in
such a manner that wastage towards space and circulation can be brought
down to a minimum but at the same time they function in a manner for
which it is intended.
With this object in view, this standard has been
developed to lay down rational norms and requirements
for efficient planning and construction
of general hospital buildings in the country.
0.3 The purpose of this standard is not to offer design solutions for a
medical care facility, but to lay down optimum requirements
for both
spatial and environmental
needs of the various sections of a hospital
building.
0.4 The considerations
in planning a hospital building should, no doubt,
ensure the design of each section for its individual efficiency. Nevertheless,
the hospital building as a whole, would function efficiently and economically only if all the sections are coordinated
by arranging them in appropriate places based on their functional
relationships.
This could be
achieved by compact
and efficient
planning,
functionally
correct
and
operationally
efficient, economical relationship
and disposition of various
components,
functionahy
logical internal detailing of departments
to save
requirement
of this
calculated, expressin accordance
with
in the rounded off
in this standard.
1. SCOPE
1.1 This standard ( Part 1 ) covers spatial,
requirements
of administrative
and hospital
for rounding
off numerical
values i revised ).
OF GENERAL
HOSPITALS
25 to
Category
51 to 100 Beds
have
been
divided
into
50 Beds
Category
Category
Category
3. SECTIONS
the hospitals
OF ADMINISTRATIVE
BUILDINGS
AND HOSPITAL
SERVICES
3.1 Various
Department:
1) General,
2)
and
Medical
b) Hosfiital
records.
Services Department:
1) Central
Sterilization
and Supply
Department,
2) Dietary,
3) Laundry,
4)
Hospital
stores,
5) Workshops,
6) Transport
7) Community
8)
4. TOTAL
services,
services,
and
Mortuary.
AREA
for a hospital
for guidance
complex
an area
shall depend
of 1 hectare
on
for
5. SITE PLANNING
5.1 Hospital
IS I 10905
( Part
1 ) - 1984
ACCOMMODATION
of nursing
of a hostel.
NOTE - It is recommended
that at least 60 percent
of the total staff should
be
provided
with
residential
accommodation
within
the hospital
complex
for all
categories
of hospital.
7. ADMINISTRATIVE
DEPARTMENT
shall
preferably
7.2 Space
Requirement
- Space requirements
the administrative
unit are given in Table 1.
8. CENTRAL
( CSSD )
STERILIZATION
AND
SUPPLY
be located
for various
close
facilities
in
DEPARTMENT
8.1 General
- Sterilization,
being one of the most essential services in a
Centralization
hospital,
requires the utmost consideration
in planning.
increases efficiency, results in economy in the use of equipment and ensures
The materials
and equipments
dealt in
better supervision and control.
CSSD should fall under three categories;
(a) those related to the operation
and other departments,
theatre
department,
(b) common to operating
and (c) pertaining to other departments
alone.
*Recommendations
of orientation
cf buildings
: Part I Non-industrial
buildings.
FLOOR
UNIT
AREAS
Room
(No.)
Areas
Cm*)
(3)
(4)
(2)
Category
Category C
%,ts)
Category D
Category
(7)
(6)
(9)
(8)
General
Medical
IN THE
CATEGORIES OF HOSPITALS
Category
(1)
1.
PROVISION
OF VARIOUS
ADMINISTRATIVE
( Clause 7.2 )
FACILITY
S&
No.
a)
Room Areas
(No.) (m2)
(10)
(11)
(12)
315
Supdt
room with
2.
Dy/Asstt. Medical
Supdt. room with
toilet
3.
P. S. to MedicaI
Supdt/Dy
MS./
Asstt. M.S.
4.
Admn Officer
21
315
315
21
21
21
14
14
14
14
21
21
21
21
_.
-
_.
105
(
I
5.
Waiting room
6.
Library-cunz-Conferencc room
7.
Nursing
Officers
room with toilet
8.
Accounts
9.
Cashier
10.
-1 I.
Officer
Purchase Officer
Clerical
Staff
14
14
21
35
56
175
31.5
21
14
1
1
35
56
1
1
49
70
315
315
14
14
14
14
14
14
__
1
17.5
.- -__
--
--
14
--
-_
14
14
--
--
+----
----525
.-
---_-_+.
28
42
13.
W~,lfare/Labour
Officer
14
14
42
49
14
14
10.5
105
15.
Security
16.
Officer
28
35
--
-2
7.0 -
70
(
I
Rrception.cunlEnquiries
Stationery/Record
--
12.
-14.
56
140
SL
No.
PROVISION
OF VARIOUS
FLOOR AREAS
ADMINISTRATIVE
UNIT - Contd
Category
Category
Room Areas
(No.) (ms)
. (1)
b)
1.
(2)
(3)
Medical
Deptt.
Category
(5)
(6)
(7)
(8)
(9)
Category
(11)
(lo)
Medical
Records
Store
a) Active (up to 2
years )
(12)
_-
Record
area
5.
Doctors
Record
Completion room
6.
7.
l?;?zd
2.
Medical
Records
Officer with toilet
3.
Staff Office
toilet
4.
Medical
Processing
with
Stationery
Store
28
42
General
(4)
8.
Category
Records
b) Inactive
(Between 2 to 10
years)
_.
OF HOSPITALS
CATEQORIES
FACILITY
IN THE
56
-1
84
1 140
1 126
.1
1
175
21
175
175
35
14
_1
175
_1
21
1 28
-
-.
21
17.5
14
14
14
105
14
105
14
-_
NOTE -Wherever
with toilet
total requirement of room.
is mentioned,
it is to be 3.5 ms
inclusive
in the
is the major
8.1.1 Locution - Since the operation theatre department
consumer of this service, it is recommended
to locate the department
at
a central position but at an easy access to operation
theatre department.
In hospital
of category A and B this may be an element of the operation
theatre department.
and unsterile
and cleaning
pack,
area,
be provided
the
storage,
of
used
and
unsterile
material
and
and
for
depending
SERVICE
in the dietary
service
depart-
a) Reception
area comprising of store, receiving space for fuel, provisions of vegetables, meat, milk, fruit and other eatables;
b) Cooking area comprising ol space needed for general
and cooking normal as well as therapeutic
diets;
c) Trolley
d) Walk
loading
e) Washing
f)
for distribution
in cold storage
of diet to respective
preparation
wards;
Staff accommodation
toilet facility; and
g) Refuse disposal
or disposed.
for dictition,
steward,
cook
PROVISION
FOR VARIOUS
FLOOR AREAS IN CENTRAL
STERILIZATION
AND SUPPLY
DEPARTMENT
( Clause 8.2.1 )
CATECJORIES OF HOSPITALS
FACILITY
SL
No.
t3ategory
Floom Area:
(No.) (ma:
- (1)
(2)
(3)
_- -.-_
-
1.
l3ulk storage
2.
Officer-in-charge
with toilet
3.
Technicians
with toilet
4.
Receipt
5.
Deassembling
ant I
Decontamination
6.
Washing
cleaning
roon
_1
(4)
-
Category
Room Are:
(No.) (m*
16)
(5)
..~
._-
Category
Loom Areal
(No.) (me;
(7)
__~_
Category
Room Area
(No.)
(me
(9)
(8)
(101
Category
Room
(No.)
Areas
(m2)
(11)
~-
(12)
10.5
14
17.5
17.5
14
17.5
14
175
105
175
14
17.5
14
175
21
28
~~
__-
_-
counter
__-
andI
I
7.
8.
Gloves preparatio
room and Gauze
cutting area
9.
Autoclave
21
Hot air-oven
11.
Sterile
12.
Issue counter
13.
Class IV room
14.
Trolley
15.
Switch room
roan
175
21
14
17.5
21
28
28
10.5
105
28
35
10.5
17.5
Theatre
_
1
14
175
28
--__
-_
105
105
105
105
1
____-
105
105
70
7.0
105
NOTE 1 - Wherever
with toilet
is mentioned,
the total requirements of the room area.
NOTE 2 -
store
bay
1 20
area
10.
28
it is to be 35 ms inclusive
10
if desired.
in
IS:10905(Partl)
it1 the dietary unit, with the recomof hospitals are given in Table 3.
PROVISION
OF VARIOUS
:ategory
Loom Area
No.) (ma)
(2)~___
1.
Reception
2.
Cooking area
(3)
~__
(4)
Category
Therapeutic
preparation
cooking area
4.
a) Dietetion
toilet
AREAS
IN DIETARY
UNIT
diet
and
area
3.
FLOOR
CATEGORIES OF HOSPITALS
FACILITY
(1)
-1984
28
(6)
_(7)
(8)
14
28
35
56
105
105
14
14
14
(9)
(10)
1
35
10.5
Room Areas
(No.) (ms)
(11)
1
(12)
42
with
and
b) Stewards
Staff with toilet
~____
5.
Trolley
105
105
6.
Walk
storage
in
co Id
70
105
7.
Dry ration
storage
105
70
7.0
8.
Washing
21
loading
- -
areas
a) Pots
b) Trolleys
c) Dishes
9.
10.
room
NOTE-
35
1
___--
_.
1
Garbage collection
area
Switch
28
35
70
70
14
10.5
105
~_
-
Wherever
it is to be 3.5 ms inclusive
in the
-
11
SERVICES
Sorting
of linen;
c) Removal
of blood stains;
d) Disinfecting
e) Washing
f)
of dirty, soiled
Repairs
or autoclaving;
and drying;
to linen;
g) Pressing;
h) Clean
j)
clothe
storage;
and
Issue.
NOTE -
for various
STORES
for various
11.1 General - Hospital stores comprises of stores needed
hospital functioning
and should be grouped
centrally
in the service
complex.
The area for each type of stores should be utilized
to the
optimum by providing built in shelves at different heights according to the
type of stores.
Adequate
ventilations
and security arrangement
shall be
provided.
Stores should also be provided with fire fighting arrangement.
A cold storage
area within the medical
store for storage of medicines
shall also be provided.
11.2 Space Requirements
- The schedule
types of stores are given in Table 5.
12
of areas required
for various
PROVISION
OF VARIOUS
FLOOR
AR&S
&Ii LAUNDRY
UNIT
( Clause 10.2 )
FACILITY
z.
CATEGORIES OF HOSPITALS
Category A
Category
Category
(2)___
(1)
1.
Dirty
clothes receiving and sorting
area ( with wcighing facility )
2.
Sluice
claving
area
(8)
(m2)
(No.)
(ma)
(9)
(10)
(11)
112)
42
14
21
28
area
28
42
1 56
Hydroextractor
area
28
42
1 ,56
28
42
56
175
28
28
1
___-.
10.5
-.
105
114
21
tumbler
desk
a.
Steam
pressing
9.
Manual
ma-
Issue area
12.
Boiler
room
press area
11.
Clean c 1 o t h e s
storage area
Trolley
105
and automachine
Tailor
_-
14
105
21
bay
Store
15.
Laundry supervise r
office with toilet
-Laundry staff roan I
with toilet
NOTE - Wherever
total area of the room.
14
1 21
21
28
17.5
21
14
21
I4
28
28
35
__-
_-
--
Switch room
14
~-
14
. .
14.
17.
14
:No.)
35
7.
16.
(7)
Calendering
chine area
13.
(6)
(5)
_
Loom Areas i 1<oom Areas
21
Drying
area
10.
(4)
D, Category
Washing
(3)
Zategory
10.5
i ,28
_
1
21
14
21
175
21
_
_-
10.5
14
14
175
14
_ _-
~-
with
toilet
is mentioned,
13
3.5
it is to b
1
55 mz inclusive
70
in the
IS : 10905 ( Part
TABLE
1 ) - 1984
5
PROVISION
OF VARIOUS
FLOOR
HOSPITAL
STORE
AREAS
IN THE
( Clause 11.2 )
FACILITY
Ik
CATEGORIES OF HOSPITALS
I-
Category
(2)
(1)
1.
Receipt
of stores
( weighing,
pection, testing )
2.
Medical
>ategory
I(
Category
I_
Category
L)
Category
Room Area & .oom Areas I Zoom Areas 1Rdom Area! 1 IRoom Areas
(No.) (m) 1 (Jo.)
(No.) (ms: 1 [No.) (m*)
(ms)
(No.) (m2)
f.51
(6)
(71
03)
(11)
(12)
(3)
(4)_
(9)
(10) _ _____1
14
1 28
1 21
_-
store
3.
General
4.
Linen store
store
245
-_
21
35
35
.
5.
6.
7.
Furniture
Surgical
store
Equipment
store
9.
10.
12.
.-
NOTE - Wherever
total area of the room.
70
91
-.
21
315 I
42
28
42
56
84
56
84
_-
42
63
-
21
35
14
17.5
20
42
42
63
_-
42
63
a4
28
42
56
14
175
175
56
28
-1
21
28
_store
315
.-
Office
Stationery
21
store
8.
11.
455
with toilet
-.
28
42
-_
is mentioned,
12. WORKSHOP
12.1 General - For running
14
21
it is to be 3.5 m% inclusive
in the
a hospital eficiently
workshop comprising
of various trades like machine
shop fittings,
welding,
pattern
making,
ctc, should be provided for day to day
plumbing, moulding, electroplating,
repair of hospital equipments and their maintenance.
This unit should be
integrated to hospital stores drpartment
in the service conlplox.
14
TABLE
PROVISION
OF VARIOUS
needed
AREAS
FLOOR
for various
trades
FOR WORKSHOP
FACILITY
I%.
CATEQORIES OF HOSPITALS
- --
Category
Category
ICategory
ICategory
Category
(1)
(2)
(3)
(4)
(6)
(5)
(7)
(9)
(8)
(11)
(10)
Areas
(ms)
(12)
- _
1. Office
2.
Painting area
3. Carpentry
area
-I--
I_
105
14
14
21
28
14
175
14
17.5
14
17.5
14
175
17.5
14
14
105
.4.
Electrician
105
105
_
5.
Blacksmith
--
6.
Store receipt
105
-.
_
7.. Stores for repaired
equipment
8.
_I_
Store room
105
14
14
14
I
-
13. TRANSPORT
SERVICES
13.1 General - All categories of hospital shall maintain a fleet of translike ambulance,
mortuary
van, trucks,
etc.
Parking
and garage
facilities for these should be suitably sited close to the services department.
port
IS : 10905
( Part 1 ) - 1984
SL
FACILITY
No.
The
floor
Category
Category
(2)
Ambulance
2.
M ortuary
3:
Tempo
Staff car
14. COMMUNITY
AREAS
I_
_/_
21
ioom Areas
are
FOR
Category
Room Areas
(No.) (ma)
(7)
1.
4.
for garages
CATEGORIES OF HOSPITALS
I
Category A
van
required
PROVISION
OF VARIOUS
FLOOR
TRANSPORT
SERVICE
(1)
space
(No.) (ms)
(8) (
(9)
Category
Room Areas
(No.) (m2)
(10) 1 (11)
(12)
21
21
21
21
21
21
21
21
21
21
21
21
SERVICES
should
include
The floor
space
required
15. MORTUARY
15.1 General - Mortuary
shall provide facilities
for keeping
of dead
It should be SO located that the dead
bodies and conducting
autopsy.
bodies can be transported
unnoticed
by the general public and patients.
The
Relatives and mourners should have direct access to the mortuary.
mortuary shall have facilities for walk in cooler, post mortem area, prayer
room, doctors office, etc.
16
PROVISION
OF VARIOUS
AREAS
FOR
COMMUNITY
SERVICES
( Clause 14.2 )
SL
No.
CATEGORIES OF HOSPITALS
FACILITY
,Category A
Category
(
-_
Icoom Areas I Zoom Areas RLoom Areas ELoom Areas FLoom Areas
(No.) (ma) (No.) (ma)
(No.) (m2)
(No.) (m)
(No.) (ms)
(2)
(1)
(3)
(4)
(5)
(6)
(7)
(8)
(8)
(1%)
21
(11)
(12)
28
--
1. Central admission
office and hospital
enquiry
2.
14
Parking area
a) Milk
v a n,
trucks, etc.
Adequate
b) Cars
Adequate
Adequate
Adequate
Adequate
c) Scooters
d) Cycles
3. Community
-_
_-
centre
a) Chemist shop
14
21
17.5
21
175
21
21
28
1
-___
21
2%
14
14
14
14
56
70
28
42
1
_-__
21
28
28
35
28
b) Provision store
. _
-_
c) Canteen
d) Snack bar
14
-_
21
14
14
105
10 5
_-
,_
f) News stand
-g) Community
ha1 1
42
.-
.
h) Bank
j ) Post office
k) Library
patients
for
-
17
21
21
for various
PROVISION
OF VARIOUS
SL
No.
FACILITY
( Category A
1.
_---~
2.
Walk
in
( to store )
( Category B
-_
cooler
(3)
(4)
105
1
( 4 bodies )
-_
-
(5)
-_
4.
Autopsy
wash
Body
prayer room
and
Category
Category D
I-
(8)
(9)
1
14
( 6 bodies )
14
175
7.0
-_ _y
I(
Category E
loom Areas
(No.) (me)
(11)
(18)
1
14
( 8 bodies )
(12)
1
21
( 10 bodies )
-_
stores
(6)
105
1
( 4 bodies )
-_
3.
(2)
IN THE MORTUARY
CATEGORIES OB HOSPITALS
(1)
AREAS
FLOOR
( Clause 15.2 )
21
28
105
14
21
28
21
28
175
17.5
175
175
105
10.5
105
105
3.5
35
10.5
105
._
1
105
14
-_
5.
Relative
waiting
area with
toilet
and drinking waterr
facilities
6.
Doctors
toilet
7.
Staff
toilet
14
-_
8.
9.
10.
11.
Trolley
bay
175
17.5
_
-3 -5
105
1051
35
3.Lb
-
NOTE- Wherever
total area of the room.
14
14
Office
Janitors closet
-_
with I
1
Stores
14
- _
office wit h
room
with
toilet
105i
-
is mentionrd,
18
it is to be 35 m2 inclusive
in the
theatres
may
be suitably
increased
16.3 Room shall have, for the admission of light and air, one or more apertures, such as windows and fan lights, opening directly to the external air
The minimum aggregate
areas ( see Note )
or into an open verandah.
of such opening excluding doors inclusive of frames shall be not less than
20 percent of the floor area in case such apertures are located in one wall
and not less than 15 percent of the floor area in case such apertures
are
located in two opposite walls at the same sill level.
NOTE -
If a window is partly
FITMENTS
Table
10.
for sanitary
fitments
19
shall
be in accordance
with
TABLE
10 REQUIREMENTS
FOR SANITARY
FITMENTS
IN HOSPITALS
( ADMINISTRATIVE
AND HOSPITAL
SERVICES BUILDING,
MEDICAL
STAFF, NURSES
HOMES )
( Clause 17.1 )
SL
FITMENTS
FOR ADMINISTKBTIVE
a_v~
No.
(3)
(2)
(1)
FOR MEDICAL
STAFF LIVIXG
HOTEL TYPE )
T ~-------_h-_--_--~
For Female
For Male Staff
(
(4)
(8)
(5)
Water-closets*
1 for every
25
persons or part
thereof
ii)
Ablution
iii)
Urinals
1 for 25 persons
or part thereof
but nil up to 10
persons
--
iv)
Wash basins
1 for every
25
persons or part
thereof
1 for every
25
persons or part
thereof
1 for 4 persons or
part thereof
1 for 4 persons or
part thereof
1 for 4 persons or
part thereof
v)
Baths
shower )
( with
vi)
Drinking
fountains
water
vii)
Cleaners
*Some
sinks
1 for 4 persons
may be of European
with a minimum
+----_---_-_-_-_-----_-----_--_-Minimum
of the water-closets
1 for 4 persons
(7)
1 for 4 persons
i)
tape
1 for every 15
persons or part
thereof
Staff
FOR NURSES
HOXES ( HOSTEL
TYPE )
style, if desired.
of 1 on each floor.
Ad-hoc
Buildings,
Comener
DR P. N. GHEI
BDC
12 : 1 : 1
Representing
Directorate
Delhi
General
of
Health
Services,
New
Members
SHRI P. C. JAITLY
SHRI L. R. LALLA
SHRI J. C. MEHTA
LT-COL R. K. RAKSHIT
DR R. P. SINHA
ii
~~tEftNAtl~~AL
SYStEM
OF UNITS
( SI UNITS
Base Units
Unit
Quantity
Length
Mass
Time
Electric current
Thermodynamic
temperature
Luminous intensity
Amount
of substance
Supplementary
Quantity
Plane angle
Solid angle
Derived
Symbol
metre
kilogram
second
ampere
kelvin
1
K
candela
mole
cd
mol
kg
Units
Unit
radian
steradlan
Symbol
rad
sr
Units
Quantity
Unit
Symbol
Definition
Force
newton
N =
1 kg.ml.9
Energy
joule
J =
1 N.m
Power
Flux
FIUX density
Frequency
Electric conductance
Electromotive
force
pressure,
stress
watt
weber
tesla
hertz
siemens
volt
Pascal
w
Wb
T
Hz
s
V
Pa
1 W
1 Wb
1 T
1 Hz
1
s
1
V
1 Pa
= 1 J/s
= 1 V.s
= 1 Wb/ma
= 1 c/s (s-1)
= 1 A/V
= 1 W/A
= 1 N/m2