ASHRAE Standard 189.3 2021

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ASHRAE Standard 189.3-2021 Design, Construction, and Operation of Sustainable High-Performance Health Care Facilities (ANSI Approved; ASHE Co-sponsored)

Published By	Publication Date	Number of Pages
ASHRAE	2021

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Description

ASHRAE/ASHE Standard 189.3 prescribes procedures, methods, and documentation requirements for the design, construction, and operation of high-performance, sustainable health care facilities. This standard builds on the work of Standard 189.1 to address sustainability in health care facilities and provides a health care sector perspective to the design of high-performance buildings. Changes to the 2021 edition of the standard reflect two significant developments: the 2018 separation of the FGI Guidelines into three publications, and the addition of jurisdictional options to Standard 189.1-2020.

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1	ANSI/ASHRAE/ASHE Standard 189.3-2021
3	CONTENTS
4	FOREWORD 1. PURPOSE 2. SCOPE 2.1 This standard applies to patient care areas and related support areas within health care facilities, including hospitals, nursing facilities, outpatient facilities, and their site. 2.2 This standard applies to new buildings, additions to existing buildings, and those alterations to existing buildings that are identified within the standard. 2.3 This standard provides procedures for the integration of sustainable principles into the health care facility design, construction, and operation process, including 3. DEFINITIONS, ABBREVIATIONS, AND ACRONYMS 3.1 General. Certain terms, abbreviations, and acronyms are defined in this section for the purposes of this standard. These definitions are applicable to all sections of the standard.
5	3.2 Definitions 3.3 Abbreviations and Acronyms
6	4. ADMINISTRATION AND ENFORCEMENT 4.1 General. Building projects shall comply with ASHRAE/ICC/USGBC/IES Standard 189.1 Sections 5 through 11, as modified in this standard through deletions of, exceptions to, or revisions to the provisions in Standard 189.1 and/or the inclusion in thi… 4.2 Requirements Determined by Jurisdiction. Jurisdictions shall comply with Standard 189.1 Section 4.2. 4.3 [189.3] Application to Buildings 4.4 [189.3] Compliance
7	5. SITE SUSTAINABILITY 5.1 Scope. This section specifies requirements associated with the building site on which health care facilities are placed. 5.2 Compliance. The site shall comply with the provisions of ASHRAE/USGBC/IES Standard 189.1 Section 5. 6. WATER USE EFFICIENCY 6.1 Scope. This section specifies requirements for potable and nonpotable water use efficiency, for both the site and the building, and for water metering. 6.2 Compliance. The water systems shall comply with the provisions of Standard 189.1 Section 6, except as specifically deleted, excepted, modified, or enhanced in accordance with Sections 6.3 through 6.4. Site water use and building water use are not… 6.3 Mandatory Provisions
8	7. ENERGY EFFICIENCY 7.1 Scope. This section specifies requirements for energy efficiency for buildings and appliances, for on-site renewable energy systems, and for energy measuring. 7.2 Compliance. The energy systems shall comply with the provisions of Standard 189.1 Section 7, except as specifically deleted, excepted, modified, or enhanced in accordance with Sections 7.3 through 7.5. 7.3 Mandatory Provisions. When a requirement is provided below, it supersedes the requirement in Standard 189.1. For all other criteria, the building project shall comply with the requirements of Standard 189.1.
9	7.4 Prescriptive Option. When a requirement is provided below, it supersedes the requirement in Standard 189.1. For all other criteria, the building project shall comply with the requirements of Standard 189.1.
10	7.5 Performance Option
11	8. INDOOR ENVIRONMENTAL QUALITY (IEQ) 8.1 Scope. This section specifies requirements for indoor environmental quality, including indoor air quality, environmental tobacco smoke control, outdoor air delivery monitoring, thermal comfort, building entrances, acoustic control, lighting, qual… 8.2 Compliance. The indoor environmental quality shall comply with the provisions of Standard 189.1 Section 8, except as specifically deleted, excepted, modified, or enhanced in accordance with Sections 8.3 through 8.5. 8.3 Mandatory Provisions
12	8.4 Prescriptive Option
13	8.5 Performance Option. There are no performance options. 9. MATERIALS AND RESOURCES 9.1 Scope. This section specifies requirements for the building’s impact on the materials, and resources, including construction waste management, storage and collection of recyclables, and reduced impact materials. 9.2 Compliance. The building materials shall comply with the provisions of Standard 189.1 Section 9, except as specifically deleted, excepted, modified, or enhanced in accordance with Section 9.3 of this standard. 9.3 Mandatory Provisions 10. CONSTRUCTION AND PLANS FOR OPERATION 10.1 Scope. This section specifies requirements for construction and plans for operation, including the commissioning process, building acceptance testing, measurement and verification, energy use reporting, durability, transportation management, ero… 10.2 Compliance. The construction and plans for operation shall comply with the provisions of Standard 189.1 Section 10, except as specifically deleted, excepted, modified, or enhanced in accordance with Sections 10.3 through 10.5 of this standard.
15	10.11 [189.3] Prescriptive Option. There are no prescriptive options. 10.12 [189.3] Performance Option. There are no performance options. 11. [189.3] EMISSIONS, EFFLUENT, AND POLLUTION CONTROL 11.1 Scope. This section specifies requirements for emissions and effluent from building systems and equipment and pollution control relating to refrigerants, boilers, emergency backup generators, effluent flows, and waste streams. 11.2 Compliance. The building systems and operation practices shall comply with Sections 11.3 and 11.4. 11.3 Mandatory Provisions
17	11.4 Prescriptive Options 11.5 Performance Options. There are no performance options.
18	12. [189.3] NORMATIVE REFERENCES
22	INFORMATIVE APPENDIX A: INFORMATIVE REFERENCES
24	INFORMATIVE APPENDIX B: MATERIALS AND RESOURCES B1. Recyclables B2. Reusable Goods B3. Building Project Commissioning B4. Building Service Life Plan B5. Hazard Chemical Management— Pharmaceuticals in Sanitary Sewer B6. Waste Management Plan B7. Regulated Medical Waste
25	B8. Hazard Chemical Management— Sanitary Sewer Disposal and Releases B9. Hazard Chemical Management— Pharmaceuticals Management
26	INFORMATIVE APPENDIX C: EMISSIONS, EFFLUENT, AND POLLUTION CONTROL C1. Medical Waste Incinerators C2. Hazard Chemical Release Prevention— Leaks and Spills to Soil and Water C3. Hazard Chemical Management— Radiology Chemicals Management C4. Performance Options C4.1 Solid Waste C5. Elective Provisions C5.1 Emissions C5.2 Air Quality Standards for Boilers. Boilers less than or equal to 40 million Btu/h (42.2 million kJ/h) should meet the air quality standards thresholds as set forth in the SCAQMD Rule 1303 (see Table C5.2). All relevant documentation should be su…
27	C5.3 Emissions of Oxides of Nitrogen from Large Water Heaters and Small Boilers and Process Heaters. This standard applies to large water heaters, small boilers, and process heaters that have a rated heat input capacity less than or equal to 2 millio… C5.4 Emissions of Oxides of Nitrogen from Small Industrial, Institutional, and Commercial Boilers; Steam Generators; and Process Heaters. This standard applies to boilers, steam generators, and process heaters that are greater than 2 million Btu/h (2…
28	C5.5 Solid Waste
29	INFORMATIVE APPENDIX D: ADDENDA DESCRIPTION

Additional information

Standard Title	ASHRAE Standard 189.3-2021 Design, Construction, and Operation of Sustainable High-Performance Health Care Facilities (ANSI Approved; ASHE Co-sponsored)
Published Code	ASHRAE
Publication Date	2021

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ASHRAE Standard 189.3 2021

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