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Worked example · boiler replacement in a live hospital

Two boilers, four modules, zero loss of heat

Replacement of two dual-module condensing boilers with low-loss headers, a plate heat exchanger of about 750 kW, primary and secondary pumping, a twin-wall stainless flue, gas manifold modification and full BMS integration. Wards, theatres and clinical areas stay served by a temporary boiler arrangement throughout. The changeover is one Sunday, one shift, one signature.

Client
St Aldwyn's Hospital
Site
Wessex Road, Bath · BA2 6QF
Work type
Mechanical, gas and controls
Reference
BAI-RAMS-SAH-MEP-001
Sector
Healthcare
Status
For approval

Illustrative example: fictional project and parties.

~750 kWPlate heat exchanger, hydraulic separation
11Programme phases across 15 days
8Permits and eight mandatory hold points
16Hazards driven to ALARP
BuiltAI Intelligence Ltd · built-ai.ioBAI-RAMS-SAH-MEP-001 · Rev A
01Scope & continuity

What gets installed, and what stays warm

Two dual-module condensing boilers, free-issue, land on low-loss headers feeding a plate heat exchanger for hydraulic separation. Only the hospital secondary is touched at the interface; the existing distribution is left undisturbed. The mechanical scope carries primary and secondary pumps, air and dirt separation, magnetic filtration and balancing. Gas, flue, electrical, controls and BMS complete the package, with flushing and dosing to BSRIA BG 29 and commissioning by an authorised engineer.

Continuity strategy

Heating continuity is held by a client-supplied temporary boiler, function-tested and signed as serving before any strip-out begins. The new plant is fully built, tested, flushed and commissioned before the live circuit is touched. The final changeover is a single planned out-of-hours event under hospital coordination.

02Programme & permits

Eleven phases, eight permits

Mobilisation day 1, cutover day 14, handover day 15. Two activities sit on the critical path: the gas commissioning, and the cutover itself. Hospital sites run a permit-driven culture, so every intrusive activity carries a permit and none proceeds without one.

Critical pathGas modification and certification before any gas reaches the appliances
Critical pathOut-of-hours changeover, a single planned window with no float
PermitCoversAuthorised by
P-01 Permit to workPlantroom access and intrusive works, daily renewalEstates
P-02 Electrical isolationBoiler, pump and control supplies, prove deadNICEIC and Estates
P-03 Gas worksIsolation, purge, modification, recommissioningGas Safe and Estates
P-04 Mechanical isolationHeating flow and return, controlled drain-downEstates
P-05 to P-07 Hot works, height, pressureWelding, flue access, pressure testingEstates and supervisor
P-08 Out-of-hours changeoverThe cutover window, notified 7 days aheadTrust executive and Estates
03Isolation & gates

Prove dead, then hold the gates

Every isolation runs the same six steps: identify, notify, isolate, drain and purge, prove, release. Nothing is dead until it has been proven dead, and nothing is live again until Estates have witnessed it. Eight mandatory hold points then gate the build, each with a name and a named authority, none bypassed without written change control.

Hold pointSigned off by
Isolation confirmed before any strip-outEstates witness
Pressure tests passed before insulatingBuiltAI supervisor
Flue penetration and fire-stopping verifiedEstates witness
Gas tightness certified before gas to appliancesGas Safe engineer
Electrical inspection and certification completeNICEIC electrician
BG 29 flush, dose and water sample acceptedBuiltAI supervisor
BMS enable and fault paths proven end to endBuiltAI and Estates
Witness test passed and Estates training deliveredEstates and Trust
04Risk

Hospital hazards, reduced to ALARP

Sixteen hazards specific to hospital boiler replacement, scored on a 5 by 5 scale before and after controls. Hospital emergency procedures override contractor procedures at all times.

HazardInitialKey controlsResidual
Loss of heating to clinical areas20 VHTemporary boiler live and witnessed before strip-out, out-of-hours cutover, rollback available8 MED
Gas escape or explosion20 VHGas Safe only, controlled isolation, tightness test before gas to appliances8 MED
Electrical contact or shock16 VHLock-off and tag-off, prove dead, NICEIC competent persons, permits6 MED
Lifting heavy plant16 VHHandling plan, certified equipment, exclusion zones, no persons under loads6 MED
Hot works fire risk15 HIGHPermit, fire watch, extinguishers, post-work checks at plus one hour4 LOW
Asbestos disturbance, legacy plantroom15 HIGHRegister reviewed, refurbishment survey, stop-work on suspect material3 LOW
BMS misconfiguration on cutover12 HIGHEnd-to-end functional proving, rehearsed sequence, rollback plan, Estates witness4 LOW

After the listed controls, residual risks reduce to ALARP. Emergency arrangements defer to hospital procedures throughout.

Reference BAI-RAMS-SAH-MEP-001Standards CDM 2015 · IGEM/UP/10 · BSRIA BG 29 · NICEICRevision A, 13 Feb 2026

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