EM Report - SIK Vol 3 2020

HOSPITAL SIK
ENERGY MANAGEMENT REPORT
VOLUME 3
2020
(MARCH & APRIL)
SP/CEM/2020/000207
Edgenta Mediserve Sdn Bhd
Prepared by : Submitted by : Verified by :
Name : Wan Abdul Hakim Bin Name : Mohd Fuad Abdul Name : Muhammad Aiman
Wan Abdul Kadir Wahab Mat Zubir
Designation : Certified Energy Designation : Facility Designation : Penolong

Manager Manager Jurutera Operasi Hospital
Energy Management Report

List of Abbreviations
AEMAS ASEAN Energy Management Scheme

BEI Building Energy Index
BPK Bahagian Perkhidmatan Kejuruteraan, Kementerian Kesihatan Malaysia
BOR Bed of Occupancy Rate
CEM Certified Energy Manager
DEA Detailed Energy Audit
EAC Energy Accounting Centre
ECMs Energy Conservation Measures
EEI Energy Efficiency Index
EEM Electrical Energy Manager
EMC Energy Management Committee
EMEER Efficient Management of Electrical Energy Regulations
EMGS Energy Management Gold Standard
EMS Energy Management System
EMSB Edgenta Mediserve Sdn Bhd
EMP Energy Management Program
GFA Gross Floor Area
GGP Government Green Procurement
IPMVP International Procedure for Measurement Verification &Protocol
kWh Kilowatt-hour
EMR Energy Management Report
MOH Ministry of Health
RE Renewable Energy
REEM Registered Electrical Engineer Manager
SEMP Sustainability Energy Management Program
SP Sustainability Program

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VOLUME 3 : 2020 Page 3 of 44
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HOSPITAL OPERATION SECTION : SUSTAINABILITY PROGRAMME (SP)
MINISTRY OF HEALTH, MALAYSIA
Table of Contents
1.0 HOSPITAL PROFILE ................................................................................................... 4
2.0 EXECUTIVE SUMMARY ............................................................................................. 5
3.0 HOSPITAL INFORMATION ......................................................................................... 6
4.0 SUSTAINABLE ENERGY MANAGEMENT PROGRAMME (SEMP) ................................... 7
4.1 ENERGY MANAGEMENT COMMITTEE ....................................................................... 8
4.2 ENERGY MANAGEMENT MATRIX ............................................................................ 11
5.0 PART A – ENERGY HIGHLIGHT ................................................................................. 13
5.1 TOTAL ENERGY CONSUMPTION .............................................................................. 13
5.2 BUILDING ENERGY INDEX (BEI) ............................................................................... 15
5.3 ENERGY EFFICIENCY INDEX (EEI) ............................................................................. 18
5.4 ENERGY PURCHASING HISTORY .............................................................................. 21
5.5 INDEPENDENT ENERGY VARIABLE AND STATIC FACTORS ........................................ 22
5.6 ENERGY MONITORING SYSTEM .............................................................................. 24
5.7 ENERGY APPORTIONING ........................................................................................ 27
5.8 ENERGY ACCOUNTING CENTRE (EAC) ANALYSIS ...................................................... 29
5.9 FEMS MAJOR SYSTEM BASELINE............................................................................. 34
6.0 PART B – ENERGY CONSERVATION MEASURES (ECM) & ACTIVITIES ........................ 37
7.0 PART C – AWARENESS TRAINING ............................................................................ 39
8.0 PART D – ENERGY MANAGEMENT FINANCIAL STATUS ............................................ 40
9.0 CONCLUSION ......................................................................................................... 42
ATTACHMENT .................................................................................................................. 43
ATTACHMENT 1 – APPROVED EMC ORGANISATION CHART............................................................................... 43
ATTACHMENT 2 – MONTHLY TNB BILLS (MARCH & APRIL 2020) ........................................................................ 44

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1.0 HOSPITAL PROFILE
Table below is a summary on the hospital profile.
Hospital Name : Hospital Sik

Jalan Hospital
Address :
08200 Sik, Kedah Darul Aman
Name of Hospital Director : Dr. Aniza Binti Ahmat
Email hd.sik@e-urushospital.gov.my
Name of Facility Manager : Mohd Fuad Abdul Aziz
Email fm_sik@uemedgenta.uemnet.com
Name of CEM : Wan Abdul Hakim Wan Abdul Kadir
Email hakim@uemedgenta.uemnet.com
Name of Registered Electrical Energy Not Applicable
Type of Sector/Industry Minor Hospital
MSQH Status Yes
A&E, SOPD, Imaging & Diagnostic,
Specialist Services Provided
Haemodialysis, Pathology, Wards, O&G
Operating hours (day, week, month) 24 Hour
No. of Staff 318 (Permanent Staff)
No. of Bed 119
BOR (%) Mar 2020 (46.51%), Apr 2020 (36.45%)
Total Electricity Consumption for 6
consecutive months in the period reported 847,159.00 kWh
(current)
Total Electricity Consumption for 6
consecutive months in the period reported 860,708.00 kWh
(baseline)
Date of Report March 2020 – April 2020

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2.0 EXECUTIVE SUMMARY

Sustainable Energy Management Program (SEMP) is one of the activities that are
specified in the Sustainability Program (SP). In the SEMP, there are two (2) Key Performance
Indicators (KPI) that need to be fulfilled within the time frame; to achieve 10% energy saving
on the major FEMS system within two (2) years of the concession agreement and to attain 3-
Star Rating of Energy Management Gold Standard (EMGS) within 5 years of the concession
agreement.
Prior in achieving the above KPI, Edgenta Mediserve Sdn Bhd (EMSB) of Hospital Sik
has prepared the EMR based on the activities done at the hospital. The EMR contents are
prepared by appointed Certified Energy Manager (CEM) and the activities captured and
conducted from November 2019 until December 2019. Within the report, the CEM will
continuously monitor the Energy Management Program (EMP) using Energy Management
Matrix which is a measuring tool developed by AEMAS to monitor the performance of the
EMP under EMGS Scheme. Towards achieving the 10% energy saving on the major FEMS
system, EMSB has developed a baseline for the FEMS system according to the MOH’s
guideline which will be explained further in FEMS Major System Baseline section.
Hospital Sik is classified as Low Energy Consumption Hospital and is not required to
comply with Efficient Management of Electrical Energy Regulation (EMEER 2008). Therefore,
it is not required for a Registered Electrical Energy Manager (REEM) personal to be available
to represent this Hospital.
There are several EM activities that have been proposed in the last EMC meeting as
listed in this report to obtain this year activity’s budget as agreed by the EMC. The hospital
managed to achieve 7.5% from TNB Bill as of April compared the baseline period of year
2016.

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3.0 HOSPITAL INFORMATION

Hospital Sik is a government hospital located in Sik, Kedah. It is categorized as one of
the district hospitals with multiple discipline of medical department with the detail
information as below
Figure 1: Hospital Sik’s Front Entrance
Gross floor area (m2) 15,569.40

Hospital Total air-conditioned area (%) 34.4%
Building Total parking area that is enclosed (%) 0%
Details TNB tariff B
Total TNB account 1

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4.0 SUSTAINABLE ENERGY MANAGEMENT PROGRAMME

(SEMP)
For sustainable energy usage in an organisation, SEMP is one of the solutions to
achieve the objectives and targets. With a good SEMP in an organisation can improve and
sustain energy usage and at the same time reduce its operational cost. Energy management
is required due to its influence in many aspects of an organisation as follows:
• Energy costs directly affects profitability, especially for intensive energy user
• Energy costs will affect competitiveness in the local and global market
• Impacts to the environment and climate change
• Contribution to the balance of supply and demand of energy in the country
To make the above to be realised, the Government have initiated the Sustainability
Programme (SP), which includes efficient use of energy in all the Hospitals. To ensure its
success, the Government has incorporated the Energy Management Gold Standard (EMGS)
as the framework to achieve the objectives.
In the year of 2018, the hospital successfully achieved the EMGS 1 Star certification
and succeeded to obtain EMGS 2 Star in 2019 as planned even though the certificate were
received in Q2 2020.

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4.1 ENERGY MANAGEMENT COMMITTEE
The Energy Management Committee (EMC) is considered as the centre of the SEMP
activities that will be conducted at the hospital facility, thus the main committee members
shall be from the managerial level of the hospital. Since the EMC is the main committee in
the EMP, the Hospital Director is recommended to lead the committee and shall be assisted
by the Head of Department of Hospital Sik. As specified in ASEAN Energy Management
Accredited Scheme (AEMAS), it is mentioned that the CEM must be a secretary of the EMC.
By having a CEM as the secretary of the EMC, the CEM shall provide advice on the
energy management activities in accordance with the approved budget. As for the EMC, the
function is to approve, monitor, facilitate and evaluate the EMP activities on a periodic basis.
Details of the responsibilities of each EMC members can be referred to in the Guidelines for
Energy Management in Healthcare Facility, which is published by the Engineering Service
Division, Ministry of Health Malaysia.
The Energy Management Committee (EMC) for Hospital Sik have been established
since October 2015 and the organisation have been revised the third time in 2018 after an
OFI was issued by the EMGS audit findings. The hospital management had issued
appointment letters to all EMC members as a documented proof of EMC establishment
which is one of AEMAS EMGS requirements. The membership for the EMC will be retain for 5
years and will be amended accordingly when there is need of changes. The EMC members is
structured as below, and the approved EMC organisation chart can be referred in
Attachment 1 in this report.

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Figure 2: Hospital Sik EMC Organisation Chart
All communications are through EMC meeting at least four times a year or as
frequent as required. The EAC members are not included in the meeting because the Head
of EAC acts as the representative and selected members might be invited if necessary.

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EAC DPM DPM Description User Area/Location PIC

EAC 1 M01 -902 TO ADMIN Peja ba t Pentadbi ra n Pn. Si ti Ja ma l i a h Bt Da ha ma n
M01 -903 TO A&E Ja ba tan Kecema s a n En. Mohd Erma n Bi n Abd Ra za k
EAC 2 Bi l i k Pema ndu Pn. Zura i ni Bi nti Ya a cob
M01 -911 TO A&E (ESS)
Ja ba tan Pes a ki t Lua r
En. Za kri Bi n Ahma d
Kl i ni k Pa ka r
Pn. Ha s reena Bt Ha s s i m
Wa d 1
EAC 3 M01 -904 TO OPD
Wa d 2
Pn. Noors i a h Bt Al i a s
Pn Suri a Bt Abdul Ra hma h
As ra ma A - Dewa n Semi na r
Ci k. Nur Na jwa Ami ra h Bt Za ka ri ya
As ra ma B - Perpus taka a n
M01 -905 TO AUTOCLAVE Ma kma l Pa tol ogi

Ja ba tan Pengi meja n X-ra y Pn. Tza rl yna Ha ni m Bi nti Ahmed Fua d
M01 -907 TO X-RAY Ja ba tan Steri l (CSSD) Pn Sha fi na z Bi nti Ahma d
Stor Peruba tan Berpus a t Pn. Nur Hi a h Bi nti Ma t Noh
Ja ba tan Forens i k Pn. Ros l i na Bt Ya ha ya
EAC 4 M01 -912 TO X-RAY (ESS)
Ja ba tan Sa ji a n Pn. Za na ri a h Bt Za ka ri a
Hemodi a l i s i s Pn. Azi za h Bi nti Awa ng
M01 -906 TO MEDICAL STORE Ja ba tan Ca ra Kerja (Fi s i o) Pn. Si ti Nor Ai ni Bt Ma t Is a
Wa d 3 En. Moha mma d Bi n Za l i
M01 -914 TO MEDICAL STORE (ESS) Wa d 5
M01 -908 TO FARMASI

Ja ba tan Fa rma s i En. Abdul l a h Bi n Othma n
EAC 5 M01 -913 TO FARMASI (ESS)
Uni t Rekod Pn. Zuba i da h Bi nti Ibra hi m
M01 -909 BILIK REKOD
Table 1: Energy Accounting Centre Team Hospital Sik
Above Table 1 is the appointed members for identified EAC for 2018 until 2022 along
with the established organisation chart for the EMC. The amendment will be after received
approval from Hospital Director and the management shall issue appointment letter to the
selected member. The first meeting in 2019, the EMC have discussed to appoint a few new
members and amendment to the current team to increase the effectiveness of the EAC role.
Next step is to give proper training to the EAC members accordance to the job role and the
responsibilities for an effective energy saving measure and monitoring.

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4.2 ENERGY MANAGEMENT MATRIX

This Energy Management Matrix is a tool with which you can assess your
organisation's current position in respect of energy management. The matrix will give a quick
high-level assessment of strengths and weaknesses across six areas of energy management
which are Energy Policy, Energy Team, Motivation, Information System, Marketing, and
Investment.
The current assessment result of Energy Management Matrix for Hosital Sik is as follows: -
Level Energy Policy Energy Team Motivation Information System Marketing Investment
Energy policy, action Energy Management has Formal and informal Comprehensive systems Marketing the value of Positive discriminagtion
plan and regular been fully integrated into channels of set targets, monitors energy efficiency and in favor of "green"
review, have management structure. communication consumption, identified the performance of schemes with detailed
commitment of top Clear delegation of regularly exploited by faults, quantified savings energy management investment appraisal of
4 management as part responsibility for energy energy manager and and provides budget both within and outside all new build and
of an environmental consumption energy staff at all levels tracking the organisation refurbishment
strategy opportunities
Formal energy Energy Manager Energy committee used M&T reports for individual Programme of staff Same payback criteria
policy, but not active accpuntable to energy a main channel premises based on sub awarenessand regular employed as for all
commitment from committee representing all together with direct metering, but savings not publicity campaigns other investment
top management users, chaired by a contact with major reported effectively to
3
member of the managing users users
board
Unadopted energy Energy manager in post, Contact with major Monitoring and targeting Some ad-hoc staff Investment using short
policy set by energy reporting to ad-hoc users through ad-hoc reports based on supply awareness training term payback criteria
manager or senior committee, but line committee chaired by meter data, energy unit only
2 department manager management and authority senior department has ad-hoc involvement in
are unclear manager budget setting
An unwritten set of Energy management is the Informal contacts Cost reporting based on Informal contacts used Only low cost measures
guidelines part time responsibility of between engineer and invoice data. Engineer to promote energy taken
someone with only limited a few users complies reports for efficiency
1
authority or influence internal use within
technical department
No explicit policy No energy management or No contact with users No information system. No promotion of energy No investment in
any formal delegation of No accounting for energy efficiency increasing energy
0 responsibility for energy consumption efficiency in premises
consumption
Figure 3: Assessment result for Energy Management Matrix.

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From the matrix, it can be observed that the current performance of energy
management is good specifically in the Energy Policy area which is presently even supported
by the Ministry and has been localised as per recommendation by AEMAS. On the following
aspect of Energy Team, Motivation, Information, and Investment, the EMP of Hospital Sik is
on level 3 which means the achievement is highly acceptable as there is active participation
from users. However, the Marketing area is remaining on level 2.
The Marketing area, the items considered in the aspect is the conduction of
awareness training only but lack of publicity of the EMP. To enhance this area, the
awareness campaign will be conducted at least once a year with a proper arrangement and
user participation. In addition, a regular Table Talk to the user department will assist to keep
the awareness at optimum level and enhance the role of EAC will be considered a crucial
factor of the success rate.
While in the Investment area had increased to level 3, a similar approach was used
such LED and ACSU retrofit. Other feasible ECM such enlist in the DEA and LEED requirement
can improve the possibility to achieve the desired saving for the hospital.

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5.0 PART A – ENERGY HIGHLIGHT
5.1 TOTAL ENERGY CONSUMPTION
In Malaysia, Tenaga Nasional Berhad (TNB) is the largest electricity utilities provider.
Hospital Sik had installed one incoming supply from the TNB for its premise to operate daily
operations that have been offered to the public.
Graph 1. TNB bill data trending by month
The graph above showing the consumption and charges as of April 2020 from the
TNB to the hospital by month. It can be seen the higher energy consumption in March 2020
which dictates a higher energy consumption in that month. However, the consumption is not
more than the baseline period for the same month.

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Graph 2. TNB bill kWh data comparison by month.
Graph 3. TNB bill RM data comparison by month
Based on the graphs above, the consumption in month of March and April in 2020
have lower saving value compare to the same month in 2016. Additionally, the saving
performance is a bit better than the recorded saving in year 2019. The RM value have also
shown a positive result due the ICPT rate have been reduce to RM0.20 started in January
2020 from RM0.255 in previous months. It is remarks that in the middle of March onwards,
the government have announced the Restriction Movement Order (RMO) due the pandemic
outbreaks namely COVID-19.

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5.2 BUILDING ENERGY INDEX (BEI)
In the general application to determine the performance of the EMP activities at each
building or facility, the Gross Floor Area (GFA) is being used as a factor for the calculation of
the Building Energy Index (BEI), and it is indicated in unit of kWh/m 2/year. The BEI can be
used as an indicator to compare the building energy consumption rate against other building
in the same class. By the end of every interval, the Hospital’s management will know the
Hospital’s energy performance based on the BEI as the indicator.
The GFA used in the BEI calculation for Hospital Sik is 15,569.40 m2 as per Table 2.
The GFA value had been changed after the Detail Energy Audit have been performed and the
EMC have agreed to use a new GFA and remain the baseline period by using the year 2016 of
energy consumption.
Table 2: Approved List of location with GFA value.

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The following graph shows the trending for the Building Energy Index for difference
periods by year which comprise of 12 months. The following graph shows the trending for
the Building Energy Index at Hospital Sik.
Graph 4: Building Energy Index Comparison for the reporting period.
The BEI for the current period from March 2019 to February 2020 (12 months)
109.69 kWh/m2/year, lower than baseline period reported BEI in year of 2016 by 7.83%.
Whereas the difference of BEI when compare to the previous year (2019) are 0.41% saving.
The trend has been from before BEI value recorded at 110.49 in February 2020 and 110.61 in
March 2020. The improvement might have been affected the less operational during RMO
and the retrofit of the air conditioning of inverter and using the new R32 refrigerant gas
helps to cool down the room much faster than before with a better Global Warming
Potential (GWP) value.

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Graph 5: Building Energy Index trend for the reporting period.
The graph above shows the trend of BEI value by month where the value decreasing
from January 2017 until February 2018. However, the trend does have gone upward till July
2019 before it maintain the value till now. This have been mentioned in previous section
where the higher CDD value in the January and February, the slight increased trend can be
seen, and the hospital need to be aware any potential of continue increasing trend.

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5.3 ENERGY EFFICIENCY INDEX (EEI)
One of the methods to monitor the energy consumption of a facility on monthly basis
is by using the Energy Efficiency Index (EEI). It is advisable to recommend for the EMP to use
the EEI as a tool for energy consumption monitoring. In building, the definition of EEI is tied
to the size of the building and is generally considered as energy used per unit of building
floor area while in general EEI can be defined by an energy component and a factor related
to the energy used component of the organization which the formula is shown below: -
The energy input is basically the electrical bills, the EEI basically use monthly
electrical bills while for BEI usually used yearly electrical bills. Several factors that related to
energy consumption are listed below:
• Weight of product manufactured
• Number of items produced
• Weight of raw materials used
• Period of production
• Floor area of building
• Period of plant usage
The factor which most accurately reflects the practical application of energy and can
give the best measure of energy performance should be selected. Among all the listed
factors above, Hospital Sik incorporate the floor area of building as the factor that related in
energy consumption as hospital is considered as Buildings and Facilities Management while
the other factors listed are more suitable to industrial and power plant.

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To set up a baseline for EEI, there are three stages that should be taken which is data
collection, establish relationship between energy input and related factors and setup the EEI
baseline. For data collection, two types of data that need to be collected are energy
consumption data and factors related to energy using component. Hospital Sik use electrical
bills as energy consumption data and gross floor area as the factor, which are the typical
case for other hospital.
Next is to establish the relationship by using graphical techniques. Bar chart is used
to represent the value of EEI and against month which is shown in Graph 6 below. The last
stage is to set up a baseline for EEI which Hospital Sik incorporate the energy consumption
value from the monthly electrical bills and the period choose for the baseline is January 2016
until December 2016.
To calculate the baseline, the value of energy consumption from January 2016 until
December 2016 are divided by gross floor area to get the EEI baseline as gross floor area is
considered as factor that relate in energy consumption. The value for the baseline has been
obtained and drawn on the graph below with a red line. Generally, baseline is defined as a
minimum or starting point used for comparisons which means that if the value of the EEI on
certain month is below the baseline or the red line, it shows an energy saving. Otherwise, if
it is vice versa, it indicates high consumption in energy.

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Graph 6: Monthly EEI Comparison for current period (2019) with baseline period.
From the graph above, it is observed that Hospital Sik’s energy consumption for
March and April in 2020 are lower than the baseline set up in 2016 but a bit higher when
compare to the 2019 for March. Again, the CDD value for 2020 have recorded a higher CDD
value compare from previous years. This contribute for the higher energy consumption for
cooling the building to the desired comfort temperature by the user.

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5.4 ENERGY PURCHASING HISTORY
The Table below shows the energy purchasing history for the latest 12 months period.
Energy Purchase History

Plant: Hospital Sik Year 2019 - 2020
Total Purchase Highest MD
PF Penalty ICPT Charge RE Fund Charge Total Purchased Cost
Month (Flat Rate) Recorded
kWh kWh kWh RM RM RM

May-19 145,545.00 0.00 407.00 3,711.40 1,185.08 78,964.08
Jun-19 144,604.00 0.00 407.00 3,687.40 1,177.42 78,453.46
Jul-19 152,950.00 0.00 407.00 3,900.23 1,245.39 82,982.36
Aug-19 143,341.00 0.00 407.00 3,655.20 1,167.13 77,768.10
Sep-19 139,634.00 0.00 407.00 3,560.67 1,136.94 75,756.52
Oct-19 134,634.00 0.00 407.00 3,433.17 1,096.22 73,043.30
Nov-19 131,800.00 0.00 407.00 3,360.90 1,073.14 71,505.44
Dec-19 132,424.00 0.00 407.00 3,376.81 1,078.22 71,844.05
Jan-20 145,352.00 0.00 407.00 2,907.04 1,183.51 78,059.92
Feb-20 136,103.00 0.00 407.00 2,722.06 1,108.19 73,091.87
Mar-20 159,294.00 0.00 407.00 3,185.88 1,297.05 85,548.78
Apr-20 142,186.00 0.00 407.00 2,843.72 1,133.66 74,831.22
Total 1,707,867.00 0.00 407.00 40,344.47 13,881.96 921,849.10
Electricity Tariff Code B
Table 3: Energy Purchase History.

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5.5 INDEPENDENT ENERGY VARIABLE AND STATIC FACTORS
Independent Energy Variables

Table below shows the Independent Energy Variable for the latest 12 months period.
ENERGY VARIABLES
HOSPITAL SIK Year 2019-2020
DayCare HDU Maternity In-Patient Out-Patient Laboratory No of Month

Month
No of patient CDD BOR %
No of patient No of Delivery No of patient No of Test day
day
May-19 644 17 506 2,612 30,602 31 148 39.65
Jun-19 644 29 615 2,818 38,983 30 136 51.36
Jul-19 609 19 568 3,646 46,218 31 130 43.08
Aug-19 601 24 588 2,715 37,058 31 117 44.85
Sep-19 636 26 566 3,066 38,804 30 115 44.85
Oct-19 685 29 540 3,249 40,376 31 90 44.66
Nov-19 646 22 563 2,512 36,345 30 101 44.70
Dec-19 679 22 617 3,040 40,431 31 113 50.71
Jan-20 658 21 639 3,419 41,696 31 138 51.2
Feb-20 635 21 579 3,114 40,552 29 134 47.35
Mar-20 682 26 534 2,858 38,684 31 162 46.51
Apr-20 646 25 374 2,410 29,450 30 136 36.45
Table 4: Independent Energy Variables.

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Static Factors
Table below shows the Static Factors which the peak values are used for the Major Equipment or System.
Power Operating Total

Equipment Equipment kW Total Demand
No Asset No. Department Factor Hours/Month Energy
Name Status
Nominal Estimated kWh kW
Table 5: Static Factor for Non-Routine Adjustment
No static factor is recorded in March and April 2020 for Hospital Sik. However, the big event that have been organised can be
considered as one of the static factors which need to be addressed to the committee and acknowledge for the static factor to be effective. It is
possible to update the table once the committee have agreed with the terms.

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5.6 ENERGY MONITORING SYSTEM
An energy management system (EMS) is a set of software tools used to monitor,

control, and analyze a building’s energy consumption. The EMS for Hospital Sik was
manufactured by Resource Data Management. The Energy Management System consists of
several components which is main controller, intuitive controller, and set of energy
measurement meter as shown in the following figure: -
Figure 4: Energy Monitoring System (EMS)
Generally, the EMS has several main functions which is control of equipment,
monitoring of equipment, and integration of equipment sub-systems. The primary purpose
of the control equipment is to save energy by (preferably real time) optimization system
controls. This can be performed through scheduling and manual overriding; control of set
points, report and record operational alarms, and ensure correct and safe sequence of

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operation. As for monitoring of equipment, the purpose is to improve the efficiency of

operations by providing centralized information of current equipment conditions, providing
information of equipment conditions through basic trending, providing a management by
exception function to alert the operator of any abnormal equipment conditions and finally
providing analytical tools to aid the study and management of equipment operations and
energy performance.
The data from digital power meter (DPM) will be transmitted to the intuitive
controller and the intuitive controller will then transmit the data to main controller for
further energy accounting centre (EAC) analysis. There are 20 digital power meters has been
installed at Hospital Sik. The installed digital meter location and coverage is as follows: -
DPM DPM Description

M01-901 MSB
M01-902 TO ADMIN
M01-903 TO A&E
M01-904 TO OPD
M01-905 TO AUTOCLAVE
M01-906 TO MEDICALSTORE
M01-907 TO X-RAY
M01-908 TO FARMASI
M01-909 BILIK REKOD
M01-910 EMSB
M01-911 TO A&E (ESS)
M01-912 TO X-RAY (ESS)
M01-913 TO FARMASI (ESS)
M01-914 TO MEDICAL STORE (ESS)
M01-915 TO PUMP HOUSE (ESS)
M02-916 A&E PANEL AHU (NORMAL)
M02-917 A&E HOT WATER (NORMAL)
M02-918 A&E DB SPLIT UNIT (NORMAL)
M02-919 AHU X-RAY
M03-920 AHU ADMIN
Table 6. List of DPM and its description

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The electrical distribution diagram for Hospital Sik including 20 DPM number are shown below:
Figure 5. DPM diagram

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5.7 ENERGY APPORTIONING
An energy apportioning for Hospital Sik have been established from the preliminary
audit and analysis of asset inventory. The pie chart below shows the energy apportioning by
various area.
Chart 1. Load apportioning by areas
From the Chart 1 above, the highest electricity energy usages by 32.52% (44,998.38
kWh/month) in Hospital Sik comes from A&E department. This is because of operation
hours for A&E, where it operates for 24 hours per day and 7 days per week. Moreover, this
area uses 6 unit of Air Cooled Packaged Unit (ACPU), therefore affecting the electricity usage
to be high than other areas.

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Chart 2. Load apportioning by System / Equipment
From the Chart 2, it is clearly shown that the largest proportion of energy
consumption was from cooling system. Air Conditioning Packaged Units (ACPU) holds
50.25%, followed by Air Conditioning Split Unit (ACSU) by 23.83%. Total consumption from
these two loads are 74.08%, which is more than two thirds from total energy load at Hospital
Sik. Other than that, Lighting use 22.45% energy from total energy consumption and Others
will be assumme to be used by medical equipment for hospital daily operations. However,
the load is calculated during peak hour and the exact usage might differ during other period
of time which will be lower.

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5.8 ENERGY ACCOUNTING CENTRE (EAC) ANALYSIS
Defined as the identified area for the energy activities being carried out, the Energy
Accounting Centre (EAC) shall consists of building or department or system or combination
of both. The EAC provides feedback on how much energy used and how much it costs. By
having an EAC, the end users will commit in conserve the energy as all of the consumption
will be monitored by the Certified Energy Manager and later on will be presented during the
committee meeting which is chaired by the Hospital Director.
EAC DPM DPM Description User Area/Location

EAC 1 M01 -902 TO ADMIN Peja ba t Pentadbira n
M01 -903 TO A&E Ja ba tan Kecema s a n
EAC 2 Bilik Pema ndu
M01 -911 TO A&E (ESS)
Ja ba tan Pes a kit Lua r
Klinik Pa ka r
Wa d 1
EAC 3 M01 -904 TO OPD
Wa d 2
As ra ma A - Dewa n Semina r
As ra ma B - Perpus taka a n
M01 -905 TO AUTOCLAVE Ma kma l Pa tologi

Ja ba tan Pengimeja n X-ra y
M01 -907 TO X-RAY Ja ba tan Steril (CSSD)
Stor Peruba tan Berpus a t
Ja ba tan Forens ik
EAC 4 M01 -912 TO X-RAY (ESS)
Ja ba tan Sa jia n
Hemodia lis is
M01 -906 TO MEDICAL STORE Ja ba tan Ca ra Kerja (Fis io)
Wa d 3
M01 -914 TO MEDICAL STORE (ESS) Wa d 5
M01 -908 TO FARMASI

Ja ba tan Fa rma s i
EAC 5 M01 -913 TO FARMASI (ESS)
Unit Rekod
M01 -909 BILIK REKOD
Table 7. EAC Serve Area by DPM by User Area/Location.

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Chart 3. EAC Apportioning
2016 TNB Variance MSB
Month 220427251801 kWh % M01 -901

Jan-16 159,913.00 -7,773.03 -4.86% 167,686.03
Feb-16 144,244.00 -3,067.79 -2.13% 147,311.79
Mar-16 178,327.00 -3,831.62 -2.15% 182,158.62
Apr-16 171,279.00 -5,282.25 -3.08% 176,561.25
May-16 163,143.00 -4,834.00 -2.96% 167,977.00
Jun-16 154,536.00 -6,298.25 -4.08% 160,834.25
Jul-16 149,028.00 -4,844.63 -3.25% 153,872.63
Aug-16 154,788.00 -4,732.00 -3.06% 159,520.00
Sep-16 143,150.00 -4,997.50 -3.49% 148,147.50
Oct-16 149,679.00 -4,908.00 -3.28% 154,587.00
Nov-16 145,297.00 -4,712.37 -3.24% 150,009.37
Dec-16 139,510.00 -5,428.50 -3.89% 144,938.50

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Table 8 above shows the data captured/recorded from TNB bills and the main DPM
at MSB incoming panel. The difference of reading is in average at 3.5% which is tolerable and
due the time of reading by the TNB personnel and the DPM is not at the same time where
the DPM measurement was taken at every 12.00 am at each first day of the month. The
Chart 3 is the apportioning for the EAC from the recorded DPM in 2016 as the baseline
period.
2020
Total EAC EAC 1 EAC 2 EAC 3 EAC 4 EAC 5
Month TNB
Jan-20 145,352 138,829 6,334 42,520 18,397 48,343 23,235
Feb-20 136,103 133,149 6,096 41,648 16,502 44,892 24,011
Mar-20 159,294 156,437 7,288 49,708 18,761 53,908 26,773
Apr-20 142,186 139,376 6,462 43,696 17,189 47,332 24,697
May-20 0 0 0 0 0 0 0
Jun-20 0 0 0 0 0 0 0
Jul-20 0 0 0 0 0 0 0
Aug-20 0 0 0 0 0 0 0
Sep-20 0 0 0 0 0 0 0
Oct-20 0 0 0 0 0 0 0
Nov-20 0 0 0 0 0 0 0
Dec-20 0 0 0 0 0 0 0
Table 9 above shows the data captured/recorded for each EAC consumption on
monthly basis and to be compared with the concurrent month with the baseline period.

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PERIOD
Graph 7. EAC Serve Area by DPM by User Area/Location
The total EAC energy saving as above Graph 7 for March 2020 is 9.6% and 16.8% for
April 2020. The EAC 2 from the A&E Department shows a significant saving for the month of
April due the less operational reflected from the RMO initiative by the government and
some of the staff been loaned to bigger hospital to assist the pandemic crisis management. It
is expected some of the section in the building have been off operation longer than usual
due the needs are not a priority during the RMO. This can be seen clearly in the April’s
energy consumption.

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Graph 8. EAC Serve Area by DPM by User Area/Location
The Graph 8 is the average saving recorded in cumulative from January 2020 until
April 2020. The total saving is at 10.8% where contribution from EAC 4 have been the major
contribution as the total proportional of kWh saving is 38% from the total energy
consumption of the hospital premise. The EAC 4 had the lowest saving but in positive way
where the RMO might have affected the saving contribution as the department is reducing
the engagement of human contact and the staff have been relocated to the allocated
location as part of crisis management.

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TYPE NUMBER
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PERIOD
5.9 FEMS MAJOR SYSTEM BASELINE
Based on the Technical Requirement and Key Performance Indicators (TRKPI) of the
Facility Engineering Maintenance Services (FEMS), the concession companies are required to
assist the Contract Hospitals in energy management programme. The requirements that
need to be fulfilled is to achieve 10% energy saving within two (2) years of the concession
agreement. Hence, EMSB had developed a baseline for the FEMS system. Based on Guideline
On Energy Savings Calculation for FEMS established by MOH with cover letter dated 28th
February 2017, there are two types of Hospital for the selection of system for baseline
development as below: -
Type of hospital FEMS System

1. Hospitals with centralised air conditioning system Chiller and Lighting
2. Hospitals with non- centralised air conditioning Lighting
system
Table 11: Type of hospital for FEMS system selection
Hospital Sik is categorised as Type 2 Hospital as the FEMS major system selected for
the hospital is lighting system. The baseline will be developed using Option A: Partially
Measures Retrofit Isolation as stated in IPMVP. Option A involves isolation of the energy use
of the equipment affected by Energy Conservation Measures (ECMs) with the energy use of
the rest of the facility. Measurement equipment is used to isolate all relevant energy flows in
the pre-retrofit and post-retrofit periods. Only partial measurement is used under Option A
with some stipulated parameter(s).
To establish the lighting baseline, a data collection is required for the lighting system
such quantity of lights, rated power, locations, operation of hours are needed. Then, the
EMC shall approve the lighting baseline and the status will be recorded in the EMR to
monitor and make changes as and when required.

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TYPE NUMBER
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PERIOD
LIGHTING SYSTEM STATUS
Lighting Baseline
The baseline for the lighting system is establish from the collected data and impose
the following energy equation:
Lamp Type Quantity Total Watt/Day kWh/Month

1X18W FLUORESCENT LIGHT 208 4,992 1,833
2x18W FLUORESCENT LIGHT 264 6,336 2,892
3X18W FLUORESCENT LIGHT 57 1,368 625
FFL 160 6,720 1,826
PLC 18W 73 1,606 493
PLCE 18W 33 726 290
HALOGEN 2 350 123
FLOOD LIGHT 3 750 296
FILAMEN BULB 335 5,745 2,524
PAR 4 400 141
TOTAL 2,511 86,617 33,664
Hence, the total lighting baseline for Hospital Sik is 33,664 kWh/Month. Then, the
total lighting for the current month will use the same equation but with new data collection
of any retrofit project that have been done before. Hospital Sik had an ECM project for its
lighting system and under maintenance continuous improvement where each light that need
replacement will change into LED for the Fluorescent Light type.

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PERIOD
Lighting Current Consumption
Then, the lighting system consumption was calculated with updated data collection
and impose the previous energy equation:
Lamp Type Qty Total Watt kWh/Month

2x18W FLUORESCENT LIGHT 264 6,336 2,892
FFL 160 6,720 1,826
PLC 18W 73 1,606 493
PLCE 18W 33 726 290
HALOGEN 2 350 123
FLOOD LIGHT 3 750 296
FILAMEN BULB 335 5,745 2,524
PAR 4 400 141
LED LIGHT 14W 4ft (FEMS) 200 2,800 1,117
LED LIGHT 18W 4ft 499 8,906 3,640
LED LIGHT 8W 2ft 86 688 248
TOTAL 2,511 68,219 26,246
Therefore, the new energy consumption by lighting system is 28,480 kWh/Month.

The energy saving is calculated by using the following formula:
Baseline Consumption 33,664

Current Consumption 26,246
Energy Savings (kWh) 7,418
% of Energy Savings 22.0%
The saving for lighting system is 22.0% which more than the required FEMS Baseline
of 10% energy saving as stipulated in the TRKPI 6.1 a) i) of the concession agreement.

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PERIOD
6.0 PART B – ENERGY CONSERVATION MEASURES (ECM) & ACTIVITIES
The table below shows the summary of ECM and activities that have been conducted at Hospital Sik.
Implementation Target Saving Target ROI Actual Actual ROI

No. Name of ECM ECM cost (RM)
Plan (RM) (Month) Saving (RM) (Month)
1. Preliminary Energy Audit Report October 2015 8,240.00 NA NA NA NA
11th Nov – 3rd Dec

2. Installation of Energy Monitoring System 182,294.70 NA NA NA NA
2015
3. Energy Management Awareness Training (One Session) July 2016 2,500.00 NA NA NA NA
4. Distribution of Energy Management Campaign Material 2016 2,000.00 NA NA NA NA
5. LED Retrofit (18W) for FL 4 feet (36W) March 2017 48,000.00 2,839.32 17 2,055.26 23
27th – 28th August

6. Energy Week (Table Talk) 0.0 NA NA NA NA
2017
7. Detail Energy Audit Report Aug – Sept 2018 28,000.00 NA NA NA NA
8. LED Retrofit (Walkway & Compound) August 2018 53,530.00 2,000 33 432.08 114
9. AHU Timer September 2018 1,000.00 600.00 0.02 500.00 0.07
14th – 15th March
10. Energy Week (Table Talk) 0.0 NA NA NA NA
2018
8 – 19th October
th
11. ACSU Retrofit 177,330.00 59,213.40 16.2 TBA TBA
2019

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PERIOD
Implementation Target Saving Target ROI Actual Actual ROI

No. Name of ECM ECM cost (RM)
Plan (RM) (Month) Saving (RM) (Month)
12. Energy Week (Table Talk) 26th June 2019 0.0 NA NA NA NA
13. SP Convention 21st October 2019 20,000.00 NA NA NA NA
14. ACSU Retrofit 2020 90,000.00 NA NA NA NA
15. Awareness Campaign 2020 15,000.00 NA NA NA NA
16. Campaign Material 2020 5,000.00 NA NA NA NA
17. Technical Training 2020 12,000.00 NA NA NA NA
18. LED Retrofit 2020 50,475.00 NA NA NA NA
19. Ceiling & Wall Fan Retrofit 2020 20,000.00 NA NA NA NA
Table 12: List of ECM Project
The proposal of 2020 ECMs have been presented to the EMC and waiting for the MOH’s approval. The list of the proposed ECM
might differ accordingly to the final budget and review by the EMC and JKN.

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PERIOD
7.0 PART C – AWARENESS TRAINING
Number of
Name of Training Programme Trainer Date Venue Remark
Participants
EM Report Training Course En. Hishamudin Ibrahim 1st – 2nd February Sunway Hotel, 40 pax P. Jurutera Hospital has attended the training
2016 Seberang Jaya
Energy Management CP-Relevance 24th August 2016 Dewan Seri 50 pax

Awareness Training 2016 Enggang
(En Hamidon Othman)
Hospital Sik
Energy Management CEM S. Bahiyah 25th November Head/ 50 pax
Awareness Training 2018 2018 Representative
En. Muhammad Afif
Unit
SP Convention 2019 None 21st October 2019 Hospital Sik Unlimited Awareness to public with the hospital
management
Table 13: List of Training Activities

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8.0 PART D – ENERGY MANAGEMENT FINANCIAL STATUS
The cost for energy management activities are proposed annually for the MOH
approval. Some of the activities are on the approved plan and unit rate released by
Engineering Operation Division, MOH. The concessionaire will issue invoice when the work
has completed as works under Sustainability Program is categorised as pay as work done
category.
Purchasing Status
Payment Status
Activities Year Request Order No. PO Amount (Pending/Done)
No.
Monthly Energy Report (October
2017 8,000.00 Done
until November)
Detailed Energy Audit 2018 30,690.34 Done

Energy Report (6 Volumes) 2018 52,000.00 Done
Awareness Campaign 2018 2,500.00 Done

Campaign Material 2018 2,000.00 Done
EMGS 1 Star Certification 2018 16,500.00 Done
LED Retrofit 2018 50,424.00 Done
AHU Timer 2018 1,500.00 Done
Energy Report (6 Volumes) 2019 24,000.00 Done

ACSU Retrofit 2019 177,330.00 Done
LEED Gap Analysis Report 2019 40,000.00 Done

EMGS 2 Star Certification 2019 24,200.00 Done
SP Convention 2019 20,000 Done

Energy Report (6 Volumes) 2020 24,000.00 Pending
Awareness Campaign 2020 2,500.00 Pending
Campaign Material 2020 2,000.00 Pending

EMGS 3 Star Certification 2020 29,700.00 Pending
Technical Training 2020 12,000.00 Pending
ACSU Retrofit 2020 90,000.00 Pending

HOSPITAL SIK
DOCUMENT VERSION
TYPE NUMBER
REPORT
PERIOD
Purchasing Status
Payment Status
Activities Year Request Order No. PO Amount (Pending/Done)
No.
LED Retrofit 2020 50,475.00 Pending

Ceiling & Wall Fan Retrofit 2020 20,000.00 Pending
Table 14: List of Financial and Purchasing Status which not including GST (6%)

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PERIOD
9.0 CONCLUSION
The objective of the Energy Management Report is to compile all the SEMP activities
conducted in hospital. These activities should be driven by the Energy Management
Committee (EMC) in order to achieve the set KPIs of EMP. Pursuant to it, various data has
been collected and analysed for energy saving using the several method and tools for
monitoring the energy consumption performance and to justify the saving achieved by the
hospital.
The EEI and BEI method are the based for energy tool to monitor the energy profile
and determine energy saving. Based on the TNB bills and BEI calculation above, the total
energy consumption recorded in March and April 2020 decreased by 9.9% and 17.0%
compared to the same month in baseline period.
The hospital has obtained the two Star AEMAS EMGS certification with the current
energy management programme where the EMC is an important role to drive the program
and to maintain more than 7% energy saving for the preparation of Three Star AEMAS EMGS
certification.

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PERIOD
ATTACHMENT
Attachment 1 – Approved EMC Organisation Chart

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DOCUMENT VERSION
TYPE NUMBER
REPORT
PERIOD
Attachment 2 – Monthly TNB Bills (March & April 2020)

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HOSPITAL SIK

ENERGY MANAGEMENT REPORT

Edgenta Mediserve Sdn Bhd

Prepared by : Submitted by : Verified by :

Designation : Certified Energy Designation : Facility Designation : Penolong

Energy Management Report

AEMAS ASEAN Energy Management Scheme

Energy Management Report

ATTACHMENT 2 – MONTHLY TNB BILLS (MARCH & APRIL 2020) ........................................................................ 44

Energy Management Report

1.0 HOSPITAL PROFILE

Table below is a summary on the hospital profile.

Hospital Name : Hospital Sik

Date of Report March 2020 – April 2020

Energy Management Report

2.0 EXECUTIVE SUMMARY

Energy Management Report

3.0 HOSPITAL INFORMATION

Figure 1: Hospital Sik’s Front Entrance

Gross floor area (m2) 15,569.40

Energy Management Report

4.0 SUSTAINABLE ENERGY MANAGEMENT PROGRAMME

Energy Management Report

4.1 ENERGY MANAGEMENT COMMITTEE

Energy Management Report

Figure 2: Hospital Sik EMC Organisation Chart

Energy Management Report

EAC DPM DPM Description User Area/Location PIC

M01 -905 TO AUTOCLAVE Ma kma l Pa tol ogi

M01 -908 TO FARMASI

Table 1: Energy Accounting Centre Team Hospital Sik

Energy Management Report

4.2 ENERGY MANAGEMENT MATRIX

Figure 3: Assessment result for Energy Management Matrix.

Energy Management Report

Energy Management Report

5.0 PART A – ENERGY HIGHLIGHT

5.1 TOTAL ENERGY CONSUMPTION

Graph 1. TNB bill data trending by month

Energy Management Report

Graph 2. TNB bill kWh data comparison by month.

Graph 3. TNB bill RM data comparison by month

Energy Management Report

5.2 BUILDING ENERGY INDEX (BEI)

Table 2: Approved List of location with GFA value.

Energy Management Report

Graph 4: Building Energy Index Comparison for the reporting period.

Energy Management Report

Graph 5: Building Energy Index trend for the reporting period.

Energy Management Report

5.3 ENERGY EFFICIENCY INDEX (EEI)

• Weight of product manufactured

• Number of items produced

• Weight of raw materials used

• Floor area of building

• Period of plant usage

Energy Management Report

Energy Management Report

Energy Management Report

5.4 ENERGY PURCHASING HISTORY

Energy Purchase History

kWh kWh kWh RM RM RM

Table 3: Energy Purchase History.