ANSl/ASHRAE/ASHE Standard 170-2013

(Supersedes ANSl/ASHRAE/ASHE Standard 170-2008)

lncludes ANSl/ASHRAE/ASHE addenda listed in Appendix C

Ventilation of Health
Care Facilities

See Append1x C for approval dates by the ASHRAEStandards Comrrunee. the ASHRAEBoard oí Directors, the ASHE Board of
Directors, and the American Nat1onal Standards lnsntute.

This standard is under conunuous maintenance by a Standing Standard Pro1ect Cornrmttee (SSPC) Ior which the Standards Com-
mittee has established a documented program for regular pubhcation oí addenda or revtsions. including procedures for timely,
documented, consensus actlon on requests Ior change to any part of the Standard. The change submittal form, instructions, and
deadhnes may be obtained in electronic form from the ASHRAEWeb site (www.ashrae.org) or in paper form from the Manager
of Standards. The latest edition of an ASHRAE Standard may be purchased from che ASHRAE Web site (www.ashrae.org)or from
ASHRAE Customer Service, 1791 TullieCircle, NE. AtJanta, GA 30329-2305. E-mail: orders@ashrae.org. Fax: 678-539-2129.
Telephone: 404-636-8400 (worldwide).or toll free 1-800-527-4723 (for orders in US and Canada). For reprint pemussíon, go to
www.ashrae.org/permissions.

C 2013 ASHRAE ISSN 1041-2336

QSHE~. Amtrlan Sockc) íor 11~ í.ng)llttf1ng

ol llr "1Cl9 lk '!)' ~ '°

2O 1 4 G u d e11n s f o r O e s 1 g n a n d C o n s t r u e t 1 o n o f H o s p 1 t a 1 s a n d O u t p a t 1 e n t fa e 1 1 t 1 s 369
 ASHRAE Standing Standard Project Commlttee 170
Cognlzant TC: TC 9.6, Heallhcare Facilities
SPLS Liaison 2011-2013: Douglass S. Abramson
SPLS Liaison 2009-2011: Byron W. Jones
SPLS Liaison 2008-2009:Wllllam F. Walter
Paul T N1nomura, Ch8Jr Ham1d Hab1b1 Richard O Moeller
Chns P. Rousseau, Co-ViceChatr and Sectetary Jeffery M. Hardtn Tyter N1nornura
Moehael P. Sheenn. Co-ViceChBJr Rtctlard D. Hermans Russell N Olmsted
Judene M. Bart1ey• Michael R. Keen Healher L. Platt
Theodore Cohen Marv1n L. Kloostra Anand K. Seth
John M. Dombrowski Peter H Langowsk1 Ra¡endra N. Shah
Douglas S. Enckson MIChael F Mamayek Gordon P. Sharp
James (Sk1p) Gregory Farhad Memarzadeh Andrew J. Stre1fel
MIChael E W~sey

Th1s
ed11ion 1s dedJCBted to our fnend and col/eague, Judene BartJey. Th1s Standard benefited tremendously from her her mSIQhl and
0

llreloss contnbut1ons regard1ng healthcare lnfecllon prevent10n.

ASHRAE STANDARDS COMMITTEE 2013-2014

Wtlham F Walter, Cha1r John F. Dunlap RICk A Larson
Richard L Hall. Vice-Cha1r James W Earley, Jr Mark P. Modera
KanmAmrane Steven J Emmendl Cyrus H. Nassen
Joseph R Anderson Julle M. Ferguson Janice C. Peterson
James Dale Aswegan Knshnan Gowri Healher L. Platt
Charles S. Barnaby Cecily M Grzywacz Douglas T Relndl
Steven F Brun1ng Rila M Harrold Juba A Keen. 800 ExO
John A Clark Adam W. Hmge Thomas E Werkema, Jr. CO
Waller S Clements Debra H. Kennoy
DélVld R. Conover Malcolm O. Kn1ght

Stephanie C Remiche. Manager of Standards

SPECIAL NOTE
This American National Standard (ANS) is a nabonal voluntary consensus standard developed under the auspces of ASHRAE.
Consensus IS dehned by the Amencan Nahonal Standards lnshtute (ANSI), of wh1ch ASHRAE is a member and which has apprOYed this
standard as an ANS, as •substantJal agreement reached by d1rectly and matenally alfected mterest categones Thrs sign1ftes the concurrenoe
of more than a simple ma)Ority, but not neoessanly unan1mity. Consensus requires that all views and ot>,echons be constdered, and that an
elfort be made toward their resolution • Comphance w1th this standard ls voluntary untll and unless a legal junsdtelton makes comphance
mandatory through leg1slahon
ASHRAE obtains consensus through parllclpation of its nataonal and international members, assocaated societ1es. and public rev1ew
ASHRAE Standards are prepared by a Proiect Comm1ttee appointed specifically for the purpose o! wnt1ng the Standard The Project
°'
Comrruttee Chaar and Vioe-Chair must be members ol ASHRAE, whtle other comm1ttee members may may not be ASHRAE members. all
must be tedlnlcally qualtfted 1n the sut>tect area ol tho Standard. Every elfort is made to balance lhe concerned interests on all Project
Commlltees
The Manager of Standards of ASHRAE should be contacted for:
a 1nterp<etabon ol the contents of th1s Standard,
b. parllclpabon 1n the next rtMeW o! lhe Standard.
c. offe11ng constructtve cnteesm for 1mproving the Standard, or
d. perm1ssion to reprint portions of the Standard.

OISCLAIMER
ASHRAE uses its best efforts to promulgate Standards and Gu1dehnes for the benefrt of the publac 1n hght o! ava1lable 1nforma1JOn and
accepted 1ndustry pracltces. However, ASHRAE does not guarantee, cert1fy, or assure the safety or performance o! any p<oducts, components,
or systems tested, installed, or operated tn accordance w1th ASHRAE's Standards or Gu1dehnes or that any tests conducted under 1ts
Standards or Guldehnes wlll be nonhazardous or free from risk

ASHRAE INDUSTRIAL ADVERTISING POUCY ON STANOARDS

ASHRAE Standards and Gu1del1nes are established to ass1st mdustry and the pubhc by offenng a untform method of testmg for rat1ng
purposes, by suggeshng safe practloes tn des1gntng and insta111ng equipment, by p<ovldtng proper defin.tions of this equtpment, and by p<ovld1ng
other 1nformat1on that may serve to gulde the 1ndustry. The crealton of ASHRAE Standards and Gutdehnes 1s determinad by the need for them,
and conformance to them 1s completely votuntary.
In refemng to th1s Standard or Gutdehne and tn marlong of equ1pment and in advertising, no cla1m shall be made eilher stated or 1mpl1ed,
that the product has been approved by ASHRAE.
 CONTENTS
ANSVASHRAE/ASHE Standard 170-2013,
Ventilation of Health Care Facilities
SECTION PAGE
Foreword 2
1 Purpose 2
2 Scope 2
3 Definitions 2
4 Complianca 3
5 Planning 4
6 Systams and Equipmant 4
7 Space Ventilation 7
8 Planning, Construction, and System Startup 14
9 Normativa Rafarances 15
Informativa Appendix A-Operationsand Maintenance Procedures 16
Informativa Appendix B-lnformative Referencas and Bibliography 17
lnformative Appendix C-Addanda Description lnformation 18

NOTE

Approved addenda, errata, or lnterpretatlons for thls standard can be downloaded free of charge from the ASHRAE
Web slte at www.ashrae.org/technology.

e 2013 ASHRAE
1791 Tullie Circle NE · Atlanta, GA 30329 · www.ashrae.org · Ali rights reservad.
ASHRAE is a reg1stered trademark of lhe Amanean Soc1ety of Heat1ng, Refngerating and Air-Condihon1ng Engineers, lnc.
ANSI rs a reg1stered trademark of the American National Standards lnsntute.
(Thi forewcrd i not part of this tandard. 11 i merely
informathc and doc not contain rcquircmcnt nece ary
for conformancc to the tandard. lt has not bccn pro-
ce cd according to che AN 1 rcquircmcnt for a tandard
and may contain material that has not becn ubject to
public re' ic" or a con en u proce . nre olvcd objec-
tor on inforrnative material are nor offered the right to
appeal at llRAE or AN l.)
FOREWORO
ANSI ASHRAEIASHE Standard 170. Ventilauon of
Health Care Facilities. is one of a family of documents that
offers guidance. rcgulation. and mandares 10 designers of
health care facilities. lt is first and foremost a mandatory
111i111mu111 requirement and, as such, may not always offer the
state-of-the-art best pracuce for health cure 1·e111tla11011
design. Other pubhcauons, such as the ASHRAE l IVAC
Dcsign Manual for l lo pual and Clinics, 2nd Ed111on. com-
plement the standard, providing odditional depth and detail
for the designer: /11 addition, the health cure designer 11111st
refer to any design requirements from the appropriate juris-
diction tha¡ has authority. Many jurisdictions use or refer to
Guidclmc for De ign and Construction of Health Carc Facil-
itie , published by the Facility Guidelines Institute (FGI).
Where pracucal. the committee was cognizant of these other
doc11111e11ts in the development of this standard.
Ventilation design for health care spaces is a combina-
11011 of tasks that leads to a set o/ documents used in construc-
11011 One such task requires medica/ planners to develop
departmental programs of pace The e program. include
pace names that suggest the 11 e for which the space is
intended. and health cure ventilation designers depend upon
these nemes to determine the ventilation parameters for their
designs. This standard provides these ventilation parameters.
Ve11tilatio11 y tems and designsfor health carefacilities
are intended to provide a confortable environment for
patient . health care workers. and visitors while diluting. cap-
turing and exhausting airborne contaminants including poten-
tia/(1· infectious airborne agents such as M. tuberculo i
Without high-quality ventllation in health care facilities.
patients, heolth care workers. and visitors can become
exposed to contonunants through 11or1110/ respiration of porti-
e/es in the air. Poorlv ventilated health care facilities may
increa e the concentration of airborne contaminants including
fungi or 1110/d, 11'!1ic/1 11101• cause allergic responses in e1·e11
healthy workers and occupants. Some patients are profoundly
immunosuppressed for prolonged periods and, i{ exposed, are
higlrly msceptible to i11fectio11from fimgi. For s11clr patiems.
fimgal spores become i11vasive pathoge11s 011d leod to higlr
rotes of se1•ere morbidity and mortaliry. For ali these reasons.
a11d co11sider111g the mrious occuponcies ond patiem popula-
tio11s. great care must be token in tire design o.f healtlr care
1·e11ti/atio11 systems.
1. PURPOSE
Thc purpose of1h1 standard is to define vcntilation ystem
des1gn requircments that prov1dc cnvironmcntal control for
comfon, asep ii., and odor in hcalth care facilitie .
2 AN 1 A HRAE-A
2. SCOPE
2.1 The rcquirement in th1s tandnrd apply 10 pallcnt-carc
arca and related uppon arcas w1th111 health carc fac1h11ci.,
includmg hospitals. nursing fac1li11es, and outpaticnt fac1h11c .
2.2 Th1s smndard applics to new buildings, addition to cxist-
ing building . and tho e ahcrations to exi ting buildmgs that
are 1den1ificd within this standard.
2.3 This tandard considcr chcmical, physical. and biologi-
cal contaminants that can alTcct thc dchvcry of medical carc
10 patients: thc convale ccncc of paticnt : and the safcty of
patient • health carc workers, and visitors.
3. DEFINITIONS
absorption dista11ce: thc distancc downstream of a humid11ier
required for ali mo1sturc to be absorbed 11110 thc air trcam.
additio11: an exten ion or increa e m íloor arca or hcight of a
building, building ystcm, or equipmcnt.
airbor11e i11fectio11 isolatio11 (Al/): the isolation of paticnt
infcctcd with organisms sprcad by oirbomc droplct nuclci le
than 5 µm in diametcr (sec FGI (201 O] in lnfonnati\e Appcn-
dix B). For the purposc of thi tandard. thc abbreviation
"Ali" refers to the room thot provide i olation.
airbor11e i11fectio11 isolatio11 room: a room lhat 1 des1gncd
accordmg to the rcquircments of this tandard and that i
mcendcd 10 pro' idc airbome mfccuon isolation.
alteration: a significan! changc in the func11on or ize of a
pace, in the u e of its sy tcms, or in the u e of its cqu1pment,
c1ther through rearrangcment, rcplacement, or odd111on Rou-
11ne mamtenance and service hall not con 11ru1e an altcra11on.
a11thority havi11g j11risdictio11: thc agcnt or agcncy rcsponsi~
ble for enforcing this standard.
a••erage •·elocity: thc volumetric ílo\\ rate obtained by dh id-
ing lhe air quantity issuing from an a1r distríbution dev1ce by
the nominal face arca of the deviee.
b11ildi11g: a tructure that i wholly or panially cnclo cd
within exterior walls and a roof, or ' ithin exterior and pany
walls and a roof. and that alTord helter to person . animal .
or propercy. In this standard, a building i a tructure intcndcd
for use as a hospital or health care facility.
classijication of surgeries:
procedure room (C/ass A surgery): prov1des mmor sur-
gical procedurcs perfonned under 1op1cal, local, or
regional ancsthcsia wi1hou1 preopcrati\e edauon.
Excluded are intra,cnous, spinal, and epidural procc-
dures, which are Class B or C surgeric .
operati11g room (Class B surgery): provide mmor or
major surgical procedures perfonned in conjunction with
oral, parenteral, or intra,enous seda11on or pcrfonncd
w11h thc pat1ent under analge 1c or d1ssociauvc drug .
operati11g room (Class C surgery~: provides maJOr <1urg1-
cal procedure that requirc general or regional block
ane the ia and/or upport ofv11al bod1ly func11ons.
(For more infom1a1ion on this mcthod of class1fymg sur~
geric . ce ACS (2000) in lnfonnativc Appcnd1x B.)
HE tandanl 170-2013
equipment: de' ice for heaiing, vemilating, andlor air condi-
tioning. including but not limitcd to furnaces, boitcrs, air con-
ditioners, hcat purnps, chillers, and hcat cxchangers.
essential acces orles: tho e componcnts of a sy tem required
10 allow proper operation of that y tcm that are reasonably
ubject to mechanical failurc (e.g., pump . fan • control air
compressors). Humidifiers, control . and tank are not
included m this definuion,
high-risk immunocompromised patients: patients who havc
the greatc tri k of infection caused by airbome or waterborne
microorgani m . These paticnts include but are not limited to
allogeneic tern-cell tran plant patients and intensivo cherno-
therapy paticnts.
infectioncontrolrisk asses 111e111 (ICRA): a dctennination oí
the potenuat ri k of transmrssron of vanou infectious agent
in the facihry, a cla . ificauon of tho e n k • and a li t oí
required pracuce for mitigating tho e ri ks during con true-
tion or renovauon.
immunocompromised patients: patients who e immune
mecham m are deflcicm becau e of immunologic di orders
(e.g .• human irnmunodcficiency viru [HIV] infection or con-
genital immune deficiency syndrome), chronic discase (e.g .•
diabete , cáncer; emphysema, or cardiac failurc), or imrnuno-
suppressivc therapy (e.g.. radiaiion, cytotoxic chemothcrapy,
annrejecuon mcdicauon, or stcroids) (sec CDC [2003] m
lnformauve Appendix B).
i11pa1ie111: a pattcnt \\ ho e tay at the health care facility 1
anucipated 10 requirc iwcnry-four hours or more oí paucnt
care.
invasive imaging procedure room: a room in which radio-
graphic imaging i u ed and in which insirurncnt or de' ices
are inserted mto patients through the km or body onfice
under tente condiuons for diagno i andlor treatment.
110110 'pirating diffuser: a difTuser that ha unidircctional
downward airflow írom the cciling with minimum entrain-
mcnt ofroom air. Classificd a ASHRAE Group F. thc e dif-
fu ers gcnerally have very low average velociry For thc
purpo e. of tht. tandard, thc performance of thcsc diffuscrs
rs to be measured in tenns of av erage velocuy.
1111r ing facility: a faciluy that provides residenr care, ireat-
mcnt. and ervice arcas (including killcd nursmg, subacute
carc. and Alzheimer' and oiher demenua Iacrlure ).
patlent-care urea: an area used primarily for thc provi ion of
clirucal care to patients. Such carc include rnomtoring, eval-
uation, and treatment ervices.
protective environment (PE) room: a patient room that i
de igned according to this tandard and intended 10 protect a
high-n k rmmunocomprorm ed patient from human and envi-
ronmental airbome pathogen .
trioge: the proce of'dctcrminmg the cvcnty oíthe illne of
or injury to paucnts so that tho e who havc tite most emergent
illnc se inJune can be treatcd 1mmedintcly and thosc le
SC\ercly tnJurcd can be trcated later or tn anothcr arca.
A" lA HRAEIA HE tand3rd 170-2013
4. COMPLIANCE
.u ompliance Requirement
4.1.1 C\\ Building . ew buildings shall comply w1th the
provi. ion of th1s tandard.
4.1.2 E'i ting Building
4.1.2.1 Addition to fai ting Buildings. Add111on hall
compl} \\ itlt the provísions of this standard.
4.1.2.2 AJteratioo to Exi ting Building . Pon1on of a
he<1ting, ventilating. and air-condi1ioning system and other
yMems and equipment that are being altcrcd hall comply
with the applicable requirements ofth1 tandard.
4.1.2.2.1 Heating, Ventilation, and ir-Conditioning
) ~tem lteration . Alteration to mechan1cal y tem
mg the building heating, coohng, or \en11la11ng need
comply with the rcquircment of eetion 6, " } tem and
Equipmen1:· applicablc to tho e pecific poruon ofthe build-
ing and its sy 1em that are being altcrcd. Any ne'' mechani-
eal cquipment mstalled in conjunction with the altcra1ion as a
d1rect rcplacemcnt of cxisting mcchanical equipment hall
comply with the pro\ isions of ection 6.2. 6 4. 6.5. and 6.6.
4.1.2.2.2 pace lterations. Alteration to pace
li ted m Table 6.4 hall comply with the requirements ofSec-
tion 6.7 and Section 7, "Space Ventilation:· applicable to
those specific ponions ofthc building and its systems that are
bemg altcred. An} altcration to existing hcalth carc pace in a
building that will conlinue to treat patients during con truc-
tion hall comply \\ ith cctions 8.1, 8.3. 8.4, and 8.5.
4.2 Admini trath·e Requirement . Admim tratl\c requ1re-
ment relatmg to penn11 rcquircmcnt , enforcement by the
authonry Ita\ mg Jurisdiction, intcrprctallons. clrums of
exemption, appro"ed calcula1ion method , nghts of approved
calculation methods, and nght oí appeal are specified by the
authonty ha\ ing jurisd1ction.
4.3 Compliaoce Oocument
4.3.1 General. Compliancc documcnts are thosc plans,
pecifications, cngineering calculations, diagram • rcpons,
and othcr data that are appro\ed as pan of the pcnntt by the
au1hority having JUn dictton. The comphance documcnt
hall mclude all pec1fic construction-rclated requ1rcments of
the owner' mfectton control nsk a ·cssment.
4.3.2 Con truction Detall . Comphancc documents hall
contatn ali penment data and fcaturcs of the bu1ldmg. equ1p-
ment, and ystem m uffic1cnt detail to allow a detennmat1on
of comphance by tite au1hori1y havingJunsd1ct1on and to md1-
cate compliance \\lth tite requ1rements oíth1s tandard.
4.3.3 upplemental lnformation. Supplemental infonna-
tion nece sary to venfy compliance with this tandard. uch
a calculation . work heets, compliance fonn . vendor litera-
turc, or other data, shall be made available when required by
the authority havingJuri d1ction.
4.4 Altcrnate 1aterlal , l\lethods of Con truction, or
De ign. Thc pro' 1s1on of th1s standard are not mtended to
prc\cnt the use of any material, method of con'>truc11on,
de ign. or building system not spccifically prcscribcd herem,
provided such con~tn1ction, dcsign, or building y tem ha
3
bcen approved by thc authority having jurisdiction as meeting
thc intcnt of this standard.
4.S lnformative Appendice . The informative appendice to
this tandard and mformativ e note located within thi tan-
dard contam rccommendations, cxplanaiions, and other non-
mandatory information and are not pan ofthi tandard.
4.6 Critcria Rangc . This tandard often pecifies a range of
values that will comply with a pecific requirement of the
tandard. lf it i permitted by thc authority having juri die-
tion, compliance \\ ith this requirement may be achieved by
thc prcscntation of compliancc docurnems that demon trate a
system's abihty to perfonn within the specificd range.
5. PLANNING
Owncrs/rnanagers of health care facrhuc hall prepare a
detailcd prograrn that hall mclude the clinical serv ice
expected in each pace, thc pecific user equrpmeni expectcd
to be used in each pace. and any specral clinical need for
ternperature, humidity, and pressure control. This program
shall be prcpared in the planrung phase of de ign.
6. SYSTEMS ANO EQUIPMENT
A ir-handling and di tnbuuon y. tcm are required to
providc hcalth care facilitie not only wuh a comfortable
environmcnt but al. o with vcntilation to dilute and rernove
coruaminants, to providc conditioned air, and to a !>l'it in con-
trolling the tran rmssion of mrborne infection. In ordcr to
meet thcsc rcquirements. air-handling and di tribution ys-
tcrns shall be dcsigncd according to the rcquircmcnt of thi
standard.
6.1 Utilitic
6.1.1 Ventilation pon Lo of Elcctrical Power, The
pace vcntilation and pres ure relauonship rcquirement of
Table 7.1 be rnaintained for the following paces. cvcn in the
event of lo s of normal clcctrical powcr:
a. All rooms
b. PF. room
c. Opcrating room (Cla s B and C urgery). including dcliv-
ery rooms (Cae arcan)
(For funhcr informauon, ce FPA [2012) in lnformative
Appendix B.)
6.1.2 lleating and Cooling ource
6.1.2.1 Provide hcat ourcc and essenual accessone m
number and arrangcment ufficicm to accommodate the facil-
11y necd (re erve capacity). C\Cn whcn any one of the heat
source ore cntial acce orie is not operaung due to a break-
down or rouunc maintenance. The capacny of the remairung
source(s) hall be ufficient to provide for dome tic hot water.
sterilization, and dietary purpo e and to provide heaung for
operating, delivcry, binhing, labor. rccovcry, cmergency.
intcnsivc care, nurscry, and inpatient rooms. (For funher infor-
rnation, sec FGI [201 O] in lnforrnative Appcndix B.) Fucl sufli-
cicnt to support thc owncr's facility operation plan upon lo of
fucl servicc hall be provided on ite.
4 A~ LA HRAE.ASHE
Exception: Reserve eapacity i not required if the
ASllRAE 99°0 hcating dry-bulb tempcraturc for thc
facility i greater than or equal to 25ºF ( ºC).
6.1.2.2 For central coohng sy tern grearer than 400 ton
( 1407 l.W) peak coohng load, the number and arrangement of
cooling source ande ential acce orie shall be ufficicnt to
uppon the owner's facrluy operation plan upon a brcakdow n
or routine maintenance ofany one ofthe cooling sources.
6.2 ir-Handling-Unit De ign
6.2.1 Alr-llandling- nit Casing. The ca mg of thc air-
handling unit hall be de igned to prevem water intrusión.
resi t corrosion. and permu acccs for in pection and rnaintc-
nance. Ali airstream surfaces of a ir-handling unit e.g .• inte-
nor surfacc and componcnts shall comply with Scction 5.4
of A SI/ ASI 1 RAE tandnrd 62.1. Ventilationfor Acceptahle
/11door Air Q11a/11_1.12 (For more information, ce A llRAF
[2010b. 2005b] m lnformathc Appcndi\ B.)
6.3 Outdoor ir lntake and fahau t Di chargc
6.3.1 Outdoor Air lntake
6.3.1.1 General. Outdoor air intake for nir-handling
unit hall be located a minimum of25 fl (8 m) from cooling
towcrs and all e\hau t and vent d1 charge . Outdoor air
mtakc hall be located uch that the bottom of thc air intake
1 at lea t 6 fl (2 m) above grade. ew foc1li11e wnh moder-
ate-to-high ri k of natural or man-made extraordinary mci-
dents hall locate air mtakes ª"ªY from public accc s. Ali
intakc hall be de igned to prevent the entrainmcnt of wind-
drhcn mm. shall contam fcatures for draming away precipi1a-
11on. and hall be equipped "ith a b1rd creen of mesh no
mallcr than 0.5 m. ( 13 mm).
6.3.1.2 Relief ir. Rchcf air is exempt from thc 25-foot
(8-mctre) scpar:uion requiremcnt. Rehcf air i dcfined a thc
Cla 1 air (for further informnllon scc tandard 62.1
[A llRAE 2010b] in lnformative Append1x B) that could be
rcrumed to the a1r-handhng unit from the occupied paces but
is being di chargcd to thc outdoors to maintam building pre -
unza11on ( uch as dunng air- 1dc economi1er opcrallon).
Roof Location . lntakcs on top of buildingi. shall be
locatcd w1th thc bottom of thc air intakc a minimum of 3 fl ( 1
m) above rooflevel
6.3.1.3 rea" ay . In the case of an arcaway, the bottom
of thc air mtake openmg hall be at least 6 fl (2 m) abo\'C
grade. The bottom of the air intake opcning from thc arcaway
into the building hall be at lcast 3 fl ( 1 m) 300\C thc bollom
ofthe arcaway. (Scc Figure A-3 in lnformative Appcnd1x A.)
6.3.2 fahaust Di cbarge . Exhau t di charge outlcts that
d1schargc air from All rooms. bronchoscopy rooms, cmer-
gcncy dcpanmcnl waning room , nuclear medicine laborato-
nes, radiology wa1ting rooms, and laboratory chcm1cal fume
hoods hall
a. be de igned o that ali ductwork within the building i
under negative pre sure;
Exception: Duct\\Orl located within mcchanical cqu1pment
room . Posi11ve-prcssurc C\haust duct\\-Ork located within
mcchanical equipmcnt room hall be scaled in accor-
dance with SMAC A duct lcakagc Scal Cla s A.10
1andard 170-2013
 TABLE 6.4 Minlmum Fllter Etticlencies

Filter Bank l\o. 1 Filter Bank l\o. 2

pace De lgnatlon (.\ccording 10 Functlon)
(MERV)2 ('IER )2
Operaung room (Class B and C urgcry); mpancnt and arnbulatory dragnosuc and
7 14
thcrspcuuc rod1ology. mpauent dehvery and reeovery space
lnpauent care, treatmenr, and diagno 1 . and those pace pro' 1d1ng drrect servicc or
clcan upphe and clean processmg (except as norcd bclow); 7 14
Ali (rooms)

Protecuvc envrronment (PE) room

Laboratone : Proccdurc room (CI A urgcry), and assocrated scmirc meted pace R
Adrmnrstranvc, bulk torage; soiled holding pace . food preparauon space ; and
laundne
7 NR

All other outpauen: pace 7 NR

1',ursmg facihnc 13 NR
P ychunnc ho~p11<1J, 7 NR
Rcsrdcm care, treatmeru. and uppon arca in mpaucnt hosprcc facihues 13 R
Re idcnr care, treatmern, anJ support arcas in as 1 red hvrng facrhue 7 NR
"R noc ttq111ttd
''ª'~
• ~ mmnnunafficocncy l'q'()l'1~ •:aluc (\11 R\ 11s ba.cd on thc mcthoJofi.~·ns dn.;nbcd in \'<SI i\SllR.\I 1~n.brd 52 2. \f.iltoJaJ Te •I• ( V.ncn1/l.n11/a11.,., lir UNm~
()c.1tY• {<>r R~.J fj/i<1~,,.. l'bntC"lt .'ict ((i\. llRAI. 2012) in lnfont12ll\C Arpmd" B)
b. Add111onal prcfiltcn IN) be UKd to INutt mauv.cnaocc forfiltcn '"th cff..:1mc1cs h1~hcrlh:ln \1LR\ 7
e Asan altcnwnc.\ILR\'.14 ratc:d Í~>nma)be ll!Cd in filler lbnl. 'º· 2 1fa t~ lMT11nal llLP'\ filler IS J)R)'ldcd forlhoc ~.;,
d ll11h·f ffi,icncy Pan1c..L.1c "irllfl PAi fih~arc •hose filien 1ha1 rcmo\c at ~t 99 m.ofO J mscron- 11cd pu11dcu1 thc ratcd O.... 111 a.•ord.Ml.:c "'''h 1he •c•11111 mcth.~h ol
usr RP.CCOOI.3 (IEST (2005) m lnfOOIWl\-cAppmd1\: B)

b. discharge in a vertical direction at leasi 10 ft (3 m) above
roof lcvel and hall be located not le ss than 1 O fl horizon-
tally from air intakc • opcnable window doors, or arca
that are normally acce ible to the public or maintcnancc
pcrsonncl and that are hsgher in elevation than thc exhau t
di, chargc; and
c. be locaied uch that they minimi/e thc rccirculation of
cxhau ted air back mto thc building.
6.4 Filtration. Filter banks hall be provided in accordancc
with Table 6.4. Each filler bank wuh an efllciency of greater
than MERV 12 hall be provided with an mstalled manometer
or difTcrential pressure measunng device that 1 readily acce -
sible and provide a reading of drfferential talle pre ure
acro the filler tO mdicate when the filler needs to be changcd.
(For funher informauon. see FGI (2010) and CDC [2003) in
lnformauve Appeodix 8.) All of the air provided to a space
hall be filtcred m accordancc with Table 6.4, exccpt as other-
w i e indrcated tn ecuon 7 .1 for paces ihat allow recircular-
ing l IVAC room untt .
6.4. 1 Fir t Fillration Bank. filler Bank o. 1 hall be
placed up trcam ofthc heatmg and cooltng cotl uch that all
m1xed a1r 1 fillercd
6.4.2 ccond Filtration Bank. Filler Bant.. o. 2 hall be
installed do,..,nstrcam ofall wet-air coohng co1I and thc up-
ply fon. Ali second filler banks hall ha\C ealtng interface
surface .
6.4.3 Filler Bank Blank-Off Pancts. Filler bant.. bktnk-ofT
pancls hall be pcrmanently attached to thc filler bank framc,
constructcd of rigid material s. and have caling urfacc cqual
to or greatcr than the filler media in talled within the filler
bank framc.
6.4.4 Filler Framc . Filler framc shall be durable and
proponioned 10 provide an a1night fit with thc enclo ing duc-
twork. Ali joints bcl\\CCn filler cgmcnts and enclo ing duct-
work hall havc gaskcts or scal to providc a po itive seal
against air lcakagc.
6.5 llcating and ooling ) tcm
6.5.t ooling oíl and Orain Pan . Cooltng cotl and
dratn pans hall comply "tth the requiremcnt of A SI
A l IRAE tandard 62.1.12
6.5.2 Radiant ooling } tem . lf radtant coolmg p<inel
are utiltzcd, the ch1lled-water tempcraturc hall alway
rcmain abo\e the de\\-potnt tempcrature ofthe pace.
6.5.3 Radiant Heating y tcm . lf radiant hcatmg i pro-
vidcd for an All room. a protecuve envíronment room, a
wound inten Í\e-care unrl (bum untt), an operating room ora
proccdurc room (for any clas of urgery). cither ílat and
mooth rad1ant ce1ltng or wall p<inel wtth expo ed cleanablc
urfacc or radtant íloor heaung hall be used Gra\lt)-type
hcating or coohng unrts. such a radiators or convectors. hall
not be used m opcra11ng room. and other pcctal-carc area .
6.5.4 ooling Toners. Cooling towcrs hall be locatcd o
that drifl i d1rectcd away from a1r-handhng untt mtake .
They hall mcet the requtrement of ection 6.3 2
6.6 Humidificr . Whcn outdoor humidity and intcmal mois-
turc sourcc are not ufficicnt to mcct thc requircmcnts of

A\; 1 A HRAEA HE Wldard 170-2013 5

 TABLE 6.7.2 Supply Air Outlets
pace De ignation ( ccording to Function) upply Air Oullet la ificatlon•
Operaung room • proccdurc room Pnmary upply diffusers Group E. nona,p1ratmg
(ali clas · A. B. and C urgene b) addiuonal supply diffu!>Cr., Group E

Protccuve environment (PE) rooms Group E. nonaspiranng

Wound mtcn ive-care unns (bum unn ) Group E. nona p1ratmg
Trauma room (cri 1 or ~hocl) Group C'. nona p1ratmg
Ali room. Group A or Group E
Smglc-bcd paticnt rooms" Group A. Group D. or Group E
Ali other paucnt-carc paces Group A or Group E
Ali other pace \lo requrrernent
\otn:
a RcfctlOlhc 2009 tS/IR.U;llu..JhooJ. 1:u,..¡.,....,,u/•. Ch:iplCT ZO httA llRAI (2009) rn lnf0trnall\CArrcnJ1\ DI. Í<lrdcÍmolltlnl ~b1cd I0001lldclus1(,.;a1oon llnd f>t"rfünna~-c
b. ~s Ma) tcq\lrre allcma1e air cbslnbutiM S)Stcm> for sorne pttiahttd wrcmes uch <)>ICllh hall be tdcftd accqiublc 1f lht) mcct or exceed lhc rcquol'Cft>('fll' of thl\
~
e Air d .lnbul- l)~cml usan¡ Group O drfT...cn wll mttt thc foll<1"1n¡ rcqu11'CM<'RI
1 Thc S)\lC!n shall be dc<•¡ncd accon!J,. IO ~0cs1sn GwJchncs~ in Chaptcr 7 of .i!illRAE Sru..,,, Pcr/<1r-rtcc E•al111111<Ht •"" l>niz't G11ükl"'" for Dúp/acrtMfft •~11/u11011
11
l Tbe uppl) d1ff..-shall be locatcd •hcrc u cannoc be pennancnll) blocl.cd (es. orposuc thc fOOI ofthc bcd.l
) Thc room n:tumc•hausagnlle ihall be lo.:31cd 10 lhc tt1hng, lf'PR)\1matcl) abo\e thc hcaJ ofthc pahClllbcd
4 Thc 1ransfcr ¡nlle 10 1hc 101k1 room hall be localcd abo•c 1hc occvpicd Lonc

Table 7.1. humidification hall be provided by mean of thc
healih-care facrliry air-handling y tem . Locate humidifiers
within air-handhng units or ducrwork to avoid moi rure accu-
rnulation in down tream componen! • including filters and
in ulauon. tearn humidifiers hall be used. Chernical addi-
uves used for team hurmdifiers servmg heallh care facilitie
hall comply with FDA requrrements.' A humidity ensor
hall be provided. located at a uitable distance downstrearn
from the team IOJCCllon ource. Control hall be pro' ided 10
limu duct humidity 10 a máximum valué of 90° o rh when the
humidifier i operating. Humidifier team control valve hall
be de igned o thai they rema in otT whenevcr the air-handling
unit is not m operauon, Duct takcoff hall not be located
within the humidifier' absorpuon dt tance.
6.7 Air Di tribution ) tcm
6. 7 .1 General. Maintam the pressure relauon hips required
in Table 7. 1 in ali mode of HVAC sy tern operauon, except
a noted in the table. Spaces li ted in Table 7. 1 that ha' e
required pre ure rclationship hall be served by fully ducted
rcturn y tem or fully ducted exhaust sy tcm . The following
add11ional urgery and critical-care pauent-care arcas that do
not require a pre ure rela11on h1p to adJaCent areas hall also
be crved by fully ducted rctum or cxhau 1 sy tems: ( 1)
rccovery rooms. (2) crllícal- and inten l\c·care arcas. (3)
mtcnncd1a1c-care arcas. and (4) \vound mtcn 1ve-carc units
(bum un11.s). in mpallent fac1ht1e . pa1ien1-carc arcas hall u11-
hLc ductcd y tem for retum and exhaust air. Wherc pace
pre urc rcla11onsh1p are required. thc air d1 tributton sy tem
de 1gn hall mamtam them. takmg into account rccommended
mo\imum filler loading. hcatmg· cason IO\\Cr airílO\\ opcrn-
uon. and cooling- eason h1gher a1rílO\\ opcration. A1rstrearn
surfoccs of the air dis1ribu11on systcm downstrcam of Filler
Bonk o. 2, hall com~ly wnh ccuon 5.4 of A SI/
ASI 1 RAE Standard 62. J •1- The air distribution y tcm shall
be providcd '' 11h acce doors, panel • or other mean 10
allow convenient acce for mspecuon and cleanmg. (For fur-
ther informauon. see A 11 RAE tandard 62.1 (201 Ob] in
lnforma11ve Appendn B.)
6. 7.2 ir Di tribution Oc\ ice . Ali a1r d1 1nbu11on device.,
hall meel lhe follo'' mg rcqu1rement :
a. Surfaccs of a1r d1 tnbuuon dev1ces hall be u1table for
clcanmg. upply a1r outleb m accordance \v11h Table 6 7.2
hall be used.
b. The upply d11Tusers m operaung room (Clai, e B and C
urgeries) hall be de igned and mstalled to allow for
interna! cleaning.
c. P ychiatric. seclus1on. and holdmg-pa11en1 room hall be
des1gned '' 11h ecunty d1ffusers. gnlles. and reg1 ters.
6.7.3 moke Barrier . Where moJ..e barriers are rcquired,
heating, \Cntilating. and a1r-condi1ioning zone hall be coor-
dinated wilh compartrnentation to minimi/e duct\\.Ork pene·
tration of fire and smoke barriers
6.7.4 moke and Fire Oamper
a. Maintenance acce hall be provided at ali dampers.
b. Ali damper locations hall be hO\vn onde ign drawings.
c. A1r-handling y tem hall be arrangcd uch that dampcr
activation will not damage ducts
6.7.S Duce Pcnecracion . Ducts that penetrate construction
intended to pro1ec1 agam t x-ray, magnetic. radto frequency
interference (RFI), or other radiauon hall not 1mpa1r the
effeclt\ene oflhc protccuon. nor hall the treatment ofthe e
penetrauon impa1r the ven11la11on ofthe pace encd.
6.8 Encrg) ReCO\Cr) ~ lcm
6.8.1 General. Encrgy rccovcry y tcm hall be located
up trcam of Filler BanJ.. o. 2. 1 f encrgy rccovcry sy tcms are
utili/ed. thc y tem hall not allo"' for any omount of ero· -
contamination of cxhau ·t a1r back 10 the upply airstrcam 'ia

6 A.' 1 ASHRAEIASHE W1danl 170-2013

purgc, leakagc, carryover, or tran fer except as allowed in
Secuon 6.8.3.
6.8.2 Airborne lnfectious 1 olalion Room Evhau t y -
tem • Airborne mfccrious isolauon room exhau t systems
servmg Ali roorns or combmation Ali PE room shall noi be
uuhzed for cnergy rccovcry,
Exceptlon: Airborne infccnous 1 olanon room exhau t
ystcm crving All rooms or combinauon Ali PE:.
room may be crvcd by an energy recovery y tem
wherc the supply arrstream componen! and the
exhau t arrstream components are fully eparated by an
air gap of adequate distance to prcvcnt cross-coniarm-
nation thar is open to the auno phere (e.g .. run-around
purnped coils).
6.8.3 Energy Recovery y tem n ith Leakage Potential.
lf energy recovery y tem with leakage potential are utilized,
they hall be arranged to rmmmize the potenual to transfer
exhau t arr drrectly back mto the upply arrstrcam. Energy
recovery sy tem with leakage potenual shall be designed to
have no more than 5~o ofthe total supply airstream con i ting
of exhau t air, Energy recovery y tem wuh leakage potential
hall not be utihzed from the e e hau t airstream source : ER
"ª"'"8 rooms, triage, ER decontammauon, radiology waiung
room . darkroorn, bronchoscopy puturn collection and pem-
amidine adrmmstrauon, laboratory fume hood and other
directly ducted laboratory equipment exhaust, waste anesthe-
sra gas d1 posal, autopsy, nonrcfngerated body holding. endo-
scope cleaning, central medica! and urgical upply soiled or
decoruammation room, laundry general, hazardous material
torage, dialyzcr reproce sing room. nuclear medicine hot lab,
nuclear medicine treatmcnt room, and any othcr pace identi-
fied by the authority having jurisdiction or the ICRA team.
6.9 In ulation and Ouct Lining
a. An exterior vapor bamer hall be provided for tn ulation
on cold urfaces. A vapor bamer 1 not required for in u-
lauon material that do not absorb or transmu moi ture.
b. fa1 ung msulation and duct hmng acce ible during a
renovation prOJCCt shall be mspected, rcpaired, and/or
replaced a appropriatc.
c. Duci limng hall noi be uscd 111 ducrwork located down-
trearn ofFilter Bank o. 2. Duct linmg wuh an impervious
cover may be allowed in terminal units, sound aucnuators,
and air distribution device downsiream of Filler Bank o.
2. Th1 hning and cover hall be factory 111 talled,
d. Duct lining shall not be '" talled wnhin 15 n ( 4.57 m)
down rream ofhumidifiers.
7. SPACE VENTILATION
Thc vcntilation requirements of this tandard are míni-
mum that provide control of cm ironmental comfort, ascpsis,
and odor in hcalth care faciluies. Howcvcr. because they are
mínimum requrrernents and because of thc diversuy of thc
populanon and variations in susceptibility and en itiviry, thesc
requirement do not providc a urcd protecuon from di. com-
fort. a1rbomc tran m1 sion of contag1on . and odors
7.1 General Requirement . Thc followrng general rcquirc-
ment hall apply for pace ventilation
A l A HRAE..ASHE tnncbrd 170.2013
a. pace hall be \entilatcd according to Table 7.1.
1. De 1gn of the "entilation systcm hall prov1dc air
mo,ement that 1s gcncrally from clcan to less clcan
arcas. lfany form of\'ariablc-air-\olumc or load- hcd-
drng systcm ,., used for cncrgy conscí\at1on, it hall
not comprom1se the pressure balancmg rclattonsh1ps
or the mínimum air changes requircd by thc table.
2. The vent1lntton rate in this table are mtendcd to pro-
' 1dc for comfort ns wcll as for a ep 1 and odor con-
trol m arcas of a health care fac1l11y that d1rectly affect
patient care. Ventilation rates for many arcas not spcc-
ified here can be found in A SI A HRAE Standard
62.1 (A llRAC: [2010b] m lnforma11ve Append1x B).
\l, herc arcas wuh pre cnbed rate tn both tandard
62.112 and Table 7.1 of this standard cx1 t. the h1gher
ofthe two air change rate hall be used
3. For de 1gn purpo e . lhe mínimum nun1ber of totaJ a1r
changes md1cated hall be either upplied for po iuve
pre ure room or e\hau tcd for negatl\e pre ure
room . pace that are required in Table 7.1 to beata
negatl\C pre urc rclat1onsh1p and are not requ1rcd to
be e\hausted hall u11liLe the supply turflo" rate to
compute the m1111mum total air change pcr hour
requ1red. For paces that requirc a positl\'e or negatl\C
pre ure rclauon h1p, the number of a1r change can
be reduced \\hen the pace 1s unoccup1ed. prov1ded
that the requ1red pre ure relation hip to adjommg
pace 1 marntained while thc pace 1 unoccup1ed
and that the m1111mum number of a1r changes 111d1cated
i re-establi hed an}'time the space becomes occupied.
A1r change rate in cxce of the mínimum value are
expccted m some case in order to maintain room tem-
pcrature and humid1ty condition bascd upon the
pace coohng or heating load.
4. The enure m1mmum outdoor a1r change pcr hour
requ1rcd by Table 7.1 for the pace hall meet the fil-
tration rcquirements of ectton 6.4.
5. For pace:. ,..,here Table 7.1 permtt air to be rec1rcu-
lated by room untt • the portton of the mínimum total
a1r change pcr hour requ1red for a pace that 1 greater
than the m1nimum outdoor air change per hour
requ1red component may be prov1ded by rcc1rculat111g
room HVAC unll . uch rec1rcula11ng room HVAC
units hall
i. not receive nonfilterecl noncondJuoned outdoor air;
ii serve only a ingle pace; and
iii. provide a minimum MERV 6 filler for airflow
pa ing ovcr any suñace that i de igncd to con-
dense water. This filler shall be locatcd up trcam
of any uch cold uñacc, so that ali of thc air pas -
rng over thc cold suñacc is filtercd.
6. For a1r-handhng y tems 'iervmg multiple space , sys-
tcm m1111mum outdoor mr quantity hall be calculated
utili1mg onc of the following mcthod :
Sy tem mmimum outdoor air quantity for an air-
handhng syMcm shull be calculatcd ns thc um of
the tndl\ 1dual pace requ1rcment · as dcfincd b>
thi tandard.
7
 ;?; ~
N
~
N
o
.,.,
N o:: .,.,
N
.,.,
N
.,.,
N
.,.,
N
.,.,
N
.,.,r-
N
.,.,
N
.,.,
N
.,.,
N o:: o::
r- 7 r- r- r- r- r- r- r- r-
z z
oo o
r-
o
r--
o
r-
o
r-
o
r-
o o
r-
o
r-
o
r-
'° r--

s
o
s
o
o::
z
$
o
so so os os o::
z
$
o ..,,, ..
,,,
..
,, o::
z
N N N ~ M N N N
E E E

o o o o o o:: o o:: o o:: o o:: o:: o o:: o o:: o:: o

z L. z L. L. z L. z z z z z z z :z z :z z z

o:: o:: o:: o:: o:: o:: o:: o:: o:: o:: o:: o:: o:: o:: o::
z z z z z z z z z z z z z z z

=
.
E .e
u
E~
-e -
o
N
o
N
o
N 00
N N N N V'I o

~~
...,..: .e
E ~
_,
w =E ...o o:: o:: o::
m - e
=~
N N N N N N N M
z N N N
z z
~ ;: ~
~o

u u

= =
"ñ
o
Q..
:;;
o
Q..
o::
z
o::
z
o::
z
o::
L.
o::
z
o::
L.
o::
z
o::
z

...u
..
w
ci::
<
-...
Q. u
Vl ..J
-e
e...
'-
e E
e u
..
~
~
..
.S? u
ü ci:: u o
e
= u .>
:;; ~
e
1.1.. e E
Q u
7 § E e:
<
>
ci::
E e u
E
.c e
E

w ..8 "'e::::
o G o
ci:: z L.
V)

8 A:'li LA HRAl::.A HE l3lld3ro 170-2013

 '°
N
.,,
N
..,.
N
.,.
N
.,.
N
1
N
N
,....
N
,....
N
,....
N
,....
N
,....
N
,....
N
,....
N
,....
N
,....
N
,.... .,..
N
,....
QO
"' "'
¿,
"' "' "' "' "' "' "'
,....
N o
,.... ,.... o
e-
o
,.... o
,.... o,.... o
e--
o
r--
o
,.... o
,....

°'z z°' °'z ...

o z°' °'
z °'z °'z
E

L
o Zo Zo Lo Lo Lo Lo °' Z°' Z°'
Z °'°'°'°'°'o
Z Z Z Z Z L °'
Z Zo o
L
o
L

°'z °'z °'z °'z °'z °'z °'z °'z °'z °'z °'
z °'z

N N N o o o N N o o N

.e
E ~
=E g...
,_
,..: e: "Q
N N N N
°'z °'z N N
°'z N
°'z N N
°'z
w
...J
CD
<s
;: 4;

¡!
u
e: ~
7 °'z °'z °'z °'z °'z °'7 ;:
o
c..

f-
~ 7.:
e:u w
E
e
E
E
g
:::

ª u ~
e:
tO
w
o:
Ul f-
e, o
...
<e o
"Q
7
-e
e
E
2 E
8
>
o
u
¡;,
.
u
e:
2
.s
E
e:
~
o
..J
o o
z
o-e
<
o
u J! Q

~ o

A\i LA HRAE.A HE tandard 170-2013 9

 a: o:: o::
7 z z

a:
z
a:
z
a:
z
a:
z
a:
z
a:
z
a:
z
a:
z
a:
z
a:
z
a:
z
a:
z
a:
z .... o
'°
o
o::
z
o::
z z
o:: o::
z
E N

a: a: a: a: a: a: a: a: o o a: o:: o o o:: o:: o:: a: o

z z z z z z z L z L. z z z L. z z 7 z z

IX a: a: o:: o:: o:: o:: o:: o::

z z z z z z z z z

o o o o o

.e
E ~
...,...: =E ..o a: o::
-
N N N N N N N N N N N N N N
- o z N N N N N N
z
w
..J
-e.-=~o=
ID
~

a:
z..

o:;
...
u
e,
V'J
'-
ºe
.2
ü
e
=
w..

6
o
6 6
o o
6
o
6
o
e j .8e j e
.8 .8
.s .s .s .s .s

10 A'S LASHRAE.A HE tandard 170-2013

 ..., -e -o
N N '° '°
N N
-o
N N '°
N '°
N

z°' "'
N
N N N N
« N
~ « « «
z°' !"
°' °'
0:
.,... .,...
N N
00
N
oc
N
00
N
00 z
N
oc z
N
00 z O(; z z 7 z
"o o" " " "
N
1
N
1
N
1 "
N
1 "
N
1 " N
1 "
N
1

"
e-, e-,
" " " " e-,
"

°' z°'
z °'
z ...E,,, °' °'z
z °' z°'
z
«
z °' z°'
z
«
z °' z°'
z
«
z z°'

z
o o
L.
o
L
o
z °'z o
L.
o
z zo o
L. °'z o
L
o
L.
o
L
o
L.
o
L.
o
L.

«
°'z z °'z °'z °'z

E .c:
= ..
E • o o o N o o N o o o o o
e: !!
~~
.e:
E ~
...,..: e :;
- e °'z N N N
°'z °'z °'z °'z °'z °'L. °'z °'z N
e:"
w
..J
i=o
m
~
u
~
°'z ~
u
z

..J
u<
.
C) d)
u
.... E o:: u
e
-5
:o
e
8...
e
E
c. V)
d)
eo o o
:-0

-..e... ..
V) .e:
._ ~
e...
<= Q
E .s: u
o z; e :;¡
"~ d)

..
o .D e
E
.. ...
e ..::: E -e 2 -o u o
.:: ~ e: ~
t:i o g'¡:;
.e: e...
..J
-e
'¡:;
s u :; o
ü :;¡

...e ...e
d)
e u E u e ~ .e: o ~u ;:
= eu
~e
E e 'é eo u w E

... ~e...
5 ~
~e
,,. E
E 2 .e: u
..eo.
t.. o. Q e: .,,o
.§ ü
s w o u ~ :;¡
s e;
ºE !!

.. ea e
C(I
e e E
... ..Jz
C)
-o
~ sr u d)
8 ~
..
u z; u E
e: u e e
~
"o... o 9
.,,
.é u rr.
, d)
-e o
t) JI

...... 3...
u
E E o e E ü o =
= ..
Ñ w !:! 6 e o
...e-
¡;;
"" :$ í!
..
e -..... :$
:$
u c. ~ 'E
..
~ -o ]
ª g
-e e -o e
t) ..J
e... ~~ ?.... .!:! ~ e .e: o .!:!
o .,= o o
ü ü ~ ...e u
... ~ "'
= z=
a: o > ü u e -o '¡:; e c. o ~ 7

,s..
L. w cii ~~ a: ~ 3 .J ce ..... c. u ..!:
!- w (/) G cii t.:
....J (/) C) (/)

V) u V) V) rr.

A>..;. LA HRAEA HE Standard 170-2013 11

12 A'I; 1 A HRAEIASHE l3lldatd 170-2013
 11. y tern mínimum ouidoor air quantity hall be cal-
culated by the Vcntilation Ratc Proccdurc (multi-
ple zonc formula) of ASllRAC Standard 62 1.12
Thc rnimrnum outdoor air changc ratc listcd m rhrs
standard shall be interprctcd a the 1~1: (zonc out-
door airflow) for purpo e ofthi calculation,
b. Air ñltrarion for pace hall comply with Table 6.4.
c. upply arr outlets for paces hall comply with Table 6. 7 .2.
d. In Ali rooms, prorecuvc cnvironrncnt rooms, wound
mten ive-carc unu (bum unus), and opcraung and proce-
dure rooms (for ali classc of surgery). heaung wuh up-
ply air or radiant panel that meet thc requirement of
ecuon 6.5.3 hall be provided.
7.2 \dditional Room- pecific Requircment
7.2.l Airborne lnfcction 1 olation (Ali) Room . Ventila-
non for Ali room hall rneet the following requirernents
whenever an mfecuou patient occupics the room:
a. Each Ali room hall comply with rcquiremeru ofTable
6.4. 6.7.2, and 7 l. Ali room hall havc a pcrmanently
mstalled device and/or mechani m to con tantly monitor
thc difTcrcntial air pre surc bctwccn thc room (whcn occu-
picd by patiem with a u. pcctcd airbornc infcciious d1 -
case) and thc corridor, whcthcr or not rherc 1 an
anteroom. A local vt ual mean hall be provided to indi-
cate whenever negauvc drfferennal prcssure 1 not main-
tamcd
b. Ali air from thc Ali room hall be exhau red drrectly 10
thc outdoors
Evception: Ali rooms that are retrofiued from tandard
pauent room from which ll 1 impracncal to exhausr
directly outdoors may be provided w uh recirculated arr
from the room's exhau: t on the condiuon that thc arr first
passe through a l ICPA filler.
c. Ali exhau t air from thc Ali room , a sociated anteroom •
and a ociated totlet room 'hall be di charged drrectly to
the outdoors '' uhout m1x111g wuh exhau t air from any
other non-A 11 room ore haust system.
d. Exhaust air grille or rcgisters 111 the pauent room hall be
located directly above thc pauern bed on thc ceilmg or on
the wall near the head of the bcd unlc it can be dcmon-
trated that uch a location i not practica].
e. The room envelope hall be ealed 10 limit leakage airflow
at O.O 1 m. wc (2.5 Pa) difTerential pre ure acro the
envelope
f Diffcrenual pressure berwccn Ali room and adjacent
pace that are not Ali roorns hall be a mínimum of 0.01
in. \\.C ( 2.5 Pa). pace uch a thc toilet room and the
anteroom (if pre cnt) that are dircctly a ociated w ith the
Ali room and open directly mio thc Ali room are not
rcquircd to be de igned wuh a mínimum pressure difTer-
encc from thc Ali room but are still rcquircd to maintam
the pre sure rcla11onsh1p to adJaccnt arca spcc1ficd 111
Table 7.1.
g. Whcn an antcroom is prov1ded, the pre ure rela11onsh1ps
hall be a follows: ( 1) thc A ll room shall be at a ncgalÍ\.c
pre ure wuh rcspect to thc antcroom, and (2) the ante-
A' l ASHRAE,ASHE Wl<brd 170-2013
room hall be at a negative pre ure with respect to thc
corridor.
7.2.2 Proleclh e En' ironmcnt (PE) Room . Venulauon
for PE room hall meet the followmg requ1rements:
a. Thc room envclope shall be sealed to hmu leakage a1rOow
at O.O 1 m. wc (2.5 Pa) d1 fTcren11al pre ure acro thc
ell\.elope.
b. Each PE room shall comply with the rcqu1rcmen1 of
Tables 6 4, 6.7.2. and 7.1. PE room hall ha\e a penna-
nently m talled de' ice and/or mechan• m to con tantly
monitor the d1fTeren11al a1r pre ure bet\\een the room and
the comdor when occup1ed by patient requ1ring a protec-
ti\.e envuonment regardle of whether there 1 an ante-
room. A local visual means hall be pro\ ided to md1cate
whenever posithe difTercnual pres ure is not mamtruned.
c. Air di tnbuuon pattem withm the protectl\ e cnv1ronmcnt
room hall confonn 10 the followmg:
1. upply air d1fTusc~ hall be above thc pat1cn1 bed
unlc<.s ll can be dcmonstmted that '>Uch a locauon ,.,
not practical. DifTu er dcs1gn shnll hmit air \.cloc11y at
thc paucnt bed to reduce pa11cnt d1scomfort. (Scc
A llRAE tandard 55 [2010a] in lnfonna11vc Appcn-
d1 B.)
2. Rctum c'hau t grille or reg1 ters hall be locatcd near
the pattcnt room door.
d. D1fTerenttal pre ure bctween PE room and adJacent
pace:. that are not PE room hall be a mmimum of +O.O 1
m. \\C (+2.5 Pa). Space ucb as the toilet room and the
anteroom (1f present) that are directly as oc1ated with the
PE room and open d1rectly into the PE room are not
requ1red to be de igned with a mínimum pressure d1fTer-
ence from the PE room but are ttll requ1red to mamtam
the pre ure relation h1p to adJacent area pec1ficd 111
Table 7.1.
c. PC room retrofiucd from tandard patient room. may be
venttlatcd with recirculated air. prov1ded that a1r first
pa . e through a llEPA filler and the room compile. w1th
parts "a" through "d" of ecuon 7.2.2.
f When an anteroom 1 provided, the pre ure relauon h1p ·
hall be ns follow : ( 1) the PE room hall be at a po ill\C
pres ure ' ith rcspect to the nnteroom and (2) thc ante-
room hall be at a po iti\e pre ure with re pect to thc
comdor.
7.2.3 Combination irbome lnfectiou 1 olation!Pro-
tecti\'e Em·ironmcnl ( 11/PE) Room . Ventilatton for Ali
PE room hall meet the follo'' mg requirements:
a. upply a1r d1fTu crs hall be locntcd abo"e thc pat1cnt bcd.
b. Exhau t gnllc or rcg1 tcrs . hall be locatcd near the
pattent room door.
c. Thc pre ure relatton h1p to ndJaccnt aren for the required
antcroom hall be onc ofthc follo\\mg
1. Thc antcroom shall be nt n poslll\c prc~surc w11h
re pcct to both thc Ali PE room and thc comdor or
common space.
13
 2. The anieroom hall be at a negative pre ure w ith
re pect to both the All PE room and the corridor or
common space.
d. All PE rooms shall havc two pcnnancntly mstalled
dcvice and or mcchani ms to con tantly monitor thc dif-
fercnual air pre urc. Onc devicc and/or mcchani m hall
monitor thc pre urc diffcrcntiat bciwccn thc Al 1 PF room
and thc anteroom. Thc econd device and/or mechaní m
hall monitor thc pres urc difTcrential bciween the ante-
room and thc corridor or common spacc. For each device
and/or mechani m, a local visual mean shall be provided
to indicare whcnevcr difTcrcntial pres urc i noi rnain-
taincd.
7.3 ritical-Care nit
7.3.1 Wound laten ive- are nit (Bum nit ). Bum-
umt pauent room that require humidificrs to comply wnh
Table 7.1 hall be pro' ided with individual humidity control.
7.4 urgery Room
7.4.1 Operating Rooms (Clas B and C), Operating/ ur-
gical C) to copie Room , and ae arean Delher) Room .
These room hall be maintained at a positive pre ure with
re peer to ali adjoining pace at ali times. A pre ure differ-
cntial hall be mamtarned ata valuc of at least •0.01 in. wc
(2.5 Pa). Each room hall have individual tcmperature con-
trol. Thcse rooms hall be pro' ided with primary upply dtf-
fuscrs that are designed as follows:
a. The arrflow hall be unidirecuonal, downward • and the.,
average velocuy of the diffu crs . hall be 25 to 35 cfm tr
( 127 to 178 L' m2). The dt fTusers shall be concentrated to
provide an arrflov pauern over the patient and surgical
team. (For further information, ee Memarzadeh and
Manning [2002] and Memarzadeh and Jiang [2004] in
lnformauve Appendix B.)
b. The arca ofthc primary upply diffuser array hall extend
a mmimum of 12 in. (305 mm) beyond the footprint ofthe
urgical table on each ide. o more than 3~o of Lhe pri-
mary upply difTuser array arca hall be used for nondif-
fuser use uch as lights, ga columns, etc. Additional
upply diffusers rnay be required to provide additional
ventilation to the operating room to achieve the cm iron-
mental requirement ofTable 7.1 relating to temperature,
humidiry, etc.
The room hall be prov ided with at least t\VO low tde-
wall reiurn or exhaust gnlle spaced at oppo ite corners oras
far apart as po ible, wuh the bouorn of the e grille installed
approxrmately 8 m. (203 mm) above the floor,
Exceptlon: In addítion to the required IO\\ return (or
exhau t) arr grilles. such grille may be placed high on
the walls.
7.4.2 terilizatien Room . Stcam ihat e cape from a
team tenlizer hall be exhau ted u ing an exhau t hood or
other suitable mean . Ethylenc oxide that escape from a gas
sterilizer hall be exhau ted u ing an exhau t hood or olher
uitable meaos.
7.4.3 lmaging Procedure Room . lf invasive procedure
occur in thi type of room, ventilation shall be providcd in
14
accordance with the ventilation requirements for proccdure
room (Clas A urgery). lfanc thctic ga e are adrninistered,
veruilation hall be pro\ ided in accordance w ith the ventila-
tion requircment for operating rooms (Clas B or C urgery).
7.5 upport pace
7.5.1 1orgue and utop y Room . vennlanon for morgue
and autopsy room hall meet thc followmg requiremcrus:
a. Low rdewall exhau t grille hall be prov ided unle.
exhau t atr i removed through an autop y table designed
for tht purpose.
b. Ali exhau t air from autop y, nonrefrigcratcd body-hold-
mg, and morgue room hall be dtschargcd d1rcctly to thc
outdoors without mixing with air from any other room or
exhau t y tcm.
c. D1fTerential pre urc beh\ecn morgue and autop y room
and any adjacent pace that have other functton hall be
a minimum of O.O 1 in. wc ( 2.5 Pa).
7 .5.2 Broncbo cop)
a. Differential pressurc bet\\een broncho copy proccdure
and putum induction room and any adjacent paces that
have other functions hall be a mmimum of O 01 m wc
( 2.5Pa)
b. Local exhau t hall be pro\ 1dcd for sputum collection pro-
ccdu~.
7.6 P )ehiatric Patient rea . Ali e:..po ed equ1pment
located "1th thesc pace hall havc cnclo ure \\lth rounded
comers and tamper-re i tant fasteners. With the except1on of
HVAC room rec1rculatmg unit , equ1pmcnt hall be arrnngcd
uch Lhat mamtenance personnel are not requ1red to entcr
pattent-<:are pace for en ice.
8. PLANNING, CONSTRUCTION, ANO
SYSTEM STARTUP
8.1 Q,enien. For HVAC ystem servmg urgery and criti-
cal..care space . compliance wtth this tandard requtre prcpa-
ration of an acceptance te tmg plan.
8.2 Planning for the HVAC en ice in a en Facilit).
De ign document for ne\\ construction hall meet the fol-
lo\\ ing rcquiremcnts:
a. General Mechanica/ Equípme111 Rooms. The acce to
mechanícal room hall be planned to avoíd the mtru 100
of mamtenance personnel mto urg1cal and cntical..care
pattent paces.
b. .\1ec/1anica/Room lol'Out. Mcchanical room layout shall
mclude uffic1ent pace for accc to cqu1pmen1 for opera-
tton. mamtenance. and replaccment. Floorb m mcchanical
room hall be scaled. mcludmg eahng around ali pene-
rratton • whcn they are abovc urg1cal u11e-. and criucal
care.
c. \laíllfena11ce1RepairPerso11nelAccef~ afe and practtcal
mean of acces mg equ1pmcnt hall be prO\tded Clear-
ance 1 requtred at all erv1ce pomt to mcchan1cal equ1p-
men1 to allow personnel acce and workmg pace.
8.3 Planning for the H en ice in an Edsting Facilit).
If any e"<tsting air-handling cqu1pmcnt 1s rcuscd. thc de igncr
A':'. LA HRAEA HE wxlan! 170.2013
 hall evaluare the capaciry of the cquipment to determine
whethcr it will mcct the requirerncrus of this tandard for the
rcmodclcd pace.
8.4 Planning for lnfection ontrol During Remodeliog of
an E lstiog Facilit). Prior to bcginrung modificatton or
remodeling of l IVAC systems man existing facility, an owner
hall conduct an mfcction control ri l.. asse sment {ICRA).
Thc ICRA shall establish thosc proccdures rcquircd to rruru-
mize thc disrupuon of facrlity opcration and the drsrnbution
of du t. odors, and paniculares.
8.5 Documentation oí 'e" or Remodeled 11 A ) rem •
Owncrs hall retain an acccptance le ting report for their file .
In adduion, the de ign shall includc requirernents for opera-
non and maintcnancc staff training that is sufficient for the
taff to kccp ali llVAC cquiprnem in a condition that will
mamram the original dcsign intcnt for vcnulation. Traming of
opcraung tafT . hall mclude an cxplanauon of the de ign
mteru. The traimng material shall includc, ata mimmum, the
followmg:
a. O&M proccdurcs
b, Tcmpcrature and pre urc control opcration in ali mode
c. Acceptablc tolernnccs for system temperaturcs and pre -
sures
d. Procedurc for opcration under emergency power or
oihcr abnormal conditions that havo been con idered in
the faciliry design,
8.6 Duct Cleanline . The duct upply y tern hall meet the
following requirernems for clcanline :
a. Thc duct systcm shall be free of construction dcbris. cw
supply duct systcm installations shall comply with lcvel
"B," thc lntcrmcdiate Leve! of SMACNA Duct Cleanli-
ne . for e" Construction Guidelines.9
b. Thc upply diffu er in opcrating room (Clas B and C
surgery) hall be opcncd and clcancd before thc pace 1
used.
c. Thc pcrmancnt 1 IVAC ysicm shall not be operatcd
unlc protcction from contamination of the air distribu-
non sy tcm rs providcd.
A 1 A HRA A HC: Wld3td 170-2013
9. NORMATIVE REFERENCES
1 Code of Federal Regulation . 21 CFR 173.31 O (April 1999).
U.S. Dept. of Hcalth and Human Serv ice , Food and
Drug Administration.
2DHHS
( IOSH) Publication o. 94-100 ( 10 H Alen),
Controlling Exposures 10 Nitrous Oxide D11ri11g A11es-
theticAdministration, ational In titule for Occupational
afery and l lealth (CDC), Atlanta, GA.
3o HA ( 1994). Computcrizcd information y uem, Wa hing-
ton, OC: U.S. Dcpartmcnt of Labor, Occuparional afery
and Health Admini tration.
4A SI ASllRAE Standard 154-2003, Ve111i/a1io11 for Com-
mercial Cooking Operations. Atlanta: ASI IRAE.
5 FPA. 2002. NFPA 90A, Sumdan! for tho lnstallation of
A1r-Co11di1io11i11g and Ve111i/01i11g Systems. ational Firc
Protcction As ociation, 1 Battcrymarch Park, Quincy,
MA 02169.
6 FPA. 2004. NFPA 96, Standard for Ventitatlon Control mu/
Fire Protection of Commercial Cooking Opcrations.
ational Firc Proiccnon Association, 1 Baucrymarch
Park, Qumcy, MA 02169.
7 IOSH Critica! Documcnts, ational In titule for Occupa-
tional Safery and Health, available at the Cemers for Di -
case Control and Prevention (CDC) web ite: http://
www.cdc.gov/niosh/pub
criteria_date_de c_nopubnumbers.html
8 FPA 99-2005, Standard for Health Care Facilities.
ational Fire Protecrion A ociation, 1 Bauerymarch
Park. Quincy, Massachu erts USA 02169
9SMAC A Duct Cleanlinessfor New Construction Guide-
lines. (2000), Chantilly, VA 20151.
1ºSMACNA,
HVAC D11ct Construction Standards. \1etal and
Flexible(Third Edition: 2005).Chantilly, VA 20151.
11 ASHRA E System Performance E1·a/11atio11 ami Design
Guidelinesfor Displacement Ventilation,2003. Quigyean
Chcn and Lcon Glickman.
12A Sl/ASHRAE Standard 62.1-2010, Ventilatton for
AcceptablelndoorAir Quality, Atlanta: A 1 IRAE.
15
(Thi appendi' is not part of thi tandard. 11 i merely
informathe and doe not contain requirements nece a')
for conformance to the tandard. 11 ha not been pro-
ce ed accordlng to the 1 requirement for a tandard
and may contain material that ha not been ubject to
public re' iC\\ or a con en us proce . nre oh ed objec-
tor on informath e material are not offercd the right to
appeal at \ llRAE or A l.)
INFORMATIVE APPENDIX A
OPERATIONS ANO MAINTENANCE PROCEDURES
A1. O&M IN HEALTH CARE FACILITIES
The following operations and maintenance procedures
are recommended for health care facilities,
A 1.1 Operating Room
a Each opcraiing room should be te ted for positive pres-
ure scmi-annually or on an effcctive preventative mainre-
nance chcdulc.
b. When llE::PA filters are present wuhm the diffu er of oper-
ating room • the filler should be replaced based on pre -
sure drop.
e Operaung and cae arcan delivery room vernilation y -
tem hall operare al ali time • except during rnarruenance
and conduions requiring shutdown by the building' fire
alarm y tem.
Al.2 Protective Envlronment (PE) Rooms. PE room
hould remam under positive pres ure with respect to ali
adjommg room whenevcr an immunocompromiscd patienr is
prcscnt. PE rooms should be te ted for po itive pre ure daily
whcn an immunocompromi ed paticnt is pre cnt, \! hcn
1 IEPA filrers are pre ent within the diffu er of protective envi-
Areaway
First Floor
Air lntake
Opening from the
Areaway into the
Building
Basement
Figure A-3 Provisions for areaways.
16
ronmcnt rooms, the filler hould be rcplaced based on pre -
ure drop.
A 1.3 irbome lnfcction 1 olation ( 11) Room . Ali room
hould remam undcr negauve pre ure relative 10 ali adjoin-
ing room whencver an infcctiou patient i prescnt They
should be tes1cd for negauvc prcssurc daily whenever an
infecnou pauent 1 pre nt
1.4 Filter . final filters and filler frarne hould be vt ually
in. pccted for pre urc drop and for bypass monthly, Filters
hould be replaced based on pre ure drop with fílters thar
providc the efficicncies specified in Table 6.4.
A2. SPECIAL MAINTENANCE FOR HVAC UNITS
The followmg pecial rnamtenancc procedures are rec-
ommcnded for health care facilities.
A2. I Fan- oil oit and Heat Pump . The fan-coil urnt and
heat-pump filters ~I"\ mg pauent rooms hould be mspected
monthly or on an effecuvc prevcntativc mamtenance cyclc for
pre urc drop and replaced whcn tha1 pressure drop cause a
rcducuon m arrñow, Fan-coil unit and hcat-purnp drain pan
undcr cooling coil should be clcancd monthly or on an cffec-
tive preventauve mamtenance cyclc.
2.2 Ftn-Tube Radiation nit , lnduction nit and on-
vectlon nil . Fin-tube radiauon unit • induction units, and
convccuon unu servmg pauent room hould be clcancd
quarterly or on an effecuve prcvcntative rnaintenance cyelc.
A2.3 Fan-Powered Terminal nit . Fan-powered termmal-
unit filler; servmg patient rooms should be inspccted monthly
or on an effec1ive pre,enta1ive maintenance cycle for pres ure
drop and replaced when the pre ure drop cau e a reduc1ion
in a1rflo\\.
A3. AIR INTAKE OPENING FOR AREAWAY
Figure A-3 tllustrates lhe provi ion ofSection 6.3.1.4 for
:ur intaf.. e opcmng for area''ªY .
Areaway Air lntake Opening
Grade
A:-0 l A HRAf...A HE lalldard 170-2013
(Thi appendiv i not part of thi tandard. lt i merely
lnformatlve and doe not contain requirement nece Bf)
for conformance to the tandard. lt ha not beco pro-
ce ed according to the 1 rcquircmcnt for a tandard
and may contain material that has not been ubject to
public rev iC\\ or a con en u proce . nre oh cd objec-
tor on informative material are not offcred the right to
appeal at A HRAE or l.)
INFORMATIVE APPENDIX B
INFORMATIVE REFERENCES ANO BIBLIOGRAPHV
AC . 2000. Guidelines for Optima/ Ambulatory Surgical
Cure and OUice-based Surgery, Third ed. American Col-
legc of'Surgeons, Chicago, IL.
A llRAE. 2005b. stinimiung lndoor Mold Probtems through
Management of Moi ture 111 Building .S:1· tems. A l IRAE
Po 11100 Document. ASHRAE, Atlanta.
A HRAE. 2009. ASHRAE Handbook-Fundamentals.
Chapter 20. "Space Air Diffu ion." Atlanta: A HRAE.
ASHRAE. 2010a. ANSl/ASHRAE Standard 55. Thermal
Environmental Conditions for Human Occupancy.
Atlanta: ASHRAE.
A HRAE. 2010b. A 1 A JIRAE tandard 62.1, Venntanon
for Acceptable lndoor Air Quality. Atlanta: A HRAE.
A llRAE 2011. ASHRAE Handbook Applicanons. Chaptcr
8, "l lcalth Care Facilities," Atlanta: A l IRAE.
A llRAE. 2012. A Sl/ASHRAE tandard 52.2, M('t/wd of
Testing General Ventilation A ir-Cleaning Devices for
R('11101·0/ Efficiency by Panicle Size. Atlanta· ASI IRAE.
ASllRAE 2013. fll'AC Design Ma1111a/ for Hospital, ami
Clinics. 2nd Edition. Arlanta: ASI IRAE.
CDC. 2005. Guideltnes for Prevcnting tire Transmission of
vtycobacterium Tuberculosis i11 Health-Catv Facihue .
U.S. Dcpartment of l lealth and l luman erv ice • Ccntcrs
for Di case Control and Prcvenuon, Arlama, GA.
CDC. 2003. Gutdehnes for E111•1ro11me11tal 111fect1on control 111
health-care facihties. Morbidity and Mortaluy Wcckly
Repon (MMWR). U.S. Dcpartmcnt of llcalth and
l luman ervice , Centcrs for Disea e Control and Pre-
vention, Atlanta, GA.
Coogan, J.J. 1996. Effecis of surroundmg space on roorns
pre surizcd by diffcrcnual ñow control. ASHRAE Tra11s-
actions 102( 1 ).
A'- LASHRAE.-A HC WKW"d 170-2013
CSA Group. 2010. CA CSA-Z317.2-0l, Special Require-
ments [or Heating. Ventilation, 011d Air Conditioning.S:n-
tems 111 Health Can! Facilities. Toronto: CSA Group.
fGI 201 O Guidcíines for Design and Construction of Health
Core Facilities Facihty Guidcline In titute, American
ocrcty for llcalthcare Engineenng, Chicago, IL
Hayden, C... 11, O.E. John ton, R.T. Hughes, and P A. Jcn-
sen. 1998. A1r volume rmgration from negauve pre urc
isolation room dunng entry C:\ÍI. Applted Occupanonal
anti Em 1ro11111e11wl l tygiene 13(7):518 527.
l lcrman • RO. 2000. l lcalth care faciliry de ign manual-room
de ign. ISllRAE Transactions 106(2).
IE T. 2005 IEST PR-CCOOl.3, HEPA and ULPA Filters,
Arlmgton Height • IL. In utute of Envrronmental cr-
ence and Tcchnology.
Lcwi . J.R, 1987. Operating room air drstribuuon effectivc-
nes . ASHRAE Transactions 93(2): 1191 98.
Mcmarzadeh, F. 2013. Liierature review: Room Ventilation
and Airbome Disease Tran mi ion. omograph, Amen-
can Society for Heahhcare Engineering, Chicago, IL.
Memarzadch, F., and A. Manning. 2002. Companson of oper-
ating room veruilation system in thc protecuon of thc
surgical suc, ASHRAE Transacuons 10 (2)
'Aemarzadeh, F. and Z. Jiang. 2004. Effect.\ of Operating
Room Geometry and l'e1111/att011 System Parameter l~ri-
auons 011 tlu: Protection o[ tite Surgicul Site. IAQ 2004:
Cnucal Opcrations: Supporung the l leahng Env1ronmcnt
through IAQ Performance tandards.
FPA. 2012. FPA-99, Standard for Healtlt Carc! Factl1tws.
Quinc), MA: at1onal F1rc Protcct1on A soc1a11on.
momura. P., and J. Bartlcy. 200 l. e~ \enulauon gu1dc-
lme for hcalth-carc fac1ht1c . ASllRAE Jmmwl, Junc
2001. Atlanta. GA.
momura, P., J. Bartlc), and C. Rou seau. 2011. llcalth carc
!ltandard updatc. AS/-IRAE Journal (March 2011 ).56 60.
O llA. 29 CFR Pan 1910.1047, Occ11patio11a/ fapasure to
Etliylene Oxule. U.S. Dcpartmcnt of Labor. Occupauonal
afety and lleahh Admm1 trauon, \\.a hmgton. D.C.
MACM. 2000. D11c1 Clea11/111i:JS for Nt!" Co11str11ctt011
Guidelines. Chanully, VA: Sheet Metal And Air Cond1-
11onmg Contractors' ational Assoc1ation, lnc.
USP. 2008. ational Forrnulary. USP- 797, Phannaceutical
Compoundmg Sterile Prcparatíons. U. . Phannaco-
pcial Comention, Rockv11lc, MD.
17
 .: .::

,....
o
1

w
...J
m
~
z
o
~
:E
CI:
o
u.
oz
>< z
ºº
z-
w~
el. CI:
.
.....
u
el. o :o
i!!
<( "'
Ww
~o
~ <(
:E o
CI: z •
ow
u. o
z~

18 AA l/ASHRA&ASHE iandard 17~2013

 Mf""\,...
,r";
ooco

ºººº
0000
NNNN NN,..IN
f"'••lt'""'NN
.D~oéó -éC: :¡¿ ó
"'~~,. .: NN-r""\ NN-r"\
NN-N
~ ~~~ c~c-c
gg
~ :::l
~~¿~
............
e e; e e
nnn~

•
..
~
e:
.e
...
u
o
e:
..:
..
¡:;
Q.
...
1:

T'"

ó
w
..J
m
~ o

-;o-
.... e:
e: o
.: o:
=~
~""
u
.
..... .
.....
u
:o :on
¡!? I'""

.e E e:

A LA HRAE.A HE tand3rd 1~0-2013 19

 NNNN NNNN
0000 0000
NNNN NNNN
,.;,..: .,: .,: ,..; ,..: .,: .,:
NNNN NNNN

§§§§ !!! :n~ ~

:s :s :s :>
.......... """' ..... -.~-..~

s
s
~
e:
~
c:o
o
o
N
ó
......
,.... •e
'E et)
e:
cu •

-
"O 1:.
e u
....
cu o
en e:
.2
w
:e c.
"t:
en t
o
~ .:
et
a:
:e
en
~
en
z

-
et
o
cu
"O
e
G>
"O
"O
et
,....
o
1

_,
w
m
~
~
ü
.
~
-e
3e:
o

~ .
.....
u
:o
~

Q..

20 A.'< lASHRAE..ASHE 1andard 170-2013

 ~ ..,,
t"E •... ...
!:: ,...., :? r'\
'O
r'\M"""'
·
o-o-
!::?!:!~,....., ~~~~ ~~~~ ~~M!: r'\Mr":,......
;¡ g ~ ~
0000 ~~f"""
.~
oo-- oo-o oo-o oo-o
Q u w = r.r.
NNNf"f

;:;~~:;
<> •.o •
•~<~~
0000
.¿,,:~e> """'ºº
... .¿~~
,....::>e_V'\
... ""~] ~~~~
NNON
N.¿"'!..¡
NNNN
.¿¿¿..;
~i..8
NN-,_.,

e~===
•=
c..~~ J;¡
.....
cc~c
gggg
e=
NNr'\""
§~~~
.... ~~~
NNt"''N
~~~~
= =~ :i
............... 5;.. 5 e...
NNt<"\N
~~~~
= :;~ ==
...............
NNMN
~~~~
..... ..........::t
Nr'\Nf""'
>.>.>.>.
95!;~=
,

-. ..... -,, -.
~:< &~~~
e e e :i ::t~
C"S."'
-.-.-.-.
ft
v:; •

...
=e ,.~ -§ e :E ~2.g
J:.
-e f.F
!: ~ ~ =
$
..,, ~"' -~ -
5e;;~]
J:.
"' ~e ~1~~"'
~ us ~
] ~~ >. E
<=" ~
z: - - .,.
: !.
~~~~~
g_,o-< g::.
~~¡¡~c:.8-º
~-v
~~
- ...
o •O
;::....~
~-;.::.~ C.s:;-
=e >-5 E
~ ::.::·=~ o-u ce:: c=.w ~t.S: ....
o el:~~~-
~CI) _g-=..o 2.~
$~~e s
~ g~~ü ~-=E
u'-at:(j-.cª
t;.§U§4E¿g -- ...
_g,.
cu{.
u-
...
.;¡
.....
o
:o-=
"'-'
¡..;;;-
cE
;u2r;
~~§'o
~ ~ E ~ ...
g~
i

-
::) G ~>~."'e -e
~-='ª~ ~
5 E

j¡
.E t;~C.~~
- ·;;; '"O - 2 CJ -- = 'I e'o
~..,, Q.."
.s
::i ~~
~-o;;Ec.;:ct¡ 2..e
="'
u•Cn ª'J~E~
e: Eé!22§o"'K, :5 !Ir Q. :é~ ::s - ~e

~
o ª~'~'J
~:: ~.gl
- ... e.to:
g:ser.1!'!:u
~..S!"'e"ªg.;:
~f. ._t.:
~5 ~~ ~-= . . ~~
E"' E-"'
8_.;:.§-;:¡.g
c:o ls~&o°i~«e'
e.oc~ "O.e r:s
·~~ Eü =·~
~e =l5$;¡i=Z
~ ~ ~~ =~<=.1:.,.
~~ ~~~
o
o g=->~..e ~'t ~-o e
ll 8..1:. $ "/ ,,¡ ~-=
e.:.u '"
~] ;~ u.J:. . e
&2...;e,
N
¿,
..... [~E 9~
ol- E' ~
~ ~¡5 ;;.et~ -::o -.
"'u
e.,
e-
ge
:c
E~~~~ ,.
,.... •"".,
..
- ==-"'
~c-g•e
~e g~ 9.">.ª .:!o~i:!é
eº ~!!
i:! 2. o •
:;.,,-5!)!._e ~¡!!
=
e-=
~.6 ..,, -
e-~ e-5-g~.s
s ::;t.:~..,, ~
,,°Ecae - ~.f ¡,;:
•"" e,.,.,. .. ::s
et "' ... u é ['"' 5-=~
§c.c. ¡¡

E"' ...ü
e:: <T"'
E J:.- .!!
"'°'S<2 _ ....
,.,,, _t.;;
z: §e ~ c-g • ~ j¡ c.u e.:: E2 u u
j .. ~
...
.C::J
u ...::

-
lit - ::s:! E
'.:(]°Be~ -e Eg o
~¿t e~ ~
u..::!:.c
ca = E -"'':S"'e:;i~
e "i" o : =e e.. -e
8.s
~;~é~ §.9 ... ~"g
C> c.,,N

.e-j"'"'Ee.1:.v.
~ g~:;;: a f &. ..,,... ...,,,
(/) e C.o
ee;;•,:
w ..9
~~~~!:. _; f. ~~ : :=.e~.,, ...
Q.
:.o;~ •.JJ-ea-~uc:
t?,., .. ..,- e- >.-
u e ¿§~=';;' .2
.." - ~=~~º
X ;: J; ¡;
~E. E 5.§ "e-¬
e e e.1:. c
C<
-~ -u
~M
;ge~cE ,,.. u -=..:::
(/)
_ .. 2 e "
o"" ~~~
u-~c,¡;;-~-'$.
::: E
4' S>.,.

i:i) ~5 ~g'= ~~~ !'.!

>.-8 5 :! E i:! u
f'o ¡}~ ¡!:~
c ¡¡
~~
.....o-":::- E fr
(":
E~~'§~ "'
i!
E 8 r;.¿ E c.."'-o E E 8 e 8 ., "'O "'5
cf .... a-e"'
4' ;; ~ "üu
B:::~e:~;,
c:;!<e::s .. 2>. e>.
a: -~E ..,, - J:. -5' ~ ., ECO ~~ .. u
.. e
f.¡¡°'3i:!uo
.. e- -
X
(/) e~~~]
o.~ o -
..,,-.1:.- B_ .1:."' c:.Oo e
:J e ~·e o ~ E

·.~ll~~,~
- ~-=~
Ee
"'"'
:::·.::.
...-5E ~ ~e.
_., 8.2g~
~ ... ;,1.:1.
- :::;¡_ .."'
"'O

2.&eti5u ..e E] e ::: 5E : .~~'e 8 .2

~
- .. o zs
¡:;,...:u - -·e·-"-.= ~-o cr_, E"' "
.... e t°e -s g~ g~ ~&g~e
• S u"O u,,., c..~ ~~ E
ee
f
(/) ~i!
z .. ~
j'-;
~~"'¡"~~
e -
o~ .!::! a::> :i O·=
.D V').c:- """
c. º~ = t:
;~ .!!~a. ... ~
"'-5 $

,,-eca
ü- ... ~..,, :.1:. [º
f'I
4' n.-- ..-- u"' S>

o (jg~:::;¡I; ~~..,, '.:(-5

E="' e~i3 e·
E~
ª~ §~ cg ;! c.~._"'
ll ~ o .
:;
[

-~.,.-
u ~:::
=1""i36 ,.~ t.: u
~eu .egu ;:¡~
t.:":::;¡..!::~"'~ t.:~~~]
.. e - e ~ ¡::C

~~~ª-a ª
e~~ ::s ~~ .. ¿ - u

ª'°ª
~·
=8•< "
~~~'ª~
~
,,4',,
[~ :!'~~ i:' •
-fle ~~ ~..,, ~15-c.
G>
-6ª:=:
~""
-
..,,c::se>
E~
-5~
~~
.
§"'
..,, $ =aie_..:::~ E
~c"'
~~i~"E c ~°""':o .. tj-
~er=~.=t!-2 ~-=e
c,
-8
..,,...::~
~€~ ~g§~~ ~
,....1
o
~~~~~
"o.1:. ~e
¡5~¡f -e
"i"' E"'E-EEc:
vl::s81~1g3
~
~"ª-8
8 s s ag i=; 8
~~E ·-s
:! i
"i
~
.o ~M
ü~
.. ~
e . °i~s~j
,.,_-g"' -
¡5~. [~
-¡
¡5"
f
i=~ ~
w """'
~ ~
m ~
.'2
E
,..: ,..: .¿ ,..: ,..:
~ u ... u u u ~
.
"'O
e:;
~
"
:o
.
:o
;!
:a
:o
e
.." e-
.¿
:o
¡!?
.,.,
:o
~...
.,
~
>
2c.
~
.... E l E e
e.8 E
,..:

- .8 .
~
:! .¿
< .8 .& üu .& e: -g
~e E E E:: 11) E E 2
g"' "'
..9 e e c t c:: e:: ~c.
g g g g ~
.
e:; z
);
,... ~,_,
,.!. J. ,.!. ,.!.
u
:o
u u
:o :o
... u
:o
.l!
~ ~ ~ ¡!! ~ i,..

e
ª
~
i.

..
e

.
"'e
'!:)

"'O
S>
..
u ~
·~

....
'O
...~

AN l ASHRAE.ASHE 1:111<1.;ud 170.2013 21

 OTICE

1 TR FOR BMITTING A PROPO ED CHA GE TO

DER CO TI UO MAi TE A CE

Th1 tandard 1 marntained under conunuou maintcnancc proccdure by a Standing tandard ProJCCt Commiuee ( PC) for
which the iandards Comrnutee ha e tabh hed a documcntcd program for regular pubhcauon of addenda or re' isron • includ-
mg procedures for timely, docurncnted, consen us acuon on rcquests for change lo any pan of ihe tandard, SSPC considcr-
aiion will be givcn to proposed change wuhm 13 months of reccipl by the manager of standards (MOS).

Proposed changes musi be ubrmued to the MOS in the late l publi hed formar available from the MO . However, the MOS
may accept proposcd changes in an earlier published formar if the MOS concludes that the difTercnce are rmrnatenal to the
proposed change ubmiual. lf the MOS conclude that a current fonn must be utilized, the proposer may be given up to
20 additional days to resubmit thc proposed changes in the curren! formar.

ELE TRO IC PREPARATIO I UBMI 10 OF FORM

FOR PROPO 1 G CHA GE

An elcctronic vcrsion of each changc, which rnust comply with thc m truction in the 011ce and thc Form, 1 thc prefcrred
fonn of subrniual to A HRAE lleadquaners at the addre · show n below. Thc elcctronic formar facilitatc both papcr-ba cd
and computcr-ba ed processing. Subminal in papcr form 1 acccptable. Thc following msirucuon apply to chango proposals
submiucd in electronic fonn.

Use thc appropriatc file formar for your word processor and save the file in either a rccent versión of Microsofl Word (pre-
fcrred) or another commonly used word-proce ing program. Picase savc each change proposal file with a differcnt namc (for
example, "propOI doc." .. prop02.doc," etc.). lf upplcmental background documcnts to uppon chango ubmiued are
included, it i prcfcrred that they also be in electronic fonn as word-proce ed or scanned document .

For files ubmiucd anached toan e-mail, ASllRAE will acccpt an elecrronic ignature (as a picture: •.1if. or •.wpg) on the
change ubmiual fonn as equivalen: 10 the ignature requircd on rhc change ubrmual form to convey non-
exclusive copyright

ubmit an e-mail containing the change propo al file to:

changc.proposahg.ashrac.org

Altematively, mail paper vcrsion to:

ASllRAE
Manager of Standard
1791 Tullie Circlc, E
Atlanta, GA 30329-2305

Or fax thcm lo:

Aun: Manager of'Standards
404-321-5478

The forrn and rn truenen for clcctromc subrniual may be obtaincd from thc Standard· sccrion of ASllRAE's llomc
Pagc, ww w.ashrac.org, or by contacung a tandards ccrctary vm phonc (404-636-8400), fa'\ (404-321-5478), e-mail
(standard . ecuon a a hrac.org), or marl ( 1791 Tullic Circlc, NE, Atlama, GA 30329-2305).
 FORM FOR BMITTAL OF PROPO ED CHA1 GE TO A
A HRAE TA O RO U OER CO TI UO M 1 TE A CE

OTE: U e a separare fonn for each comment. ubmiuals (Microsoft Word preferred) may be anachcd 10 e-mail (prcfcrrcd),
or submiucd in paper by mail or fax 10 ASllRAE. Manager of Standards, 1791 Tulhe Circle, NE. Atlanta, GA 30329-2305.
E-mail: change.proposal@ashrae.org. Fax: .-J-404 321-5478.

l. ubmitter:
Affiliation:

Addre : City: Sta te: Zip: Country:

Telephone: Fax. E-Mail:

1 hereby grant ASHRAE thc non-exclu ive royalty rights, including non-exclusive right in copyright, in my proposals. 1
understand that 1 acquire no right in publication ofthe tandard in which my proposal in tlu or oiher analogou form is u ed.
1 hereby aue t that 1 have the authority and am ernpowered to grant thi copyright relea e.

Submittcr's ignaturc: --------------------Date:------------

Ali electronic ubmittals must have the fotlowing statement completed:

l (111ser1 nameJ • through thi electronic signature, hereby grant

ASHRAE the non-exclusive royalty rights, including non-exclu ive rights in copyright, in my proposals. 1 understand that 1
acquire no righis m publication of the tandard in which my proposals in thi or other analogous form is used. 1 hereby auest
that 1 have the authoriry and am empowered to grant this copyright release.

2. umbcr and year of tandard:

3. Page numbcr and clau e ( ection), ubclau e, or paragraph numbcr:

4. 1 propo e to: [ ] Change to read as follow [ ] Delete and ub tirute a follows

(checkone) [ ] Add new text as follows [ ) Delete wuhoui ubstitution
Use underscores 10 how m:ucnal 10 be ldJcd (ldi.lail and smke through material 10 be dclc1cJ (~). üsc add111onal pagc~ 1íncclkd

S. Proposcd changc:

6. Rea on and ub tantiation:

7. Will thc propo ed change increa e the co t of engincering or con truction? lf ye , provide a bricf explanarion as
to why the incrca e i ju tified.

[ ] Check if additional page are attached. umber of additional page : _

[ ] Check if auachrnents or referenced materials citcd in this proposal accompany thi proposed change. Plea e vcrify that ali
auachrnent and reference are relevant. current, and clearly labeled 10 avoid proce ing and review delays. Please lis1 your
attachmentshere:

RC\. 1-7·2013
 POLICY STATEMENT DEFINING ASHRAE'S CONCERN
FOR THE ENVIRONMENTAL IMPACT OF ITS ACTIVITIES

ASHRAE rs concemed w1th the írnpact of its members' acnvínes on bolh lhe mdoor and outdoor environment ASHRAE's
members w1ll strive to minimiza any possibíe deletenous effect on the indoor and outdoor envtronment of the systems and
components in their responsibihty while max1mizing the beneficia! effects these systems provide, consistent with accepted
standards and the practica! state of the art.
ASHRAE's short-range goal rs to ensure that the systems and components within ns scope do not lmpact the indoor and
outdoor environment to a greater extent than specifled by the standards and guidehnes as estabhshed by 1tself and other
responsible bodies.
As an ongoing goal, ASHRAE wlll, through its Standards Comrmttee and extensiva technlcal comrmttee structure,
continua to generate up-to-date standards and guldehnes where appropnate and adopl, recommend, and promete those new
and revised standards developed by other respons1ble organizations.
Through its Handbook,appropnale chapters will contain up-to-date standards and design consideratlcns as the material is
systematically revisad
ASHRAE will take the lead wilh respect to d1ssemination of environmental informalion of ns primary interest and will seek
out and disseminate mtormatlon from otner responsible organizations lhat is pertinenl, as gu1des to updating standards and
guidelines.
The effects of the design and setecuon of equipment and systems w1ll be considered within the scope of the system's
intended use and expected misuse. The disposal of hazardous matenals, if any, will also be considered.
ASHRAE's pnmary concem for environmentaJ irnpact w1ll be at the site where equipment within ASHRAE's scope
operates. However, energy source selecuon and lhe possible environmental impact due to the energy source and energy
transportation w1ll be considerad where possible. Recommendalions concernmq energy source selectlon should be made by
its members.
 ASHRAE · 1791 Tullle Clrcle NE · Atlanta, GA 30329 · www.ashrae.org

About ASHRAE
ASHRAE, founded In 1894, is an lnternahonal building technology society w1th more than 50,000 members worldwide
The Society and its members focus on building systems, energy effic1ency. 1ndoor air quality. refrigoration, and
sustainab1hty Through researcn, standards wnhng, pubhsh1ng, ceruncauon and cont1nu1ng education, ASHRAE shapes
tomorrow's bu1lt environment today

For more míormauon orto become a member ol ASHRAE. VISit www.ashrae.org

To stay current w1th this and other ASHRAE standards and gutdelines, visit www ashrae.org/standards.

Vlslt lhe ASHRAE Bookstore

ASHRAE olfers its standards and guidellnes In print, as 1mmed1ately downloadable POFs on CD-ROM, and vra ASHRAE
0191tal Collechons, which provioes onhne access wilh automahc updates as well as h1stoncal vsrsions of pubhcahons.
Selected standards are also olfered in redline versicos that 1ndicate the changes made between the active standard and
íts prevlous version For more 1nformation. vlsit the Standards and Guidehnes secuon ol the ASHRAE Boolcstore at
www.ashrae.org/bookstore

IMPORTANT NOTICES ABOUT THIS STANDARD

To ensure that you have all of the approved addenda, errata, and interpretations for thls
standard, visit www.ashrae.org/standards to download them free of charge.

Addenda, errata, and interpretatlons for ASHRAE standards and guidellnes are no
longer distributed with copies of the standards and guldellnes. ASHRAE provides
these addenda, errata, and lnterpretations only In electronlc form to promote
more sustalnable use of resources.

Product code: 86515 1/14

Errata dated 1/8/2014have been 1ncorporated.