Tablet in hands

Sanigest has developed comprehensive commissioning programs in a myriad of countries, outlining effective strategies for evaluating facility performance and maximizing efficiencies. Our commissioning plans are intended to assure all building systems in a facility, including sustainable building technologies, are installed and perform in accordance with the design intent, while at the same time are consistent with the owner’s project requirements. Our plans help ensure that operations and maintenance staff are adequately prepared to work efficiently in the completed facility. We also identify and rectify costly performance deficiencies in our commissioning work.

Our approach aligns with international best practices and the latest trends and standard procedures, such as the guidelines developed by the American Society for Healthcare Engineering (ASHE). Our approach applies a non-conventional commissioning process within our consultancies and coordinates the building of sustainable design systems that result in higher performance facilities.

According to our experience, commissioning is critical to the success of every health care facility project; therefore, Sanigest has developed tools, tactical level processes and activities in alignment with improving the cost-effectiveness, quality, satisfaction, and environmental performance of health care facilities, helping to meet an organization’s strategic mission by adequately addressing the transition from construction to occupancy.

Sanigest commissioning strategies typically include the following processes:

Developing a Commissioning Business Plan

  • SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis
  • Goals
  • Business strategies
  • New service programs
  • Financial projections
  • Quality control
  • Selecting a Health Facility Commissioning Authority

Design Phase Commissioning

  • Set project energy efficiency goals
  • Facilitate development of the owner’s project requirements (OPR)
  • Facilitate development of the basis of design (BOD) for systems to be commissioned
  • Review the schematic design documents
  • Develop the commissioning plan and specifications
  • Review the control system sequences of operations
  • Review the emergency generator load priorities and sequence of operations
  • Review construction documents
  • Facilitate development of the utility management plan

Construction Phase Commissioning

  • Develop and maintain the issues log
  • Review submittal data and shop drawings
  • Review operations and maintenance (O&M) manuals
  • Conduct commissioning meetings
  • Lead O&M staff construction site tours
  • Complete pre-functional checklists and inspections
  • Review control system programming
  • Review emergency power system programming
  • Witness equipment and systems startup
  • Review TAB (testing and balancing) report
  • Witness functional performance tests
  • Facilitate pressure testing

Transition to Operational Sustainability

  • Develop O&M dashboards
  • Facilitate maintenance staffing training
  • Facilitate implementation of HVAC control system trends
  • Prepare the commissioning report and systems manual
  • Facilitate development of the maintenance budget
  • Facilitate fire and smoke damper inspections and testing
  • Facilitate completion of the statement of conditions (SOC)
  • Facilitate development and implementation of the building maintenance program (BMP)

Post-occupancy and Warranty Phase

  • Review trend data
  • Measure and verify actual energy performance
  • Conduct post-occupancy owner training
  • Conduct post-occupancy performance tests
  • Participate in the end-of-warranty review
  • Benchmark energy performance


Retro-commissioning is a systematic process that identifies low-cost operational and maintenance improvements in an existing building that has not previously been commissioned. As in the commissioning process for new construction, an HFCxA should lead the effort. The HFCxA should work in conjunction with O&M personnel to identify energy-consuming systems and develop items of work that will optimize building performance.