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[Public Consultation]

Technical Design Reference For Disaster Preparedness


In Setting Up New High-Rise Private Hospital

Date: 20 April 2020

Page 1 20 April 2020


Public Consultation Objective
To seek your input on the proposed technical design reference for disaster
preparedness in setting up new high-rise private hospitals.

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Background
The materials for the public consultation was prepared based on a series of
engagements with stakeholders.

The stakeholders include Kementerian Kesihatan Malaysia (KKM), Agensi Pengurusan


Bencana Negara (NADMA), Dewan Bandaraya Kuala Lumpur (DBKL), Jabatan Bomba
dan Penyelamat Malaysia (JBPM), Malaysia Productivity Corporation (MPC), Health
Facility Consultants, Architects, Engineers and others.

This public consultation is part of initiative by Private Healthcare Productivity Nexus


(PHPN) and PEMUDAH’s Focus Group Dealing with Submission Reference and
Guidance on Preparing the “Disaster Management Plan” during Pre-Establishment
Stage of Setting Up New High-Rise Hospitals.

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Public Consultation Method
• Focus Group Discussions

• Town Hall – face to face engagements (via Webinar)

• Online Unified Public Consultation upc.mpc.gov.my

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Unified Public Consultation (UPC)
http://upc.mpc.gov.my/

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Business Concerns in Preparing Disaster
Management Plan (DMP)
• The content to be inclusive in DMP

• Unclear submission process and approval procedure

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“Disaster Preparedness”

PRIVATE HEALTHCARE
FACILITIES AND SERVICES ACT
1998

Private Healthcare Facilities And


Services (Private Hospitals And
Other Private Healthcare
Facilities) Regulations 2006

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“Disaster Preparedness”
PART XVII : SPECIAL REQUIREMENTS FOR EMERGENCY CARE SERVICES
Chapter 1 — Disaster Preparedness
Disaster preparedness

228. (1) The licensee or person in charge of a private healthcare facility or service shall maintain a written plan on disaster preparedness for all
personnel of the private healthcare facility or service which shall be understood by and be made readily available to all personnel and for
inspection.

(2) The licensee or person in charge of a private healthcare facility or service shall ensure that all personnel assist any relevant
authorities in the evacuation of mass casualties which may result from natural or man-made disasters occurring within the private healthcare
facility or service or within the locality of the private healthcare facility or service and where applicable, such personnel shall provide care to
such casualties as is within the capability of the private healthcare facility or service.

(3) A private healthcare facility or service where patients are lodged shall rehearse the disaster plan at least annually.

(4) A record of such rehearsal under subregulation (3), including its date and time, a summary of actions and recommendations shall be
maintained.

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“High-Rise Hospital” and DMP
SENARAI SEMAK PERMOHONAN ‘PRE-
ESTABLISHMENT’ HOSPITAL SWASTA

Item 10: Nota (b)

Bagi cadangan hospital swasta yang melebihi 12 aras


klinikal atau 48 metre dari aras bawah, perlu disertakan
dengan hospital disaster management plan dan
pengesahan kestabilan bangunan yang munasabah,
praktikal dan komprehensif.

Kegagalan pemohon mengemukakan hospital disaster


management plan dan pengesahan kestabilan bangunan
yang munasabah, praktikal dan komprehensif boleh
menyebabkan permohonan tidak akan diproses selanjutnya.

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Upper Limit for Standard Hospital
Scenario 1

Entry Point Entry Point

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Upper Limit for Standard Hospital
Scenario 2

Entry Point

Entry Point

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Submission Process

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Eight Processes of Setting Up Private Hospitals
PROCESS 1 PROCESS 2 PROCESS 3 PROCESS 4 PROCESS 5 PROCESS 6 PROCESS 7 PROCESS 8

Gather Technical Submission of Land Notification of Construction Site Monitoring and Interim Final Inspection Notifications Deposit: Submit Application Submit Application
Information (Local Plan, Matters Application and Work to: Inspection Notifications involving: • Certificate of for License to for License to
Zoning, etc.) From Kebenaran Merancang involving: • Phase 1 Completion and
• Jabatan Bangunan Operate or Provide Operate or Provide
• Jabatan Teknikal (KM) or Development • PBAN (Water Supply Compliance; a Private Hospital a Private Hospital
• Jabatan Kejuruteraan • PBAN (Water Supply
Dalaman PBT Order (DO) for Approval Providers) • Forms G1 – G21, to:
• PLANMalaysia to Jabatan/Agensi Teknikal • Lain-Lain Jabatan/Agensi Providers) to MoH to MoH including
• Electricity Supply • Jabatan Bangunan
Luaran dan Dalaman Teknikal Luaran dan • Electricity Supply
(Borang 3) Manpower And
Dalaman Provider (TNB, Etc.) Provider (TNB, Etc.) • Board of Architects
Facilities
Submission Of • Jabatan Kejuruteraan • Jabatan Teknikal Malaysia
Dalaman PBT Resources
(Approval For Pre- • JKR
Approval Kebenaran • JKR Requirements
establishment Submit Private • JKKP
Merancang or • Phase 2 Issuance of Provisional
Application) To Hospital’s Plan • IWK/MAJAARI (Borang 3)
CKAPS
Development Order
Layout for MoH • BOMBA • BOMBA CCC Licence –
• Department Of Validity 6
• Functional • Fully Loaded Occupational Safety & (Borang F)
Submit Private Receive Interim Inspections Months ***
Planning Unit Drawing Health (JKKP)
Hospital’s Plan for from: ISSUANCE -
(FPU) • IWK/MAJAARI
MoH – BORANG 1 Processing Fee** • PBAN (Water Supply BORANG 4
Processing Fee** • Building Plans
Providers) • CF Autoclave
• Electricity Supply Receive Final Inspections License to
JKKP
Provider (TNB, Etc.) from:
Gather Technical • Jabatan Kejuruteraan • Atomic Energy Operate /
Information From: • Autoclave • JKR • Phase 1
• JKR Requirements • PBAN (Water Supply
License by MOH Provide A
• JKKP
• JAS • Radiation Design • IWK/MAJAARI Providers) Private
• PTG/PTD MOH • BOMBA • Electricity Supply
• BOMBA Provider (TNB, Etc.)
Hospital
• JMG • Jabatan Teknikal
• JPS Provisional Dalaman PBT
• LLM • JKR
• PBAN (Water Supply
Approval Issuance of • Phase 2
Providers) • BOMBA
• Electricity Supply
BORANG 2 Submission and Approval Of Fire
Submission of Building • Department Of
Provider (TNB, Etc.)
Plan for Approval to Occupational Safety & Certificate (FC / Sijil Perakuan
• SKMM Jabatan/Agensi Teknikal
• IWK/MAJAARI Luaran dan Dalaman
Health (JKKP) Bomba) Applications to JBPM
• IWK/MAJAARI
• SWCorp within 12 (twelve) months after CCC
• JKKP
Submission of obtained
Engineering Plan for Submission to Local Council &
Approval to Submission to CKAPS (MoH)
Planning Department
No Objection Jabatan/Agensi Teknikal
Luaran dan Dalaman
Letter for Pre- Approval from MoH Submission and Works with Service & Utility Provider
(through CKAPS)
establishment Full Approval of
Building Plan and *** Processing fee is payable only after Approval from Local Council/Service & Utility Provider
Engineering Plan amendment of the Third Schedule of the 13
Regulations, P.U.(A)138/2006 Page 20 April 2020
Eight Processes of Setting Up Private Hospitals
PROCESS 1 PROCESS 2 PROCESS 3 PROCESS 4 PROCESS 5 PROCESS 6 PROCESS 7 PROCESS 8

Gather Technical Submission of Land Notification of Construction Site Monitoring and Interim Final Inspection Notifications Deposit: Submit Application Submit Application
Information (Local Plan, Matters Application and Work to: Inspection Notifications involving: • Certificate of for License to for License to
STAGE 1
Zoning, etc.) From
• Jabatan Teknikal
Kebenaran Merancang
(KM) or Development
• Jabatan Bangunan
involving: • Phase 1
• PBAN (Water Supply
Completion and
Compliance;
Operate or Provide Operate or Provide
• Jabatan Kejuruteraan a Private Hospital a Private Hospital
CKAPS
Dalaman PBT Order (DO) for Approval
• Lain-Lain Jabatan/Agensi
• PBAN (Water Supply
Providers)
Providers) • Forms G1 – G21, to:
to MoH to MoH including
• PLANMalaysia to Jabatan/Agensi Teknikal • Electricity Supply • Jabatan Bangunan
Luaran dan Dalaman Teknikal Luaran dan • Electricity Supply
(Borang 3) Manpower And
Dalaman Provider (TNB, Etc.) Provider (TNB, Etc.) • Board of Architects
Facilities
Submission Of • Jabatan Kejuruteraan • Jabatan Teknikal Malaysia
Dalaman PBT Resources
(Approval For Pre- • JKR
Approval Kebenaran • JKR Requirements
establishment Submit Private • JKKP
Merancang or • Phase 2 Issuance of Provisional
Application) To Hospital’s Plan • IWK/MAJAARI (Borang 3)
CKAPS
Development Order
Layout for MoH • BOMBA • BOMBA CCC Licence –
• Department Of Validity 6
• Functional • Fully Loaded Occupational Safety & (Borang F)
Submit Private Receive Interim Inspections Months ***
Planning Unit Drawing Health (JKKP)
Hospital’s Plan for from: ISSUANCE -
(FPU) • IWK/MAJAARI
MoH – BORANG 1 Processing Fee** • PBAN (Water Supply BORANG 4
Processing Fee** • Building Plans
Providers) • CF Autoclave
• Electricity Supply Receive Final Inspections License to
JKKP
Provider (TNB, Etc.) from:
Gather Technical • Jabatan Kejuruteraan • Atomic Energy Operate /
Information From: • Autoclave • JKR • Phase 1
• JKR Requirements • PBAN (Water Supply
License by MOH Provide A
• JKKP
• JAS • Radiation Design • IWK/MAJAARI Providers) Private
• PTG/PTD MOH • BOMBA • Electricity Supply STAGE 3 Hospital
• BOMBA
• JMG
STAGE 2 Provider (TNB, Etc.)
• Jabatan Teknikal JBPM
• JPS
• LLM
JBPM
Provisional Dalaman PBT
• JKR
• PBAN (Water Supply
Approval Issuance of • Phase 2
Providers) • BOMBA
• Electricity Supply
BORANG 2 Submission and Approval Of Fire
Submission of Building • Department Of
Provider (TNB, Etc.)
Plan for Approval to Occupational Safety & Certificate (FC / Sijil Perakuan
• SKMM Jabatan/Agensi Teknikal
• IWK/MAJAARI Luaran dan Dalaman
Health (JKKP) Bomba) Applications to JBPM
• IWK/MAJAARI
• SWCorp within 12 (twelve) months after CCC
• JKKP
Submission of obtained
Engineering Plan for Submission to Local Council &
Approval to Submission to CKAPS (MoH)
Planning Department
No Objection Jabatan/Agensi Teknikal
Luaran dan Dalaman
Letter for Pre- Approval from MoH Submission and Works with Service & Utility Provider
(through CKAPS)
establishment Full Approval of
Building Plan and *** Processing fee is payable only after Approval from Local Council/Service & Utility Provider
Engineering Plan amendment of the Third Schedule of the 14
Regulations, P.U.(A)138/2006 Page 20 April 2020
Technical Design Reference
for Disaster Preparedness

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Technical Design Reference for Disaster Preparedness
CHAPTER 1 : High Rise Hospital Design Principles

CHAPTER 2 : Risk Assessment

CHAPTER 3 : Prevention and Evacuation Strategy

CHAPTER 4 : Operational Planning


Note:
All design must compliance with the following but not limited to:
1. Act 586;
2. Uniform Building By-Laws 1984;
3. Fire Safety Requirement;
4. Other Code of Practises and Malaysian Standard (MS), including MS1183:1990 (Specification for Fire Precautions in the Design and Construction
of Buildings), MS1184:1991 (Code of Practice on Access for Disabled Persons to Public Buildings) and MS1331:1993 (Code of Practice for Access of
Disabled Persons Outside Buildings).

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Chapter 1:
High Rise Hospital
Design Principles

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Chapter 1: High Rise Hospital Design Principles

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Chapter 1: High Rise Hospital Design Principles

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Chapter 1: High Rise Hospital Design Principles

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Chapter 1: High Rise Hospital Design Principles

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Chapter 1: High Rise Hospital Design Principles

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Chapter 1: High Rise Hospital Design Principles

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Chapter 1: High Rise Hospital Design Principles

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Chapter 1: High Rise Hospital Design Principles

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Chapter 2:
Risk Assessment

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Chapter 2: Risk Assessment

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Chapter 2: Risk Assessment

A. Location
(1) Building is not located in a hazardous prone
area.
(2) In a case of building located in hazardous or
high-risk area, applicant to identify risk/hazard

Examples of hazard:
(a) Near the edge of a slope
(b) Near the foot of a mountain vulnerable to
landslides
(c) Near creeks, rivers or bodies of water that could
erode its foundation
(d) In tsunami-prone areas
(e) In flood-prone areas
(f) Within a typhoon zone
(g) In areas prone to storm surges

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Chapter 2: Risk Assessment

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Chapter 2: Risk Assessment

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Chapter 2: Risk Assessment

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Chapter 2: Risk Assessment

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Chapter 2: Risk Assessment

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Chapter 2: Risk Assessment

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Chapter 2: Risk Assessment







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Chapter 2: Risk Assessment

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Chapter 2: Risk Assessment

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Chapter 3:
Prevention and
Evacuation Strategy

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Chapter 3: Prevention and Evacuation Strategy

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Chapter 3: Prevention and Evacuation Strategy

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Chapter 3: Prevention and Evacuation Strategy

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Chapter 3: Prevention and Evacuation Strategy

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Chapter 3: Prevention and Evacuation Strategy

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Chapter 3: Prevention and Evacuation Strategy

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Chapter 3: Prevention and Evacuation Strategy

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Chapter 3: Prevention and Evacuation Strategy

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Chapter 3: Prevention and Evacuation Strategy

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Chapter 3: Prevention and Evacuation Strategy

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Chapter 3: Prevention and Evacuation Strategy

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Chapter 3: Prevention and Evacuation Strategy

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Chapter 4:
Operational Planning

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Chapter 4: Operational Planning

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Chapter 4: Operational Planning

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Chapter 4: Operational Planning

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Chapter 4: Operational Planning

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Chapter 4: Operational Planning

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Chapter 4: Operational Planning

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Chapter 4: Operational Planning

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[Public Consultation]
Technical Design Reference For Disaster Preparedness In Setting
Up New High-Rise Private Hospital

Date: 20 April 2020

Page 59 20 April 2020