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ENERGY
EFFICIENCY
FOR
HOSPITALS
ENERGY
SIMULATION
20/02/2017 1
2
ENERGY EFFICIENCY FOR
HOSPITALS
AIM:
• To study the need and importance of energy efficiency for the hospitals.
OBJECTIVES:
• To study the energy efficiency and its importance.
• To analyse the need of energy efficient buildings mainly focusing on hospitals now-a-days.
• To study the benefits of energy efficient buildings
• To study and analyse, how to optimize the building load on environment.
• To study the certain measures which can be taken to design energy efficient buildings.
ENERGY
SIMULATION
3
ENERGY
SIMULATION
ENERGY EFFICIENT HOSPITALS
• It has been observed in various studies that good indoor conditions help patients to recover faster.
• Certain key features of energy efficient buildings like better day lighting, access of views of good
landscape, good indoor thermal comfort and indoor air quality help in faster recovery of patients.
Therefore it makes great sense to incorporate these features in hospitals for ensuring faster recovery of
patients.
• Additionally environmentally conscious practices in hospitals would ensure that not only is the health of
building occupants a priority but by reducing the pollution from the building, the hospital also contributes
towards improving the environmental conditions of people in its vicinity.
• Therefore a green hospital provides good care for both people living within it as well as outside it.
4
ENERGY
SIMULATION
WHY HOSPITALS ?
• Hospitals are known to consume vast quantities of energy and resources.
• A well planned hospital building must therefore incorporate careful design that will ensure efficiency in
the heating, ventilation and air conditioning (HVAC) system; use natural light as far as possible without
compromising on illumination; and have energy efficient housekeeping and waste disposal systems.
• The architects must plan the building so that its design and infrastructure have the optimum energy
efficiency. All equipment must be procured only after ascertaining that they consume minimal energy;
retrofitting existing equipment must also be considered in this regard.
Hospitals are like mini industries requiring energy for diverse applications and
based on different energy resources like electricity, fuel and of late renewable
resource like solar.
5
ENERGY
SIMULATION• Electricity
Lighting, Medical equipments, HVAC Systems, Water pumping, Hot water generation, Laundry equipment, Lifts,
Kitchen & Canteen equipments, Computers & Printers, Communication facilities
• HVAC
• Medical purpose
• Technical Purpose
APPLICATION
Energy consumption in hospitals
Broadly, the ranges are:
Lighting: 30 – 40%
HVAC : 30 – 65%
Water Pumping : 10 – 12%
Others : 05 – 15%
The ratio of consumption of different resources for
different applications varies mainly depending upon the
use of medical equipment and the coverage under air-
conditioning system.
6
ENERGY
SIMULATION
THE NEED FOR ENERGY EFFICIENT HOSPITALS
• The need to design a building efficiently from the
start enables more and better efficiency
measures to be used.
• The more new technologies and practices that
are adopted in new construction, the more costs
will come down and the measures become
standard practice.
• By incorporating energy efficiency, renewable
energy and sustainable green design features
into a building at the outset, you can play a
significant role - not only controlling building's
energy consumption - but also contributing to
achieving a sustainable energy structure for our
• Safe, with power and control
• Reliable, with critical power & cooling
• Efficient, with energy efficiency
• Productive, with industrial, building and home
automation
• Green, with renewable energy solutions
7
ENERGY
SIMULATION
THE NEED FOR ENERGY EFFICIENT HOSPITALS
• Energy consumption is one of the most prevalent
problems facing today.
• Individually, they use almost three times the amount
of energy a typical office building requires.
• As a result, there has been a dramatic shift towards
energy efficiency initiatives that can decrease
operational expenses while allowing the facility to
retain maximum operational efficiency and patient
satisfaction.
8
ENERGY
SIMULATION
ENERGY CONSUMPTION BY THE BUILDINGS
Demand for energy is increasing fast day by day and is likely to increase in tune with industrialization/ urbanization.
The building sector being one of the largest consumers of energy, has gained prominence over the past few decades.
• 45% of total global energy is used in heating, cooling and lighting of building.
• 5% energy is used in building construction.
• Energy used for air conditioning of commercial buildings accounts for 32% of the total energy consumption.
• Energy consumption patterns can be substantially reduced by energy conserving measures, particularly during the
phase of building design.
• Space heating load can be reduced by about 50%.
9
ENERGY
SIMULATION
10
ENERGY
SIMULATION
CLEAN AND GREEN INTERIOR BUILDING MATERIALS
• Use of interior paints which do not emit / absorb / re-release indoor pollutants such as VOC’s and dust.
• Hospital surfaces should have the property of resisting and repelling the growth of pathogenic germs
and bacteria. Patented interior surfaces are available which resist bacterial and fungal growth.
• Use of indoor flooring which is easily cleanable and does not emit VOC’s(volatile organic compound)
and dust.
• Install permanent entry-way systems to capture dust particles at all primary entrances.
• Use of certain species of indoor plants which not only produce oxygen but also reduce indoor pollutants
like VOC from air.
• Lack of proper insulation in the roofs and walls etc. can lead to patient discomfort through solar heat
conduction, also leads to more energy consumption. Thus high performance insulation such as
Extruded Polystyrene , Polyurethane foam for reducing energy consumption.
11
ENERGY
SIMULATIONLAUNDRY
Laundry facilities are extremely energy intensive. With an
average of 3 kg of dry laundry per bed per day, these
laundries are big consumer of steam. They may account for
10-15 percent of hospitals total energy consumption. Water
usage is also an important issue.
Actions that can be taken
1. Steam heated laundries generate excess low grade heat
that can be reused across the site.
2. Water recovery by recycling the rinse water from washers
extractors can reduce water usage.
3. Heat recovery via heat exchanger from hot affluent can be
done.
4. Combined heat and power(CHP) or co-generation systems
(if reliable gas supply is available) can be used.
12
ENERGY
SIMULATION
CENTRAL MEDICAL GAS DISTRIBUTION SYSTEM
It is a central supply system, which is designed to provide a safe and effective method of delivering the
required medical gas (O2, N2O, N2), medical air, and medical vacuum from the source of supply through a
pipeline system to all delivery points in hospital.
The system has thorough going colour coordination according to the kind of gas.
The main function of this system is to supply of right medical gases at right pressure.
These systems are usually highly monitored by various alarm systems, at the point of supply and in
particular areas.
Medical gas supply in wards
Medical gas supply in OTs
13
ENERGY
SIMULATION
ADVANTAGES
Piping medical gas from a central location directly to outlets at the points of patient use provides high level
of safety.
• The direct piping method removes obsolete, bulky and dangerous pressurized cylinders from the patient's
bedside.
• Limited transportation of gas cylinders in the workplace.
• Elimination of noise produced by their movement.
• Protection of sterile areas from contamination caused by use and movement of cylinder.
• Uninterrupted and clean gas supply at desired locations.
• Safe And Relief System.
• Effective use of space. Additionally it is economically advantageous and hygienic.
• Continuous supply of gas to each work station.
• Risk of incidents are reduced because the gas cylinders are no longer handled inside the workplace.
14
ENERGY
SIMULATIONEstablishing a house-keeping schedule
1. Regular check-list of areas where energy is lost for eg. Walls, floors, roofs, skylights, doors and windows
is necessary.
2. Regularly checking of the building for dampness which reduces the insulating properties is required.
3. Ensure that hot water and heating pipes are well insulated and replaced if required, thus we can save
energy by reducing heat loss from the pipe.
Sterilization and disinfection
1. To operate effectively, sterilization and disinfection departments require equipments that are particularly
energy efficient.
2. Ventilation to this department is filtered by high efficiency particulate air(HEPA) filters and usually air
conditioned.
3. In order to minimize energy consumption, use cascade systems where conditioned air from cleanest
space flows to dirty space.
4. Secondly, using heat recovery in these areas as heat is emitted 24 hours a day.
LED
REASONS FOR CHOOSING LED:
– Variable light colours
– Can be controlled appropriately to needs
– Versatility and high lighting quality
(good colour rendering, high-precision direction of light)
Some type of outdoor lamps consume a lot of reactive load, thus their
performance is reduced, capacitors can be used for power factor correction.
These could result in a 50 % reduction in energy consumption.
15
ENERGY
SIMULATION
LIGHTING
Lighting is a sector with great energy saving potential.
A good hospital design should maximize daylight and optimize the artificial lighting requirement.
Day-lighting is the controlled admission of natural light from the sky whether direct or diffused into the building so as to
reduce the electrical energy consumption. And it also enhances health and well being of the patients.
Physical and visual environment of hospitals impacts the psychological senses of the patient, the staff and the
relatives.
Certain 24 x7 areas of hospitals adds significance to the lighting design and lends criticality to the illumination
planning of hospitals.
16
ENERGY
SIMULATION
PERFORMANCE, EFFICIENCY, COMFORT (PEC)
Three core values applied to lighting in healthcare
PERFORMANCE:
To provide an optimal lighting solution. In hospitals, clinics and care homes, this can lead to less fatigue,
quicker reactions and task completion with fewer mistakes resulting in higher standards of care.
EFFICIENCY:
Efficiency is concerned with the energy consumption, economics and practical aspects of a lighting
installation. Lighting products are carefully engineered and manufactured to produce
practical, easy to maintain solutions that consume the least possible power and provide long-life, trouble-
free solutions.
COMFORT:
The ability to give people satisfaction and stimulation. Lighting influences concentration and mood. Comfort
is concerned with atmosphere, reassurance, and in the healthcare environment, the well-being of the
patient.
17
ENERGY
SIMULATION
GUIDELINES for ENERGY EFFICIENCY in HOSPITALS
Energy saving measures can play a significant role for lowering energy consumption and energy costs, as well as for
environmental protection.
Energy consumption is responsible for CO2 emissions to the atmosphere, that contribute to the “greenhouse effect”.
An important parameter for energy saving in the buildings sector is the high efficiency of the energy infrastructures,
which requires excellent quality of the relevant equipment installed, as well as the compliance with all the requirements
set by the legislation.
In order to maximize the energy efficiency of a building -based on the capabilities of the existing shell and
infrastructure, and minimise the need of any reconstruction or energy saving measures should be adopted.
An energy management programme for a building or group of buildings usually include:
• Identification of the adequate targets for energy consumption
• Feasibility and implementation of new energy technologies
• Identifying the adequate funding for energy projects
• Monitoring of the construction of energy applications
• Monitoring of the efficiency during their operation.
18
ENERGY
SIMULATION
ENERGY SAVING POTENTIAL IN HOSPITALS
1) 24hour operation (lighting, heating, air condition, electricity consumption)- The non-stop function of the hospitals
is an important factor why there is such a big energy consumption.
2) Lighting- Lighting is a sector with great energy saving potential. These could result in a 50% reduction in energy
consumption.
3) Heating- Consuming gas for heating is a big percentage of the overall energy consumption.
One of the main building types with a great potential to apply measures of energy saving is the hospitals.
Below, some of the most important reasons why hospitals consume lot of energy and some simple ways to reduce their
energy consumption are mentioned.
19
ENERGY
SIMULATION
ENERGY SAVING POTENTIAL IN HOSPITALS
 Gas consumption for heating can be reduced by improving thermal insulation or adding insulation to a non-
insulated building and by maintaining the boiler at an annual basis.
• The greatest savings can be achieved if oil is substituted with natural gas.
• Energy consumption for heating can be reduced up to 15%.
• However, thermal insulation improvement and the adequate maintenance of the system can reduce significantly the
needs for cooling.
 Air Condition- Most hospitals have a central cooling system, which helps controlling electricity consumption by
adjusting the desired temperature and the humidity at the central cooling system.
 Electricity consumption- is very high in hospitals due to the continuous operation, the large rooms, the medical
equipment and the electric motors.
• Equipment with low energy consumption, replacing old motors with new ones help to the reduction of energy
consumption.
20
ENERGY
SIMULATION
ENERGY SAVING POTENTIAL IN HOSPITALS
Big surface of the buildings
Rooms with big volume, long corridors and the need for satisfactory ventilation are factors that increase energy
consumption in hospitals.
In many cases, the continuous use of artificial lighting in all these rooms is not necessary, so systems of controlling the
switching of the lamps can be installed.
Some systems of this type are the motion sensors and the time switches which can be applied at rooms which don’t
need to be lightened often, like the toilets.
Needs for hot water
Hot water use, which is very energy-consuming, is high in hospitals.
The needs in hot water must be determined with accuracy, since they differ from one hospital to another, in order to
avoid unnecessary energy consumption for water heating.
Need for thermal comfort
Obtaining high quality of the inside climate and assuring the thermal comfort for the patients, factors also affect the
energy consumption in hospitals. The desired thermal comfort, the use of cooling systems and the use of heating and
humidity systems must be combined with the main bioclimatic principles and the adequate energy behaviour.
21
ENERGY
SIMULATION
ENERGY SAVING POTENTIAL IN HOSPITALS
Sterilization supplies
The great needs for sterilization in hospitals, demand steam networks with very long pipes. Good insulation at pipes to
avoid heat losses, the use of steam and the heating of the water are measures that can save lot of energy in a
hospital.
Energy consuming machines and equipment
Medical machines which are necessary for a hospital’s operation also contribute to the high energy consumption of
hospitals.
The energy cost can be controlled during the purchase process by taking into consideration the life cycle cost analysis,
the energy consumption, the energy efficiency etc.
22
ENERGY
SIMULATION
MEASURES TO MAKE BUILDING (HOSPITAL) ENERGY
EFFICIENT1- The shell of the building
• Control of the use of the openings
• Sealing of passages of thermic flow in shafts and stairwells
• Systematic use of openings, specifically during the night, for the promotion of the natural ventilation and cooling
during summer
• Placement of coloured and reflective devices for internal shading (louvers, curtains) in openings during the
summer.
• Placement of mechanisms of automatic shut of doors
• Adding passive solar systems of heating and lighting2- Cooling group of air conditioning
• Periodic usual maintenance of the system- Cleaning and repair of fulfilment of refrigeration tower, surfaces of heat
exchangers, ventilators etc.
• Reduction of energy needs for pumping
• Control and maintenance of the devices
• Cleanup of condenser pipes in water-cooled systems
23
ENERGY
SIMULATION
MEASURES TO MAKE BUILDING (HOSPITAL) ENERGY
EFFICIENT
4- Installations for hot water
• Reduction of storage and presentation of hot water temperature down to the limit for sufficient use for cleanness
and safety from bacteria and viruses
• Rational use of hot and cold water flow mixers in faucets
5- Installations of steam distribution
• Control and repair of steam leaks and condensates in pipings and containers
• Maintenance of steam traps
• Maintenance of chemical protection system
3- Installation of artificial lighting
• Switching-off of lamps in non-used areas
• Coordinated periodical cleaning, control and maintenance of lamps
• Re-arranging of spaces for most optimal use of natural lighting
• Replacement of lamps of low luminous efficiency (e.g. glow) with more efficient lamps (e.g. compact electronic
lamps of fluorescence or energy saving lamps)
• Control of lighting with local switches, timers, dimmers and sensors of motion.
24
ENERGY
SIMULATION
ADVANTAGES OF ENERGY EFFICIENCY
• Increase your asset value.
Buildings that are perceived, have higher occupancy rates and are likely to be sold at
higher prices than other comparable buildings.
• Reduce your energy costs.
Energy is, in fact, one of your organization's most easily controlled costs.
• Cut your building's carbon emissions.
Efforts to reduce the greenhouse gas emissions that contribute to climate change.
• Improve the operating performance of your building.
When building systems are properly operated and maintained, they work more
reliably and efficiently, require fewer repairs, and last longer.
• Enhance the comfort of your building's occupants.
Better indoor air quality and steady, moderate temperatures can improve the comfort
of your building's occupants.
• Strengthen your organization's image.
A commitment to energy efficiency goes a long way in today's eco-conscious
economy.
25
ENERGY
SIMULATION
CRITERIA FOR THE OPTIMIZATION OF THE BUILDING TO MAKE IT ENERGY EFFICIENT
Control of heat and cooling distribution for HVAC applications
Efficient cooling plant
Degree of building technology
Optimization of the light control
Efficienct components
HOSPITAL IN INDIA
• Estimated Electricity consumption in hospital including health centers and nursing homes in
INDIA = 769 – 1538 Million KWH
• Estimated electricity cost = 4324 – 8748 ( Million Rupees)
ENERGY USAGE PATTERN IN HOSPITAL
24 X 7 usage
Controlled internal climate
Lot of internal heat due to people and equipment
Continuous power supply
Energy expenses – 3 – 8 % total expenses
ELECTRICITY END USER IN
HOSPITAL
HVAC - 30 – 65%
LIGHTING - 30 – 40%
WATER PLUMBING - 10 – 12%
OTHERS - 5 – 15%
ENERGY
SIMULATION
27
Bio-medical waste, generated from a number of healthcare units, is imparted necessary treatment to
reduce adverse effects that this waste may pose.
Installation of individual treatment facilities by small healthcare units requires comparatively high
capital investment.
In addition, it requires separate manpower and infrastructure development for proper operation and
maintenance of treatment systems.
A Common Bio-medical Waste Treatment Facility (CBWTF) is used for treatment and disposal of BMW.
The concept of CBWTF not only addresses costs related problem but also prevents proliferation of
treatment equipment in a city.
By running the treatment equipment at CBWTF to its full capacity, the cost of treatment of per kilogram
gets significantly reduced.
BIO-MEDICAL WASTES MANAGEMENT IN HOSPITALS
28
29
Treatment and disposal of the biomedical waste shall be done by the following methods
 Incineration.
 Autoclaving.
 Shredding.
 Disposal option.
INCINERATION
85% to 90% of the total BMW is treated by Incineration.
1. Incineration systems uses high temperature combustion under controlled conditions to convert
wastes containing infectious and pathological material to inert mineral residues and gases.
2. Incineration is a process where the combustible waste is reduced to exhaust gaseous products
and the incombustible waste is reduced to ash
3. The key parameter in an incinerator are
• Temperature should be 900-1000*C .
• The waste be exposed for at least two seconds
• Incinerator should have the air pollution control equipment.
30
AUTOCLAVING
The autoclave process is technology for the treatment of microbiology laboratory waste, human blood
any body fluid waste, waste sharps and anatomical waste.
Autoclaving is a time-tested process of sterilization of medical waste using high temperature and high
pressure steam.
Typical operating conditions for an autoclave are a temperature of at least 1210C at a pressure of 105
kPa for a period of at least 1hour.
Effective sterilization results in the destruction of bacteria, virus, spores, fungi and other pathogenic
microorganisms.
Shredders are used to destroy plastic and paper waste to prevent their reuse.
After autoclaving the plastic waste is sent to the shredder. The shredded waste is sold out to authorized
plastic molding units.
Only waste that is disinfected should be used in a shredder.
This reduces the bulk of waste making transportation easy.
Shredder have a set of revolving blades/shafts, which cut the waste into small pieces.
Maintainance costs is high.
31
CONCLUSIONS
• The Bio-Medical Waste generated from the hospitals and all other source will be treated without
polluting the environment.
• All the above treatment and disposal process is done within the norms of CPCB & guidelines.
• The remaining material after incineration is safely disposed according to the CPCB guidelines.
• Incineration of Bio-Medical Waste is one of the techno- economical viable scheme, which have
many advantages such as significant volume reduction, weight reduction & also ability to manage
most types of wastes with little processing before treatment.
ENERGY
SIMULATION
CASE
STUDY
INTRODUCTION
Kohinoor Hospital, Mumbai – 1st LEED Platinum rated Project in Asia & 2nd in the world.
Developed for Kohinoor Group at Kohinoor City in Mumbai.
Technology and Equipmets:
• Cath Lab
• Radiology
•. MRI Scan
• CT Scan
• Orthopantomogram (OPG)
• Ultrasonography
• Imaging Solutions
• LED Surgical Lights
• Picture Archiving and
Communication System (PACS)
• Patient Monitoring Systems
• Warmers and Incubators
• Pathology Laboratory
• Central Sterile and Supply Department
(CSSD)
ENERGY
SIMULATION
DESIGN FEATURES
• Built up area 227,000 Sq.ft.
• 150 bed area
• 2 basements, ground+5 storey structure.
• A multi-specialty hospital with energy efficient measures to reduce energy
consumption, decrease greenhouse gas emissions and improve the quality
of patient care.
• More than 40% recycled material is used.
• Reusing scrap material used for overhead tank’s foundation. Salvaged
wood was reused for making frames which helped to conserve trees.
• Natural lights in patient areas reduces
the consumption of electricity. The large
windows and open sky light keep the
area cool and ventilated.
• Dual flushes and urinal sensors in place
to control water flow.
• The waste water from various
zones of the hospital is treated
using disinfectants at the Sewage
Treatment Plant. The water is
then reused for flushing, cooling
air conditioning towers, DG sets
and for horticulture. Therefore
conserves 40% of the water.
ENERGY
SIMULATION
State-of-the-art Demand Control Ventilations installed and Variable Air Volume
systems to keep indoor air quality in check.
• To prevent an Urban Heat Island Effect, solar energy pavers and panels have
been used.
• Advanced internal and external electrical systems used to automatically adjust
the lighting levels needed during the day and at night.
• Fire hydrant system, fire alarm system, smoke detectors, heat detectors and
sprinklers with emergency lighting for all exit signs and on escape routes are
there.
• Energy Use Intensity at 53 KBTU/ Sq. Ft./ Yr.
• Insulated walls with a very low ‘U’ Value.
• High Performance glass, optimal Window to wall ratio, and recessed and
shaded windows.
• Artificial lighting constitutes 20% of the overall energy load which helps in 50%
ENERGY
SIMULATION
• The chillers have a high COP, which along with Heat Recovery (in non –critical areas) VFDs on CT and AHUs
contribute to low energy demand.
• Onsite sewage treatment plant recycles 100% of grey and black wastewater.
• Nine different varieties of vegetation was used in the landscape with all with a water requirement of zero.
• storm water collector has filters with a 90% removal of total suspended solids removed before being discharged.
• 100% of the waste produced was reused, recycled, or given to the local of community to be used.
ENERGY
SIMULATION
CERTIFICATIONS AND SPECIAL FEATURES
Kohinoor Hospital is Asia’s first LEED Platinum Certified hospital and
For a Platinum rating, one has to achieve 52-69 points.
• Kohinoor Hospital has been awarded 54 credit points, making it the
only LEED Certified platinum rated hospital in Mumbai, India.
• 30% more of pure air is circulated as compared to other
constructions.
• Use astronomical time switches for controlling lighting on the basis
of sunrise and sunset. This saves substantial amount of electricity. A
green building consumes 0.66 watt /sq. ft. as compared to a normal
construction which consumes 2.0-2.5 watt / sq. ft.
• Green roof provides insulation for the building from outdoor
environment. It helps us to lower urban air temperatures and combat
the heat island effect.
ENERGY
SIMULATION
ENERGY
SIMULATION
HVAC
• HVAC Design includes the chilled water plants consists of energy efficient screw chillers.
• Variable Frequency Drive (VFD) driven chillers
• Multiple primary chilled water pumps
• Secondary chilled water pumps with variable frequency drives.
• Condensing water pumps
• Fibre reinforced plastic (FRP) cooling towers
• VFD driven double skin air handling units with thermal break and variable frequency drive.
• Fan coil units, chilled and condensing water piping, air distribution system, insulation, electrical panels, wiring,
control wiring and earthing.
Water Efficiency
It is indeed a commendable achievement that all 6 points were achieved.
Landscaping
In landscaping, the focus has been in using native plants like roheo, chlorophytum, bahunia purpuria, bahunia
blackiana, plumeri alba, pisonia alba, polyathia longifolia etc. that require less water for survival.
ENERGY
SIMULATION
Energy and Atmosphere
It with the conservation of energy to ensure that the development is sustainable. More than 30% energy conservation
is achieved as compared to a standard case through the study of the solar path and the climate, the building facade
and orientation is designed to ensure optimization of the energy conserved. The building has façade with double
glazed units with high performance reflective glass of 1.2 "U" value to ensure that solar heat does not enter the
building whilst ensuring that it is well lit by daylight.
Material Resources
Appropriate construction waste management practices are followed during construction, to ensure that is not diverted
to land fills & recyclable waste generated is recycled.
Indoor Air Quality – Possible Credits 15
The hospital management has taken a policy decision of maintaining the building as a "NO SMOKING". The use of
MERV 13 filters and CO2 sensors has increased the fresh air delivery by 30%.
ENERGY
SIMULATION
SAVINGS
ENERGY
SIMULATION
ACTUAL BENEFITS
ACHIEVED
• 35 % Energy Saving
• Green Power from Wind Mills
• Solar hot-water generation
• Better Indoor Air Quality
• Regular CO2 monitoring
• Increased fresh air ventilation
• No sick building syndrome
• Heat Reclaim System with VAV
• Higher efficiency than conventional systems
• Day Lighting
• Healing benefits for patients
• Patient Recovery Faster Based on research
• 41.3% Reduction In Use Of Water
• Achieved Overall Hvac Load 1tr / 500 Sqft Achieved Overall Lpd Of 0.54 W/Sqft
• 40% Energy Efficiency
• 96.79% Construction Waste Management
• 72.05% Regional Material
• 29.75% Recycled Material
• 80.33% Of High Sri Roof Area Achieved
ENERGY
SIMULATION
THANK YOU !
43Batul Zainab I Jyoti Arora I Lalit I Megha Sharma I Naina Chohan I

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Energy simulation for hospitals

  • 2. 2 ENERGY EFFICIENCY FOR HOSPITALS AIM: • To study the need and importance of energy efficiency for the hospitals. OBJECTIVES: • To study the energy efficiency and its importance. • To analyse the need of energy efficient buildings mainly focusing on hospitals now-a-days. • To study the benefits of energy efficient buildings • To study and analyse, how to optimize the building load on environment. • To study the certain measures which can be taken to design energy efficient buildings. ENERGY SIMULATION
  • 3. 3 ENERGY SIMULATION ENERGY EFFICIENT HOSPITALS • It has been observed in various studies that good indoor conditions help patients to recover faster. • Certain key features of energy efficient buildings like better day lighting, access of views of good landscape, good indoor thermal comfort and indoor air quality help in faster recovery of patients. Therefore it makes great sense to incorporate these features in hospitals for ensuring faster recovery of patients. • Additionally environmentally conscious practices in hospitals would ensure that not only is the health of building occupants a priority but by reducing the pollution from the building, the hospital also contributes towards improving the environmental conditions of people in its vicinity. • Therefore a green hospital provides good care for both people living within it as well as outside it.
  • 4. 4 ENERGY SIMULATION WHY HOSPITALS ? • Hospitals are known to consume vast quantities of energy and resources. • A well planned hospital building must therefore incorporate careful design that will ensure efficiency in the heating, ventilation and air conditioning (HVAC) system; use natural light as far as possible without compromising on illumination; and have energy efficient housekeeping and waste disposal systems. • The architects must plan the building so that its design and infrastructure have the optimum energy efficiency. All equipment must be procured only after ascertaining that they consume minimal energy; retrofitting existing equipment must also be considered in this regard. Hospitals are like mini industries requiring energy for diverse applications and based on different energy resources like electricity, fuel and of late renewable resource like solar.
  • 5. 5 ENERGY SIMULATION• Electricity Lighting, Medical equipments, HVAC Systems, Water pumping, Hot water generation, Laundry equipment, Lifts, Kitchen & Canteen equipments, Computers & Printers, Communication facilities • HVAC • Medical purpose • Technical Purpose APPLICATION Energy consumption in hospitals Broadly, the ranges are: Lighting: 30 – 40% HVAC : 30 – 65% Water Pumping : 10 – 12% Others : 05 – 15% The ratio of consumption of different resources for different applications varies mainly depending upon the use of medical equipment and the coverage under air- conditioning system.
  • 6. 6 ENERGY SIMULATION THE NEED FOR ENERGY EFFICIENT HOSPITALS • The need to design a building efficiently from the start enables more and better efficiency measures to be used. • The more new technologies and practices that are adopted in new construction, the more costs will come down and the measures become standard practice. • By incorporating energy efficiency, renewable energy and sustainable green design features into a building at the outset, you can play a significant role - not only controlling building's energy consumption - but also contributing to achieving a sustainable energy structure for our • Safe, with power and control • Reliable, with critical power & cooling • Efficient, with energy efficiency • Productive, with industrial, building and home automation • Green, with renewable energy solutions
  • 7. 7 ENERGY SIMULATION THE NEED FOR ENERGY EFFICIENT HOSPITALS • Energy consumption is one of the most prevalent problems facing today. • Individually, they use almost three times the amount of energy a typical office building requires. • As a result, there has been a dramatic shift towards energy efficiency initiatives that can decrease operational expenses while allowing the facility to retain maximum operational efficiency and patient satisfaction.
  • 8. 8 ENERGY SIMULATION ENERGY CONSUMPTION BY THE BUILDINGS Demand for energy is increasing fast day by day and is likely to increase in tune with industrialization/ urbanization. The building sector being one of the largest consumers of energy, has gained prominence over the past few decades. • 45% of total global energy is used in heating, cooling and lighting of building. • 5% energy is used in building construction. • Energy used for air conditioning of commercial buildings accounts for 32% of the total energy consumption. • Energy consumption patterns can be substantially reduced by energy conserving measures, particularly during the phase of building design. • Space heating load can be reduced by about 50%.
  • 10. 10 ENERGY SIMULATION CLEAN AND GREEN INTERIOR BUILDING MATERIALS • Use of interior paints which do not emit / absorb / re-release indoor pollutants such as VOC’s and dust. • Hospital surfaces should have the property of resisting and repelling the growth of pathogenic germs and bacteria. Patented interior surfaces are available which resist bacterial and fungal growth. • Use of indoor flooring which is easily cleanable and does not emit VOC’s(volatile organic compound) and dust. • Install permanent entry-way systems to capture dust particles at all primary entrances. • Use of certain species of indoor plants which not only produce oxygen but also reduce indoor pollutants like VOC from air. • Lack of proper insulation in the roofs and walls etc. can lead to patient discomfort through solar heat conduction, also leads to more energy consumption. Thus high performance insulation such as Extruded Polystyrene , Polyurethane foam for reducing energy consumption.
  • 11. 11 ENERGY SIMULATIONLAUNDRY Laundry facilities are extremely energy intensive. With an average of 3 kg of dry laundry per bed per day, these laundries are big consumer of steam. They may account for 10-15 percent of hospitals total energy consumption. Water usage is also an important issue. Actions that can be taken 1. Steam heated laundries generate excess low grade heat that can be reused across the site. 2. Water recovery by recycling the rinse water from washers extractors can reduce water usage. 3. Heat recovery via heat exchanger from hot affluent can be done. 4. Combined heat and power(CHP) or co-generation systems (if reliable gas supply is available) can be used.
  • 12. 12 ENERGY SIMULATION CENTRAL MEDICAL GAS DISTRIBUTION SYSTEM It is a central supply system, which is designed to provide a safe and effective method of delivering the required medical gas (O2, N2O, N2), medical air, and medical vacuum from the source of supply through a pipeline system to all delivery points in hospital. The system has thorough going colour coordination according to the kind of gas. The main function of this system is to supply of right medical gases at right pressure. These systems are usually highly monitored by various alarm systems, at the point of supply and in particular areas. Medical gas supply in wards Medical gas supply in OTs
  • 13. 13 ENERGY SIMULATION ADVANTAGES Piping medical gas from a central location directly to outlets at the points of patient use provides high level of safety. • The direct piping method removes obsolete, bulky and dangerous pressurized cylinders from the patient's bedside. • Limited transportation of gas cylinders in the workplace. • Elimination of noise produced by their movement. • Protection of sterile areas from contamination caused by use and movement of cylinder. • Uninterrupted and clean gas supply at desired locations. • Safe And Relief System. • Effective use of space. Additionally it is economically advantageous and hygienic. • Continuous supply of gas to each work station. • Risk of incidents are reduced because the gas cylinders are no longer handled inside the workplace.
  • 14. 14 ENERGY SIMULATIONEstablishing a house-keeping schedule 1. Regular check-list of areas where energy is lost for eg. Walls, floors, roofs, skylights, doors and windows is necessary. 2. Regularly checking of the building for dampness which reduces the insulating properties is required. 3. Ensure that hot water and heating pipes are well insulated and replaced if required, thus we can save energy by reducing heat loss from the pipe. Sterilization and disinfection 1. To operate effectively, sterilization and disinfection departments require equipments that are particularly energy efficient. 2. Ventilation to this department is filtered by high efficiency particulate air(HEPA) filters and usually air conditioned. 3. In order to minimize energy consumption, use cascade systems where conditioned air from cleanest space flows to dirty space. 4. Secondly, using heat recovery in these areas as heat is emitted 24 hours a day.
  • 15. LED REASONS FOR CHOOSING LED: – Variable light colours – Can be controlled appropriately to needs – Versatility and high lighting quality (good colour rendering, high-precision direction of light) Some type of outdoor lamps consume a lot of reactive load, thus their performance is reduced, capacitors can be used for power factor correction. These could result in a 50 % reduction in energy consumption. 15 ENERGY SIMULATION LIGHTING Lighting is a sector with great energy saving potential. A good hospital design should maximize daylight and optimize the artificial lighting requirement. Day-lighting is the controlled admission of natural light from the sky whether direct or diffused into the building so as to reduce the electrical energy consumption. And it also enhances health and well being of the patients. Physical and visual environment of hospitals impacts the psychological senses of the patient, the staff and the relatives. Certain 24 x7 areas of hospitals adds significance to the lighting design and lends criticality to the illumination planning of hospitals.
  • 16. 16 ENERGY SIMULATION PERFORMANCE, EFFICIENCY, COMFORT (PEC) Three core values applied to lighting in healthcare PERFORMANCE: To provide an optimal lighting solution. In hospitals, clinics and care homes, this can lead to less fatigue, quicker reactions and task completion with fewer mistakes resulting in higher standards of care. EFFICIENCY: Efficiency is concerned with the energy consumption, economics and practical aspects of a lighting installation. Lighting products are carefully engineered and manufactured to produce practical, easy to maintain solutions that consume the least possible power and provide long-life, trouble- free solutions. COMFORT: The ability to give people satisfaction and stimulation. Lighting influences concentration and mood. Comfort is concerned with atmosphere, reassurance, and in the healthcare environment, the well-being of the patient.
  • 17. 17 ENERGY SIMULATION GUIDELINES for ENERGY EFFICIENCY in HOSPITALS Energy saving measures can play a significant role for lowering energy consumption and energy costs, as well as for environmental protection. Energy consumption is responsible for CO2 emissions to the atmosphere, that contribute to the “greenhouse effect”. An important parameter for energy saving in the buildings sector is the high efficiency of the energy infrastructures, which requires excellent quality of the relevant equipment installed, as well as the compliance with all the requirements set by the legislation. In order to maximize the energy efficiency of a building -based on the capabilities of the existing shell and infrastructure, and minimise the need of any reconstruction or energy saving measures should be adopted. An energy management programme for a building or group of buildings usually include: • Identification of the adequate targets for energy consumption • Feasibility and implementation of new energy technologies • Identifying the adequate funding for energy projects • Monitoring of the construction of energy applications • Monitoring of the efficiency during their operation.
  • 18. 18 ENERGY SIMULATION ENERGY SAVING POTENTIAL IN HOSPITALS 1) 24hour operation (lighting, heating, air condition, electricity consumption)- The non-stop function of the hospitals is an important factor why there is such a big energy consumption. 2) Lighting- Lighting is a sector with great energy saving potential. These could result in a 50% reduction in energy consumption. 3) Heating- Consuming gas for heating is a big percentage of the overall energy consumption. One of the main building types with a great potential to apply measures of energy saving is the hospitals. Below, some of the most important reasons why hospitals consume lot of energy and some simple ways to reduce their energy consumption are mentioned.
  • 19. 19 ENERGY SIMULATION ENERGY SAVING POTENTIAL IN HOSPITALS  Gas consumption for heating can be reduced by improving thermal insulation or adding insulation to a non- insulated building and by maintaining the boiler at an annual basis. • The greatest savings can be achieved if oil is substituted with natural gas. • Energy consumption for heating can be reduced up to 15%. • However, thermal insulation improvement and the adequate maintenance of the system can reduce significantly the needs for cooling.  Air Condition- Most hospitals have a central cooling system, which helps controlling electricity consumption by adjusting the desired temperature and the humidity at the central cooling system.  Electricity consumption- is very high in hospitals due to the continuous operation, the large rooms, the medical equipment and the electric motors. • Equipment with low energy consumption, replacing old motors with new ones help to the reduction of energy consumption.
  • 20. 20 ENERGY SIMULATION ENERGY SAVING POTENTIAL IN HOSPITALS Big surface of the buildings Rooms with big volume, long corridors and the need for satisfactory ventilation are factors that increase energy consumption in hospitals. In many cases, the continuous use of artificial lighting in all these rooms is not necessary, so systems of controlling the switching of the lamps can be installed. Some systems of this type are the motion sensors and the time switches which can be applied at rooms which don’t need to be lightened often, like the toilets. Needs for hot water Hot water use, which is very energy-consuming, is high in hospitals. The needs in hot water must be determined with accuracy, since they differ from one hospital to another, in order to avoid unnecessary energy consumption for water heating. Need for thermal comfort Obtaining high quality of the inside climate and assuring the thermal comfort for the patients, factors also affect the energy consumption in hospitals. The desired thermal comfort, the use of cooling systems and the use of heating and humidity systems must be combined with the main bioclimatic principles and the adequate energy behaviour.
  • 21. 21 ENERGY SIMULATION ENERGY SAVING POTENTIAL IN HOSPITALS Sterilization supplies The great needs for sterilization in hospitals, demand steam networks with very long pipes. Good insulation at pipes to avoid heat losses, the use of steam and the heating of the water are measures that can save lot of energy in a hospital. Energy consuming machines and equipment Medical machines which are necessary for a hospital’s operation also contribute to the high energy consumption of hospitals. The energy cost can be controlled during the purchase process by taking into consideration the life cycle cost analysis, the energy consumption, the energy efficiency etc.
  • 22. 22 ENERGY SIMULATION MEASURES TO MAKE BUILDING (HOSPITAL) ENERGY EFFICIENT1- The shell of the building • Control of the use of the openings • Sealing of passages of thermic flow in shafts and stairwells • Systematic use of openings, specifically during the night, for the promotion of the natural ventilation and cooling during summer • Placement of coloured and reflective devices for internal shading (louvers, curtains) in openings during the summer. • Placement of mechanisms of automatic shut of doors • Adding passive solar systems of heating and lighting2- Cooling group of air conditioning • Periodic usual maintenance of the system- Cleaning and repair of fulfilment of refrigeration tower, surfaces of heat exchangers, ventilators etc. • Reduction of energy needs for pumping • Control and maintenance of the devices • Cleanup of condenser pipes in water-cooled systems
  • 23. 23 ENERGY SIMULATION MEASURES TO MAKE BUILDING (HOSPITAL) ENERGY EFFICIENT 4- Installations for hot water • Reduction of storage and presentation of hot water temperature down to the limit for sufficient use for cleanness and safety from bacteria and viruses • Rational use of hot and cold water flow mixers in faucets 5- Installations of steam distribution • Control and repair of steam leaks and condensates in pipings and containers • Maintenance of steam traps • Maintenance of chemical protection system 3- Installation of artificial lighting • Switching-off of lamps in non-used areas • Coordinated periodical cleaning, control and maintenance of lamps • Re-arranging of spaces for most optimal use of natural lighting • Replacement of lamps of low luminous efficiency (e.g. glow) with more efficient lamps (e.g. compact electronic lamps of fluorescence or energy saving lamps) • Control of lighting with local switches, timers, dimmers and sensors of motion.
  • 24. 24 ENERGY SIMULATION ADVANTAGES OF ENERGY EFFICIENCY • Increase your asset value. Buildings that are perceived, have higher occupancy rates and are likely to be sold at higher prices than other comparable buildings. • Reduce your energy costs. Energy is, in fact, one of your organization's most easily controlled costs. • Cut your building's carbon emissions. Efforts to reduce the greenhouse gas emissions that contribute to climate change. • Improve the operating performance of your building. When building systems are properly operated and maintained, they work more reliably and efficiently, require fewer repairs, and last longer. • Enhance the comfort of your building's occupants. Better indoor air quality and steady, moderate temperatures can improve the comfort of your building's occupants. • Strengthen your organization's image. A commitment to energy efficiency goes a long way in today's eco-conscious economy.
  • 25. 25 ENERGY SIMULATION CRITERIA FOR THE OPTIMIZATION OF THE BUILDING TO MAKE IT ENERGY EFFICIENT Control of heat and cooling distribution for HVAC applications Efficient cooling plant Degree of building technology Optimization of the light control Efficienct components
  • 26. HOSPITAL IN INDIA • Estimated Electricity consumption in hospital including health centers and nursing homes in INDIA = 769 – 1538 Million KWH • Estimated electricity cost = 4324 – 8748 ( Million Rupees) ENERGY USAGE PATTERN IN HOSPITAL 24 X 7 usage Controlled internal climate Lot of internal heat due to people and equipment Continuous power supply Energy expenses – 3 – 8 % total expenses ELECTRICITY END USER IN HOSPITAL HVAC - 30 – 65% LIGHTING - 30 – 40% WATER PLUMBING - 10 – 12% OTHERS - 5 – 15% ENERGY SIMULATION
  • 27. 27 Bio-medical waste, generated from a number of healthcare units, is imparted necessary treatment to reduce adverse effects that this waste may pose. Installation of individual treatment facilities by small healthcare units requires comparatively high capital investment. In addition, it requires separate manpower and infrastructure development for proper operation and maintenance of treatment systems. A Common Bio-medical Waste Treatment Facility (CBWTF) is used for treatment and disposal of BMW. The concept of CBWTF not only addresses costs related problem but also prevents proliferation of treatment equipment in a city. By running the treatment equipment at CBWTF to its full capacity, the cost of treatment of per kilogram gets significantly reduced. BIO-MEDICAL WASTES MANAGEMENT IN HOSPITALS
  • 28. 28
  • 29. 29 Treatment and disposal of the biomedical waste shall be done by the following methods  Incineration.  Autoclaving.  Shredding.  Disposal option. INCINERATION 85% to 90% of the total BMW is treated by Incineration. 1. Incineration systems uses high temperature combustion under controlled conditions to convert wastes containing infectious and pathological material to inert mineral residues and gases. 2. Incineration is a process where the combustible waste is reduced to exhaust gaseous products and the incombustible waste is reduced to ash 3. The key parameter in an incinerator are • Temperature should be 900-1000*C . • The waste be exposed for at least two seconds • Incinerator should have the air pollution control equipment.
  • 30. 30 AUTOCLAVING The autoclave process is technology for the treatment of microbiology laboratory waste, human blood any body fluid waste, waste sharps and anatomical waste. Autoclaving is a time-tested process of sterilization of medical waste using high temperature and high pressure steam. Typical operating conditions for an autoclave are a temperature of at least 1210C at a pressure of 105 kPa for a period of at least 1hour. Effective sterilization results in the destruction of bacteria, virus, spores, fungi and other pathogenic microorganisms. Shredders are used to destroy plastic and paper waste to prevent their reuse. After autoclaving the plastic waste is sent to the shredder. The shredded waste is sold out to authorized plastic molding units. Only waste that is disinfected should be used in a shredder. This reduces the bulk of waste making transportation easy. Shredder have a set of revolving blades/shafts, which cut the waste into small pieces. Maintainance costs is high.
  • 31. 31 CONCLUSIONS • The Bio-Medical Waste generated from the hospitals and all other source will be treated without polluting the environment. • All the above treatment and disposal process is done within the norms of CPCB & guidelines. • The remaining material after incineration is safely disposed according to the CPCB guidelines. • Incineration of Bio-Medical Waste is one of the techno- economical viable scheme, which have many advantages such as significant volume reduction, weight reduction & also ability to manage most types of wastes with little processing before treatment.
  • 33. INTRODUCTION Kohinoor Hospital, Mumbai – 1st LEED Platinum rated Project in Asia & 2nd in the world. Developed for Kohinoor Group at Kohinoor City in Mumbai. Technology and Equipmets: • Cath Lab • Radiology •. MRI Scan • CT Scan • Orthopantomogram (OPG) • Ultrasonography • Imaging Solutions • LED Surgical Lights • Picture Archiving and Communication System (PACS) • Patient Monitoring Systems • Warmers and Incubators • Pathology Laboratory • Central Sterile and Supply Department (CSSD) ENERGY SIMULATION
  • 34. DESIGN FEATURES • Built up area 227,000 Sq.ft. • 150 bed area • 2 basements, ground+5 storey structure. • A multi-specialty hospital with energy efficient measures to reduce energy consumption, decrease greenhouse gas emissions and improve the quality of patient care. • More than 40% recycled material is used. • Reusing scrap material used for overhead tank’s foundation. Salvaged wood was reused for making frames which helped to conserve trees. • Natural lights in patient areas reduces the consumption of electricity. The large windows and open sky light keep the area cool and ventilated. • Dual flushes and urinal sensors in place to control water flow. • The waste water from various zones of the hospital is treated using disinfectants at the Sewage Treatment Plant. The water is then reused for flushing, cooling air conditioning towers, DG sets and for horticulture. Therefore conserves 40% of the water. ENERGY SIMULATION
  • 35. State-of-the-art Demand Control Ventilations installed and Variable Air Volume systems to keep indoor air quality in check. • To prevent an Urban Heat Island Effect, solar energy pavers and panels have been used. • Advanced internal and external electrical systems used to automatically adjust the lighting levels needed during the day and at night. • Fire hydrant system, fire alarm system, smoke detectors, heat detectors and sprinklers with emergency lighting for all exit signs and on escape routes are there. • Energy Use Intensity at 53 KBTU/ Sq. Ft./ Yr. • Insulated walls with a very low ‘U’ Value. • High Performance glass, optimal Window to wall ratio, and recessed and shaded windows. • Artificial lighting constitutes 20% of the overall energy load which helps in 50% ENERGY SIMULATION
  • 36. • The chillers have a high COP, which along with Heat Recovery (in non –critical areas) VFDs on CT and AHUs contribute to low energy demand. • Onsite sewage treatment plant recycles 100% of grey and black wastewater. • Nine different varieties of vegetation was used in the landscape with all with a water requirement of zero. • storm water collector has filters with a 90% removal of total suspended solids removed before being discharged. • 100% of the waste produced was reused, recycled, or given to the local of community to be used. ENERGY SIMULATION
  • 37. CERTIFICATIONS AND SPECIAL FEATURES Kohinoor Hospital is Asia’s first LEED Platinum Certified hospital and For a Platinum rating, one has to achieve 52-69 points. • Kohinoor Hospital has been awarded 54 credit points, making it the only LEED Certified platinum rated hospital in Mumbai, India. • 30% more of pure air is circulated as compared to other constructions. • Use astronomical time switches for controlling lighting on the basis of sunrise and sunset. This saves substantial amount of electricity. A green building consumes 0.66 watt /sq. ft. as compared to a normal construction which consumes 2.0-2.5 watt / sq. ft. • Green roof provides insulation for the building from outdoor environment. It helps us to lower urban air temperatures and combat the heat island effect. ENERGY SIMULATION
  • 39. HVAC • HVAC Design includes the chilled water plants consists of energy efficient screw chillers. • Variable Frequency Drive (VFD) driven chillers • Multiple primary chilled water pumps • Secondary chilled water pumps with variable frequency drives. • Condensing water pumps • Fibre reinforced plastic (FRP) cooling towers • VFD driven double skin air handling units with thermal break and variable frequency drive. • Fan coil units, chilled and condensing water piping, air distribution system, insulation, electrical panels, wiring, control wiring and earthing. Water Efficiency It is indeed a commendable achievement that all 6 points were achieved. Landscaping In landscaping, the focus has been in using native plants like roheo, chlorophytum, bahunia purpuria, bahunia blackiana, plumeri alba, pisonia alba, polyathia longifolia etc. that require less water for survival. ENERGY SIMULATION
  • 40. Energy and Atmosphere It with the conservation of energy to ensure that the development is sustainable. More than 30% energy conservation is achieved as compared to a standard case through the study of the solar path and the climate, the building facade and orientation is designed to ensure optimization of the energy conserved. The building has façade with double glazed units with high performance reflective glass of 1.2 "U" value to ensure that solar heat does not enter the building whilst ensuring that it is well lit by daylight. Material Resources Appropriate construction waste management practices are followed during construction, to ensure that is not diverted to land fills & recyclable waste generated is recycled. Indoor Air Quality – Possible Credits 15 The hospital management has taken a policy decision of maintaining the building as a "NO SMOKING". The use of MERV 13 filters and CO2 sensors has increased the fresh air delivery by 30%. ENERGY SIMULATION
  • 42. ACTUAL BENEFITS ACHIEVED • 35 % Energy Saving • Green Power from Wind Mills • Solar hot-water generation • Better Indoor Air Quality • Regular CO2 monitoring • Increased fresh air ventilation • No sick building syndrome • Heat Reclaim System with VAV • Higher efficiency than conventional systems • Day Lighting • Healing benefits for patients • Patient Recovery Faster Based on research • 41.3% Reduction In Use Of Water • Achieved Overall Hvac Load 1tr / 500 Sqft Achieved Overall Lpd Of 0.54 W/Sqft • 40% Energy Efficiency • 96.79% Construction Waste Management • 72.05% Regional Material • 29.75% Recycled Material • 80.33% Of High Sri Roof Area Achieved ENERGY SIMULATION
  • 43. THANK YOU ! 43Batul Zainab I Jyoti Arora I Lalit I Megha Sharma I Naina Chohan I