ACHFM Exam Preparation Flash Cards EXAM 2025/2026 ACTUAL
COMPLETE REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ / NEWEST EXAM!!
Who pays for utility cost in a new construction or renewal project at an
existing health care facility? - ANSWERS-The owner will pay the utility cost
as an extension of their existing metered utility costs.
There is limited benefit to the owner for the GC to cover these costs which
is usually less than the expense of their overhead to do so.
When should functional systems commissioning take place? - ANSWERS-
During pre-occupancy phase.
The ASHE Health Facility Commissioning Guidelines recommend that a
Health Facility Commissioning Authority be engaged at the outset of the
project, when other key contracts are negotiated. During the project, pre-
functional testing will be completed as dictated by construction progress.
However, functional testing must be completed as the total systems are
operational to assure they perform as a system for the owner.
What is the significance of the Testing and Balancing (TAB) report? -
ANSWERS-The Testing and Balancing (TAB) report documents the
operational aspects of the HVAC system compared to specifications.
,This is a third party analysis and the TAB contractor has the responsibility
to modulate systems to meet the requirements. If the TAB contractor
cannot adjust the systems to achieve design, then additional engineering
analysis will be required. In addition, the TAB reports are a valuable tool
when troubleshooting performance issues in the future as they document
the system performance at the time of project acceptance.
Who has the primary responsibility for move coordination? - ANSWERS-
The owner or owner's move contractor.
Usually someone from the user group that best understand the specific
portable equipment that will require relocation takes the lead. If the owner
hires a move coordinator then the user group will work with that team to
assure everything is properly relocated.
When is the best time to educate the facilities personnel on proper
management of the equipment? - ANSWERS-Ongoing during the project,
but specifically during the occupancy phase when all systems have been
commissioned.
It is best practice for the engineering and commissioning teams to work
with hospital engineering staff throughout the project to assure they have
the new skills necessary to effectively and efficiently own and operate the
equipment. This should be more than the usual "turn over take over"
training considering the high efficiency that comes with new equipment vs.
older technologies.
,Who has responsibility to manage the project punch list? - ANSWERS-The
architect of record.
This is always an area of concern and the owner should pay close attention
to see that the issues log is begin properly addressed and tat items on the
punch list are being corrected. The architect has the lead as the owner's
rep.
Who prepares the operations and maintenance manuals? - ANSWERS-
The general contractor prepares the manuals and submits them to the
architect for review/approval.
Best practice supports transmission of the O&M manuals as they are
developed rather than waiting for project closure. this assures the facilities
team has time to develop CMMS requirements prior to taking substantial
completion of the job.
After substantial completion and occupancy, who has the responsibility to
transmit the record drawings? - ANSWERS-The general contractor (GC)
submits the record drawings to the architect of record and transmission to
the owner.
The GC develops the red line drawings, reflecting changes that were made
in the field, then submits them to the architect of record for final review,
approval and transmission to the owner.
, It is always a challenge to get the final record drawings. The owner must
stay focused on the delivery and final acceptance of the documents to
assure they have a true record of the construction project for future use.
Other than assuring that operation performance parameters were met,
what is another value of the TAB report? - ANSWERS-Compliance
documentation with required indoor air quality standards.
Health care occupancies have very specific and sometimes challenging
indoor air quality requirements that all authorities having jurisdiction (AHJs)
review during their survey process.
During a phased startup project such as a multistory high rise, how is the
TAB report managed? - ANSWERS-Each phase, prior to accepting
substantial completion, requires the TAB report to be reconciled to
specifications.
If there is an issue, the TAB contractor must resolve the concern prior to
the owner's acceptance of the space.
Multiphase projects require significant acceptance processes that must be
duplicated for each phase prior to acceptance and occupancy. These
projects might be phased over several years so early occupancies must
meet all requirements set fort by the AHJ prior to move in before the total
project.
What is the value of using well-defined and comprehensive contracts for all
parties involved in the project? - ANSWERS-Contracts describe the
COMPLETE REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ / NEWEST EXAM!!
Who pays for utility cost in a new construction or renewal project at an
existing health care facility? - ANSWERS-The owner will pay the utility cost
as an extension of their existing metered utility costs.
There is limited benefit to the owner for the GC to cover these costs which
is usually less than the expense of their overhead to do so.
When should functional systems commissioning take place? - ANSWERS-
During pre-occupancy phase.
The ASHE Health Facility Commissioning Guidelines recommend that a
Health Facility Commissioning Authority be engaged at the outset of the
project, when other key contracts are negotiated. During the project, pre-
functional testing will be completed as dictated by construction progress.
However, functional testing must be completed as the total systems are
operational to assure they perform as a system for the owner.
What is the significance of the Testing and Balancing (TAB) report? -
ANSWERS-The Testing and Balancing (TAB) report documents the
operational aspects of the HVAC system compared to specifications.
,This is a third party analysis and the TAB contractor has the responsibility
to modulate systems to meet the requirements. If the TAB contractor
cannot adjust the systems to achieve design, then additional engineering
analysis will be required. In addition, the TAB reports are a valuable tool
when troubleshooting performance issues in the future as they document
the system performance at the time of project acceptance.
Who has the primary responsibility for move coordination? - ANSWERS-
The owner or owner's move contractor.
Usually someone from the user group that best understand the specific
portable equipment that will require relocation takes the lead. If the owner
hires a move coordinator then the user group will work with that team to
assure everything is properly relocated.
When is the best time to educate the facilities personnel on proper
management of the equipment? - ANSWERS-Ongoing during the project,
but specifically during the occupancy phase when all systems have been
commissioned.
It is best practice for the engineering and commissioning teams to work
with hospital engineering staff throughout the project to assure they have
the new skills necessary to effectively and efficiently own and operate the
equipment. This should be more than the usual "turn over take over"
training considering the high efficiency that comes with new equipment vs.
older technologies.
,Who has responsibility to manage the project punch list? - ANSWERS-The
architect of record.
This is always an area of concern and the owner should pay close attention
to see that the issues log is begin properly addressed and tat items on the
punch list are being corrected. The architect has the lead as the owner's
rep.
Who prepares the operations and maintenance manuals? - ANSWERS-
The general contractor prepares the manuals and submits them to the
architect for review/approval.
Best practice supports transmission of the O&M manuals as they are
developed rather than waiting for project closure. this assures the facilities
team has time to develop CMMS requirements prior to taking substantial
completion of the job.
After substantial completion and occupancy, who has the responsibility to
transmit the record drawings? - ANSWERS-The general contractor (GC)
submits the record drawings to the architect of record and transmission to
the owner.
The GC develops the red line drawings, reflecting changes that were made
in the field, then submits them to the architect of record for final review,
approval and transmission to the owner.
, It is always a challenge to get the final record drawings. The owner must
stay focused on the delivery and final acceptance of the documents to
assure they have a true record of the construction project for future use.
Other than assuring that operation performance parameters were met,
what is another value of the TAB report? - ANSWERS-Compliance
documentation with required indoor air quality standards.
Health care occupancies have very specific and sometimes challenging
indoor air quality requirements that all authorities having jurisdiction (AHJs)
review during their survey process.
During a phased startup project such as a multistory high rise, how is the
TAB report managed? - ANSWERS-Each phase, prior to accepting
substantial completion, requires the TAB report to be reconciled to
specifications.
If there is an issue, the TAB contractor must resolve the concern prior to
the owner's acceptance of the space.
Multiphase projects require significant acceptance processes that must be
duplicated for each phase prior to acceptance and occupancy. These
projects might be phased over several years so early occupancies must
meet all requirements set fort by the AHJ prior to move in before the total
project.
What is the value of using well-defined and comprehensive contracts for all
parties involved in the project? - ANSWERS-Contracts describe the
