COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA

ARCHITECTURAL DESIGN 5 CEA ISATU

ARCHITECTURE DEPT.
SPACE PLANNING 2

GUIDELINES IN THE PLANNING AND DESIGN

OF A HOSPITAL AND OTHER HEALTH FACILITIES
A hospital and other health facilities shall be planned and designed to observe appropriate architectural
practices, to meet prescribed functional programs, and to conform to applicable codes as part of normal
professional practice. References shall be made to the following:

• P. D. 1096 – National Building Code of the Philippines and Its Implementing Rules and
Regulations
• P. D. 1185 – Fire Code of the Philippines and Its Implementing Rules and Regulations
• P. D. 856 – Code on Sanitation of the Philippines and Its Implementing Rules and Regulations
• B. P. 344 – Accessibility Law and Its Implementing Rules and Regulations
• R. A. 1378 – National Plumbing Code of the Philippines and Its Implementing Rules and
Regulations
• R. A. 184 – Philippine Electrical Code
• Manual on Technical Guidelines for Hospitals and Health Facilities Planning and Design.
Department of Health, Manila. 1994
• Signage Systems Manual for Hospitals and Offices. Department of Health, Manila. 1994
• Health Facilities Maintenance Manual. Department of Health, Manila. 1995
• Manual on Hospital Waste Management. Department of Health, Manila. 1997
• District Hospitals: Guidelines for Development. World Health Organization Regional
Publications, Western Pacific Series. 1992
• Guidelines for Construction and Equipment of Hospital and Medical Facilities. American
Institute of Architects, Committee on Architecture for Health. 1992
• De Chiara, Joseph. Time-Saver Standards for Building Types. McGraw-Hill Book Company. 1980

1. Environment: A hospital and other health facilities shall be so located that it is readily accessible to
the community and reasonably free from undue noise, smoke, dust, foul odor, flood, and shall not
be located adjacent to railroads, freight yards, children's playgrounds, airports, industrial plants,
disposal plants.

2. Occupancy: A building designed for other purpose shall not be converted into a hospital. The
location of a hospital shall comply with all local zoning ordinances.

3. Safety: A hospital and other health facilities shall provide and maintain a safe environment for
patients, personnel and public. The building shall be of such construction so that no hazards to the
life and safety of patients, personnel and public exist. It shall be capable of withstanding weight and
elements to which they may be subjected.

3.1 Exits shall be restricted to the following types: door leading directly outside the building, interior
stair, ramp, and exterior stair.
3.2 A minimum of two (2) exits, remote from each other, shall be provided for each floor of the
building.
3.3 Exits shall terminate directly at an open space to the outside of the building.
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
SPACE PLANNING 2

4. Security: A hospital and other health facilities shall ensure the security of person and property
within the facility.

5. Patient Movement: Spaces shall be wide enough for free movement of patients, whether they are
on beds, stretchers, or wheelchairs. Circulation routes for transferring patients from one area to
another shall be available and free at all times.

5.1 Corridors for access by patient and equipment shall have a minimum width of 2.44 meters.
5.2 Corridors in areas not commonly used for bed, stretcher and equipment transport may be
reduced in width to 1.83 meters.
5.3 A ramp or elevator shall be provided for ancillary, clinical and nursing areas located on the upper
floor.
5.4 A ramp shall be provided as access to the entrance of the hospital not on the same level of the
site.

6. Lighting: All areas in a hospital and other health facilities shall be provided with sufficient
illumination to promote comfort, healing and recovery of patients and to enable personnel in the
performance of work.

7. Ventilation: Adequate ventilation shall be provided to ensure comfort of patients, personnel and
public.

8. Auditory and Visual Privacy: A hospital and other health facilities shall observe acceptable sound
level and adequate visual seclusion to achieve the acoustical and privacy requirements in designated
areas allowing the unhampered conduct of activities.

9. Water Supply: A hospital and other health facilities shall use an approved public water supply
system whenever available. The water supply shall be potable, safe for drinking and adequate, and
shall be brought into the building free of cross connections.

10. Waste Disposal: Liquid waste shall be discharged into an approved public sewerage system
whenever available, and solid waste shall be collected, treated and disposed of in accordance with
applicable codes, laws or ordinances.

11. Sanitation: Utilities for the maintenance of sanitary system, including approved water supply and
sewerage system, shall be provided through the buildings and premises to ensure a clean and
healthy environment.

12. Housekeeping: A hospital and other health facilities shall provide and maintain a healthy and
aesthetic environment for patients, personnel and public.

13. Maintenance: There shall be an effective building maintenance program in place. The buildings and
equipment shall be kept in a state of good repair. Proper maintenance shall be provided to prevent
untimely breakdown of buildings and equipment.
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
SPACE PLANNING 2

14. Material Specification: Floors, walls and ceilings shall be of sturdy materials that shall allow
durability, ease of cleaning and fire resistance.

15. Segregation: Wards shall observe segregation of sexes. Separate toilet shall be maintained for
patients and personnel, male and female, with a ratio of one (1) toilet for every eight (8) patients or
personnel.

16. Fire Protection: There shall be measures for detecting fire such as fire alarms in walls, peepholes in
doors or smoke detectors in ceilings. There shall be devices for quenching fire such as fire
extinguishers or fire hoses that are easily visible and accessible in strategic areas.

17. Signage. There shall be an effective graphic system composed of a number of individual visual aids
and devices arranged to provide information, orientation, direction, identification, prohibition,
warning and official notice considered essential to the optimum operation of a hospital and other
health facilities.

18. Parking. A hospital and other health facilities shall provide a minimum of one (1) parking space for
every twenty-five (25) beds.

19. Zoning: The different areas of a hospital shall be grouped according to zones as follows:

19.1 Outer Zone – areas that are immediately accessible to the public: emergency service, outpatient
service, and administrative service. They shall be located near the entrance of the hospital.

19.2 Second Zone – areas that receive workload from the outer zone: laboratory, pharmacy, and
radiology. They shall be located near the outer zone.

19.3 Inner Zone – areas that provide nursing care and management of patients: nursing service. They
shall be located in private areas but accessible to guests.

19.4 Deep Zone – areas that require asepsis to perform the prescribed services: surgical service,
delivery service, nursery, and intensive care. They shall be segregated from the public areas but
accessible to the outer, second and inner zones.

19.5 Service Zone – areas that provide support to hospital activities: dietary service, housekeeping
service, maintenance and motorpool service, and mortuary. They shall be located in areas away
from normal traffic.

20. Function: The different areas of a hospital shall be functionally related with each other.

20.1 The emergency service shall be located in the ground floor to ensure immediate access. A
separate entrance to the emergency room shall be provided.
20.2 The administrative service, particularly admitting office and business office, shall be located near
the main entrance of the hospital. Offices for hospital management can be located in private
areas.
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
SPACE PLANNING 2

20.3 The surgical service shall be located and arranged to prevent non-related traffic. The operating
room shall be as remote as practicable from the entrance to provide asepsis. The dressing room
shall be located to avoid exposure to dirty areas after changing to surgical garments. The nurse
station shall be located to permit visual observation of patient movement.

20.4 The delivery service shall be located and arranged to prevent non-related traffic. The delivery
room shall be as remote as practicable from the entrance to provide asepsis. The dressing room
shall be located to avoid exposure to dirty areas after changing to surgical garments. The nurse
station shall be located to permit visual observation of patient movement. The nursery shall be
separate but immediately accessible from the delivery room.

20.5 The nursing service shall be segregated from public areas. The nurse station shall be located to
permit visual observation of patients. Nurse stations shall be provided in all inpatient units of the
hospital with a ratio of at least one (1) nurse station for every thirty-five (35) beds. Rooms and
wards shall be of sufficient size to allow for work flow and patient movement. Toilets shall be
immediately accessible from rooms and wards.

20.6 The dietary service shall be away from morgue with at least 25-meter distance.

21. Space: Adequate area shall be provided for the people, activity, furniture, equipment and utility.
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
SPACE PLANNING 2

AREA IN SQUARE
SPACE
METERS
Administrative Service
Lobby
Waiting Area 0.65 /person
Information and Reception Area 5.02 /staff
Toilet 1.67
Business Office 5.02 /staff
Medical Records 5.02 /staff
Office of the Chief of Hospital 5.02 /staff
Laundry and Linen Area 5.02 /staff
Maintenance and Housekeeping Area 5.02 /staff
Parking Area for Transport Vehicle 9.29
Supply Room 5.02 /staff
Waste Holding Room 4.65
Dietary
Dietitian Area 5.02 /staff
Supply Receiving Area 4.65
Cold and Dry Storage Area 4.65
Food Preparation Area 4.65
Cooking and Baking Area 4.65
Serving and Food Assembly Area 4.65
Washing Area 4.65
Garbage Disposal Area 1.67
Dining Area 1.40 /person
Toilet 1.67
Cadaver Holding Room 7.43 /bed
Clinical Service
Emergency Room
Waiting Area 0.65 /person
Toilet 1.67
Nurse Station 5.02 /staff
Examination and Treatment Area with Lavatory/Sink 7.43 /bed
Observation Area 7.43 /bed
Equipment and Supply Storage Area 4.65
Wheeled Stretcher Area 1.08 /stretcher

Outpatient Department
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
SPACE PLANNING 2

Waiting Area 0.65 /person

Toilet 1.67
Admitting and Records Area 5.02 /staff
Examination and Treatment Area with Lavatory/Sink 7.43 /bed
Consultation Area 5.02 /staff
Surgical and Obstetrical Service
Major Operating Room 33.45
Delivery Room 33.45
Sub-Sterilizing Area 4.65
Sterile Instrument, Supply and Storage Area 4.65
Scrub-up Area 4.65
Clean-up Area 4.65
Dressing Room 2.32
Toilet 1.67
Nurse Station 5.02 /staff
Wheeled Stretcher Area 1.08 /stretcher
Janitor’s Closet 3.90
Nursing Unit
Semi-Private Room with Toilet 7.43 /bed
Patient Room 7.43 /bed
Toilet 1.67
Isolation Room with Toilet 9.29
Nurse Station 5.02 /staff
Treatment and Medication Area with Lavatory/Sink 7.43 /bed
Central Sterilizing and Supply Room
Receiving and Releasing Area 5.02 /staff
Work Area 5.02 /staff
Sterilizing Room 4.65
Sterile Supple Storage Area 4.65
Nursing Service
Office of the Chief Nurse 5.02 /staff
Ancillary Service
Primary Clinical Laboratory
Clinical Work Area 10.00
Pathologist Area 5.02 /staff
Toilet 1.67
Radiology
X-Ray Room with Control Booth, Dressing Area and Toilet 14.00
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
SPACE PLANNING 2

Dark Room 4.65

Film File and Storage Area 4.65
Radiologist Area 5.02 /staff
Pharmacy 15.00

Notes:
1. 0.65/person – Unit area per person occupying the space at one time
2. 5.02/staff – Work area per staff that includes space for one (1) desk and one (1) chair, space for
occasional visitor, and space for aisle
3. 1.40/person – Unit area per person occupying the space at one time
4. 7.43/bed – Clear floor area per bed that includes space for one (1) bed, space for occasional
visitor, and space for passage of equipment
5. 1.08/stretcher – Clear floor area per stretcher that includes space for one (1) stretcher

Guidelines for Quarantine facilities COVID-19

1.0 Evaluation of Potential Sites for Facility-Based Quarantine is Important for Preparedness
Planning

Requirements for Quarantine facility in a community-based facility is as under:

1. Location:
• Preferably placed in the outskirt of the urban/ city area (can be a hostel/unused health
facilities/buildings, etc.)
• away from the people’s reach, crowded and populated area
• well protected and secured (preferably by security personnel/army)
• preferably should have better approachability to a tertiary hospital facility having critical care
and isolation facility
2. Access considerations
• Parking space including Ambulances etc.
• Ease of access for delivery of food/medical/other supplies
• Differently-abled Friendly facilities (preferably)
3. ilation capacity:
• Well ventilated preferably natural
4. Basic infrastructure/functional requirements:
 Rooms/Dormitory separated from one another may be preferable with in-house capacity of 5-
10 beds/roomEach bed to be separated 1-2 meters (minimum 1 metre) apart from all sides.
• Lighting, well-ventilation, heating, electricity, ceiling fan
• Potable water to be available
• Functional telephone system for providing communications.
• Support services-fooding, snacks, recreation areas including television
• Laundry services
• Sanitation services/Cleaning and House keeping
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
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• Properly covered bins as per BMW may be placed

5. Space requirements for the facility:

• Administrative offices- Main control room/clerical room
• Logistics areas/Pharmaceutical rooms
• Rest rooms- doctors/nurses/supporting staffs
• Clinical examination room/ nursing station / Sampling area
• Laundry facilities (on- or off-site)
• Mess/Meal preparation (on- or off-site)
• Holding area for contaminated waste
• Wash room/Bathroom/Toilet

6. Social support resources/ Recreational areas

• Television and radio / Reading materials/ indoor plays

7. Monitoring the health of contacts:

• During that period, contacts should be monitored at least daily for fever and respiratory
symptoms

1.1 Standard operating Procedures: To ensure smooth operation in the quarantine facility, the
standard Operative procedures (SOPs) needs to be framed as under:
• Daily monitoring surveillance using the daily reporting format
• Fever triage/ Isolation
• Case and contact monitoring and response
• Transfers of suspect/symptomatic to designated hospital (through ambulances)
• Public information
• Provider information (SOPs)
• Medical personnel,
• Nursing staff,
• Movement of health personnel and support staff and
• Security staff

Functional flow should be maintained to reduce/minimise the interactions between quarantine people
and healthcare professionals/supporting staffs so that transmission of disease is prevented and
controlled.

2.0 Risk Assessment of the Quarantine Facility

The risk level refers to how likely it is that someone in the Quarantine camp will become infected with
corona virus as a result of movements and activities performed in the Quarantine camp.

Risk assessment includes identification of the biohazard risk precaution levels, along with its associated
activities. The risk level refers to how likely it is that someone in the Quarantine camp will become
infected with corona virus as a result of procedures performed in the Quarantine camp.

Areas were segregated and labelled as:

COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
SPACE PLANNING 2

• Low risk areas: Areas having less direct contact with evacuee suspects such as control room
center in the quarantine center, nursing station and areas of kitchen where food is cooked.
• Moderate risk areas: Moderate risk areas are where infectious aerosols are generated from
areas where the suspects were inhabiting in their bed linen, pillows and nearby clothes; low
concentration of infectious particles. Contaminated surface near the quarantine zones.
• High risk areas (containment Quarantine camp): Areas where direct dealing with the suspects
are as under Medical examination room, sample collection areas (high concentration of
infectious particles while coughing, sneezing, gag reflex during nasopharangeal &
oropharangeal sample collection). Toilet and bathroom areas, dining areas, areas of bio-waste
collections, segregation and disposal.

Based on risk assessment, areas should be earmarked and infection prevention control measures to be
applied as per MOHFW guidelines.

3.0 Securing Entry and Exit points

In order to prevent and control infection in the facility, strategic points in the facility needs to be
identified including:
• The Control room where a person entering inside quarantined building to get proper awareness
and training on infection control measures,
• A well informed and trained security to check (main entrance gate of the area) and a guard (24*7)
with registers for ins and outs and a designated nursing officer for checking proper PPE wear (main
entrance gate in the building)
• The international biohazard warning symbol and sign to be displayed on the doors of the rooms
where suspects are kept, BMW management areas, samples of higher risk groups are handled.
• Only authorized & trained persons or those designated in work areas to permitted to enter the
quarantine areas;
• Doors to keep closed at all times preferably under observation of a guard.
• There should be double door entry was managed with only one door to be open at a single time.

4.0 Monitoring and Supervision – Daily monitoring visit needs to be conducted inside quarantine
facility and outside the facility in the surrounding campus by public health and in charge officers and
gaps to be noted. Necessary corrective actions and preventive actions to be taken by the nodal
officer. Visits also given by senior officers from for regular review.

5.0 Establishment of Infection Prevention Control (IPC) Measures – As per risk assessment was
undertaken with respect to probability of infection from possibly infected quarantine people to
health care, other staffs and surrounding areas. Special map of the facility needs to be prepared to
outline the details of movement of health care and other personnel around the quarantine area and
in the building. It need to be ensured that movement of health care staffs and other personnel to
undertake as per the designed map to prevent and control infections.

Separate fence needs to be raised around the building to prevent entry of animals especially dogs,
monkeys and even birds if possible. Well informed and trained security personnel needs to be
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
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deployed all around the building on 24’7 rotation basis to monitor the facility and to avoid entry of
undesired persons/animals and even birds for eating any food remains/droppings inside the area.

To ensure that all health care personnel use PPE as per guidelines, they need to be properly trained
and assisted during wearing of PPE. Separate areas to be earmarked for PPE Donning and Doffing.
Compliance for same to be ensured by nodal officer.

Separate well informed and trained nursing officers need to be stationed at the building to regulate
the movement of the staffs entering the facility. He/ She should be assigned the duty that every
person entering the facility enters in the register of all the details on time of name, designation
entry/exit. Nursing officer to ensure that all the persons are labelled while entering the building so
that they can be identified by security staff. At the entrance, two door entries may be ensured to
avoid mixing of quarantine people with health care staff.

It is to be ensured that all the quarantine facility is decontaminated daily (refer to infection
prevention control guidelines) with disinfectants (freshly prepared 1% hypochlorite, detergent
solution) including surface mopping of all the floor, bathrooms, toilets facility, under side of beds,
other related items placed in the rooms of quarantine people.

A separate cubicle for people developing mild symptoms for temporary observation (transit room)
may be considered so that it will lead to an early isolation of any symptomatic person and to prevent
transmission to other cluster of groups.

6.0 Lodging, Catering, Laundry and Other Related Activities –Disposable and pre-packed food to be
needs to be served to quarantined people. All the quarantined people to be kept on separate beds
with distance of 1-2 meters with no bed facing opposite to each other. All Beds were having
disposable bed sheet that should be changed on daily basis. Personal toiletries/ towel/ blanket/
pillow with covers/electric kettle, room heater and water dispenser may be provided to each person
depending on availability.

A separate room needs to be assigned to perform laundry services for cleaning of all the clothes and
other washing related activities. Before laundering, all the washable items needs to be placed in 1%
hypochlorite up to 30 minutes and later washed in detergent solution.

7.0 Biomedical Waste (BMW) Management – To ensure that biomedical waste management in the
facility takes place as per standard guidelines, separate yellow, red /black bags, foot operating
dustbins needs to be kept at each floor and outside the facility. It is to strictly ensure that Doffing
takes place in the designated area with all the PPE kit including mask, gloves is properly placed in
yellow bags. All the health care workers collecting the possible infectious material such as food
items, PPE kits from yellow bags should also wear PPE and following the IPC measures. Designated
place to be earmarked outside the building for collection of yellow and black bags. It should be
collected at least twice daily by biomedical waste management vehicle/any other local established
practice.

Site of collection of biomedical waste should be regularly disinfected with freshly prepared 1%
hypochlorite solution. All officials concerned with the administration and all other health care
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
SPACE PLANNING 2

workers including medical, paramedical, nursing officers, other paramedical staff and waste
handlers such as safaikarmacharis, attendants & Sanitation attendants needs to be well oriented to
requirements of handling and management of general and biomedical waste generated at the
facility. Steps in the management of biomedical waste include generation, accumulation, handling,
storage, treatment, transport and disposal as mentioned in the SOP needs to be followed.
Continuous training, monitoring & supervision to monitor the implementation to be done on daily
basis to manage compliance related issues. All the generated waste from Quarantine facility to be
treated as isolation waste and its disinfection /treatment was strictly monitored by specialists in the
health authorities.

Standard Operative Producers for Movement of Health Professionals and

Support Staff Inside the Quarantine Facility
The movements of health professionals are to be monitored at three vital points considering the control
of infection for the prevailing disease.

CONTROL ROOM:
• Health professionals and support staff need to be made aware and trained in correct procedure
of wearing mask and gloves.
• They need to be trained to follow the infection control measures as instructed including
o hand washing with soap and water and sanitizing with alcohol-based sanitizers,
o cough etiquettes,
o donning and doffing of PPE etc.
o before entering the quarantine facility.

Main Gate Security post: To monitor entry of persons/visitors to the facility and ensure that the
personnel should comply with instructions / including wear the mask correctly.

Nursing Station at Quarantine building (ground floor):

1. Registration of name with time and purpose for entering the building
2. PPE should be donned here.
3. Nursing officer will check and ensure strict and correct wearing of PPE before entering the main
quarantine area
4. After coming out from the main quarantine area, PPE to be doffed properly and placed in the
designated bin for infective material (Yellow bag)
5. The hands should be sanitized before exiting the quarantine area
6. Mobile phones are not allowed to be used inside the building
7. Name of doctors to be written on the PPE with permanent marker for identification.
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
SPACE PLANNING 2

IRR of BP 344

“AN ACT TO ENHANCE THE MOBILITY OF DISABLED PERSONS BY REQUIRING

CERTAIN BUILDINGS, INSTITUTIONS, ESTABLISHMENTS AND PUBLIC UTILITIES TO
INSTALL FACILITIES AND OTHER DEVICES.”

1. Public and private buildings and related structures for public use.
No permit for the construction, repair or renovation of public and private buildings and related
structures for public use, whether owned or leased, shall be granted or issued, unless the owner
thereof shall have provided in the places and specifications submitted for approval barrier-free
facilities and accessibility features as provided in these Rules and in accordance with the followings
criteria:

1.1 Building and related structures to be constructed

a. At the space where the primary function is served and where facilities and ingress/egress of the
building or structure are located, as to make such space accessible to the disabled persons;
provided, however, that where the primary function can be served at the ingress level and where
such level is provided with facilities, requirements for accessibility at other levels may be waived.
b. Ten percent (10%) of the total number of units of government-owned living accommodations
shall be accessible and fully usable by the disabled persons with any fractional part in excess of
one-half (1/2) in the computation thereof, to be considered as one unit; for privately-owned
living accommodations the number of accessible units shall be as provided in Section 3 of Rule III
thereof.
c. Ingress/egress from the street to the building or structure shall be made accessible.
d. Accessible slots in parking areas shall be located as near as possible to ingress/egress spaces of
the building or structure.

1.2 Building and related structures to be repaired or renovated including those proposed for a
change of occupancy.
If feasible, barrier-free facilities and accessibility and accessibility features shall be provided in
accordance with the requirements under Subsection 1.1 (1), (c) and (d): feasibility of
incorporation of barrier-free facilities and accessibility features shall be determined from all the
following conditions:
a. When the repair or renovation work is to be done in the space where the primary function is
served;
b. When the facilities can be made accessible at any other level which is accessible by means of an
elevator with a minimum width of 800 mm;
c. When the space allotted for the primary function will not be diminished by more than ten
percent (10%) of its original area;
d. When the capacity or strength of any major structural component, such as slabs, beams, girders,
columns, bearing walls and footing of the building or structure will not be diminished;
e. When the cost (exclusive of the exception provided below) of such repair or renovation work is in
excess of twenty percent (20%) of the total cost of the building or structure, based upon the
computation of permit fees as provided under Rule III of the Implementing Rules and Regulations
promulgated pursuant to P.D. 1096 entitled: The National Building Code of the Philippines;
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f. When there is no legal constraint which would not allow compliance with these regulations:
EXCEPTION: Repair or renovation work which consists only of heating, ventilating and air conditioning
systems, including those which may be required only with respect to fire panic and explosion safety for
existing spaces, shall not be subject to the requirements for barrier-free facilities and accessibility
features.

2.1 Streets, highways and transport related structures to be constructed – Streets, highways and
transport related structures shall be provided with the following barrier-free facilities and
accessibility features at every pedestrian crossing: ramps and other accessible features in buildings
of the Sectoral offices and attached agencies of DOTC; transportation terminals and passenger
waiting areas for use of disabled person;
a. Cut-out curbs and accessible ramps at the sidewalks.
b. Audio-visual aids for crossing
EXCEPTION: Requirements for accessibility at pedestrian grade separations or overpasses and
underpasses may be waived.

2.2 Existing streets and highways to be repaired and renovated the accessibility requirements shall be
provided where the portion of existing streets and highways to be repaired or renovated includes
part or the entire pedestrian crossing.

2.3 Transport vehicles for public use

a. No license or franchise for the operation of public buses, passenger boats, ships and domestic
airplanes shall be granted or issued unless the owner or operator thereof shall have provided and
designated the number of seats and shall have placed audio-visual aids.
b. Government instrumentalities operating passenger trains including the Light Rail Transit Authority
shall have provided the number of seats for disabled persons.
c. Government instrumentalities operating passenger airplanes shall provide and designate the
number of seats for disabled persons and shall likewise place the audio-visual aids

2.4 Existing Public Transport Vehicles – The minimum accessibility requirements shall apply to all
existing units of public transport vehicles, and including those units, which are to be repaired and
renovated.

2.5 Public Telephones – At least one unit of public telephones for every four (4) units shall be accessible
to disabled persons and shall be provided with visual aids required, provided that if only (1) public
telephone is to be installed in a particular place the same shall be accessible to disabled persons.

2.6 Public Transport Terminals – The criteria and accessibility requirements, provided for public and
private buildings and related structures for public use shall apply to public transport terminals.

2. Special Standards of Accessibility:

Where the requirements for accessibility in the Rules will create an unreasonable hardship in
design/construction, special standards of accessibility through the use of other methods and/or
materials shall be allowed if better facilities can be provided subject to the approval of the National
Council for the Welfare of Disabled Persons.
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MINIMUM REQUIREMENTS FOR ACCESSIBILITY

Design Criteria:

1. CATEGORIES OF DISABLED PERSONS.

The categories of disability dictate the varied measures to be adopted in order to create an
accessible environment for the handicapped. Disabled persons under these Rules may be classified
into those who have:

 Impairments requiring confinement to wheelchairs; or

 Impairments causing difficulty or insecurity in walking or climbing stairs or requiring the use of
braces, crutches or other artificial supports; or impairments caused by amputation, arthritis,
spastic conditions or pulmonary, cardiac or other ills rendering individuals semi-ambulatory; or
 Total or partial impairments of hearing or sight causing insecurity or like hood of exposure to
danger in public places; or
 Impairments due to conditions of aging and in coordination;
 Mental impairments whether acquired or congenital in nature.

2. ANTHROPOMETRICS AND DIMENSIONAL DATA AS GUIDES FOR DESIGN.

The minimum and maximum dimensions for spaces in the built environment should consider the
following criteria:

 The varying sizes and statures of persons of both sexes, their reaches and their lines of sight at
both the standing and sitting positions.
 The dimensional data of the technical aids of disabled persons. Included in the second
consideration are the dimensions of wheelchairs; the minimum spaces needed for locking and
unlocking leg braces plus the range of the distance of crutches and other walking aids from
persons using such devices. By applying at this very early stage dimensional criteria which take into
account wheelchair usage, the physical environment will ultimately encouraged and enable
wheelchair users to make full use of their physical surroundings.
 The provision of adequate space for wheelchair manoeuvring generally insures adequate space for
disabled persons equipped with other technical aids or accompanied by assistants. In determining
the minimum dimensions for furniture and fixtures accessible to disabled persons, the following
anthropometrics data shall serve as guides for design: The length of wheelchairs varies from 1.10
m to 1.30m. The width of wheelchairs is from 0.60 m to 0.75 m. A circle of 1.50 m in diameter is a
suitable guide in the planning of wheelchair turning spaces. The comfortable reach of persons
confined to wheelchairs is from 0.70 m to 1.20 m above the floor and not less than 0.40 m from
room corners. The comfortable clearance for knee and leg space under tables for wheelchair users
is 0.70 m. Counter height shall be placed at a level comfortable to disabled persons reach.
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
SPACE PLANNING 2

3. BASIC PHYSICAL PLANNING REQUIREMENTS.

No group of people shall be deprived of full participation and enjoyment of the environment or be
made unequal with the rest due to any disability. In order to achieve this goal adopted by the United
Nations, certain basic principles shall be applied:

 ACCESSIBILITY – The built environment shall be designed so that it shall be accessible to all people.
This means that no criteria shall impede the use of facilities by either the handicapped or
nondisabled citizens.
 REACHABILITY – Provisions shall be adapted and introduced to the physical environment so that as
many places or buildings as possible can be reached by all.
 USABILITY – The built environment shall be designed so that all persons, whether they be disabled
or not, may use and enjoy it.
 ORIENTATION – Finding a person’s way inside and outside of a building or open space shall be
made easy for everyone.
 SAFETY – Designing for safety insures that people shall be able to move about with less hazards to
life and health.
 WORK ABILITY AND EFFICIENCY – The built environment shall be designed to allow the disabled
citizens to participate and contribute to developmental goals

STANDARD OF ACCESSIBILITY FOR SPECIAL TYPE OF FACILITIES

The provision of this section shall apply to the specified type of facilities and identified specific
requirements for accessibility and usability which shall be provided for each of the listed occupancy
uses.
a. Seating for the disabled shall be accessible from the main lobby to primary entrances, together
with related toilet facilities.
b. In all assembly places where seating accommodation is provided, there shall be spaces for the
disabled persons as provided. Seating Capacity Wheelchair Seating Space
4 50 2
51 300 4
301 500 6
c. When the seating capacity exceeds 500 an additional wheelchair seating space shall be provided
for each total seating capacity increase of 100 seats.
d. Readily removable seats may be installed in these spaces when such spaces are not required to
accommodate wheelchair users.

COMPUTATION OF ACCESSIBLE UNITS

In the computation for the allocation of accessible units and seating capacity decimal greater than 0.5
shall be considered as one unit. In all cases a minimum of one (1) accessible unit shall be provided.
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
SPACE PLANNING 2

APPLICATION OF BARRIER-FREE FACILITIES AND FEATURES

 Graphic signs shall be bold and conspicuously installed in every access from point of entry to
connecting destination.
 Walkways shall be provided with adequate passageway in accordance with provision.
 Width of corridors and circulation system integrating both and vertical access to ingress/egress
level of the building shall be provided.
 Doors and entrances provided herein used as entry points at entrance lobbies as local points of
congregation shall be designed to open easily or accessible from floor or to any point of
destination.
 Washroom and toilets shall be accessible and provided with adequate turning space.
 Whenever elevator/s is required it should meet the requirements provide.
 Ramps shall be provided as means of access to level of change going to entry points and
entrances, lobbies influenced by condition of location or use.
 Parking areas shall be provided with sufficient space for the disabled persons to allow easy
transfer from car park to ingress/egress levels.
 Height above the floor or switches and controls shall be in accordance with the provisions.
 Handrails shall be provided at both sides of ramps.
 Floors provided for every route of the wheelchair shall be made of non-skid material.
 Water fountains shall be installed as required. (Refer to Appendix A for the illustrations of Rules
II and III complementing Rule II of the previous implementing rules and regulations).
COURSE CODE ARD 305 INSTRUCTOR: JUNAR PEÑA
ARCHITECTURAL DESIGN 5 CEA ISATU
ARCHITECTURE DEPT.
SPACE PLANNING 2

References:

Department Of Health (2004), GUIDELINES IN THE PLANNING AND DESIGN OF A HOSPITAL AND OTHER
HEALTH FACILITIES, Retrieved from
https://doh.gov.ph/sites/default/files/publications/planning_and_design_hospitals_other_facilities.pdf

National Centre for Disease Control, Guidelines for Quarantine facilities COVID-19, Retrieved from
https://www.mohfw.gov.in/pdf/90542653311584546120quartineguidelines.pdf

National Council on Disability Affairs (2012), IRR of BP 344 “AN ACT TO ENHANCE THE MOBILITY
OF DISABLED PERSONS BY REQUIRING CERTAIN BUILDINGS, INSTITUTIONS,
ESTABLISHMENTS AND PUBLIC UTILITIES TO INSTALL FACILITIES AND OTHER
DEVICES”, Retrieved from, https://www.ncda.gov.ph/disability-laws/implementing-rules-and-
regulations-irr/irr-of-bp-344/