Lighting

PG-18-10

January 1, 2022

designmanual
 TABLE OF CONTENTS

CHAPTER 1: GENERAL REQUIREMENTS

1.1 PURPOSE
1.2 RESPONSIBILITY
1.3 AUTHORITY HAVING JURISDICTION (AHJ)
1.4 COORDINATION
1.4.1 PLANNING AND DESIGN
1.4.2 INSTALLATION
1.5 DESIGN STANDARDS AND CODES
1.5.1 GENERAL
1.5.2 VA STANDARDS
1.5.3 OTHER STANDARDS AND CODES
1.6 DAYLIGHTING
1.6.1 GENERAL
1.7 ABBREVIATIONS
1.8 GLOSSARY

CHAPTER 2: LIGHTING DESIGN REQUIREMENTS

2.1 ENERGY CONSERVATION
2.2 LIGHTING DESIGN STRATEGIES
2.3 LIGHTING DESIGN OBJECTIVES
2.3.1 INTERIOR
2.3.2 EXTERIOR
2.4 LIGHTING CONTROL DESIGN STRATEGIES AND OBJECTIVES
2.5 LIGHTING CONTROL DESIGN METHODOLOGIES
2.5.1 INTERIOR
2.5.2 EXTERIOR
2.6 LUMINAIRE SELECTION GUIDELINES
2.6.1 INTERIOR
2.6.2 EXTERIOR
2.7 LIGHT SOURCE SELECTION GUIDELINES
2.7.1 FLUORESCENT
2.7.2 HIGH INTENSITY DISCHARGE (HID)
2.7.3 LIGHT EMITTING DIODES (LED)
2.8 BALLAST AND LED DRIVER SELECTION GUIDELINES
2.8.1 FLUORESCENT BALLAST
2.8.2 HID BALLAST
2.8.3 LED DRIVER
2.9 EMERGENCY POWER PACK SELECTION GUIDELINES

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2.10 LIGHTING CONTROL SELECTION GUIDELINES

2.11 LIGHTING CALCULATIONS
2.12 LIGHTING SYSTEM COMMISSIONING
2.13 LIGHTING MAINTENANCE CONSIDERATIONS

CHAPTER 3: EXTERIOR LIGHTING GUIDELINES

3.1 ROADWAYS
3.2 OPEN PARKING AREAS
3.3 WALKWAYS
3.4 ENTRIES
3.5 LANDSCAPE
3.6 BUILDING PERIMETER
3.7 FLAGPOLES
3.8 PARKING STRUCTURES
3.9 HELICOPTER PADS
3.10 WATER TANKS
3.11 ROOF-MOUNTED ANTENNA-OBSTRUCTION LIGHTS

CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.1. PATIENT AREAS LIGHTING GUIDELINES MATRIX
4.2 SPECIALTY, DIAGNOSTIC, AND TREATMENT AREAS
4.2.1 EXAMINATION AND TREATMENT ROOM
4.2.2 BLOOD DRAW STATION
4.2.3 ORTHOTIC AND CASTING ROOM
4.2.4 LABORATORY
4.2.5 PROCEDURE ROOM
4.2.6 DIAGNOSTIC IMAGING ROOM
4.2.7 DIAGNOSTIC TESTING ROOM
4.2.8 CHEMOTHERAPY TREATMENT ROOM
4.2.9 RADIATION THERAPY ROOM
4.2.10 DIALYSIS TREATMENT ROOM
4.2.11 PHYSICAL/OCCUPATIONAL THERAPY
4.2.12 AUDIOLOGY TESTING ROOM
4.2.13 SURGERY/OPERATING ROOM
4.2.14 SURGICAL CORRIDOR AND SCRUB AREA
4.2.15 PRE-OPERATIVE AND POST-ANESTHETIC CARE (PACU)
4.2.16 DENTAL EXAM AND TREATMENT ROOM

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4.2.17 ORAL SURGERY, MINOR PROCEDURE ROOM

4.2.18 PHARMACY
4.3 PATIENT CARE AREAS
4.3.1 NURSE STATION
4.3.2 PATIENT CORRIDOR
4.3.3 MEDICATION ROOM
4.3.4 PATIENT ROOM, GENERAL
4.3.5 PATIENT ROOM, ISOLATION
4.3.6 PATIENT ROOM, INTENSIVE CARE
4.3.7 PATIENT ROOM, RESIDENTIAL
4.3.8 PATIENT TOILET/SHOWER
4.3.9 PATIENT TOILET/SHOWER - RESIDENTIAL
4.3.10 NOURISHMENT STATION
4.3.11 DAY ROOM
4.3.12 MULTI-PURPOSE ACTIVITY ROOM
4.3.13 DRESSING ROOM
4.4 MENTAL HEALTH (MH)
4.4.1 PATIENT ROOM
4.4.2 PATIENT TOILET
4.4.3 CANTEEN
4.4.4 DAY ROOM
4.4.5 GROUP THERAPY ROOM
4.4.6 NURSE STATION
4.4.7 EXAMINATION AND TREATMENT ROOM
4.4.8 RRTP: PATIENT ROOM
4.4.9 RRTP: PATIENT TOILET/SHOWER
4.4.10 RRTP: LIVING AREA, DINING AREA, AND KITCHENETTE
4.4.11 RRTP: OUTPATIENT GROUP THERAPY ROOM

CHAPTER 5: PUBLIC AREAS

5.1 MAIN LOBBY
5.2 ELEVATOR LOBBY
5.3 WAITING AREA
5.4 PRIMARY CORRIDORS
5.5 SECONDARY CORRIDORS
5.6 CANTEEN

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5.7 BARBER SHOP

5.8 RECEPTION
5.9 PUBLIC TOILET
5.10 VETERANS CANTEEN SERVICE AND GIFT STORE

CHAPTER 6: ADMINISTRATIVE AREAS

6.1 OFFICE
6.2 CONFERENCE ROOM/CLASSROOM
6.3 TEAM/BREAK ROOM
6.4 STAFF TOILET AND LOCKERS

CHAPTER 7: SUPPORT AREAS

7.1 STORAGE
7.2 HOUSEKEEPING
7.3 SOILED UTILITY ROOM
7.4 CLEAN UTILITY ROOM
7.5 MAINTENANCE/REPAIR SHOPS
7.6 STERILE PROCESSING AND LOGISTICS: CLEAN SIDE
7.7 STERILE PROCESSING AND LOGISTICS: EQUIPMENT PREPARATION
7.8 STERILE PROCESSING AND LOGISTICS: DETERGENT AND WATER
7.9 ELECTRICAL AND MECHANICAL ROOMS
7.10 EQUIPMENT ROOM
7.11 LOADING DOCKS
7.12 MAIL ROOMS

APPENDIX A: ILLUMINATION LEVELS

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 CHAPTER 1: GENERAL REQUIREMENTS

1. GENERAL REQUIREMENTS

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 CHAPTER 1: GENERAL REQUIREMENTS

1.1 GENERAL
This manual is a guide for Architects, Engineers and Lighting Design Professionals
(hereafter referred as A/E) for the planning and design of the lighting and lighting
control systems (hereafter referred to as lighting systems, or systems) at the
Department of Veterans Affairs (VA) facilities.
VA requires A/E to read, understand, and use this manual in the planning and design of
the systems in all VA construction projects – minor, major and non-recurring-
maintenance (NRM). A/E - who provide planning and design of the systems - shall be
licensed professionals who have engaged mainly in the specialized profession of
lighting system design and all related duties of lighting system design.
Lighting systems are dependent on electrical power for their function and operation.
Therefore, this manual shall be used in conjunction with the VA Electrical Design
Manual (EDM) to produce complete and functional systems.
VA expects that the systems planned and designed with the use of this manual shall
meet their primary objectives stated in Chapter 2. In order to provide the latitude
needed to incorporate new technologies and concepts, or to accommodate adverse
existing conditions, technical deviations from the stipulations of this manual may be
made. Deviations may be made only if a safe, reliable, functional and energy-efficient
design shall result. Such deviations must be approved by VA’s Project Team which
consists of Contracting Officer (CO), Project Manager (PM), Contracting Officer
Representative (COR), and Authority Having Jurisdiction (AHJ). Deviations are not
permitted from those requirements included in shall comply with all public laws, federal
regulations, executive orders, and applicable codes.

Request for deviations shall be submitted in writing by A/E to CO and AHJ through PM
or COR. At the minimum, request for deviations shall contain the following elements:
• Narrative detailing reasons for the deviations.
• Narrative detailing the design and technical information relating to the deviations.
• Design drawings of the deviations (if applicable).
• Lighting and engineering calculations (if applicable).
• Estimate of cost impact caused by the deviations.
• Estimate of schedule impact caused by the deviations.
• Supporting documents such as existing site survey photographs, drawings and
documents (if applicable).

Request for deviations shall be considered approved only after A/E has received a
written approval with signature from CO, and AHJ.

1.2 RESPONSIBILITY
A/E shall provide all necessary professional services to perform planning and design of
the systems for the project. A/E shall be responsible and liable for the planning and
design in accordance with the contract, professional engineering and design practices,
latest VA standards and applicable codes, and project-specific requirements.

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1.3 AUTHORITY HAVING JURISDICTION (AHJ)

Authority Having Jurisdiction (AHJ) for VHA is the Deputy Undersecretary for
Operations and Management (DUSHOM), or his/her designee. Due to the nature of
change in personnel and contact information in VA, AHJ and his/her contact information
may not be constant. Therefore, A/E shall obtain AHJ’s name and contact information
from CO, PM or COR.

1.4 COORDINATION

1.4.1 PLANNING AND DESIGN

A/E shall coordinate planning and design of the lighting systems with architectural,
electrical, structural, civil, site utility and site work, HVAC, plumbing, fire
protection/alarm systems, and sustainable designs, as applicable. A/E shall coordinate
design information between construction drawings to ensure clarity, completeness and
correctness in accordance with latest VA Standards and applicable codes, project-
specific requirements, and pre-existing conditions (if any).
A/E shall coordinate and edit applicable VA master specifications, and standard details
to ensure clarity, completeness and correctness in accordance with latest VA
Standards and applicable codes, project-specific requirements, and pre-existing
conditions (if any).
For renovation projects, A/E shall perform site visit(s) to investigate, and document pre-
existing conditions. Findings of pre-existing conditions shall be taken into account for
the planning and design of the project.

For exterior spaces, focus should be on coordination of hardscape, softscape, and

landscape. Base designs for pole-mounted luminaires should be coordinated with civil
and structural engineers. A/E shall reference VA base-mounting details and modify to
meet specific project scope. Base-mounting details shall be shown on drawings.
For interior spaces, focus should be on coordination of luminaire type, trim and layout
with ceiling type, construction, layout, plenum depths, diffusers, ceiling tracks, and all
ceiling-mounted objects. Luminaire layout should be coordinated with furniture,
casework, millwork, and equipment layouts. Lighting control device locations should be
coordinated with interior features and furnishings to assure ready access, as well as
proper sensor performance.
1.4.2 INSTALLATION
A/E is not responsible to provide (furnish, install, and connect) lighting systems.
However, lighting design document shall show clear, complete and correct
information regarding all aspects of lighting and electrical power designs.
During the submittal review phase, A/E shall coordinate lighting equipment submittals
with ceiling system submittals to ensure complete and correct coordination between
lighting and ceiling systems.

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For renovation projects, separate demolition drawings are required for all areas involved
in the project. Specific information and design of interfaces between renovated and
existing-to-remain conditions shall be clearly indicated on the drawings.

1.5 DESIGN STANDARDS AND CODES

1.5.1 GENERAL
At the minimum, comply with the latest Codes and Standards of the following
organizations:
(1) American National Standards Institute (ANSI)
(2) ASTM International (ASTM)
(3) Building Industry Consulting Service International, Inc. (BICSI)
(4) Illuminating Engineering Society of North America (IESNA): A/E shall pay
particular attention to latest edition of the following publications:
• Illuminating Engineering Society Handbook.
• RP-29 Lighting for Hospitals and Health Care Facilities
• RP-28 Lighting and the Visual Environment for Senior Living
• RP-33 Lighting for Exterior Environments
• RP-20 Lighting for Parking Facilities
• RP-8 Roadway Lighting
• DG-10 Choosing Light Sources for General Lighting
• G-1 Guidelines on Security Lighting for People, Property and Public
• G-2 Guidelines for Application of General Illumination - LED Technologies
(5) Institute of Electrical and Electronic Engineers (IEEE)
(6) National Fire Protection Association (NFPA)
(7) National Electrical Manufacturers Association (NEMA)
(8) Underwriters Laboratories, Inc. (UL)
(9) ANSI / ASHRAE / IES Standard 90.1
1.5.2 VA STANDARDS
Comply with latest VA standards. Pertinent standards can be found on the Office of
Construction & Facilities Management’s (CFM) Technical Information Library (TIL).
Some of the major standards are:

(1) Master Specifications (PG-18-1)

http://www.cfm.va.gov/TIL/spec.asp
(2) Design and Construction Procedures (PG-18-3)
http://www.cfm.va.gov/TIL/spec.asp
(3) Design Manuals (PG-18-10)
http://www.cfm.va.gov/til/dManual.asp
(4) Design Guides (PG-18-12)
http://www.cfm.va.gov/til/dGuide.asp

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(5) Design Submission Requirements (PG-18-15)

http://www.cfm.va.gov/til/aeDesSubReq.asp
(6) Architect / Engineer Review Checklist
http://www.cfm.va.gov/til/aeDesSubReq.asp
(7) Design Alerts
http://www.cfm.va.gov/til/alert.asp
(8) Quality Alerts
http://www.cfm.va.gov/til/alert.asp#qalert
(9) Physical Security Design Manual for VA Facilities
http://www.cfm.va.gov/til/spclRqmts.asp#PHS
(10) Sustainable Design and Energy Reduction Manual
http://www.cfm.va.gov/til/sustain.asp
(11) Seismic Design Requirements (H-18-8)
http://www.cfm.va.gov/til/seismic.asp

1.5.3 OTHER STANDARDS AND CODES

A/E shall bring provisions of state and/or local building and zoning codes that are
significantly different and/or more stringent than the codes and standards listed above to
the attention of CO, PM and COR. A/E shall provide CO, PM and COR with specific
information on how the proposed design will differ from the local requirements.
1.6 DAYLIGHTING
1.6.1 GENERAL

A/E shall strive to employ daylighting practice in the design. When appropriate, lighting
control strategies should integrate daylighting and artificial lighting.
Location of windows and skylights in a building must be designed to avoid the
admittance of direct sun on task surfaces or occupants. Suitable glare control devices
such as blinds or shades should be incorporated into the design.
Daylight harvesting controls must be commissioned. The system must have the lighting
set points properly configured if the system is to properly respond to available daylight.
The success of a daylighting design depends on commissioning and occupant
education and training.

1.7 ABBREVIATIONS
Use only the abbreviations and symbols shown in the VA Standard Details (PG-18-4)
and the Uniform Drawing System (UDS) of the U.S. National CAD Standard (NCS). A
complete listing of terms and abbreviations can be found on the Construction
Specification Institute (CSI) website under Standards and Formats.

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1.8 GLOSSARY
Ambient Lighting – Lighting throughout an area that produces general illumination.
Area Lighting Luminaire – A complete lighting device consisting of a light source and
ballast, where appropriate, together with its direct appurtenances such as globe,
reflector, refractor, housing, and such support as is integral with the housing. The pole,
post, or bracket is not considered part of the luminaire.
Average Luminance – Luminance is a property of a geometric ray. Luminance as
measured by conventional meters is averaged with respect to two independent
variables, area and solid angle; both must be defined for a complete description of a
luminance measurement.
BAS – Building automation system.
Baffle – A single opaque or translucent element to shield a source from direct view at
certain angles, to absorb or block unwanted light, or to reflect and redirect light.
Ballast – A device used with an electric-discharge lamp to obtain the necessary circuit
conditions (voltage, current, and waveform) for starting and operating.
Ballast Factor – The fractional flux of a fluorescent lamp operated on a ballast
compared to the flux when operated on the standard (reference) ballast specified for
rating lamp lumens.
Bollard – Luminaires having the appearance of a short, thick post, used for walkway
and grounds lighting. The optical components are usually top-mounted.

Bowl – An open-top diffusing glass or plastic enclosure used to shield a light source
from direct view and to redirect or scatter the light.
Bracket (mast arm) – An attachment to a lamp post or pole from which a luminaire is
suspended.
Candela, cd – The SI unit of luminous intensity, equal to one lumen per steradian
(lm/sr).
Candlepower (cp), I = dφ/dω – Luminous intensity expressed in candelas.
Coefficient of Utilization (CU) – The ratio of luminous flux (lumens) calculated as
received on the work plane to the total luminous flux (lumens) emitted by the lamps
alone. It is equal to the product of room utilization factor and luminaire efficiency.
Color Matching – the action of making a color appear the same as a given color.
Color Rendering – a general expression for the effect of a light source on the color
appearance of objects in conscious or subconscious comparison with their color
appearance under a reference light source.

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Color Rendering Index (of a light source) (CRI) – a measure of the degree of color
shift objects undergo when illuminated by the light source as compared with those
same objects when illuminated by a reference source of comparable color temperature.
Color Temperature (of a light source) – the absolute temperature of a blackbody
radiator having a chromaticity equal to that of the light source. See Correlated Color
Temperature.
Contrast – See Luminance Contrast.
Correlated Color Temperature (of a light source) (CCT) – The absolute temperature
of a blackbody whose chromaticity most nearly resembles that of the light source.

Daylight Availability – The luminous flux from the sun plus sky at a specific location,
time, date, and sky condition.
Diffused Lighting – Lighting provided on the work plane or on an object that is not
incident predominantly from any particular direction.
Dimmer – A device used to control the intensity of light emitted by a luminaire by
controlling the voltage or current available to it.
Direct Glare – Glare resulting from high luminance or insufficiently shielded light
sources in the field of view. It is usually associated with bright areas, such as
luminaires, ceilings, and windows that are outside the visual task or region being
viewed. A direct glare source can also affect performance by distracting attention.
Direct-Indirect Lighting – A variant of general diffuse lighting in which the luminaires
emit little or no light at angles near the horizontal.

Direct Lighting – Lighting involves luminaires that distribute 90% to 100% of the
emitted light in the general direction of the surface to be illuminated. The term usually
refers to light emitted in a downward direction.
Directional Lighting – Lighting provided on the work plane or on an object. Light that
is predominantly from a preferred direction.
Disability Glare – The effect of stray light in the eye whereby visibility and visual
performance are reduced. A direct glare source that produces discomfort can also
produce disability glare by introducing a measurable amount of stray light in the eye.
Discomfort Glare – Glare that produces discomfort. It does not necessarily interfere
with visual performance or visibility.
Downlight – A small direct lighting unit that directs the light downward and can be
recessed, surface-mounted, or suspended.

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Efficacy – See Luminous Efficacy of a Source of Light.

Efficiency – See Luminaire Efficiency.
Electroluminescence – The emission of light from a phosphor excited by an
electromagnetic field.
Emergency Exit – A way out of the premises that is intended to be used only during an
emergency.
Emergency Egress Lighting – Lighting designed to supply illumination essential to the
safety of life and property in the event of a failure of the normal supply. The system
must be capable of providing minimum required illuminance specified in NFPA 101,
Code for Safety to Life from Fire in Buildings and Structures, Section 5.9.
Essential Electrical System (EES) – (Refer to the NFPA 70 Article 517.2 for
definition).
Exit Sign – A graphic device including words or symbols that indicates or identifies an
escape route or the location of, or direction to, an exit or emergency exit.

Floodlight – A projector designed for lighting a scene or object to a luminance

considerably greater than it surroundings.
Fluorescent Lamp – A low pressure mercury electric-discharge lamp in which a
fluorescing coating (phosphor) transforms some of the UV energy generated by the
discharge into light.
Flush-mounted or Recessed Luminaire – A luminaire that is mounted above the
ceiling (or behind a wall or other surface) with the opening of the luminaire level with the
surface.
Footcandle, fc – A unit of illumination equal to 1 lm/ft².

Glare – The sensation produced by luminance within the visual field that are sufficiently
greater than the luminance to which the eyes are adapted, which causes annoyance,
discomfort, or loss in visual performance, and visibility.
Globe – A transparent or diffusing enclosure intended to protect a lamp, to diffuse and
redirect its light, or to change the color of the light.
High-Intensity Discharge (HID) Lamp – An electric-discharge lamp in which the light-
producing arc is stabilized by bulb wall temperature, and the arc tube has a bulb wall
loading in excess of 3 W/cm². HID lamps include groups of lamps known as mercury,
metal halide, and high pressure sodium.
High-Pressure Sodium (HPS) Lamp – A high intensity discharge (HID) lamp in which
light is produced by radiation from sodium vapor.

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Illuminance (footcandle or lux) Meter – An instrument for measuring illumination on a

plane. The instrument is comprised of some form of photodetector, with or without a
filter, driving a digital or analog readout through appropriate circuitry.
Illumination – The act of illuminating or state of being illuminated. This term has been
used for density of luminous flux on a surface (illuminance) and such use is to be
deprecated.
Indirect Component – The portion of the luminous flux from a luminaire that arrives at
the work plane after being reflected by room surfaces.
Indirect Lighting – Lighting involving luminaires that distribute 90% to 100% of the
emitted light upward.
Instant-start Fluorescent Lamp – A fluorescent lamp designed for starting by a high
voltage without preheating of the electrodes.
Intensity (candlepower) Distribution Curve – A curve, often polar, that represents the
variation of luminous intensity of a lamp or luminaire in the plane through the light
center.
Kelvin – The unit of temperature used to designate the color temperature of a light
source.
Lamp – A generic term for a source created to produce optical radiation.
Lamp Lumen Depreciation (LLD) Factor – The fractional loss of lamp lumens at rated
operating conditions that progressively occurs during lamp operation.
Lens – A glass or plastic element used in luminaires to change the direction and control
the distribution of light rays.
Light – Radiant energy that is capable of exciting the retina and producing a visual
sensation.
Light-Emitting Diode (LED) – A solid state diode whose radiated output is a function
of its physical construction, material used, and exciting current.

Light Loss Factor (LLF) – Formerly called maintenance factor. The ratio of
illuminance (or exitance or luminance) for a given area to the value that would occur if
lamps operated at their (initial) rated lumens and if no system variation or depreciation
had occurred.
Light Meter – A common name for an illuminance meter.
Light Source Color – The color of the light emitted by a source.
Louver – A series of baffles used to shield a source from view at certain angles, to
absorb or block unwanted light, or to reflect or redirect light.

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Lumen, lm – SI unit of luminous flux.

Lumen Depreciation – The decrease in lumen output that occurs as a lamp is
operated, until failure.
Lumen (or flux) Method – A lighting design procedure used for predetermining the
relation between the number and types of lamps or luminaires, the room characteristics,
and the average illuminance on the work plane.
Luminaire (light fixture) – A complete lighting unit consisting of a lamp(s) and
ballast(s) (when applicable) together with the parts designed to distribute the light, to
position and protect the lamps, and to connect the lamps to the power supply.
Luminaire Dirt Depreciation (LDD) – The fractional loss of task illuminance due to
luminaire dirt accumulation.
Luminaire Efficiency – The ratio of luminous flux (lumens) emitted by a luminaire to
that emitted by the lamp or lamps used therein.
Luminance Contrast – The relationship between the luminance of an object and its
immediate background.
Luminance Ratio – The ratio between the luminance of any two areas in the visual
field.
Luminous Efficacy of a Source of Light – The quotient of the total luminous flux
emitted to the total lamp power input. It is expressed in lumens per watt.
Lux, lx – A SI unit of illuminance equal to 1 lm/m².
Matte Surface – A surface from which the reflection is predominantly diffused, with or
without a negligible specular component.

Means of Egress – An unobstructed and continuous way of exit from any point in a
building or structure to a public way.
Mercury Lamp – A high-intensity discharge (HID) lamp in which the major portion of
the light is produced by radiation from mercury operating at a partial pressure in excess
of 10s Pa.

Metal Halide Lamp – A high-intensity discharge (HID) lamp in which the major portion
of the light is produced by radiation of metal halides and their products of dissociation -
possibly in combination with metallic vapors such as mercury.
Orientation – The relation of a building with respect to compass directions.
Overhang – The distance between a vertical line passing through a specified point
(often the photometric center) of a luminaire and the curb or edge of a roadway.
Pendant Luminaire – See Suspended Luminaire.

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Peripheral Vision – The seeing of objects displaced from the primary line of sight and
outside the central visual field.
Photometry – The measurement of quantities associated with light.
Photopic Vision – Vision mediated essentially or exclusively by the cones. It is
generally associated with adaptation to a luminance of at least 3.4 cd/m².
Point Method – A lighting design procedure for predetermining the illuminance at
various points and location in lighting installations by use of luminaire photometric data.
Point Source – A source of radiation, whose dimensions are sufficiently small,
compared with the distance between the source and the irradiated surface that these
dimensions can be neglected in calculations and measurements.
Pole (roadway lighting) – A standard support generally used where overhead lighting
distribution circuits are employed.
Primary Corridor, or Primary Circulation – The main corridor or circulation route
which connects the building core and common spaces, such as elevators and exit
stairs.
Programmed Rapid Start – A fluorescent starting method where the cathode is
preheated before the lamp is ignited. This softer ignition increases the number of starts
over the life of the lamp.
Quality of Lighting – Pertains to the distribution of luminance in a visual environment.
The term is used in a positive sense and implies that all luminance contributes
favorably to visual performance, visual comfort, ease of seeing, safety, and aesthetics
for the specific visual tasks involved.
Rapid-Start Fluorescent Lamp – A fluorescent lamp designed for operation with a
ballast that provides a low-voltage winding for preheating the electrodes and initiating
the arc without a starting switch or the application of high voltage.
Rated Lamp Life – The life value assigned to a particular type lamp. This is commonly
a statistically determined estimate of average or of median operational life.
Reflected Glare – Glare resulting from reflections of high luminance in polished or
glossy surfaces in the field of view.
Reflection – A general term for the process by which the incident flux leaves a
(stationary) surface or medium from the incident side without change in frequency.

Reflector – A device used to redirect the flux from a source by the process of
reflection.
Secondary Corridor, or Secondary Circulation – The corridor or circulation that
includes the aisles between individual spaces, such as offices and cubicles, and
support spaces.

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Self-Ballasted Lamps – Any arc discharge lamp of which the current limiting devices is
an integral part.
Spacing – For roadway lighting, the distance between successive lighting units,
measured along the centerline of the street.
Spacing-to-Mounting-Height Ratio – The ratio of the actual distance between
luminaire centers to the mounting height above the work plane.
Suspended (pendant) Luminaire – A luminaire that is hung from a ceiling by supports.
Task Illumination – Provision for the minimum lighting required to carry out necessary
tasks in the areas described in the latest NFPA 70 (National Electrical Code), including
safe access to supplies and equipment and access to exits.
Task Lighting – Lighting, which is directed at a specific surface area providing task
illumination for specific visual tasks.
Torchiere – An indirect floor lamp that sends all or nearly all of its light upward.
Transparent – Having the property of transmitting rays of light through its substance so
that bodies situated beyond or behind can be distinctly seen.
Troffer – A long recessed lighting unit usually installed with the opening flush with the
ceiling.
Visibility – The quality or state of being perceivable by the eye.

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2. LIGHTING DESIGN REQUIREMENTS

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2.1 ENERGY CONSERVATION

Energy conservation is mandated by the Federal Government in all government
buildings. A/E shall employ energy conservation strategies focusing on meeting energy
mandates and to maintain required illumination to enhance patient care and safety,
life/fire safety and security. The following strategies shall be evaluated for use:
(1) Design shall include task lighting that allows occupants to achieve task
illumination for specific visual tasks such as reading, writing, medical
examination, and surgery procedures etc.
(2) Design shall include daylight harvesting where practical.
(3) Design shall use vacancy sensor instead of occupancy sensor where practical.
(4) Design shall use occupancy sensors in public rest rooms and large
multi- occupant spaces.
(5) Design shall select luminaires with maximum efficiency.
(6) Design shall avoid lighting above or in front of illuminated vending machines.
(7) Design shall limit façade lighting to public entrances.
(8) Design shall include automatic lighting control system in conjunction with by-
pass switches for lighting circuits in non-patient care areas and where
practical.

2.2 LIGHTING DESIGN STRATEGIES

In order to achieve design objectives stated in this manual, A/E should employ design
strategies with focus on the applications and tasks of the space/room and the
occupants/ end- users. Moreover, A/E shall also employ design strategies that
include complete coordination and collaboration with other design team professionals,
VA contracting and project team, and local VA Medical Center’s clinical and
engineering staff.

2.3 LIGHTING DESIGN OBJECTIVES

Lighting design shall meet the following primary objectives:
2.3.1 INTERIOR
(1) Design for Safety and Security: Lighting systems shall effectively support
patient care and safety, life/fire safety and security for patients, staff, and
visitors.
(2) Design for Function: Lighting systems shall provide sufficient level of lighting
for patients, staff and visitors to effectively perform designated applications
and tasks.
(3) Design for Visual Comfort: Lighting systems shall contribute to the visual
comfort for patients, staff, and visitors. Glare should be mitigated using
practical design methods and correct specification of luminaires.
(4) Design for Maintenance and Operation: Lighting systems shall be easily
maintained and operated. Similar components of luminaires from different
manufacturers should be compatible and interchangeable.

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2.3.2 EXTERIOR

(1) Design for Safety and Security: Lighting systems shall contribute to maintain
effective safety and security for patients, staff, visitors, and property.
(2) Design for Function: Lighting systems shall provide sufficient level of lighting
for patients, staff, and visitors to effectively perform applications and tasks
such as driving, parking and walking, as well as wayfinding.
(3) Design for Maintenance and Operation: Lighting systems shall be easily
maintained and operated. Similar components of luminaires from different
manufacturers should be compatible and interchangeable.

2.4 LIGHTING CONTROL DESIGN STRATEGIES AND OBJECTIVES

A/E should employ lighting control design strategies with focus on effective patient care
and safety, life/fire safety and security, and energy conservation.

2.5 LIGHTING CONTROL DESIGN METHODOLOGIES

2.5.1 INTERIOR
(1) Lighting control requirements shall comply with the latest ASHRAE 90.1 –
Chapter 9.4 Mandatory Provisions – Section 9.4.1 Lighting Control.
Exceptions to each category of control requirements shall be taken into
consideration for the design.
(2) Do not use time-scheduled lighting controls such as time clocks,
astronomical clocks and timers for patient care space, and utility
closet/rooms/vaults.
(3) Provide automated lighting controls only after careful consideration that
safety and security is not compromised.
(4) Maximize daylight harvesting, where applicable.
(5) Provide override devices where automated lighting controls are installed. Local
override devices shall be readily accessible and labeled.
(6) Define automated lighting control zones. Provide a Lighting Control Zone
Schedule on the drawings.
(7) Integrate automated lighting controls with BAS controls, where possible.
2.5.2 EXTERIOR
(1) Lighting control requirements and exceptions shall comply with the latest
ASHRAE 90.1 -Chapter 9.4 mandatory Provisions – Section 9.4.1 Lighting
Control.
(2) Utilize automated control.
(3) Use photo-electric sensors to control all outdoor luminaires.
(4) Use infrared motion sensors to reduce illumination in non-essential areas that
require illumination but are not commonly occupied after operating hours.
(5) Use programmable time clock controls or BAS time control in non-patient
care areas that are unoccupied after operating hours.

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2.6 LUMINAIRE SELECTION GUIDELINES

2.6.1 INTERIOR
(1) Review and edit all relevant VA Division 26 master specifications and standard
detail drawings to meet project’s scope, specific project requirements, pre-
existing conditions (if any), and latest applicable codes.
(2) Review product installation data to assure compliance with specifications.
(3) If LED is specified, review LED luminaires to evaluate glare control, flicker
rates, and color rendering capabilities.
(4) Confirm luminaire construction shall be able to withstand surface wipe down
disinfection.
(5) Lenses shall not deflect on contact.
(6) Sterile environments shall utilize sealed and gasketed luminaires.
(7) Luminaires in patient-care areas shall be provided with lens.
(8) In a VA project, ceiling mounted surgery light – single or multiple light heads –
provides task illumination for delicate surgical tasks. Surgery light is often
furnished by VA, installed and connected by the contractor. However, A/E shall
show surgery light on the drawings to facilitate electrical design, installation and
connection of surgery light.
2.6.2 EXTERIOR
(1) Review and edit all relevant VA Division 26 specifications and standard details
to meet project’s scope, specific project requirements, pre-existing conditions
(if any), and latest applicable codes.
(2) Review product data to assure compliance with specifications.
(3) Luminaires shall be UL listed for wet locations.
(4) Recessed in-grade luminaires shall have a non-wicking conduit entrance.
(5) Luminaires shall be rated for operation at temperatures anticipated for local
area.
(6) Pole height for site lighting shall comply with local codes or ordinances, and
specific project scope and requirements.

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2.7 LIGHT SOURCE SELECTION GUIDELINES

Selection must be determined in conjunction with luminaire, ballast/driver, and light
controls.
2.7.1 FLUORESCENT
Fluorescent luminaires have been gradually replaced by LED luminaires at VA
facilities. However, fluorescent lamps still have some limited use in certain renovation
projects due to various specific reasons such as cost, supply chain issues of LED
luminaires or components, etc. This section provides guidance for fluorescent
luminaires if used in a project:
(1) Utilize 0.6 M (2 feet) U and 1.2 M (4 feet) T8 and T5 lamps with extended life
(based on 3 hours per start), low mercury content (TCLP). Maximize lamp life
by using with program rapid start ballasts.
(2) Select appropriate quantity of lamps in each luminaire providing that design
criteria for each area/room shall be met.
(3) Quantity of luminaires shall be kept to a minimum while maintaining design
criteria for each area/room.
(4) Do not use high output lamps.
(5) Do not use screw-in type self-ballasted compact fluorescent lamps.
2.7.2 HIGH INTENSITY DISCHARGE (HID)
(1) Use only HID lamps listed in VA Interior Lighting specification 26 51 00.
(2) In applications where color rendering is not important, High Pressure Sodium
lamps may be considered for use.
(3) HID sources are not recommended to provide emergency illumination. Where
HID sources are fed from emergency power, luminaires must be provided with
quartz restrike kits that utilize either current sensing or time-delayed restrike.
(4) HID sources are prohibited for applications that require “instant on” operation.

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2.7.3 LIGHT EMITTING DIODES (LED)

(1) A/E shall use and specify LED luminaires as the primary design basis. LED
luminaires may not be used only when there is a compelling reason – such as
safety, existing conditions, procurement, supply chain or cost issues – that
negatively affects the project.
(2) Industry practice is to provide LED luminaire as a complete luminaire
consisting of housing, reflector/lens, LED module, and driver. LED luminaires
from different manufacturers which have similar housing, lumen output, input
wattage, and optical system may have different photometric performance. A/E
shall review all performance parameters to assure a minimum of three
domestic manufacturers are producing equivalent equipment.
(3) Utilize LED luminaires when operating at or below temperatures of 0 degrees
C (32 degrees F). LED luminaires perform well in cold weather. Do not specify
LED luminaires for environments that exceed 50 degrees C (122 degrees F),
unless LED luminaires are certified, listed and warranted by manufacturer for
such environment. Verify with manufacturer that performance and warranty
are not altered.
(4) Avoid using RGB (red, green, blue) LED light sources in applications
where only white light is desired.
(5) Tubular linear LED lamps may be used as retrofit for existing tubular linear non-
LED lamps. A/E or the contractor shall comply with the following conditions:
• Ensure that the entire replaced luminaire consisting of the replacement LED
lamp and components, and existing luminaire housing shall meet the UL
listing or equivalent.
• Perform point-to-point footcandle lighting calculation for each room or area
of the project to ensure compliance. The calculations shall be based on the
photometric data of the retrofitted LED lamps used in the project.
• Provide hardcopy report of the point-to-point footcandle lighting calculations
to CO, PM and COR.

2.8 BALLAST AND LED DRIVER SELECTION GUIDELINES

Selection must be determined in conjunction with luminaire, lamp source, and controls.
2.8.1 FLUORESCENT BALLAST
(1) Utilize program rapid-start ballasts to maximize energy savings and lamp life.
(2) Dimming ranges for dimmable ballasts must correlate to visible light control,
not power consumption. For most dimming applications a range from 10% to
100% is acceptable.

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2.8.2 HID BALLAST

(1) HID ballasts fed from emergency power must be provided with either
current sensing or time delayed quartz restrike.
(2) Consider electronic ballast as the basis of design.
2.8.3 LED DRIVER
(1) Utilize 0-10V dimmable power supplies as the basis of design.
(2) In patient-care areas, LED power supplies must be field accessible.

2.9 EMERGENCY POWER PACK SELECTION GUIDELINES

(1) Provide emergency power packs in selected luminaires located
in surgical/operating rooms.
(2) Provide emergency power packs in selected luminaires located in areas
where life safety emergency power is not available, or as required by latest
codes.
(3) Specify emergency power pacts with integral self-testing and self-
diagnostic features.

2.10 LIGHTING CONTROL SELECTION GUIDELINES

(1) Verify lamp/ballast/LED driver compatibility with control devices prior to
finalizing specifications. Confirm compatibility during the submittal review
phase.
(2) Consider utilizing central lighting control system or BAS. Use of central lighting
control system or BAS offers the following advantages:
• The ability to access status, alarm conditions, and change
control sequences remotely from a computer.
• Time clock scheduling.
• The ability to assign/reassign any control device to any lighting
control zone through program software.
• The ability to log and record hours of operation to support group
re- lamping maintenance.
• The ability to track actual energy usage and energy savings.
• The ability to easily swap local control devices.
(3) Coordinate circuiting with control zones and devices.
(4) Consider LED in dimming application.
(5) HID sources are not suitable for frequent switching. Access to the ON/OFF
control should be limited.
(6) Wireless controls are prohibited. Consider using automatic sensors for
applications where hands-free switching is desirable due to operational
or infection control concerns.

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2.11 LIGHTING CALCULATIONS

(1) Calculations shall be based on permanently mounted luminaires. Removable
luminaires - such as desk lamps or portable lights (on wheels or stands) of
any kind - shall not be part of calculations.
(2) Calculations should be performed using computer software such as AGI,
Elum, or Radiance. Other domestic software developed and used by
domestic lighting manufacturers that is equivalent to the aforementioned
software may be used.
(3) Calculation grids should not exceed 1.5M x 1.5M (5 feet x 5 feet) at grade for
exterior applications unless otherwise noted, and 0.6 M x 0.6 M at 0.76 M (2
feet x 2 feet at 2’-6”) above finished floor for indoor application unless
otherwise noted. Rooms that are smaller in size or have critical illumination
requirements should utilize a 0.30 M x 0.30 M (1 foot x1 foot) calculation grid.
(4) Utilize surface reflectance to reflect specified room finish. However, if specified
room finish is not available, utilize standard values of 80% for ceiling, 50% for
walls, and 20% for floors. Confirm the lamp lumen output listed in the
photometric report of the luminaire matches the lumen output of the specified
lamping.
(5) Calculations shall use appropriate light loss factors. Light loss factors shall
include lamp lumen depreciation, ballast factor, and luminaire dirt
depreciation.
(6) Calculations performed for spaces with fluorescent lamps operating outside
of standard temperature ranges should include an ambient temperature
adjustment factor for the lamp. Refer to lamp manufacturer's information for
lamp temperature operating range and adjustment factors.
(7) Utilize daylight rendering software to determine extent of daylight penetration
and create daylight harvesting responsive control zones accordingly.
(8) Provide a hardcopy report of lighting calculations to CO, PM and COR. Include
all functional areas and list of average illumination levels, types of luminaires,
quantities and type of light sources, maximum and minimum illumination, and
light loss factor used.

2.12 LIGHTING SYSTEM COMMISSIONING

Employ total building commissioning practices tailored to the size and complexity of the
building and its system components to ensure design requirements are met. This
should include a designated commissioning authority, the inclusion of commissioning
requirements in construction documents, a commissioning plan, verification of the
installation and performance of systems to be commissioned, and a commissioning
report.

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2.13 LIGHTING MAINTENANCE CONSIDERATIONS

(1) Luminaire components such as lamps, ballasts, LED drivers and power
supplies, must be accessible from below the ceiling.
(2) Minimize the number of different light sources to simplify maintenance and
operation.
(3) Lighting luminaire components should be compatible and interchangeable.

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3. EXTERIOR LIGHTING GUIDELINES

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3.1 ROADWAYS

DESIGN PARAMETERS:
(1) Average Maintained Illumination:
• Pedestrian Conflict Area: 10-15 lx (1.0-1.5 FC)
• No Pedestrian Conflict Area: 6-10 lx (0.6-1.0 FC)
(2) Uniformity Ratio (avg / min):
• Primary Roadways 4:1
• Secondary Roadways 6:1
(3) Color Temperature (CCT)
• LED: 4000 degrees
• Metal Halide: 4000 degrees
• High Pressure Sodium: 1900 degrees
(4) Color Rendering (CRI):
• LED: minimum of 80
• Metal Halide: minimum of 65
• High Pressure Sodium: minimum of 21
(5) Power Source:
• Normal power

DESIGN APPROACH:
Lighting should enhance nighttime visibility to promote safety and security for
pedestrians and vehicles. Higher pole heights will reduce glare and permit wider
spacing. Provide increase illumination at signage, pedestrian crosswalks, and bus
stops. Consider photometric distribution types when selecting and spacing to minimize
pole locations. Luminaires should be mounted on one side unless uniformity limits are
exceeded. When mounted on both sides, the poles should be staggered.

RECOMMENDED LUMINAIRES:
(1) Pole-mounted full cutoff, low profile, LED, metal halide or high pressure sodium
luminaire.

CONTROL APPROACH:
(1) Photocontrols for all luminaires.
(2) Refer to the ASHRAE 90.1 - Chapter 9 – Section 9.4.1.4 Exterior Lighting
Control - for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Luminaires shall be enclosed and sealed in weatherproof housing with UL
listing for wet locations.
(2) Comply with Dark Sky recommendations.
(3) Roadway surface luminance impacts night-time visibility and should be
considered.

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(4) Coordinate pole and luminaire with exterior building and landscape color
palette.
(5) Coordinate pole locations with civil and landscape features, signage,
pedestrian crosswalks, underpasses, overpasses and bus stops.
(6) Coordinate pole base height to reduce pole damage. Consider elevated bases
when located in vehicular ways.
(7) Coordinate pole-mounted security cameras and devices, banners, and signs
with structural engineer.
(8) Provide house side shields at property lines to mitigate light trespass.

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3.2 OPEN PARKING AREAS

DESIGN PARAMETERS:
(1) Average Maintained Illumination:
• Asphalt Surfaces: 5 lx (0.5FC) minimum point
• Concrete Surfaces: 10 lx (1 FC) minimum point
(2) Uniformity Ratio (avg / min): 4:1
(3) Color Temperature (CCT):
• LED: 4000 degrees
• Metal Halide: 4000 degrees
• High Pressure Sodium: 1900 degrees
(4) Color Rendering (CRI):
• LED: minimum of 80
• Metal Halide: minimum of 65
• High Pressure Sodium: minimum of 21
(5) Power Source:
• Normal power

DESIGN APPROACH:
Lighting should enhance nighttime visibility to promote safety and security for
pedestrians and vehicles. Higher pole heights will reduce glare and permit wider
spacing. Special consideration should be taken to provide increase illumination at
signage, pedestrian crosswalks, and bus stops. Consider photometric distribution types
when selecting and spacing to minimize pole locations. Consider multiple luminaires
per pole to further reduce pole locations.

RECOMMENDED LUMINAIRES:
(1) Pole-mounted full cutoff, low profile, LED, metal halide or high pressure sodium
luminaire.

CONTROL APPROACH:
(1) Photocontrols for all luminaires.
(2) Refer to the ASHRAE 90.1 - Chapter 9 – Section 9.4.1.4 Exterior Lighting
Control - for additional controls .

SPECIFIC COORDINATION ISSUES:

(1) Luminaires shall be enclosed and sealed in weatherproof housing with UL
listing for wet locations.
(2) Comply with Dark Sky recommendations.
(3) Coordinate pole and luminaire with exterior building and landscape color
palette.
(4) Coordinate pole locations with civil and landscape features, signage,
pedestrian crosswalks, underpasses, overpasses, and bus stops.

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(5) Coordinate pole base height to reduce pole damage. Consider elevated bases
when located in parking areas.
(6) Coordinate pole-mounted security cameras and devices, banners, and signs
with structural engineer.
(7) Provide house side shields at property lines to mitigate light trespass.

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3.3 WALKWAYS

DESIGN PARAMETERS:
(1) Average Maintained Illumination:
• Adjacent to Roadside: 10 lx (1 FC)
• Remote from Roadway: 5 lx (0.5 FC)
(2) Uniformity Ratio (avg / min): 4:1
(3) Color Temperature (CCT):
• LED: 4000 degrees
• Metal Halide: 4000 degrees
• Compact Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• LED: minimum of 80
• Metal Halide: minimum of 65
• Compact Fluorescent: minimum of 80
(5) Power Source:
• Normal power
• Life Safety branch of the EES power for egress lighting at exit discharge.

DESIGN APPROACH:
Lighting should enhance nighttime visibility to promote safety and security for
pedestrians. Vertical illumination should be considered. Luminaires with visible
brightness will create visual interest and reinforce wayfinding and highlight intersections
and cross walks. Consider pedestrian scale poles (12 foot (3.65 m) mounting height or
less) and luminaires instead of bollards. Consider photometric distribution types when
selecting and spacing to minimize pole locations.

RECOMMENDED LUMINAIRES:
(1) LED, compact fluorescent or metal halide bollard with cutoff type optics.
(2) Pole-mounted LED or metal halide pedestrian scale luminaire with visible
brightness.

CONTROL APPROACH:
(1) Photocontrols for all luminaires.
(2) Refer to the ASHRAE 90.1 - Chapter 9 – Section 9.4.1.4 Exterior Lighting
Control - for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Luminaires shall be enclosed and sealed in weatherproof housing with UL
listing for wet locations.
(2) Comply with Dark Sky recommendations.
(3) Coordinate pole and luminaire with exterior building and landscape color
palette.

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(4) Coordinate locations with civil and landscape features, signage, pedestrian
crosswalks, and bus stops.
(5) Coordinate pole-mounted security cameras and devices, banners and signs
with structural engineer.
(6) Coordinate location of walkway lighting to avoid light trespass in interior
spaces.

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3.4 ENTRIES

DESIGN PARAMETERS:
(1) Average Maintained Illumination:
• Emergency/Ambulance: 500 lx (50 FC)
• Main: 50 lx (5 FC)
(2) Uniformity Ratio (avg/min): 4:1
(3) Color Temperature (CCT):
• LED: 4000 degrees
• Metal Halide: 4000 degrees
• Compact Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• LED: minimum of 80
• Metal Halide: minimum of 65
• Compact Fluorescent: minimum of 80
(5) Power Source:
• Normal power
• Life Safety branch of the EES power for egress lighting at exit discharge
and emergency/ambulance entry.

DESIGN APPROACH:
Lighting at building entrances shall include a combination of approaches to enhance
nighttime visibility and promote safety and security. Transitions should be highlighted to
adjust for visual adaption throughout the day. Vertical illumination and surface
brightness should be considered to create a lit destination. Decorative wall luminaires
should be considered to provide visual interest and create a visual cue to mark the
building entrance from a distance at night. Color rendering and temperature are
particularly important at the emergency/ambulance entrance where patient assessment
can occur.

RECOMMENDED LUMINAIRES:
(1) LED, compact fluorescent or metal halide bollard with visible brightness.
(2) Pole-mounted LED or metal halide pedestrian-scale luminaire with visible
brightness.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Recessed ceiling-mounted compact fluorescent, LED or metal halide downlight
or wall washer.

CONTROL APPROACH:
(1) Photocontrols for all luminaires.
(2) Refer to the ASHRAE 90.1 - Chapter 9 – Section 9.4.1.4 Exterior Lighting
Control - for additional controls.
(3) Ambulatory entrance shall remain at full brightness throughout the night.

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SPECIFIC COORDINATION ISSUES:

(1) Luminaires shall be enclosed and sealed in weatherproof housing with UL
listing for wet locations.
(2) Recessed soffit/ceiling-mounted lights shall have a minimum UL listing for
damp locations.
(3) Coordinate pole and luminaire with exterior building and landscape color
palette.

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3.5 LANDSCAPE

DESIGN PARAMETERS:
(1) Average Maintained Illumination:
• Trees, Shrubbery: 30 lx (3 FC)
• Decorative Structures: 50 lx (5 FC)
• Focal Points: 50 lx (5 FC)
• Water Features: 30 lx (3 FC)
(2) Uniformity Ratio (avg / min): n / a
(3) Color Temperature (CCT):
• LED: 4000 degrees
• Metal Halide: 4000 degree
(4) Color Rendering (CRI):
• LED: minimum of 80
• Metal Halide: minimum of 65
(5) Power Source:
• Normal power

DESIGN APPROACH:
Landscape lighting should be limited to entries, courtyards and meditation gardens, as
well as the highlighting of building or landscape features (i.e., trees, plant life, artwork,
water features, and hardscape). Glare and direct light source view should be minimized
by luminaire placement and aiming. Color rendering and temperature should be
evaluated with the features being illuminated.

RECOMMENDED LUMINAIRES:
(1) In grade LED or metal halide up-lights.
(2) Stanchion- or base-mounted LED or metal halide accent and floodlights.
(3) Surface-mounted in landscape feature linear LED exterior strip lights.
(4) LED step light.
(5) LED underwater accent light.

CONTROL APPROACH:
(1) Photocontrols for all luminaires.
(2) Refer to the ASHRAE 90.1 - Chapter 9 – Section 9.4.1.4 Exterior Lighting
Control - for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Luminaires shall be enclosed and sealed in weatherproof housing with UL
listing for wet locations.
(2) Coordinate fixture layout with hardscape and landscape.
(3) Coordinate location and aiming to avoid light trespass in interior spaces.

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3.6 BUILDING PERIMETER

DESIGN PARAMETERS:
(1) Average Maintained Illumination:
• Non-Public Building Entries: 30 lx (3 FC)
• Walkways Adjacent to Perimeter: 10 lx (1 FC)
• Loading Dock Platforms: 30 lx (3 FC)
(2) Uniformity Ratio (avg/ min): 4:1
(3) Color Temperature (CCT):
• LED: 4000 degrees
• Metal Halide: 4000 degrees
• Compact Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• LED: minimum of 80
• Metal Halide: minimum of 65
• Compact Fluorescent: minimum of 80
(5) Power Source:
• Normal power
• Life Safety branch of the EES power for egress lighting at exit discharge.

DESIGN APPROACH:
Lighting should enhance nighttime visibility to promote safety and security at building
perimeter. Vertical illumination and glare should be considered.

RECOMMENDED LUMINAIRES:
(1) Wall-mounted full cutoff, low profile, LED, metal halide or high pressure sodium
luminaire.
(2) Wall-mounted LED, metal halide or high pressure sodium wall pack luminaire
with lens.
(3) Wall-mounted LED, metal halide or high pressure sodium floodlights.

CONTROL APPROACH:
(1) Photocontrols for all luminaires.
(2) Refer to the ASHRAE 90.1 - Chapter 9 – Section 9.4.1.4 Exterior Lighting
Control - for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Luminaires shall be enclosed and sealed in weatherproof housing with UL
listing for wet locations.
(2) Comply with Dark Sky recommendations.
(3) Coordinate luminaire with exterior building color palette.
(4) Coordinate luminaire layout with building elevations.

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3.7 FLAGPOLES

DESIGN PARAMETERS:
(1) Average Maintained Illumination:
• Flag: 100 lx (10 FC)
(2) Uniformity Ratio (avg / min): n / a
(3) Color Temperature (CCT):
• LED: 4000 degrees
• Metal Halide: 4000 degrees
(4) Color Rendering (CRI):
• LED: minimum of 80
• Metal Halide: minimum of 65
(5) Power Source:
• Normal power

DESIGN APPROACH:
Lighting should highlight flag uniformly. Consider horizontal and vertical illumination.
Glare and direct light source view should be minimized by luminaire placement and
aiming. Color rendering and temperature should be evaluated with the flags being
illuminated.

RECOMMENDED LUMINAIRES:
(1) In grade LED or metal halide up light.
(2) Stanchion- or base-mounted LED or metal halide spot light.
(3) Pole-mounted LED or metal halide accent and flood lights.

CONTROL APPROACH:
(1) Photocontrols for all luminaires.

SPECIFIC COORDINATION ISSUES:

(1) Comply with Federal laws governing nighttime illumination of the flag of the
Unites States.
(2) Coordinate mounting requirements for luminaires mounted to flagpole.
(3) Luminaires shall be enclosed and sealed in weatherproof housing with UL
listing for wet locations.

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3.8 PARKING STRUCTURES

DESIGN PARAMETERS:
(1) Average Maintained Illumination:
• Basic: 50 lx (5 FC) with a minimum point of 10 lx (1 FC)
• Ramps Day: 100 lx (10 FC) with a minimum point of 20 lx (2 FC)
• Ramps Night: 50 lx (5 FC) with a minimum point of 10 lx (1 FC)
• Entrance Areas Day: 2500 lx (250 FC) with a minimum point of 500 lx
(50 FC)
• Entrance Areas Night: 50 lx (5 FC) with a minimum point of 10 lx (1 FC)
• Stairways: 20 lx (2 FC)
• Top Level Open to Sky: 25 lx (2.5 FC) with a minimum point of 5 lx
(0.5 FC)
(2) Uniformity Ratio (avg / min): 10:1
(3) Color Temperature (CCT):
• LED: 4000 degrees
• Metal Halide: 4000 degrees
• Compact Fluorescent: 3500 degrees
• Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• LED: minimum of 80
• Metal Halide: minimum of 65
• Compact Fluorescent: minimum of 80
• Fluorescent: minimum of 80
(5) Power Source:
• Normal power
• Life Safety branch of the EES power for egress and exit discharge
lighting.

DESIGN APPROACH:
Lighting should enhance interior parking structure visibility to promote safety and
security. Consider horizontal and vertical illumination. Provide brightness at ceiling to
improve contrast between deck and side wall openings. Glare and direct light source
view should be minimized by luminaire selection and placement. Transitions should be
highlighted to adjust for visual adaption throughout the day. Signage, pedestrian
walkways, and elevator lobbies should be illuminated to create lit destinations. The top
deck should be treated as an exterior parking area using pole-mounted luminaires
mounted on the perimeter and ramps.

3.13
 CHAPTER 3: EXTERIOR LIGHTING GUIDELINES

RECOMMENDED LUMINAIRES:
(1) Surface-mount to ceiling low profile LED, HID, fluorescent or compact
fluorescent parking garage luminaire with up-light component.
(2) Pole-mounted full cutoff, low profile, LED or metal halide luminaire.
(3) Recessed ceiling-mounted compact fluorescent or LED downlight at lobbies.

CONTROL APPROACH:
(1) Photocontrols for all luminaires.
(2) Refer to the latest ASHRAE 90.1 - Chapter 9 – Section 9.4.1.2 Parking Garage
Lighting Control - for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Luminaires shall be enclosed and sealed in weatherproof housing with UL
listing for wet locations.
(2) Coordinate pole base height to reduce pole damage. Consider elevated bases
when located in parking areas of roof deck.
(3) Coordinate interior parking area luminaire layout with structural grid and ceiling
clearances.
(4) Consider luminaire options to discourage nesting by birds.

3.14
 CHAPTER 3: EXTERIOR LIGHTING GUIDELINES

3.9 HELICOPTER PADS

DESIGN PARAMETERS:
(1) Average Maintained Illumination:
• Apron: 40 lx (4 FC)
(2) Uniformity Ratio (avg / min): n /a
(Comply with FAA helipad lighting regulations.)
(3) Color Temperature (CCT):
• LED: 4000 degrees
• Metal Halide: 4000 degrees
(4) Color Rendering (CRI):
• LED: minimum of 80
• Metal Halide: minimum of 65
(5) Power Source:
• Normal power

DESIGN APPROACH:
Helipad lighting shall comply with FAA helipad lighting regulations which include but are
not limited to:
(1) Windsock shall be internally or externally illuminated.
(2) Touchdown and Lift Off Area (TLOF) shall be illuminated by a minimum of
three (3) flush or elevated green perimeter lights per side with one (1) fixture
mounted at each corner if TLOF is square or rectangular; maximum spacing of
7.6 M (25 feet) between fixtures whether TLOF is square, rectangular, or
round.
• Flush fixtures shall be located within 0.3 M (1 foot) inside or outside of
TLOF perimeter.
• Elevated fixtures shall be located within 0.3 M (1 foot) outside of TLOF
perimeter.
(3) Final Approach and Take Off Area (FATO) shall be illuminated by a minimum
of three (3) flush or elevated green perimeter lights per side with one (1) fixture
mounted at each corner if FATO is square or rectangular; maximum spacing of
7.6 M (25 feet) between fixtures whether FATO is square, rectangular, or
round.
• Flush fixtures shall be located within 0.3 M (1 foot) inside or outside of
FATO perimeter.
• Elevated fixtures shall be located 3 M (10 feet) outside of FATO
perimeter.
(4) Optional floodlights may be utilized to illuminate the TLOF or FATO but must
not interfere with the area and should be capable of being turned OFF during
takeoffs and landings.

3.15
 CHAPTER 3: EXTERIOR LIGHTING GUIDELINES

(5) Optional landing direction lights shall be utilized only when necessary and
consist of five (5) yellow omni-directional lights on the centerline of the
preferred approach/departure path spaced at 4.57 M (15 feet) intervals.
(6) Optional heliport identification beacons shall be utilized only when necessary
and flash white/green/yellow at the rate of 30-45 flashes per minute.
(7) Obstructions (i.e., unmarked wires, antennas, poles, cell towers, etc.) within the
approach/departure space shall be adequately illuminated to FAA standards.

RECOMMENDED LUMINAIRES:
(1) LED or HID lighted wind cone.
(2) Flush or elevated omni-directional green LED perimeter lights.
(3) Optional flush or elevated omni-directional yellow LED landing lights.
(4) Wall- or building-mounted LED or HID floodlight.

CONTROL APPROACH:
(1) Local manual switch for flood lights.
(2) Photocontrols for perimeter and landing lights.

SPECIFIC COORDINATION ISSUES:

(1) Comply with appropriate regulatory agency documents.
(2) Determine size and shape (rectangular, square, circular) of TLOF and FATO.
(3) Determine location of helipad (roof or ground).
(4) Determine if TLOF will be elevated above FATO and coordinate lighting with
safety net if TLOF is elevated.
(5) Determine any obstructions to the TLOF and FATO.
(6) Determine if landing direction lights will be needed.
(7) Determine if heliport identification beacons will be needed.
(8) Determine if taxiway and taxi routes will be located on site.
(9) Luminaires shall be enclosed and sealed in weatherproof housing with UL
listing for wet locations.
(10) Critical Safety branch of the EES is required if helicopter pad is used for
medical purposes.

3.16
 CHAPTER 3: EXTERIOR LIGHTING GUIDELINES

3.10 WATER TANKS

DESIGN PARAMETERS:
(1) Average Maintained Illumination:
• Horizontal: 100 lx (10 FC)
• Vertical: 30 lx (3 FC)
(2) Contrast Ratio (avg / min): n / a
(3) Color Temperature (CCT):
• LED: 4000 degrees
• Metal Halide: 4000 degrees
• High Pressure Sodium: 1900 degrees
(4) Color Rendering (CRI):
• LED: minimum of 80
• Metal Halide: minimum of 65
• High Pressure Sodium: minimum of 21
(5) Power Source:
• Normal power

DESIGN APPROACH:
Proper vertical and horizontal illumination and uniformity should be provided for the
water tank storage area. Glare and direct light source view should be minimized by
luminaire placement and aiming.

RECOMMENDED LUMINAIRES:
(1) Pole-, base- or building-mounted LED, metal halide or high pressure sodium
floodlight.

CONTROL APPROACH:
1) Automatic full OFF with local manual control devices for all lighting.

SPECIFIC COORDINATION ISSUES:

1) Luminaires shall be enclosed and sealed in weatherproof housing with UL
listing for wet locations.

3.17
 CHAPTER 3: EXTERIOR LIGHTING GUIDELINES

3.11 ROOF MOUNTED ANTENNA-OBSTRUCTION LIGHTS

DESIGN PARAMETERS:
(1) Average Maintained Illumination: n / a
(2) Uniformity Ratio (avg / min): n / a
(3) Color Temperature (CCT): n / a
(4) Color Rendering (CRI): n / a
(5) Power Source:
• Critical Emergency branch of the EES

DESIGN APPROACH:
Obstruction lighting shall comply with FAA regulations which include but are not limited
to:
(1) Flashing or steady burning aviation red obstruction light beacons used during
nighttime.
(2) Flashing medium intensity white obstruction lights used during daylight and
twilight that automatically reduce intensity during nighttime. Other methods
may be omitted if structure is less than or equal to 152 M (500 feet). This
system is not recommended for structures less than or equal to 60.9 M
(200 feet).
(3) Flashing high intensity white obstruction lights used during daytime with
automatically selected reduced intensities for twilight and nighttime operations.
Other methods may be omitted if this is used. This system is not
recommended for structures less than or equal to 152 M (500 feet).
(4) Flashing or steady burning aviation red obstruction light beacons used during
nighttime and high or medium intensity white lights for daytime and twilight.
Other methods may be omitted if medium intensity is used and structure is less
than or equal to 152 M (500 feet) or if high intensity is used and structure is any
height.
(5) If structure is located in the midst of numerous structures with white lights, red
obstruction lights should be used.
(6) Temporary obstruction lights must be provided during building construction.

RECOMMENDED LUMINAIRES:
(1) Red flashing or steady obstruction light beacons.
(2) Medium intensity flashing white obstruction light beacons.
(3) High intensity flashing white obstruction light beacons.

CONTROL APPROACH:
(1) None. Lights shall remain ON at all times.

3.18
 CHAPTER 3: EXTERIOR LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) Coordinate location of lights with structure.
(2) Coordinate type of obstruction lights on other buildings with new structure.
(3) Continually coordinate type of obstruction lights needed as construction of new
structure progresses.
(4) Luminaires shall be enclosed and sealed in weatherproof housing with UL
listing for wet locations.

3.19
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.1 PATIENT AREAS LIGHTING

GUIDELINES MATRIX

4.1.1
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

The consultant shall select the correct lighting guidance section in this design manual
for each room based on its application and task. In most cases, room names may
describe the rooms’ applications and tasks. In other cases, this may not be the case. If
unclear of the application and task of a specific room based on its room name, the
consultant shall confirm its application and task with CO, PM and COR. The following
matrix provides lighting guidelines for selected patient areas/rooms. Room names for
these patient areas/room are extracted from VA Design Guides (PG-18-12). For patient
areas and rooms not listed on this matrix, A/E may refer to Appendix A for the lighting
guideline references, or illumination levels. In case A/E is unable to locate lighting
guideline for any patient area/room of the project, A/E can follow lighting guidance
shown in the matrix or Appendix A with closest applications and tasks to that of the
project’s area/room.

Subsequent sections of Chapter 4 show specific lighting guidelines for patient

areas/rooms. These lighting guidelines are referenced in the matrix under the column
“Guideline Reference”.

GUIDELINE
SERVICES ROOM NAME
REFERENCE

AMBULATORY CARE CLEAN SUPPLY ROOM 7.1

(HOSPITAL

AMBULATORY CARE HOUSEKEEPING AIDS CLOSET 7.2

(HOSPITAL BASED)
AMBULATORY CARE
(HOSPITAL BASED) JANITOR'S CLOSET 7.2

AMBULATORY CARE
(HOSPITAL BASED) MEDICATION ROOM 4.3.3

AMBULATORY CARE
(HOSPITAL BASED) OFFICES 6.1

AMBULATORY CARE
(HOSPITAL BASED) RECEPTION 5.8

AMBULATORY CARE
(HOSPITAL BASED) SOILED UTILITY ROOM 7.3

AMBULATORY CARE
(HOSPITAL BASED) TOILET, WHEELCHAIR ACCESSIBLE 4.3.8

AMBULATORY CARE
(HOSPITAL BASED) TOILET/SHOWER, WHEELCHAIR 4.3.8

AMBULATORY CARE
(HOSPITAL BASED) ER/UC: CLEAN UTILITY ROOM 7.4

4.1.2
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES
AMBULATORY CARE
(HOSPITAL BASED) ER/UC: EXAM ROOM, ISOLATION 4.2.1

AMBULATORY CARE
(HOSPITAL BASED) ER/UC: EXAM ROOM, SECURITY 4.4.7

AMBULATORY CARE
(HOSPITAL BASED) ER/UC: LIFE SUPPORT UNIT 4.2.1

AMBULATORY CARE ER/UC: NURSE STATION /

(HOSPITAL BASED) COMMUNICATION CENTER 4.3.1

AMBULATORY CARE ER/UC: OBSERVATION AND

(HOSPITAL BASED) TREATMENT ROOM 4.2.1

AMBULATORY CARE
(HOSPITAL BASED) ER/UC: VITAL SIGN STATION 4.2.1

AMBULATORY CARE
(HOSPITAL BASED) ETM: AUDIOMETRIC BOOTH 4.2.12

AMBULATORY CARE
(HOSPITAL BASED) ETM: BLOOD DRAW 4.2.2

AMBULATORY CARE
(HOSPITAL BASED) ETM: EXAM ROOM 4.2.1

AMBULATORY CARE
(HOSPITAL BASED) ETM: EXAM ROOM, ISOLATION 4.2.1

AMBULATORY CARE ETM: GYN EXAM ROOMS 4.2.1

(HOSPITAL BASED)

AMBULATORY CARE ETM: INTAKE/EXIT INTERVIEW 6.1

(HOSPITAL BASED)

AMBULATORY CARE ETM: NURSE STATION

4.3.1
(HOSPITAL BASED) COMMUNICATION CENTER

AMBULATORY CARE ETM: NURSE TRIAGE 4.2.1

(HOSPITAL BASED)

AMBULATORY CARE ETM: PROCEDURE ROOM, GENERAL

4.2.5
(HOSPITAL BASED) PURPOSE

ETM: AIDS CLINIC: AEROSOLIZED

AMBULATORY CARE 4.2.5
PENTAMIDINE PROCEDURE ROOM
(HOSPITAL BASED)

ETM: DERMATOLOGY:
4.2.1,
AMBULATORY CARE PHOTOTHERAPY TREATMENT ROOM
4.3.8
(HOSPITAL BASED) & SHOWER ROOM

4.1.3
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE

AMBULATORY CARE ETM: DERMATOLOGY:

4.2.1
(HOSPITAL BASED) PROCEDURE/TREATMENT ROOM

ETM: GI CLINIC: GASTRIC

AMBULATORY CARE (ESOPHAGEAL) MOTILITY 4.2.5
(HOSPITAL BASED) PROCEDURE ROOM

AMBULATORY CARE ETM: GI CLINIC: SCOPE 4.7.1

(HOSPITAL BASED) CLEANING/CLEAN STORAGE 4.7.6

ETM: GI CLINIC: SCREENING

AMBULATORY CARE PROCTOSCOPY/SIGMOIDOSCOPY 4.2.5
(HOSPITAL BASED) ROOM

AMBULATORY CARE ETM: MOHS CLINIC PROCEDURE /

(HOSPITAL BASED) TREATMENT ROOM 4.2.5

AMBULATORY CARE ONCOLOGY: CHEMOTHERAPY AGENT

(HOSPITAL BASED) PREPARATION AREA 4.2.8

AMBULATORY CARE ONCOLOGY: CHEMOTHERAPY

(HOSPITAL BASED) TREATMENT ROOM 4.2.8

AMBULATORY CARE
(HOSPITAL BASED) ORTHOPEDIC CLINIC: CAST ROOM 4.2.3

AMBULATORY CARE
(HOSPITAL BASED) DISPOSITION: AGENT CASHIER 6.1

CARDIOVASCULAR
LABORATORY EKG TESTING ROOM 4.2.7

CARDIOVASCULAR
LABORATORY HOLTER MONITOR ROOM 4.2.7

CARDIOVASCULAR
LABORATORY ECHOCARDIOGRAPH ROOM 4.2.7

CARDIOVASCULAR
LABORATORY STRESS ECHOCARDIOGRAPH ROOM 4.2.7

CARDIOVASCULAR
LABORATORY STRESS TESTING TREADMILL ROOM 4.2.7

4.1.4
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
CARDIOVASCULAR
TILT TABLE TESTING ROOM
LABORATORY 4.2.7

CARDIOVASCULAR EVENT/HOLTER MONITOR WORK

LABORATORY ROOM 4.2.7

CARDIOVASCULAR CARDIAC CATHETERIZATION

LABORATORY LABORATORY 4.2.5

CARDIOVASCULAR CONTROL ROOM, CARDIAC

LABORATORY CATHETERIZATION 4.2.5

CARDIOVASCULAR TRANSESOPHAGEAL
LABORATORY ECHOCARDIOGRAPH ROOM 4.2.5

CARDIOVASCULAR
LABORATORY SYSTEM COMPONENT ROOM 4.2.5

CARDIOVASCULAR
LABORATORY RECOVERY ROOM, PATIENT PREP 4.2.15

X-RAY PANORAMIC/
DENTAL CEPHALOMETRIC 4.2.6

CONE BEAM COMPUTERIZED

DENTAL TOMOGRAPHY 4.2.6

DENTAL TREATMENT ROOM,

DENTAL MULTIFUNCTIONAL 4.2.16

DENTAL TREATMENT ROOM: SPECIAL

DENTAL NEEDS PATIENT 4.2.16

ORAL SURGERY, MINOR PROCEDURE

DENTAL ROOM 4.2.17

DENTAL STORAGE, STERILE INSTRUMENTS 7.1

DENTAL EQUIPMENT MECHANICAL

DENTAL ROOM 7.9

DENTAL LABORATORY, GENERAL PURPOSE 4.2.4

LABORATORY, PORCELAIN/
DENTAL CERAMICS 4.2.4

4.1.5
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
DIGESTIVE
DISEASES -
ENDOSCOPY PROCEDURE ROOM, ENDOSCOPY 4.2.5

DIGESTIVE
DISEASES - PROCEDURE ROOM, ERCP /
ENDOSCOPY ENDOSCOPIC ULTRASOUND 4.2.5

DIGESTIVE
DISEASES -
ENDOSCOPY RECOVERY ROOM, PATIENT PREP 4.2.15

DIGESTIVE
DISEASES -
ENDOSCOPY REPROCESSING ROOM, SCOPE 4.7.6

ELECTROENCEPHAL
OGRAPHY
LABORATORY EXAM ROOM, EEG 4.2.1

ELECTROENCEPHAL
OGRAPHY
LABORATORY EXAM ROOM, EMG 4.2.1

MEDICAL/SURGICAL
INPATIENT UNITS & PATIENT ROOM
INTENSIVE CARE
NURSING UNITS 4.3.4

MEDICAL/SURGICAL
INPATIENT UNITS & PATIENT ROOM, ISOLATION
INTENSIVE CARE
NURSING UNITS 4.3.5

MEDICAL/SURGICAL
INPATIENT UNITS & PATIENT ROOM, INTENSIVE CARE
INTENSIVE CARE
NURSING UNITS 4.3.6

MEDICAL/SURGICAL
INPATIENT UNITS & NURSE STATION
INTENSIVE CARE
NURSING UNITS 4.3.1

MEDICAL/SURGICAL
INPATIENT UNITS & MEDICATION ROOM
INTENSIVE CARE
NURSING UNITS 4.3.3

4.1.6
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE

MEDICAL/SURGICAL
INPATIENT UNITS & NOURISHMENT STATION
INTENSIVE CARE
NURSING UNITS 4.3.10

MEDICAL/SURGICAL
INPATIENT UNITS & TEAM WORK ROOM
INTENSIVE CARE
NURSING UNITS 6.1

MAGNETIC
RESONANCE MRI SCANNING ROOM
IMAGING (MRI) 4.2.6

MAGNETIC
RESONANCE MRI CONTROL ROOM
IMAGING (MRI) 4.2.6

MAGNETIC
RESONANCE MRI SYSTEMS COMPONENT ROOM
IMAGING (MRI) 4.2.6

MENTAL HEALTH BCU: PATIENT ROOM AND TOILET, 4.4.1

FACILITIES ONE BED 4.4.2

MENTAL HEALTH BCU: PATIENT ROOM AND TOILET, 4.4.1

FACILITIES TWO BED 4.4.2

MENTAL HEALTH BCU: ISOLATION, RESTRAINT 4.4.1

FACILITIES 4.4.2

MENTAL HEALTH
FACILITIES BCU: NURSE STATION 4.4.6

MENTAL HEALTH
FACILITIES BCU: NURSE WORKROOM 6.1

MENTAL HEALTH
FACILITIES BCU: MEDICATION ROOM 4.3.3

MENTAL HEALTH
FACILITIES BCU: TEAM ROOM 6.3

MENTAL HEALTH
FACILITIES BCU: DINING ROOM 4.4.3

MENTAL HEALTH
FACILITIES BCU: SERVING/PANTRY 4.4.3

4.1.7
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
MENTAL HEALTH
FACILITIES BCU: DAY ROOM 4.4.4

MENTAL HEALTH
FACILITIES BCU: GROUP ROOM 4.4.5

MENTAL HEALTH 4.4.8

FACILITIES RRTP: BEDROOM, ONE BED 4.4.9

MENTAL HEALTH 4.4.8

FACILITIES RRTP: BEDROOM, TWO BED 4.4.9

MENTAL HEALTH RRTP: LIVING AREA, DINING AREA,

FACILITIES AND KITCHENETTE 4.4.10

MENTAL HEALTH
FACILITIES RRTP: LOUNGE 4.3.11

MENTAL HEALTH RRTP: MULTI-PURPOSE ROOM /

FACILITIES KITCHENETTE 4.3.12

MENTAL HEALTH RRTP: EDUCATION / CONFERENCE /

FACILITIES GROUP ROOM 6.2

MENTAL HEALTH
FACILITIES RRTP: DINING ROOM 5.6

MENTAL HEALTH RRTP: SERVING LINE / TRAINING

FACILITIES KITCHEN 5.6

MENTAL HEALTH
FACILITIES RRTP: RECREATION THERAPY ROOM 4.2.11

MENTAL HEALTH
FACILITIES OUTPATIENT SERVICES: EXAM ROOM 4.2.1

MENTAL HEALTH OUTPATIENT SERVICES: TREATMENT

FACILITIES ROOM 4.2.1

MENTAL HEALTH OUTPATIENT SERVICES: GROUP

FACILITIES THERAPY ROOM 4.4.11

MENTAL HEALTH OUTPATIENT SERVICES: GROUP

FACILITIES TESTING ROOM 6.1

OUTPATIENT SERVICES:
MENTAL HEALTH BIOFEEDBACK LABORATORY
FACILITIES TREATMENT ROOM 4.2.7

4.1.8
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
OUTPATIENT SERVICES:
MENTAL HEALTH BIOFEEDBACK LABORATORY
FACILITIES CONTROL ROOM 6.1

MENTAL HEALTH OUTPATIENT SERVICES: OFFICE,

FACILITIES COUNSELOR 6.1

MENTAL HEALTH OUTPATIENT SERVICES: SOCIAL

FACILITIES ACTIVITIES, DINING, MULTI-PURPOSE 4.3.12

MENTAL HEALTH OUTPATIENT SERVICES:

FACILITIES CLASSROOM / GROUP ROOM 4.4.11

MENTAL HEALTH OUTPATIENT SERVICES:

FACILITIES OCCUPATIONAL THERAPY 4.2.11

NUCLEAR MEDICINE SCANNING

NUCLEAR MEDICINE ROOM 4.2.6

NUCLEAR MEDICINE BONE DENSITOMETRY ROOM 4.2.6

NUCLEAR MEDICINE PATIENT DOSE ADMINISTRATION 4.2.6

NUCLEAR MEDICINE PET/CT SCAN ROOM 4.2.6

NUCLEAR MEDICINE PET/CT SCAN CONTROL ROOM 4.2.6

NUCLEAR MEDICINE PET/CT SYSTEM COMPONENT ROOM 4.2.6

NUCLEAR MEDICINE RADIOPHARMACY 4.2.18

OUTPATIENT CLINIC
(SOC/CBOC) BLOOD DRAW 4.2.2

OUTPATIENT CLINIC
(SOC/CBOC) CLEAN UTILITY ROOM 7.4

OUTPATIENT CLINIC
(SOC/CBOC) DRESSING ROOM 4.3.13

OUTPATIENT CLINIC
(SOC/CBOC) EXAM ROOM 4.2.1

4.1.9
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
OUTPATIENT CLINIC
(SOC/CBOC) HOUSEKEEPING AIDS CLOSET 7.2

OUTPATIENT CLINIC
(SOC/CBOC) MEDICATION ROOM 4.3.3

OUTPATIENT CLINIC
(SOC/CBOC) NURSE STATION 4.3.1

OUTPATIENT CLINIC
(SOC/CBOC) NURSE / COMMUNICATION STATION 4.3.1

OUTPATIENT CLINIC
OFFICE 6.1
(SOC/CBOC)

OUTPATIENT CLINIC
(SOC/CBOC) PACS VIEWING ROOM 4.2.6

OUTPATIENT CLINIC
(SOC/CBOC) RECEPTION 5.8

OUTPATIENT CLINIC
(SOC/CBOC) SOILED UTILITY ROOM 7.3

OUTPATIENT CLINIC
(SOC/CBOC) TOILET/SHOWER, WHEELCHAIR 4.3.8

OUTPATIENT CLINIC
(SOC/CBOC) TOILET, WHEELCHAIR ACCESSIBLE 4.3.8

OUTPATIENT CLINIC AMBULATORY CARE: AGENT

(SOC/CBOC) CASHIER 6.1

OUTPATIENT CLINIC AMBULATORY CARE: DERMATOLOGY

(SOC/CBOC) PHOTOTHERAPY TREATMENT ROOM 4.2.1

OUTPATIENT CLINIC AMBULATORY CARE: DERMATOLOGY

(SOC/CBOC) PROCEDURE/TREATMENT ROOM 4.2.1

OUTPATIENT CLINIC AMBULATORY CARE: ETM NURSE

(SOC/CBOC) TRIAGE 4.2.1

4.1.10
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
OUTPATIENT CLINIC AMBULATORY CARE: ETM
(SOC/CBOC) PROCEDURE ROOM 4.2.5

OUTPATIENT CLINIC AMBULATORY CARE: ETM VITAL SIGN

(SOC/CBOC) STATION 4.2.1

AMBULATORY CARE: GI SCREENING

OUTPATIENT CLINIC PROCTOSCOPY/SIGMOIDOSCOPY
(SOC/CBOC) ROOM 4.2.5

OUTPATIENT CLINIC AMBULATORY CARE: GYN EXAM

(SOC/CBOC) ROOM 4.2.1

OUTPATIENT CLINIC AMBULATORY CARE: ONCOLOGY

(SOC/CBOC) CHEMOTHERAPY TREATMENT ROOM 4.2.8

OUTPATIENT CLINIC AMBULATORY CARE: ORTHOPEDIC

(SOC/CBOC) CLINIC CAST ROOM 4.2.3

OUTPATIENT CLINIC AMBULATORY CARE: UC INFECTIOUS

(SOC/CBOC) ISOLATION ROOM 4.2.1

OUTPATIENT CLINIC AMBULATORY CARE: UC MONITORED

(SOC/CBOC) BEDS 4.2.15

AMBULATORY CARE: UC
OUTPATIENT CLINIC OBSERVATION AND TREATMENT
(SOC/CBOC) ROOM 4.2.1

OUTPATIENT CLINIC AUDIOLOGY: INSTRUMENT 7.1

(SOC/CBOC) CALIBRATION AND STORAGE ROOM 7.6

OUTPATIENT CLINIC AUDIOLOGY: OFFICE/THERAPY

(SOC/CBOC) ROOM 6.1

OUTPATIENT CLINIC DENTAL: GENERAL TREATMENT

(SOC/CBOC) OPERATORY 4.2.16

OUTPATIENT CLINIC DENTAL: ORAL SURGERY RECOVERY

(SOC/CBOC) ROOM 4.2.17

OUTPATIENT CLINIC
(SOC/CBOC) DENTAL: ORAL SURGERY ROOM 4.2.17

OUTPATIENT CLINIC DDP-ENDOSCOPY: EGD PROCEDURE

(SOC/CBOC) ROOM 4.2.5

OUTPATIENT CLINIC ENDOSCOPY: SCOPE 7.1

(SOC/CBOC) CLEANING/CLEAN STORAGE 7.6

4.1.11
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
OUTPATIENT CLINIC ENGINEERING: BIOMEDICAL
(SOC/CBOC) ENGINEERING REPAIR SHOP 7.5

OUTPATIENT CLINIC EYE CLINIC: EYE

(SOC/CBOC) EXAMINATION/TREATMENT ROOM 4.2.1

OUTPATIENT CLINIC EYE CLINIC: FITTING AND

(SOC/CBOC) DISPENSING ROOM 4.2.7

OUTPATIENT CLINIC EYE CLINIC: VISUAL FIELDS ROOM

(SOC/CBOC) AND PHOTOGRAPHY ROOM 4.2.7

OUTPATIENT CLINIC
(SOC/CBOC) LABORATORY: CLINICAL CHEMISTRY 4.2.4

OUTPATIENT CLINIC
(SOC/CBOC) LABORATORY: MICROBIOLOGY 4.2.4

OUTPATIENT CLINIC MENTAL HEALTH: OFFICE/EXAM

(SOC/CBOC) ROOM 4.4.7

OUTPATIENT CLINIC
(SOC/CBOC) PHARMACY: BASIC SERVICE 4.2.18

OUTPATIENT CLINIC PHARMACY: ONCOLOGY DRUGS

(SOC/CBOC) PREPARATION AREA 4.2.8

OUTPATIENT CLINIC
(SOC/CBOC) PULMONARY: EXERCISE OFFICE 6.1

PULMONARY: SPECIAL
OUTPATIENT CLINIC PROCEDURES/ BRONCHOSCOPY
(SOC/CBOC) ROOM 4.2.5

OUTPATIENT CLINIC PULMONARY: VENTILATORY TEST

(SOC/CBOC) ROOM/SPIROMETRY 4.2.7

OUTPATIENT CLINIC RADIOLOGY: CHEST ROOM,

(SOC/CBOC) DEDICATED 4.2.7

OUTPATIENT CLINIC
(SOC/CBOC) RADIOLOGY: CT SCANNING ROOM 4.2.6

OUTPATIENT CLINIC RADIOLOGY: CT COMPUTER POWER

(SOC/CBOC) AND EQUIPMENT ROOM 4.2.6

OUTPATIENT CLINIC
(SOC/CBOC) RADIOLOGY: FILM LIBRARY 7.1

4.1.12
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
OUTPATIENT CLINIC RADIOLOGY: GENERAL PURPOSE
(SOC/CBOC) ROOM 4.2.6

OUTPATIENT CLINIC
(SOC/CBOC) RADIOLOGY: MAMAGROPHY ROOM 4.2.6

RADIOLOGY:
OUTPATIENT CLINIC RADIOGRAPHIC/FLUOROSCOPIC
(SOC/CBOC) ROOM 4.2.6

OUTPATIENT CLINIC
(SOC/CBOC) RADIOLOGY: ULTRASOUND ROOM 4.2.6

OUTPATIENT CLINIC
(SOC/CBOC) SPD: BASIC SERVICE 7.1

OUTPATIENT CLINIC SPD: MANUAL EQUIPMENT WASH

(SOC/CBOC) AREA 7.6

OUTPATIENT CLINIC SURGERY: AMBULATORY SURGERY

(SOC/CBOC) CYSTOSCOPY ROOM 4.2.5

OUTPATIENT CLINIC SURGERY: MINOR PROCEDURE

(SOC/CBOC) OPERATING ROOM 4.2.13

OUTPATIENT CLINIC
(SOC/CBOC) SURGERY: SUB-STERILE ROOM 7.6

PHARMACY SERVICE UNIT DOSE AND WARD STOCK 4.2.18

MEDICATION ASSIGNMENT AND STAT

PHARMACY SERVICE COUNTER 4.2.18

CONTROL SUBSTANCE VAULT AND

PHARMACY SERVICE SECURED DISPENSING AREA 4.2.18

PHARMACY SERVICE RECEIVING AREA 4..2.18

EXTEMPORANEOUS REPACKAGING
AND EXTEMPORANEOUS
PHARMACY SERVICE COMPOUNDING 4.2.18

INTRAVENOUS ADMIXTURE AND

PHARMACY SERVICE ASEPTIC TRANSFER 4.2.18

PHARMACY SERVICE ONCOLOGY DRUGS 4.2.8

4.1.13
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
POLYTRAUMA
REHABILITATION:
INPATIENT REHAB
CENTER PATIENT ROOM 4.3.4

POLYTRAUMA
REHABILITATION:
INPATIENT REHAB
CENTER NURSE STATION 4.3.1

POLYTRAUMA
REHABILITATION:
INPATIENT REHAB RECREATION THERAPY ROOM,
CENTER GROUP 4.2.11

POLYTRAUMA
REHABILITATION:
INPATIENT REHAB
CENTER DINING ROOM 5.6

POLYTRAUMA
REHABILITATION:
INPATIENT REHAB
CENTER QUIET TREATMENT ROOM 4.2.11

POLYTRAUMA
REHABILITATION:
INPATIENT REHAB
CENTER FAMILY MULTIPURPOSE ROOM 4.3.12

POLYTRAUMA
REHABILITATION:
INPATIENT REHAB
CENTER FAMILY LIVING 4.3.11

POLYTRAUMA
REHABILITATION:
INPATIENT REHAB
CENTER REHABILITATION GYM 4.2.11

POLYTRAUMA
REHABILITATION:
INPATIENT REHAB COGNATIVE THERAPY
CENTER EXAM/TREATMENT ROOM 4.2.1

POLYTRAUMA
REHABILITATION:
INPATIENT REHAB
CENTER COMPUTER ACTIVITIES ROOM 4.3.11

4.1.14
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
POLYTRAUMA
REHABILITATION:
INPATIENT REHAB COGNATIVE THERAPY
CENTER MULTIPURPOSE ROOM 4.3.12

POLYTRAUMA
REHABILITATION:
TRANSITIONAL TRANSITIONAL REHAB RESIDENT 4.3.7
REHAB CENTER BEDROOM 4.3.9

POLYTRAUMA
REHABILITATION:
TRANSITIONAL 4.3.7
REHAB CENTER DOUBLE APARTMENT UNITS 4.3.9

POLYTRAUMA
REHABILITATION:
TRANSITIONAL
REHAB CENTER NURSE STATION/CHECK IN STATION 4.3.1

POLYTRAUMA
REHABILITATION:
TRANSITIONAL
REHAB CENTER DINING AREA 5.6

POLYTRAUMA
REHABILITATION:
TRANSITIONAL RECREATION ACTIVITY ROOM,
REHAB CENTER GROUP 4.2.11

POLYTRAUMA
REHABILITATION:
TRANSITIONAL
REHAB CENTER LOUNGE SPACE 4.3.11

POLYTRAUMA
REHABILITATION:
TRANSITIONAL
REHAB CENTER PHYSICAL/OCCUPATIONAL THERAPY 4.2.11

POLYTRAUMA
REHABILITATION:
TRANSITIONAL RECREATION THERAPY ROOM,
REHAB CENTER GROUP 4.2.11

POLYTRAUMA
REHABILITATION:
TRANSITIONAL
REHAB CENTER GAIT AND BALANCE LAB 4.2.11

4.1.15
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
POLYTRAUMA
REHABILITATION:
TRANSITIONAL
REHAB CENTER EXAM ROOM 4.2.1

PULMONARY PULMONARY FUNCTION TESTING

MEDICINE SERVICE LAB 4.2.7

PULMONARY EXTENDED PULMONARY FUNCTION

MEDICINE SERVICE TESTING LAB 4.2.7

PULMONARY PULMONARY EXERCISE PHYSIOLOGY

MEDICINE SERVICE LAB 4.2.7

PULMONARY
MEDICINE SERVICE RESPIRATORY THERAPY ROOM 4.2.7

PULMONARY BRONCHOSCOPY PROCEDURE

MEDICINE SERVICE ROOM 4.2.5

PULMONARY
MEDICINE SERVICE SLEEP STUDY ROOM 4.3.7

PULMONARY
MEDICINE SERVICE SLEEP STUDY MONITORING ROOM 4.2.6

PULMONARY
MEDICINE SERVICE RECOVERY ROOM, PATIENT PREP 4.2.15

RADIATION THERAPY LINEAR ACCELERATOR ROOM &

SERVICE CONTROL AREA 4.2.6

RADIATION THERAPY CT SIMULATOR UNIT ROOM AND

SERVICE CONTROL ROOM 4.2.6

RADIATION THERAPY 4.2.6

SERVICE ULTRASOUND PLANNING UNIT ROOM 4.3.8

RADIATION THERAPY TREATMENT PLANNING COMPUTER

SERVICE ROOM / DOSIOMETRY ROOM 4.2.6

GENERAL PURPOSE RADIOLOGY

RADIOLOGY SERVICE ROOM 4.2.6

RADIOLOGY SERVICE CHEST ROOM 4.2.6

RADIOGRAPHIC/ FLUOROSCOPIC 4.2.6

RADIOLOGY SERVICE ROOM 4.3.8

4.1.16
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE

RADIOLOGY SERVICE MAMMOGRAPHY ROOM 4.2.6

4.2.6
RADIOLOGY SERVICE ULTRASOUND ROOM 4.3.8

RADIOLOGY SERVICE IR SPECIAL PROCEDURE ROOM 4.2.6

IR SPECIAL PROCEDURE CONTROL

RADIOLOGY SERVICE ROOM 4.2.6

IR SPECIAL PROCEDURE SYSTEM

RADIOLOGY SERVICE COMPONENT ROOM 4.2.6

RADIOLOGY SERVICE CT SCANNING ROOM 4.2.6

RADIOLOGY SERVICE CT CONTROL ROOM 4.2.6

SPINAL CORD
INJURY/DISORDERS ACUTE CARE ONE BEDROOM 4.3.4

SPINAL CORD ACUTE CARE ISOLATION, ANTE

INJURY/DISORDERS ROOM 4.3.5

SPINAL CORD
INJURY/DISORDERS ACUTE CARE TWO BEDROOM 4.3.4

SPINAL CORD
INJURY/DISORDERS PATIENT BATHROOM 4.3.8

SPINAL CORD ACUTE RESPIRATORY ONE

INJURY/DISORDERS BEDROOM 4.3.4

SPINAL CORD
INJURY/DISORDERS NURSE STATION 4.3.1

SPINAL CORD
INJURY/DISORDERS NOURISHMENT KITCHEN 4.3.10

SPINAL CORD
INJURY/DISORDERS HYDROTHERAPY/ TUBROOM 4.2.11

SPINAL CORD
INJURY/DISORDERS LITTER STORAGE 7.1

4.1.17
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
SPINAL CORD
INJURY/DISORDERS TRANSFER EQUIPMENT STORAGE 7.1

SPINAL CORD
INJURY/DISORDERS DAY ROOM/LOUNGE 4.3.11

SPINAL CORD
INJURY/DISORDERS RESIDENT DINING/SERVING 5.6

SPINAL CORD
INJURY/DISORDERS MULTI-PURPOSE ROOM 4.3.12

SPINAL CORD
INJURY/DISORDERS INTERNET CAFÉ 4.3.11

SPINAL CORD
INJURY/DISORDERS ACTIVITIES OF DAILY LIVING 4.2.11

SPINAL CORD
INJURY/DISORDERS THERAPEUTIC POOL 4.2.11

SPINAL CORD
INJURY/DISORDERS DRESSING ROOM 4.3.13

SPINAL CORD
INJURY/DISORDERS TYPICAL CORRIDOR 4.3.2

SPINAL CORD
INJURY/DISORDERS SCI ELEVATOR 5.2

SPINAL CORD
INJURY/DISORDERS MAIN ENTRANCE CANOPY 3.5

SPINAL CORD URODYNAMICS: EXAM/TREATMENT

INJURY/DISORDERS ROOM 4.2.1

SPINAL CORD URODYNAMICS:

INJURY/DISORDERS CYSTOSCOPY/LITHOTRIPSY 4.2.5

SPINAL CORD URODYNAMICS: STORAGE AND 7.1

INJURY/DISORDERS INSTRUMENT CLEANING ROOM 7.6

SPINAL CORD
INJURY/DISORDERS URODYNAMICS: RECOVERY ROOM 4.2.15

SPINAL CORD
INJURY/DISORDERS URODYNAMICS: DRESSING ROOM 4.3.13

4.1.18
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
SPINAL CORD
INJURY/DISORDERS URODYNAMICS: NURSE STATION 4.3.1

SPINAL CORD OUTPATIENT URODYNAMICS: CLEAN

INJURY/DISORDERS UTILITY ROOM 4.7.4

SPINAL CORD
INJURY/DISORDERS HOME ENVIRONMENT LEARNING 4.2.11

SPINAL CORD
INJURY/DISORDERS PHYSICAL THERAPY 4.2.11

SPINAL CORD
INJURY/DISORDERS OCCUPATIONAL THERAPY 4.2.11

SPINAL CORD
INJURY/DISORDERS UROLOGIST OFFICE 6.1

STERILE
PRECESSING AND
LOGISTICS HOUSEKEEPING AIDES CLOSET 7.2

STERILE
PRECESSING AND
LOGISTICS STAFF-CONFERENCE ROOM 6.2

STERILE
PRECESSING AND
LOGISTICS ADMINISTRATION, FIRST CLERK 6.1

STERILE
PRECESSING AND
LOGISTICS ADMINISTRATION, CHIEF OF SPD 6.1

STERILE
PRECESSING AND ADMINISTRATION, ASSISTANT CHIEF
LOGISTICS OF SPD 6.1

STERILE
PRECESSING AND
LOGISTICS LOCKER ROOMS 6.4

STERILE
PRECESSING AND
LOGISTICS TOILET AND SHOWER ROOMS 6.4

4.1.19
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
STERILE
PRECESSING AND
LOGISTICS AUTOMATIC CART WASH 7.6

STERILE
PRECESSING AND
LOGISTICS DETERGENT & WATER TREATMENT 7.8

STERILE
PRECESSING AND SOILED RECEIVING AND
LOGISTICS DECONTAMINATION 7.3

STERILE
PRECESSING AND
LOGISTICS MANUAL EQUIPMENT WASH 7.6

STERILE
PRECESSING AND
LOGISTICS ENDOSCOPE DISINFECTION 7.6

STERILE
PRECESSING AND
LOGISTICS SCOPE STORAGE 7.6

SURGICAL SERVICE GENERAL OPERATING ROOM 4.2.13

PRE-OPERATIVE HOLDING / PHASE II

SURGICAL SERVICE RECOVERY PATIENT ROOM 4.2.15

SURGICAL SERVICE ORTHOPEDIC OPERATING ROOM 4.2.13

UROLOGY / CYSTOSCOPY
SURGICAL SERVICE OPERATING ROOM 4.2.13

CARDIOTHORACIC OPERATING
SURGICAL SERVICE ROOM 4.2.13

CARDIOTHORACIC PUMP ROOM OR

SURGICAL SERVICE HYBRID OR CONTROL ROOM 7.10

SURGICAL SERVICE NEUROSURGICAL OPERATING ROOM 4.2.13

SURGICAL SERVICE ROBOTICS OPERATING ROOM 4.2.13

SURGICAL SERVICE TRANSPLANT OPERATING ROOM 4.2.13

4.1.20
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

GUIDELINE
SERVICES ROOM NAME
REFERENCE
MONOPLANE HYBRID OPERATING
SURGICAL SERVICE ROOM 4.2.13

SURGICAL SERVICE BIPLANE HYBRID OPERATING ROOM 4.2.13

IMMEDIATE USE STERILIZATION

SURGICAL SERVICE ROOM 7.6

SURGICAL SERVICE ANESTHESIA CLEAN WORK ROOM 4.2.1

DECONTAMINATION / CLEAN UP
SURGICAL SERVICE AREA 4.2.14

SURGICAL SERVICE SOILED SURGICAL UTILITY ROOM 7.3

CARDIAC CATHETERIZATION
SURGICAL SERVICE LABORATORY 4.2.13

ELECTROPHYSIOLOGY PROCEDURE
SURGICAL SERVICE ROOM 4.2.5

TRANSESOPHAGEAL
SURGICAL SERVICE ECHOCARDIOGRAPH ROOM 4.2.5

ISOLATION PACU / PHASE I

SURGICAL SERVICE RECOVERY 4.2.15

SURGICAL SERVICE IPACU / PHASE I RECOVERY PATIENT 4.2.15

SURGICAL SERVICE FROZEN SECTION LABORATORY 4.2.4

4.1.21
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.2 SPECIALTY, DIAGNOSTIC, AND

TREATMENT AREAS

4.2.1
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.2.1 EXAMINATION AND TREATMENT ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500 lx (50FC)
(2) Average Maintained Illumination - Task:
• Exam: 1000 lx (100 FC) on exam table
• Charting: 300 lx (30 FC) on desk
(3) Uniformity Ratio (avg / min):
• Ambient 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES.

DESIGN APPROACH:
A combination of ambient, and task illumination should be provided to reach desired
illumination levels. Both horizontal and vertical illumination is important for caregiver
performance and patient comfort. Luminaires should be visually comfortable with
appropriate optics to minimize glare during examinations when the patient is in a
reclining position. Color rendering and temperature are particularly important.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Surface-mounted fluorescent or LED under cabinet task light (if not provided
with pre-fabricated furniture system).

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Automatic daylight response by photocontrols for ambient lighting.
(4) Under-cabinet task lights shall be controlled with integral switch.
(5) Provide separate controls for areas enclosed by curtains.

4.2.2
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) Rooms may require supplemental medical procedure lights. Coordinate
placement with casework and equipment layouts. Ensure that room luminaires
match the CCT and CRI of supplemental medical lights.
(2) Isolation and infection control examination and treatment rooms shall be
specified with enclosed and sealed luminaires, UL listed for wet locations and
have the ability to be wiped down with corrosive cleaners.
(3) Consider luminaire placement and optical control to mitigate glare and veiling
reflections.

4.2.3
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.2.2 BLOOD DRAW STATION

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500 lx (50 FC)
(2) Average Maintained Illumination - Task:
• Blood Draw: 1000 lx (100 FC) at task area
(3) Uniformity Ratio (avg / min):
• Ambient: 5:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES.

DESIGN APPROACH:
A combination of ambient and task illumination should be provided to reach desired
illumination levels. Both horizontal and vertical illumination is important for blood draw
rooms, specifically at blood draw chair. Color rendering and temperature are
particularly important.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Surface-mounted fluorescent or LED under cabinet task light(if not provided with
pre-fab furniture system).

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switch.
(4) Provide separate controls for areas enclosed by curtains.

SPECIFIC COORDINATION ISSUES:

(1) Consider luminaire placement and optical control to mitigate glare and veiling
reflections.

4.2.4
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.2.3 ORTHOTIC AND CASTING ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC)
(2) Average Maintained Illumination - Task:
• Bench Top: 500 lx (50 FC) at 3’-0” AFF
• Fine Detail: 1000 lx (100 FC) at 3’-0” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of ambient and task illumination should be provided to reach desired
illumination levels. Both horizontal and vertical illumination should be considered to
provide adequate illumination on the cast and splint area. Luminaires should be
visually comfortable with appropriate optics to minimize glare when the patient is in a
reclining position.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Surface-mounted fluorescent or LED under-cabinet task light (if not provided
with pre-fabricated furniture system).

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switch.

4.2.5
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) Rooms may require supplemental medical procedure lights. Coordinate
placement with casework and equipment layouts. Ensure that room
luminaires match the CCT and CRI of supplemental medical lights.
(2) Consider luminaire placement and optics to mitigate glare and
veiling reflections.

4.2.6
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.2.4 LABORATORY

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500 lx (50 FC)
(2) Average Maintained Illumination – Task:
• Bench Top: 800 lx (80 FC) on work surface
• Dental Prosthetics: 2000 lx (200 FC) on work surface
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal
• Life Safety branch of the EES
• Critical branch of the EES

DESIGN APPROACH:
A combination of ambient and task illumination should be provided to reach desired
illumination levels. Vertical illumination should be considered at shelving. Color
rendering and temperature are particularly important. In cell and tissue labs, provide
UV-free or UV-filtered light luminaires.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaires.
(2) Surface-mounted fluorescent or LED under cabinet task-light (if not provided
with pre-fabricated furniture system).

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switch.
(4) If sensors are used, motion detectors shall be placed in every aisle to ensure
complete coverage.
(5) Lighting in laboratories that use photographic or optical diagnostic techniques,
or use electron microscopes, shall be controlled with dimmers.

4.2.7
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) Consider light sources with higher CRI and CCT for critical color rendering
tasks.
(2) Consider luminaire placement and optics to mitigate glare and veiling
reflections.
.

4.2.8
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.2.5 PROCEDURE ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500 lx (50 FC)
(2) Average Maintained Illumination - Task:
• Medical Task: 10000 lx (1000 FC), surgical task lighting
• Control Room: 300 lx (30 FC) at finished floor
• System Component: 100 lx (10 FC) at finished floor
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of ambient and task illumination should be provided to reach desired
illumination levels. Both horizontal and vertical illumination should be considered for
procedure rooms. Luminaires should be visually comfortable with appropriate optics to
minimize glare during procedures when the patient is in a reclining position.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight.
(3) Surface-mounted fluorescent or LED under-cabinet task light (if not provided
with pre-fab furniture system).

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switches.

4.2.9
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) Rooms may require supplemental medical procedure lights. Coordinate
placement with casework and equipment layouts. Ensure that room luminaires
match the CCT and CRI of supplemental medical lights.
(2) Isolation and infection control examination and treatment rooms shall be
specified with enclosed and sealed luminaires, UL listed for wet locations and
have the ability to be wiped down with corrosive cleaners.
(3) Consider luminaire placement and optics to mitigate glare and veiling
reflections.
(4) Consider light sources with higher CRI and CCT for critical color rendering
tasks.

4.2.10
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.2.6 DIAGNOSTIC IMAGING ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500 lx (50 FC) at 3’-0” AFF
(2) Average Maintained Illumination - Task:
• Control Station: 300 lx (30 FC) at finished floor
• System Component: 200 lx (20 FC) at finished floor
• Imaging Room: 400 lx (40 FC) at finished floor
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1 in Control Station and Imaging Room
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of ambient and task illumination should be provided to reach desired
illumination levels. Both horizontal and vertical illumination is important for caregiver
performance and patient comfort. Luminaires should be visually comfortable with
appropriate optics to minimize glare when the patient is in a reclining position. Graphic
and decorative luminaires are recommended in imaging rooms for visual interest during
testing.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaires.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Surface-mounted fluorescent or LED under-cabinet task light (if not provided
with pre-fabricated furniture system).
(4) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.

4.2.11
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

CONTROL APPROACH:
(1) Imaging and control rooms shall be fully dimmable.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switches.

SPECIFIC COORDINATION ISSUES:

(1) In imaging rooms with electromagnetic (EMI) and radio frequency (RFI) fields,
light must be constructed of non-ferrous materials. Ballasts and drivers should
be located outside of the magnetic resonance field, typically in the system
component room or control room and provided with electrical noise filters.
(2) Coordinate luminaire placement with scanning equipment locations. Do not
place luminaires over large scanning equipment.
(3) Consider luminaire placement and optics to mitigate glare and veiling
reflections.

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4.2.7 DIAGNOSTIC TESTING ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500 lx (50 FC) at 3’-0” AFF
(2) Average Maintained Illumination – Task: 500 lx (50 FC) at testing station
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of ambient and task illumination should be provided to reach desired
illumination levels. Luminaires should be visually comfortable with appropriate optics to
minimize glare during examinations when the patient is in a reclining position. In
ophthalmology testing rooms, providing dimming controls is especially important, as
patients' eyes may be medically dilated and much of the equipment requires low lighting
levels.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaires.
(2) Surface-mounted fluorescent or LED under-cabinet task light (if not provided
with pre-fabricated furniture system).
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.

CONTROL APPROACH:
(1) Lights must be fully dimmable for patient comfort and relaxation during testing.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Automatic daylight response by photocontrols for ambient lighting -cabinet task
lights shall be controlled with integral switches.

SPECIFIC COORDINATION ISSUES:

(1) Consider luminaire placement and optics to mitigate glare and veiling
reflections.

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4.2.8 CHEMOTHERAPY TREATMENT ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 200 lx (20 FC) at 3’-0” AFF
(2) Average Maintained Illumination - Task:
• Injections: 500 lx (50 FC) at 3’-0” AFF
• Agent Preparation: 1000 lx (100 FC) at 3’-0” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of ambient and task illumination should be provided to reach desired
illumination levels. Both horizontal and vertical illumination should be considered for
chemotherapy treatment rooms. Luminaires should be visually comfortable with
appropriate optics to minimize glare during procedures when the patient is in a reclining
position. Color rendering and temperature are particularly important.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight.
(3) Surface-mounted fluorescent or LED under-cabinet task light (if not provided
with pre-fabricated furniture system).

CONTROL APPROACH:
(1) Provide patient bed/chair control for lighting in treatment rooms or cubicles.
Dimming controls are preferable for patient comfort.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switches.

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SPECIFIC COORDINATION ISSUES:

(1) Mitigate light spill from common areas into patient areas.
(2) Coordinate if pillow switch lighting control is provided for patient use.
(3) Lighting in chemotherapy agent preparation areas shall be specified with
enclosed and sealed luminaires, UL listed for wet locations and have the ability
to be wiped down with corrosive cleaners, and comply with USP 797
standards.
(4) Consider luminaire placement and optics to mitigate glare and veiling
reflections.

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4.2.9 RADIATION THERAPY ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500 lx (50 FC) (task?)
(2) Uniformity Ratio (avg / min):
• Ambient: 3:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(5) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of ambient and task illumination should be provided to reach desired
illumination levels. Luminaires should be visually comfortable with appropriate optics to
minimize glare during examinations when the patient is in a reclining position. Light
luminaires with graphics, color changing coves, or video screens may be used in these
spaces to provide visual interest to patients during their procedure.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaires.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Surface-mounted fluorescent or LED under-cabinet task light (if not provided
with pre-fabricated furniture system).
(4) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.

CONTROL APPROACH:
(1) Provide patient bed/chair control for lighting in treatment rooms or cubicles.
Dimming controls are preferable for patient comfort
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switches.

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SPECIFIC COORDINATION ISSUES:

(1) Coordinate if pillow switch lighting control is provided for patient use.
(2) Consider luminaire placement and optics to mitigate glare and veiling
reflections.

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4.2.10 DIALYSIS TREATMENT ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500 lx (50 FC) at 3’-0” AFF
(2) Average Maintained Illumination - Task:
• Needle Insertion: 2000 lx (200 FC) at area of task
• System Component: 100 lx (10 FC) at finished floor
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of ambient and task illumination should be provided to reach desired
illumination levels. Both horizontal and vertical illumination should be considered for
dialysis treatment rooms. Luminaires should be visually comfortable with appropriate
optics to minimize glare during procedures when the patient is in a reclining position.
Color rendering and temperature are particularly important.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaires.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Surface-mounted fluorescent or LED under-cabinet task light (if not provided
with pre-fabricated furniture system).
(4) Wall-mounted linear fluorescent or LED indirect/direct luminaire.
(5) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.

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CONTROL APPROACH:
(1) Provide patient bed/chair control for lighting in treatment rooms or cubicles.
Dimming controls are preferable for patient comfort
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet lights shall be controlled with integral occupancy sensors or
switches.

SPECIFIC COORDINATION ISSUES:

(1) Mitigate light spill from common areas into patient areas.
(2) Coordinate if pillow switch lighting control is provided for patient use.
(3) Consider luminaire placement and optics to mitigate glare and veiling
reflections.

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4.2.11 PHYSICAL/OCCUPATIONAL THERAPY

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 100 lx (10 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Clinics: 500 lx (50 FC) at 3’-0” AFF
• Whirlpools: 300 lx (30 FC) at 2’ AFF
• Hubbard Tanks: 300 lx (30 FC) at 2’ AFF
• Hydrotherapy: 300 lx (30 FC) at 2’ AFF
• Special Treatment: 750 lx (75 FC) at 3’-0” AFF
• Tables and Exercise: 300 lx (30 FC) at 3’-0” AFF
• Food Preparation: 500 lx (50 FC) at 3’-0” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of ambient and task illumination should be provided to reach desired
illumination levels. Lighting in the room should appear pleasant and comfortable. Specify
luminaires with lenses or wire guards in recreational therapy areas. Luminaires should be
visually comfortable with appropriate optics to minimize glare in spaces where the patient
is in a reclining position.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaires.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Suspended linear fluorescent or LED indirect/direct luminaire.
(5) Surface-mounted fluorescent or LED under-cabinet task light (if not provided
with pre-fabricated furniture system).

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CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet lights shall be controlled with integral switches.

SPECIFIC COORDINATION ISSUES:

(1) Consider luminaire placement and optics to mitigate glare and veiling
reflections especially in areas with pools.
(2) Luminaires in rooms with whirlpools, Hubbard tanks, and pools shall be
enclosed and sealed and UL listed for wet locations.

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4.2.12 AUDIOLOGY TESTING ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500 lx (50 FC)
(2) Average Maintained Illumination - Task:
• Control Booth: 300 lx (30 FC)
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal

DESIGN APPROACH:
Lights and light controls in audiometric booths are typically provided in a pre-fab
audiology booth system.

CONTROL STRATEGY:
(1) Lighting should be controlled with switches or dimmers provided by
a u d io lo g y b o o t h manufacturer.

SPECIFIC COORDINATION ISSUES:

(1) When possible, have the manufacturer provide light sources that comply with
the facility standards for maintenance.

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4.2.13 SURGERY/OPERATING ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 2000 lx (200 FC) at 3’-0” AFF
(2) Average Maintained Illumination - Task:
• Surgical Table: 3000 lx (300 FC) on surface of the table
• Control Room: 500 lx (50FC) at 2’-6” AFF
• Surgical Field: 15000 lx (1500 FC), (see Specific Coordination Issue #4)
(3) Uniformity Ratio (avg / min):
• Ambient: 2:1
(4) Color Temperature (CCT):
• Fluorescent: 4100 degrees, or matching the surgical light CCT
• LED: 4000 degrees, or matching the surgical light CCT
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80 and minimum R9 of 90
• LED: minimum of 80 and minimum R9 of 90
(6) Power Source:
• Normal
• Critical branch of the EES
• Each luminaire above the surgery table shall be designed with 50% integral
emergency power battery packs
DESIGN APPROACH:
A combination of ambient, surgery, and task illumination should be provided to reach
desired illumination levels. The use of fully dimmable lighting luminaires provides medical
staff with the flexibility required for procedures. Color rendering and temperature are
particularly important.
RECOMMENDED LUMINAIRES:
(1) Recessed sealed ceiling-mounted fluorescent or LED lensed luminaires.
(2) Recessed sealed ceiling-mounted LED downlight.
(3) Surface-mounted sealed fluorescent or LED under-cabinet task light (if not
provided with pre-fabricated furniture system).

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CONTROL APPROACH:
(1) All lighting shall be fully dimmable to provide flexibility during preparation,
procedures, and clean-up.
(2) Coordinate location of room and medical equipment light control stations and
provide station at door.
(3) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Operating rooms require surgical lights. Coordinate placement with casework
and equipment layouts. Ensure room light luminaires match the CCT and CRI
of surgical lights.
(2) Luminaires shall be enclosed and sealed, UL listed for wet locations and have
the ability to be wiped down with corrosive cleaners.
(3) Luminaires shall meet the requirements for Electromagnetic
Interference/Compatibility (EMI), and Radio Frequency Interface (RFI).
(4) Surgical light (single or multiple light heads mounted on swivel arms) provides
task illumination for complex and delicate surgical tasks within the surgical
field. In construction projects, surgical lights are normally specified and
furnished by VA, installed and connected by the contractor. Task illumination
of surgical field is shown for reference only. A/E shall not include surgical
lights in lighting calculations for ambient and other task illuminations.

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4.2.14 SURGICAL CORRIDOR AND SCRUB AREA

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500 lx (50 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Scrub Sink: 1000 lx (100 FC) at 3’-0” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 5:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Life Safety branch of the EES
• Critical branch of the EES

DESIGN APPROACH:
Luminaires should be visually comfortable with appropriate optics to minimize glare
when the patient is transported in a reclined position.

RECOMMENDED LUMINAIRES:
(1) Recessed sealed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed sealed ceiling-mounted compact fluorescent or LED downlight (if not
provided with pre-fabricated furniture system).
(3) Recessed sealed ceiling-mounted fluorescent or LED perimeter cove light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Luminaires shall be enclosed and sealed, UL listed for wet locations and have
the ability to be wiped down with corrosive cleaners.

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4.2.15 PRE-OPERATIVE AND POST-ANESTHETIC CARE (PACU)

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 100 lx (10 FC) at 3’-0” AFF
(2) Average Maintained Illumination - Task:
• Observation: 500 lx (50 FC) at 3’-0” AFF
• Examination: 1000 lx (100 FC) on surface of patient bed
(3) Uniformity Ratio (avg / min):
• Ambient: 5:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES.

DESIGN APPROACH:
A combination of ambient and task illumination should be provided to reach desired
illumination levels. Both horizontal and vertical illumination is important for caregiver
performance and patient comfort. Luminaires should be visually comfortable with
appropriate optics to minimize glare during examinations when the patient is in a
reclining position.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight.
(3) Wall-mounted linear fluorescent or LED indirect/direct luminaire.

CONTROL APPROACH:
(1) General illumination for pre- and post-operative areas are grouped together
and switched at the nurse station.
(2) Observation and exam settings are controlled through switches at the patient
headwall.
(3) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(4) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

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SPECIFIC COORDINATION ISSUES:

(1) Consider luminaire placement and optics to mitigate glare and veiling
reflections.

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4.2.16 DENTAL EXAM AND TREATMENT ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500 lx (50 FC) at 3’-0” AFF
(2) Average Maintained Illumination - Task:
• Examination: 1000 lx (100 FC), on surface of dental treatment chair
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 5000 degrees
• LED: 5000 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of ambient and task illumination should be provided to reach desired
illumination levels. Both horizontal and vertical illumination is important for
caregiver performance and patient comfort. Luminaires should be visually
comfortable with appropriate optics to minimize glare during examinations when
the patient is in a reclining position.

RECOMMENDED LUMINAIRES:
(1) Recessed sealed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Surface-mounted fluorescent or LED under-cabinet task light (if not provided
by pre-fabricated furniture system)

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet lights shall be controlled with integral switches.

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SPECIFIC COORDINATION ISSUES:

(1) Task illumination to perform treatment procedure is provided by
supplemental arm-mounted-swivel dental procedure light. This
procedure light is often specified and furnished by VA, installed and
connected by the contractor. Coordinate placement with casework and
equipment layouts. Ensure that room luminaires match the CCT and CRI
of supplemental dental procedure light. A/E shall not include this
procedure light in the lighting calculations.
(2) Consider luminaire placement and optics to mitigate glare and
veiling reflections.

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4.2.17 ORAL SURGERY, MINOR PROCEDURE ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 2000 lx (200 FC) at 3’-0” AFF
(2) Average Maintained Illumination - Task:
• Surgery, Chair: 3000 lx (300 FC), on surface of dental procedure chair
• Recovery, Chair: 750 lx (75 FC), on surface of dental procedure chair
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 5000 degrees
• LED: 5000 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
(1) A combination of ambient, surgery, and task illumination should be provided
to reach desired illumination levels. Both horizontal and vertical illumination is
important for a dentist’s performance. Luminaires should be visually
comfortable with appropriate optics to minimize glare during examinations
when the patient is in a reclining position. Color rendering and temperature
are particularly important.

RECOMMENDED LUMINAIRES:
(1) Recessed sealed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Surface-mounted sealed fluorescent or LED under-cabinet task light (if not
provided by pre-fabricated furniture system)

CONTROL STRATEGY:
(1) All lighting shall be fully dimmable to provide flexibility during preparation,
procedures, and clean-up.
(2) Coordinate location of room and medical equipment light control stations and
provide station at door.
(3) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

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SPECIFIC COORDINATION ISSUES:

(1) Task illumination - within the dental surgical or operating field - is provided by
supplemental arm-mounted-swivel dental procedure light. This procedure
light is often specified and furnished by VA, installed and connected by the
contractor. Coordinate placement with casework and equipment layouts.
Ensure that room luminaires match the CCT and CRI of supplemental dental
procedure light. A/E shall not include this procedure light in the lighting
calculations.
(2) Luminaires shall be enclosed and sealed, UL listed for wet locations and have
the ability to be wiped down with corrosive cleaners.
(3) Consider luminaire placement and optics to mitigate glare and veiling
reflections.

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4.2.18 PHARMACY

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 1000 lx (100 FC) at 3’-0” AFF
(2) Average Maintained Illumination - Task:
• Compounding Areas: 1000-1500 lx (100-150 FC) at 3’-0” AFF
• Storage: 300 lx (30 FC) at finished floor
• Storage Shelving: 500 lx (50 FC) at vertical face of shelving
• Receiving: 500 lx (50 FC) at 3’-0” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 2:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
Both horizontal and vertical illumination should be considered, especially in storage
areas. All luminaires should be sealed to contain lamp breakage.

RECOMMENDED LUMINAIRES:
(1) Recessed sealed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Surface-mounted sealed fluorescent or LED under-cabinet task light (if not
provided by pre-fabricated furniture system).

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet lights shall be controlled with integral switches.

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SPECIFIC COORDINATION ISSUES:

(1) Luminaires shall be enclosed and sealed, UL listed for wet locations and have
the ability to be wiped down with corrosive cleaners and comply with USP 797
standards.
(2) The exterior lens surface of ceiling luminaires shall be smooth and mounted
flush.
(3) Consider luminaire placement and optics to mitigate glare and veiling
reflections.

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4.3 PATIENT CARE AREAS

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4.3.1 NURSE STATION

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• General: 300 lx (30 FC) at finished floor
• ICU: 500 lx (50 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Desk Surface: 500 lx (50 FC)
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
The nurse station lighting will include a combination of ambient and task lighting
strategies to allow for wayfinding, charting and note taking, filing, and computer work.
Illumination levels should be uniform throughout the nurse station. Decorative lights
such as sconces and pendants may be used for visual interest.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Surface-mounted fluorescent or LED under-cabinet task light (if not provided by
pre-fabricated furniture system)
(5) Decorative compact fluorescent, fluorescent or LED wall-mounted sconce or
ceiling-mounted pendant.

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CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switches.

SPECIFIC COORDINATION ISSUES:

(1) If using pendants, ensure complete field of view from nurse station to patient
rooms for patient observation.
(2) Wall-mounted sconces must be ADA compliant.
(3) Coordinate style of lighting luminaires with adjacent areas.

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4.3.2 PATIENT CORRIDOR

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• General: 200 lx (20 FC) at finished floor
(2) Uniformity Ratio (avg / min):
• Ambient: 3:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(5) Power Source:
• Normal
• Life Safety branch of the EES

DESIGN APPROACH:
Patient circulation lighting should be consistent throughout each facility. Lighting in
corridors should be coordinated with adjacent spaces for a cohesive appearance.
Vertical illumination should be considered with respect to signage and wayfinding.
Consider locations of decentralized nurse stations when placing luminaires.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or
wall washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Decorative compact fluorescent, fluorescent or LED wall-mounted sconce.

CONTROL APPROACH:
(1) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior
Lighting Controls – for controls.

4.3.4
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) Mitigate possibly glare from highly polished floors.
(2) Luminaires should be easily serviceable from below without the need to
open the ceiling plenum.
(3) Wall-mounted sconces must be ADA compliant.

4.3.5
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.3.3 MEDICATION ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500 lx (50 FC) at 3’-0” AFF
(2) Average Maintained Illumination - Task:
• Desk Surface: 750 lx (75 FC)
• Storage: 300 lx (30 FC) at vertical face of shelving
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of general and task lighting should be utilized for medication rooms.
Consider vertical illumination on storage shelves when placing light luminaires.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Surface-mounted fluorescent or LED under-cabinet task light fixture (if not
provided with pre-fabricated furniture system).

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switches.

SPECIFIC COORDINATION ISSUES:

(1) Coordinate luminaire placement with overhead cabinets and shelving. Do not
install luminaires directly above.

4.3.6
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.3.4 PATIENT ROOM, GENERAL

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 100 lx (10 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Reading: 400 lx (40 FC) at head of bed
• Hand Washing Sink: 500 lx (50 FC) at 3’-0” AFF
• Examination: 1000 lx (100 FC) at patient bed
• Night Observation: 100 lx (10 FC) at patient bed
• Night Light: 2 lx (0.2 FC) at finished floor, to toilet and corridor
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of general, task, and exam lighting should be provided to reach desired
illumination levels. Luminaires should be provided with sufficient shielding to minimize
glare during examinations and when the patient bed is reclined. Locations of patient
bed, charting area, and hand washing sink should be considered when placing
luminaires.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed patient room luminaire
(single or tandem).
(2) Recessed ceiling-mounted fluorescent or LED exam light.
(3) Recessed ceiling-mounted compact fluorescent or LED downlight.
(4) Recessed wall-mounted amber LED night light.
(5) Decorative compact fluorescent, fluorescent or LED wall-mounted sconce.

4.3.7
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

CONTROL APPROACH:
(1) Multi-level switching shall be used for tasks including general, reading, night
observation, and exam lights.
(2) General and reading lights shall be controlled with the patient pillow switch.
(3) Exam light shall be controlled with a red switch at the patient headwall.
(4) Light at hand washing sink shall be controlled with a switch at the proximity
above the sink.
(5) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(6) Automatic daylight response by photocontrols for night lighting.

SPECIFIC COORDINATION ISSUES:

(1) Luminaires must contain lamp breakage within luminaire.
(2) Avoid using luminaires with surfaces that collect dust and debris.
(3) In multi-patient rooms, night lights to toilet and corridor should not be blocked
by curtains. Control devices must be accessible when curtains are closed.

4.3.8
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.3.5 PATIENT ROOM, ISOLATION

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: Ambient: 50 lx (5 FC) at finished
floor
(2) Average Maintained Illumination - Task:
• Reading: 400 lx (40 FC) at head of bed
• Hand Washing Sink: 500 lx (50 FC) at 3’-0” AFF
• Examination: 500 lx (50 FC) at patient bed
• Night Observation: 30 lx (3 FC) at patient bed
• Night Light: 2 lx (0.2 FC) at finished floor, to toilet and corridor
• Cleaning: 300 lx (30 FC) at finished floor
• Ante Room: 200 lx (20 FC) at finished floor
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of general, task, and exam lighting should be provided to reach desired
illumination levels. Luminaires should be provided with sufficient shielding to minimize
glare during examinations and when the patient bed is reclined. Locations of patient
bed, charting area, and hand washing sink should be considered when placing
luminaires.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED sealed lensed patient room
luminaire (single or tandem).
(2) Recessed ceiling-mounted fluorescent or LED sealed exam light.
(3) Recessed ceiling-mounted compact fluorescent or LED sealed downlight.
(4) Recessed wall-mounted amber LED night light.

4.3.9
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

CONTROL APPROACH:
(1) Multi-level switching or dimming shall be used for general, reading, night
observation, and exam lights.
(2) General and reading lights shall be controlled with the patient pillow switch.
(3) Exam light shall be controlled with a red switch at the patient headwall.
(4) Light at hand washing sink shall be controlled with a switch at the proximity
above the sink.
(5) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(6) Automatic daylight response by photocontrols for night lighting.

SPECIFIC COORDINATION ISSUES:

(1) Luminaires must contain lamp breakage within luminaire.
(2) Avoid using luminaires with surfaces that collect dust and debris.
(3) In isolation rooms luminaires shall be specified as enclosed and sealed, UL
listed for wet locations and have the ability to be wiped down with corrosive
cleaners.

4.3.10
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.3.6 PATIENT ROOM, INTENSIVE CARE

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 100 lx (10 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Hand Washing Sink: 500 lx (50 FC) at 2’-6” AFF
• Examination: 1000 lx (100 FC) at surface of patient bed
• Night Observation: 100 lx (10 FC) at surface of patient bed
• Night Light: 2 lx (0.2 FC) at finished floor, to toilet and corridor
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES.

DESIGN APPROACH:
A combination of general, task, and exam lighting should be provided to reach desired
illumination levels. Luminaires should be provided with sufficient shielding to minimize
glare during examinations and when the patient bed is reclined. Locations of patient
bed, charting area, and hand washing sink should be considered when placing
luminaires.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed patient room luminaire
(single or tandem).
(2) Recessed ceiling-mounted fluorescent or LED exam light.
(3) Recessed ceiling-mounted compact fluorescent or LED downlight.
(4) Recessed wall-mounted amber LED night light.

4.3.11
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

CONTROL APPROACH:
(1) Multi-level switching or dimming shall be utilized for general and exam lighting.
(2) Exam light shall be controlled with a red switch at the patient headwall.
(3) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(4) Automatic daylight response by photocontrols for night lighting.

SPECIFIC COORDINATION ISSUES:

(1) Luminaires must contain lamp breakage within luminaire.
(2) Avoid using luminaires with surfaces that collect dust and debris.

4.3.12
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.3.7 PATIENT ROOM, RESIDENTIAL

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 50 lx (5 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Reading: 400 lx (40 FC) at head of bed
• Night Light: 2 lx (0.2 FC) at finished floor
• Cleaning: 300 lx (30 FC) at finished floor
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of general and task lighting should be provided to reach desired
illumination levels. Luminaires should be provided with sufficient shielding to minimize
glare during examinations and when the patient bed is reclined. Light luminaires should
have a residential feeling, and the use of table and floor lamps is recommended.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(2) Decorative compact fluorescent, fluorescent or LED wall-mounted sconce.
(3) Stand-mounted compact fluorescent or LED table or floor lamp.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Table and floor lights shall be controlled with integral switches.
(3) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(4) Automatic daylight response by photocontrols for night lighting.

4.3.13
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) Luminaires must contain lamp breakage within luminaire.
(2) Wall-mounted sconces must be ADA compliant.

4.3.14
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.3.8 PATIENT TOILET/SHOWER

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC) at 2’-6” AFF
(2) Average Maintained Illumination - Task:
• Shower: 200 lx (20 FC) at finished floor
• Night Light: 10 lx (1 FC) at finished floor
(3) Uniformity Ratio (avg / min):
• 2:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
Provide adequate vertical illumination at the vanity.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted compact fluorescent or LED downlight.
(2) Wall-mounted compact fluorescent, fluorescent or LED mirror or vanity
luminaire.
(3) Recessed wall-mounted amber LED night light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Automatic daylight response by photocontrols for night lighting.

SPECIFIC COORDINATION ISSUES:

(1) Bariatric care rooms must coordinate luminaire placement with ceiling track and
ceiling track supports.
(2) Lighting in the toilet rooms should be located to coordinate with plumbing
fixtures, vanities, and wall-mounted equipment.

4.3.15
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.3.9 PATIENT TOILET/SHOWER - RESIDENTIAL

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC) at 2’-6” AFF
(2) Average Maintained Illumination - Task:
• Shower: 200 lx (20 FC) at finished floor
• Night Light: 10 lx (1 FC) at finished floor
(3) Uniformity Ratio (avg / min):
• n/a
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
Provide adequate vertical illumination at the vanity.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted compact fluorescent or LED downlight.
(2) Wall-mounted compact fluorescent, fluorescent or LED mirror or vanity
luminaire.
(3) Recessed wall-mounted amber LED night light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Automatic daylight response by photocontrols for night lighting.

SPECIFIC COORDINATION ISSUES:

(1) Lighting in the toilet rooms should be located to coordinate with plumbing
fixtures, vanities, and wall-mounted equipment.

4.3.16
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.3.10 NOURISHMENT STATION

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 200 lx (20 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Food Preparation: 500 lx (50FC) on surface of counter
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal

DESIGN APPROACH:
A combination of ambient and task lighting should be used at the nourishment station.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed light luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight.
(3) Surface-mounted fluorescent or LED under-cabinet task light luminaire.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switches.
(4) If nourishment station is open, overhead lighting shall be controlled with
adjacent area.

SPECIFIC COORDINATION ISSUES:

(1) If nourishment station is open, coordinate style of lighting luminaires with
adjacent areas.

4.3.17
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.3.11 DAY ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 50 lx (5 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Reading: 500 lx (50 FC) at 2’-6” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal

DESIGN APPROACH:
The day rooms should include a combination of lighting strategies to perform a variety
of tasks. Consider both horizontal and vertical illumination for day rooms.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Decorative compact fluorescent, fluorescent or LED wall-mounted sconce.
(4) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(5) Stand-mounted compact fluorescent or LED table or floor lamp.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Table and floor lights shall be controlled with integral switches.
(3) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

4.3.18
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) If day room is adjoining with adjacent areas without doors, coordinate style of
lighting luminaires with adjacent areas.
(2) Wall-mounted sconces must be ADA compliant.

4.3.19
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.3.12 MULTI-PURPOSE ACTIVITY ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 50 lx (5 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Games: 200 lx (20 FC) at 2’-6” AFF
• Crafts: 500 lx (50 FC) at 2’-6” AFF
• Kitchenette: 500 lx (50 FC) on surface of counter
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal

DESIGN APPROACH:
The multi-purpose activity rooms should include a combination of lighting strategies to
perform a variety of tasks. Consider both horizontal and vertical illumination for multi-
purpose rooms.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) None.

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 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.3.13 DRESSING ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC) at 2’-6” AFF
(2) Uniformity Ratio (avg / min):
• Ambient: 3:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(5) Power Source:
• Normal

DESIGN APPROACH:
Consider both horizontal and vertical illumination for dressing rooms.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Mitigate reflections mirrors by considering luminaire position.

4.3.21
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.4 MENTAL HEALTH (MH)

4.4.1
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.4.1 PATIENT ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 100 lx (10 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Reading: 400 lx (40 FC) at head of bed
• Hand Washing Sink: 500 lx (50 FC) at 2’-6’ AFF
• Examination: 1000 lx (100 FC) on surface of patient bed
• Night Observation: 100 lx (10 FC) on surface of patient bed
• Night Light: 2 lx (0.2 FC) at finished floor
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of general, task, and exam lighting should be provided to reach desired
illumination levels. Luminaires should be provided with sufficient shielding to minimize
glare during examinations and when the patient bed is reclined. Locations of patient
bed, charting area, and hand washing sink should be considered when placing
luminaires.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed patient room luminaire
(single or tandem).
(2) Recessed ceiling-mounted fluorescent or LED exam light.
(3) Recessed ceiling-mounted compact fluorescent or LED downlight.
(4) Recessed wall-mounted amber LED night light.

4.4.23
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

CONTROL APPROACH:
(1) Multi-level switching or dimming shall be used for general, reading, night
observation, and exam lights.
(2) Lighting controls should be located in the corridor next to the observation
window.
(3) Automatic daylight response by photocontrols for general and night lighting.
(4) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Luminaires must contain lamp breakage within luminaire.
(2) Avoid using luminaires with surfaces that collect dust and debris.
(3) In multi-patient rooms, night lights to toilet and corridor should not be blocked
by curtains. Control devices must be accessible when curtains are closed.
(4) Vandal-resistant luminaires shall be used in MH.

4.4.24
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.4.2 PATIENT TOILET

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC) at 2’-6” AFF
(2) Average Maintained Illumination - Task:
• Shower: 200 lx (20 FC) at finished floor
• Night Light: 10 lx (1 FC) at finished floor
(3) Uniformity Ratio (avg / min):
• n/a
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
Lighting in the toilet rooms should be located to coordinate with plumbing fixtures,
vanities, and wall-mounted equipment. Provide adequate vertical illumination at the
vanity.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted compact fluorescent or LED downlight.
(2) Recessed ceiling-mounted compact fluorescent, fluorescent or LED mirror or
vanity luminaire.
(3) Recessed wall-mounted amber LED night light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Automatic daylight response by photocontrols for night lighting.

SPECIFIC COORDINATION ISSUES:

(1) Bariatric care rooms must coordinate luminaire placement with ceiling track and
ceiling track supports.
(2) Vandal-resistant luminaires should be used in MH.

4.4.25
 CHAPTER 4: PATIENT AREAS LIGHTING GUIDELINES

4.4.3 CANTEEN

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• Dining: 200 lx (20 FC) at 3’-0’ AFF
• Kitchen: 200 lx (20 FC) at 2’-6” AFF
(2) Average Maintained Illumination - Task:
• Serving Line: 500 lx (50 FC) at food handling surface
• Food Preparation: 500 lx (50 FC) at food-handling surface
• Food Storage: 100 lx (10 FC) at 2’-6” AFF
• Equipment Storage: 200 lx (20 FC) at 2’-6” AFF
(3) Uniformity Ratio (max / min):
• Ambient: 3:1 in dining areas
• Task / Focus: 2:1 at food displays
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Life Safety branch of the EES

DESIGN APPROACH:
Horizontal and vertical illumination should be considered when illuminating food
displays.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.

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CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Vandal-resistant luminaires shall be used in MH.

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4.4.4 DAY ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 50 lx (5 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Games: 200 lx (20 FC) at 2’-6” AFF
• Crafts: 500 lx (50 FC) at 2’-6” AFF
(3) Uniformity Ratio (max / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal

DESIGN APPROACH:
The day rooms should include a combination of lighting strategies to perform a variety
of tasks. Consider both horizontal and vertical illumination for day rooms.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Vandal-resistant luminaires should be used in MH.

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4.4.5 GROUP THERAPY ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC) at 2’-6” AFF
(2) Uniformity Ratio (avg / min):
• Ambient: 3:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(5) Power Source:
• Normal
DESIGN APPROACH:
Consider both horizontal and vertical illumination for group rooms.
RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall washer.
CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming controls
for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting Controls
– for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Vandal-resistant luminaires should be used in MH.

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4.4.6 NURSE STATION

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• General: 300 lx (30 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Desk Surface: 500 lx (50 FC)
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
The nurse station lighting will include a combination of ambient and task lighting
strategies to allow for wayfinding, charting and note taking, filing, and computer work.
Illumination levels should be uniform throughout the nurse station.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Surface-mounted fluorescent or LED under cabinet task light (if not provided
with pre-fabricated furniture system).

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CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switches.

SPECIFIC COORDINATION ISSUES:

(1) None.

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4.4.7 EXAMINATION AND TREATMENT ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 500lx (50FC) at 2’-6” AFF
(2) Average Maintained Illumination - Task:
• Exam: 1000 lx (100 FC) on surface of exam table
• Charting: 500 lx (50 FC) on surface of desk
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of ambient, exam, and task illumination should be provided to reach
desired illumination levels. Both horizontal and vertical illumination is important for
caregiver performance and patient comfort. Luminaires should be visually comfortable
with appropriate shielding to minimize glare during examinations when the patient is in
a reclining position. Color rendering and temperature are particularly important.
Lighting should have dimming capabilities so light levels can be lowered to calm
patients who may be agitated.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Surface-mounted fluorescent or LED under-cabinet task light luminaire (if not
provided with pre-fabricated furniture system).

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switches.
(4) Provide separate controls for areas enclosed by curtains.

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SPECIFIC COORDINATION ISSUES:

(1) Rooms may require supplemental medical procedure lights. Coordinate
placement with casework and equipment layouts. Ensure room luminaires
match the CCT and CRI of supplemental medical lights.
(2) Isolation and infection control examination and treatment rooms’ luminaires
shall be specified as enclosed and sealed, UL listed for wet locations and have
the ability to be wiped down with corrosive cleaners.
(3) Consider luminaire placement and shielding to mitigate glare and veiling
reflections.

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4.4.8 RESIDENTIAL REHABILITATION TREATMENT PROGRAM - PATIENT ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 50 lx (5 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Reading: 400 lx (40 FC) at 2’-6” AFF
• Night Light: 2 lx (0.2 FC) at finished floor
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
A combination of general and task lighting should be provided to reach desired
illumination levels. Luminaires should be provided with sufficient shielding to minimize
glare during examinations and when the patient bed is reclined. Locations of patient
bed and furniture should be considered when placing luminaires. Table and floor lamps
are recommended to enhance the residential feeling of the room.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted compact fluorescent or LED downlight.
(2) Stand-mounted compact fluorescent or LED table or floor lamp.
(3) Amber LED night light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Table and floor lights shall be controlled with integral switches.
(4) Automatic daylight response by photocontrols for night lighting.

SPECIFIC COORDINATION ISSUES:

(1) Luminaires must contain lamp breakage within luminaire.

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4.4.9 RESIDENTIAL REHABILITATION TREATMENT PROGRAM -

TOILET/SHOWER

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC) at 2’-6” AFF
(2) Average Maintained Illumination - Task:
• Shower: 200 lx (20 FC) at finished floor
• Night Light: 10 lx (1 FC) at finished floor
(3) Uniformity Ratio (avg / min):
• n/a
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
Provide adequate vertical illumination at the vanity.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted compact fluorescent or LED downlight.
(2) Wall-mounted compact fluorescent, fluorescent or LED mirror or vanity
luminaire.
(3) Recessed wall-mounted amber LED night light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Automatic daylight response by photocontrols for night lighting.

SPECIFIC COORDINATION ISSUES:

(1) Luminaires mounted over a shower or vanity should have a rating of IP44 or
greater.
(2) Lighting in the toilet rooms should be located to coordinate with plumbing
fixtures, vanities, and wall-mounted equipment.

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4.4.10 RESIDENTIAL REHABILITATION TREATMENT PROGRAM - LIVING AREA,

DINING AREA, AND KITCHENETTE

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 50 lx (5 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Food Prep: 500 lx (50 FC) on surface of counter
• Eating: 200 lx (20 FC) at 2’-6’ AFF
• General Activity: 400 lx (40 FC) at 2’-6” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal

DESIGN APPROACH:
A combination of general and task lighting should be provided to reach desired
illumination levels. Lighting should have a residential appearance.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted compact fluorescent or LED downlight.
(2) Surface-mounted fluorescent or LED under-cabinet task light (if not provided
with pre-fabricated furniture system)

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switches.

SPECIFIC COORDINATION ISSUES:

(1) Locations of furniture should be considered when placing luminaires.

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4.4.11 RESIDENTIAL REHABILITATION TREATMENT PROGRAM - GROUP

THERAPY ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC) at 2’-6” AFF
(2) Average Maintained Illumination - Task:
• A/V Presentation: 30 lx (3 FC) at 2’-6” AFF
• General Activity: 500 lx (50 FC) at 2’-6” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Life Safety branch of the EES

DESIGN APPROACH:
Consider both horizontal and vertical illumination for group rooms. Lighting should be
flexible for a variety of tasks including group therapy sessions, educational classes, and
A/V presentations.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Surface-mounted fluorescent or LED under-cabinet task light luminaire.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switches.

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SPECIFIC COORDINATION ISSUES:

(1) Consider luminaire placement and shielding to mitigate glare and veiling
reflections especially at presentation screen.

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5. PUBLIC AREAS

5.1
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5.1 MAIN LOBBY

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• General: 400 lx (40 FC) at finished floor
(2) Uniformity Ratio (avg / min):
• Ambient: 4:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(5) Power Source:
• Normal
• Life Safety branch of the EES

DESIGN APPROACH:
Lighting in the main lobby should be aesthetically pleasing, and enhance the
architectural features of the space. Lighting should reinforce wayfinding for patients
and visitors through the use of brightness and contrast, with emphasis placed on
signage and reception desk. Decorative luminaires, such as pendants and
sconces, may be utilized for visual interest.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted compact fluorescent or LED downlight or
wall washer.
(2) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Decorative compact fluorescent, fluorescent or LED wall-mounted
sconce or ceiling-mounted pendant.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

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SPECIFIC COORDINATION ISSUES:

(1) Wall-mounted sconces must be ADA compliant.
(2) Luminaire maintenance requirements should be considered when
locating luminaires in high ceilings.
(3) Local controls shall only be accessible to staff.

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5.2 ELEVATOR LOBBY

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• General: 200 lx (20 FC) at finished floor
(2) Uniformity Ratio (avg / min):
• Ambient: 4:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(5) Power Source:
• Normal
• Life Safety branch of the EES

DESIGN APPROACH:
The elevator lobby should have a higher illumination level than surrounding corridors to
support wayfinding for patients and visitors. Decorative luminaires may be added for
visual interest.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Decorative compact fluorescent, fluorescent or LED wall-mounted sconce or
ceiling-mounted pendant.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

5.4
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SPECIFIC COORDINATION ISSUES:

(1) Coordinate luminaires in elevator lobbies with adjacent corridors.
(2) Sconces must be ADA compliant.
(3) Local controls shall only be accessible to staff.

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5.3 WAITING AREA

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• General: 200 lx (20 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Sitting Area: 500 lx (50 FC) at 2’-6” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 4:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal

DESIGN APPROACH:
Lighting in the waiting area should have a combination of general and task lighting.
Consider vertical illumination for facial recognition and conversation. Decorative
luminaires such as sconces or pendants may be added for visual interest.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed light luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Decorative compact fluorescent, fluorescent or LED wall-mounted sconce or
ceiling-mounted pendant.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

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SPECIFIC COORDINATION ISSUES:

(1) Coordinate luminaires in open waiting areas with adjacent spaces.
(2) Sconces must be ADA compliant.
(3) Local controls shall only be accessible to staff.

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5.4 PRIMARY CORRIDORS

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 100-150 lx (10-15 FC) at finished
floor
(2) Uniformity Ratio (avg / min):
• Ambient: 4:1 general
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(5) Power Source:
• Normal
• Life Safety branch of the EES

DESIGN APPROACH:
Primary circulation lighting should be consistent throughout each facility. Lighting in
corridors should be coordinated with adjacent spaces for a cohesive appearance.
Vertical illumination should be considered, especially with regard to signage and
artwork displays. Decorative sconces may be used to add visual interest.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Decorative compact fluorescent, fluorescent or LED wall-mounted sconce.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Refer to NFPA 101 for egress lighting control requirements.

SPECIFIC COORDINATION ISSUES:

(1) Sconces must be ADA compliant
(2) Local controls shall only be accessible to staff.

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5.5 SECONDARY CORRIDORS

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 50-100 lx (5-10 FC) at finished
floor
(2) Uniformity Ratio (avg / min):
• Ambient: 4:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(5) Power Source:
• Normal
• Life Safety branch of the EES.

DESIGN APPROACH:
Secondary circulation lighting should be consistent throughout each facility. Lighting in
corridors should be coordinated with adjacent spaces for a cohesive appearance.
Vertical illumination should be considered with respect to signage and wayfinding.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed light luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Decorative compact fluorescent, fluorescent or LED wall-mounted sconce.

CONTROL APPROACH:
(1) Multi-level switching controls for fluorescent luminaires, or dimming controls for
LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Refer to NFPA 101 for egress lighting control requirements.

SPECIFIC COORDINATION ISSUES:

(1) Sconces must be ADA compliant

(2) Local controls shall only be accessible to staff.

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5.6 CANTEEN

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• Dining: 300 lx (30 FC) at 2’-6” AFF
• Food Storage: 100 lx (10 FC) at 2’-6” AFF
• Equipment Storage: 200 lx (20 FC) at 2’-6” AFF
(2) Average Maintained Illumination - Task:
• Serving Line: 500 lx (50 FC) at food handling surface
• Kitchen: 200 lx (20 FC) at 2’-6” AFF
• Food Preparation: 500 lx (50 FC) on surface of countertop
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1 in dining areas
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Life Safety branch of the EES

DESIGN APPROACH:
Horizontal and vertical illumination should be considered when illuminating food
displays and food storage. Decorative sconces or pendants may be used to add visual
interest. Heat lamps may be required to keep food warm.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Decorative compact fluorescent, fluorescent or LED wall-mounted sconce or
ceiling-mounted pendant.
(5) Heat lamps.

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CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Coordinate heat lamps with food serving and display areas.
(2) Sconces must be ADA compliant.
(3) To avoid food contamination from violent lamp failure, lamps must be fully
enclosed in luminaire
(4) Local controls shall only be accessible to staff.

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5.7 BARBER SHOP

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 200 lx (20 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Barber Chair: 500 lx (50 FC) at 4’-0” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal

DESIGN APPROACH:
Horizontal and vertical illumination should be considered at barber chair locations.
Mirror or vanity lighting should be considered at barber stations. Luminaires should be
visually comfortable with appropriate optics to minimize glare when the patient is in a
reclining position at hair washing sinks.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight.
(3) Wall-mounted compact fluorescent, fluorescent or LED mirror or vanity
luminaire.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Coordinate luminaire layout with equipment and vanities.

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5.8 RECEPTION

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC) at 2’-6” AFF
(2) Uniformity Ratio (avg / min):
• Ambient: 4:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(5) Power Source:
• Normal

DESIGN APPROACH:
Vertical illumination should be considered to illuminate the reception desk or wall
behind the reception desk. Decorative sconces or pendants may be used to add
visual interest.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or
wall washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Decorative compact fluorescent, fluorescent or LED wall-mounted
sconce or ceiling-mounted pendant.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

5.13
 CHAPTER 5: PUBLIC AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) If decorative pendants are used, ensure the mounting height does not
interfere with the line-of-sight for receptionist.
(2) Coordinate light luminaires at reception with adjacent areas.
(3) Sconces must be ADA compliant
(4) Local controls shall only be accessible to staff.

5.14
 CHAPTER 5: PUBLIC AREAS LIGHTING GUIDELINES

5.9 PUBLIC TOILET

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 200 lx (20 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Vanity: 300 lx (30 FC) at vanity surface
(3) Uniformity Ratio (avg / min):
• Ambient: 2:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
Vertical illumination should be considered at hand washing sinks and mirrors.
Decorative sconces may be used at sink areas.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Wall-mounted compact fluorescent, fluorescent or LED mirror or vanity
luminaire.
(5) Decorative compact fluorescent, fluorescent or LED wall-mounted sconce.

CONTROL APPROACH:
(1) Occupancy sensors.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

5.15
 CHAPTER 5: PUBLIC AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) Coordinate lighting with toilet stall partitions, and ensure that all stalls are
properly illuminated.
(2) Sconces must be ADA compliant.

5.16
 CHAPTER 5: PUBLIC AREAS LIGHTING GUIDELINES

5.10 VETERANS CANTEEN SERVICE AND GIFT STORE

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• General: 500 lx (50 FC) at 2’-6” AFF
• Circulation: 200 lx (20 FC) at 2’-6” AFF
• Storage: 200 lx (20 FC) at 2’-6” AFF
(2) Average Maintained Illumination - Task:
• Display: 1000 lx (100 FC) at merchandise display case
• Cashier: 500 lx (50 FC) at 2’-6” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 2:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Life Safety branch of the EES

DESIGN APPROACH:
Horizontal and vertical illumination should be considered when illuminating retail
displays. Decorative sconces or pendants may be used to add visual interest. Accent
lighting should be used to highlight merchandise displays.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Track mounted LED accent of flood light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

5.17
 CHAPTER 5: PUBLIC AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) Coordinate general and accent lights with merchandise displays
(2) Local controls shall only be accessible to staff.

5.18
 CHAPTER 6: ADMINISTRATIVE AREAS LIGHTING GUIDELINES

6. ADMINISTRATIVE AREAS

6.1
 CHAPTER 6: ADMINISTRATIVE AREAS LIGHTING GUIDELINES

6.1 OFFICE

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC) at 3’-0” AFF
(2) Average Maintained Illumination - Task:
• Reading: 500 lx (50 FC) at desktop or countertop
(3) Uniformity Ratio (avg / min):
• Ambient: 2:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal

DESIGN APPROACH:
Lighting in the office spaces should be a combination of indirect general lighting
and direct lighting on the task surface. Task lighting should be provided at each
workstation.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Linear suspended fluorescent or LED indirect/direct luminaire.
(3) Linear wall-mounted fluorescent or LED indirect/direct luminaire.
(4) Surface-mounted fluorescent or LED under-cabinet task light (if not provided
with pre-fabricated furniture system).

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, dimming
controls for LED luminaires, or vacancy sensors.
(2) Under-cabinet task lights and desk lights shall be controlled with
integral switches.
(3) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

6.
 CHAPTER 6: ADMINISTRATIVE AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) In open office areas, coordinate location of occupancy sensors in ceiling
with space plan.
(2) Consider luminaire placement and optics to mitigate glare and
veiling reflections.

6.
 CHAPTER 6: ADMINISTRATIVE AREAS LIGHTING GUIDELINES

6.2 CONFERENCE ROOM/CLASSROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• Conference Room: 300 lx (30 FC) at 2’-6” AFF
• Classroom: 500 lx (50 FC) at 2’-6” AFF
(2) Average Maintained Illumination - Task:
• Reading: 500 lx (50 FC) at 2’-6” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal

DESIGN APPROACH:
Conference rooms should be provided with dimmable lighting luminaires for a variety of
tasks, including meetings, A/V presentations, and conferences. Consider both
horizontal and vertical illumination when designing these spaces.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Suspended linear fluorescent or LED indirect/direct luminaire.
(4) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

6.
 CHAPTER 6: ADMINISTRATIVE AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) Consider luminaire placement and optics to mitigate glare and veiling
reflections especially at presentation screen.

6.
 CHAPTER 6: ADMINISTRATIVE AREAS LIGHTING GUIDELINES

6.3 TEAM/BREAK ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 100 lx (10 FC) at 2’-6” AFF
(2) Average Maintained Illumination - Task:
• Food and Drinks Area: 300 lx (30 FC) at countertop
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal

DESIGN APPROACH:
The break room should be illuminated with general ambient lighting. Task lighting
should be used at food preparation counters. Full dimming should be provided in On-
Call Duty Rooms.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Suspended linear fluorescent or LED indirect/direct luminaire.
(4) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(5) Surface-mounted fluorescent or LED under-cabinet task light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Under-cabinet task lights and desk lights shall be controlled with integral
switches.
(3) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

6.
 CHAPTER 6: ADMINISTRATIVE AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) None.

6.
 CHAPTER 6: ADMINISTRATIVE AREAS LIGHTING GUIDELINES

6.4 STAFF TOILET AND LOCKERS

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 200 lx (20 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Sinks: 200 lx (20 FC) at surface of sink
• Showers: 200 lx (20 FC) at finished floor
• Lockers: 200 lx (20 FC) at finished floor
(3) Uniformity Ratio (avg / min):
• Ambient: 2:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
• Compact Fluorescent: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
• Compact Fluorescent: minimum of 80
(6) Power Source:
• Normal
• Life Safety branch of the EES.

DESIGN APPROACH:
Vertical illumination should be considered at hand washing sinks and mirrors.
Decorative sconces may be used at sink areas.

RECOMMENDED LUMINAIRES:
(1) Recessed ceiling-mounted fluorescent or LED lensed luminaire.
(2) Recessed ceiling-mounted compact fluorescent or LED downlight or wall
washer.
(3) Recessed ceiling-mounted fluorescent or LED cove or perimeter light.
(4) Wall-mounted compact fluorescent, fluorescent or LED mirror or vanity
luminaire.
(5) Decorative compact fluorescent, fluorescent or LED wall-mounted sconce.

CONTROL APPROACH:
(1) Occupancy sensors.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

6.
 CHAPTER 6: ADMINISTRATIVE AREAS LIGHTING GUIDELINES

SPECIFIC COORDINATION ISSUES:

(1) Coordinate lighting with toilet stall partitions; ensure all stalls are properly
illuminated.
(2) Sconces must be ADA compliant.
(3) Consider emergency battery backup for 50% of luminaires.

6.
 CHAPTER 7: SUPPORT AREAS LIGHTING GUIDELINES

7. SUPPORT AREAS

7.1
 CHAPTER 7: SUPPORT AREAS LIGHTING GUIDELINES

7.1 STORAGE

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• Bulk Storage: 100 lx (10 FC) at finished floor
• Clean/Sterile Storage: 200 lx (20 FC) at finished floor
• Filing: 300 lx (30 FC) at 2’-6” AFF
(2) Uniformity Ratio (avg / min):
• n/a
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(5) Power Source:
• Normal

DESIGN APPROACH:
Consider vertical illumination on shelving in storage rooms.

RECOMMENDED LUMINAIRES:
(1) Recessed or surface ceiling-mounted fluorescent or LED lensed light fixture.
(2) Surface or suspended ceiling-mounted fluorescent or LED industrial fixture.
(3) Wall-mounted fluorescent or LED industrial fixture.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) If using industrial fixtures, provide with lamp shield or guard.
(2) In gas cylinder storage rooms, provide luminaires with hazard rating matching
room rating.

7.2
 CHAPTER 7: SUPPORT AREAS LIGHTING GUIDELINES

7.2 HOUSEKEEPING

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 100 lx (10 FC) at finished floor
(2) Uniformity Ratio (avg / min):
• n/a
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• (LED: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(5) Power Source:
• Normal

DESIGN APPROACH:
Consider vertical illumination on shelves.

RECOMMENDED LUMINAIRES:
(1) Recessed or surface ceiling-mounted fluorescent or LED lensed light fixture.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Coordinate fixture placement with overhead cabinets and shelving. Do not
install fixtures directly above.

7.3
 CHAPTER 7: SUPPORT AREAS LIGHTING GUIDELINES

7.3 SOILED UTILITY ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 200 lx (20 FC) at finished floor
(2) Uniformity Ratio (avg / min):
• Ambient: 3:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(5) Power Source:
• Normal

DESIGN APPROACH:
Consider vertical illumination on shelves.

RECOMMENDED LUMINAIRES:
(1) Recessed or surface ceiling-mounted fluorescent or LED lensed light fixture.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Coordinate fixture placement with overhead cabinets and shelving. Do not
install fixtures directly above.

7.4
 CHAPTER 7: SUPPORT AREAS LIGHTING GUIDELINES

7.4 CLEAN UTILITY ROOM

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 200 lx (20 FC) at finished floor
(2) Uniformity Ratio (avg / min):
• Ambient: 3:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(5) Power Source:
• Normal

DESIGN APPROACH:
(1) Consider vertical illumination on shelves.

RECOMMENDED LUMINAIRES:
(1) Recessed or surface ceiling-mounted fluorescent or LED lensed light fixture.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Coordinate fixture placement with overhead cabinets and shelving. Do not
install fixtures directly above.

7.5
 CHAPTER 7: SUPPORT AREAS LIGHTING GUIDELINES

7.5 MAINTENANCE/REPAIR SHOPS

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC) at 3’-0” AFF
(2) Average Maintained Illumination - Task:
• Repair Activities: 1000 lx (100 FC) on countertop working surface
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal

DESIGN APPROACH:
(1) Consider vertical illumination and body shadows at machines and equipment.

RECOMMENDED LUMINAIRES:
(1) Recessed or surface ceiling-mounted fluorescent or LED lensed light fixture.
(2) Surface or suspended ceiling-mounted fluorescent or LED industrial fixture.
(3) Wall-mounted fluorescent or LED industrial fixture.
(4) Surface-mounted fluorescent or LED under-cabinet task light fixture.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.
(3) Under-cabinet task lights shall be controlled with integral switch.

SPECIFIC COORDINATION ISSUES:

(1) Consider luminaire placement and shielding to mitigate glare and veiling
reflections.
(2) If using industrial fixtures, provide with lamp shield or guard.

7.6
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7.6 STERILE PROCESSING AND LOGISTICS: CLEAN SIDE

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• Clean Receiving: 300 lx (30 FC) at 2’-6” AFF
• Ante Room: 300 lx (30 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Autoclave: 500 lx (50 FC) at 2’-6” AFF
• Manual Equipment Wash: 500 lx (50 FC) at 2’-6” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
(1) Light fixtures in the SPL areas shall be sealed and gasketed to prevent steam
from entering, and have a minimum rating of IP65.

RECOMMENDED LUMINAIRES:
(1) Recessed or surface ceiling-mounted fluorescent or LED lensed light fixture.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Coordinate fixture placement with overhead cabinets and shelving. Do not
install fixtures directly above.

7.7
 CHAPTER 7: SUPPORT AREAS LIGHTING GUIDELINES

7.7 STERILE PROCESSING AND LOGISTICS: EQUIPMENT PREPARATION

ASSEMBLY AND STERILIZATION

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• Preparation and Assembly: 300 lx (30 FC) at 2’-6” AFF
• SPD Storage: 300 lx (30 FC) at finished floor
(2) Average Maintained Illumination - Task:
• Inspection: 500 - 800 lx (50 - 80 FC) at 2’-6” AFF
(3) Uniformity Ratio (avg / min):
• Ambient: 3:1
(4) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(5) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(6) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
(1) Light fixtures in the SPL areas shall be sealed and gasketed to prevent steam
from entering, and have a minimum rating of IP65.

RECOMMENDED LUMINAIRES:
(1) Recessed or surface ceiling-mounted fluorescent or LED lensed light fixture.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Coordinate fixture placement with overhead cabinets and shelving. Do not
install fixtures directly above.

7.8
 CHAPTER 7: SUPPORT AREAS LIGHTING GUIDELINES

7.8 STERILE PROCESSING AND LOGISTICS: DETERGENT AND WATER

TREATMENT

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC) at 2’-6” AFF
(2) Uniformity Ratio (avg / min):
• Ambient: 3:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(5) Power Source:
• Normal

DESIGN APPROACH:
(1) Light fixtures in the SPL areas shall be sealed and gasketed to prevent steam
from entering, and have a minimum rating of IP65.

RECOMMENDED LUMINAIRES:
(1) Recessed or surface ceiling-mounted fluorescent or LED lensed light fixture.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Coordinate fixture placement with overhead cabinets and shelving. Do not
install fixtures directly above.

7.9
 CHAPTER 7: SUPPORT AREAS LIGHTING GUIDELINES

7.9 ELECTRICAL AND MECHANICAL ROOMS

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• Electrical: 300 lx (30 FC) at 2’-6” AFF
• Main Switchgear/Generator: 500 lx (50 FC) at 2’-6” AFF
• Mechanical: 300 lx (30 FC) at 2’-6” AFF
(2) Uniformity Ratio (avg / min):
• Ambient: 3:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(5) Power Source:
• Normal
• Life Safety branch of the EES for egress lighting
• Critical branch of the EES power for 50% of luminaires
• Battery powered emergency lighting at exit and entry of Main
Switchgear and Generator rooms

DESIGN APPROACH:
(1) Lighting should provide vertical and horizontal illumination and illuminate
below and above.

RECOMMENDED LUMINAIRES:
(1) Surface or suspended ceiling-mounted fluorescent or LED industrial luminaire.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.

SPECIFIC COORDINATION ISSUES:

(1) Coordinate luminaire placement with floor-mounted MEP equipment and with
ducts, pipes and conduits above.
(2) If using exposes light source industrial luminaire, provide with lamp shield or
guard.

7.10
 CHAPTER 7: SUPPORT AREAS LIGHTING GUIDELINES

7.10 EQUIPMENT ROOMS

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient: 300 lx (30 FC) at 2’-6” AFF
(2) Uniformity Ratio (avg / min):
• Ambient: 3:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(5) Power Source:
• Normal

DESIGN APPROACH:
(1) Consider vertical illumination and body shadows at equipment.

RECOMMENDED LUMINAIRES:
(1) Recessed or surface ceiling-mounted fluorescent or LED lensed luminaire.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Coordinate luminaire placement with overhead cabinets and shelving. Do not
install luminaire directly above.
(2) Coordinate luminaire placement with equipment.

7.11
 CHAPTER 7: SUPPORT AREAS LIGHTING GUIDELINES

7.11 LOADING DOCKS

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• Loading Dock: 100 lx (10 FC) at finished floor
• Staging: 200 lx (20 FC) at finished floor
(2) Uniformity Ratio (avg / min):
• n/a
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(5) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
(1) Consider vertical illumination.

RECOMMENDED LUMINAIRES:
(1) Recessed or surface ceiling-mounted fluorescent or LED lensed light fixture.
(2) Surface or suspended ceiling-mounted fluorescent or LED industrial fixture.
(3) Wall-mounted fluorescent or LED moveable dock light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) Specify wet-listed and tamper-resistant luminaires for loading dock exterior.
(2) If using industrial luminaires in loading dock interior, specify lamp shield or
guard for luminaires.
(3) Coordinate location of dock lights with loading platform.

7.12
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7.12 MAIL ROOMS

DESIGN PARAMETERS:
(1) Average Maintained Illumination - Ambient:
• Sorting: 500 lx (50 FC) at finished floor
• Distribution: 300 lx (30 FC) at finished floor
(2) Uniformity Ratio (avg / min):
• 2:1
(3) Color Temperature (CCT):
• Fluorescent: 3500 degrees
• LED: 3500 degrees
(4) Color Rendering (CRI):
• Fluorescent: minimum of 80
• LED: minimum of 80
(5) Power Source:
• Normal
• Critical branch of the EES

DESIGN APPROACH:
(1) Consider vertical illumination.

RECOMMENDED LUMINAIRES:
(1) Recessed or surface ceiling-mounted fluorescent or LED lensed light fixture.
(2) Surface or suspended ceiling-mounted fluorescent or LED industrial fixture.
(3) Wall-mounted fluorescent or LED moveable dock light.

CONTROL APPROACH:
(1) Multi-level switching local controls for fluorescent luminaires, or dimming
controls for LED luminaires.
(2) Refer to the ASHRAE 90.1 – Chapter 9 - Section 9.4.1.1 Interior Lighting
Controls – for additional controls.

SPECIFIC COORDINATION ISSUES:

(1) If using industrial fixtures, provide with lamp shield or guard.
(2) Coordinate luminaire placement with overhead cabinets and shelving. Do not
install luminaire directly above.
(3) Coordinate luminaire placement with equipment.

7.13
 APPENDIX A: ILLUMINATION LEVELS

APPENDIX A: ILLUMINATION LEVELS

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE
Lx (FC)* REFERENCE
ACTIVITIES ROOM AND DINING SPACE 4.4.4
AGENT CASHIER 6.1
AIRLOCK (ANTE ROOM) 5.5
AMBULATORY CARE
AMB. SURGERY OR 4.2.13
CONSULTATION 6.1
EXAMINATION/TREATMENT 4.2.1
LIFE SUPPORT UNIT
GENERAL 4.3.6
OVER BED 4.3.6
MULTIPURPOSE EXAMINATION 4.3.6
OBSERVATION AND TREATMENT
GENERAL 4.3.6
OVER BED 4.3.6
OVER HEAD OF BED 4.3.6
SCREENING PROCTOSCOPY AND 4.2.1
SIGMOIDOSCOPY
SECURITY EXAMINATION 4.2.1
ANESTHESIA
ANESTHESIOLOGY PREPARATION 4.2.4
STORAGE 7.1
WORKROOM, ANESTHESIA, AND EQUIPMENT 7.1
STORAGE
ANIMAL HOUSING AREA 200-600 (20-60) Notes: a, b
APPARATUS AND EQUIPMENT STORAGE 7.1
AUDIOMETRY ROOM AND TEST ALCOVE 4.2.12
AUDITORIUM
SOCIAL ACTIVITIES 300 (30) Notes: a, c
ASSEMBLY 200 (20) Notes: a, c
AURAL REHABILITATION/SPEECH PATHOLOGY 4.2.11
THERAPY
AUTOPSY AND MORGUE
AUTOPSY 1000-3000 (100-300) Notes: a, d, e
ISOLATION/TEACHING AUTOPSY 1000-3000 (100-300) Notes: a, d, e
MORTUARY REFRIGERATOR(COLD ROOM) 300 (30) Notes: a
BARBER SHOP 5.7
BARIUM PREPARATION 4.2.1
BATHROOM 5.9
BEAUTY SHOP 5.7
BEDROOM
NON‑PATIENT 100-200 (10-20) Notes: a
PATIENT (SEE PATIENT ROOMS)
BILLIARD ROOM 4.4.4
BLOOD SPECIMEN COLLECTION 4.2.2
BOILER ROOM
BURNER 7.9

A-1
 APPENDIX A: ILLUMINATION LEVELS

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE

Lx (FC)* REFERENCE
PLATFORMS 7.9
CANTEEN
FOOD SERVICE AREA (SEE FOOD SERVICE)
KITCHEN (SEE FOOD SERVICE)
RETAIL STORAGE AND RECEIVING 7.1
RETAIL STORE 5.10
VENDING MACHINE AREA 7.1
WARD CART STORAGE 7.1
CAN WASH AND CAN CRUSHER(SEE FOOD
SERVICE)
CARDIAC PROCEDURE/CATHETERIZATION 4.2.5
CARDIOPULMONARY REHABILITATION CENTER 4.2.1
CART STORAGE 7.1
CAST ROOM 4.2.3
CHAPEL
ALTAR/ARK/REREDOS 500 (50) Notes: a, c
CHANCEL (INCLUDING ALTAR & CHOIR) 200 (20) Notes: a, c
CHOIR ROBING 300 (30) Notes: a
EUCHARISTIC AND DEVOTIONAL 200 (20) Notes: a, c
NAVE 200 (20) Notes: a, c
SACRISTY 200 (20) Notes: a, c
CLASSROOM 6.2
CLEAN CAGE STORAGE 7.6
CLEAN LINEN 7.4
CLEAN LINEN SORTING 7.6
CLEAN UTILITY/SUPPLIES 7.7
CLEAN UTILITY/SPD CART 7.7
CLINIC, EVALUATION 4.2.1
CLINIC SPACE, LEARNING STATIONS 6.1
CLINIC SPACE, VOC. REHABILITATION THERAPY 4.2.11
CLOSETS
ELECTRICAL 7.9
GENERAL 7.2
HOUSEKEEPING AIDS 7.2
HOUSEKEEPING AIDS(SURGERY) 7.2
LINEN 7.4
PLASTER AND SPLINT 7.2
CLOTHING CHANGE 7.2
CONFERENCE/CLASSROOM 6.2
CONFERENCE ROOM 6.2
CONGREGATE BATH/TOILET/HOPPER 500 (50) Notes: a
CONSULTATION 6.1
CONSULTATION/MEDICATION/CHART 4.3.3
CONSULTATION, VIEWING, AND TEACHING 6.1
CONTROLLED TEMPERATURE ROOM 200 (20) Notes: a
CONTROL ROOMS
CONTROL AREA (RAD. THERAPY) 4.2.6
CONTROL BOOTH/ALCOVE (X‑RAY) 4.2.6

A-2
 APPENDIX A: ILLUMINATION LEVELS

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE

Lx (FC)* REFERENCE
CONTROL CENTER (INTENSIVE CARE) 4.2.6
CONTROL STATION (SURGERY SUITE) 4.2.13
CORRIDORS
DENTAL SUITE 5.5
GENERAL NON‑NURSING 5.5
GENERAL NURSING 4.3.1
LABORATORIES 5.5
QUARTERS 5.5
SURGICAL SUITE 4.2.14
COUNSELING/TREATMENT 4.4.7
CRAWL SPACE 50 (5) Notes: a
CREDIT UNION 500 (50) Notes: a
CYSTOSCOPIC ROOM (NON‑SURGERY)
GENERAL 4.2.5
DARKROOM: DEVELOPING, PRINTING, AND 300 (30) Notes: a, c
ENLARGING
DAY ROOM 4.3.11
DECONTAMINATION 7.6
DENTAL SUITE
DARKROOM 300 (30) Notes: a, c
DENTAL OFFICE 6.1
DENTAL RESIDENTS AND TRAINEES 6.2
STUDY/CONFERENCE ROOM
EXAMINATION, HYGIENE, AND GENERAL 4.2.16
TREATMENT OPERATORIES
INSTRUMENT PREPARATION AND 7.7
STERILIZATION
ORAL SURGERY 4.2.17
PATIENT INTERVIEW 6.1
PREVENTIVE DENTISTRY 4.2.16
PROSTHETIC LABORATORY 4.2.4
RECOVERY 4.2.16
RESEARCH LABORATORY 4.2.4
SOILED SPD CART HOLDING 7.3
SUPPLY ROOM 7.6
X-RAY AREA 4.2.16
DIALYSIS CENTER
BEDROOM (MULTI-BED) 4.2.10
LOCAL OVER BED 4.2.10
LOCAL OVER ARM 4.2.10
OVER HEAD OF BED 4.2.10
DIALYSATE PREPARATION 4.2.10
DIALYSIS TRAINING (SEE BEDROOM ABOVE)
EQUIPMENT SERVICE AREA SOILED/CLEAN 4.2.10
EQUIPMENT SERVICE AREA STORAGE 4.2.10
FINAL WATER TREATMENT 4.2.10
DISPENSING (SEE PHARMACY)
DRESSING/RECOVERY 4.3.13
DRESSING ROOM 4.3.13

A-3
 APPENDIX A: ILLUMINATION LEVELS

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE

Lx (FC)* REFERENCE
DRESSING/TOILET 4.3.8
EAR, NOSE AND THROAT CLINIC (ENT)
AUDIOMETRY ROOM AND TEST ALCOVE 4.2.1
EXAMINATION AND TREATMENT 4.2.1
STERILIZATION, PREPARATIONS, AND 7.6
STORAGE
ELECTROCARDIOGRAPHIC (ECG)
GENERAL 4.2.7
MACHINE 4.2.7
ELECTROENCEPHALOGRAPHIC (EEG)
EEG INSTRUMENT AND WORKROOM 4.2.7
EXAMINATION 4.2.7
PHYSICIANS READING 4.2.7
PREPARATION 4.2.7
ELECTROMYOGRAPHIC (EMG) 4.2.7
ELECTRON MICROSCOPE SUITE
CUTTING ROOM 2000 (200) (Notes: a, d)
PREPARATION 1000 (100) (Notes: a, d)
SCOPE ROOM 300 (30) (Notes: a, c)
ELEVATORS 200 (20) (Notes: a)
EMERGENCY GENERATOR 7.9
ENDOSCOPY
UPPER AND LOWER GI 4.2.5
WORKROOM 4.2.5
ENGINEERING CONTROL CENTER 6.1
ENTRANCE (SEE LOBBY)
ENTRANCE (EXTERIOR) 3.4
EQUIPMENT STORAGE 7.1
EQUIPMENT STORAGE AND TESTING 7.10
ESCORT SERVICE 200 (20) (Notes: a)
EXAMINATION AND TREATMENT 4.2.1
EXAMINATION/CONSULTATION 4.2.1
EXERCISE ROOM 4.3.12
EXITS (AT FLOOR LEVEL) 50 (5) (Notes: a)
EYE CLINIC
EXAMINATION AND TREATMENT 4.2.1
REFRACTION AREA 4.2.1
SURGERY 4.2.13
VISUAL FIELD/DARKROOM ADAPTATION 500 (50) (Notes: a, c)
FILM PROCESSING 300 (30) (Notes: a, c)
FLAMMABLE OR TOXIC STORAGE 7.1
FOOD SERVICE
BULK FOOD CARTS 5.6
CART WASH CENTER 5.6
CLEAN DISH STORAGE 5.6
COLD FOOD AND DESSERT PREPARATION 5.6
DIETITIANS 6.1
DIETETICS‑SERVING UNIT 5.6

A-4
 APPENDIX A: ILLUMINATION LEVELS

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE

Lx (FC)* REFERENCE
DINING ROOM/AREA/SPACE 5.6
DINING ROOM/RECREATION AREA 5.6
DISHWASHING AREA/UNIT 5.6
FIXED SERVING LINE 5.6
FOOD PROCESS AND PREPARATION 5.6
FOOD STORAGE 5.6
INGREDIENT CONTROL AREA 5.6
KITCHENETTE 5.6
MAIN KITCHEN 5.6
KITCHEN SERVING 5.6
LUNCH AREA WITH KITCHEN UNIT 4.3.11
LUNCH ROOM 4.3.11
MEAT AND VEGETABLE UNIT 5.6
MOBILE SERVING LINE 5.6
NUTRITION CLINIC 5.6
POT WASHING CENTER 5.6
REFRIGERATED AND FROZEN STORAGE 5.6
REFRIGERATED GARBAGE AND TRASH 5.6
STORAGE
SANITATION SUPPLY STORAGE 5.6
SERVING LINE 5.6
SERVING UNIT WORK AREA 5.6
SOILED DISH COLLECTION 5.6
SPECIAL NOURISHMENT PREPARATION 5.6
GAME AND ACTIVITY ROOM 4.3.11
GAS STORAGE 7.1
GROSS SPECIMEN STORAGE 7.1
GI SCREENING 4.2.5
PROCTOSCOPY/SIGMOIDOSCOPY ROOM
GU CARE ROOM 4.2.5
GU EXAMINATION/TREATMENT 4.2.1
HEALTH RECORDS STORAGE 7.1
HOSPITAL PLANS AND DRAFTING 6.1
INACTIVE RECORDS STORAGE 7.1
INFORMATION COUNTER 5.8
INFORMATION TECHNOLOGY
DEMARC ROOM 7.10
ANTENNA HEADEND EQUIPMENT ROOM 7.10
MAIN COMPUTER ROOM, BACKUP 7.9
COMPUTER ROOM
NETWORK OPERATIONS ROOM 7.9
TELECOMMUNICATIONS ROOMS 7.9
TELEPHONE OPERATORS ROOM 7.9
WORKROOM, EQUIPMENT CONFIGURATION / 7.5
REPAIR
INSTRUMENT CALIBRATION AND STORAGE 7.5
INTENSIVE CARE (SEE PATIENT ROOMS)
INTERVIEW/CONSULTATION 6.1
INTERVIEW‑EXAMINATION 4.2.1

A-5
 APPENDIX A: ILLUMINATION LEVELS

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE

Lx (FC)* REFERENCE
ISOLATION BEDROOM (RECOVERY/ICU) 4.3.5
KITCHENETTE/MULTIPURPOSE 4.3.12
LABORATORIES; GENERAL 4.2.4
BENCH AND TABLE TOP LIGHTING 4.2.4
BIOCHEMISTRY 4.2.4
BIOSAFETY 4.2.4
CARDIAC BLOOD GAS ANALYSIS 4.2.4
CHEMISTRY 4.2.4
CLINICAL CHEMISTRY/MICROBIOLOGY 4.2.4
COAGULATION 4.2.4
CYTOLOGY 4.2.4
DERMATOLOGY 4.2.4
DIAGNOSTIC 4.2.4
ENVIRONMENTAL 4.2.4
FROZEN/AND GROSS SECTION 4.2.4
HIGH/LOW LEVEL IN‑VITRO COUNTING 4.2.4
HISTOLOGY 4.2.4
IMMEDIATE RESPONSE (STAT) 4.2.4
IMMUNOPATHOLOGY 4.2.4
MICROBIOLOGY 4.2.4
MYCOBACTERIOLOGY (TB) 4.2.4
MYCOLOGY 4.2.4
ORTHOTICS 4.2.4
PHARMACEUTICAL EXPERIMENTATION 4.2.4
PHYSICS 4.2.4
PROCEDURAL 4.2.4
PULMONARY BLOOD GAS 4.2.4
RADIOIMMUNOASSAY (RIA) 4.2.4
ROUTINE (HEMATOLOGY) 4.2.4
SPECIAL CHEMISTRY 4.2.4
SPECIMEN ACCESSIONING, PROCESS / 4.2.4
DISTRIBUTION
STUDENT LABORATORY‑CLASSROOM 4.2.4
URINE (URINALYSIS) AND FECES 4.2.4
URODYNAMICS 4.2.4
LAUNDRY
CART WASHER AREA 7.6
CENTRAL LIQUID SUPPLY SYSTEM 7.8
CLEAN LINEN HOLDING (FLOW RACK) AND 7.6
ASSEMBLY AREA
CLEAN LINEN PROCESSING AREA 7.6
DISTRIBUTION AREA (CART STORAGE, 7.1
DISPATCH, AND DOCK)
GENERAL ADMINISTRATIVE AREA 6.1
LINEN COLLECTION 7.3
LINEN PACK PREPARATION 7.6
LINEN REPAIR AREA 7.7
LINEN STORAGE 7.7

A-6
 APPENDIX A: ILLUMINATION LEVELS

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE

Lx (FC)* REFERENCE
LUNCH ROOM/TRAINING ROOM 6.3
PRODUCTION AND SUPPORT AREA 7.7
RECEIVING AREA 7.7
SORTING AND WASHING AREA 7.7
UNIFORM EXCHANGE (AUTOMATED) 7.4
LIBRARY
AUDIOVISUAL ROOM 300 (30) (Notes: a, c)
CIRCULATION/REFERENCE DESK 300 (30) (Notes: a)
LIBRARIAN 500 (50) (Notes: a)
MICROFORM AREAS 300 (30) (Notes: a)
PHOTOCOPY AREA 300 (30) (Notes: a)
SEATING SPACE (READER STATIONS) 300 (30) (Notes: a)
SHELVING/STACK AREAS 300 (30) (Notes: a)
WORKROOM/TECHNICAL SERVICES 500 (50) (Notes: a)
LINEN
CLOSET 7.2
LINEN ROOM AND CLEAN SPD CART 7.7
LINEN SERVICE 7.7
SEAMSTRESS SPACE 7.5
SOILED COLLECTION 7.3
SOILED COLLECTION AND CENTRAL 7.3
SORTING
SOILED LINEN HOLDING AREA 7.3
SOILED LINEN ROOM 7.3
LOADING DOCK 7.11
LOBBY/FOYER 5.1, 5.2
LOCKER ROOMS 6.4
LOUNGES
READING 5.3
PATIENT'S LOUNGE AND TV ROOM 5.3
MAIL ROOM AND DISTRIBUTION CENTER 7.12
MAIL ROOM/UNIT 7.12
MAINTENANCE/SHOPS (SEE SHOPS)
MEDICAL AND GENERAL STORAGE (SEE
STOREROOM)
MEDICATION AND TREATMENT 4.3.3
MEDICAL MEDIA PRODUCTION
CAMERA ROOM 300 (30) (Notes: a)
DARKROOM, FILM PROCESSING 300 (30) (Notes: a, c)
FINISHING ROOM 500 (50) (Notes: a)
GRAPHICS ILLUSTRATION ROOM; 700 (70); (Notes: a, d)
ILLUSTRATION PREP. AREA Tables 2000 (200)
PHOTOMICROGRAPHY 300 (30) (Notes: a)
PRINTING AND ENLARGING 300 (30) (Notes: a, c)
MEDICAL RESEARCH STORAGE (SEE
STOREROOM)
MINOR OPERATING ROOM 4.2.13
MULTIPURPOSE ROOM 4.3.12
MUSIC ROOM 4.3.12

A-7
 APPENDIX A: ILLUMINATION LEVELS

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE

Lx (FC)* REFERENCE
NOURISHMENT KITCHEN 4.3.10
NUCLEAR MEDICINE
COMMON VIEWING AND CONFERENCE 6.2
EQUIPMENT CALIBRATION 4.2.4
ISOTOPIC STORAGE AND PREPARATION 4.2.18
AREA
RADIOPHARMACY 4.2.18
RECTILINEAR ORGAN SCAN 4.2.5
SPECIAL PROCEDURE 4.2.5
STATIONARY IMAGING 4.2.5
THYROID UPTAKE 4.2.5
WALK-IN REFRIGERATOR 7.1
NURSE'S STATION/WARD CLERK/DOCTOR'S
CHARTING
GENERAL; DAY 4.3.1
DESK/TABLE/COUNTER 4.3.1
OFFICES; GENERAL 6.1
OFFICES; STAFF 6.1
OFFICES; WORKSTATION CLERICAL OR 6.1
TECHNICAL STAFF
ON-CALL ROOM 6.3
ONCOLOGY CHEMOTHERAPY AGENT 4.2.8
PREPARATION
ONCOLOGY CHEMOTHERAPY TREATMENT 4.2.8
OPERATING ROOMS (SEE SURGERY SUITES)
ORTHOPEDIC CAST ROOM 4.2.3
OXYGEN STORAGE 7.1
PARKING GARAGE
ENTRANCE 3.8
GENERAL TRAFFIC, PARKING, AND 3.8
PEDESTRIAN AREAS
PATIENT ROOMS
GENERAL 4.3.4
ANTEROOM (ISOLATION) 4.3.5
BATH, PRIVATE, OR CONNECTING 4.3.5
NIGHT OBSERVATION 4.3.5
OVER‑BED TASK ILLUMINATION 4.3.5
OVER HEAD OF BED 4.3.5
PATIENT LOCKER AREA 6.4
SECURITY/SECLUSION BEDROOM 4.3.5
SERVICE ALCOVE 4.3.5
TOILET 4.3.8
PHARMACY
CONTROLLED SUBSTANCES VAULT AND 4.2.18
SECURED DISPENSING
DRUG RECEIVING 4.2.18
DRUG UTILIZATION REVIEW 4.2.18
EXTEMPORANEOUS COMPOUNDING 4.2.18
EXTEMPORANEOUS REPACKAGING 4.2.18

A-8
 APPENDIX A: ILLUMINATION LEVELS

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE

Lx (FC)* REFERENCE
FILING AND ASSEMBLY 4.2.18
HEMODIALYSIS (STORAGE) 4.2.18
INTERVENOUS ADMIXTURE AND ASEPTIC 4.2.18
TRANSFER
MEDICATION ASSIGNMENT 4.2.18
MEDICATION PREPARATION AREAS 4.2.18
POISON CONTROL STORAGE 4.2.18
PREPACKAGING 4.2.18
PRESCRIPTION RECEIVING 4.2.18
PROSTHETICS AND MEDICAL SUPPLIES 7.1
RECEIVING 4.2.18
RECEIVING,STORAGE, AND RECORD 4.2.18
CONTROL
STAT 4.2.18
STERILE FLUIDS AND ADMIXTURE SETS 4.2.18
STORAGE
SUPPORT AREA 4.2.18
UNIT DOSE DISPENSING 4.2.18
VAULT (DRUGS) 4.2.18
PHONO-CARDIOGRAPHY 4.2.7
PLASTER AND SPLINT CLOSET 7.1
PNEUMATIC TUBE EQUIPMENT ROOM 7.10
POST OPERATIVE/RECOVERY WARD 4.2.15
(RESEARCH)
PROJECTION, PREPARATION, AND STORAGE 6.1
PREFABRICATED SOUND SUITE-CONTROL 4.2.12
ROOM
QUIET AREA (PSYCHIATRIC) 4.3.11
QUIET ROOM 4.3.11
RADIOLOGY SUITE
ANESTHESIOLOGY PREPARATION AND 4.2.15
RECOVERY
AUTOMATED ROOM 4.2.6
BARIUM PREPARATION 4.2.6
CENTRAL SILVER COLLECTION AREA 4.2.6
COMPUTERIZED AXIAL TOMOGRAPHY (CT) 4.2.6
CONTROL BOOTH/ALCOVE 4.2.6
DARKROOM 4.2.6
DEDICATED CHEST ROOM 4.2.6
EXAMINATION ROOM/AREA 4.2.6
FILM LIBRARY 4.2.6
FILM STORAGE UNDEVELOPED 4.2.6
MEGAVOLTAGE UNIT 4.2.6
PROCESSING AREA 4.2.6
RADIATION THERAPY 4.2.6
SCRUB ROOM 4.2.6
SPECIAL PROCEDURES
FLUORESCENT 500 (50) (Notes: a, c)
INCANDESCENT 200 (20) (Notes: a, c)

A-9
 APPENDIX A: ILLUMINATION LEVELS

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE

Lx (FC)* REFERENCE
SUPERFICIAL THERAPY UNIT AND CONTROLS 300 (30) (Notes: a, c)
SUPERVOLTAGE UNIT (COBALT 60) 300 (30) (Notes: a, c)
ULTRASOUND 4.2.6
VIEWING ROOM COMMON 4.2.6
X-RAY ROOMS 4.2.6
RECEIVING AND CLEANING 7.6
RECEIVING AND ISSUE AREA 7.11
RECEIVING AND SHIPPING DOCK 7.11
RECEPTION AND WAITING 5.8, 5.3
RECOVERY ROOM (SEE SURGERY SUITE)
RECREATION/MULTIPURPOSE ROOM 4.3.12
RESIDENT CLOTHING AND LUGGAGE STORAGE 7.1
RESIDENT'S LAUNDRY 4.4.10
SCRUB ALCOVE 4.2.14
SEAMSTRESS 7.5
SHOPS, MAINTENANCE AND REPAIR
AIR CONDITIONING SHOP 7.5
CARPENTER SHOP 7.5
ELECTRICAL SHOP 7.5
GROUNDS MAINTENANCE SHOP 7.5
MACHINE SHOP 7.5
MASON SHOP 7.5
PAINT SHOP 7.5
PARTS AND TOOLS CLERK 7.5
PLUMBING SHOP 7.5
REPAIRING AND DEVELOPMENT 7.5
STORAGE (SEE STOREROOMS)
SHOWER 4.3.8
SITZ BATH 4.3.8
SPECIMEN TOILET 4.3.8
SOILED UTILITY/SPD CART 7.3
STAGE (GEN. ILLUM.) 7.11
STAIRWAYS 5.4
STERILIZATION AND SOLUTION PREPARATION 7.7
STOREROOMS
FINE 7.1
MEDIUM 7.1
BULKY 7.1
STRETCHER AND WHEELCHAIR STORAGE 7.1
STRETCHER WAITING SPACE 5.3
SUBSTERILIZATION AND WORK AREA 7.7
STERILE PROCESSING AND LOGISTICS (SPL)
AUTOMATIC CART WASH 7.8
BULK STORAGE AREA 7.6
CLEAN RECEIVING AND BREAKOUT 7.6
CLEAN SIDE 7.6
DISPATCHERS CONTROL STATION/OFFICE 6.1
SURGICAL LINEN AND PACKS 7.6

A-10
 APPENDIX A: ILLUMINATION LEVELS

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE

Lx (FC)* REFERENCE
MANUAL EQUIPMENT WASH 7.8
PREPARATION ASSEMBLY AND 7.7
STERILIZATION
SOILED RECEIVING AND DECONTAMINATION 7.6
STERILE/NON‑STERILE STORAGE 7.6
STERILIZATION AND PREPARATION 7.7
VOLUNTEER AND TRAINING 6.1
WORK STATION/COMPUTER 6.1
SURGICAL SUITE
CLEAN AND STERILE SUPPLIES 7.6
CLEAN CORE SUPPORT AREA 4.2.13
CONTROL ROOM (CYSTOSCOPIC) 4.2.13
DICTATION CUBICLE 4.2.13
EQUIPMENT AND APPARATUS STORAGE 7.1
EXTERNAL RADIOGRAPHIC CONTROL ROOM 4.2.13
OR HOUSEKEEPING AIDS CLOSETS 7.2
OPERATING ROOMS CARDIAC; 4.2.13
CYSTOSCOPIC; GENERAL PURPOSE;
NEUROSURGERY; ORTHOPEDIC
PATIENT HOLDING ROOM OR ALCOVE 500 (50) (Notes: a, c)
PUMP TECHNICIAN'S PREPARATION ROOM 700 (70) (Notes: a)
RECOVERY 4.2.15
SCRUB‑UP ALCOVE 4.2.14
SOILED HOLDING AREA 7.3
SPECIAL EQUIPMENT RECORDING ROOM 7.4
WORKROOM, ANESTHESIA, AND EQUIPMENT 7.10
STORAGE
SWITCHGEAR 7.9
THEATER 100 (10) (Notes: a, c)
SUPPLEMENTAL 200 (20) (Notes: a, c)
FOYER 100 (10) (Notes: a, c)
THERAPY
CORRECTIVE CLINIC 4.2.11
EDUCATIONAL/VOCATIONAL 4.2.11
ASSIGNMENT SPACE 4.2.11
COMPENSATED WORK THERAPY 4.2.11
CLINIC
EVALUATION 4.2.11
INSTRUCTION, ORIENTATION, & SIMULATOR 4.2.11
SPACE (DRIVER TRAINING)
PATIENT REST AREA 4.2.11
GROUP THERAPY ROOM 4.4.11
TABLE 4.4.11
CONFERENCE RM 6.2
INHALATION 4.2.11
OCCUPATIONAL 4.2.11
CLINICAL 4.2.11
ORTHOTIC AND SPLINTING AREA 4.2.11
PHYSICAL

A-11
 APPENDIX A: ILLUMINATION LEVELS

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE

Lx (FC)* REFERENCE
ARM AND LEG WHIRLPOOLS 4.2.11
CLINIC 4.2.11
HUBBARD TANKS 4.2.11
HYDROTHERAPY 4.2.11
SPECIAL TREATMENT 4.2.11
TABLES AND INDIVIDUAL EXERCISE 4.2.11
TREATMENT AREA 4.2.11
RADIATION
ORTHOVOLTAGE THERAPY UNIT 4.2.9
PATIENT PRETREATMENT 4.2.9
RADIUM SEALED SOURCE ROOM 4.2.9
SIMULATOR 4.2.9
TREATMENT AREA 4.2.9
TREATMENT PLANNING AREAS 4.2.9
VIEWING AND CONSULTATION 4.2.9
RECREATION
ARTS, CRAFTS, AND HOBBY 4.4.4
MULTIPURPOSE RECREATION 4.4.4
SPINAL CORD INJURY
CLINIC 4.2.11
HUBBARD TANKS 4.2.11
WHIRLPOOL, ARM, LEG AND LO-BOY 4.2.11
THERAPEUTIC POOL 4.2.11
TOILETS 4.3.8
TRAINEE/STUDENT STUDY CUBICLE 6.1
TRANSFORMER ROOM 7.9
TRASH/COLLECTION ROOM 7.1
TUB ROOM 4.3.8
ULTRASOUND DIAGNOSIS 4.2.7
UNIFORMS 4.3.13
URINE TESTING ALCOVE 4.3.8
UTILITY AREAS 7.3, 7.4
VAULT 7.1
VECTORCARDIOGRAPHY 4.2.7
VENDING/MACHINE AREA/ALCOVE 100 (10) (Notes: a)
VENTILATORY TEST 4.2.7
VESTIBULE 5.5
VESTIBULE AND WAITING AREA 5.5, 5.3
VOLUNTEER/ESCORT SPACE 6.1
VOLUNTEER SIGN‑IN 6.1
WAITING ROOMS 5.3
WALK- IN REFRIGERATOR (COLD ROOM) 7.1
WARD CLERK 6.1
WARD SUPPLY 7.4
WHEELCHAIR AND SPECIAL BED STORAGE 7.1
WHEELCHAIR AND STRETCHER 7.1
WORD PROCESSING/COMPUTER ROOM 6.1
WORKROOM AND DRESSING ROOM 4.3.13

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 APPENDIX A:

AREA DESCRIPTION ILLUMINATION LEVEL GUIDELINE

Lx (FC)* REFERENCE
WORK-STATION (COMPUTER) 6.1

Notes:
(a) No guideline reference. Use Illumination levels as a guide. A/E shall follow the most
appropriate lighting guidance based on area/room function, latest code
requirements, industry and professional design practices.

(b) Provide variable illumination with time schedule and manual control.

(c) Vary illumination levels by dimming control devices in accordance with specific
project requirements.

(d) Provide illumination levels with a combination of general and localized lighting.

(e) Match color temperature of the surgical light(s).

(*) Average maintained horizontal illumination measured in Lux (Lx) (Footcandles (FC))
at 2’-6” above finished floor (AFF), unless otherwise noted.

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