NON-RESIDENTIAL EXISTING BUILDING

(NREB): HOSPITAL

VERSION 1.0 | JULY 2015

www.greenbuildingindex.org | info@greenbuildingindex.org
GREENBUILDINGINDEX SDN BHD (845666-V)
A-12-13A Menara UOA Bangsar, 5 Jalan Bangsar Utama 1, 59000 Kuala Lumpur, Malaysia Tel 603 2283 2566 Fax 603 2284 2566
 GREEN BUILDING INDEX ASSESSMENT CRITERIA FOR NREB: HOSPITAL

CONTENTS

PAGE 2 COPYRIGHT AND ACKNOWLEDGEMENTS

INTRODUCTION
PAGE 3 What is the Green Building Index (GBI)?
PAGE 3 Who can use the Green Building Index (Non-Residential)?
PAGE 3 How to Use the Green Building Index?

PAGE 4 PROJECT INFORMATION

PAGE 5 CONSULTANTS INFORMATION

ASSESSMENT CRITERIA
PAGE 6 Summary of Final Score
PAGE 6 Green Building Index Classification
PAGE 7 Summary of Contents

INDIVIDUAL ITEM SCORE

PAGE 9 PART 1: Energy Efficiency (EE)
PAGE 11 PART 2: Indoor Environmental Quality (EQ)
PAGE 14 PART 3: Sustainable Site Planning & Management (SM)
PAGE 15 PART 4: Materials & Resources (MR)
PAGE 16 PART 5: Water Efficiency (WE)
PAGE 17 PART 6: Innovation (IN)

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COPYRIGHT AND ACKNOWLEDGEMENTS

The Green Building Index has been developed for the purposes as mentioned above and may be subject to
further updating and/or modification in future.

The Green Building Index (GBI) is based upon the existing rating tools such as the Singapore Green Mark and
the Australian Green Star system, amongst others which have been extensively modified for the Malaysian
application. Grateful acknowledgment is made to the owners of copyright for these systems for use of their
documents, information and materials in the development of the GBI.

While every care has been taken by Greenbuildingindex Sdn. Bhd. (GSB) in the development of the GBI, to
establish and acknowledge copyright of the information and materials used, and contact the copyright owners
known to GSB, GSB tender their apologies for any accidental copyright infringement.

The GBI is a copyright of GSB in which GSB reserve all rights. GSB is the custodian of all rights of PAM and ACEM
in the GBI. No part of the GBI may be used, modified, reproduced, stored in a retrieval system or transmitted in
any form, or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior
written permission of GSB.

DISCLAIMERS

GSB/PAM/ACEM shall not be held liable for any improper or incorrect use of the GBI (inclusive of the materials
and/or information contained therein) and assume no responsibility for any user’s use of it. In no event shall
GSB/PAM/ACEM be liable for any damages whatsoever, whether direct, indirect, incidental, special, exemplary
or consequential (including, but not limited to business interruption or loss of use, data or profits) regardless of
cause, and on any basis of liability, whether in contract, strict liability or tort (including negligence,
misrepresentation or otherwise) arising in any way out of the use of the GBI or the information and materials
contained therein.

The information and materials in the GBI are provided “as is” and without warranties of any kind expressed or
implied. GSB/PAM/ACEM do not warrant or make representations as to the accuracy and completeness of any
information and/or materials contained therein. While every effort has been made to check the accuracy and
completeness of the information and materials given, the users should always make their own relevant checks.
Accordingly, GSB/PAM/ACEM do not accept responsibility and liability for misstatements made in it or
misunderstanding from it.

The GBI is no substitute for professional advice. Users are advised to consult with appropriate and accredited
professional advisors for advice concerning specific matters pertaining to the GBI before adopting or using it.
GSB/PAM/ACEM disclaim any responsibility for positions taken by users in their individual cases or for any
misunderstandings and losses, direct or indirectly, on the part of the users.

GSB/PAM/ACEM do not endorse or otherwise acknowledge the GBI rating achieved by the use of the GBI.
GSB/PAM/ACEM offer a formal certification process for ratings; which service provides for independent third
party review of points claimed to ensure that all credits can be demonstrated to be achieved by the provision of
the necessary documentary evidence. Use of the GBI without formal certification by GSB does not entitle the user
or any other party to promote the achieved GBI rating. Notwithstanding the above, neither the GBI formalization
nor any certification issued by GSB shall be used for advertising or product/services endorsement purposes.

INDEMNIFICATION

To the extent permitted by applicable law, by using GBI, user agrees to defend, indemnify, and hold harmless,
GSB/PAM/ACEM, their officers, employees, members, representatives and agents from and against all claims
and expenses of whatsoever kind and amount, arising out of the user’s use of the GBI or materials and
information contained therein and not to pursue any cause of action whatsoever against GSB/PAM and/or ACEM
under any conceivable circumstances.

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INTRODUCTION

WHAT IS THE GREEN BUILDING INDEX?

The Green Building Index (GBI) is an environmental rating system for buildings developed by PAM (Pertubuhan Akitek
Malaysia / Malaysian Institute of Architects) and ACEM (the Association of Consulting Engineers Malaysia). The Green
Building Index is Malaysia’s first comprehensive rating system for evaluating the environmental design and
performance of Malaysian buildings based on the six (6) main criterias of Energy Efficiency, Indoor Environment
Quality, Sustainable Site Planning & Management, Materials & Resources, Water Efficiency, and Innovation.

The Green Building Index is fundamentally derived from existing rating tools, including the Singapore Green
Mark and the Australian Green Star system, but extensively modified for relevance to the Malaysian tropical
weather, environmental context, cultural and social needs.

This GBI initiative aims to assist the building industry in its march towards sustainable development. The GBI
environmental rating system is created to:

• Define green building by establishing a common language and standard of measurement;

• Promote integrated, whole-building design;
• Recognise and reward environmental leadership;
• Transform the built environment to reduce the environmental impact of development; and
• Ensure new buildings remain relevant in the future and existing buildings are refurbished and
thereafter sustained properly to remain relevant.

WHO CAN USE THE GREEN BUILDING INDEX (NON-RESIDENTIAL)?

GBI encourage all members of Project Teams, Building owners, Developers and other interested parties
(including Contractors, Government and Design and Build Contractors) to use the Green Building Index to
validate environmental initiatives of the design phase of new non-residential construction or base non-residential
building refurbishment; or construction and procurement phase of non-residential buildings. Use of the Green
Building Index is encouraged on all such projects to assess and improve their environmental attributes.

Use of the Green Building Index tool without formal certification by an independent accredited GBI Certifier
does not entitle the user or any other party to promote the Green Building Index rating achieved. No fee is
payable for such use, however formal recognition of the Green Building Index rating - and the right to promote
same - requires undertaking the formal certification process offered by Greenbuildingindex Sdn. Bhd. (GSB).

Whilst GBI NREB is a generic rating tool for Office Buildings, GBI NREB: HOSPITAL (developed in collaboration
with the Ministry of Health and Healthcare Technical Services Sdn Bhd) is a bespoke rating tool developed for
Hospitals.

All Green Building Index rating tools are reviewed annually; please forward any feedback to info@greenbuildingindex.org.

HOW TO USE THE GREEN BUILDING INDEX?

• Complete the Building Input worksheet as the building's type and location may affect the predicted rating.
• Complete the remaining worksheets by reviewing each credit in each category and entering the number of
points you predict the building will achieve in the 'No. of Points Achieved' column. Calculators are provided
for a number of the tool's credits.
• Enter any points that may be achieved but need to be confirmed in the 'Points to be Confirmed' column.
• Enter any comments required in the 'Comments' column.
• The predicted rating is shown in the Summary worksheet. More detail on point scores (both achieved and
those to be confirmed) are shown in the Credit Summary and Graphical Summary worksheets at the end of
the tool.

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PROJECT INFORMATION

PROJECT NAME

PROJECT
REGISTRATION NO.

PROJECT ADDRESS

POSTCODE STATE

CONSTRUCTION TYPE

TOTAL GROSS FLOOR

AREA (GFA)

LAND AREA
(FOR LANDED
PROPERTY)

REGISTRATION FEE
(EXCLUDING GST)

TARGETTED RATING

TOTAL POINTS CLAIM

COMMENCED COMPLETION
EXPECTED
CONSTRUCTION DATE

DATE BUILDING
COMPLETED
(NREB/IEB ONLY)

PROJECT DESCRIPTION
& MAJOR DESIGN
FEATURES

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CONSULTANTS INFORMATION

OWNER’S NAME

COMPANY

OWNER’S NAME DESIGNATION

REPRESENTATIVE

NAME PROFESSIONAL REG. NO. COMPANY

ARCHITECT

NAME PROFESSIONAL REG. NO. COMPANY

CIVIL ENGINEER

STRUCTURAL NAME PROFESSIONAL REG. NO. COMPANY

ENGINEER
NAME PROFESSIONAL REG. NO. COMPANY
MECHANICAL
ENGINEER
NAME PROFESSIONAL REG. NO. COMPANY
ELECTRICAL
ENGINEER
NAME PROFESSIONAL REG. NO. COMPANY
QUANTITY
SURVEYOR
NAME PROFESSIONAL REG. NO. COMPANY
LAND SURVEYOR

NAME PROFESSIONAL REG. NO. COMPANY

LANDSCAPE
ARCHITECT

COMMISSIONING NAME PROFESSIONAL REG. NO. COMPANY

SPECIALIST (CxS)
NAME PROFESSIONAL REG. NO. COMPANY
GBI FACILITATOR

OTHER SPECIALIST
CONSULTANT(S)

MAIN CONTRACTOR

LOCAL AUTHORITY

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DETAIL ASSESSMENT CRITERIA

SUMMARY OF FINAL SCORE

PART ITEM MAXIMUM POINTS SCORE

1 Energy Efficiency (EE) 38

2 Indoor Environmental Quality (EQ) 21

3 Sustainable Site Planning & Management (SM) 10

4 Material & Resources (MR) 9

5 Water Efficiency (WE) 12

6 Innovation (IN) 10

TOTAL SCORE 100

GREEN BUILDING INDEX CLASSIFICATION

POINTS GBI RATING

86 to 100 points Platinum

76 to 85 points Gold

66 to 75 points Silver

50 to 65 points Certified

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DETAIL ASSESSMENT CRITERIA

SUMMARY OF CONTENTS

PART CRITERIA ITEM POINTS TOTAL

EE ENERGY EFFICIENCY
Design & Performance
EE1 Minimum EE Performance 2
EE2 Lighting Zoning 3
EE3 Electrical Sub-metering 2
EE4 Renewable Energy 5
EE5 Advanced or Improved EE Performance - BEI 15
1 38
Commissioning
EE6 Enhanced or Re-commissioning 4
EE7 On-going Post Occupancy Commissioning 2
Monitoring, Improvement & Maintenance
EE8 EE Monitoring & Improvement 2
EE9 Sustainable Maintenance 3
EQ INDOOR ENVIRONMENTAL QUALITY
Air Quality
EQ1 Minimum IAQ Performance 1
EQ2 IAQ Treatment of Recirculating Conditioned Air 1
EQ3 Carbon Dioxide Monitoring and Control 1
EQ4 Indoor Air Pollutants 2
EQ5 Mould Prevention 1
Thermal Comfort
EQ6 Thermal Comfort: Design & Controllability of Systems 2
EQ7 Air Change Effectiveness 1
2 21
Lighting, Visual & Acoustic Comfort
EQ8 Daylighting 2
EQ9 Daylight Glare Control 1
EQ10 Electric Lighting Levels 1
EQ11 High Frequency Ballasts 1
EQ12 External Views 2
EQ13 Internal Noise Levels 1
Verification
EQ14 IAQ Before/During Occupancy 2
EQ15 Occupancy Comfort Survey: Verification 2
SM SUSTAINABLE SITE PLANNING & MANAGEMENT
Facility Management
SM1 GBI Rated Design & Construction 1
SM2 Building Exterior Management 1
Integrated Pest Management, Erosion Control & Landscape
SM3 1
Management
3 10
Transportation
SM4 Green Vehicle Priority - Low Emitting & Fuel Efficient Vehicles 1
SM5 Parking Capacity 1
Reduce Heat Island Effect
SM6 Greenery & Roof 4
SM7 Building User Manual 1

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DETAIL ASSESSMENT CRITERIA

SUMMARY OF CONTENTS (CONTINUED)

PART CRITERIA ITEM POINTS TOTAL

MR MATERIALS & RESOURCES

Reused & Recycled Materials
MR1 Material Reuse and Selection 1
MR2 Recycle Content Materials 1
Sustainable Materials & Resources and Policy
4 MR3 Sustainable Timber 1 9
MR4 Sustainable Purchasing Policy 1
Waste Management
MR5 Storage, Collection & Disposal of Recyclables 3
Green Products
MR6 Refrigerants & Clean Agents 2
WE WATER EFFICIENCY
Water Harvesting & Recycling
WE1 Rainwater Harvesting 3
WE2 Water Recycling 2
5 12
Increased Efficiency
WE3 Water Efficient - Irrigation/Landscaping 2
WE4 Water Efficient Fittings 3
WE5 Metering & Leak Detection System 2
IN INNOVATION
6 IN1 Innovation & Environmental Initiatives 9
10
IN2 Green Building Index Facilitator 1
TOTAL POINTS 100

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ENERGY EFFICIENCY (EE)

1 DESIGN & PERFORMANCE | COMMISSIONING | MONITORING, IMPROVEMENT & MAINTENANCE

38 POINTS

DETAIL
MAX
POINTS SCORE
ITEM AREA OF ASSESSMENT POINTS
ALLOCATED

DESIGN & PERFORMANCE

EE1 MINIMUM EE PERFORMANCE (MANDATORY COMPLIANCE)

Establish minimum energy efficiency (EE) performance to reduce energy consumption in buildings, thus
reducing CO2 emission to the atmosphere. Meet the following minimum EE requirements as stipulated in
MS 1525:
2
a) OTTV ≤ 50, RTTV ≤ 25, Roof U-Value ≤ 0.4 (Light weight) or ≤ 0.6 (Heavy weight). Submit calculations (use 1
of the BEIT software or other GBI approved software is acceptable), AND

b) Provision of Energy Management Control system where Air-conditioned space ≥ 4000 m2. 1

EE2 LIGHTING ZONING

Provide flexible lighting controls to optimise energy savings:-

All individual or enclosed spaces to be individually switched; and the size of individually switched lighting
zones shall not exceed 100m² for 90% of the NLA; with switching clearly labelled and easily accessible by 1
building occupants/management.
3
Provide auto-sensor controlled lighting in conjunction with daylighting strategy for all perimeter zones and
1
daylit areas, if any.

Provide motion sensors or similar to complement lighting zoning for floor area equivalent to at least 25%
1
of NLA.

EE3 ELECTRICAL SUB-METERING & TENANT SUB-METERING

Monitor energy consumption of key building services as well as all tenancy areas:-

Provide sub-metering for all energy use ≥ 100kVa 1 2

Provide separate sub-metering for lighting and/or power at each floor or tenancy. 1

EE4 RENEWABLE ENERGY

Encourage use of renewable energy:-

Where 0.25 % of the Maximum electricity Demand (M.D.) or total electricity consumption, or 2 kWp (PV or
1
equiv) whichever is the greater is generated by renewable energy, OR

Where 0.5 % of the M.D. or total electricity consumption, or 5 kWp (PV or equiv) whichever is the greater is
2
generated by renewable energy, OR
5
Where 1.0 % of the M.D. or total electricity consumption, or 10 kWp (PV or equiv) whichever is the greater
3
is generated by renewable energy, OR

Where 1.5 % of the M.D. or total electricity consumption, or 20 kWp (PV or equiv) whichever is the greater
4
is generated by renewable energy, OR

Where 2.0 % of the M.D. or total electricity consumption, or 40 kWp (PV or equiv) whichever is the greater
5
is generated by renewable energy.

EE5 ADVANCED OR IMPROVED EE PERFORMANCE

I) Exceed Energy Efficiency (EE) performance better than the baseline minimum to reduce energy
consumption in the building. Achieve Building Energy Intensity (BEI) as defined by GBI for the following
corresponding credit points. The default operating hours for this Hospital rating tool is 24/7.
Non-electricity fuel energy is excluded in the BEI calculation.
BEI1 values listed below apply to Hospital providing limited clinical services such as day surgery, etc.
BEI2 values apply to Hospital that provides major clinical services (requiring high energy intensity) which
must include the following:-
a) Surgery under general anaesthetic
b) Intensive Care Unit
c) Radiology
15
BEI1 ≤ 200, BEI2 ≤ 290, OR 2
BEI1 ≤ 190, BEI2 ≤ 270, OR 3
BEI1 ≤ 175, BEI2 ≤ 250, OR 5
BEI1 ≤ 160, BEI2 ≤ 233, OR 8
BEI1 ≤ 150, BEI2 ≤ 212, OR 10
BEI1 ≤ 135, BEI2 ≤ 195, OR 12
BEI1 ≤ 120, BEI2 ≤ 175. 15
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MAX
POINTS SCORE
ITEM AREA OF ASSESSMENT POINTS
ALLOCATED

DESIGN & PERFORMANCE

EE5 ADVANCED OR IMPROVED EE PERFORMANCE
OR
II) Demonstrate Energy savings over the last 3 years from Existing Building historical BEI baseline, to
improve by:

≥ 20% AND with resultant BEI1 ≤ 267 or BEI2 ≤ 387 2

≥ 25% AND with resultant BEI1 ≤ 228 or BEI2 ≤ 324 3
≥ 30% AND with resultant BEI1 ≤ 200 or BEI2 ≤ 290 5 15
≥ 40% AND with resultant BEI1 ≤ 190 or BEI2 ≤ 270 8
≥ 50% AND with resultant BEI1 ≤ 175 or BEI2 ≤ 250 10
≥ 60% AND with resultant BEI1 ≤ 160 or BEI2 ≤ 233 12
≥ 70% AND with resultant BEI1 ≤ 150 or BEI2 ≤ 212 15

COMMISSIONING
EE6 ENHANCED COMMISSIONING/RE-COMMISSIONING/RETRO COMMISSIONING OF BUILDING ENERGY SYSTEMS

Ensure building’s energy related systems are properly commissioned so as to realise their full potential.
Appoint a GBI recognised Commissioning Specialist (CxS) to perform the commissioning for all the
building's energy related systems in accordance with ASHRAE Commissioning Guideline or other GBI
approved equivalent standard by:
a) Implementing improvements to ensure building’s major energy using systems are repaired, operated
and maintained effectively to optimize energy performance.
b) Developing a commissioning or ongoing commissioning plan for the building’s major energy-using 4 4
systems.
c) Providing training for management staff to build awareness and skills in a broad range of sustainable
building operation topics, including energy efficiency and building, equipment and systems operations
and maintenance.
d) Updating the building operating plan as necessary to reflect any changes in the occupancy schedule,
equipment runtime schedule, design set points and lighting levels.

EE7 ON-GOING POST OCCUPANCY COMMISSIONING

Carry out up-to-date on-going post occupancy commissioning for all occupied areas after fit-out changes
are completed, if any:-

a) Professional Engineer shall review all fit-out plans to ensure original design intent is not compromised
and sign off the completed works.
1 2

b) CxS shall carry out re-commissioning of the building's energy related systems for the affected areas.
1

MONITORING, IMPROVEMENT & MAINTENANCE

EE8 EE MONITORING & IMPROVEMENT

a) Use Energy Management System (or have a dedicated Energy Management Team) to monitor and
analyse energy consumption including reading of sub-meters.
1

b) Fully commission and activate Maximum Demand Limiting programme (where EMS is not provided and
air-conditioned area is < 4,000m2, the dedicated Energy Management Team to demonstrate EE 2
operational strategy), AND
1
Compile, summarise and submit BEI, Fuel and Water Consumption of the building to GBI on an annual
basis during the 3-year validity period or earlier whenever requested by GBI. Submissions shall include
monthly energy and water bills.

EE9 SUSTAINABLE MAINTENANCE

Ensure the building’s energy related systems will continue to perform as intended with proper and
sustainable maintenance:-

a) At least 75% of permanent building maintenance team to participate in the commissioning of all
1
building energy services.
3
b) Provide for a designated building maintenance office that is fully equipped with facilities (including tools
1
and instrumentation) and inventory storage.

c) Provide evidence of documented plan for at least 3-year facility maintenance and preventive
1
maintenance budget (inclusive of staffing and outsourced contracts).

EE SUB-TOTAL 38 38

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INDOOR ENVIRONMENTAL QUALITY (EQ)

2 AIR QUALITY | THERMAL COMFORT | LIGHTING, VISUAL & ACOUSTIC COMFORT | VERIFICATION

21 POINTS

DETAIL
MAX
POINTS SCORE
ITEM AREA OF ASSESSMENT POINTS
ALLOCATED

AIR QUALITY
EQ1 MINIMUM IAQ PERFORMANCE
Establish minimum indoor air quality (IAQ) performance on ventilation rate to enhance indoor air quality in
building, thus contributing to the comfort and well-being of the occupants:-
1
Meet the minimum requirements of ventilation rate in ASHRAE Std 62.1 or the local building code,
whichever is the more stringent.
1

EQ2 IAQ TREATMENT OF RECIRCULATING CONDITIONED AIR

Provide Ultraviolet Germicidal Irradiation (UVGI) or equivalent enhanced treatment of recirculating
conditioned air for healthcare environment to reduce concentration of microorganisms, thus contributing
to the well-being of the occupants, patients and visitors:-
1
UVGI treatment to be installed for all AHUs serving clinical areas and public areas.
Where FCUs are used, equivalent system as approved by GBI, is to be provided. 1
Equivalent system includes proven technology that can reduce concentration of microbial counts in the air
or on surfaces.

EQ3 CARBON DIOXIDE MONITORING AND CONTROL

Provide response monitoring of carbon dioxide levels to ensure delivery of minimum outside air
requirements:-

Install carbon dioxide (CO2) monitoring and control system with at least one (1) CO2 sensor at all main return 1
points of each common AHU to facilitate continuous monitoring and adjustment of outside air ventilation
rates to each zone, and ensure independent control of ventilation rates to maintain CO2 level ≤ 1,000 ppm. 1
Note that requirements of ASHRAE Std 170 shall take precedence for minimum OA settings to maintain
required pressure differential for specific rooms.

EQ4 INDOOR AIR POLLUTANTS

Reduce detrimental impact on occupant health from finishes that emit internal air pollutants:-

Use low VOC paint and coating throughout the building. Paints and Coatings to comply with requirements
specified in international labelling schemes recognized by GBI, AND

Use low VOC carpet or flooring throughout the building. Carpets to comply with requirements specified in
international labelling schemes recognized by GBI. Other types of flooring to comply with requirements
1
under FloorScore developed by Science Certification System or equivalent, AND

Use low VOC adhesive and sealant or no adhesive or sealant used.

2
Use products with no added urea formaldehyde. These include:
a) Composite wood and agrifiber products defined as: particleboard, medium density fiberboard (MDF),
plywood, wheatboard, strawboard, panel substrates and door cores, AND

b) Laminating adhesives used to fabricate on-site and shop-applied composite wood and agrifiber 1
assemblies, AND

c) Insulation foam, AND

d) Draperies

EQ5 MOULD PREVENTION

Design system(s) which reduce the risk of mould growth and its associated detrimental impact on occupant
health:-

a) For 24/7 airconditioned rooms: Where it is demonstrated that the mechanical air-conditioning ventilation
system will maintain a positive indoor air pressure relative to the exterior and can actively control indoor
air humidity to be no more than 60% RH, AND

b) For non 24/7 airconditioned rooms: Where it is demonstrated that the mechanical air-conditioning
ventilation system will maintain a positive indoor air pressure relative to the exterior and can actively
control indoor air humidity to be no more than 70% RH without the use of active control that will
consume additional energy.
1 1
For both a) and b), ensure that excessive moisture in building is controlled during the Design, Construction
and Operation stages by the consideration and the control of the following:

i) Rainwater leakage through roof and walls

ii) Infiltration of moist air
iii) Diffusion of moisture through walls, roof and floors
iv) Groundwater intrusion into basements and crawl spaces through walls and floors
v) Leaking or burst pipes
vi) Indoor moisture sources
vii) Construction moisture
viii) Wall/floor separating 24/7 airconditioned room and unconditioned space on the other side to be of
appropriate insulating properties

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THERMAL COMFORT
EQ6 THERMAL COMFORT: CONTROLLABILITY OF SYSTEMS
Provide a high level of thermal comfort system control by individual occupants or by specific groups in
multi-occupant spaces to promote the productivity, comfort and well-being of building occupants:-

Provide individual comfort controls for ≥ 50% of the building occupants to enable adjustments to suit
individual task needs and preferences; and where each enclosed room shall be provided with its own
control.
AND 2
Provide comfort system controls for all shared multi-occupant spaces to enable adjustments to suit group 2
needs and preferences.

Conditions for thermal comfort include the primary factors of air temperature, radiant temperature, air
speed and humidity. Comfort system control for this purpose is defined as the provision of control over at
least one of these primary factors in the occupants’ local environment.

EQ7 AIR CHANGE EFFECTIVENESS

Provide effective delivery of clean air through reduced mixing with indoor pollutants in order to promote a
healthy indoor environment. Demonstrate that the Air Change Effectiveness (ACE) meets the following
criteria for at least 50% of the NLA (excluding patient bedrooms and Back-of-the-House Areas):
The ventilation systems are designed to achieve an ACE of ≥0.95 when measured in accordance with
ASHRAE 129: Measuring air change effectiveness where ACE is to be measured in the breathing zone
1 1
(nominally 1.0 m from finished floor level).
Note: Displacement ventilation or task-air ventilation are deemed to meet ACE requirement without need
for design simulation and measurement upon completion.

LIGHTING, VISUAL & ACOUSTIC COMFORT

EQ8 DAYLIGHTING

Provide good levels of daylighting for building occupants:-

Demonstrate that ≥ 30% of the NLA has a daylight factor in the range of 1.0 – 3.5% as measured at the
working plane, 800mm from floor level, OR
1

Demonstrate that ≥ 50% of the NLA has a daylight factor in the range of 1.0 – 3.5% as measured at the 2
working plane, 800mm from floor level.
2

Note that rooms that require ‘blackout’ condition such as medical rooms and function rooms are exempted
from Daylighting NLA computation.

EQ9 DAYLIGHT GLARE CONTROL

Reduce discomfort of glare from natural light. Where blinds or screens are fitted on all glazing and atrium
as a base building, incorporate provisions to meet the following criteria;

a) Eliminate glare from all direct sun penetration and keep horizontal workspace lux level below 2000; AND

b) Eliminate glare from diffuse sky radiation for occupant workspace at viewing angles of 15° to 60° from
1 1
the horizontal at eye level (typically 1.2m from floor level);

Note: Adjustable blinds or screens should be of the horizontal (not vertical) type especially at the E-W
facades.

EQ10 ELECTRIC LIGHTING LEVELS

Baseline building lighting not to be over designed:-

Demonstrate that lighting design maintains a luminance level of no more than specified in MS1525 for 90%
1
of NLA as measured at the working plane (800 mm above the floor level).
1

EQ11 HIGH FREQUENCY BALLASTS

Increase workplace amenity by avoiding low frequency flicker that may be associated with fluorescent
lighting:-
1
Install high frequency ballasts in fluorescent luminaires over a minimum of 90% of NLA. 1
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ALLOCATED

LIGHTING, VISUAL & ACOUSTIC COMFORT

EQ12 EXTERNAL VIEWS

Reduce eyestrain for building occupants by allowing long distance views and provision of visual connection
to the outdoor:-

Demonstrate that ≥ 60% of the NLA has a direct line of sight through vision glazing at a height of 1.2m from
1
floor level. 2
Demonstrate that ≥ 75% of the NLA has a direct line of sight through vision glazing at a height of 1.2m from
2
floor level.

Note that rooms that require ‘black out’ conditions such as medical rooms and function rooms are
exempted from this NLA computation.

EQ13 INTERNAL NOISE LEVELS

Maintain internal noise levels at an appropriate level. Demonstrate that 90% of the NLA do not exceed the
following ambient internal noise levels:-

Within the entire baseline building general office, space noise from the building services does not exceed
40dBAeq.
OR 1 1
Within the baseline building office space, the sound level does not exceed 45dBAeq for open plan and not
exceed 40dBAeq for closed offices.

Note that internal noise level thresholds for areas other than office space shall not exceed values stipulated
in ASHRAE Standard or other GBI approved Standards, Code of Practice or Design Guides; e.g. CIBSE
Guide.

VERIFICATION
EQ14 IAQ BEFORE/DURING OCCUPANCY

Reduce indoor air quality problems resulting from the construction process (or inherent conditions) in order
to improve and sustain the comfort and well-being of building occupants. Develop and implement an
Indoor Air Quality (IAQ) Management Plan to effect this requirement as follows:-

a) Perform a building flush out by supplying outdoor air to provide not less than 10 airchanges/hour for at
least 30 minutes operation and continuous minimum 1 ACH for the next 14 days
OR
b) If low VOC materials and low formaldehyde composite wood are used, then building flush out can be 1
performed by supplying outdoor air to provide not less than 10 airchanges/hour for at least 15 minutes
operation or not less than 6 airchanges/hour for at least 30 minutes operation and continuous 1ACH for 2
the next 7 days
OR
c) Conduct IAQ testing to demonstrate maximum concentrations for pollutants are not exceeded
according to the Indoor Air Quality Code of Malaysia or relevant authority which ever is more stringent.

Permanent Air Purging System:

Where a permanent air flushing system of at least 10 airchanges/hour operation is installed and operated
at least once a year during occupancy stage AND to conduct IAQ testing to demonstrate maximum 1
concentrations for pollutants are not exceeded according to the Indoor Air Quality Code of Malaysia or
relevant Authority whichever is more stringent.

EQ15 OCCUPANCY COMFORT SURVEY: VERIFICATION

Provide for the assessment of comfort of the building occupants:-

Conduct an occupancy comfort survey of building occupants. This survey should collect anonymous
responses about thermal comfort, visual comfort and acoustic comfort in a building. It should include an
assessment of overall satisfaction with thermal, visual and acoustic performance and identification of
thermal-related, visual-related and acoustic-related problems.
AND
2
2
Develop a plan for corrective action if the survey results indicate that more than 20% of occupants are
dissatisfied with the overall comfort in the building. This plan should include measurement of relevant
environmental variables in problem areas.
The relevant environmental variables include 1) Temperature, relative humidity, air speed and mean radiant
temperature, 2) Lighting level and glare problem, 3) Background noise level, 4) Odour problem, CO2 level,
VOCs, and particulate concentration.

EQ SUB-TOTAL 21 21

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 GREEN BUILDING INDEX ASSESSMENT CRITERIA FOR NREB: HOSPITAL

SUSTAINABLE SITE PLANNING & MANAGEMENT (SM)

3 FACILITY MANAGEMENT | TRANSPORTATION | REDUCE HEAT ISLAND EFFECT

10 POINTS

DETAIL
MAX
POINTS SCORE
ITEM AREA OF ASSESSMENT POINTS
ALLOCATED

FACILITY MANAGEMENT
SM1 GBI RATED DESIGN & CONSTRUCTION
If the building has been previously GBI (or other GBI approved Green Rating system) rated under any
category, OR 1
1
within the last 12 months a comprehensive Energy Efficiency Audit has been conducted.

SM2 BUILDING EXTERIOR MANAGEMENT

Employ environmentally sensitive building exterior management plan to reduce pollution.

Use environmentally non-polluting methods and chemicals for cleaning of building exterior including
1
1
maintenance equipment, chemicals, paint and sealants.

SM3 INTEGRATED PEST MANAGEMENT, EROSION CONTROL & LANDSCAPE MGT

Employ environmentally sensitive management to preserve the site’s natural components. Minimise
harmful chemical use, energy waste, water waste, air pollution, solid waste and/or chemical runoff such as
gasoline and oil. The following operational elements must be addressed:

a) Use of least toxic chemical pesticides, minimum use of chemicals and use only in targeted locations and 1
only for targeted species. Conduct routine inspection and monitoring AND
b) Erosion and sedimentation control for ongoing landscape operations including measures that prevent 1
erosion and sedimentation, prevent air pollution from dust or particulate matter and restore eroded
areas.

TRANSPORTATION
SM4 GREEN VEHICLE PRIORITY - LOW EMITTING & FUEL EFFICIENT VEHICLES
Encourage use of green vehicles:-

Provide preferred parking for low-emitting and fuel-efficient vehicles for 5% of the total car parking lots. 1
“Preferred parking” refers to the parking spots that are closest to the main entrance of the project 1
(exclusive of spaces designated for handicapped).

SM5 PARKING CAPACITY

Discourage over-provision of car parking capacity:-

Size parking capacity to meet, but not to exceed the minimum local zoning requirements, AND provide
1
preferred staff parking bays for carpools or vanpools for 5% of the total provided parking bays.
1

REDUCE HEAT ISLAND EFFECT

SM6 GREENERY & ROOF
Reduce heat island (thermal gradient difference between developed and undeveloped areas) to minimize
impact on microclimate and human and wildlife habitat:-

A) HARDSCAPE & GREENERY APPLICATION:

1) Provide any combination of the following strategies for 50% of the site hardscape (including sidewalks,
courtyards, plazas and parking lots);
2
a) Shade (within 5 years of occupancy);
b) Paving materials with a Solar Reflectance Index (SRI) of at least 29;
c) Open grid pavement system.
4
B) ROOF APPLICATION:
1) Use roofing material with a Solar Reflectance Index (SRI) equal to or greater than the value in the table
below for a minimum of 75% of the roof surface; OR
2) Install a vegetated roof for at least 50% of the roof area; OR
3) Install high albedo and vegetated roof surfaces that, in combination, meet the following criteria: 2
(Area of SRI Roof / 0.75) + (Area of vegetated roof / 0.5) ≥ Total Roof Area
Roof Type Slope SRI
Low-Sloped Roof < 2:12 78
Steep-Sloped Roof > 2:12 29

SM7 BUILDING USER MANUAL

Document Green building design features and strategies for user information and guide to sustain
performance during occupancy:-
1
Provide (include updating) a Building User Manual which documents passive and active green features that
should not be downgraded.
1

SM SUB-TOTAL 10 10

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MATERIALS & RESOURCES (MR)

4 REUSED & RECYCLED MATERIALS | SUSTAINABLE MATERIALS & RESOURCES AND POLICY | WASTE MANAGEMENT | GREEN PRODUCTS

9 POINTS

DETAIL
MAX
POINTS SCORE
ITEM AREA OF ASSESSMENT POINTS
ALLOCATED

REUSED AND RECYCLED MATERIALS

MR1 MATERIALS REUSE AND SELECTION
Reuse building materials and products to reduce demand for virgin materials and reduce creation of waste.
This serves to reduce environmental impact associated with extraction and processing of virgin resources.
Integrate building design and its buildability with selection of reused building materials, taking into account
their embodied energy, durability, carbon content and life cycle costs:- 1

Where reused products/materials constitutes ≥ 20% of the project’s total retrofit material cost value. 1

MR2 RECYCLED CONTENT MATERIALS

Increase demand for building products that incorporate recycled content materials in their production:-
(Recycled content shall be defined in accordance with the International Organization of Standards
Document)
1
Where use of materials with recycled content is such that the sum of post-consumer recycled plus one-half
1
of the pre-consumer content constitutes ≥ 20% (based on cost) of project's total retrofit material cost value.

SUSTAINABLE MATERIALS & RESOURCES AND POLICY

MR3 SUSTAINABLE TIMBER
Encourage environmentally responsible forest management:-

Where ≥ 75% of wood-based materials and products used in the retrofit works are certified.
These components include, but are not limited to, structural framing and general dimensional framing, 1
flooring, sub-flooring, wood doors and finishes. To include wood materials permanently installed and also 1
temporarily purchased for the project. Compliance with Forest Stewardship Council OR Malaysian Timber
Certification Council requirements.

MR4 SUSTAINABLE PURCHASING POLICY

Develop a Sustainable Purchasing policy that must cover product purchases within the building and
management’s control.
1 1

WASTE MANAGEMENT
MR5 STORAGE, COLLECTION & DISPOSAL OF RECYCLABLES
Facilitate reduction of waste generated during retrofit construction and during building occupancy that is
hauled and disposed off in landfills:-

Provide recycling facilities/infrastructure for sorting and separate collection of recyclable waste for recycling
1
(consumables - glass, paper, metal, equipment, addition & alteration construction wastes).
3
Promote and encourage waste minimization and recycling among occupants, tenants and visitors through
1
various avenues.

Promote waste sorting, collecting, quantifying, monitoring and recycling of a large range of waste
1
generated in-house.

GREEN PRODUCTS
MR6 REFRIGERANTS & CLEAN AGENTS
Use environmentally-friendly Refrigerants and Clean Agents exceeding Malaysia’s commitment to the
Montreal & Kyoto protocols:-

Use zero Ozone Depleting Potential (ODP) products: non-CFC and non-HCFC refrigerants AND fire
suppression clean agents;
1 2

Use non-synthetic (natural) refrigerants AND fire suppression clean agents with zero ODP and negligible
1
Global Warming Potential of ≤10.

MR SUB-TOTAL 9 9

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WATER EFFICIENCY (WE)

5 WATER HARVESTING & RECYCLING | INCREASED EFFICIENCY

12 POINTS

DETAIL
MAX
POINTS SCORE
ITEM AREA OF ASSESSMENT POINTS
ALLOCATED

WATER HARVESTING & RECYCLING

WE1 RAINWATER HARVESTING
Encourage rainwater harvesting that will lead to reduction in potable water consumption:-

Rainwater harvesting that leads to ≥5% reduction in potable water consumption, OR 1

3
Rainwater harvesting that leads to ≥15% reduction in potable water consumption, OR 2
Rainwater harvesting that leads to ≥30% reduction in potable water consumption. 3

WE2 WATER RECYCLING

Encourage water recycling that will lead to reduction in potable water consumption:-

Treat and recycle ≥10% wastewater leading to reduction in potable water consumption, OR 1 2
Treat and recycle ≥30% wastewater leading to reduction in potable water consumption. 2
Note: Treatment of infected wastewater shall meet Authority's requirements.

INCREASED EFFICIENCY
WE3 WATER EFFICIENT - IRRIGATION/LANDSCAPING
Reduce potable water consumption for landscape irrigation by:

a) 50% 1 2
b) 100% 2

WE4 WATER EFFICIENT FITTINGS

Encourage reduction in potable water consumption through use of efficient devices:-

I) With reference to Utility calculations;

a) Reduce annual potable water consumption by ≥20%, OR 1

b) Reduce annual potable water consumption by ≥30%, OR 2
c) Reduce annual potable water consumption by ≥50%. 3
3
OR
II) From existing 3-year average water consumption record, reduce annual potable water use by:

a) ≥ 20% 1
b) ≥ 30% 2
c) ≥ 50% 3

WE5 METERING & LEAK DETECTION SYSTEM

Encourage the design of systems that monitors and manages water consumption:-

Use of sub-meters to monitor and manage major water usage for clinical, cooling towers, irrigation,
kitchens and tenancy use.
1 2

Link all water sub-meters to EMS to facilitate early detection of water leakage. 1

WE SUB-TOTAL 12 12

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 INNOVATION (IN)
6 INNOVATION & ENVIRONMENTAL INITIATIVES | GREEN BUILDING INDEX FACILITATOR

10 POINTS

DETAIL
MAX
POINTS SCORE
ITEM AREA OF ASSESSMENT POINTS
ALLOCATED

IN1 INNOVATION & ENVIRONMENTAL INITIATIVES

Provide Existing Buildings the opportunity to be awarded points for exceptional performance above the
requirements set by GBI rating system:-

1 point for each approved innovation and environmental initiative (refer to GBI website for updates and
details) up to a maximum of 9 points, such as;
• Anti-Bacterial low VOC paint/coating;
• Green healing garden;
• Refrigerant leak detection and recovery facility;
9 9
• Solar thermal technology/Solar Airconditioners (generating at least 10% of total required capacity);
• Use of IBS - Industrialized Building System for the retrofit component (must achieve a minimum CIDB IBS
score of 30).

IN2 GREEN BUILDING INDEX FACILITATOR

To support and encourage the integration required for Green Building Index rated buildings and to
streamline the application and certification process:-
1
Engage the services of a Green Building Index Facilitator to assist in obtaining Green Building Index
certification.
1

IN SUB-TOTAL 10 10

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