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June 19, 2025

Fewer surprises on site for an acute-care hospital build

Acute-care hospital project with design coordination errors compounding across multiple blocks, levels, and dozens of specialty disciplines.

Industry
Healthcare construction
Project type
Acute-care hospital
Location
Oakville, ON
Oakville Trafalgar Memorial Hospital entrance

40x

return on investment

$495K

money saved

116

issues detected

355

drawing sheets reviewed

On this page

We found the results valuable, there were a number of RFIs that we generated from Buildcheck, some of which led to drawing updates from the consultants and have likely mitigated a future hold point scenario on site for lack of drawing detail/coordination, and subsequent change order request scenario from contractors.

EllisDon
Design Team
EllisDon

Overview

Buildcheck reviewed 355 drawing sheets for an acute-care hospital project at Oakville Trafalgar Memorial Hospital and detected 116 issues — from fire and smoke separation gaps to infection-control and medical gas coordination conflicts.

Challenge

Design coordination errors compound across multiple blocks, levels, and dozens of specialty disciplines. Unresolved coordination leading to rework in a phased, infection-controlled healthcare space is costly and disruptive — and element-by-element manual checking is tedious and difficult to staff consistently.

Examples of issues found:
  • Fire & smoke separation: Corridor doors scheduled non-rated where a fire rating is required
  • Infection control: Pressure differential specified for negative-pressure isolation rooms but not for positive-pressure rooms
  • MEP conflicts: Medical gas equipment branching from a single supply point with no zone valve isolation
  • Missing information: Door hardware schedule referenced on the security riser but absent from the project set

Solution

Buildcheck is an AI-powered platform that centralizes collaboration while automatically detecting errors, omissions, and inconsistencies within design documents. After a set of training sessions, EllisDon’s project team ran reviews on the platform on their own.

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Where the value materialized

We found the platform and interface very easy to navigate, it was easy to recall things we had learned in the training sessions once we got into using it on our own time, I think it speaks to the clean, practical and functional design of the program as whole.

EllisDon
Project Management Team
EllisDon

Change order reduction
57
%
Key metrics:

$281,250 in avoided change order costs

Schedule acceleration
28
%

Each prevented design error eliminates cascading delays from RFI cycles, municipal reviews, and designer revisions.

Key metrics:

~21 days saved · $137,885 in avoided delay costs

RFI prevention
10
%

Each detected issue eliminates documentation overhead and coordination delays.

Key metrics:

46 RFIs avoided · $49,312 saved

Coordination efficiency
5
%

Teams spend less time in meetings and issue resolution, redirecting skilled labor to value-generating activities.

Key metrics:

$26,000 in review, meeting and coordination time

Impact

Several of the RFIs generated from Buildcheck led to drawing updates from the consultants.

$495K

saved on a single hospital project

40x

return on investment

116 issues

detected across 355 drawing sheets

~$1,390

in value per sheet reviewed

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