It requires that proposed sites for hospitals shall be located away from detrimental nuisances, well drained and not subject to flooding. In order to verify this requirement a site survey and recommendations shall be obtained from the Plan review section, sanitary engineering prior to site development. The size of the drawing should be such that appropriate detail of objects can be identified and located with respect to the proposed hospital. On the site map and attendant documents identify:-

  1. Natural and manmade drainage structures.
  2. Power lines and transmission towers.
  3. Sink holes and springs
  4. Types of nearby industry such as Quarry’s (mining).
  5. Industry operations that generate excessive noise.
  6. Underground pipelines such as gas and other fuels.
  7. Area of the ground used in the past or present for some particular purpose such as building or farming (acreage site).
  8. Number of beds to be present in hospitals.
  9. Name of the owner of water, sewerage and electricity facilities.
  10. Address and/or location of the proposed site

If there are any of the above factors present and if potentially any other element is present that may affect the activity of the hospital, it must be addressed with proper solution. If any former rooms or building/ structure is present then can be used to provide acute care facility or included in proposed hospital building or not. The type of material used in building walls and tiles must be documented in the proposal. If lead paint is already there for prevention of radioactive rays to effect the people then it must be specified that it is in accordance with the latest norms and policies of the government. Proper permission must be taken from the local municipal authorities and state or Central Government.

Further factors to be considered for the section of site to build a hospital are:- 

  1. Accessibility to transportation and communication lines-The site must be close to good roads and public transportation. This is important for transporting patients, visitors and suppliers. Transportation costs are high and inaccessibility will add to the cost of operation. Besides, modern hospitals are designed to handle cute cases, casualties and emergencies that should reach the hospital speedily.
  2. Parking facilities– Parking is always a problem for hospitals even where public transportation is fairly good. Private cars are usually the major mode of transportation for those coming to the hospitals, including doctors and personnel. For every inpatient there may be one or more visitors per day, even more on weekends and holidays. For every inpatient admission one may expect 5-6 outpatients. Each outpatient is usually accompanied by one or more relatives. There should be adequate parking space available for all these people.
  3. Availability of public utilities– The hospital requires water, sewage, electricity, fuel, telephone lines. Promoters must make certain that these utilities are freely available.
  4. Proper elevation for good drainage and general sanitary measures.
  5. Future expansion– Every hospital faces expansion problems in 10-15 years. Some of them sooner while others later tend to expand. This should be kept in mind when a new building is planned.
  6. Total cost– The total cost incurred in making the site suitable for a hospital building must be considered and not merely the initial cost of the land. A site acquired cheaply or received as a gift in an unsuitable locality may ultimately turn out to be far more expensive than a high priced plot.
  7. A hospital facility requires three or four major entrances. Entrances are:-
    1. Main hospital entrance
    2. Outpatient entrance
    3. Emergency and ambulance entrance
    4. Service entrance