Project Management forms

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Form preview Idph project submission form h... Project Submission Form for Hospitals Project identifying information All sections of this form must be completed. Altered forms will not be accepted IDPH Number Facility name Street address City IL ZIP code Project name IF THIS PROJECT CHANGES THE FACILITY S LICENSED BED COUNT BY ADDING OR REDUCING BEDS IT WILL BE NECESSARY TO CONTACT THE HEALTH FACILITIES SERVICES AND REVIEW BOARD. Is this a phased occupancy project Yes No If yes attach an occupancy schedule describing the rooms to be occupied in each phase with a small scale graphic plan Type of project new/replace facility addition to existing facility PPS rehab unit Type of submission renovation/update to existing facility PPS psychiatric unit Safety Net/Community hospital grant design development drawings first stage construction/working drawings second stage Certificate of Need Submit a copy of the approved certificate of need CON. A review by the Department WILL NOT begin until a CON or appropriate documentation is received* Written documentation from the Health Services and Review Board may be requested indicating a CON is not required* CON project number Date approved Functional program narrative Provide a functional program narrative for the project that describes the purpose of the project departmental relationships space requirements and other basic information relating to fulfillment of the facility s objectives. The functional program shall include a description of those services necessary for the complete operation of the facility. Attach additional sheets if needed* Systems program narrative Provide a systems program narrative describing all special systems including but not limited to fire alarm nurses call special locking devices security packages electrical plumbing HVAC medical gas and fire protection* Form Number 443086-rev021914 Page 1 of 5 Estimated project cost 1. Site preparation costs 2. Demolition costs 3. Construction contracts including cost of materials 4. Change orders Subtotal - lines 1 thru 4 6. Fixed capital equipment Add lines 5 and 6 If the fixed capital equipment is not more than 51 percent of the total cost then use line 7 for the plan review fee calculation below. 8. If line 6 is 51 percent more than line 7 then multiply line 6 by. 20 Place the total adjusted estimated project cost in the appropriate estimated project cost category listed below. diagnostic equipment MRI scanners X-ray equipment etc. Equipment which is part of the building such as AHU boilers chillers lights fire alarm panels and all related components are to be included in the construction costs. Plan review fee calculation The plan review fee is due and payable upon submission of this form along with the drawings and required information* Using the figures in line 7 or line 9 whichever is applicable calculate the plan review fee. Fee as listed below Less than 500 000 No fee 500 000 - 999 999 Project cost x. 0096 or 6 000 whichever is greater x. 0022 x. 0011 Greater than 5 000 000 10. Plan review fee to be submitted 11. Is the facility a disproportionate share hospital 13.
Form preview Exigent health form PROJECT OWNER S CERTIFICATION THAT ALL EXIGENT HEALTH AND SAFETY ITEMS HAVE BEEN CORRECTED SEND OR FAX SIGNED COPY TO LOCAL MF OFFICE Name of Project Owner the Project Owner the owner of Project Name City State Project Number the Project by and through its duly authorized representative identified below hereby certifies that 1. If repairs were not made the dangerous condition was eliminated. This certification is made by the Project Owner and is signed by a duly authorized representative of the Project Owner who is so authorized by reason of his/her position as the State Fully Relationship Between Signer of Certification and Project Owner All of the foregoing statements as well as the date signature and identifying information of the signer and the Project Owner that follows are HEREBY CERTIFIED as true and accurate this day of 20. All Exigent Health and Safety EH S items at the Project have been corrected* Such EHS items include those identified in the Notification of Exigent and Fire Safety Hazards Observed dated. 2. The attached Report accurately identifies the repairs that have been made to correct the EHS items the location of those repairs and the date or dates the repairs were made. All Exigent Health and Safety EH S items at the Project have been corrected* Such EHS items include those identified in the Notification of Exigent and Fire Safety Hazards Observed dated. 2. The attached Report accurately identifies the repairs that have been made to correct the EHS items the location of those repairs and the date or dates the repairs were made.
Form preview Computer based census system f... COMPUTER BASED CENSUS MANAGEMENT SYSTEM A CASESTUDY OF NATIONAL POPULATION COMMISSION NPC BY UGWU VALENTINE. 7 Database Management System 2. 8 Importance of Census 2. 9 Benefit of Computer Based Management System CHAPTER THREE 3. V ABSTRACT The researcher chose to research on this topic Computer Based Census Management System because of its relevance to the society. Computer-based census management system as one out of the so many information systems and as a sub-class of information systems must inherit some of those attributes benefits. However the benefits of the system will be explained with respect to the organization and Nigeria at large. The benefits of a computer based census management systems are clear to see and there are many advantages. The following represents the high level model of the system that is being developed 3. 8. 5 HLM of the Proposed System Computer based Census Management System Census Activities Person Department Creation LGA Create Modify Delete Fig. The most obvious of these are the time taken to access files confidentiality and the space needed to store information. Time taken to access files A computer based census system is far superior to a manual system when it comes to accessing files as the speed at which this can be done is far quicker. Lxxvi SUMMARY CONCLUSION AND RECOMMENDATION This research has been able to identify that the use of computer-based census management system to carry out census operations would go a long way to help maintain accurate and reliable information. Furthermore fast-recording of relevant data is another advantage. C. A PROJECT SUBMITTED TO THE DEPARTMENT OF COMPUTER SCIENCE/ INFORMATION TECHNOLOGY FACULTY OF NATURAL SCIENCES CARITAS UNIVERSITY AMORJI NIKE EMENE ENUGU. IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR THE AWARD OF B. SC BACHELOR OF SCIENCE IN COMPUTER SCIENCE INFORMATION TECHNOLOGY. AUGUST 2013 i APPROVAL PAGE This is to certify that this work carried out under the supervision of Mr. Tochukwu Umesiegbu has been read and accepted as meeting the requirement for the Award of Bachelor s degree in Computer Science Information Technology at Caritas University Amorji Nike Enugu State. Tochukwu Umesiegbu MR Project Supervisor Date DR* Arinze Nwaeze Head of Department DR*D. O. N EKECHUKWU ii CERTIFICATION PAGE has not been submitted elsewhere for the award of a degree. Ugwu Valentine. C. Cst/t/2010/444 iii DEDICATION This project is dedicated to Mother Mary the very mother of Jesus Christ who is God the son to God Almighty who made every provision possible for us to attain this academic level* iv ACKNOWLEDGEMENT We wish to thank God Almighty for His mercy and protection on us from the time of birth through this academic journey. We are most grateful to my father PROF. S O. UGWU and Brothers who through their efforts we have finally graduated from this University. Our profound gratitude goes to our supervisor Mr. Toby umesiegbu for the fatherly role and love she played throughout this project task which helped to make the project a reality.
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