NES 106 Part 2 Requirements For Medical and Dental Organization in HM Surface Ships and Submarines

Ministry of Defence
Defence Standard 02-106 (NES 106)

Issue 1 Publication Date 01 April 2000
Requirements For Medical And

Dental Organization In HM Surface
Ships And Submarines
Part 2
Specific Requirements - Medical And
Dental Facilities In HM Surface Ships
Incorporating NES 106 Category 2

Issue 1 Publication Date July 1993
AMENDMENT RECORD
Amd No
Date
Text Affected
REVISION NOTE
This standard is raised to Issue 1 to update its content.
HISTORICAL RECORD
This standard supersedes the following:
Naval Engineering Standard (NES) 106 Part 2 Issue 1 dated July 1993.
Signature and Date
Ministry of Defence
Naval Engineering Standard
NES 106
Part 2
Issue 1 (Reformatted)
REQUIREMENTS FOR
MEDICAL AND DENTAL ORGANIZATION
IN HM SURFACE SHIPS AND SUBMARINES
PART 2
SPECIFIC REQUIREMENTS
MEDICAL AND DENTAL FACILITIES
IN HM SURFACE SHIPS
July 1993
This NES Supersedes

DGS 89
DGS 90
Record of Amendments
AMDT
1
2
3
4
5
6
7
8
9
10
INSERTED BY
DATE
NAVAL ENGINEERING STANDARD 106

REQUIREMENTS FOR MEDICAL AND DENTAL ORGANIZATION
IN HM SURFACE SHIPS AND SUBMARINES
PART 2
ISSUE 1 (REFORMATTED)
SPECIFIC REQUIREMENTSMEDICAL AND DENTAL FACILITIES
IN HM SURFACE SHIPS
The issue and use of this Standard

is authorized for use in MOD contracts
by MOD(PE) Sea Systems and
the Naval Support Command
ECROWN COPYRIGHT
Published by:
Director of Naval Architecture
Procurement Executive, Ministry of Defence
Sea Systems, Foxhill, Bath BA1 5AB
i
ii
NES 106
Part 2
SCOPE
1.
This Part of the NES defines the Specific Requirements of Medical and Dental Facilities in HM
Surface Ships.
2.
The Specific Requirements for Medical Organization in ActionHM Surface Ships are
covered by part 3 of this NES.
iii
NES 106
Part 2
iv
NES 106
Part 2
FOREWORD
Sponsorship
1.
This Naval Engineering Standard (NES) is sponsored by the Procurement Executive, Ministry
of Defence, Director Naval Architecture (DNA), Section NA 145.
2.
This NES comprises:

Part 1
Common RequirementsMedical and Dental Facilities
Part 2
Specific RequirementsMedical and Dental Facilities in HM Surface Ships
Part 3
Specific RequirementsMedical Organization for Action in HM Surface Ships
Part 4
Specific RequirementsMedical and Dental Facilities in HM Submarines
The Specific Requirements are to be read in conjunction with the Common Requirements
Part 1.
3.
If it is found to be technically unsuitable for any particular requirement the Sponsor is to be

informed in writing of the circumstances with a copy to DNA NA 145.
4.
Any user of this NES either within MOD or in industry may propose an amendment to it.
Proposals for amendments that are
a.
not directly applicable to a particular contract are to be made to the Sponsor of the NES
b.
directly applicable to a particular contract are to be dealt with using existing procedures
or as specified in the contract.
5.
No alteration is to be made to this NES except by the issue of an authorized amendment.
6.
Unless otherwise stated, reference in this NES to approval, approved, authorized or similar
terms, means by the Ministry of Defence in writing.
7.
Any significant amendments that may be made to this NES at a later date will be indicated
by a vertical side line. Deletions will be indicated by 000 appearing at the end of the line
intervals.
8.
This NES has been reissued to reflect changes in technical requirements and supersedes
DGS 89 and 90.
Conditions of Release
General
9.
This Naval Engineering Standard (NES) has been prepared for the use of the Crown and of
its contractors in the execution of contracts for the Crown. The Crown hereby excludes all
liability (other than liability for death or personal injury) whatsoever and howsoever arising
(including but without limitation, negligence on the part of the Crown, its servants or agents)
for any loss or damage however caused where the NES is used for any other purpose.
10.
This document is Crown Copyright and the information herein may be subject to Crown or
third party rights. It is not to be released, reproduced or published without written permission
of the MOD.
NES 106
Part 2
11.
The Crown reserves the right to amend or modify the contents of this NES without consulting
or informing any holder.
MOD Tender or Contract Process

12.
This NES is the property of the Crown and unless otherwise authorized in writing by the MOD
must be returned on completion of the contract, or submission of the tender, in connection
with which it is issued.
13.
When this NES is used in connection with a MOD tender or contract, the user is to ensure that
he is in possession of the appropriate version of each document, including related documents,
relevant to each particular tender or contract. Enquiries in this connection may be made of
the local MOD(PE) Quality Assurance Representative or the Authority named in the tender
or contract.
14.
When NES are incorporated into MOD contracts, users are responsible for their correct
application and for complying with contracts and any other statutory requirements.
Compliance with an NES does not of itself confer immunity from legal obligations.
Related Documents
15.
In the tender and procurement processes the related documents listed in each section and
Annex A can be obtained as follows:
a.
British Standards
British Standards Institution,

389 Chiswick High Road,
London W4 4AL
b.
Defence Standards
Directorate of Standardization and Safety Policy,

Stan 1, Kentigern House, 65 Brown Street,
Glasgow G2 8EX
c.
Naval Engineering Standards
CSE3a, CSE Llangennech, Llanelli,

Dyfed SA14 8YP
d.
Other documents
Tender or Contract Sponsor to advise.
Note: Tender or Contract Sponsor can advise in cases of difficulty.

16.
All applications to Ministry Establishments for related documents are to quote the relevant
MOD Invitation to Tender or Contract Number and date, together with the sponsoring
Directorate and the Tender or Contract Sponsor.
17.
Prime Contractors are responsible for supplying their subcontractors with relevant
documentation, including specifications, standards and drawings.
vi
NES 106
Part 2
Health and Safety

Warning
18.
This NES may call for the use of processes, substances and/or procedures that may be injurious
to health if adequate precautions are not taken. It refers only to technical suitability and in
no way absolves either the supplier or the user from statutory obligations relating to health
and safety at any stage of manufacture or use. Where attention is drawn to hazards, those
quoted may not necessarily be exhaustive.
vii
NES 106
Part 2
viii
NES 106
Part 2
CONTENTS
Page No
TITLE PAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SCOPE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
iii
FOREWORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sponsorship . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Conditions of Release . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MOD Tender or Contract Process . . . . . . . . . . . . . . . . . . . . . . . . . .
Related Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health and Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Warning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
v
v
v
v
vi
vi
vii
vii
CONTENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ix
SECTION
1.
1.1
1.2
1.3
1.4
1.4.1
1.4.2
1.4.3
1.5
LOBBY/WAITING AREA . . . . . . . . . . . . . . . . . . . . .
Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hinged Benching . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Alarm and Call Systems . . . . . . . . . . . . . . . . . . . . . . .
Crash-on-Deck Alarm . . . . . . . . . . . . . . . . . . . . . . . .
Patient Call System . . . . . . . . . . . . . . . . . . . . . . . . . .
Attendant Call System . . . . . . . . . . . . . . . . . . . . . . . .
Switch Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.1
1.1
1.1
1.1
1.1
1.1
1.2
1.2
1.2
SECTION
2.
2.1
2.2
2.3
2.4
2.1
2.1
2.1
2.1
2.8
RECEPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Whereabouts DiagramMedical Organization
for Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Chairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OASIS Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . .
Switch Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FIGURE 2.1 TYPICAL LAYOUT OF RECEPTION
FOR CLASS A SHIPS . . . . . . . . . . . . . . . . . . . . . . . .
TABLE 2.1 RECEPTION EQUIPMENT . . . . . . . .
Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
CONSULTING ROOM . . . . . . . . . . . . . . . . . . . . . . .
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Examining Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Chair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Switch Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.5
2.6
2.7
SECTION
ix
2.1
2.1
2.1
2.1
2.2
2.3
2.3
3.1
3.1
3.1
3.1
3.1
3.1
3.1
3.1
3.1
NES 106
Part 2
FIGURE 3.1 TYPICAL LAYOUT OF CONSULTING

ROOM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.2
TABLE 3.1 CONSULTING ROOM EQUIPMENT
3.3
SECTION
4.
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
4.10
4.11
4.12
4.13
4.14
4.15
4.16
4.17
4.18
4.19
4.20
SECTION
SECTION
5.
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
6.
6.1
6.2
6.3
6.4
6.5
SURGERY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Medicine and Dressing Stowage . . . . . . . . . . . . . . . .
Controlled Drugs/Poisons Cupboards . . . . . . . . . . .
FIGURE 4.1 TYPICAL LAYOUT OF SURGERY
TABLE 4.1 SURGERY EQUIPMENT . . . . . . . . . .
Surgeons Washbasin . . . . . . . . . . . . . . . . . . . . . . . . .
Soiled Dressings Bin . . . . . . . . . . . . . . . . . . . . . . . . . .
Surgeons Desk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Whereabouts Diagram . . . . . . . . . . . . . . . . . . . . . . . .
Chairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Refrigerator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Curtain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dental Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Switch Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating Table Lights . . . . . . . . . . . . . . . . . . . . . . .
Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fire Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.1
4.1
4.1
4.1
4.1
4.1
4.1
4.1
4.2
4.3
4.4
4.4
4.4
4.4
4.4
4.4
4.4
4.5
4.5
4.5
4.5
4.5
4.5
TREATMENT ROOM/DISPENSARY . . . . . . . . . . .
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Resuscitation TrolleyClass A Ships . . . . . . . . . . . .
Controlled Drugs/Poisons Cupboard . . . . . . . . . . . .
Worktops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Refrigerator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Switchsockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FIGURE 5.1 TYPICAL LAYOUT OF
TREATMENT ROOM/DISPENSARY . . . . . . . . . . .
TABLE 5.1 TREATMENT ROOM/DISPENSARY
EQUIPMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.1
5.1
5.1
5.1
5.1
5.1
5.1
5.1
5.1
5.2
OPERATING THEATRE . . . . . . . . . . . . . . . . . . . . .
Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Door . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.1
6.1
6.1
6.1
6.1
6.1
5.3
5.4
NES 106
Part 2
6.6
6.7
6.8
6.9
6.10
6.11
6.12
6.13
6.14
6.15
6.16
6.17
SECTION
SECTION
7.
7.1
7.2
7.3
7.4
7.5
Operating Table Light . . . . . . . . . . . . . . . . . . . . . . . .

Fitted Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OPERATING THEATRE . . . . . . . . . . . . . . . . . . . . .
TABLE 6.1 TREATMENT ROOM
DISPENSARY EQUIPMENT . . . . . . . . . . . . . . . . . .
FIGURE 6.2 OPERATING TABLE LAMP
FITTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sink . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Scrub-up Sink . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Chairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Anaesthetic Apparatus . . . . . . . . . . . . . . . . . . . . . . . .
X-Ray Viewing Box . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dressings Trolley . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Soiled Dressings Bin . . . . . . . . . . . . . . . . . . . . . . . . . .
Ready-use Medical Gas Bottle Stowage . . . . . . . . . .
Switch Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Automatic Emergency Lantern (AEL) . . . . . . . . . . .
6.1
6.1
6.2
6.3
6.4
6.5
6.5
6.5
6.5
6.5
6.5
6.5
6.5
6.6
6.6
7.6
7.7
7.8
7.9
7.10
7.11
7.12
7.13
7.14
7.15
7.16
7.17
7.18
7.19
7.20
7.21
DENTAL SURGERY . . . . . . . . . . . . . . . . . . . . . . . . .
Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dental Chair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dental Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FIGURE 7.1 TYPICAL LAYOUT OF DENTAL
SURGERY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TABLE 7.1 DENTAL SURGERY EQUIPMENT . .
X-Ray Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X-Ray Protection Apron Stowage . . . . . . . . . . . . . . .
X-Ray in Progress Warning Light . . . . . . . . . . . . .
Clinical Area Worktops and Units . . . . . . . . . . . . . .
Clinical Area Washbasin . . . . . . . . . . . . . . . . . . . . . .
Sterilizing/Clean Area Worktop and Units . . . . . . .
Sterilizing/Clean Area Sink . . . . . . . . . . . . . . . . . . . .
Fitted Unit Interiors . . . . . . . . . . . . . . . . . . . . . . . . . .
Sterilizing Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ultrasonic Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Clerical AreaSurgeons Desk . . . . . . . . . . . . . . . . .
Surgeons Chair . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operating Stools . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Switch Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.2
7.3
7.3
7.4
7.4
7.4
7.4
7.4
7.4
7.4
7.4
7.4
7.4
7.5
7.5
7.5
7.5
7.5
8.
8.1
8.2
8.3
DENTAL LABORATORY . . . . . . . . . . . . . . . . . . . . .
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.1
8.1
8.1
8.1
xi
7.1
7.1
7.1
7.1
7.1
7.1
NES 106
Part 2
8.4
8.5
8.6
8.7
8.8
8.9
8.10
8.11
8.12
8.13
8.14
8.15
8.16
SECTION
9.
9.1
9.2
9.3
9.4
9.5
9.6
9.7
9.8
9.9
9.10
9.11
9.12
SECTION
10.
10.1
10.2
10.3
10.3.1
10.3.2
Fitted Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Workbench . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sink and Worktop . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lathe Bench . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FIGURE 8.1 TYPICAL LAYOUT OF DENTAL
LABORATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TABLE 8.1 DENTAL SURGERY EQUIPMENT . .
FIGURE 8.2 WASTE CHUTE IN SINK
UNIT DENTAL LABORATORY . . . . . . . . . . . . . . .
Dental Vibrator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dental Plaster Trimmer . . . . . . . . . . . . . . . . . . . . . . .
X-Ray Film Processor . . . . . . . . . . . . . . . . . . . . . . . .
Lathe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Warning Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dark Room Light . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Switch Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PATHOLOGICAL LABORATORY/DARK
ROOM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pathological Bench Unit . . . . . . . . . . . . . . . . . . . . . . .
Sink and Cupboard Unit . . . . . . . . . . . . . . . . . . . . . .
Developing Tank . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Film Drying Rack . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Refrigerator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deep Freezer Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Warning Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dark Room Light . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Switch Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PATHOLOGICAL
LABORATORY/DARK ROOM . . . . . . . . . . . . . . . .
TABLE 9.1 PATHOLOGICAL
LABORATORY/DARK ROOM EQUIPMENT . . .
WARDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ward Accommodation . . . . . . . . . . . . . . . . . . . . . . . .
Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Main Ward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Isolation Ward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FIGURE 10.1 TYPICAL LAYOUT OF CLASS A
MAIN WARD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FIGURE 10.2 TYPICAL LAYOUT OF CLASS B
MAIN WARD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FIGURE 10.3 TYPICAL LAYOUT OF CLASS C
MAIN WARD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
xii
8.1
8.1
8.1
8.1
8.2
8.3
8.4
8.5
8.5
8.5
8.5
8.5
8.5
8.5
8.5
8.5
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.1
9.2
9.3
9.4
10.1
10.1
10.1
10.1
10.1
10.1
10.2
10.3
10.4
NES 106
Part 2
10.4
10.5
10.6
10.7
10.8
10.9
10.10
10.11
10.12
10.13
10.14
10.15
10.16
10.17
10.18
10.19
10.20
SECTION
11.
11.1
11.2
11.3
11.4
11.5
11.6
11.7
11.8
11.9
11.10
SECTION
12.
12.1
12.2
12.3
12.4
12.5
12.6
12.7
FIGURE 10.4 TYPICAL LAYOUT OF CLASS A

ISOLATION WARD . . . . . . . . . . . . . . . . . . . . . . . . . .
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Twotier Medical Berth . . . . . . . . . . . . . . . . . . . . . . .
Amenity Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Reading Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Siting of Berths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Spacing of Berths . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mattresses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ladders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Food Trays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Patients Kit Stowage . . . . . . . . . . . . . . . . . . . . . . . . .
Towel Rail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Curtains and Rails . . . . . . . . . . . . . . . . . . . . . . . . . . .
Surgeons Washbasin . . . . . . . . . . . . . . . . . . . . . . . . .
Wash-up Cabinet . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Switch Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TABLE 10.1 WARD EQUIPMENT . . . . . . . . . . . . .
10.5
10.6
10.6
10.6
10.6
10.6
10.6
10.6
10.6
10.7
10.7
10.7
10.7
10.7
10.7
10.7
10.7
10.8
10.9
WARD PANTRY . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sink Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Worktops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cupboards and Drawer Units . . . . . . . . . . . . . . . . . .
Shelves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FIGURE 11.1 TYPICAL LAYOUT OF WARD
PANTRY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TABLE 11.1 EQUIPMENT REQUIREMENT
FOR WARD PANTRY . . . . . . . . . . . . . . . . . . . . . . . .
Tea Urn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Electrical Requirements . . . . . . . . . . . . . . . . . . . . . . .
11.1
11.1
11.1
11.1
11.1
11.1
11.1
11.1
11.1
STERILIZING ROOM . . . . . . . . . . . . . . . . . . . . . . .
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deck Drains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
STERILIZING ROOM . . . . . . . . . . . . . . . . . . . . . . .
TABLE 12.1 STERILIZING ROOM
EQUIPMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fitted Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Emergency Water Tank . . . . . . . . . . . . . . . . . . . . . . .
Instrument Sterilizer . . . . . . . . . . . . . . . . . . . . . . . . .
12.1
12.1
12.1
12.1
12.1
xiii
11.2
11.3
11.3
11.3
12.1
12.2
12.2
12.2
12.2
NES 106
Part 2
12.8
12.9
Porous Load Sterilizer . . . . . . . . . . . . . . . . . . . . . . . .

Microwave Oven (Class B only) . . . . . . . . . . . . . . . .
12.2
12.2
13.
13.1
13.2
13.1
13.1
13.1
13.4
13.5
13.6
13.7
TOILET AND WASH FACILITIES . . . . . . . . . . . . .

Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TABLE 13.2 TOILET AND WASH FACILITIES
AND MAJOR CONSTITUENTS OF
COMPARTMENTS . . . . . . . . . . . . . . . . . . . . . . . . . .
Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BATHROOM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SHOWER-ROOM . . . . . . . . . . . . . . . . . . . . . . . . . . .
FIGURE 13.3 TYPICAL LAYOUT OF WC . . . . .
TABLE 13.1 TOILET AND WASH
FACILITIES EQUIPMENT . . . . . . . . . . . . . . . . . . .
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Washbasin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Electrical Requirements . . . . . . . . . . . . . . . . . . . . . . .
13.4
13.5
13.5
13.5
13.5
ANNEX
RELATED DOCUMENTS . . . . . . . . . . . . . . . . . . . .
A.1
ANNEX
DEFINITIONS AND ABBREVIATIONS . . . . . . . .
B.1
SECTION
13.3
xiv
13.1
13.1
13.2
13.3
13.3
NES 106
Part 2
1.
1.1
1.2
1.3
LOBBY/WAITING AREA
a.
A Lobby is to be provided in Class A and B Ships and is to include a Waiting Area

for out-patients including dental patients, where Dental Compartments are
incorporated into the Medical Complex.
b.
The Lobby/Waiting Area is to be used as a Casualty Sorting Area during a mass

casualty situation.
Area
a.
The area is to be kept to a minimum. Space is to be provided for hinged benching

for waiting out-patients, ten patients in Class A and five in Class B ships and
space for four stretchers in both classes, each having 750mm clear space around
them.
b.
When Medical and Dental Waiting Areas are combined an additional benching
is to be provided for four dental patients.
c.
When the hinged benching is occupied the occupants are not to impede the flow
of personnel through the area.
Hinged Benching
a.
Additional hinged benching is to be provided against free bulkheads as space

allows.
b.
Benching is to be 300mm wide and individual lengths not exceeding 2000mm,

mounted 450mm above the deck covering.
c.
Bolts are to be provided to secure the benching in its stowed position against the
bulkhead.
d.
In Class C ships, benching, sufficient for two patients, is to be provided on the

bulkhead immediately outside the Main Entrance.
Access
a.
In addition to the normal double door Main Entrance, the Lobby/Waiting Area
is to have direct access onto the Aircraft lift, where one is fitted, by way of a
quick acting watertight (QAWT) door.
b.
The area immediately inside the QAWT door is to be provided with darken ship
precautions enclosing an area of 2500 mm x 2000 mm illuminated by low level
red lighting.
1.4
Alarm and Call Systems
1.4.1
Crash-on-Deck Alarm
a.
A Crash-on-Deck alarm is to be provided in Class A and B Ships to alert Medical

Staff to an emergency on the Flight Deck.
b.
The alarm is to be a red flashing indicator light mounted in the Lobby/Waiting

Area in a readily visible position and an audible alarm with a cancellation
button in close proximity to the indication light.
1.1
NES 106
Part 2
c.
1.4.2
1.4.3
1.5
A second Crash-on-Deck alarm is to be provided in the Medical Officers cabin

where one is allocated.
Patient Call System

a.
A Patient Call System is to be provided in Class A and B ships to indicate when

the Medical/Dental Officer in a Consulting Room/Dental Surgery is ready to see
the next patient.
b.
An indicator light and low tone buzzer are to be provided and sited above the
Consulting Room/Dental Surgery Door.
c.
In Class C Ships an illuminated ENTER/DO NOT ENTER indicator is to be

mounted outside and above the Surgery main entrance door.
Attendant Call System

a.
An Attendant Call System is to be provided in all Classes of Ship to summon

assistance to patients in Wards and Toilet/Wash Facilities.
b.
An indicator light and low tone buzzer are to be provided and mounted outside
the Ward and Toilet/Wash facility above the doors.
c.
The Attendant Call low tone buzzer is to have a tone distinct from all other
alarms.
Switch Sockets
a.
Two 5A 115V 60Hz single phase and two 5A 240V 60Hz single phase switch
sockets are to be fitted.
b.
The 115V and 240V switch sockets and plugs are to be incompatible.
1.2
NES 106
Part 2
2.
2.1
2.2
2.3
2.4
2.5
RECEPTION
a.
A Reception Compartment is to be provided in Class A and B ships

accommodating three and two occupants respectively.
b.
The Reception Compartment is to cater for both medical and dental patients.
Location
a.
The compartment is to be sited adjacent to the Main Entrance and able to be

entered from the Lobby/Waiting Area.
b.
In larger Class A Ships a Dental Clinic comprising a Dental Surgery, Laboratory

and Reception may be separate from the Medical Complex; in this case the
Dental Reception within the Clinic is to be as advised by MDG(N).
Layout
a.
A typical layout for a Class A Ship Medical Reception is shown in FIGURE 2.1.
b.
The Medical Reception layout for a Class B Ship is similar to that for a Class A
but reduced in area consistent with a smaller number of occupants and
equipment.
Equipment
a.
The equipment for fitting out the Compartment is given in TABLE 2.1.
b.
MDG(N) is to advise as to equipment content when a Dental Clinic is specified

in larger Class A ships.
Whereabouts DiagramMedical Organization for Action

a.
A Whereabouts Diagram is to be provided with a white margin 300mm wide

down one side. The diagram and white margin are to be covered with a clear
acrylic sheet.
b.
A pen trough is to be provided at the bottom of the diagram.
c.
The complete diagram is to be bulkhead-mounted in an easily accessible

position.
Chairs
a.
2.6
OASIS Equipment
a.
2.7
Swivel office chairs at each desk position are to be secured to the deck using a
slide type keep-batten centred at the desk knee hole.
An OASIS Keyboard visual display unit (VDU) and printer are to be provided
and suitably sited adjacent to the hatch.
Switch Sockets
a.
240V and 115V switch sockets and plugs are to be incompatible.
2.1
NES 106
Part 2
Item numbers, equipment, ship class and quantities are shown in TABLE 2.1
FIGURE 2.1 TYPICAL LAYOUT OF RECEPTION FOR CLASS A SHIPS
2.2
NES 106
Part 2
ITEM
No
EQUIPMENT
CLASS
QTY
Four Drawer Medical Document Cabinet
Desk Pedestal UnitTwo Drawer
Desk Pedestal UnitCupboard
Desk TopDouble Length
Desk TopSingle Length
Bookcase
Shelf With Keep Battens & A4 Paper Trays
Whereabouts Diagram
Notice Board
Hatch
10
ChairOffice Swivel
11
Key Box
12
Clock
13
Cupboard/Shelf With Keep Battens
14
OASIS Equipment
A/R
A/R
15
Cap and Coat Hooks
16
Cupboard With Dividers
17
Curtain and Rail Across Sliding Doors
Switch Socket 240 V
Switch Socket 115 V
Desk Light
Telephone
Emergency Telephone
Intercom
TABLE 2.1 RECEPTION EQUIPMENT
2.8
b.
One 5A 240V 60Hz single phase switch socket is to be provided.
c.
Two 5A 115V 60Hz single phase switch sockets are to be provided.
Communications
a.
Two telephones in Class A and one in Class B compartments are to be provided.
b.
An intercom connected to the Dental Surgery and Laboratory is to be provided.
c.
An emergency sound powered telephone is to be provided and connected to the

Damage Control Headquarters.
d.
The emergency telephone is to be bulkhead-mounted adjacent to the

Whereabouts Diagram.
2.3
NES 106
Part 2
2.4
NES 106
Part 2
3.
CONSULTING ROOM
3.1
Introduction
a.
3.2
Layout
a.
3.3
3.6
3.8
A Patient Call button and cancellation switch are to be provided and

bulkhead-mounted close to the desk.
Examining Light
a.
An Examining Light is to be provided and bulkhead-mounted over the

Examination Couch so that it is able to reach both top and bottom of the couch.
b.
A stowage is to be provided to prevent movement when the light is not in use.
Chair
a.
3.7
The equipment for the compartment is given in TABLE 3.1.
Patient Call System

a.
3.5
A typical layout is shown in FIGURE 3.1.
Equipment
a.
3.4
Two Consulting Rooms are to be provided in Class A ships and one in Class B
ships.
The swivel office chair is to be secured to the deck using a slide type keep batten
centred at the desk knee hole.
Switch Sockets
a.
b.
One 5A 240V and two 115V 60Hz single phase switch sockets are to be provided.
Communications
a.
A telephone linked to the ships main exchange is to be provided.
3.1
NES 106
Part 2
Item numbers, equipment and quantities are shown in TABLE 3.1
FIGURE 3.1 TYPICAL LAYOUT OF CONSULTING ROOM
3.2
NES 106
Part 2
ITEM
NO
1
Door
Desk Top With Three & Four Drawer Pedestal Units
Desk Rack
Desk Light
Bookcase
Examination Couch
CabinetDiagnostic
Washbasin complete with
EQUIPMENT DESCRIPTION
QTY
Splashback
Mirror
Light over Mirror
Soap Dispenser
Toilet Tray
9
Paper Towel Dispenser
10
Waste Bin
11
ChairOffice Swivel
12
ChairPatient
13
ShelvingFull Length
14
CupboardFull Length
15
Cap and Coat Hooks
16
Curtain and Rail
A/R
Switch Socket 115V
Switch Socket 240V
Telephone
Patient Call System
Examining Light and Bracket
TABLE 3.1 CONSULTING ROOM EQUIPMENT
3.3
NES 106
Part 2
3.4
NES 106
Part 2
4.
SURGERY
4.1
Introduction
a.
4.2
Location
a.
4.3
4.4
4.6
4.7
The Surgery is to form part of the Medical Complex of Class C Ships having
direct access to the Ward and Toilet Facilities and access through the main
entrance to the passageway.
Layout
a.
A typical layout of the main component of the compartment is shown in

FIGURE 4.1.
b.
The Operating Table when in the operating (rigged) position is to have a clear
working space around it of 760mm.
c.
In planning the layout of the Surgery, space is to be provided to allow a stretcher

to pass unobstructed through the main entrance and from the Ward to the
Operating Table in the rigged position.
Equipment
a.
4.5
A Surgery is to be provided in Class C Ships to enable Medical and Dental

functions and associated clerical work to be undertaken.
Fitting and equipment for the compartment is given on TABLE 4.1.
Operating Table
a.
An Operating Table supplied by MDG(N) is to be provided complete with

cushions. The table is to be portable and to be located in two positions, namely,
rigged for operating on or examination of the patient and stowed.
b.
The table is to be secured in these positions by thumbscrews into tapped pads

welded to the deck. See FIGURE 4.1.
Medicine and Dressing Stowage

a.
Stowages for medicines and dressings are to be provided utilizing Modular

Furniture items.
b.
Stowages are to be located under stainless steel worktops.
Controlled Drugs/Poisons Cupboards

a.
Controlled Drugs cupboards are to be provided and fitted as specified in Part 1

of this NES.
4.1
NES 106
Part 2
Item numbers, description and quantities are shown in TABLE 4.1
FIGURE 4.1 TYPICAL LAYOUT OF SURGERY
4.2
NES 106
Part 2
ITEM
No
1
DESCRIPTION
QTY
Double Doors
Door NWT
Portable Partition (Itemized 17 in Ward Section)
CupboardCleaning Gear on Plinth (P/1)
Medical Gas Bottles incl Brackets
Splash Guard
Surgeons Washbasin Complete
Desk Top inc Whereabouts Diagram
ChairPatients
10
Desk Pedestal
11
Key Cupboard
12
Bookcase
13
Desk Rack & A4 Paper Trays
14
ChairSurgeons
15
Desk PedestalFiling
16
Refrigerator 5 cu ft
17
OASIS Equipment
A/R
18
Controlled Drugs/Poisons Cupboard
19
Equipment Cupboard
20
Work SurfaceStainless Steel Continuous
21
Modular Furniture Unit & Plinths (L/5/1 + P/1)
22
Modular Furniture Unit & Plinths (L/5/2 + P/1)
23
Controller Drugs/Poisons Cupboard
24
Operating Table
25
Fire Extinguisher
26
Dental PanelLP air
27
Clock
28
Cap and Coat Hooks
29
Notice Board
30
Automatic Emergency Light
31
Curtain and Rail
32
Soiled Dressings Bin
33
Transfusion Hook
34
Notice Board With Clips
Telephone
1
TABLE 4.1 SURGERY EQUIPMENT
4.3
NES 106
Part 2
4.8
Surgeons Washbasin
a.
b.
4.9
4.10
4.13
(2)
Splashback.
(3)
Mounting brackets (LH & RH).
(4)
Elbow operated taps (H & C fresh water).
(5)
Plug and chain.
(6)
Soap dispenser.
(7)
Toilet tray.
(8)
Mirror complete with overhead light.
A paper towel dispenser and waste bin or a towel rail are to be provided as
specified on the layout drawing.
A pedal-type waste bin is to be provided for soiled dressings and secured to the
bulkhead.
b.
All work surfaces in the Surgery are to be 1.6mm thick stainless steel with a
25mm deep upstand on the front and sides and 65mm deep on the back.
c.
Work surfaces are to have watertight seals to the bulkheads.
Surgeons Desk
A surgeons desk is to be provided having the desk top supported on Modular
Furniture items.
Whereabouts Diagram
A Whereabouts Diagram is to be fitted to the surgeons desk top under a clear
acrylic sheet.
Chairs
a.
The surgeons chair provided is to have arms and be capable of being secured
to the deck with a slide keep-batten.
b.
A standard folding chair is to be provided for the patient.
c.
Bulkhead-mounted stowage straps are to be provided for the patients chair

when not in use.
Refrigerator
a.
4.14
Waste trap.
a.
a.
4.12
(1)
a.
4.11
A Surgeons Washbasin is to be provided complete with the following items:
A Pharmacy Refrigerator, capacity 5 cu ft is to be provided with a

bulkhead-mounted temperature chart recorder.
Curtain
a.
A curtain and rail are to be provided across the entrance to the Surgery. The
curtain fabric is to comply with NES 129 and the Master Decor Scheme
NES 184.
4.4
NES 106
Part 2
4.15
4.16
Dental Equipment
a.
An air control unit for the compressed air operated dental equipment is to be
provided and bulkhead-mounted adjacent to the operating table when rigged.
b.
The compressed air supply is to be provided at 0.0566m3/sec.
Switch Sockets
a.
b.
The following 115V 60Hz, single phase, switch sockets are to be provided:
c.
4.17
One 15A, bulkhead-mounted, above the medicine and dressing stowage

work surface.
(3)
One 15A, adjacent to the refrigerator.
One 5A 240V 60Hz single phase switch socket is to be provided and

bulkhead-mounted adjacent to the operating table when rigged.
A desk light is to be provided over the surgeons desk.
An operating table light is to be provided and sited centrally over the operating
table when in the rigged position. The unit is to be flush with the deckhead
lining.
Communications
a.
4.20
(2)
Operating Table Lights

a.
4.19
One 15A and one 5A, bulkhead-mounted, adjacent to the Operating Table
when rigged.
Lighting
a.
4.18
(1)
A telephone linked to the ships main exchange is to be provided.
Fire Precautions
a.
Fire precautions are to comply with NES 119.
4.5
NES 106
Part 2
4.6
NES 106
Part 2
5.
TREATMENT ROOM/DISPENSARY
5.1
Introduction
a.
5.2
5.3
5.4
Location
a.
In Class A ships the compartment is to be directly accessible from the

Lobby/Waiting Area and from the Operating Theatre through double doors.
b.
In Class B ships the compartment is to be directly accessible from the

Lobby/Waiting Area through double doors and to have good access to the Ward.
Layout
a.
A typical layout of the compartment is shown in FIGURE 5.1.
b.
Class B compartments do not require a second double door.
Equipment
a.
5.5
5.6
5.8
Resuscitation TrolleyClass A Ships

a.
A Resuscitation Trolley is to be provided and positioned within the

compartment such that the minimum distance of 760mm is provided between
the trolley, adjacent fittings and closed doors.
b.
The trolley is to have quick-release deck retaining clamps.
Controlled Drugs/Poisons Cupboard

a.
5.7
A Treatment Room/Dispensary is to be provided in Class A and B ships.
A controlled drugs cupboard is to be provided and fitted as detailed in Part 1 of

this NES.
Worktops
a.
A stainless steel worktop containing two sinks and having 25mm upstands on
the front and sides with a 65mm upstand on the back is to be provided and to
run continuously over the Treatment Room cupboard.
b.
The worktop is to have a watertight seal with the bulkhead.
c.
One sink is to be a scrub-up unit and to be fitted with elbow-operated taps with
the other sink having screw-down taps. Both are to be provided with individual
drainage facilities.
Refrigerator
a.
A pharmacy refrigerator, capacity 0.215 cubic metres (7.6 cubic feet), is to be

provided complete with a bulkhead-mounted temperature chart recorder.
5.1
NES 106
Part 2
5.9
Switchsockets
a.
b.
Two 5A 240V 60Hz and two 5A 115V 60Hz single phase switch sockets are to
be provided and bulkhead mounted over the worktop.
c.
One 15A 115V 60Hz single phase switch socket is to be provided and mounted
adjacent to the refrigerator.
5.2
NES 106
Part 2
Item numbers, equipment description and quantities are shown in TABLE 5.1
FIGURE 5.1 TYPICAL LAYOUT OF TREATMENT ROOM/DISPENSARY
5.3
NES 106
Part 2
ITEM
NO
1
QTY
Double Doors (see text)
Resuscitation Trolley (Class A)/Operating Table (Class B)
Instrument Trolley
Cupboard, Dangerous Drugs
Treatment Room Cabinet inc Double Sink
WorktopStainless Steel
Refrigerator, Complete With Temp Recorder
7.6 cu ft Pharmacy Type

8
Clock
Switch Socket 240V
10
Switch Socket 115V
11
Operating Theatre Lights (Overhead)
12
Switch For Luminaires
13
Cap and Coat Hooks
14
Splashback (Continuous)
15
Stool
16
Cupboard
17
Cupboard Under Worktop
18
Soiled Dressings Bin(Bulkhead Stowed)
19
Cabinet (Theatre Type)
20
Emergency Fresh Tank, 136 Litres, Above Sink
A/R
TABLE 5.1 TREATMENT ROOM/DISPENSARY EQUIPMENT
5.4
NES 106
Part 2
6.
OPERATING THEATRE
a.
6.1
Location
a.
6.2
6.3
a.
b.
A minimum clear space of 750 mm is to be provided all round the operating

table.
Equipment
6.6
A louvre window, operable only from within the Operating Theatre, is to be

fitted in the larger of the double doors.
Operating Table
a.
The Operating Table, supplied by MDG(N) is to be fitted in compliance with the

manufacturer and with due regard to anti-static precautions.
b.
The anti-static precautions are to be certified by the Shipbuilder.
Operating Table Light

a.
6.7
Door
a.
6.5
The Operating Theatre is to be adjacent to the Main Ward and the Sterilizing
Room and is to have direct access through double doors to the Treatment
Room/Dispensary.
Layout
a.
6.4
A dedicated Operating Theatre is to be provided in Class A Ships.
An Operating Table Light is to be provided and fitted as in FIGURE 6.2 and in

consultation with MDG(N). It is to be included in the emergency electrical
circuit.
Fitted Units
a.
All bulkhead and deck mounted fitted units are to be of the Modular Range of
Furniture design, NES 128 refers, and where possible in a continuous run to
make optimum use of available space.
b.
Deck mounted units are to be to a working height of 900mm including the

worktop.
c.
Configuration of deck mounted units is to be a drawer under the worktop with

a cupboard below it.
d.
Knee holes are to be 450mm minimum width.
e.
A Controlled Drugs cupboard is to be provided and fitted as detailed in Part 1

of this NES.
6.1
NES 106
Part 2
FIGURE 6.1 TYPICAL LAYOUT OF OPERATING THEATRE
6.2
NES 106
Part 2
ITEM
NO
1
QTY
Operating Table
Operating Table Lights Overhead
Bulkhead Mounted Fitted Units
Worktop With Fitted Units Under
CupboardControlled Drugs
SinkDouble
SinkScrub-Up
Soap Dispenser
10
Chair
11
Anaesthetic Apparatus
12
Dressings Trolleys
13
14
Clock
15
Heater Panel
16
Transfusion Hooks
17
Towel Rail
18
Caps and Coat Hooks
19
Double Doors
20
Gas Bottle Stowagesee text
21
X-Ray Viewing Box
22
Automatic Emergency Lantern
TABLE 6.1 TREATMENT ROOM DISPENSARY EQUIPMENT
6.3
A/R
NES 106
Part 2
SKETCH VIEW OF LAMP WITH PRINCIPAL SIZES
FITTING DIAGRAM (1) END VIEW
FITTING DIAGRAM (2) END VIEW
FIGURE 6.2 OPERATING TABLE LAMPFITTING
6.4
NES 106
Part 2
f.
6.8
Sink
a.
6.9
6.10
a.
A stainless steel scrub-up sink is to be provided with the top of the sink 800mm
above the deck and space allowance of 300mm on each side of the sink for
elbows.
b.
The sink, with a soap dispenser bulkhead-mounted above and a paper towel
dispenser adjacent, is to be sited close to the Treatment Room/Dispensary door.
Chairs
6.15
The X-Ray viewing box provided is to be bulkhead-mounted with the centre of

the viewing screen 1600mm above the deck.
Dressings Trolley
a.
6.14
Anaesthetic apparatus supplied by MDG(N) is to be provided with

bulkhead-mounted stowage straps for stowage of the apparatus when it is not
in use.
X-Ray Viewing Box

a.
6.13
Swivel chairs provided are to be suitable for working at the 900mm worktop
height and are to have seats and back rests covered with a MOD, approved
impervious wipe-clean material.
Anaesthetic Apparatus
a.
6.12
A double stainless steel sink is to be provided and let into the worktop.
Scrub-up Sink
a.
6.11
The cupboard size may be varied to allow for a continuous run with other
bulkhead mounted fitted units.
The dressings trolley is to be provided with bulkhead-mounted stowage straps.

a.
The soiled dressings bin is to be bulkhead-mounted.
b.
A clock with a sweep second hand is to be provided and bulkhead-mounted

above the entrance door.
Ready-use Medical Gas Bottle Stowage

a.
A ready-use medical gas bottle stowage cabinet is to be provided, capable of

containing two bottles.
b.
The cabinet is to be within the Operating Theatre if space allows, otherwise it

must be in close proximity and secure from unauthorized entry.
6.5
NES 106
Part 2
6.16
6.17
Switch Sockets
a.
b.
Four 5A and one 15A 115V 60Hz single phase switch sockets are to be provided
and bulkhead-mounted with easy access to the operating table.
c.
Two 5A 240V 60Hz single phase switch sockets are to be provided and
bulkhead-mounted with easy access to the operating table.
Automatic Emergency Lantern (AEL)

a.
An AEL is to be provided and fitted to indicate the exit route for the occupants.
6.6
NES 106
Part 2
7.
DENTAL SURGERY
a.
7.1
7.2
7.3
7.4
Location
a.
The Surgery is to be within the Medical Complex and accessible from the
Lobby/Waiting Area.
b.
In larger Class A Ships a Dental Clinic, comprising a Dental Surgery, Reception

and Laboratory may be specified separate from the Medical Complex; in this
case the Surgery within the Clinic is to be as specified in this Section.
Layout
a.
The Surgery is to be laid out in three distinct areas namely Clinical,

Sterilizing/Clean and Clerical Areas.
b.
The Surgery is to be in as near as possible a square configuration.
c.
Equipment
a.
Equipment for fitting out the compartment is listed in TABLE 7.1.
b.
The following items of equipment are supplied by MDG(N) and fitted by the
manufacturer:
(1)
Dental Chair.
(2)
Dental Unit including an aspirator complete with services as advised by

MDG(N).
(3)
Dental Operating Light, overhead or unit type, mounted with suitable

dampening.
Dental Chair
a.
7.5
A Dental Surgery is to be provided in Class A and B Ships.
The Dental Chair is to be sited such that when the chair is horizontal with the
head rest fully open there is to be a minimum of 750mm clear space all round
the chair.
Dental Unit
a.
The Dental Unit including the aspirator is to be operable from both sides of the
dental chair.
7.1
NES 106
Part 2
FIGURE 7.1 TYPICAL LAYOUT OF DENTAL SURGERY
7.2
NES 106
Part 2
ITEM
No
1
QTY
Dental Chair
Aspirator
Dental Unit
Dental Light
X-Ray Unit
X-Ray Protection Apron Rail
Warning Light X-Ray In Progress
Worktops and UnitsClinical
WashbasinClinical
8A
8B
Soap Dispenser
1A
A/R
Worktops and UnitsSterile/Clean Area
A/R
10
SinkSterile/Clean Area
11
Instrument Sterilizer
12
Ultrasonic Cleaning Unit
13
Surgeons Desk and Cupboards
14
Surgeons Chair
15
Operating Stool
16
Soiled Dressings BinBulkhead Mounted
17
Cap and Coat Hooks
18
Clock
19
Towel Rail
20
Telephone
21
Intercom
22
Switch Sockets 240V
12
23
Switch Sockets 115V
24
Patient Call System
A/R
TABLE 7.1 DENTAL SURGERY EQUIPMENT

b.
7.6
The main air and water controls for the Dental Unit are to be centrally located
on the bulkhead above the clinical area worktop.
X-Ray Unit
a.
The X-Ray Unit, supplied by MDG(N) complete with bulkhead mounting

bracket, swivel arms and programme timer is to be mounted above the worktop
so that the unit can be directed to the head of the dental chair in the horizontal
and vertical positions.
b.
A retaining bracket to secure the extending arm when not in use is to be

provided.
c.
The programme timer is to be sited adjacent to the bulkhead mounting bracket

and permanently connected to the 240V 60HZ single phase supply via an earth
leakage breaker.
7.3
NES 106
Part 2
7.7
X-Ray Protection Apron Stowage

a.
7.8
X-Ray in Progress Warning Light

a.
7.9
7.10
7.12
a.
Worktops provided in the Clinical Area are to be continuous and are to be

mounted over units to the Modular Range of Furniture (NES 128) Standard as
advised by MDG(N).
b.
Worktop heights are to range from 690mm to 870mm above the deck as advised
by MDG(N)
c.
All seams and edges are to be sealed against potential mercury spillage.
d.
Coving, 75mm high, is to be provided between the worktop and bulkheads.
Clinical Area Washbasin
a.
Continuous worktops at a height of 860/870mm above the deck and mounted

over units to the Modular Range of Furniture (NES 128) Standard are to be
provided in the Sterilizing/Clean area.
b.
Coving 75mm high is to be provided between the worktop and the bulkhead.
Sterilizing/Clean Area Sink
An instrument sterilizing unit supplied by MDG(N) is to be securely mounted

to the worktop adjacent to the sink in the Sterilizing/Clean area.
Ultrasonic Unit
a.
7.16
Interior arrangements of units fitted under worktops in Clinical and

Sterilizing/Clean areas are to be agreed with MDG(N) at the design stage.
Sterilizing Unit
a.
7.15
A stainless steel sink with screw down taps and drainage facilities is to be
provided set into the worktop.
Fitted Unit Interiors

a.
7.14
A washbasin set in the worktop is to be provided together with bulkhead

mounted soap dispenser and paper towel dispenser.
Sterilizing/Clean Area Worktop and Units
a.
7.13
A warning light showing X-Ray In Progress when illuminated is to be provided

and bulkhead mounted outside the Surgery adjacent to the entrance door.
Clinical Area Worktops and Units
a.
7.11
A stowage rail for the X-ray protection apron is to be provided. The rail is to be
77mm dia 1000mm long.
An ultrasonic cleaning unit supplied by MDG(N) is to be securely mounted to

the worktop in the Sterilizing/Clean area.
Clerical AreaSurgeons Desk

a.
The Clerical area is to be provided with a Surgeons desk comprising a desk top
mounted on a lateral filing unit and a nest of drawers with a bulkhead-mounted
clip-board and bookcases above the desk top.
7.4
NES 106
Part 2
7.17
b.
The filing unit, nest of drawers and bookcases are to be to the Modular Range
of Furniture (NES 128) Standard.
c.
A desk light is to be provided and mounted under the bookcase.
Surgeons Chair
a.
7.18
Patient Call System

a.
7.19
7.20
7.21
A swivel office chair is to be provided and secured to the deck utilizing a slide
type keep-batten centred at the desk knee hole.
A patient call button and cancellation switch are to be provided and sited at the
Surgeons desk.
Operating Stools
a.
Two operating stools on lockable castors are to be provided.
b.
Straps, bulkhead mounted, are to be provided for stowing the operating stools.
Switch Sockets
a.
b.
Twelve 5A 240V 60Hz single phase and two 5A 115V 60Hz single phase switch
sockets are to be provided and sited on the bulkheads over worktops as advised
by MDG(N).
Communications
a.
A telephone linked to the ships main exchange and the reception telephone is
to be provided and bulkhead-mounted at the Surgeons desk.
b.
An intercom system linked to the laboratory and reception is to be provided and

sited at the Surgeons desk.
7.5
NES 106
Part 2
7.6
NES 106
Part 2
8.
DENTAL LABORATORY
8.1
Introduction
a.
8.2
8.3
8.4
Location
a.
The compartment is to be within the Medical Complex with access to the Lobby
Waiting area and adjacent to the Dental Surgery.
b.
In larger Class A Ships a Dental Clinic comprising a Dental Surgery, Laboratory

and Reception may be separate from the Medical Complex; in this case the
Laboratory within the Clinic is to be as specified in this Section.
Layout
a.
b.
Equipment for fitting out the compartment is given in TABLE 8.1.
c.
The compartment is to be lightproof.
Fitted Units
a.
8.5
8.6
8.7
A Dental Laboratory is to be provided in Class A Ships.
Fitted units under the workbench, sink and worktop and lathe bench are to be
to the Modular Range of Furniture (NES 128) Standard in a configuration as
advised by MDG(N) at the Design Stage.
Workbench
a.
A workbench made up of a worktop supported on fitted units is to be provided.
b.
The worktop is to be made from fireproofed plywood, faced and edged with
white HPL.
c.
The worktop is to be 715mm above the deck.
Sink and Worktop

a.
A stainless steel sink fitted with screw-down taps and drainage incorporating
a plaster trap is to be provided.
b.
The sink is to be set into a stainless steel worktop supported on fitted units.
c.
The worktop is to have 50mm upstands along the back and 25mm upstands
along the sides and front, and fitted with a waste shute and recepticle as in
FIGURE 8.2.
d.
The worktop is to be 860/870mm above the deck.
Lathe Bench
a.
A stainless steel lathe bench with dimensions as for the worktop incorporating
the sink is to be provided.
b.
The bench top is to be 860/870mm above the deck and supported on fitted units.
8.1
NES 106
Part 2
Item numbers, equipment and quantities are shown in TABLE 8.1
FIGURE 8.1 TYPICAL LAYOUT OF DENTAL LABORATORY
8.2
NES 106
Part 2
ITEM
No
1
EQUIPMENT
QTY
Workbench With Fitted Unit Under
Sink/Worktop With Fitted Units Under
Waste Chute
Lathe Bench With Fitted Units Under
Dental Vibrator
Plaster Trimmer
X-Ray Film Processor
Lathe
Warning Light
10
Dark Room Light Complete
11
Cap and Coat Hooks
12
Bench Lighting
13
Switch Sockets
240V Double Outlet
14
Switch Sockets
15V Double Outlet
15
Telephone
16
Intercom
1
TABLE 8.1 DENTAL SURGERY EQUIPMENT
8.3
NES 106
Part 2
NOTE:
LID TO SLEEVE
UP AND DOWN THE
CHUTE TO ENABLE
REMOVAL OF BOX
FOR CLEANING
PURPOSES.
CHUTE AND BOX TO
BE OF 1.6mm
ALUMINIUM ALLOY
FIGURE 8.2 WASTE CHUTE IN SINK UNIT DENTAL LABORATORY
8.4
NES 106
Part 2
8.8
Dental Vibrator
a.
8.9
8.10
Dental Plaster Trimmer

a.
A dental plaster trimmer supplied by MDG(N) is to be secured to the worktop

adjacent to the sink.
b.
The trimmer is to be provided with a cold fresh water supply.
X-Ray Film Processor

a.
8.11
8.14
8.15
A warning light showing Film Processing In Progress when illuminated is to

be provided and bulkhead-mounted outside the Laboratory adjacent to the
entrance door.
Dark Room Light

a.
A dark room light complete with screen and safe-light filter is to be provided and
bulkhead-mounted above the X-ray film processor.
b.
A switch that simultaneously controls the dark room light and the warning light
is to be provided.
Switch Sockets
a.
b.
Three double outlet 5A 240V 60Hz single phase switch sockets are to be
provided and sited centrally over the workbench, sink worktop and lathe bench.
c.
One double outlet 5A 115V 60Hz single phase switch socket is to be provided and
sited over the workbench.
Lighting
a.
8.16
A lathe supplied by MDG(N) is to be sited on the lathe bench.
Warning Light
a.
8.13
An X-ray film processor supplied by MDG(N) is to be sited adjacent to the sink.
Lathe
a.
8.12
A dental vibrator supplied by MDG(N) is to be secured to the workbench.
Lights centrally positioned over the workbench, sink/worktop and lathe bench
are to be provided.
Communications
a.
A bulkhead mounted telephone connected to the ships main exchange is to be

provided.
b.
An intercom connected to the Dental Surgery and Reception is to be provided.
8.5
NES 106
Part 2
8.6
NES 106
Part 2
9.
PATHOLOGICAL LABORATORY/DARK ROOM

a.
9.1
Location
a.
9.2
9.4
a.
The equipment for fitting out the compartment is listed in TABLE 9.1.
b.
The compartment is to be lightproof.
Pathological Bench Unit
A 0.142 cubic metre (5 cu ft) top loading deep freeze unit is to be provided. The
unit is to be capable of maintaining a temperature of 20 C to 30 C.
Warning Light
a.
9.11
A 0.142 cubic metre (5 cu ft) pharmacy refrigerator complete with a bulkheadmounted temperature chart recorder is to be provided.
Deep Freezer Unit

a.
9.10
A stainless steel film drying rack is to be provided and bulkhead-mounted

610mm above the developing tank.
Refrigerator
a.
9.9
A film developing tank with a bulkhead-mounted spring clip to hold the top in
the open position is to be provided.
Film Drying Rack

a.
9.8
A sink and cupboard unit is to be provided complete with screw-down taps. The
taps are to be 560mm above the bottom of the sink bowl.
Developing Tank
a.
9.7
A pathological bench unit is to be provided complete with elbow operated taps

for hot and cold fresh water supplies and full drainage facilities.
Sink and Cupboard Unit

a.
9.6
A typical layout showing the main items of equipment is in FIGURE 9.1.
Equipment
a.
9.5
The compartment is to be within the Medical Complex with direct access to the
Lobby/Waiting area.
Layout
a.
9.3
A Pathological Laboratory/Dark Room is to be provided in Class A Ships.
A warning light showing Developing In Progress When Illuminated is to be

provided and bulkhead-mounted adjacent to the door.
Dark Room Light

a.
A dark room light complete with screen and safe-light filter is to be provided and
bulkhead-mounted above the developing tank.
b.
A switch that simultaneously controls the dark room light and the warning light
is to be provided.
9.1
NES 106
Part 2
9.12
Switch Sockets
a.
Three 15A 115V 60Hz and one 15A 240V 60Hz single phase switch sockets are
to be provided, one on the bulkhead above the pathological bench, one adjacent
to the refrigerator and one adjacent to the deep freeze unit.
9.2
NES 106
Part 2
FIGURE 9.1 TYPICAL LAYOUT OF PATHOLOGICAL

LABORATORY/DARK ROOM
9.3
NES 106
Part 2
ITEM
No
1
QTY
Sink Unit With Cupboards Under
Film Developing Unit
Film Drying Rack
Two/Three Drawer Unit
Pathological Unit
Refrigerator Complete5 cu ft
Bookcase
Shelf With Keep-Battens
Hinged Table
10
Stool
11
Towel Rail
12
Warning Light
13
Dark Room LightOverhead
14
Cap and Coat Hooks
15
Work TopStainless Steel
16
CupboardBulkhead Mounted
17
Deep Freeze Unit, Complete5 cu ft
18
WorktopStainless Steel
19
Cupboard Under Worktop
20
Splashback
21
Clock
TABLE 9.1 PATHOLOGICAL LABORATORY/DARK ROOM EQUIPMENT
9.4
NES 106
Part 2
10.
WARDS
a.
10.1
Ward Accommodation
a.
10.2
Main Wards are to be provided in Class A, B and C Ships with an Isolation Ward
provided in Class A Ships only.
Main Wards are to accommodate the following:

(1)
Class Amaximum of twelve patients
(2)
Class Bmaximum of eight patients
(3)
Class Cmaximum of two patients
b.
The Isolation Ward is to accommodate a maximum of two patients.
c.
The Ward in Class C Ships may also be used as temporary accommodation for
two personnel on instructions from FOSF.
Location
a.
The Main and Isolation Wards in Class A Ships are to have direct access through
double doors to the Lobby/Waiting area with the Main Ward also having direct
access to the Operating Theatre.
b.
The Ward in Class B Ships is to have direct access through double doors to the
Lobby/Waiting area with good access to the Treatment Room/Dispensary.
c.
The Ward in Class C Ships is to have direct access to the Surgery and to the
passageway through a second door.
10.3
Layout
10.3.1
Main Ward
a.
10.3.2
Layouts of the Main Ward for Class A, B and C Ships are shown in FIGURE 10.1,
FIGURE 10.2 and FIGURE 10.3 respectively.
Isolation Ward
a.
Layout of the Isolation Ward is shown in FIGURE 10.4.
10.1
NES 106
Part 2
FIGURE 10.1 TYPICAL LAYOUT OF CLASS A MAIN WARD
10.2
NES 106
Part 2
FIGURE 10.2 TYPICAL LAYOUT OF CLASS B MAIN WARD
10.3
NES 106
Part 2
FIGURE 10.3 TYPICAL LAYOUT OF CLASS C MAIN WARD
10.4
NES 106
Part 2
FIGURE 10.4 TYPICAL LAYOUT OF CLASS A ISOLATION WARD
10.5
NES 106
Part 2
10.4
Equipment
a.
10.5
10.6
Twotier Medical Berth

a.
A two-tier medical berth is to be provided with the lower bunk fixed over
suitable stowage units and the upper berth capable of being folded upwards and
retained.
b.
An amenity panel, attendant call system and reading lights are to be provided
for all berths.
Amenity Panel
a.
b.
10.7
The equipment requirement for the Main and Isolation Wards is in

TABLE 10.1.
The amenity panel to be provided at each berth is to be fitted with the following:
(1)
An attendant call system.
(2)
One 240V 60Hz single phase switch socket.
(3)
A control unit for a SRE headset.
The lower bunk amenity panel is to be fitted with one 115V 60Hz single phase
switch socket in addition to the above items.

a.
The attendant call system to be provided at each berth is to comprise the

following:
(1)
an indicator light;
(2)
a floating call button;
(3)
a cancel button.
These are to be connected to a call light and alarm buzzer sited outside the ward.
10.8
Reading Lights
a.
10.9
Siting of Berths
a.
10.10
10.11
All berths are to be provided with a reading light complete with an on/off switch
and incorporating a two-pin shaver socket mounted at the head of each bunk.
Berths are to be sited in a fore and aft position but if, exceptionally, sited
athwartships, the head is to be placed towards the mid-line.
Spacing of Berths
a.
A minimum distance of 760mm is to be provided between the accessible side of

the berths and the adjacent furniture.
b.
Where berths are sited facing each other a minimum distance of 900mm is to
be provided between them.
Mattresses
a.
A spring interior mattress, complying with NES 165, is to be provided for each
berth.
10.6
NES 106
Part 2
10.12
Ladders
a.
10.13
Food Trays
a.
10.14
10.17
Stowage for patients kit is to be provided in lockable units under the lower
berth.
Towel Rail
a.
10.16
One food tray per berth is to be provided. Stowage for the trays is to be provided
either individually or centrally as space allows.
Patients Kit Stowage

a.
10.15
Each upper berth is to be provided with an access ladder. Stowage for the ladder
when not in use is to be provided adjacent to the berth.
A towel rail fitted outside the headboard of the two-tier bunk unit is to be
provided for each berth.
Curtains and Rails

a.
Curtains are to be provided where possible to each two-tier bunk unit.
b.
The curtain rail is to be mounted at a minimum of 460mm out from the bunks.
c.
The curtain fabric is to comply with NES 129 and the Master Decor Scheme,
NES 184.
Surgeons Washbasin
a.
A Surgeons washbasin is to be provided complete with the following items:

(1)
Elbow operated taps for hot and cold fresh water supplies.
(2)
Full drainage facilities including a waste trap.
(3)
Left and right hand basin support brackets.
(4)
Splashback.
(5)
Mirror complete with light.
(6)
Soap dispenser.
(7)
Toilet tray.
(8)
Plug and retaining chain.
(9)
Towel rail or paper towel dispenser.
(10) Waste bin.
10.18
Wash-up Cabinet
a.
10.19
A wash-up cabinet is to be provided and fitted complete with items (1), (2), (4),
and (6)(10) inclusive as above.
Switch Sockets
a.
10.7
NES 106
Part 2
10.20
Communications
a.
A telephone connected to Reception and to the Ships main exchange is to be

provided.
b.
The loudspeaker provided for the Ships main broadcast system is to have a
volume control.
10.8
NES 106
Part 2
Quantities
Ward Equipment
Item
No
1
Main Ward
Equipment Description
Two-tier Medical Bunk with:
Isol
Ward
Amenity Panels
Reading Lights
Mattresses
Food Trays
Towel Rails
Patient Stowage Units (Under)
Ladder
2
Folding Table
Nesting Chair
Hinged Table
Surgeons Washbasin (see text)
CupboardBedding
CupboardGames
Bookcase
CupboardGeneral, Small
10
Notice Board
11
CupboardGeneral, Tall
12
Magazine Rack
13
Cap and Coat Hooks
12
14
Transfusion Hooks Over Bunks
12
15
Clock
16
CupboardFood
17
18
BulkheadPortable (Item 3 in Surgery

Section)
Wash-Up Cabinet (see text)
19
Shelf
20
CupboardWardrobe
21
Curtain and Rail
22
23
1
1
1
A/R
A/R
A/R
Telephone
Loudspeaker With Volume Control
TABLE 10.1 WARD EQUIPMENT
10.9
NES 106
Part 2
10.10
NES 106
Part 2
11.
WARD PANTRY
11.1
Introduction
a.
11.2
Location
a.
11.3
Stainless steel worktops are to be provided.
Cupboards and Drawer Units

a.
11.8
A double stainless steel sink unit is to be provided complete with hot and cold
fresh water supplied through screw-down taps and drainage facilities.
Worktops
a.
11.7
The equipment for fitting out the compartment is given in TABLE 11.1.
Sink Unit
a.
11.6
A typical layout of the main items of equipment is shown in FIGURE 11.1.
Equipment
a.
11.5
The pantry is to be within the Medical Complex with direct access to the Main
Ward.
Layout
a.
11.4
A ward pantry is to be provided in Class A Ships.
Fitted cupboards and drawer units are to be provided and sited under the sink
unit and worktops.
Shelves
a.
A stainless steel shelf with a 50mm upstand is to be provided and mounted

380mm above the worktop to which the heated food containers, toaster and
microwave oven are secured.
b.
A stainless steel shelf 380mm wide with keep-battens is to be provided and

bulkhead-mounted above the sink unit.
11.1
NES 106
Part 2
FIGURE 11.1 TYPICAL LAYOUT OF WARD PANTRY
11.2
NES 106
Part 2
ITEM
No
1
QTY
Sink Unit
Splash Back
Stainless Steel Worktop
Shelf With Upstand
Heated Food Container
Toaster
Microwave Oven
Tea Urn
Shelf With Keep-Batten
10
Refrigerator, Domestic, Automatic, 5 cu ft
11
Towel Rail
12
CupboardBulkhead-Mounted
TABLE 11.1 EQUIPMENT REQUIREMENT FOR WARD PANTRY
11.9
Tea Urn
a.
11.10
A 1.5kw tea urn is to be provided and secured on the bulkhead over the worktop
adjacent to the sinks.
Electrical Requirements
a.
A 115V 60Hz single phase supply is to be provided for the grill/boiler and toaster.
The units are to be permanently wired.
b.
The tea urn is to be permanently wired to the main supply.
c.
A 5A 115V 60Hz single phase switch socket is to be provided for each food
container supplied.
d.
A 15A 115V 60Hz single phase switch socket is to be provided for the
refrigerator.
11.3
NES 106
Part 2
11.4
NES 106
Part 2
12.
STERILIZING ROOM
12.1
Introduction
12.2
a.
A Sterilizing Room is to be provided in Class A and B Ships.
b.
In Class B Ships this compartment may double up as a Ward Pantry.
c.
The Sterilizing Room is to have access from the Lobby/Waiting area through a
sliding door.
d.
In Class A Ships the compartment is to be adjacent to the Operating Theatre

and the Main Ward.
e.
In Class B Ships the compartment is to be adjacent to the Treatment

Room/Dispensary and the Main Ward.
Layout
a.
12.3
Equipment
a.
12.4
A typical layout is shown in FIGURE 12.1.
The equipment for fitting out the compartment is given in TABLE 12.1.
Deck Drains
a.
Two deck drains are to be provided and sited one in each end of the lowest side
of the deck.
FIGURE 12.1 TYPICAL LAYOUT OF STERILIZING ROOM
12.1
NES 106
Part 2
ITEM
No
1
QTY
SinkStainless Steel
WorktopStainless SteelContinuous
CupboardsFitted Under Worktop
A/R
CupboardsFitted Bulkhead Mounted
A/R
Porous Load Sterilizer
Towel Rail
Wash Down Tap
Microwave OvenClass B Only
10
Door
11
Emergency Water Tank Over Item 1
TABLE 12.1 STERILIZING ROOM EQUIPMENT
12.5
12.6
Fitted Units
a.
A stainless steel worktop with a stainless steel sink set in is to be provided.

Cupboards, to the Modular Range of Furniture Standard (NES 128), are to be
fitted underneath the worktop and sink.
b.
Bulkhead-mounted cupboards, to the Modular Range of Furniture Standard

(NES 128), are to be sited above the worktop and sink sufficient to stow six
sterile dressings drums each 343mm dia 242mm high.
c.
Additional cupboards may be provided should space allow.
Emergency Water Tank

a.
12.7
a.
12.8
A downward displacement instrument sterilizer supplied by MDG(N) is to be

securely mounted on the worktop adjacent to the sink.
Porous Load Sterilizer

a.
12.9
An emergency water tank, 136 litres (30 gallons) capacity is to be provided and
sited in the deckhead over the sink. A pipe and screw-down tap to the sink are
to be fitted. A tally plate with operating instructions is to be provided.
A porous load sterilizer supplied by MDG(N) is to be provided with fresh water,

steam, electrical supplies and drainage as per installation instructions.
Microwave Oven (Class B only)

a.
The microwave oven provided is to be securely mounted on the worktop and

permanently wired to the electrical supply.
12.2
NES 106
Part 2
13.
13.1
13.2
TOILET AND WASH FACILITIES

a.
Toilet and wash facilities in the form of bathrooms, shower-rooms and WCs are
to be provided for Main and Isolation Wards and WCs for the Out-Patients area.
b.
The compartments are to comply with NES 120.
Location
a.
Each Main and Isolation Ward is to be provided with a dedicated facility. There
is to be direct access from the Ward, with the exception of Class C Ships where
access will be from the Surgery.
b.
The WC provided in the Out-patients area of Class A and B Ships is to be

adjacent to the Consulting Room(s) with access from the Lobby/Waiting area.
Facilities
a.
The toilet and wash facilities to be provided in each Class of Ship and the
compartments major constituents are shown in TABLE 13.2.
Facilities
Class
Location
Bath
Bath
room
room
Shower Shower
Room
& BCU
Main Ward
A
Room
n
n
n
n
n
Out-Patients Area
C
& BCU
Out-Patients Area
Main Ward
WC
& BCU
Isolation Ward
WC
Ward
Major Constituents
Bath With Shower Over
Shower Unit
Washbasin
WC
n
n
WC With BCU
n
n
BCU = Bedpan Cleaning Unit

TABLE 13.2 TOILET AND WASH FACILITIES AND MAJOR CONSTITUENTS OF
COMPARTMENTS
13.3
Layout
a.
Typical layouts of each facility are shown in FIGURE 13.1, FIGURE 13.2 and
FIGURE 13.3.
b.
In Class A and B Ships the Main Ward facilities may be combined into one
compartment provided the Bathroom has a separate entrance to the Ward.
13.1
NES 106
Part 2
FIGURE 13.1 TYPICAL LAYOUT OF BATHROOM
13.2
NES 106
Part 2
Item numbers, description and quantities are tabulated in TABLE 9.1
FIGURE 13.2 TYPICAL LAYOUT OF SHOWER-ROOM
Item numbers, description and quantities are tabulated in TABLE 13.1

FIGURE 13.3 TYPICAL LAYOUT OF WC
13.3
NES 106
Part 2
Item
Equipment
No
Description
Br
WCBulkhead
Mounted
Sr
WC
WC
Br
& BCU
Sr
& BCU
out
& BCU
Solid Lid and

Backrest
2
Deodorizer
Hand Hold (WC)
Toilet Roll Holder
Towel Rail
Toilet Cabinet and Tray
Washbasin
1
1*
1*
Corner Washbasin
8
Cap and Coat Hooks
Bath Unit with Shower
Shower Cubicle
10
Hand Hold (Bath/
Shower)
11
Soap Tray (Bath/

Shower)
12
Curtain (Bath/Shower)
13
14
Waste Bin
15
Soap Dispenser
16
Bedpan Cleaning Unit
(BCU)
17
Bedpan and Bottle Rack
18
XRay Developing Tank
19
Worktop with Cupboard
Warning Light
1B
Dark Room Light
1B
Br = Bathroom
Sr = Shower Room
BCU = Bedpan Cleaning Unit
Out = Outpatients
B = for Class B only
* = may be normal type of washbasin if space allows
TABLE 13.1 TOILET AND WASH FACILITIES EQUIPMENT
13.4
NES 106
Part 2
13.4
13.5
13.6
Equipment
a.
The equipment for fitting out the toilet and wash facilities is given in
TABLE 13.1.
b.
Class B bathrooms are to be light proof.

a.
An Attendant Call System comprising an indicator light, pull and call switch
and a cancel button is to be provided and connected to the call light and alarm
buzzer sited outside the Ward or in the Surgery.
b.
The indicator light and cancel button are to be sited outside the compartment
adjacent to the door.
Washbasin
a.
13.7
Washbasins are to be provided complete with the following items:

(1)
Screw-down taps for hot and cold fresh water supplies.
(2)
Full drainage facilities including a waste trap.
(3)
Left and right hand basin support brackets.
(4)
Splashback.
(5)
Plug and retaining chain.
Electrical Requirements
a.
In Class B Ships, the bathroom is to be provided with a Warning-Light

BoxDeveloping in Progress and a Dark-Room Light.
b.
The Warning-Light Box is to be bulkhead-mounted in a position readily visible

before entering the compartment.
c.
The Dark Room Light, complete with a screen and safe light filter, is to be
bulkhead-mounted inside the compartment.
d.
A switch is to be provided that simultaneously controls the Warning-Light Box

and the Dark-Room Light.
13.5
NES 106
Part 2
13.6
NES 106
Part 2
ANNEX A.
RELATED DOCUMENTS
A.1
The following documents and publications are referred to in this NES:

See Clause
NES 119
NES 120
NES 128*
NES 129
NES 165
NES 184*
Requirements for Fire Protection and

Damage Control for Surface Ships
Requirements for WCs, Urinals, Bathrooms
and Washing Facilities in Surface Ships
Requirements for Furniture and Fittings in
Surface Ships and Submarines
4.20a.
Requirements for Soft Furnishings and

Fabrics
Requirements for Spring Interior Mattresses
for Use in Surface Ships and Submarines
Requirements for Master Decor Scheme of
Accommodation Areas in Surface Ships and
Submarines
4.14a.,
10.16c.
10.11a.
13.b.
6.7a.,
7.9a.,
7.11a.,
7.16b.,
8.4a.,
12.5a.
4.14a.,
10.16c.
* Not yet published.
A.1
ANNEX A
NES 106
Part 2
ANNEX A
A.2
NES 106
Part 2
ANNEX B.
DEFINITIONS AND ABBREVIATIONS
B.1
For the purpose of this NES the following apply:

a.
Definitions
Utilizable Space
The area within a minimum deck height to

the underside of the deck-head lining of
2135mm
Classification of Medical and

Dental Facilities
Class ACVS
Class BLPD/LPH
B LPD/LPH
Class CDD/FF/OSV/MCMV
C DD/FF/OSV/MCMV
Class DMinor War Vessels
b.
Abbreviations
AEL
Automatic Emergency Lantern
CSA
Casualty Sorting Area
DNDS
Director Naval Dental Service
FAP
First Aid Post
HPL
High Pressure Laminate
QAWT
Quick Action Watertight Door
RFA
Royal Fleet Auxiliary
MDG(N)
Medical Director General (Navy)
SO3(MED(P&P))
Staff Officer 3 (Medical (Policy and Plans))
SMP
Secondary Medical Position
SR(Sea)
Staff Requirement (Sea)
SRE
Sound Reproduction Equipment
UDMS
Upper Deck Medical Station
VDU
Visual Display Unit
Vessels
CVS
Carrier
DD
Destroyer
FF
Frigate
LPD
Landing Platform Dock
LPH
Landing Platform Helicopter
MCMV
Mine Countermeasure Vessel
OSV
Ocean Survey Vessel
B.1
ANNEX B
NES 106
Part 2
ANNEX B
B.2
Inside Rear Cover
Crown Copyright 2000

Copying Only as Agreed with DStan
Defence Standards are Published by and Obtainable from:

Defence Procurement Agency
An Executive Agency of The Ministry of Defence
Directorate of Standardization
Kentigern House
65 Brown Street
GLASGOW G2 8EX
DStan Helpdesk
Tel 0141 224 2531/2
Fax 0141 224 2503
Internet e-mail enquiries@dstan.mod.uk
File Reference
The DStan file reference relating to work on this standard is D/DStan/69/02/106.
Contract Requirements
When Defence Standards are incorporated into contracts users are responsible for their correct
application and for complying with contractual and statutory requirements. Compliance with
a Defence Standard does not in itself confer immunity from legal obligations.
Revision of Defence Standards
Defence Standards are revised as necessary by up issue or amendment. It is important that
users of Defence Standards should ascertain that they are in possession of the latest issue or
amendment. Information on all Defence Standards is contained in Def Stan 00-00 Standards
for Defence Part 3 , Index of Standards for Defence Procurement Section 4 Index of Defence
Standards and Defence Specifications published annually and supplemented regularly by
Standards in Defence News (SID News). Any person who, when making use of a Defence
Standard encounters an inaccuracy or ambiguity is requested to notify the Directorate of
Standardization (DStan) without delay in order that the matter may be investigated and
appropriate action taken.

NES 106 Part 2 Requirements For Medical and Dental Organization in HM Surface Ships and Submarines

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Ministry of Defence

Defence Standard 02-106 (NES 106)

Requirements For Medical And

Incorporating NES 106 Category 2

Signature and Date

Naval Engineering Standard

This NES Supersedes

NAVAL ENGINEERING STANDARD 106

The issue and use of this Standard

This NES comprises:

Common RequirementsMedical and Dental Facilities

Specific RequirementsMedical and Dental Facilities in HM Surface Ships

Specific RequirementsMedical Organization for Action in HM Surface Ships

Specific RequirementsMedical and Dental Facilities in HM Submarines

If it is found to be technically unsuitable for any particular requirement the Sponsor is to be

No alteration is to be made to this NES except by the issue of an authorized amendment.

MOD Tender or Contract Process

British Standards Institution,

Directorate of Standardization and Safety Policy,

Naval Engineering Standards

CSE3a, CSE Llangennech, Llanelli,

Tender or Contract Sponsor to advise.

Note: Tender or Contract Sponsor can advise in cases of difficulty.

Health and Safety

FIGURE 3.1 TYPICAL LAYOUT OF CONSULTING

Operating Table Light . . . . . . . . . . . . . . . . . . . . . . . .

FIGURE 10.4 TYPICAL LAYOUT OF CLASS A

Porous Load Sterilizer . . . . . . . . . . . . . . . . . . . . . . . .

TOILET AND WASH FACILITIES . . . . . . . . . . . . .

DEFINITIONS AND ABBREVIATIONS . . . . . . . .

A Lobby is to be provided in Class A and B Ships and is to include a Waiting Area

The Lobby/Waiting Area is to be used as a Casualty Sorting Area during a mass

The area is to be kept to a minimum. Space is to be provided for hinged benching

Additional hinged benching is to be provided against free bulkheads as space

Benching is to be 300mm wide and individual lengths not exceeding 2000mm,

In Class C ships, benching, sufficient for two patients, is to be provided on the

Alarm and Call Systems

A Crash-on-Deck alarm is to be provided in Class A and B Ships to alert Medical

The alarm is to be a red flashing indicator light mounted in the Lobby/Waiting

A second Crash-on-Deck alarm is to be provided in the Medical Officers cabin

Patient Call System

A Patient Call System is to be provided in Class A and B ships to indicate when

In Class C Ships an illuminated ENTER/DO NOT ENTER indicator is to be

Attendant Call System

An Attendant Call System is to be provided in all Classes of Ship to summon

A Reception Compartment is to be provided in Class A and B ships

The compartment is to be sited adjacent to the Main Entrance and able to be

In larger Class A Ships a Dental Clinic comprising a Dental Surgery, Laboratory

MDG(N) is to advise as to equipment content when a Dental Clinic is specified

Whereabouts DiagramMedical Organization for Action

A Whereabouts Diagram is to be provided with a white margin 300mm wide

A pen trough is to be provided at the bottom of the diagram.

The complete diagram is to be bulkhead-mounted in an easily accessible

240V and 115V switch sockets and plugs are to be incompatible.

FIGURE 2.1 TYPICAL LAYOUT OF RECEPTION FOR CLASS A SHIPS

Four Drawer Medical Document Cabinet

Desk Pedestal UnitTwo Drawer

Desk Pedestal UnitCupboard

Desk TopDouble Length

Desk TopSingle Length

Shelf With Keep Battens & A4 Paper Trays

Cupboard/Shelf With Keep Battens

Cap and Coat Hooks