FacilityCare Case Studies

From Consulting to Project Management at a Massachusetts Healthcare Center


A Massachusetts healthcare center, in an effort to become proactive about the maintenance of facility equipment and to avoid run-to-fail operations, hired Triumvirate to perform an assessment of its campus.




After a close review and walkthrough of each building and each room, Triumvirate proposed a number of actions as part of a written assessment.

Recommendations were organized into three categories: immediate service, additional inspection and/or maintenance recommended but not urgent, and no problems found. A major proposal was to clean the secondary containment within a main accumulation area (MAA) of the hospital. The debris and dirt underneath the floor grates in the MAA put the client at risk for citation during regulatory inspection.

The hospital signed a working agreement with Triumvirate to perform the work, and our FacilityCare team arrived on-site the next day, equipped with all necessary resources.


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Triumvirate’s team took the following measures:

  • Removed all chemical bottles and drums from the MAA, holding these objects in another temporary MAA in order to complete cleaning.
  • Removed floor grates so that they could access the floor below, which contained dirt, vermiculite, small chemicals that had fallen through the grates, batteries, pens, markers, and other debris. The MAA floor had not been cleaned for years, so there was substantial build-up.
  • Triumvirate’s specialists collected everything with a vacuum and ran analytics to determine appropriate waste codes for shipment off-site.
  • Test results showed that the material was not hazardous, so the collected material was shipped off-site with the non-RCRA-regulated state waste code MA-99.
  • The team also decontaminated the floors and walls of the MAA with industrial cleaner; the rags for this process were disposed of off-site as well.



shutterstock_108258017_copyTriumvirate served as a compliance advisor for the client, alerting the hospital that its MAA and other equipment required immediate action to stay within compliance. Not only was Triumvirate able to save the institution thousands of potential regulatory fines, but was able to keep the institution in good standing with the joint commission and streamline their preventative maintenance process for safety, compliance and cost. 

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Multi-Part Preventative Maintenance Planning and Implementation at a Large Hospital




The large hospital in MA brought in Triumvirate Environmental with the hopes that they would create streamlined, preventative maintenance program. Ultimately allowing the facility to stay organized and on top of required maintenance. 




Triumvirate immediately brought many new items of preventative maintenance servicing to the hospital. Actions that have been taken are as follows:

  • Main Accumulation Area, Secondary Containment Cleaning.  Secondary containment for hazardous waste is not only an essential part of pollution control;it is also required by law. By regulation they must be kept clean in order to properly inspect the integrity of the containment. By putting the cleaning of the secondary containment in the MAA  on a preventative maintenance schedule the organization can be ensured the containment will remain clean, intact, and capable of containing any uncontrolled release of a hazardous waste
  • Industrial Wastewater Pretreatment System Secondary Containment Cleaning 
  • Wastewater Lift Station Cleaning: A wastewater lift station can easily be forgotten about and troublesome when it fills with unwanted debris. By allowing Triumvirate to clean the lift station, Triumvirate was able to assess the level of debris and recommend a cleaning schedule that will guarantee the lift station works as designed.
  • Chemical Feed Lines for the Wastewater System Replacement Another item that is frequently overlooked are the treatment chemical feed lines on a waste water system. These lines are usually carrying high concentration sulfuric acid and sodium hydroxide. When one of these lines fails, not only does it create a mess that is difficult to clean, it can seriously injury to anyone in the line of fire. By replacing these lines before they fail we were able to avoid any costly failures.
  • Stormwater Pollution Prevention Plan Inspections As part of the hospital’s NEPDES permit to discharge storm water into a wetland, they are required to inspect the catch basin system. Triumvirate took control of these inspections and identified issues for correction including sedimentation control and hazardous substance relocation. Triumvirate was able to measure the depth of sediment in catch basins and remove the sediment before it caused a failure or flow problem.
  • Designation System Triumvirate implemented a system of unique designations for each basin. With the new designation system Triumvirate then mapped and labeled the basins. In the event of a spill of hazardous material this will make it easier and faster to identify which catch basins could be involved and where intervention is needed to divert the material away from unaffected basins.




Triumvirate Environmental’s custom preventative maintenance plan has allowed the hospital to stay on top of maintenance. Efficiency and compliance has improved and the organization has saved thousands of dollars in potential fines. 


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