The Case of the Misplaced Air-Handling Unit

The focus then shifted to who would have removed the luminaire and left the bare conductors exposed. I opined it was obviously the mechanical contractor, based on the field conditions, evidence, and chronology. The luminaires in this hall had been installed five years earlier. According to school and district records, no other work had been performed in the accident area other than the HVAC replacement. The defense countered with the argument that the mechanical contractor would have notified the project engineer and project electrician (who was hired by the mechanical subcontractor to install new disconnects) of the issue — a scenario that would have resolved the problem through proper channels.

In my experience, this theory did not fit reality, especially due to the fact that there was a very small probability that the electrician was on the job the exact day the air handler was installed. Another argument postulated by the defense was lack of a paper trail, which, in turn, somehow proved the contractor's innocence.

Because my engineering design practice included A/C retrofit work for many schools in the county, I felt comfortable explaining how the evidence pointed toward the mechanical contractor. Given the lack of involvement of the engineer, issuing a request for instructions on how to handle the problem would take more time and effort than just moving the luminaire. Although intent is difficult to prove, I gave the benefit of doubt to the contractor.

I alleged that he undoubtedly planned to notify others after the fact; however, he forgot. Ironically, no one was able to produce “as-built” plans (as called for in the contract) either. In addition, our requests for production of closeout documents from either party resulted in no action. This was surprising to me, as my experience with as-built plans, warranty information, equipment service data, etc., shows you must provide these items to the owner via the engineer and contractor prior to receipt of your final payment.

My opinion as to the responsibility of the project engineer hired to do the work was also based on my experience as engineer of record for similar projects. Our state architectural/engineer contracts govern how this work is to be executed by the design professional. Specifically, a rough-in inspection is required prior to closing the ceiling, and final inspection should also include an above-ceiling inspection by the design professional. Either the engineer did these inspections and never issued a report, warned of “issues” above the ceiling, or never stuck his head up there. Furthermore, he never noticed the missing fixture at the location of the new unit — not to mention the fact that the outside air duct was not installed as required.

Looking at this case from a big-picture perspective, it's also important to note the engineer's responsibility as well. It is the project engineer's responsibility to ensure the work is done by the contractor in accordance with design intent, codes, as well as State Department of Education and good practice requirements.

Lessons learned

Looking back at this case, I think the biggest lesson to be learned is that even the smallest projects can present big hazards. Combining the narrow project scope, unsophisticated owner, out-of-town engineer/contractor, and rural location, this particular situation created an environment that, in my opinion, almost invited negligence.

What should the engineer have done about the deplorable above-ceiling conditions? First of all, he should have advised the owner in writing subsequent to his first site visit. Although the owner obviously wouldn't want to hear about problems and potential hazards, public safety is a fundamental responsibility of the engineer. Providing such notice can also provide the engineer with legal protection. Last but not least, a thorough final inspection with a field report was blatantly missing. In the end, both the contractor and engineer settled with the plaintiff to avoid going to trial.

Greene is a licensed mechanical/electrical engineer for Orbital Engineering and Consulting in Charleston, S.C. He can be reached at Lag@orbitaleng.com.


Sidebar: Accident Reenactment

My reconstruction of the accident indicated current path was from the victim's right-hand finger to the left side of his temple, which came in contact with the grounded ceiling grid structure. This determination was based on entry and exit burn wounds in medical records.

The current path was a key issue for the defense due to neurological injury. They argued that the current path would not have traveled via the nervous system. As the investigating forensic engineer, I argued the nervous system headquarters was along the path of current travel and nerves are the electrical circuits of the body.


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