CR-2026-005Hama National Hospital Upgrade & Extension
Change order 7: medical gases and HVAC redesign
Justification and the cost, schedule and risk impact, with a recommendation.
Impact analysis
Before and after — as it will show in the baseline if approved
Cost
+SYP 465MCurrent budgetSYP 16B
After the changeSYP 16.5B
+2.9%
Schedule
+40 d- Baseline finish2026-12-31
- New finish2027-02-09
Risk
−4Settles part of the open claims
Benefits
+4%14% less energy a year and theatres up to standard
+4% of expected benefits
Reason for change
Medical gases and HVAC insufficient after extra operating theatres and the intensive-care wing were added
Justification
Without it the new wards fail the Ministry of Health facility standards
PMO recommendation
DeferThe pricing dispute was referred to the national projects steering committee
Approval workflow
Submitted
Eng. Sara Al-Barazi
Done2026-08-20
PM review
Eng. Sara Al-Barazi
Done2026-08-21
Impact analysis
Kinan Azzam
Done2026-08-25
Finance & procurement
Rasha Al-Mudarres
Done2026-08-26
- 5
Change committee recommendation
Dr. Ziad Al-Atassi
Escalated2026-10-13
- 6
Executive Council decision
Dr. Samer Al-Daqqar
Now
- 7
Baseline updated
Eng. Sara Al-Barazi
Later
Why this route
The route is built from the request’s kind and impact level under the approved authority matrix.
Impact levelMajorAbove SYP 125M or 90 days
- A cost impact of SYP 465M is above SYP 125M — «major»: the Change Committee recommends and the Executive Council decides.
- It touches a signed contract, so Finance & Procurement review it contractually.
Awaiting the Executive Council’s decision
Change committee vote
Members vote before or during the meeting; the decision is taken once quorum is met
- Dr. Ziad Al-AtassiDeputy President, Strategy & PerformanceDr. Ziad Al-AtassiDeputy President, Strategy & PerformanceP-009ziad.alatassi@psa.gov.syChairApprove with conditions
- Dr. Reem Al-QabbaniDirector, National Project Management OfficeDr. Reem Al-QabbaniDirector, National Project Management OfficeP-002reem.alqabbani@psa.gov.syYouApprove
- Omar Al-NahhasSenior Finance & Contracts SpecialistOmar Al-NahhasSenior Finance & Contracts SpecialistP-007omar.alnahhas@psa.gov.syReject
- Rasha Al-MudarresDirector General, Finance & ContractsRasha Al-MudarresDirector General, Finance & ContractsP-018rasha.almudarres@psa.gov.syReject
- Eng. Rita GhanemEnterprise ArchitectEng. Rita GhanemEnterprise ArchitectP-031rita.ghanem@psa.gov.syApprove
- Eng. Wael Al-KhawlaniDirector, Engineering Supervision of Construction ProjectsEng. Wael Al-KhawlaniDirector, Engineering Supervision of Construction ProjectsP-036wael.alkhawlani@psa.gov.syApprove with conditions
- Approve2
- Approve with conditions2
- Reject2
- Abstain0
Awaiting the impact analysis