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PRJ-2026-007Critical4ExecutionConstructionStalledDelivered by:Ministry of Health

Hama National Hospital Upgrade & Extension

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Extending Hama National Hospital with a new wing of 42 wards and theatres and upgrading its medical equipment, running 9 temporary wards so care never stops during the works.

Early warning: ⁦97%⁩ chance of slipping within ⁦30⁩ days

Budget (BAC)

SYP 16B

Actual cost

SYP 11.1B

⁦70%⁩ of budget

Progress

⁦57%⁩Awaiting acceptance ⁦10%⁩

Estimate at completion

SYP 19.5B

+SYP 3.5B

SPI · CPI

0.70Schedule performance index · 0.700.82Cost performance index · 0.82

Forecast finish

⁦2027-06-01⁩

152 days behind baseline

ExecutionStage ⁦4⁩ of ⁦5⁩

Next gate:Closure7 October 2026

  1. Pre-start · CompletePre-start · Complete
  2. Gate into «Initiation»DecisionGoDate6 December 2023Initiation · CompleteInitiation · Complete
  3. Gate into «Planning»DecisionGoDate4 February 2024Planning · CompletePlanning · Complete
  4. Gate into «Execution»DecisionGoDate23 July 2024Execution · Current stageExecution · Current stage
  5. Gate into «Closure»DecisionNot held yetDate7 October 2026Closure · Not startedClosure · Not started

Change request

The change, its impact analysis and the approval decision

Planning and Statistics AuthorityMunjazStrategy & projectsMunjazPMO PLATFORM

Execution

Change request

The change, its impact analysis and the approval decision

Form no.
PSA-PMO-F09
Template edition
3.1
Version
V1
Form date
⁦2026-08-20⁩
In approvalCR-2026-005Change order 7: medical gases and HVAC redesign

Auto-filled — Filled by the platform from the project record, not typed.

Project code
PRJ-2026-007
Project
Hama National Hospital Upgrade & Extension
Portfolio
Health, Education & Industrial Recovery Portfolio
Sector
Development Projects Follow-up Sector
Sponsor
Eng. Abdulrahman Al-Kilani
Project manager
Eng. Sara Al-Barazi

1The change

TitleAuto-filled
Change order 7: medical gases and HVAC redesign
KindAuto-filled
Contract
Requested byAuto-filled
Eng. Sara Al-Barazi
Raised onAuto-filled
⁦2026-08-20⁩

Reason

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

2Impact analysis

Cost

+SYP 465M

Schedule

+40 days

Risk

20 → 16

Benefits

+4%

Risk impact

Settles part of the open claims

Benefits impact

14% less energy a year and theatres up to standard

3The approval decision

The PMO’s recommendation

The pricing dispute was referred to the national projects steering committee

Change Committee decision
Not taken yet
Decided on
—
Decision number
—

Approval logChain: Change request approval · version ⁦5⁩

Every decision on the form — who, their role, the note and the time. It prints with the form.

#StepKindNameDecisionNoteDate & time
1Author—Eng. Sara Al-BaraziSenior Project Manager — Hospitals & Health FacilitiesSubmitted—⁦2026-08-20⁩ 14:47
2Project managerTechnical acceptanceEng. Sara Al-BaraziProject managerApproved—⁦2026-08-23⁩ 10:01
3PMO review & impact analysisMethodology reviewMariam Al-ZoubiPMO — analystApproved—⁦2026-08-24⁩ 11:08
4Financial impactFinancial approvalApproval engineFinancePre-breach alert—⁦2026-08-27⁩ 08:00

Signatures

Project manager

Eng. Sara Al-Barazi

Approved⁦2026-08-23⁩

PMO review & impact analysis

Mariam Al-Zoubi

Approved⁦2026-08-24⁩

Financial impact

Rasha Al-Mudarres

Awaiting decision

Contractual impact

Abdullah Al-Ujaili

Later

Change Committee

Dr. Ziad Al-Atassi

Later

Issued from Munjaz — Planning and Statistics Authority · ⁦2026-10-28⁩Form PSA-PMO-F09 · version V1

Change request

Prints the form and its approval log on A4.

Approval path

Read from the approval engine: the steps, their holders and the time limits in working days.

Chain: Change request approval · version ⁦5⁩

Submitted by Eng. Sara Al-Barazi on ⁦2026-08-20⁩

  1. Technical acceptance

    Project manager

    Eng. Sara Al-Barazi · Project manager

    Approved · ⁦2026-08-23⁩ at ⁦10:01⁩

  2. Methodology review

    PMO review & impact analysis

    Mariam Al-Zoubi · PMO — analyst

    Approved · ⁦2026-08-24⁩ at ⁦11:08⁩

  3. Financial approval

    Financial impact

    Rasha Al-Mudarres · Finance

    On the path because: Financial link?

    Delegated to Omar Al-Nahhas

    44 working days overdueAction time limit exceeded · Limit 2 working daysLimit 2 working days · Due ⁦2026-08-27⁩

    Pre-breach alert at ⁦75%⁩ — sent ⁦2026-08-27⁩

    Waiting on Omar Al-Nahhas
  4. Financial approval

    Contractual impact

    Abdullah Al-Ujaili · Procurement & contracts

    On the path because: Contract link?

    Limit 2 working days · Expected by ⁦2026-08-31⁩

  5. Technical acceptance

    Change Committee

    Dr. Ziad Al-Atassi · Change Committee

    Delegated to Dr. Reem Al-Qabbani

    Limit 3 working days · Expected by ⁦2026-09-03⁩

Steps that do not apply to this record

  • National Projects Steering Committee — the condition «Cost impact above the Change Committee’s authority?» does not holdFrom the authority matrix
  • Authority Executive Council — the condition «Cost impact above the Steering Committee’s authority?» does not holdFrom the authority matrix

Previous versions

Every version is kept with its status and what changed.

  1. V1In approvalCurrent⁦2026-08-20⁩

    The request as raised

    Eng. Sara Al-Barazi

Only one version so far.

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