Healthcare & Pharmaceutical TAB Specialists
AABC / CAABC Certified · 100% Independent
Critical Healthcare Air & Water Balancing

Keeping Critical Healthcare Spaces

Safe &
Compliant

Air & Water Precision Balancing Inc. is an AABC/CAABC-certified, independent TAB firm specializing in hospitals, pharmacies, clean rooms, laboratories, and complex healthcare facilities throughout Ontario and the Greater Toronto Area.

25M+
Sq. Ft. Healthcare

Balanced across hospitals, clinics, and pharma facilities.

80+ Years
Combined Experience

Senior TAB technologists and field specialists.

100%
Independent TAB

TAB and audit focused firm.

Critical Room Snapshot Stable
OR #4 Pressure
Positive to corridor – within CSA Z317.2.
+2.8 Pa
Target: +2–5 Pa
AIIR Exhaust
Airborne isolation room exhaust verification.
14 ACH
Minimum: 12 ACH
Pharmacy Clean Room
USP 797/800

Directional airflow, C-PEC/C-SEC pressure relationships, and exhaust volumes verified for safe compounding.

Example layout based on typical AWPB healthcare TAB reports.

Testing, Adjusting & Balancing Services

Comprehensive TAB and commissioning support for healthcare, pharmaceutical, laboratory, and complex commercial projects across Ontario and the GTA.

Air TAB

Supply, return, exhaust, and relief air balancing to AABC procedures, with a focus on critical healthcare environments.

  • OR, ICU, NICU & diagnostic spaces
  • Isolation room pressurization & ACH verification
  • VAV, CAV, and induction systems

Hydronic TAB

Precise balancing for chilled water, hot water, glycol, and condenser water systems to optimize ∆T and system performance.

  • Primary/secondary and decoupled systems
  • Pump curves, flows, and energy optimization
  • OR and critical reheat coil verification

Duct Leakage & Investigative TAB

SMACNA duct leakage testing and investigative TAB for persistent pressure, comfort, or IAQ issues in critical areas.

  • SMACNA CL 3 / 6 / 12 duct leakage testing
  • OR cores, exhaust risers, specialty systems
  • Diagnostic TAB for existing healthcare facilities

Specializing in Healthcare & Pharmaceutical Facilities

Healthcare ventilation is not standard TAB. AWPB has balanced over 25 million square feet of Canadian hospitals, clinics, and pharmaceutical facilities where minor airflow or pressurization errors can create real risk for patients, staff, and product integrity.

Critical Environments
  • Operating Rooms & Procedure Suites
  • ICU / NICU & critical care units
  • Airborne isolation & protective environments
  • Endoscopy & bronchoscopy areas
Labs & Pharma
  • GMP clean rooms & support spaces
  • Hospital & oncology pharmacies
  • USP 797 / 800 compounding rooms
  • Biosafety cabinets & fume hoods

Our field procedures align with CSA Z317.2 and current infection prevention & control (IPAC) guidance. Reports are structured for engineers, facility teams, and accreditation bodies.

Typical Healthcare TAB Scope
  1. Review design documents and sequences for critical spaces.
  2. Balance associated AHUs, VAVs, terminals, and hydronic systems.
  3. Verify room pressurization and ACH for OR/AIIR/PE rooms.
  4. Coordinate with controls/BAS teams.
  5. Issue deficiencies and performance observations.

Need to resolve a persistent pressure or IAQ problem? AWPB also provides investigative TAB for existing healthcare facilities.

Representative Projects

A sample of the healthcare, pharmaceutical, and laboratory projects AWPB has supported across Ontario and the GTA.

Trauma Center Hospital

3-Storey Patient and office Tower

Complete air and hydronic TAB for new tower including including isolation rooms and diagnostic areas.

Scope: 6 AHUs, 100+ VAVs, 4 isolation rooms.

Cancer Centre

Quarterly Clean Room Verifications

USP 797/800 compounding suite TAB, BSC airflow support, and directional airflow mapping for clean and support spaces.

Scope: 6 clean rooms, 2 BSCs, exhaust & makeup air.

Research Facility

GMP & Biosafety Rooms

Air and hydronic TAB for research labs including GMP spaces, fume hoods, and specialty exhaust risers.

Scope: 2 AHUs, 10 fume hoods, 6 dedicated exhaust risers.

Resources for Facilities

Practical tools developed from hundreds of healthcare and pharmacy balancing projects. Use these as a starting point for design, specs, and troubleshooting.

Checklist

Hospital Airflow Verification Checklist (CSA Z317.2)

Download

A concise, field-ready checklist to verify ACH, pressurization, and temperature control in critical spaces.

Interactive Tool

Stack Effect & Building Pressure Simulator

Open Tool

Visual simulator for stack effect, infiltration and exfiltration. Useful for explaining pressure behaviour in tall hospital and lab buildings.

Interactive Tool

Isolation Room Pressure Simulator

Open Tool

Conceptual model to explore how supply, exhaust, leakage and door usage affect isolation room pressure and stability.

For Spec Writers & Cx Providers

Need to reference a healthcare-focused TAB firm in your specs? We can provide sample specification language, report templates, and coordination notes tailored to hospitals and pharmaceutical facilities.

  • Sample TAB and commissioning spec clauses
  • Report examples aligned with accreditation requirements
  • Preferred communication flow with design and controls teams

About Air & Water Precision Balancing Inc.

AWPB is a fully independent, third-party testing, adjusting, and balancing firm serving the Greater Toronto Area and beyond. We focus on healthcare, pharmaceutical, laboratory, and complex commercial environments where precision and documentation are critical.

Our team brings over 80 years of combined field experience and is certified through the Associated Air Balance Council (AABC) and the Canadian Air Balance Council (CAABC). We work closely with mechanical engineers, facility managers, infection prevention teams, and commissioning providers to deliver clear, defensible reports and practical recommendations.

📍 Based in the Greater Toronto Area🛠 AABC / CAABC Certified Firm

Start a Healthcare TAB Project

Share a few details about your facility or project and we’ll follow up with a focused, healthcare-specific TAB proposal.

Email

Send drawings, specs, or a brief project description.

admin@awpbgroup.com

Service Area

We proudly serve hospitals, clinics, laboratories, and pharmaceutical facilities in the surrounding Greater Toronto Area. Consult for service to areas outside of the GTA      

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