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Plumbing and Piping Engineering

Protecting Patients Through Every Critical Connection

In healthcare, plumbing and piping systems go beyond moving water and gases through a building.

They support breathing, anesthesia, surgery, infection prevention, sterile processes, diagnostics, equipment operation, sanitation, and the daily delivery of patient care. Their performance—and their failure—can directly affect clinical safety and operational continuity.

For more than 60 years, Mazzetti has designed healthcare plumbing, medical gas, and specialty piping systems for new facilities, campus expansions, infrastructure renewals, and complex renovations within occupied hospitals.

Medical gas systems in an emergency room

Medical Gas Systems

Life-supporting infrastructure designed for clinical safety, reliability, and continuity of care.

Medical gas systems are essential clinical infrastructure.

Mazzetti’s engineers understand how medical gases are produced, stored, distributed, monitored, and used throughout the care environment. We coordinate closely with clinicians, facility operators, medical-equipment planners, architects, contractors, and certification teams to align each system with clinical demand and operational protocols.

Engineering for Critical Clinical Environments

Coordinated, redundant, and phased systems that support new hospitals, campus upgrades, and active patient-care renovations.

  • Source + Distribution: oxygen, medical air, instrument air, vacuum, specialty gases
  • Safety + Controls: alarms, zone valves, emergency shutoffs, redundancy
  • Planning + Coordination: capacity assessments, campus planning, headwall coordination, testing and certification
  • Renovation + Phasing: replacement strategies in active care environments

Whether designing a new hospital or replacing an aging system without interrupting care, Mazzetti approaches medical gas infrastructure with the rigor appropriate to a life-supporting system.

Water Safety is Patient Safety

Healthcare water systems require a careful balance of water quality, temperature, turnover, conservation, redundancy, and pathogen-risk management.

Mazzetti’s industry involvement has included ASHRAE Standard 188, Legionellosis: Risk Management for Building Water Systems.

A Mazzetti leader represented the American Society for Health Care Engineering during the development of the standard, helping bring healthcare-specific operational realities into the process.

ASHRAE Standard 188 addresses risk management across building-water-system design, construction, commissioning, operation, and maintenance—making early engineering decisions an important component of a healthcare organization’s broader water-management program.

African Doctor washing hands properly with soap to be protected during work in hospital.

Our engineers consider water safety throughout the system, including storage, distribution temperatures, recirculation, balancing, stagnation risk, fixture selection, commissioning, renovation phasing, and long-term maintainability.

Plumbing and Piping Expertise

  • Medical gas and vacuum systems
  • Domestic hot- and cold-water systems
  • Water storage and treatment
  • Sanitary waste and vent systems
  • Stormwater and roof drainage
  • Laboratory and process piping
  • High-purity and specialty-water systems
  • Natural gas and fuel-oil systems
  • Dialysis and clinical process utilities
  • Water conservation and reuse
  • Building-water-system risk mitigation
  • Infrastructure assessment and master planning
  • Seismic bracing and system coordination
  • Occupied-facility renovation and phasing

Reliable, Responsible Infrastructure

We design plumbing and piping systems to protect public health, support clinical care, use water responsibly, and remain adaptable as facilities and care models evolve.

By connecting deep healthcare experience with research, standards participation, and a lifecycle understanding of infrastructure, Mazzetti helps clients make decisions that are safer for patients, more workable for facility teams, and healthier for the planet.

Plumbing and Piping Experts

Meet the team behind our plumbing designs.

Contact Us

Brian Hageman, Senior plumbing engineer
Brian Hageman, LEED AP
Associate Principal | Plumbing Discipline Lead

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