Guidelines, April 2026

NABH guidelines for modular OTs: a practical checklist

Setting up a modular operation theatre that meets the National Accreditation Board for Hospitals & Healthcare Providers (NABH) expectations is about one thing above all: keeping the surgical site free of infection. Here are the elements assessors look at most closely.

1. Laminar air flow and HVAC

Air quality is the core of an NABH OT. A Class 100 laminar air flow system with HEPA filters delivers ultra-clean air straight over the operating table and pushes airborne contaminants away from the surgical site. The HVAC system must also control temperature and humidity and help remove waste anaesthetic gases.

2. Positive pressure, hermetic doors and pressure relief dampers

The theatre should stay at a higher pressure than the corridor so air always flows outwards. Hermetically sealed doors and pressure relief dampers hold that difference steady during surgery.

3. Seamless wall and ceiling panels

Panels in pre-painted galvanised iron, stainless steel or similar materials must have sealed, seamless joints. Gaps and crevices collect dust and bacteria and are hard to clean.

4. Anti-static flooring

Static electricity is a risk around electronic equipment and anaesthetic gases. A jointless, conductive vinyl or epoxy floor that is easy to disinfect is expected.

5. Electrical safety and control

An isolated power system, a surgeon control panel with gas and power alarms, and flush-mounted LED lighting complete a compliant theatre.

Planning a new OT or an upgrade?

We design, build and commission NABH-ready modular operation theatres as turnkey projects.

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