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Harrismith Private Hospital, Free State

Harrismith is a charming example of a typical Free State town, situated in the eastern Free State, South Africa. Harrismith is probably best known by South Africans as the ‘halfway house’ - half way, that is, between Durban and Johannesburg. For years it has served as the midway stop to tank up both on fuel and food. As such, the Busamed Harrismith Private Hospital is well positioned in Harrismith and easily accessible off the N3 between Johannesburg and Durban.

Bullet Location: Harrismith
Bullet Client: Busa Holdings
Bullet Role: civil and structural engineering

The hospital is owned by Busamed, one of South Africa’s first black-owned healthcare groups. To address the demand for medical facilities in the country, the group secured ZAR 1 billion to build four new private hospitals in the Western Cape, Free State and Gauteng. Our client appointed us to provide civil, structural and building services for all four new private hospitals. The private hospitals are being developed in Cape Town, Johannesburg, Harrismith and Bloemfontein.

The Harrismith hospital is a 120-bed, single storey development offering general, medical, surgical, day and paediatric wards, X-ray facilities, theatres, high care, maternity and neonatal ICU wards.

The building is a single storey, conventionally reinforced concrete frame hospital, with reinforced concrete columns founded on pad footings. Brickwork is founded on strip footings. The structural steel roof is supported over the reinforced concrete columns and steel columns.

The hospital’s practice comprises general theatre, intensive care unit, pathology laboratory, medical, surgical, day and paediatric wards

The X-ray department comprises Magnetic Resonance Imaging (MRI), sonar, a Bucky room, mammogram, bone and computerised tomography (CT) rooms.


  • Civil engineering included design of bulk earthworks, roads and parking design, stormwater management and water and sewer reticulations
  • Structural engineering included feasibility study, value engineering, detailed designs of reinforced concrete elements and structural steel, compiling of construction documentation and site monitoring
  • Wet services included design of domestic water system, hot water system, sanitary drainage system, including sewer pump station and site monitoring
  • Remodelling multiple scenarios to optimise value engineering
  • Detailed design to Stage six engineering procurement and construction contracts
  • Approval from authorities
  • Project scheming and structural proposals
  • Analysis and design of structural elements and assess solutions
  • Rational design of plumbing and drainage system
  • Site monitoring
  • Compiling of construction documentation