Medical Office Buildings: Unique Risks and Insurance Requirements
Why medical office buildings are different
Medical office buildings (MOBs) sit in a unique space between “standard commercial property” and “healthcare premises&rdquo…
Office buildings look low-risk compared to construction sites, but they’re full of hidden exposures. You’ve got multiple tenants, shared areas, visitors, IT infrastructure, fire safety obligations, and strict access controls. Add contractors into that mix—electricians, HVAC engineers, cleaners, shopfitters, lift engineers, fire alarm testers, IT cabling teams—and the risk profile changes fast.
For property owners, facilities managers, managing agents, and tenant businesses, contractor management is about more than “signing in at reception.” It’s a structured process to prevent injury, property damage, business interruption, data breaches, regulatory issues, and disputes.
This guide breaks down the most common contractor management risks when working in office buildings, practical controls you can implement, and the types of insurance that may respond when things go wrong.
Office environments combine operational continuity with public-facing spaces. That means:
Work often happens around employees, visitors, and customers
Small incidents can disrupt whole floors or multiple tenants
Fire compartmentation and escape routes are critical and easily compromised
Security and data risks are higher (access cards, server rooms, confidential documents)
Many parties share responsibility: landlord, managing agent, tenant, contractor, sub-contractors
The biggest problems usually come from unclear responsibilities, poor communication, and inadequate supervision.
Even routine tasks can create serious hazards in an office building:
Slips and trips from trailing cables, wet floors, tools, packaging, and uneven surfaces
Falls from height during ceiling works, lighting changes, window cleaning, roof access, or atrium maintenance
Manual handling injuries from moving furniture, deliveries, or equipment
Electrical risks from live testing, temporary power, or poor isolation
Hot works (welding, grinding, soldering) creating fire and burn risks
Exposure to dust, fumes, adhesives, or cleaning chemicals
No suitable risk assessment/method statement (RAMS)
Poor segregation of work areas from occupants
Inadequate signage and barriers
Contractors working outside agreed hours without supervision
Lack of permits (hot works, roof access, confined spaces)
Pre-qualification: verify competence, training, and relevant accreditations
Require RAMS for all non-trivial works and review them properly
Use permit-to-work for higher-risk activities
Induction for every contractor: fire procedures, first aid, access routes, welfare, reporting
Clear work area controls: barriers, signage, cable covers, housekeeping standards
Supervision and spot checks—especially for out-of-hours work
Fire risk is one of the most severe exposures in office buildings because of evacuation complexity and the potential for smoke damage and business interruption.
Hot works without a permit or fire watch
Fire doors wedged open during works
Ceiling tiles removed and not replaced, compromising compartmentation
Smoke detectors isolated and not reinstated
Poor storage of flammables (solvents, aerosols)
Temporary heaters or electrical equipment left unattended
Hot works permit with clear conditions, including:
Isolation of combustibles
Suitable extinguishers on hand
Fire watch during and after works
Sign-off and re-check period
Strict rules on fire door management
Documented process for isolations (alarms, sprinklers) with time limits and sign-off
Contractor housekeeping and waste removal requirements
Contractors can cause damage even when nobody is hurt:
Flooding from plumbing works or accidental sprinkler activation
Damage to lifts, escalators, doors, glazing, or reception areas
Drilling into pipes, electrical cables, or structural elements
Damage to finishes: carpets, walls, ceilings, furniture
Vibration damage from drilling or core cutting
Clear scope of work and “no-go” zones
Building plans and service drawings available (and used)
Isolation procedures for water and electrical systems
Protection of finishes: floor coverings, corner guards, dust sheets
Sign-off inspections before and after work
In offices, disruption can be more costly than the physical damage.
Examples include:
Power outages affecting entire floors
Loss of internet or telecoms due to cabling errors
Noise and dust preventing normal work
Lift shutdowns impacting accessibility
Evacuation due to false alarms triggered by works
Plan works out of hours where possible
Communicate with tenants and stakeholders in advance
Define acceptable downtime windows and escalation contacts
Require contractors to have contingency plans and spares
Protect critical systems: server rooms, comms cabinets, UPS
Contractors often need access to sensitive areas. Poor access control can lead to:
Theft of laptops, phones, or equipment
Unauthorised access to confidential documents
Tailgating and access card misuse
Sabotage or malicious damage
Increased risk of workplace violence or harassment incidents
Vetting appropriate to the environment (especially for high-security tenants)
Photo ID checks and sign-in/out procedures
Escorting rules for restricted areas
Time-limited access passes and contractor-only routes
Clear rules on photography, floorplans, and information sharing
Office buildings contain data everywhere: printed documents, meeting rooms, Wi-Fi networks, access control systems, CCTV, and building management systems (BMS).
Contractor activity can create cyber and GDPR exposures:
IT contractors accessing networks without proper controls
Contractors plugging unknown devices into ports
Exposure of personal data via CCTV systems or access logs
Loss of paper records during moves or refurbishments
Compromise of BMS leading to heating/ventilation disruption
Separate “contractor Wi-Fi” from corporate networks
Require approved devices and endpoint controls for IT contractors
Data processing agreements where personal data is handled
Clear disposal rules for confidential waste
Limit access to server rooms and comms cabinets
Many UK office buildings—especially older stock—may contain asbestos-containing materials (ACMs). Contractor work can disturb ACMs and create serious health and legal consequences.
Up-to-date asbestos management plan and survey information
Clear “stop work” rules if suspect materials are found
Only competent, licensed contractors for removal where required
Control of dust and air monitoring where appropriate
Other hazards can include:
Legionella risks from water system works
Mould and indoor air quality issues
Lead paint in older buildings
Office buildings often have roofs, plant rooms, atriums, and external façades that require specialist access.
Risks include:
Falls from fragile roofs or unprotected edges
Dropped objects onto public areas
Inadequate rescue plans for MEWPs or harness work
Permit-to-work for roof access
Proof of training for MEWPs, harness use, and rescue
Exclusion zones and banksmen where needed
Weather monitoring and stop-work thresholds
A major risk is assuming “a contractor is a contractor.” In reality, capability varies widely.
Common issues:
Sub-contractors arriving who were never approved
Expired insurances or incorrect cover
Lack of relevant experience in occupied buildings
Poor language comprehension leading to misunderstandings
Contractor pre-qualification questionnaire (PQQ)
Verify who will be on site and prohibit unapproved sub-contracting
Ensure supervisors are named and accountable
Keep a contractor performance log (near misses, quality issues, punctuality)
Office buildings are multi-party environments. When something goes wrong, disputes can arise over:
Who controlled the area
Who approved the method statement
Who isolated systems
Whether the contractor followed instructions
Whether the tenant contributed to the incident
Clear contracts and scopes of work
Documented approvals (RAMS, permits, isolations)
Site diaries and photographic records (where permitted)
Clear handover process and sign-offs
Insurance is not a substitute for good risk management, but it’s a critical backstop.
Depending on the work type, you may need to consider:
Public liability insurance (injury/property damage to third parties)
Employers’ liability insurance (injury to employees)
Professional indemnity insurance (design/specification errors)
Contractors’ all risks (CAR) or contract works cover (damage to works in progress)
Tools and plant cover
Business interruption insurance (for the building owner or tenant)
Cyber insurance (especially where IT/BMS systems are involved)
Relying on a certificate of insurance without checking:
The policy period
The correct business description
The right activities (e.g., hot works, roofing)
Adequate limits and indemnity basis
Contract terms that push liability to a party who can’t realistically control the risk
Many contractor incidents are “soft failures” that become hard losses:
Tenants not told about noisy works and complain or terminate
Reception not briefed and lets contractors roam
Fire wardens not informed about isolations
Cleaning teams move barriers or remove signage
Simple communication plan:
Who is impacted
When work happens
What areas are affected
What the emergency contacts are
Toolbox talks and daily briefings for multi-day works
Clear signage and consistent barriers
Use this as a baseline process:
Define scope, location, timing, and constraints
Vet contractor competence and references
Verify insurance and limits
Review RAMS and issue permits where needed
Provide site induction and building rules
Control access (passes, escorts, restricted areas)
Segregate work areas and protect finishes
Manage isolations (fire alarms, sprinklers, power, water)
Monitor works and record near misses
Handover, sign-off, and reinstate systems
It’s the process of selecting, controlling, and supervising contractors so work is completed safely, securely, and with minimal disruption.
In most cases, yes. It helps cover injury or property damage to third parties arising from the contractor’s work.
A formal authorisation process for higher-risk tasks such as hot works, roof access, electrical isolations, or confined spaces.
It depends on contracts and control of the area. Clear scopes, permits, and records help establish responsibility.
Plan works out of hours, communicate early, agree downtime windows, and protect critical systems like power and internet.
Contractor management in office buildings is about protecting people, property, and continuity in a shared environment. Strong processes—competence checks, RAMS, permits, access control, communication, and supervision—reduce incidents and make liability clearer if something does happen.
If you regularly use contractors in an occupied office building, it’s worth reviewing your insurance and contractual arrangements alongside your operational controls. The goal is simple: safer work, fewer disputes, and less downtime.
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