Almost every 'unexpected' site issue involving ceiling height, duct routing or plumbing risers was, in fact, predictable. It just wasn't checked before construction began. Structural drawings and MEP drawings are frequently developed by different consultants working somewhat independently, and clashes only surface once a contractor is standing in the room with a duct that doesn't fit.
We treat structural and MEP coordination as a single drawing-review exercise, overlaying services layouts against structural members before anything goes to site. This catches clashes on a screen instead of during an expensive rework mid-construction.
The result for clients is fewer change orders, more predictable ceiling heights, and a construction schedule that isn't repeatedly paused for coordination fixes that should have happened weeks earlier.
