Visitors to Dubbo Hospital can now spot the mechanical excavator that will knock down the George Hatch Building.
It was moving rubble at the fenced-off work site early on Friday morning with workmen hosing down dust.
The building’s roof tiles were set to be removed by another piece of heavy machinery.
Health Infrastructure reports that demolition of the old building will continue into next week.
The old Playmates Cottage and an accommodation facility for nurses were demolished earlier this month.
They are making way for stage four redevelopment of Dubbo Hospital, including the construction of a three-storey clinical tower and a new car park.
Hansen Yuncken has won the tender for stage four redevelopment.