Page 40 - Med Plaza and Cancer Center

ZONE VALVE/ AREA ALARM / OUTLET PERFORMANCE/GAS CONCENTRATION AND PURITY INSPECTION DOCUMENT

Facility Florida Hospital Orlando-Med Plaza Inspector Steve Gourley
City/State Orlando, FL Date 11-30-17 Page 1 of 2
Contractor n/a Facility Contact Darrell Huckaby

Area Served PEDS 1-8 Floor/Bldg 1 Floor Med Plaza
st

Zone Valve Location for this Area Wall across from PEDS 8 ZVB Manufacturer Beacon

FL Hosp. Tag # O2/MA/VA-P-5PC-01-B-Z-W-02
Location IAW NFPA 99 Pass Labeled Fails Gauges Pass Leak Test Pass
Test Gauge O2 51 AIR 50 VAC 26
Pressure vs.
ZVB Gauge 52 51 27

Valve Size 3/4 3/4 11/4
Comments: ZVB cover tags read Patient Rooms 1 thru 8. Tags on pipe in ZVB read Patient Rooms 7 thru 12

Gas/Pipeline Purity Oxygen Med Air Comments
Hydrocarbons <1 PPM <1 PPM
Dew Point -46 23
Carbon Monoxide <1 PPM <1 PPM
Carbon Dioxide <1 PPM 370 PPM
Gas Concentration 99.9%O2 21.0 (%O2)
Particulates >1 <1

Odor/Discoloration None None
Test Location PEDS 8 PEDS 8

Area Alarm Panel Location for this Area Nurses station across from PEDS 2

Location IAW NFPA 99 Pass Labeled Pass Gauges Pass Leak Test Pass
Area Alarm Panel Manufacture Data Beacon Mega 2 GP-L-5PN-01-3G-006
GAUGE LOW HIGH TEST
GAS/VAC PSI ALARM ALARM VISUAL AUDIBLE SWITCH SENSOR COMMENTS PASS/FAIL
OXY 51 40 60 P P P PS PASS
AIR 50 40 60 P P P PS PASS
VAC 20 12 - P P P PS PASS
PS= Patient Side SS= Source Side NW= Not Working CNT= Could Not Test NA = Not Applicable NP = Not Present

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