Page 54 - 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 4
Contractor n/a Facility Contact Darrell Huckaby

Treatment Units 1 thru 4, Oncology Patient Hold, Exam
Rooms 1 thru 6, 8 & 9 Virtual Simulation, Meg Suite, &
Area Served Soiled Utility Floor/Bldg 1 Floor Med Plaza
st

Zone Valve Location for this Area Outside treatment unit 1 ZVB Manufacturer Medaes

FL Hosp. Tag # O2/MA/VA-P-5CC-01-B-Z-W-10
Location IAW NFPA 99 Pass Labeled Fails Gauges Pass Leak Test Pass
Test Gauge O2 51 AIR 48 VAC 26
Pressure vs.
ZVB Gauge 53 50 26

Valve Size 1/2 3/4 1 1/2
Comments: ZVB/Alarm labels should read Treatment Units 1 thru 4, Oncology Patient Hold, Exam Rooms 1 thru 6, 8
& 9 Virtual Simulation, Meg Suite, & Soiled Utility.

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 Treatment 2 Treatment 2

Area Alarm Panel Location for this Area Front desk (GP-L-5CC-01-3G-010)
Location IAW NFPA 99 Pass Labeled Fails Gauges Pass Leak Test Pass
Area Alarm Panel Manufacture Data Beacon med plus total alert
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 49 40 60 P P P PS PASS
VAC 25 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
Corporate Office ∙ 4518 Clements Rd. Lakeland Florida 33811 Phone: 863-646-7555 ∙ Fax 863-646-2999
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©Daniel Voight 2009