Page 11 - Select Specialty

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

Facility Select Specialty Hospital-Orlando Inspector Seth Stephens
City/State Orlando, FL Date 11-17-17 Page 2 of 2

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Area Served Rooms 8601-8604 Floor/Bldg 1 Floor
O2, MEDICAL AIR, N2O, CO2 Minimum Flow Requirement with 5 psig pressure drop = (3.5 SCFM/100 LPM Minimum)
O2 & MEDICAL AIR in Critical Care Areas shall have a Transient Flow of 6 SCFM/170 LPM for 3 Seconds
NITROGEN OUTLETS Minimum Flow Requirement with 5 psig pressure drop = (5 SCFM/142 LPM Minimum)
VACUUM AND EVAC/WAGD OUTLETS Minimum Flow Requirement without pressure drop below 12” on adjacent inlet = (3 SCFM/85 LPM)
All Outlets/Inlets are listed from Left to Right, Top to Bottom.
Outlet Type/Series Legend- 1 Digit=Manufacturer; A=Amico, B=Beacon/Medaes/Ohmeda/Ohio, C=Chemetron/Allied/NCG/Oxequip,
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O=Ohio/Squire, G= Gentec, H=Hill-Rom, T= Tri-tech
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2 Digit=Type; W=Wall, C=Console, G= Gas Block, H= Hose Drop/Ceiling
3 Digit=Connection; O=Ohmeda, C=Chemetron, D=DISS, P=Puritan Bennett, X=Oxequip
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4 Digit=Series; B=Series B, 1= Diamond 1, 3= Diamond 3/Gemini, 4=Series 400, 5=Series 500, H= Horizon Gas Block, I=Integris Gas Block
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D=Diamondcare, S= Schrader, P= Geometric Shape, O= Oxequip
5 Digit=Manufactured Assembly; B= Boom/Pendant, C=Ceiling Colum, F= Floor Pedestal, H= Headwall, I=ICU Column, P=Patient Console
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Deficiencies Legend-
LWAI = Leaks with Adapter In LWOAI = Leaks without an Adapter In ADNL = Adapter Does Not Latch
LF = Low Flow ADND = Adapter Does Not Detach NLP = Not Labeled Properly
VAI=Visual and Audible Inspection CNT = Cannot Test (Due to Infection Control/no access)
Flow Adj Vac Transient Flow Outlet
Room Gas/Vac SCFM/LPM Pressure 6 SCFM O2 & AIR Type/Series Comments/Deficiencies
8601 VAC >3 >12” CWC5
AIR >3.5 >6 CWC5
O2 CWC5 IN-USE
O2 >3.5 >6 CWC5
AIR >3.5 >6 CWC5
VAC >3 >12” CWC5
8602 VAC CWC5 IN-USE
AIR CWC5 IN-USE
O2 CWC5 IN-USE
O2 CWC5 IN-USE
AIR >3.5 >6 CWC5 NEEDS NEW FACE PLATE
VAC CWC5 IN-USE
8603 VAC >3 >12” CWC5
AIR >3.5 >6 CWC5 LWAI
O2 CWC5 IN-USE
O2 >3.5 >6 CWC5
AIR <3.5 <6 CWC5 LF/LWAI
VAC >3 >12” CWC5
8604 VAC CWC5 IN-USE
AIR CWC5 IN-USE
O2 CWC5 IN-USE
O2 CWC5 IN-USE
AIR CWC5 IN-USE
VAC CWC5 IN-USE

NOTES/DISCREPANCIES:

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