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

          Facility       Florida Hospital Orlando            Inspector   Steve Gourley
         City/State      Orlando, Fl.                        Date        12-5-17         Page        2 of 2
         Area Served     Bio Med                             Floor/Bldg   Ground 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.
                              st
        Outlet Type/Series Legend- 1  Digit=Manufacturer; A=Amico, B=Beacon/Medaes/Ohmeda/Ohio, C=Chemetron/Allied/NCG/Oxequip,
        O=Ohio/Squire, G= Gentec, H=Hill-Rom, T= Tri-tech
         nd
        2  Digit=Type; W=Wall, C=Console, G= Gas Block, H= Hose Drop/Ceiling
         rd
        3  Digit=Connection; O=Ohmeda, C=Chemetron, D=DISS, P=Puritan Bennett, X=Oxequip
         th
        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
        D=Diamondcare, S= Schrader, P= Geometric Shape, O= Oxequip
         th
        5 Digit=Manufactured Assembly; B= Boom/Pendant, C=Ceiling Colum, F= Floor Pedestal, H= Headwall, I=ICU Column, P=Patient Console
        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
         Bio Med  O2          >3.5                     >6                 BWCB
                   AIR        >3.5                     >6                 BWCB
                   O2         >3.5                     >6                 BWCB
                   AIR        >3.5                     >6                 BWCB





























        NOTES/DISCREPANCIES:




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