Page 133 - Womens Pavilion

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

Facility Florida Hosp. Orlando – Women’s Center Inspector Joseph Voight
City/State Orlando, FL Date 11-28-17 Page 2 of 4
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Area Served Patient Rooms 10929-10936 Floor/Bldg 10 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.
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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
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2 Digit=Type; W=Wall, C=Console, G= Gas Block, H= Hose Drop/Ceiling
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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
D=Diamondcare, S= Schrader, P= Geometric Shape, O= Oxequip
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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
10929 Vac ACCB CNT 10929
O2 ACCB
O2 ACCB
O2 ACCB
Vac ACCB
Vac ACCB
Air ACCB
Air ACCB
Air ACCB
10930 Vac ACCB CNT 10930
O2 ACCB
O2 ACCB
O2 ACCB
Vac ACCB
Vac ACCB
Air ACCB
Air ACCB
Air ACCB
10931 Vac >3 >12” ACCB
O2 >3.5 >6 ACCB
O2 >3.5 >6 ACCB
O2 >3.5 >6 ACCB
Vac >3 >12” ACCB
Vac >3 >12” ACCB
Air >3.5 >6 ACCB
Air >3.5 >6 ACCB
Air >3.5 >6 ACCB

NOTES/DISCREPANCIES:

Corporate Office ∙ 4518 Clements Rd. Lakeland Florida 33811 Phone: 863-646-7555 ∙ Fax 863-646-2999
“Medical Gas Pipeline Equipment Service, Sales & Verifications”
©Daniel Voight 2009