Page 36 - Womens Pavilion

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

Facility Florida Hosp. Orlando – Women’s Center Inspector Anthony Voight
City/State Orlando, FL Date 11-29-17 Page 1 of 2

Contractor n/a Facility Contact Darrell Huckaby
rd
Area Served Recovery 1-4 Floor/Bldg 3 Floor

Zone Valve Location for this Area Corridor wall across from Rm 3914 ZVB Manufacturer Beacon

FL Hosp. Tag # O2 000000222017 AIR 000000222019 VAC 0000002202018
Location IAW NFPA 99 Pass Labeled Pass Gauges Pass Leak Test Pass
Test Gauge O2 52 AIR 49 VAC 22
Pressure vs.
ZVB Gauge 51 50 22

Valve Size ¾” ¾” 1 ½”
Comments:

Gas/Pipeline Purity Oxygen Med Air Comments
Hydrocarbons <1 PPM <1 PPM
Dew Point -44F 5F
Carbon Monoxide <1 PPM <1 PPM
Carbon Dioxide 0 PPM 120 PPM
Gas Concentration 99%O2 21.8(%O2)
Particulates None None

Odor/Discoloration None None
Test Location Rec. 3 Rec. 3

Area Alarm Panel Location for this Area Nurses station inside Recovery

Location IAW NFPA 99 Pass Labeled Pass Gauges Pass Leak Test Pass
Area Alarm Panel Manufacture Data Beacon Total Alert 2
GAUGE LOW HIGH TEST
GAS/VAC PSI ALARM ALARM VISUAL AUDIBLE SWITCH SENSOR COMMENTS PASS/FAIL
OXY 52 40 60 P P P PS PASS
AIR 49 40 60 P P P PS PASS
VAC 19 12 NA 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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