Page 44 - 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 5

Contractor n/a Facility Contact Darrell Huckaby
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Area Served NICU 4913-4920, 4935-4938 Floor/Bldg 4 Floor

Zone Valve Location for this Area Across from Med Room A ZVB Manufacturer Beacon

FL Hosp. Tag # O2-000000311168 AIR-000000311169 VAC-000000311170
Location IAW NFPA 99 Pass Labeled Pass Gauges Pass Leak Test Pass
Test Gauge O2 52 AIR 48 VAC 20
Pressure vs.
ZVB Gauge 53 49 22

Valve Size ¾” ¾” 1 ¼”
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 4913 4913

Area Alarm Panel Location for this Area Across from Med Room A

Location IAW NFPA 99 Pass Labeled Pass Gauges Pass Leak Test Pass
Area Alarm Panel Manufacture Data Beacon Total Alert Infinity ADV# 000000311166
GAUGE LOW HIGH TEST
GAS/VAC PSI ALARM ALARM VISUAL AUDIBLE SWITCH SENSOR COMMENTS PASS/FAIL
OXY 53 40 60 P P P SS PASS
AIR 48 40 60 P P P SS PASS
VAC 22 12 NA P P P SS PASS
PS= Patient Side SS= Source Side NW= Not Working CNT= Could Not Test NA = Not Applicable NP = Not Present

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©Daniel Voight 2009