VAMC AUGUSTA DOWNTOWN 05-09-2023.pdf

PDF 4 MB Posted Jan 17, 2024

Attached to: Annual Medical Gas Inspections
Solicitation number: 36C24724Q0174
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7

About this file

Written by GovTribe AI · Jan 17, 2024

This document is a solicitation for annual medical gas inspections at various Department of Veterans Affairs facilities. The solicitation seeks inspection and testing of medical gas and vacuum systems including master alarms, area alarms, zone valves, outlets and inlets, contaminant testing, and source equipment. Inspections are required at VA facilities in Augusta, Georgia from May 2023 through October 2023. The solicitation number is 36C24724Q0174 and was issued by Veterans Health Administration VISN 7. Responses are due by the date specified on SF1449. The award date will also be specified on SF1449. Pricing terms and conditions are according to the attached SF1449.

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36C24724Q0174 0001.pdf	PDF	Jan 17, 2024
VAMC AUGUSTA UPTOWN 05-11-2023.pdf	PDF	Jan 17, 2024
36C24724Q0174.pdf	PDF	Jan 11, 2024

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MEDICAL GAS

TESTING & INSPECTION

VAMC AUGUSTA DOWNTOWN

AUGUSTA, GA

1-800-872-8992 www.evergreenmedical.com

05/09 -10/2023

MEDICAL GAS INSPECTION REPORT

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

Medical Facility:

City, State:

Medical Gas Contact Name:

Medical Gas Contact Dept:

Inspection Dates(s):

Territory MGR Josh Jenkins ASSE 6030 CREDENTIAL: 00062565

Lead Technician(s) Brandon Charbonneau ASSE 6030 CREDENTIAL: 12366457

Evergreen Medical Services, Inc. in accordance with applicable NFPA & CMS codes and standards has evaluated the medical piping systems indicated in this report. These systems have been found to be within applicable guidelines except as noted within this report. Any deficiencies cited are based on the most current applicable edition of NFPA 99.

Conflicts may occur when different editions of NFPA 99 have been adopted by different AHJs, and compliance occurs with one edition but not the other. Changes made to newer editions of NFPA 99 are done so to improve the system's quality, integrity, fire resistance, effectiveness, durability, and safety. Dependent on the opinion of the

AHJ(s), the newer code edition is generally acceptable as equivalent or superior to an older version(s).

Per NFPA 99 an existing system that is not in strict compliance with the applicable codes may continue to be used as long as it is not a distinct hazard to safety. Fire/Explosion hazards, labeling, manifold enclosures, medical air usage, & maintenance codes apply to new & existing facilities.

Information recorded on this report represent findings on the indicated evaluation date(s) only. Any action taken in response to recommendations included in this report should be recorded on the appropriate pages. This report should not be copied unless in entirety.

- Particulate Contaminants . . Page(s) 106-108

- Gaseous Contaminants . . . Page(s) 109

Section 7 - Source EQPT Summary . . Pg(s) 110

- Source Equipment . . . Page(s) 111-114

Section 8 - Annex . . . Page(s) 115

Section 5 - Outlets & Inlets . . . Page(s) 31-99

- Outlets & Inlets Inventory . . . Page(s) 100

JAMES JARRIEL

FACIILITIES ENGINEERING

05/09/2023 - 05/10/2023

VAMC AUGUSTA DOWNTOWN

AUGUSTA, GA

Outlets & Inlets Deficiencies . . Page(s) 101-103

Section 6 - Contaminants

- System Dew Point . . Page(s) 105

REPORT CONTENTS

Section 1 - Systems Overview . . . . Page(s) 3-5

Section 2 - Master Alarms . . . . Page(s) 6-9

- Master Alarm Inventory . . . Page(s) 10

- Master Alarm Deficiencies . . . Page(s) 11

Section 3 - Area Alarms . . . Page(s) 12-15

- Area Alarm Inventory . . . Page(s) 16

- Area Alarm Deficiencies . . . Page(s) 17

Section 4 - Zone Valves . . . . Page(s) 18-28

- Zone Valve Inventory . . . Page(s) 29

GAS SYSTEMS OVERVIEW

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

MASTER ALARMS/SIGNALS (EACH SIGNAL COUNTED INDIVIDUALLY)

AREA ALARMS (EACH SYSTEM GAS COUNTED AS SEPARATE ALARM)

ZONE VALVES (EACH SYSTEM GAS COUNTED INDIVIDUALLY)

Total Master Alarm Signals

Quantity of Passing Master Alarm Signals

Quantity of Deficient Master Alarm Signals

Total Quantity of Zone Valves has remained the same from previous medical gas systems inspection.

Total Quantity of Master Alarm Signals has remained the same from previous medical gas systems inspection.

Total Quantity of Area Alarms has remained the same from previous medical gas systems inspection.

Total Area Alarms

Quantity of Passing Area Alarms

Quantity of Deficient Area Alarms

Total Zone Valves

Quantity of Passing Zone Valves

Quantity of Deficient Zone Valves

100.0%

0.0% Quantity of

Passing Area

Alarms

Quantity of

Deficient Area

Alarms

100.0%

0.0% Quantity of

Passing Zone

Valves

Quantity of

Deficient Zone

Valves

100.0%

0.0% Quantity of

Passing Master

Alarm Signals

Quantity of

Deficient Master

GAS SYSTEMS OVERVIEW

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

OUTLETS, INLETS & MANUFACTURED ASSEMBLIES

SYSTEM DEW POINT

PARTICULATE CONTAMINANTS

Total Quantity of Outlets, Inlets and Manufactured Assemblies has remained the same from previous medical gas systems inspection.

Total Outlets & Inlets

Quantity of Passing Outlets/Inlets

Quantity of Deficient Outlets/Inlets

Quantity of Passing Test Sites

Quantity of Deficient Test Sites

Total Particulate Contaminant Test Sites

Quantity of Passing Test Sites

Quantity of Deficient Test Sites

The Test Sites are selected in order to represent System Dew

Point in both high-use and low-use areas for the systems tested.

The Test Sites are selected in order to represent Particulate

Contaminants in both high-use and low-use areas for the systems tested.

Total Dew Point Test Sites

100.0%

0.0% Quantity of

Passing

Outlets/Inlets

Quantity of

Deficient

Outlets/Inlets

100%

0% Quantity of

Passing Test

Sites

Quantity of

Deficient Test

Sites

100%

0% Quantity of

Passing Test

Sites

Quantity of

Deficient Test

GAS SYSTEMS OVERVIEW

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

GASEOUS CONTAMINANTS

SOURCE EQUIPMENT

Quantity of Deficient Test Sites

Total Gaseous Contaminants Test Sites

Quantity of Passing Test Sites

The Test Sites are selected in order to represent Gaseous

Contaminants in all separate distribution and source systems.

Total Source Systems

Quantity of Passing Source Systems

Quantity of Deficient Source Systems

Total Quantity of Source Equipment has remained the same from previous medical gas systems inspection.

100%

0% Quantity of

Passing Test

Sites

Quantity of

Deficient Test

Sites

100%

0% Quantity of

Passing Source

Systems

Quantity of

Deficient Source

MASTER ALARMS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

M a ster A la rm P a n el

L o ca tio n

If M u ltip le P a n els

P er L o ca tio n

(e.g . "E n g in eerin g P a n el #

S y stem G a s

M a n u fa ctu rer

M o d el

C o n d itio n

M o n ito red

S w itch o r S o u rce L o ca tio n

S et P o in t

U n it o f M ea su re

In itia tin g

D ev ice

W irin g

P a n el

L a b elin g

O th er

C o m p o n en t C o n d itio n

1 Emergency Dept O2 Amico A2M Liquid Level Low O2 Bulk Enclosure 44 inH2O ✓ ✓ ✓ ✓ ✓ PASS

2 Emergency Dept O2 Amico A2M Reserve in Use O2 Bulk Enclosure 95 PSI ✓ ✓ ✓ ✓ ✓ PASS

3 Emergency Dept O2 Amico A2M Reserve Liquid Low O2 Bulk Enclosure 44 inH2O ✓ ✓ ✓ ✓ ✓ PASS

4 Emergency Dept O2 Amico A2M Reserve Pressure Low O2 Bulk Enclosure 80 PSI ✓ ✓ ✓ ✓ ✓ PASS

5 Emergency Dept O2 Amico A2M High Line Pressure Inside Hospital 60 PSI ✓ ✓ ✓ ✓ ✓ PASS

6 Emergency Dept O2 Amico A2M Low Line Pressure Inside Hospital 40 PSI ✓ ✓ ✓ ✓ ✓ PASS

7 Emergency Dept MA Amico A2M High Line Pressure Mech Room 60 PSI ✓ ✓ ✓ ✓ ✓ PASS

8 Emergency Dept MA Amico A2M Low Line Pressure Mech Room 40 PSI ✓ ✓ ✓ ✓ ✓ PASS

9 Emergency Dept MA Amico A2M High Dew Point Temp Mech Room 35 ºF ✓ ✓ ✓ ✓ ✓ PASS

10 Emergency Dept MA Amico A2M Maint. Required Mech Room PPM ✓ ✓ ✓ ✓ ✓ PASS

11 Emergency Dept N2O Amico A2M Secondary in Use Manifold Room 95 PSI ✓ ✓ ✓ ✓ ✓ PASS

12 Emergency Dept N2O Amico A2M High Line Pressure Manifold Room 60 PSI ✓ ✓ ✓ ✓ ✓ PASS

MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION

MASTER ALARMS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

M a ster A la rm P a n el

L o ca tio n u ltip le P a n els

P er L o ca n g in eerin g P a n el #

S y stem G a s

M a n u fa ctu rer

M o d el

C o n d itio n

M o n ito red

S w itch o r S o u rce L o ca tio n

S et P o in t

U n it o f M ea su re

In itia tin g

D ev ice

W irin g

P a n el

L a b elin g

O th er

C o m p o n en t C o n d itio n

MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION

13 Emergency Dept N2O Amico A2M Low Line Pressure Manifold Room 40 PSI ✓ ✓ ✓ ✓ ✓ PASS

14 Emergency Dept VAC Amico A2M Low Line Pressure Mech Room 12 inHg ✓ ✓ ✓ ✓ ✓ PASS

15 Emergency Dept VAC Amico A2M Lag Pump in Use Mech Room 16 inHg ✓ ✓ ✓ ✓ ✓ PASS

16 Emergency Dept VAC Amico A2M High Temperature Mech Room ºF ✓ ✓ ✓ ✓ ✓ PASS

17 Emergency Dept VAC Amico A2M Maint. Required Mech Room ºF ✓ ✓ ✓ ✓ ✓ PASS

18 Emergency Dept VAC Amico A2M Low Oil Level Mech Room ✓ ✓ ✓ ✓ ✓ PASS

19 Boiler Plant O2 Amico A2M Liquid Level Low O2 Bulk Enclosure 44 inH2O ✓ ✓ ✓ ✓ ✓ PASS

20 Boiler Plant O2 Amico A2M Reserve in Use O2 Bulk Enclosure 95 PSI ✓ ✓ ✓ ✓ ✓ PASS

21 Boiler Plant O2 Amico A2M Reserve Liquid Low O2 Bulk Enclosure 44 inH2O ✓ ✓ ✓ ✓ ✓ PASS

22 Boiler Plant O2 Amico A2M Reserve Pressure Low O2 Bulk Enclosure 80 PSI ✓ ✓ ✓ ✓ ✓ PASS

23 Boiler Plant O2 Amico A2M High Line Pressure Inside Hospital 60 PSI ✓ ✓ ✓ ✓ ✓ PASS

MASTER ALARMS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

M a ster A la rm P a n el

L o ca tio n u ltip le P a n els

P er L o ca n g in eerin g P a n el #

S y stem G a s

M a n u fa ctu rer

M o d el

C o n d itio n

M o n ito red

S w itch o r S o u rce L o ca tio n

S et P o in t

U n it o f M ea su re

In itia tin g

D ev ice

W irin g

P a n el

L a b elin g

O th er

C o m p o n en t C o n d itio n

MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION

25 Boiler Plant MA Amico A2M High Line Pressure Mech Room 60 PSI ✓ ✓ ✓ ✓ ✓ PASS

26 Boiler Plant MA Amico A2M Low Line Pressure Mech Room 40 PSI ✓ ✓ ✓ ✓ ✓ PASS

27 Boiler Plant MA Amico A2M High Dew Point Temp Mech Room 35 ºF ✓ ✓ ✓ ✓ ✓ PASS

28 Boiler Plant MA Amico A2M Maint. Required Mech Room PSI ✓ ✓ ✓ ✓ ✓ PASS

29 Boiler Plant N2O Amico A2M Secondary in Use Manifold Room 95 PSI ✓ ✓ ✓ ✓ ✓ PASS

30 Boiler Plant N2O Amico A2M High Line Pressure Manifold Room 60 PSI ✓ ✓ ✓ ✓ ✓ PASS

31 Boiler Plant N2O Amico A2M Low Line Pressure Manifold Room 40 PSI ✓ ✓ ✓ ✓ ✓ PASS

32 Boiler Plant VAC Amico A2M Low Line Pressure Mech Room 12 inHg ✓ ✓ ✓ ✓ ✓ PASS

33 Boiler Plant VAC Amico A2M Lag Pump in Use Mech Room 16 inHg ✓ ✓ ✓ ✓ ✓ PASS

34 Boiler Plant VAC Amico A2M High Temperature Mech Room ºF ✓ ✓ ✓ ✓ ✓ PASS

35 Boiler Plant VAC Amico A2M Maint. Required Mech Room ºF ✓ ✓ ✓ ✓ ✓ PASS

MASTER ALARMS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

M a ster A la rm P a n el

L o ca tio n u ltip le P a n els

P er L o ca n g in eerin g P a n el #

S y stem G a s

M a n u fa ctu rer

M o d el

C o n d itio n

M o n ito red

S w itch o r S o u rce L o ca tio n

S et P o in t

U n it o f M ea su re

In itia tin g

D ev ice

W irin g

P a n el

L a b elin g

O th er

C o m p o n en t C o n d itio n

MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION

37 Boiler Plant VAC Amico A2M Lag Pump in Use Mech Room 12 inHg ✓ ✓ ✓ ✓ ✓ PASS

38 6th Floor D Wing MA Amico A2M Liquid Level Low O2 Bulk Enclosure 44 inH2O ✓ ✓ ✓ ✓ ✓ PASS

39 6th Floor D Wing O2 Amico A2M Reserve in Use O2 Bulk Enclosure 95 PSI ✓ ✓ ✓ ✓ ✓ PASS

40 6th Floor D Wing MA Amico A2M High Line Pressure Inside Hospital 60 PSI ✓ ✓ ✓ ✓ ✓ PASS

41 6th Floor D Wing MA Amico A2M Low Line Pressure Inside Hospital 40 PSI ✓ ✓ ✓ ✓ ✓ PASS

42 6th Floor D Wing O2 Amico A2M High Line Pressure Inside Hospital 60 PSI ✓ ✓ ✓ ✓ ✓ PASS

MASTER ALARM INVENTORY

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

MASTER ALARM SIGNALS

BY SYSTEM GAS:

15 11 6 0 0 11 0 0 0

TOTAL

MASTER ALARM

PANELS

TOTAL MASTER ALARM SIGNALS:

MANUFACTURER

(Or Current Owner )

MODEL MASTER ALARM PANEL DESCRIPTION

M A

C O

V A

W A

G D

O th er

Amico A2M Gray Cover with Red LED Indicators 15 11 6 0 0 11 0 0 0

TOTAL

MASTER ALARM

PANELS

MASTER ALARMS BREAKDOWN (*EACH MASTER ALARM SIGNAL COUNTED AS SEPARATE ALARM BY SYSTEM GAS BELOW) www.evergreenmedical.com © 2021 Evergreen Medical Services, Inc. - VER 1.3 Corporate Office: 1-800-872-8992

MASTER ALARM DEFICIENCIES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

QTY

DEFICIENT

QTY

CORRECTED

0 0

N) Labeling: No Source Location

I) Panel: Incorrect Power Source

J) Panel: Incorrect Location

K) Panel: No Signal in Place (Local Alarm Only)

L) Panel: No Signal in Place (No Initiating Device/Wiring)

M) Labeling: System Gas

Connect Alarm to Life Safety Branch

Move Alarm Panel to a Proper Location

Wire Initiating Device to Master Alarm Panel(s)

Add Signal/Signal Components to Master Alarm System

Verify and Relabel System Gas

Verify and Relabel Source Location

D) Wiring: Not Independent to at Least (2) Master Panels

E) Wiring: Shared Common Conductors

F) Wiring: Not Protected

G) Panel: Visual and/or Audible Function Failed

H) Panel: Power Failure

MASTER ALARM DEFICIENCIES OVERVIEW

DEFICIENCY DESCRIPTION

A) Initiating Device: Incorrect Location

B) Initiating Device: Improper Set Point

C) Initiating Device: None in Place

CORRECTIVE ACTION NEEDED

Move Initiating Device to Proper Location and/or Install Demand Check

Adjust Alarm Set Point

Install Initiating Device

O) Labeling: No Condition Monitored

P) Other:

Verify and Relabel Condition Monitored

N/A

TOTALS:

Rewire Panels Independently to Initiating Device

Rewire Panels Independently to Initiating Device With Correct Number of

Conductors

Protect Master Alarm Wiring

Repair/Replace Annunciator Module/Alarm Panel

AREA ALARMS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

A la rm P h y sica l L o ca tio n

A rea

/Z o n e M o n ito red

S y stem G a s

M a n u fa ctu rer

M o d el

P ressu re R ea d in g

(P o sitive in P

S I/N eg a tive in In

/H g

H ig h P ressu re A la rm

S ettin g

(P o sitive in P

S I/N eg a tive in In

/H g

L o w P ressu re A la rm

S ettin g

(P o sitive in P

S I/N eg a tive in In

/H g

A la rm S et P o in ts

T ra n sd u cer L o ca tio n

T ra n sd u cer F u n ctio n

A la rm L o ca tio n

P a n el F u n ctio n

M o d u le F u n ctio n

L a b elin g

O th er

C o m p o n en t C o n d itio n

1 6A Nurses Desk 101, 103,105, 107, 109, 111,113,1115, 117, 121 O2 Powerex MedTouch 51 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

2 6A Nurses Desk 101, 103,105, 107, 109, 111,113,1115, 117, 121 MA Powerex MedTouch 45 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

3 6A Nurses Desk 101, 103,105, 107, 109, 111,113,1115, 117, 121 VAC Powerex MedTouch 23 12 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

4 6A Nurses Desk 123, 127, 129, 131, 133, 135, 137, 139, 141, 143 O2 Powerex MedTouch 51 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

5 6A Nurses Desk 123, 127, 129, 131, 133, 135, 137, 139, 141, 143 MA Powerex MedTouch 45 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

6 6A Nurses Desk 123, 127, 129, 131, 133, 135, 137, 139, 141, 143 VAC Powerex MedTouch 24 12 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

7 6D Nurses Desk 6D 110-112, 114-119 &

120A O2 Amico A2A 51 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

8 6D Nurses Desk 6D 110-112, 114-119 &

120A MA Amico A2A 44 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

9 6D Nurses Desk 6D 110-112, 114-119 &

120A VAC Amico A2A 24 32 12 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

10 6D Nurses Desk 6D 140A-6D149 O2 Amico A2A 51 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

11 6D Nurses Desk 6D 140A-6D149 MA Amico A2A 44 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

12 6D Nurses Desk 6D 140A-6D149 VAC Amico A2A 24 32 12 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION

AREA ALARMS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

A la rm P h y sica l L o ca tio n

A rea

/Z o n e M o n ito red

S y stem G a s

M a n u fa ctu rer

M o d el

P ressu re R ea d sitive in P

S I/N eg a tive in In

/H g

H ig h P ressu re A la rm

S ettin g

(P o sitive in P

S I/N eg a tive in In

/H g

L o w P ressu re A la rm

S ettin g

(P o sitive in P

S I/N eg a tive in In

/H g

A la rm S et P o in ts

T ra n sd u cer L o ca tio n

T ra n sd u cer F u n ctio n

A la rm L o ca tio n

P a n el F u n ctio n

M o d u le F u n ctio n

L a b elin g

O th er

C o m p o n en t C o n d itio n

AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION

13 3A OR Nurses Desk OR Holding O2 Amico A2A 52 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

14 3A OR Nurses Desk OR Holding MA Amico A2A 45 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

15 3A OR Nurses Desk OR Holding VAC Amico A2A 20 12 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

16 3A OR Nurses Desk OR Suite O2 Amico A2A 51 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

17 3A OR Nurses Desk OR Suite MA Amico A2A 46 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

18 3A OR Nurses Desk OR Suite VAC Amico A2A 20 12 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

19 3A OR Nurses Desk OR Suite N2O Amico A2A 53 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

20 3D PACU 3D PACU O2 Amico A2A 51 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

21 3D PACU 3D PACU MA Amico A2A 48 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

22 3D PACU 3D PACU VAC Amico A2A 24 12 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

23 3D Ambulatory Surg 3D Ambulatory Surg O2 Amico A2A 51 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

24 3D Ambulatory Surg 3D Ambulatory Surg MA Amico A2A 46 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

25 3D Ambulatory Surg 3D Ambulatory Surg VAC Amico A2A 24 12 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

26 3B ICU Nurses Desk CCU 1-12 & 14-21 O2 Beacon P0321 50 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

27 3B ICU Nurses Desk CCU 1-12 & 14-21 MA Beacon P0321 46 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

AREA ALARMS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

A la rm P h y sica l L o ca tio n

A rea

/Z o n e M o n ito red

S y stem G a s

M a n u fa ctu rer

M o d el

P ressu re R ea d sitive in P

S I/N eg a tive in In

/H g

H ig h P ressu re A la rm

S ettin g

(P o sitive in P

S I/N eg a tive in In

/H g

L o w P ressu re A la rm

S ettin g

(P o sitive in P

S I/N eg a tive in In

/H g

A la rm S et P o in ts

T ra n sd u cer L o ca tio n

T ra n sd u cer F u n ctio n

A la rm L o ca tio n

P a n el F u n ctio n

M o d u le F u n ctio n

L a b elin g

O th er

C o m p o n en t C o n d itio n

AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION

29 3C Cath Recovery

3C 112, 112A, 114, 115, 116, Lab Recovery 125, Cath Lab 125B & 143

O2 Amico A2A 51 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

30 3C Cath Recovery

3C 112, 112A, 114, 115, 116, Lab Recovery 125, Cath Lab 125B & 143

MA Amico A2A 46 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

31 3C Cath Recovery

3C 112, 112A, 114, 115, 116, Lab Recovery 125, Cath Lab 125B & 143

VAC Amico A2A 24 12 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

32 1H Spinal 1H106, 108, 112, 117, 119, 122, 1G139 & 141 O2 Amico A2A 52 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

33 1H Spinal 1H106, 108, 112, 117, 119, 122, 1G139 & 141 MA Amico A2A 46 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

34 1H Spinal 1H106, 108, 112, 117, 119, 122, 1G139 & 141 VAC Amico A2A 40 32 12 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

35 O/S 1G128

SICU 1G114, 115, 116,

118, 119, 121, 123, 126, 129, 133, 135, 1E120 &

O2 Beacon P0321 51 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

36 O/S 1G128

SICU 1G114, 115, 116,

118, 119, 121, 123, 126, 129, 133, 135, 1E120 &

AREA ALARMS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

A la rm P h y sica l L o ca tio n

A rea

/Z o n e M o n ito red

S y stem G a s

M a n u fa ctu rer

M o d el

P ressu re R ea d sitive in P

S I/N eg a tive in In

/H g

H ig h P ressu re A la rm

S ettin g

(P o sitive in P

S I/N eg a tive in In

/H g

L o w P ressu re A la rm

S ettin g

(P o sitive in P

S I/N eg a tive in In

/H g

A la rm S et P o in ts

T ra n sd u cer L o ca tio n

T ra n sd u cer F u n ctio n

A la rm L o ca tio n

P a n el F u n ctio n

M o d u le F u n ctio n

L a b elin g

O th er

C o m p o n en t C o n d itio n

AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION

37 O/S 1G128

SICU 1G114, 115, 116,

118, 119, 121, 123, 126, 129, 133, 135, 1E120 &

VAC Beacon P0321 18 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

38 O/S 1G102

SICU 1G101, 103, 104,

107, 111, 112, 113, 1F123, 125 & 126

O2 Beacon P0321 53 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

39 O/S 1G102

SICU 1G101, 103, 104,

107, 111, 112, 113, 1F123, 125 & 126

MA Beacon P0321 48 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

40 O/S 1G102

SICU 1G101, 103, 104,

107, 111, 112, 113, 1F123, 125 & 126

VAC Beacon P0321 23 30 12 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

41 1D E.D. Dept LSU Rooms 1D 166-173 O2 Amico A2A 52 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

42 1D 182 1D 182 O2 Amico A2A 52 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

43 1D 182 1D 182 MA Amico A2A 45 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

44 1D 182 1D 182 VAC Amico A2A 17 32 12 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

45 O/S 1D 182 1D 182A O2 Amico A2A 52 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

46 O/S 1D 182 1D 182A MA Amico A2A 45 60 40 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

AREA ALARMS INVENTORY

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

TOTAL AREA ALARM SIGNALS

BY SYSTEM GAS:

16 15 1 0 0 15 0 0 0

TOTAL

AREA ALARM

PANELS

TOTAL AREA ALARM SIGNALS:

MANUFACTURER

(Or Current Parent

Company )

MODEL AREA ALARM DESCRIPTION

M A

C O

V A

W A

G D

O th er

Amico A2A Gray Cover with Digital Pressure 11 10 1 0 0 10 0 0 0

Beacon P0321 White with Murphy gauges-"Area Line Press. Alm" 3 3 0 0 0 3 0 0 0

Powerex MedTouch Tritech MedTouch / "Powerex" branding 2 2 0 0 0 2 0 0 0

TOTAL

AREA ALARM

PANELS

AREA ALARM DEFICIENCIES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

AREA ALARM DEFICIENCIES OVERVIEW

ACTION NEEDED

Adjust Set Points to +/-20% Operating Pressure

Move Transducers to Correct Side of Zone Valve

QTY

CORRECTED

DEFICIENCY DESCRIPTION

A) Alarm Set Points: Incorrect High and/or Low Alarm Set Point(s)

QTY

DEFICIENT

Connect Alarm to Life Safety Branch

Repair/Replace Module or Defective Transducer

Label Area Monitored

Label Gas System Monitored

N/A

Install Demand Check

Repair/Recalibrate/Replace Transducer

Move Alarm to Appropriate Location

Install Area Alarm & Transducer

Repair/Replace Annunciator Module / Ribbon Cable / Alarm Panel

Repair/Replace Power Supply

G) Panel Function: Visual and/or Audible Alarm Function Failure

H) Panel Function: Power Failure

I) Panel Function: Incorrect Power Source

J) Module Function: Module Display Blank or Error Message

K) Labeling: Area Monitored Labeling Missing/Incorrect

B) Transducer Location: Incorrect Transducer Location

C) Transducer Location: No Demand Check

D) Transducer Function: Incorrect Gas Pressure Displayed

E) Alarm Location: Improper Alarm Panel Location

F) Alarm Location: No Alarm in Place

L) Labeling: Gas System Monitored Not Labeled

M) Other:

TOTALS: 0

ZONE VALVES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

FUNCTION AND CONDITION

Z V

B P h y sica l L o ca tio n

R o o m s o r A rea S erv ed

S y stem G a s

M a n u fa ctu rer

B a ll

G a te/G lo b e

G a u g e P ressu re A ccu ra cy

G a u g e

G en era l C o n d itio n

L a b elin g

L ea k s

L o ca tio n

O th er

C o m p o n en t C o n d itio n

1 Opp 7A 143 7A 133, 134, 143, 156 (Not in Service) O2 Beacon ✓ ✓ ✓ PASS

2 Opp 7A 143 7A 133, 134, 143, 156 (Not in Service) MA Beacon ✓ ✓ ✓ PASS

3 Opp 7A 143 7A 133, 134, 143, 156 (Not in Service) VAC Beacon ✓ ✓ ✓ PASS

4 O/S 6A 101 101, 103,105, 107, 109, 111,113,1115, 117, 121 MA Powerex ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

5 O/S 6A 101 101, 103,105, 107, 109, 111,113,1115, 117, 121 O2 Powerex ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

6 O/S 6A 101 101, 103,105, 107, 109, 111,113,1115, 117, 121 VAC Powerex ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

7 O/S 6A 143 123, 127, 129, 131, 133, 135, 137, 139, 141, 143 MA Powerex ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

8 O/S 6A 143 123, 127, 129, 131, 133, 135, 137, 139, 141, 143 O2 Powerex ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

9 O/S 6A 143 123, 127, 129, 131, 133, 135, 137, 139, 141, 143 VAC Powerex ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

10 Opp 6C 146 6C 117, 118, 124, 128, 133, 137, 140, 145, 146, 149, 151, 152, 154 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

11 Opp 6C 146 6C 117, 118, 124, 128, 133, 137, 140, 145, 146, 149, 151, 152, 154 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

12 Opp 6C 146 6C 117, 118, 124, 128, 133, 137, 140, 145, 146, 149, 151, 152, 154 Vac Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

ZONE VALVES: LOCATION & SPECIFICATION

ZONE VALVES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

FUNCTION AND CONDITION

Z V

B P h y sica l L o ca tio n

R o o m s o r A rea S erv ed

S y stem G a s

M a n u fa ctu rer

B a ll

G a te/G lo b e

G a u g e P ressu re A ccu ra cy

G a u g e

G en era l C o n d itio n

L a b elin g

L ea k s

L o ca tio n

O th er

C o m p o n en t C o n d itio n

ZONE VALVES: LOCATION & SPECIFICATION

13 O/S 6D Unit 6D 110-112, 114-119 & 120A O2 Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

14 O/S 6D Unit 6D 110-112, 114-119 & 120A MA Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

15 O/S 6D Unit 6D 110-112, 114-119 & 120A Vac Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

16 O/S 6D101 6D 140A-6D149 O2 Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

17 O/S 6D101 6D 140A-6D149 MA Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

18 O/S 6D101 6D 140A-6D149 VAC Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

19 5A

5A 112, 114, 115, 117, 120, 122, 126, 141, 146, 149, 150, 152, 154, 157, 161, 163, 168 (Add Rm. 144)

VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

20 5A

5A 112, 114, 115, 117, 120, 122, 126, 141, 146, 149, 150, 152, 154, 157, 161, 163, 168

MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

21 5A

5A 112, 114, 115, 117, 120, 122, 126, 141, 146, 149, 150, 152, 154, 157, 161, 163, 168

O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

22 5C 5C 109, 112, 129, 131, 134, 137, 142, O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

23 5C 5C 109, 112, 129, 131, 134, 137, 142, MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

ZONE VALVES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

FUNCTION AND CONDITION

Z V

B P h y sica l L o ca tio n

R o o m s o r A rea S erv ed

S y stem G a s

M a n u fa ctu rer

B a ll

G a te/G lo b e

G a u g e P ressu re A ccu ra cy

G a u g e

G en era l C o n d itio n

L a b elin g

L ea k s

L o ca tio n

O th er

C o m p o n en t C o n d itio n

ZONE VALVES: LOCATION & SPECIFICATION

25 5D

5D 105, 107, 113, 114, 116, 118, 120, 130, 134, 136, 142, 143, 147, 151, 153, 155, 157, 159

O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

26 5D

5D 105, 107, 113, 114, 116, 118, 120, 130, 134, 136, 142, 143, 147, 151, 153, 155, 157, 159

VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

27 5D

5D 105, 107, 113, 114, 116, 118, 120, 130, 134, 136, 142, 143, 147, 151, 153, 155, 157, 159

MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

28 4A 4A 113, 116, 120, 122, 124, 128, 131, 133, 135, 140, 143, 147, 149, 155, 159 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

29 4A 4A 113, 116, 120, 122, 124, 128, 131, 133, 135, 140, 143, 147, 149, 155, 159 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

30 4A 4A 113, 116, 120, 122, 124, 128, 131, 133, 135, 140, 143, 147, 149, 155, 159 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

31 4C 4C 109, 137B, 137C, 138, 142, 145, 147, 152, 154, 160 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

32 4C 4C 109, 137B, 137C, 138, 142, 145, 147, 152, 154, 160 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

ZONE VALVES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

FUNCTION AND CONDITION

Z V

B P h y sica l L o ca tio n

R o o m s o r A rea S erv ed

S y stem G a s

M a n u fa ctu rer

B a ll

G a te/G lo b e

G a u g e P ressu re A ccu ra cy

G a u g e

G en era l C o n d itio n

L a b elin g

L ea k s

L o ca tio n

O th er

C o m p o n en t C o n d itio n

ZONE VALVES: LOCATION & SPECIFICATION

34 3A PRE-OP OR Holding 1-6 O2 Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

35 3A PRE-OP OR Holding 1-6 MA Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

36 3A PRE-OP OR Holding 1-6 VAC Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

37 3D PACU 3D PACU and Recovery O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

38 3D PACU 3D PACU and Recovery MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

39 3D PACU 3D PACU and Recovery VAC Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

40 3D ASU 3D Ambulatory Surgery Unit O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

41 3D ASU 3D Ambulatory Surgery Unit MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

42 3D ASU 3D Ambulatory Surgery Unit VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

43 3A128 OR 1 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

44 3A128 OR 1 N2O Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

45 3A128 OR 1 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

46 3A128 OR 1 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

47 3A126 OR 2 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

ZONE VALVES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

FUNCTION AND CONDITION

Z V

B P h y sica l L o ca tio n

R o o m s o r A rea S erv ed

S y stem G a s

M a n u fa ctu rer

B a ll

G a te/G lo b e

G a u g e P ressu re A ccu ra cy

G a u g e

G en era l C o n d itio n

L a b elin g

L ea k s

L o ca tio n

O th er

C o m p o n en t C o n d itio n

ZONE VALVES: LOCATION & SPECIFICATION

49 3A126 OR 2 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

50 3A126 OR 2 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

51 3A123 OR 3 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

52 3A123 OR 3 N2O Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

53 3A123 OR 3 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

54 3A123 OR 3 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

55 3A122 OR 4 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

56 3A122 OR 4 N2O Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

57 3A122 OR 4 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

58 3A122 OR 4 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

59 3A121 OR 5 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

60 3A121 OR 5 N2O Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

61 3A121 OR 5 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

62 3A121 OR 5 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

ZONE VALVES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

FUNCTION AND CONDITION

Z V

B P h y sica l L o ca tio n

R o o m s o r A rea S erv ed

S y stem G a s

M a n u fa ctu rer

B a ll

G a te/G lo b e

G a u g e P ressu re A ccu ra cy

G a u g e

G en era l C o n d itio n

L a b elin g

L ea k s

L o ca tio n

O th er

C o m p o n en t C o n d itio n

ZONE VALVES: LOCATION & SPECIFICATION

64 3A119 OR 6 N2O Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

65 3A119 OR 6 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

66 3A119 OR 6 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

67 3A117 OR 7 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

68 3A117 OR 7 N2O Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

69 3A117 OR 7 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

70 3A117 OR 7 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

71 3A115 OR 8 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

72 3A115 OR 8 N2O Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

73 3A115 OR 8 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

74 3A115 OR 8 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

75 3A115 OR 8 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

76 3B O/S ICU CCU 1-12, 14-21 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

77 3B O/S ICU CCU 1-12, 14-21 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

ZONE VALVES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

FUNCTION AND CONDITION

Z V

B P h y sica l L o ca tio n

R o o m s o r A rea S erv ed

S y stem G a s

M a n u fa ctu rer

B a ll

G a te/G lo b e

G a u g e P ressu re A ccu ra cy

G a u g e

G en era l C o n d itio n

L a b elin g

L ea k s

L o ca tio n

O th er

C o m p o n en t C o n d itio n

ZONE VALVES: LOCATION & SPECIFICATION

79 3C Dialysis 3C 112, 112A, 114, 115, Cath Lab

Recovery 125, Cath Lab 125B & 143 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

80 3C Dialysis 3C 112, 112A, 114, 115, Cath Lab

Recovery 125, Cath Lab 125B & 143 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

81 3C Dialysis 3C 112, 112A, 114, 115, Cath Lab

Recovery 125, Cath Lab 125B & 143 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

82 2A Opp 2A 147 2A 118, 120, 127, 134, 136, 139, 143 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

83 2A Opp 2A 147 2A 118, 120, 127, 134, 136, 139, 143 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

84 2A Opp 2A 147 2A 118, 120, 127, 134, 136, 139, 143 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

85 O/S 2D 249 2D 185, 218, 222, 225, 227, 249, 2D

189, 2D 143 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

86 O/S 2D 249 2D 185, 218, 222, 225, 227, 249, 2D

189, 2D 143 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

87 O/S 2D 249 2D 185, 218, 222, 225, 227, 249, 2D

189, 2D 143 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

88 O/S 2D 149 2D 149 PET CT Scan O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

89 O/S 2D 149 2D 149 PET CT Scan MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

90 O/S 2D 149 2D 149 PET CT Scan VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

91 O/S 2D 165 2D 165 Nuc Med O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

ZONE VALVES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

FUNCTION AND CONDITION

Z V

B P h y sica l L o ca tio n

R o o m s o r A rea S erv ed

S y stem G a s

M a n u fa ctu rer

B a ll

G a te/G lo b e

G a u g e P ressu re A ccu ra cy

G a u g e

G en era l C o n d itio n

L a b elin g

L ea k s

L o ca tio n

O th er

C o m p o n en t C o n d itio n

ZONE VALVES: LOCATION & SPECIFICATION

93 O/S 2D 165 2D 165 Nuc Med VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

94 O/S 2D 154 2D 154 & 156 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

95 O/S 2D 154 2D 154 & 156 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

96 O/S 2D 154 2D 154 & 156 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

97 O/S 1G139 1H106, 108, 112, 117, 119, 122, 1G139 & 141 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

98 O/S 1G139 1H106, 108, 112, 117, 119, 122, 1G139 & 141 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

99 O/S 1G139 1H106, 108, 112, 117, 119, 122, 1G139 & 141 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

100 O/S 1G128

SICU 1G114, 115, 116, 118, 119, 121,

123, 126, 129, 133, 135, 1E120 & 123 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

101 O/S 1G128

SICU 1G114, 115, 116, 118, 119, 121,

123, 126, 129, 133, 135, 1E120 & 123 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

102 O/S 1G128

SICU 1G114, 115, 116, 118, 119, 121,

123, 126, 129, 133, 135, 1E120 & 123 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

103 O/S 1G102

SICU 1G101, 103, 104, 107, 111, 112,

ZONE VALVES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

FUNCTION AND CONDITION

Z V

B P h y sica l L o ca tio n

R o o m s o r A rea S erv ed

S y stem G a s

M a n u fa ctu rer

B a ll

G a te/G lo b e

G a u g e P ressu re A ccu ra cy

G a u g e

G en era l C o n d itio n

L a b elin g

L ea k s

L o ca tio n

O th er

C o m p o n en t C o n d itio n

ZONE VALVES: LOCATION & SPECIFICATION

104 O/S 1G102

SICU 1G101, 103, 104, 107, 111, 112,

113, 1F123, 125 & 126 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

105 O/S 1G102

SICU 1G101, 103, 104, 107, 111, 112,

113, 1F123, 125 & 126 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

106 Opp 1F102 1F103, 105, 107, 109, 115 & 1E129 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

107 Opp 1F102 1F103, 105, 107, 109, 115 & 1E129 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

108 Opp 1F102 1F103, 105, 107, 109, 115 & 1E129 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

109 O/S 1E 137 1E 137 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

110 O/S 1E 137 1E 137 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

111 O/S 1E 137 1E 137 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

112 O/S 1E 139 1E 139 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

113 O/S 1E 139 1E 139 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

114 O/S 1E 139 1E 139 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

115 O/S 1D100 1D 155 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

116 O/S 1D100 1D 155 O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

117 O/S 1D100 1D 155 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

ZONE VALVES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

FUNCTION AND CONDITION

Z V

B P h y sica l L o ca tio n

R o o m s o r A rea S erv ed

S y stem G a s

M a n u fa ctu rer

B a ll

G a te/G lo b e

G a u g e P ressu re A ccu ra cy

G a u g e

G en era l C o n d itio n

L a b elin g

L ea k s

L o ca tio n

O th er

C o m p o n en t C o n d itio n

ZONE VALVES: LOCATION & SPECIFICATION

119 O/S 1D149 1D EENT Rms 149, 148, 145, 143 MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

120 O/S 1D149 1D EENT Rms 149, 148, 145, 143 VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

122 O/S 1D135 1D135 Chair 1-12, 1D135A O2 Powerex ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

123 O/S 1D135 1D135 Chair 1-12, 1D135A MA Powerex ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

124 O/S 1D135 1D135 Chair 1-12, 1D135A VAC Powerex ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

125 1D MRI MRI 1D118B, 118G, 118J, 118R O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

126 1D MRI MRI 1D118B, 118G, 118J, 118R MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

126 1D MRI MRI 1D118B, 118G, 118J, 118R VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

127 1D E.D. Dept ID 181, 181A, 181B, 193, 193A O2 Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

128 1D E.D. Dept ID 181, 181A, 181B, 193, 193A MA Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

129 1D E.D. Dept

ID 181, 181A, 181B, 193, 193A, 1D

VAC Beacon ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

130 1D E.D. Dept LSU Rooms 1D 166-173 O2 Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

131 1D 182 1D 182 O2 Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

132 1D 182 1D 182 MA Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

ZONE VALVES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

FUNCTION AND CONDITION

Z V

B P h y sica l L o ca tio n

R o o m s o r A rea S erv ed

S y stem G a s

M a n u fa ctu rer

B a ll

G a te/G lo b e

G a u g e P ressu re A ccu ra cy

G a u g e

G en era l C o n d itio n

L a b elin g

L ea k s

L o ca tio n

O th er

C o m p o n en t C o n d itio n

ZONE VALVES: LOCATION & SPECIFICATION

134 O/S 1D 182 1D 182A O2 Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

135 O/S 1D 182 1D 182A MA Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

136 O/S 1D 182 1D 182A VAC Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

137 O/S 1D182A 1D 183, 1D183A O2 Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

138 O/S 1D182A 1D 183, 1D183A MA Amico ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

ZONE VALVES INVENTORY

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

TOTAL ZONE VALVES BY SYSTEM GAS: 45 43 8 0 0 43 0 0 0

TOTAL

ZONE VALVE

BOXES

TOTAL ZONE VALVES

MANUFACTURER

(Or Current Owner )

VALVE

TYPE

ZONE VALVE DESCRIPTION

M A

C O

V A

W A

G D

O th er

Amico Ball 1/4 Turn Ball Valve 7 6 0 0 0 7 0 0 0

Beacon Ball 1/4 Turn Ball Valve 35 34 8 0 0 33 0 0 0

Powerex Ball 1/4 Turn Ball Valve 3 3 0 0 0 3 0 0 0

ZONE VALVES BREAKDOWN (EACH SYSTEM GAS COUNTED AS SEPARATE ZONE VALVE)

TOTAL

ZONE VALVE

BOXES

ZONE VALVE DEFICIENCIES

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

ZONE VALVE DEFICIENCIES OVERVIEW

QTY

CORRECTED

QTY DEFICIENT

Rebuild if Possible or Replace Leaking Valve

Re-install Gauge Using Oxygen-Safe Sealant (Replacement of Valve May be Necessary)

Move Valve to Visible and Accessible Location

Move Valve to Compliant Location

Install Zone Valve

Label All Required Components with Non-Standard Pressure

Update Label to Include System Gas

Update Label to Include Warning Verbiage

Verify if Rooms/Area is Served by an Existing Zone Valve (Installation

Necessary if Rooms/Area is not Currently Served by a Zone Valve)

Rebuild if Possible or Replace Leaking Valve

R: Location: No Valve in Place

N/A

0 0TOTALS:

S: Other: 0

Q: Location: Improper Location

DEFICIENCY DESCRIPTION

A: Gauge: Inaccurate Pressure Reading

B: Gauge: Incorrect Scale Range

C: Gauge: No Gauge in Port

D: Gauge: On Source Side of Valve

N: Leak: Gas Passes Through Valve When Closed

P: Location: Hidden or Not Accessible

M: Leak: External Leak

J: Labeling: Missing System Gas

K: Labeling: Missing Warning Verbiage

L: Labeling: Rooms/Area not Attributed a Zone Valve

O: Leak: Gauge Connection Leaks

I: Labeling: Missing Non-Standard Pressure Verbiage

ACTION NEEDED

Replace Gauge

Install Gauge With Correct Scale Range

Install Gauge

Repipe Valve So Gauge is Downstream of Valve

Replace Handle

Replace Window

Verify Rooms/Area Served and Relabel

Verify Rooms/Area Served and Relabel (Repiping or Decommissioning

Valve May Be Necessary)

E: General Condition: Missing/Broken Handle

F: General Condition: Missing/Broken Window

G: Labeling: Inaccurate Rooms/Area Served

OUTLETS & INLETS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

7th Fl A Wing (Not in

Service) 133 O2 Beacon DIA II Recessed NOT IN USE

7th Fl A Wing (Not in

Service) 133 MA Beacon DIA II Recessed NOT IN USE

7th Fl A Wing (Not in

Service) 133 VAC Beacon Dia III Recessed NOT IN USE

7th Fl A Wing (Not in

Service) 134 O2 Beacon DIA II Recessed NOT IN USE

7th Fl A Wing (Not in

Service) 134 MA Beacon DIA II Recessed NOT IN USE

7th Fl A Wing (Not in

Service) 134 VAC Beacon Dia III Recessed NOT IN USE

7th Fl A Wing (Not in

Service) 143 O2 Beacon DIA II Recessed NOT IN USE

7th Fl A Wing (Not in

Service) 143 MA Beacon DIA II Recessed NOT IN USE

7th Fl A Wing (Not in

Service) 143 VAC Beacon Dia III Recessed NOT IN USE

7th Fl A Wing (Not in

Service) 156 O2 Beacon Dia III Recessed NOT IN USE

7th Fl A Wing (Not in

Service) 156 MA Beacon Dia III Recessed NOT IN USE

7th Fl A Wing (Not in

Service) 156 VAC Beacon Dia III Recessed NOT IN USE

13 6th Fl A Wing 101 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

14 6th Fl A Wing 101 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

15 6th Fl A Wing 101 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

L o ca tio n

O th er

G a s C o n cen tra tio n

C o m p o n en t C o n d itio n

O p era tio n a l F lo w

S ta tic P ressu re

FUNCTION AND CONDITIONOUTLETS & INLETS: LOCATION & SPECIFICATION

G en era l C o n d itio n

L ea k s

L a b elin g

M o d el

P o sitio n

/S ty le

A rea o r Z o n e

R o o m

, B ed o r O u tlet #

(In ven to ry ta ken clo ckw ise a ro u n d ro o m

, fro m to p to b tto m a n d /o r left to rig h t)

S y stem G a s

OUTLETS & INLETS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

L o ca tio n

O th er

G a s C o n cen tra tio n

C o m p o n en t C o n d itio n

O p era tio n a l F lo w

S ta tic P ressu re

FUNCTION AND CONDITIONOUTLETS & INLETS: LOCATION & SPECIFICATION

G en era l C o n d itio n

L ea k s

L a b elin g

M o d el

P o sitio n

/S ty le

A rea o r Z o n e

R o o m

, B ed o r O to ry ta ken clo ckw ise a ro u n d ro o m

, fro m to tto m a n d /o r left to rig h t)

S y stem G a s

M a n u fa ctu rer

16 6th Fl A Wing 103 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

17 6th Fl A Wing 103 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

18 6th Fl A Wing 103 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

19 6th Fl A Wing 105 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

20 6th Fl A Wing 105 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

21 6th Fl A Wing 105 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

22 6th Fl A Wing 107 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

23 6th Fl A Wing 107 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

24 6th Fl A Wing 107 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

25 6th Fl A Wing 109 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

26 6th Fl A Wing 109 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

27 6th Fl A Wing 109 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

28 6th Fl A Wing 111 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

29 6th Fl A Wing 111 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

30 6th Fl A Wing 111 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

31 6th Fl A Wing 113 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

32 6th Fl A Wing 113 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

33 6th Fl A Wing 113 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

34 6th Fl A Wing 115 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

35 6th Fl A Wing 115 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

36 6th Fl A Wing 115 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

37 6th Fl A Wing 117 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

38 6th Fl A Wing 117 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

OUTLETS & INLETS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

L o ca tio n

O th er

G a s C o n cen tra tio n

C o m p o n en t C o n d itio n

O p era tio n a l F lo w

S ta tic P ressu re

FUNCTION AND CONDITIONOUTLETS & INLETS: LOCATION & SPECIFICATION

G en era l C o n d itio n

L ea k s

L a b elin g

M o d el

P o sitio n

/S ty le

A rea o r Z o n e

R o o m

, B ed o r O to ry ta ken clo ckw ise a ro u n d ro o m

, fro m to tto m a n d /o r left to rig h t)

S y stem G a s

M a n u fa ctu rer

40 6th Fl A Wing 121 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

41 6th Fl A Wing 121 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

42 6th Fl A Wing 121 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

43 6th Fl A Wing 123 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

44 6th Fl A Wing 123 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

45 6th Fl A Wing 123 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

46 6th Fl A Wing 127 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

47 6th Fl A Wing 127 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

48 6th Fl A Wing 127 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

49 6th Fl A Wing 129 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

50 6th Fl A Wing 129 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

51 6th Fl A Wing 129 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

52 6th Fl A Wing 131 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

53 6th Fl A Wing 131 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

54 6th Fl A Wing 131 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

55 6th Fl A Wing 133 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

56 6th Fl A Wing 133 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

57 6th Fl A Wing 133 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

58 6th Fl A Wing 135 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

59 6th Fl A Wing 135 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

60 6th Fl A Wing 135 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

61 6th Fl A Wing 137 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

62 6th Fl A Wing 137 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

OUTLETS & INLETS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

L o ca tio n

O th er

G a s C o n cen tra tio n

C o m p o n en t C o n d itio n

O p era tio n a l F lo w

S ta tic P ressu re

FUNCTION AND CONDITIONOUTLETS & INLETS: LOCATION & SPECIFICATION

G en era l C o n d itio n

L ea k s

L a b elin g

M o d el

P o sitio n

/S ty le

A rea o r Z o n e

R o o m

, B ed o r O to ry ta ken clo ckw ise a ro u n d ro o m

, fro m to tto m a n d /o r left to rig h t)

S y stem G a s

M a n u fa ctu rer

64 6th Fl A Wing 139 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

65 6th Fl A Wing 139 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

66 6th Fl A Wing 139 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

67 6th Fl A Wing 141 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

68 6th Fl A Wing 141 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

69 6th Fl A Wing 141 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

70 6th Fl A Wing 143 VAC Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

71 6th Fl A Wing 143 MA Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

72 6th Fl A Wing 143 O2 Amico S-DIA Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

73 6th Fl C Wing 117 O2 Beacon DIA II Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

74 6th Fl C Wing 117 MA Beacon DIA II Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

75 6th Fl C Wing 117 VAC Beacon Dia III Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

76 6th Fl C Wing 117 O2 Beacon DIA II Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

77 6th Fl C Wing 117 MA Beacon Dia III Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

78 6th Fl C Wing 117 VAC Beacon Dia III Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

79 6th Fl C Wing 117 O2 Beacon DIA II Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

80 6th Fl C Wing 117 MA Beacon Dia III Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

81 6th Fl C Wing 117 VAC Beacon Dia III Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

82 6th Fl C Wing 118 O2 Beacon DIA I Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

83 6th Fl C Wing 118 MA Beacon DIA I Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

84 6th Fl C Wing 118 VAC Beacon DIA I Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

85 6th Fl C Wing 124 O2 Beacon DIA I Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

86 6th Fl C Wing 124 MA Beacon DIA I Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

OUTLETS & INLETS

Medical Gas and Vacuum Systems Inspection/Testing

VAMC Augusta Downtown

Augusta, GA

L o ca tio n

O th er

G a s C o n cen tra tio n

C o m p o n en t C o n d itio n

O p era tio n a l F lo w

S ta tic P ressu re

FUNCTION AND CONDITIONOUTLETS & INLETS: LOCATION & SPECIFICATION

G en era l C o n d itio n

L ea k s

L a b elin g

M o d el

P o sitio n

/S ty le

A rea o r Z o n e

R o o m

, B ed o r O to ry ta ken clo ckw ise a ro u n d ro o m

, fro m to tto m a n d /o r left to rig h t)

S y stem G a s

M a n u fa ctu rer

88 6th Fl C Wing 128 O2 Beacon DIA I Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

89 6th Fl C Wing 128 MA Beacon DIA I Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

90 6th Fl C Wing 128 VAC Beacon DIA I Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

91 6th Fl C Wing 133 O2 Beacon DIA I Recessed ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ PASS

92 6th Fl C Wing 133 MA…

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File details come from the government source that posted it. Updated Jan 17, 2024.