VPS Medical Gas Bulk Supply Inspection Report 05-05-22 O2.pdf

Corporate Office ∙ 4518 Clements Rd Lakeland Florida 33811 Phone: 863-646-7555∙ Fax 863-646-2999

“Medical Gas Pipeline Equipment Service, Sales & Verifications” www.medgaspro.org

MEDICAL GAS BULK SUPPLY INSPECTION REPORT

Facility VA Lake City Inspector Lee Harris, CMGV, ASSE 6035

City/State Lake City, FL Date 05-05-2022

Contractor N/A Page 1 of 4

Medical Gas O2

Location of Bulk Supply Outside Bulk Gas Pad

Facility areas served by bulk supply Entire Facility

Bulk Gas Supplier Air Liquide

Street Address

City

State

Contact

Phone Number 1-800-527-4374

Installer Qualifications Yes No NA

Has the Installing Technician(s) provided copies or shown proof of their Installer/brazing qualifications? (ASSE 6010/ASSE 6015, CGA M-1)

X

Has the Installer provided proof that all Tubes, Valves, Fittings, and other components have been cleaned for Oxygen Service? X

3 Has the Installing Technician(s) provided proof of competency? (ASSE 6015/CGA M-1) X

4 Has the Installer shown written installation procedures? X

5 Has the Installer demonstrated proof of following those procedures? X

6 Does the Installer have a Certificate of Analysis for the first product delivery? X

7 Has the Installer used Nitrogen NF as a purge gas? X

8 Has the Installer used an Oxygen Analyzer to Verify Purge Effectiveness prior to brazing? X

9 Has the Installer provided proof of insurance? X

10 Has the Installer provided a copy of “Installer Performed Testing” X

Code Deficiencies:

This is an existing system annual inspection. Installer qualifications do not apply.

Check Type of System

Yes

HP Primary and HP Reserve

Liquid Primary and HP Reserve

Liquid Primary and Reserve x

Hyperbaric System

Redundant(secondary)System

Other (Describe):

Contractor NA Page 2 of 4

ALL “NO” RESPONSES NEED A WRITTEN EXPLANATION

Site Condition: N/A Yes No

1 Is the pad and foundation concrete? X

2 Is the pad and foundation free from frost heave? X

3 Is the pad surface free from excessive cracking or spalling? X

4 Is the pad and spill apron area free of oil, grease, and combustible material? X

5 Is the surface of pad free from contact with ice growing from piping or vaporizers? X

6 Is the spill pad concrete, level and at least 12' x 12'? X

7 Are the seams or cracks in the pad filled with an oxygen approved sealant? X

8 Is the overall condition of the pad acceptable? X

9 Is the trailer access adequate? X

10 Is the station secured by a fence? X

11 Is the fence in acceptable condition? X

12 Does the gate work properly? X

13 Is the pad area free of any material that is not part of the system? X

Is the area free of any flammable debris collected with the confines of the system? X

15 Is their adequate night-time lighting, and does it work? X

16 Does the site meet the distance requirements of NFPA 50/55? X

There is evidence of spilling under the main vessel liquid delivery piping. Soil and dirt are entering pad area due to the site being lower than the ground and solid blocks

Primary Supply Reserve Supply

(If High Pressure Reserve - complete manifold inspection checklist)

Tank Volume in gallons 3000 Tank Volume in gallons 525

Tank Manufacture MVE Tank Manufacture MVE

Year Built 1985 Year Built 1993

MAWP 250 psi MAWP 250

Serial Number 1406 Serial Number 2420

National Board Number 101586 National Board Number 55902

Contractor NA Page 3 of 4

Equipment (tanks, vaporizers, and piping): N/A Yes No

1 Are there dust caps for the fill connection? X

2 Are all driver operated hand wheels in good condition? X

3 Is all the equipment on the tank supported properly? X

4 Is all the equipment bolted to the foundation? X

5 Is the equipment and piping free of excessive ice build-up? X

6 Is the equipment free from any damage? X

7 Is the piping copper? X

8 Does the copper tubing meet the requirements of ASTM B819? X

9 Is the copper tubing type "K" or "L"? X

10 Are the pipe clamps compatible with copper tubing? X

11 Is the piping properly supported? X

12 Is there a source valve installed at the battery limits of the "Bulk Supply"? X

Are all safeties or rupture discs mounted so they discharge away from personnel and tank components?

Are all safeties or rupture discs mounted so moisture drains from them and free from ice build-up?

15 Is the discharge area of the safeties or rupture disc free from obstructions? X

16 Are safeties and rupture discs corrosion and leak free? X

Decals and Labeling:

1 Is the proper Product & Warning decal(s) on the tank? X

2 Is there an ASME data plate on the tank and is it legible? X

3 For Oxygen systems is there a No Smoking decal on the tank? X

4 Is there an Authorized Personnel Only sign at the site? X

5 Is there an Emergency Information decal on the tank? X

6 Are all the valves tagged or labeled? X

7 Is the "Source Valve" labeled? X

a) Does it show the area(s) serviced? X

b) Is it labeled "DO NOT CLOSE EXCEPT IN EMERGENCY"? X

8 Are the full and reorder points posted or marked on the level gauges? X

9 Are the normal pressures posted or marked on the gauges? X

10 Is the piping properly labeled? x

-Owner provided copper clamps which we used to replace them on manifold.

-Driver operated valves, vent valve, full trycock valve, liquid level gauge and tank pressure gauges are not visible from fill/ truck location per 2016-NFPA55-8, 5, 1, 2.

-Equipment bracket and vessels are not in an acceptable, corrosion free status.

-Safety relief valves are no longer within their 5-year test cycle or 10-year replacement cycle.

Contractor NA Page 4 of 4

Physical Testing: N/A Yes No

1 Is the Bulk Supply system leak free? X

2 Does the entire supply system operate and perform as designed and intended? X

Electrical N/A Yes No

1 Are all electrical connections free of corrosion and signs of overheating? X

2 Is the insulation on all wiring in good condition? X

3 Are all electrical conduits in good condition? X

4 Are all electrical enclosures in good condition and weatherproof? X

Alarms: Alarm Set Points Yes No

1 Does main oxygen low liquid level alarm function properly? 35 in X

2 Does reserve in use alarm function properly? 95 psi X

3 Does reserve oxygen low liquid level alarm function properly? 35 in X

4 Does reserve low pressure alarm function properly? 115 psi X

5 Are all alarms connected inside the medical facility? X

Have you verified that the alarms are connected to the Emergency Power? X

7 Where is the first Master Alarm Panel located? Boiler Control Rm

8 Where is the second Master Alarm Panel located? AOD & Engineering Office

9 Is there a "Local Visual Signal" for all required Alarms per NFPA 99, 5.1.3.4.8? X

-Main O2 vessel inlet pipe (FPT 1” adapter) leaking at manifold inlet to check valve.

-An intermediate regulator must be installed on the main vessel primary supply.

-The fill connection pad is sloped toward combustible asphalt

-All equipment is not readily accessible for service due to pad size and driver access ramp/ stairs.

-A complete site assessment needs to be performed due to recent NFPA, CGA, and CFR changes.

Emergency Low Pressure Inlet: N/A Yes No

Is the Emergency Low Pressure Inlet located on the exterior of the building and outside the Bulk Supply Area? X

2 Is the location accessible by a delivery vehicle always? X

3 Does the location meet the distance requirements of NFPA 50/55? X

System Regulators: Regulator Setting Yes No

1 Are there dual final line regulators? 50-55 psi X

2 Is there an intermediary regulator on the Primary Supply? X

3 Is there an intermediary regulator on the Reserve Supply? 99 psi X

4 Can the regulators be isolated for service? X