VPS Medical Gas Bulk Supply Inspection Report 05-25-23 O2.pdf

4518 Clements Rd Lakeland Florida 33811 Phone: 863-646-7555 -646-2999 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 05/25/2023

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 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):

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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

Code Deficiencies:

There is evidence of spalling under the main vessel liquid delivery piping. The concrete pad expansion joints and cracks sealant has deteriorated and must be filled with an O2 approved sealant.

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

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

Contractor n/a 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

Code Deficiencies:

-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.

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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? 30 in X 2 Does reserve in use alarm function properly? 95 psi X 3 Does reserve oxygen low liquid level alarm function properly? 30 in X 4 Does reserve low pressure alarm function properly? 105 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 Room 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

Code Deficiencies:

- and reserve inlet pipe are leaking at manifold inlet to check valve.

-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 by an engineering team due to recent NFPA, CGA, and CFR changes.

-The reserve vessel needs one rupture disc replaced.

-For safety reasons the no longer in use ½ supply line that runs from the reserve vessel heat exchanger to the wall should be removed (capped off).

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? Not Required X 3 Is there an intermediary regulator on the Reserve Supply? 99 psi X 4 Can the regulators be isolated for service? X