2024-08-01 Amendment 2 - Specifications.pdf

VA PROJECT #589A4-23-050 11-01-23

REVISED PER AMENDMENT #2 – BID QUESTIONS

(ITEMS IN RED REVISED/ADDED)

00 01 10-1

DEPARTMENT OF VETERANS AFFAIRS

VHA MASTER SPECIFICATIONS

TABLE OF CONTENTS

Section 00 01 10

SECTION NO DIVISION AND SECTION TITLES DATE

DIVISION 00 - SPECIAL SECTIONS

00 00 01 Seals Page 03-24

00 01 15 List of Drawing Sheets 05-20

DIVISION 01 - GENERAL REQUIREMENTS

01 00 00 General Requirements 11-21

01 00 10 Medical Center Requirements 10-20

01 32 16.15 Project Schedules (Small Projects – Design/Bid/Build 11-21

01 33 23 Shop Drawings, Product Data, and Samples 11-23

01 35 26 Safety Requirements 11-23

01 42 19 Reference Standards 11-20

01 45 00 Quality Control 02-21

01 57 19 Temporary Environmental Controls 01-21

01 58 16 Temporary Interior Signage 07-15

01 74 19 Construction Waste Management 04-22

01 81 13 Sustainable Construction Requirements 10-17

01 91 00 General Commissioning Requirements 04-22

DIVISION 02 – EXISTING CONDITIONS

02 41 00 Demolition 08-17

DIVISION 03 – CONCRETE

03 30 53 (Short-Form) Cast-in-Place Concrete 01-21

DIVISION 06 – WOOD, PLASTICS AND COMPOSITES

06 10 00 Rough Carpentry 10-17

06 41 00 Architectural Wood Casework – Hospital Grade 01-24

DIVISION 07 - THERMAL AND MOISTURE PROTECTION

07 84 00 Firestopping 01-21

07 92 00 Joint Sealants 04-22

07 95 13 Expansion Joint Cover Assemblies 01-21

DIVISION 08 - OPENINGS

08 11 13 Hollow Metal Doors and Frames 01-21

08 14 00 Interior Wood Doors 01-21

08 34 00 Special Function Doors 11-23

(ITEMS IN RED REVISED/ADDED)

00 01 10-2

SECTION NO DIVISION AND SECTION TITLES DATE

08 71 00 Door Hardware 05-22

08 71 13.11 Low Energy Power Assist Door Operators 01-21

08 80 00 Glazing 01-21

DIVISION 09 – FINISHES

09 05 16 Subsurface Preparation for Floor Finishes 01-21

09 22 16 Non-Structural Metal Framing 06-18

09 29 00 Gypsum Board 04-20

09 30 13 Ceramic/Porcelain Tiling 01-21

09 51 00 Acoustical Ceilings 12-18

09 65 13 Resilient Base and Accessories 01-21

09 65 16 Resilient Sheet Flooring 06-22

09 91 00 Painting 01-21

DIVISION 10 – SPECIALTIES

10 14 00 Signage 01-21

10 14 00.01 Improve Interior Wayfinding – Signage Manual 07-14

10 21 23 Cubicle Curtain Tracks 01-21

10 26 00 Wall and Door Protection 01-21

10 28 00 Toilet, Bath, and Laundry Accessories 01-21

10 44 13 Fire Extinguisher Cabinets 08-18

DIVISION 11 – EQUIPMENT

11 73 00 Ceiling Mounted Patient Lift System 08-20

11 73 00.01 Ceiling Patient Lifts Installation Checklist – AL14-07 07-14

DIVISION 12 – FURNISHINGS

12 36 00 Countertops 12-23

DIVISION 13 - SPECIAL CONSTRUCTION

13 05 41 Seismic Restraint Requirements for Non-Structural

Components

01-21

DIVISION 21- FIRE SUPPRESSION

21 08 00 Commissioning of Fire Suppression System 11-16

21 13 13 Wet-Pipe Sprinkler Systems 06-15

DIVISION 22 – PLUMBING

22 05 11 Common Work Results for Plumbing 01-23

22 05 23 General-Duty Valves for Plumbing Piping 09-20

22 07 11 Plumbing Insulation 09-19

22 08 00 Commissioning of Plumbing Systems 11-16

22 11 00 Facility Water Distribution 05-21

22 13 00 Facility Sanitary and Vent Piping 09-20

(ITEMS IN RED REVISED/ADDED)

00 01 10-3

SECTION NO DIVISION AND SECTION TITLES DATE

22 40 00 Plumbing Fixtures 12-22

DIVISION 23 – HEATING, VENTILATING, AND AIR

CONDITIONING (HVAC)

23 05 11 Common Work Results for HVAC 03-23

23 05 41 Noise and Vibration Control for HVAC Piping and

Equipment

03-23

23 05 93 Testing, Adjusting, and Balancing for HVAC 03-23

23 07 11 HVAC and Boiler Plant Insulation 02-20

23 08 00 Commissioning of HVAC Systems 03-23

23 09 23 Direct-Digital Control System for HVAC 03-23

23 21 13 Hydronic Piping 03-23

23 31 00 HVAC Ducts and Casings 03-23

23 36 00 Air Terminal Units 03-23

23 37 00 Air Outlets and Inlets 03-23

DIVISION 26 – ELECTRICAL

26 05 11 Requirements for Electrical Installations 11-22

26 05 19 Low-Voltage Electrical Power Conductors and Cables 11-22

26 05 26 Grounding and Bonding for Electrical Systems 11-22

26 05 33 Raceway and Boxes for Electrical Systems 11-22

26 08 00 Commissioning of Electrical Systems 11-16

26 09 23 Lighting Controls 11-22

26 27 26 Wiring Devices 11-22

26 51 00 Interior Lighting 11-22

DIVISION 27 – COMMUNICATIONS

27 05 11 Requirements for Communications Installations 09-19

27 05 26i Grounding and Bonding for Communications Systems 12-22

27 05 33i Conduit and Backboxes for Communications Systems 12-22

27 05 36i Cable Trays for Communications Systems 12-22

27 10 00i Structured Cabling 12-22

27 11 19i Communications Termination Blocks and Patch Panels 12-22

27 15 13i Communications Copper Horizontal Cabling 12-22

27 52 23 Nurse Call and Code Blue Systems 12-20

DIVISION 28 – ELECTRONIC SAFETY AND SECURITY

28 05 00 Common Work Results for Electronic Safety and Security 04-18

28 05 13 Conductors and Cables for Electronic Safety and

Security

10-18

28 05 26 Grounding and Bonding for Electronic Safety and

Security

09-11

28 05 28.33 Conduits and Backboxes for Electronic Safety and

Security

09-11

28 08 00 Commissioning of Electronic Safety and Security Systems 11-16

28 13 00 Physical Access Control System 10-11

28 31 00 Fire Detection and Alarm 10-11

(ITEMS IN RED REVISED/ADDED)

00 01 10-4

VA PROJECT #589A4-23-050 08-01-20

11 73 00 - 1

SECTION 11 73 00

CEILING MOUNTED PATIENT LIFT SYSTEM

PART 1 - GENERAL

1.1 DESCRIPTION

Ceiling Mounted Patient Lift Systems for the transfer of physically challenged patients are specified in this section.

1.2 RELATED WORK

A. Section 01 00 00, GENERAL REQUIREMENTS: Requirements for pre-test of equipment.

B. Section 13 05 41, SEISMIC RESTRAINT REQUIREMENTS FOR NON-STRUCTURAL

COMPONENTS: Seismic requirements for non-structural equipment.

C. Section 26 05 11, REQUIREMENTS FOR ELECTRICAL INSTALLATIONS: General

Electrical Requirements and items, which are common to sections of

Division 26.

1.3 QUALITY ASSURANCE

A. Certification for compliance is required for Ceiling Mounted Patient

Lift Systems. Certifications shall be provided by the manufacturer who will conduct testing to ensure that the ceiling lift and charging system are safe and in compliance with ISO 10535 & UL 60601-1.

B. Inspection of equipment after installation is required prior to use for patient movement. Inspection shall be in accordance with manufacturer’s installation checklist and the facilities installation checklist

(Patient Safety Alert AL14-07).

C. Certification of compliance with VA requirements shall be provided by an independent third party, Inspector of Record (IOR), who will observe installation and manufacturer’s testing to ensure that the ceiling structure, ceiling lift, and charging system is safe and compliance with shop drawings, structural calculations, specifications, ISO 10535 requirements, and code requirements. IOR shall be a registered structural engineer in the state of installation.

1.4 SUBMITTALS

A. Submit in accordance with specification Section 01 33 23, SHOP

DRAWINGS, PRODUCT DATA, AND SAMPLES.

1. Shop drawings shall show structural supports to the underside of structure. Structural calculations for the support of the track and its attachment to ceiling structure shall be submitted. Shop drawings used in the quoting phase shall be PDFs, and either 2D CAD files or 3D BIM files showing structural support to underside of

11 73 00 - 2 structure. Shop drawings shall also provide general room layout with bed position and all obstructions to ceiling lift.

2. Once the purchase order is accepted by the vendor, a set of stamped drawings shall be provided by the vendor. Shop drawings and structural calculations shall be signed and stamped by a registered structural engineer, and shall meet all code requirements in the jurisdiction having authority. Structural engineer shall ensure ceiling minimum structure capacity shall support the loads specified in the shop and installation drawings and be in compliance with local structural and seismic codes.

3. Shop drawings shall show obstructions such as curtains, lights and sprinklers, and coordinate their relocation.

4. Manufacturer shall provide BIM (Building Information Model) for clash detection on the request of the Resident Engineer (RE), VA

Construction Agent, or General Contractor.

B. Certificates of Compliance from Manufacturer

C. Manufacturer's Literature and Data:

1. Lifting Capacity

2. Lifting Speed

3. Vertical Axis Motor

4. Emergency Brake

5. Emergency Lowering Device

6. Emergency Stopping Device

7. Electronic Soft-Start and Soft-Stop Motor Control

8. Current Limiter for Circuit Protection

9. Strap Length

10. All equipment anchors and supports. Submittals shall include weights, dimensions, center of gravity of the structural support, standard connections, manufacturer's recommendations and behavior problems (e.g., vibration, thermal expansion,) associated with equipment or piping so that the proposed installation can be properly reviewed.

D. Individual Room layouts showing location of lift system installation shall be approved before proceeding with installation of lifts.

E. Manufacturer’s Checklist for after installation inspection.

11 73 00 - 3

1.5 APPLICABLE PUBLICATIONS

A. The publications listed below form a part of this specification to the extent referenced. The publications are listed in the text by the basic designation only.

B. International Organization for Standardization (ISO):

10535-06................Hoist for the Transfer of Disabled Persons-

Requirements and Test Methods

C. Underwriters Laboratories (UL):

60601-1(2003)...........Medical Electrical Equipment: General

Requirements for Safety

94-2013.................UL Standards for Safety Test for Flammability of Plastic Materials for Parts in Devices and

Appliances-Fifth Edition

D. International Electromagnetic Commission (IEC):

60601-1-2(2015).........Medical electrical equipment – Part 1-2:

General requirements for basic safety and essential performance – Collateral Standard:

Electromagnetic disturbances – Requirements and tests.

E. VA Patient Safety Alert AL14-07

PART 2 - PRODUCTS

2.1 CEILING TRACK SYSTEM

A. Basis of Design: Guldmann Ceiling Lift systems

B. The Ceiling Track shall be made from high strength extruded aluminum or

VA approved equal. Provide anchor supports at ceiling substrate.

C. Installed rail shall be security tested for 1.5 times greater than the motor’s weight capacity and maximum allowable deflection of a horizontal rail is no more than 1mm (1/16th inch) per 200mm (7.87 inch) of track length. (As per ISO 10535 standards.)

2.2 LIFT UNIT

A. The Lift Unit shall be constructed of a steel frame system driven by a gear reduced high torque motor or VA approved equal.

B. The Lift system shall have the following features.

1. Lifting capacity: 770 lbs for non-bariatric lifts (similar to GH3+) and 1100 lbs for bariatric lifts (similar to GH3 Twin).

2. Electronic soft-start and soft-stop motor control

3. Emergency lowering device

4. Emergency stopping device

11 73 00 - 4

5. Current limiter for circuit protection in case of overload.

6. Safety device that stops the motor to lift when batteries are low.

7. Emergency brake (in case of mechanical failure)

8. Strap length:

9. Cab: VO plastic–fire retardant, UL 94

2.3 MOTORS

A. Vertical Movement-DC Motor

2.4 BATTERIES

A. The life cycle (number of charging cycles) for batteries shall be in compliance with IEC 6100-1-2.

B. Provide rechargeable batteries with up to 35 transfers with a load of

200lbs (74kg) (for repositioning) and a minimum of 17 transfers with its maximum load.

2.5 CHARGER

A. Charger

2.6 STRAPS AND SLING

A. The straps shall meet ISO 10535 guidelines. The straps shall ensure the patient’s safety by preventing the patient from falling out of the sling.

B. The sling shall meet ISO 10535 guidelines. The sling shall cradle the body of the patient. Bariatric slings shall be rated to a minimum of

1100 lbs.

PART 3 - EXECUTION

3.1 INSTALLATION

A. Install ceiling mounted patient lift system as per manufacturer's instruction and under the supervision of manufacturer's qualified representative and as shown on drawings.

B. If the distance in between the suspended ceiling and anchors is more than 12” consult with manufacturer to determine if lateral braces will be required.

3.2 INSTRUCTION AND PERSONNEL TRAINING

Training shall be provided for the required personnel to educate them on proper operation and maintenance for the lift system equipment.

3.3 TEST

Conduct performance test, in the presence of the Resident Engineer (RE) and/or Inspector of Record (IOR), and a manufacturer's field representative, to show that the patient lift system equipment and

11 73 00 - 5 control devices operate properly and in accordance with design, specification, and code requirements.

3.4 INSPECTION

1. Inspection of installed ceiling mounted patient lift systems shall be conducted in accordance with the manufacturer’s installation checklist and the VA installation checklist (Patient Safety Alert

AL14-07) prior to use for patient movement.

2. Periodic Inspection shall be provided by the manufacturer on a yearly basis in compliance with ISO 10535.

- - - E N D - - -

11 73 00 - 6

AL14-07

AL14-07 July 28, 2014

This Patient Safety Alert AL14-07 replaces and supersedes Patient Safety Alert AL10-07 issued on March 22, 2010

Item:

Issues continue to occur due to improper ceiling mounted patient lift installation, maintenance and inspection

Specific Incidents: Patient Safety Alert AL10-07, issued on March 22, 2010, instructed VA facilities to complete an after installation checklist for ceiling mounted patient lifts on all newly installed, ceiling mounted patient lift systems (see Reference 1). Since the release of AL10-07, VA medical centers have continued to report adverse events and close calls involving ceiling mounted patient lifts (see below). While no injuries have occurred, patients and staff can be seriously harmed when lifts collapse or fall. These reports have prompted the review of installation and maintenance procedures for ceiling mounted patient lift systems, which has resulted in the issuance of this Patient Safety Alert.

A lift collapsed while a patient was being transferred from a wheelchair to a bed. Investigation revealed that a set screw, which secures the transverse rail to the rail trolley, had not been properly tightened during installation and the transverse rail was missing the proper end stops.

A lift unit fell off the rail. It was determined that an end stop was missing from the system.

A lift unit fell off the rail after preventive maintenance procedures were performed on the lift. It was established that the docking gate for the lift unit had not been secured.

A lift bracket broke loose while lifting a patient from a bed to a wheelchair. It was revealed that a snap clip (“C”-clip) came off the end of a pin, allowing the strap that connects the lift bracket to the lift unit to detach.

A lift unit fell off the rail when it was moved through a circular gate (transition gate). Investigation revealed that a safety block, which prevents the lift unit from exiting the open end of the track/rail, was not installed properly.

General Information: Due to the incidents described above, Patient Safety Alert AL10-07 is being replaced with this Patient Safety Alert, AL14-07. This replacement Patient Safety Alert notifies the field of updated actions and ensures parties responsible for ceiling mounted patient lifts are aware of the requirements for initial installations, maintenance and recurring inspections of ceiling mounted patient lifts.

Actions: 1. By Close of Business (COB) July 30, 2014, the Medical Center Director (or designee) shall ensure that the Nurse Executive, Safe Patient Handling Coordinator, Chief of Facilities Management, and Chief of Biomedical Engineering are made aware of this Patient Safety Alert AL14-07.

2. By COB September 5, 2014, Manager of the service(s) responsible for maintaining ceiling mounted patient lifts (or designee) shall determine if any ceiling mounted patient lift systems (of any brand or manufacturer) have been installed in the facility, including Community Based Outpatient Clinics (CBOCs), and ensure the following are completed:

a. For ceiling mounted patient lifts within your facilities, verify that the facility has an “After Installation Checklist for Ceiling Mounted Patient Lifts” as required by Patient Safety Alert A10-07 (see Reference 1) on file.

i. If so, continue to Action 2b.

ii. If not, complete an “Installation or Relocation Checklist for Ceiling Mounted Patient Lifts” (see Additional Information) on the lift system(s) in question.

b. Put a process in place to ensure inspection of ceiling mounted patient lifts upon installation or relocation, prior to permitting the equipment to be used for patient movement.

The process must include, at minimum, the completion of the “Installation or Relocation Checklist for Ceiling Mounted Patient Lifts” (see Additional Information).

NOTE: The “Installation or Relocation Checklist for Ceiling Mounted Patient Lifts” includes minimum requirements for inspection of ceiling mounted patient lifts; this list shall be used in addition to manufacturer provided checklists prior to permitting the equipment to be used for patient movement.

3. By COB September 12, 2014, Manager of the service(s) responsible for maintaining ceiling mounted patient lifts (or designee) shall put a process in place to ensure that the items listed in the “Corrective and Preventive Maintenance Checklist for Ceiling Mounted Patient Lifts” (see Additional Information) are inspected and verified during corrective and preventive maintenance, prior to permitting equipment to be used for patient movement.

For preventive maintenance (PM) procedures, the entire “Corrective and Preventive Maintenance Checklist for Ceiling Mounted Patient Lifts” shall be completed.

For corrective maintenance (CM) procedures, the entire

Ceiling Mounted Patient Lifts” shall be completed after:

‐ Modifications to or replacement of the lift unit ‐ Replacement of the lift strap ‐ Modifications to the track/rail structure ‐ Other major corrective maintenance procedures that may not be identified above

For minor corrective maintenance procedures that do not fall into the above categories, the Manager of the service responsible for maintaining ceiling mounted patient lifts (or designee) shall determine the relevant sections of the

Ceiling Mounted Patient Lifts” to be completed.

NOTE: The “Corrective and Preventive Maintenance Checklist for Ceiling Mounted Patient Lifts” includes minimum requirements for inspection of ceiling mounted patient lifts; this list shall be used in addition to manufacturer provided checklists prior to permitting the equipment to be used for patient movement.

4. By COB September 19, 2014, the Patient Safety Manager must document on the VHA Alerts and Recalls Web site (http://vaww.recalls.ncps.med.va.gov/WebRecalls/Recalls.html) that medical center leadership has reviewed and implemented these actions. Facilities that do not have ceiling mounted patient lift systems may mark this Alert as ‘not applicable’, including their http://vaww.recalls.ncps.med.va.gov/WebRecalls/Recalls.html justification.

NOTE: When closing out this Patient Safety Alert on the VHA Alerts and Recalls Web site and entering in the “estimated number of patients affected per month” field, it is recommended that sites enter the average number of patients that use ceiling mounted patient lift systems per month within their facility.

Additional Information:

1) Installation or Relocation Checklist for Ceiling Mounted Patient Lifts

2) Corrective and Preventive Maintenance Checklist for Ceiling Mounted Patient Lifts

3) Hazard Summary - Common Failure Modes of Overhead Ceiling Lifts

4) Ceiling Lift Hazards and Mitigations Presentation

Source: Patient Safety Reports submitted to NCPS from VA Medical Centers

References:

1) Patient Safety Alert AL10-07, Ceiling mounted patient lift installations, March 22, 2010 http://vaww.ncps.med.va.gov/Guidelines/alerts/Docs/AL10- 07CeilingMountedLift.pdf NOTE: This Alert has been retired, but is provided here as a reference for Action 2.

2) VA Handbook H-18-8 Seismic Design Requirements, August 2013 http://www.cfm.va.gov/til/etc/seismic.pdf

3) VA Directive 7512 Seismic Safety of VA Buildings, October 12, http://www.va.gov/vapubs/viewPublication.asp?Pub_ID=581&FT ype=2

4) VA Master Design Specification 13.05.041 Seismic Restraint Requirements for Non-Structural Components, January 1, 2014 http://www.cfm.va.gov/TIL/spec/130541.doc

Contacts: Shelly Crisler, Center for Engineering, Occupational Safety and

Health (CEOSH), (314) 894-6100 x 66060, Shelly.Crisler@va.gov

Kurt Finke, Director, Healthcare Technology Management Program Office, (612) 467-5778, Kurt.Finke@va.gov

Katrina Jacobs, National Center for Patient Safety (NCPS),

(734) 930-5890, VHANCPSHFEREVIEW@va.gov http://vaww.ceosh.med.va.gov/10N/10NA9-HTM/Pages/documents/AL14-07PSAChecklistforInstallationandRelocation.pdf http://vaww.ceosh.med.va.gov/10N/10NA9-HTM/Pages/documents/AL14-07PSAChecklistforInstallationandRelocation.pdf http://vaww.ceosh.med.va.gov/10N/10NA9-HTM/Pages/documents/AL14-07PSAChecklistforCMandPM.pdf http://vaww.ceosh.med.va.gov/10N/10NA9-HTM/Pages/documents/AL14-07PSAChecklistforCMandPM.pdf http://vaww.ceosh.med.va.gov/10N/10NA9-HTM/Pages/documents/CeilingLiftHazardSummary.pdf http://vaww.ceosh.med.va.gov/10N/10NA9-HTM/Pages/documents/CeilingLiftHazardSummary.pdf http://vaww.ceosh.med.va.gov/10N/10NA9-HTM/Pages/documents/CeilingLiftHazardsandMitigationsPresentation.pptx http://vaww.ncps.med.va.gov/Guidelines/alerts/Docs/AL10-07CeilingMountedLift.pdf http://vaww.ncps.med.va.gov/Guidelines/alerts/Docs/AL10-07CeilingMountedLift.pdf http://www.cfm.va.gov/til/etc/seismic.pdf http://www.va.gov/vapubs/viewPublication.asp?Pub_ID=581&FType=2 http://www.va.gov/vapubs/viewPublication.asp?Pub_ID=581&FType=2 http://www.cfm.va.gov/TIL/spec/130541.doc mailto:Shelly.Crisler@va.gov mailto:Kurt.Finke@va.gov mailto:VHANCPSHFEREVIEW@va.gov

Revision 2.1 1 of 4 Serial #: ____________________

Verify NFPA 99 and NFPA 70 compliance for access to electrical and safety systems.

Verify required access to mechanical, HVAC, and fire systems components within the lift installation area.

Verifiy minimum clearances for operation are compliant with manufacturer recommendations. (Ensure room clearance and that the ceiling height is adequate for lift usage.)

Facility: Manufacturer:

Model:

COMPLETE

Mfgr Contact:VAMC Contact's Phone Number:

Installer:

Serial Number: EE Number:

Work Order:

Installation or Relocation Checklist for Ceiling Mounted Patient Lifts The commissioning for a patient ceiling lift system(s) shall include, but not be limited to, the following points as components of the commissioning procedures.

NOTE: Ceiling mounted patient lifts are not to be installed in treatment units with actively suicidal patients.

Lift Location:

VAMC Contact:

Pre-Installation COMPLETE

Obtain structural and related engineering design drawings and calculations for the new lift installation.

Design drawings shall be developed for specific lift installation under specific pre-existing conditions of the facility.

Mfgr Contact's Phone Number:

Date:Installer's Phone Number:

Verify NFPA 99 and NFPA 70 compliance for proper grounding and bonding.

Verify that the lift is listed by the manufacturer to be installed and operated in the environment that the lift is operating under. (For example, water tight lifts shall be installed and operated in wet, damp or humid locations such as pools or bathrooms.)

Verify NFPA 13 compliance for fire sprinkler system (including but not limited to fire sprinkler heads and piping).

If the facility is located in a seismic area, as identified in VA Handbook H-18-8 Seismic Design Requirements, verify that the ceiling mounted patient lift system installation is in compliance with the requirements of VA Directive 7512 Seismic Safety of VA Buildings and VA Master Design Specification

13.05.041 Seismic Restraint Requirements for Non-Structural Components.

Perform site survey of the pre-existing conditions and as-built drawings above and below finish ceiling at the installation location to confirm existing structural and ceiling conditions.

Perform pre-installation walkthrough to confirm full understanding and consensus of design drawing(s) and installation conditions.

Verify proper connections of the lift's structural system to the building’s structure (including seismic bracing if applicable).

Verify proper interface at the ceiling (hard deck or soft tile) and proper installation of all protective features around the support rods and rails/tracks.

NOTES:

Installation

Revision 2.1 2 of 4 Serial #: ____________________

PASS FAIL

PASS FAIL

COMPLETE

Rails/Tracks and End Stops

NOTES:

Lift Unit and Straps

Inspection of lift unit casing for cracks and alignment.

Inspection and activation of hand control for full operation (e.g., up, down, left, right) and “return to charge” function if applicable.

Confirm any and all lift unit indicator lights are functioning. (e.g., red service warning light, charging state light) Inspection and verification of all emergency functions of the lift unit.

Verification that all fasteners and set screws are properly tightened on the trollies and rails/tracks.

Ensure that the rail/track is free of gaps (unless required by design). If included in installation, verify rail turntable function, exchanger function, gate alignment, and safety block installation.

Confirm track is clean and clear of all debris. (Use manufacturer’s recommended cleaning materials to avoid damage to the motor case and other components.)

Verify proper installation of electric motor per manufacturer's instructions to ensure operational rigidity of motor mounting.

Verify proper electrical connections per design drawings and manufacturer's instructions.

Verification that the lift unit charges properly.

Perform operational test to verify lift functionality.

NOTES:

Perform walkthrough to ensure compliance of the installation per the design drawing(s) and manufacturer's instructions.

Post-Installation

NOTES:

Verify structural component sizing and physical installation to ensure that the correct structural system is in place and properly installed to support the lift.

Verification that all manufacturer specified end stops or docking gates are properly installed.

Revision 2.1 3 of 4 Serial #: ____________________

PASS FAIL

2 Verify that training and competency are documented prior to release for use with patients.

Verify that manufacturer or manufacturer’s representative has provided training on the use of patient handling equipment to clinicians and other staff who move and handle patients.

COMPLETE

COMPLETE

Full extension and inspection of lift strap for loose threads or frays.

Verification of any “soft start” or “soft stop” features and that lifting speed does not exceed 2.5 inches per second with “zero” load.

Verification of load testing and deflection testing at the manufacturer's specified maximum rated lift capacity.

Verification of any “soft start” and “soft stop” features and that lifting speed does not exceed 1.5 inches per second under maximum rated lift capacity.

Verification of function of emergency stop at maximum rated lift capacity.

Verification of emergency lowering feature at maximum rated lift capacity.

NOTES:

NOTES:

Training

NOTES:

Inspection of spreader bar and clips for cracks and for loose or missing rings or cotter pins.

Confirm that the manufacturer's operating and maintenance manuals for this lift have been received.

Load Testing

NOTES:

Manuals

Revision 2.1 4 of 4 Serial #: ____________________

DATE:

DATE:

DATE:

SIGNATURE:

Installing Contractor

ADDITIONAL NOTES:

Manager of the Service Using the Ceiling Mounted Lifts COMPLETE After the activities listed in the above checklist and in the manufacturer's installation/operations/owner’s manual(s) have been completed, the manager of the service using the ceiling mounted lifts confirms that the current staff have received initial training on ceiling mounted lifts and that there is a process in place to provide ongoing training on the proper use of ceiling mounted lifts.

After the activities listed in the above checklist and in the manufacturer's installation/operations/owner’s manual(s) have been completed, the installing contractor shall release the ceiling mounted lift installation to VA representative.

SIGNATURE:

TITLE:

VA Representative After the activities listed in the above checklist and in the manufacturer's installation/operations/owner’s manual(s) have been completed, the VA representative shall review those items with the installing contractor prior to releasing the ceiling mounted lift into service to ensure completion of all requirements.

COMPLETE

SIGNATURE:

TITLE:

TITLE:

COMPLETE