Maintenance Inspection Report.pdf
PDF 4 MB Posted
- Solicitation number
- 36C25726Q0888
About this file
This is a Maintenance Inspection Report documenting the condition and status of medical gas and vacuum systems at a Veterans Affairs facility. The report provides a detailed assessment of the piped gas distribution infrastructure, including nitrogen, oxygen, nitrous oxide, and vacuum systems, along with identification of any deficiencies or non-compliance issues requiring corrective action. The inspection covers system components such as pressure regulators, alarm systems, isolation valves, and terminal units, with documentation of current operational status and safety certifications.
The report serves as a baseline assessment tool for the Medical Gas System Inspection and Maintenance Services contract (Solicitation 36C25726Q0888) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17. The findings documented in this inspection report inform the scope of work for contractors bidding on annual inspection, testing, and preventative maintenance services, as well as out-of-cycle inspection and testing requirements. Contractors will use this report to understand existing system conditions, identify deficiencies requiring correction, and develop comprehensive maintenance programs to ensure continued compliance and operational safety of the medical gas infrastructure.
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| S02 36C25726Q0888 0002.pdf | ||
| S02 36C25726Q0888 0001.pdf | ||
| S02 36C25726Q0888.pdf |
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Text version
Project ID(s): Annual Medical Gas Inspection
Project Date(s): 10/13/2025-10/17/2025
Evergreen Medical Services
Corporate Headquarters
8047 Castleton Road
Indianapolis, IN 46250
800-727-8321
MEDICAL GAS SYSTEMS MAINTENANCE INSPECTION
Project ID(s): Annual Medical Gas Inspection
Project Date(s): 10/13/2025-10/17/2025
Tested to NFPA 99:
ASSE Credential #:
Technician 5: ASSE Credential #:
Report Authored By:
Technician 2:
Technician 3:
Technician 4:
Technician 6:
david.murphy@va.gov
Dallas, TX
Project Contact:
David Murphy
Engineering
469.773.9197
Project Site:
123546
123456
VAMC Dallas www.EvergreenMedical.com
4500 S. Lancaster Rd.
12544604
12615654
123456789
11225
Billy Sigler ASSE Credential #:
Brandon Scott ASSE Credential #:
ASSE Credential #:
ASSE Credential #:
Per NFPA 99, the maintenance, inspection and testing operations of medical gas systems apply to all facilities—new and existing—with Category 1-3 Medical Gas, Vacuum, WAGD, and Medical Support Gas systems.
MEDICAL GAS SYSTEMS MAINTENANCE INSPECTION
PURPOSE
The inspection and testing documented in this report is designed around satisfying the medical gas systems maintenance program requirements laid out in NFPA 99 section 5.1.14. The purpose driving these maintenance program requirements is to ensure that medical gas system components are compliant with applicable NFPA 99 codes and standards, remain in good repair, and are operating within manufacturer specifications or recommendations.
SCOPE AND APPLICATION
TESTING & INSPECTION PROCEDURES
EMS has designed its testing & inspection scope and procedure around applicable NFPA 99 codes and pertinent inspection and accreditation requirements, and manufacturer recommendations following industry best practices. However, your facility's risk assessment committee has the ultimate responsibility in deciding the scope and frequency of scheduled inspections for medical gas components and the associated procedures. These inspections are to be developed with consideration of the original equipment manufacturer recommendations and other recommendations as required by the authority having jurisdiction.
The testing & inspection procedures represented in this report are as follows unless otherwise directed and document by the facility's risk assessment team:
MASTER ALARMS :
Master alarm panel location is recorded along with manufacturer and model of alarm and location of initiating device. Master alarm panels are tested for proper audible and visual alarm activation & deactivation, each signal is inspected for proper labeling and wiring is inspected for independence to initiating device.
All master alarm signals* are tested by simulating each alarm condition and/or actuating the signal at the initiating device wherever possible.
If it is not possible to simulate an alarm condition or actuate the signal by changing system conditions then the alarm's wiring will be tested for continuity from the initiating to the master alarm panels.
* Cryogenic liquid central supply system master alarm signals that terminate within the supplier-owned equipment are not tested per the EMS maintenance inspection
SOP as such signals are required to be tested by the supplier/equipment owner annually and EMS views this testing as sufficient in satisfying the NFPA 99 inspection requirement. EMS can test these signals per request, however the facility will have to direct the method used to perform this testing.
Report Section: SCOPE & PROCEDURES
Page: 2 of 263
Filename: R,SYS,2025,Dallas VA
Report Version: 3.7,5K
MEDICAL GAS SYSTEMS MAINTENANCE INSPECTION
OUTLETS & INLETS :
Outlet or inlet location, manufacturer, model, position and labeling is inspected and recorded. Outlets/inlets are tested for proper connect & release, leaks and general condition.
One outlet/inlet per zone is tested for static pressure and compared with zone valve gauge reading and/or area alarm pressure reading.
All outlets/inlets are tested for dynamic pressure/operational flow pressure drop.
All positive pressure medical gases are tested for oxygen concentration as a way of determining if existing cross-connections between two medical gases exist.
AREA ALARMS :
Area alarm panel location and area monitored is recorded along with manufacturer and model of alarm. Area alarm panels are tested for proper audible and visual alarm activation and deactivation through use of the alarm "test" function. Condition of area alarm and components are inspected.
System gas, high & low alarm setpoints are recorded and pressure reading is recorded and tested for accuracy.
Area monitored labeling and transducer location can only be verified by tracing piping and/or altering zone pressure. Actual alarm function under alarm conditions
(high or low pressure) can only be verified by altering zone pressure. These tests can be performed by request but are not included in EMS's maintenance inspection
SOP.
VALVES :
Valve location and labeling (including area(s) served, system gas and other required verbiage), manufacturer, valve type and pressure reading are inspected and recorded. Gauge pressure is recorded and tested for accuracy. Condition of valve assembly and enclosure are inspected and valves are checked for leaks.
Area served labeling can only be verified by tracing piping and/or altering zone pressure. This test can be performed by request but is not included in EMS's maintenance inspection SOP.
Report Section: SCOPE & PROCEDURES
Page: 3 of 263
MEDICAL GAS SYSTEMS MAINTENANCE INSPECTION
1)
2)
3)
GAS CONTAMINANTS :
Particulate Contaminants - A representative sampling of each gas system pipeline is tested for particulate contaminants using a 0.45 micron filter membrane connected to an outlet of each gas. Results of this test are then recorded.
Dew Point - A representative sampling of medical air and instrument air pipeline is tested for dew point using a portable dew point monitor connected to an outlet of each gas. Results of this test are then recorded.
Odor - All positive pressure outlets are tested for objectionable or pronounced odor and the results are then recorded.
Gaseous Contaminants - Testing each gas system pipeline and source for total nonmethane hydrocarbons and halogenated hydrocarbons can be performed by request but is not included in EMS's maintenance inspection SOP.
EMS service technicians are qualified to perform medical gas systems inspections and maintenance to one or more of the following qualification requirements per NFPA
99 5.1.14:
Documented training by which such persons are qualified to work with specific equipment as installed in that facility.
Credentialing to the requirements of ASSE 6040, Professional Qualification Standard for Medical Gas Maintenance Personnel.
Credentialing to the requirements of ASSE 6030, Professional Qualification Standard for Medical Gas Systems Verifiers.
QUALIFICATIONS
SOURCE EQUIPMENT :
All source systems' manufacturer, model number and specifications are recorded. Proper functioning of each system is observed and recorded. Each source type is inspected based on the associated inspection checklist visible on the page(s) of this report specific to that source system.
Report Section: SCOPE & PROCEDURES
Page: 4 of 263
TABLE OF CONTENTS
■ Summary of Findings
■ Master Alarms
■ Area Alarms
■ Valves
■ Outlets & Inlets
■ Contaminants
■ Source Equipment
■ Annex
Evergreen Medical Services has evaluated the medical piping systems indicated in this report in accordance with applicable NFPA 99 Health Care Facilities Code and ASSE 6000 Standards. These systems have been found to be within applicable guidelines except as noted within this report. Any deficiencies cited are based on the most applicable edition of NFPA 99. See coversheet for relevent NFPA 99 edition.
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.
The information recorded in this report represents the state of the medical gas systems for the indicated inspection 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 its entirety.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Master Alarm
Signals (133)
Area Alarm Signals (152)
Valves (473) Outlets & Inlets (4381)
Contaminant Test Sites
(33)
Source Systems (19)
Deficient 0 3 7 12 9 2
Compliant 133 149 466 4369 24 17
133 149 466 4369
3 7 12
MEDICAL GAS SYSTEMS HEALTH BY COMPONENT
93.1%
OVERALL MEDICAL
GAS SYSTEMS HEALTH
Report Section: SYSTEMS OVERVIEW
Page: 5 of 263
MASTER ALARMS
No deficiencies at time of test
No corrective action reported
AREA ALARMS
DEFICIENCY DETAIL - AREA ALARMS ALARM PANEL LOCATION(S) QTY
Power failure Bldg 74 O/S 1D-117, BLDG 2 OPP 2C-305C 4
CORRECTIVE ACTION DETAIL - AREA ALARMS ALARM PANEL LOCATION(S) QTY
No corrective action reported
SUMMARY OF DEFICIENCIES
Individual deficiencies and corrective action notes can be found in the component sections ( 'Master Alarms', 'Area Alarms', 'Valves', 'Outlets & Inlets', 'Contaminants', 'Sources & Pipeline' ). This summary provides an overview of deficiency or corrective action type, location and quantity. For discussion regarding what constitutes a deficiency, please note the "Scope & Procedures" section of this report. For findings that have not been marked as deficient but instead EMS has provided a recommendation, please note the "Annex" section of this report.
Report Section: SUMMARY OF FINDINGS
Page: 6 of 263
SUMMARY OF DEFICIENCIES
Individual deficiencies and corrective action notes can be found in the component sections ( 'Master Alarms', 'Area Alarms', 'Valves', 'Outlets & Inlets', 'Contaminants', 'Sources & Pipeline' ). This summary provides an overview of deficiency or corrective action type, location and quantity. For discussion regarding what constitutes a deficiency, please note the "Scope & Procedures" section of this report. For findings that have not been marked as deficient but instead EMS has provided a recommendation, please note the "Annex" section of this report.
VALVES
DEFICIENCY DETAIL - VALVES VALVE LOCATION(S) QTY
Gauge - inaccurate pressure reading BLDG 2 O/S 6C-211, BLDG 2 BC Radiation Oncology, BLDG
2J OPP 1A-102, BLDG 2J O/S Anesthesia Wrkrm, BLDG 2J
O/S OR 10, BLDG 2J O/S 5B 663
Gauge - incorrect scale range BLDG 2J O/S ER Exam 11 1
CORRECTIVE ACTION DETAIL - VALVES VALVE LOCATION(S) QTY
No corrective action reported
OUTLET & INLETS
Leaking inner check 5th Floor 2J Bldg SICU H, 5th Floor 2J Bldg SICU J 2
Leaking outer check BLDG 2 2nd Floor C 2C-305 1
No deficiencies at time of test
No corrective action reported
Report Section: SUMMARY OF FINDINGS
Page: 7 of 263
SUMMARY OF DEFICIENCIES
Individual deficiencies and corrective action notes can be found in the component sections ( 'Master Alarms', 'Area Alarms', 'Valves', 'Outlets & Inlets', 'Contaminants', 'Sources & Pipeline' ). This summary provides an overview of deficiency or corrective action type, location and quantity. For discussion regarding what constitutes a deficiency, please note the "Scope & Procedures" section of this report. For findings that have not been marked as deficient but instead EMS has provided a recommendation, please note the "Annex" section of this report.
GAS CONTAMINANTS
DEFICIENCY DETAIL - GAS CONTAMINANTS OUTLET/TEST PORT LOCATION(S) QTY
High Dew Point Bldg 2 4C-316, Bldg 2J 5B-623, Bldg 2J CCU 9, Bldg 2J EP
Lab 5B 647, Bldg 2J 1A 122, Bldg 2J CLC B-124, Bldg 2J OR
5, Bldg 2J OR 12
Water in Piping Bldg 74 1C124 1
CORRECTIVE ACTION DETAIL - GAS CONTAMINANTS OUTLET/TEST PORT LOCATION(S) QTY
No corrective action reported
SOURCE EQUIPMENT
AIR COMPRESSOR SYSTEMS
DEFICIENCY DETAIL - AIR COMPRESSOR SYSTEMS SOURCE EQUIPMENT TYPE / AREA(S) SERVED
Dewpoint above 32 degrees, Recommend dryer service Medical Air Compressor System serving BLDG 2J North side
Dewpoint above 32 degress, Recommend dryer service Medical Air Compressor System serving BLDG 74 S C I
CORRECTIVE ACTION DETAIL - AIR COMPRESSOR SYSTEMS SOURCE EQUIPMENT TYPE / AREA(S) SERVED
No corrective action reported
Report Section: SUMMARY OF FINDINGS
Page: 8 of 263
MASTER ALARM SIGNALS
BY SYSTEM GAS:
16 52 10 10 10 26 0 0 9
133TOTAL MASTER
ALARM SIGNALS
TOTAL MASTER ALARM PANELS:
MANUFACTURER MODEL MASTER ALARM PANEL DESCRIPTION
O
M A
N
O
N
C O
V A
C
W A
G D
IA
O th e r
Amico A2M Gray Cover with Red LED Indicators 14 52 10 10 10 26 9
Beacon 0321-77 Black-analog gauges-"Line Pressure Alarm" 2
133TOTAL MASTER
ALARM SIGNALS
MASTER ALARMS BREAKDOWN (*EACH MASTER ALARM SIGNAL COUNTED AS SEPARATE ALARM BY SYSTEM GAS BELOW)
Report Section: MASTER ALARM INVENTORY
Page: 9 of 263
Master Alarm Panel
Location/#* *If multiple panels per location
(e.g. "Engineering Panel 1")
System MFR Model Condition
Monitored
Switch or
Source
Location S e t P o in t
U n it o f
M e a s u re Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
1 Building 60 Entrance O2 Beacon 0321-77 High Line
Pressure Building 60 60 psi PASS
2 Building 60 Entrance O2 Beacon 0321-77 Low Line
Pressure Building 60 40 psi PASS
Energy Center
(Panel 1) O2 Amico A2M Liquid Level Low
O2 Bulk
Enclosure 75 inH2O PASS
Energy Center
(Panel 1) O2 Amico A2M
Secondary
Liquid Supply in
Use
O2 Bulk
Enclosure
80 PSI PASS
Energy Center
(Panel 1) O2 Amico A2M
Emergency
Reserve Low
O2 Bulk
Enclosure 30 inH2O PASS
Energy Center
(Panel 1) O2 Amico A2M
Reserve
Pressure Low
O2 Bulk
Enclosure
95 PSI PASS
Energy Center
(Panel 1) O2 Amico A2M
Line Pressure
Low In Hospital 40 PSI PASS
Energy Center
(Panel 1) O2 Amico A2M
Line Pressure
High In Hospital 60 PSI PASS
Energy Center
(Panel 1) VAC Amico A2M
Bldg 2 Vac 1
Lag Pump In
Use
At Pump 17 inHg PASS
Energy Center
(Panel 1) VAC Amico A2M
Bldg 2 Vac 2
Lag Pump In
Use
At Pump 15 inHg PASS
Energy Center
(Panel 1) VAC Amico A2M
Bldg 2
Low Line
Pressure
Above Pump 12 inHg PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 2 MAC-1
Compressor
Malfuction
At Compressor ºF PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 74 SCI
High Line
Pressure
At Compressor 60 PSI PASS
MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION
Report Section: MASTER ALARMS
Page: 10 of 263
Master Alarm Panel
Location/#* *If multiple panels per location
(e.g. "Engineering Panel 1")
System MFR Model Condition
Monitored
Switch or
Source
Location S e t P o in t
U n it o f
M e a s u re Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION
Energy Center
(Panel 1) MA Amico A2M
Bldg 74 SCI
Low Line
Pressure
At Compressor 40 PSI PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 74 SCI
Compressor
Malfuction
At Compressor ºF PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 74 SCI
Dew Point High At Compressor 35 ºF PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 74 SCI
High CO Level At Compressor 10 PPM PASS
Energy Center
(Panel 1) VAC Amico A2M
Bldg 74 SCI
Low Line
Pressure
Above Pump 12 inHg PASS
Energy Center
(Panel 1) VAC Amico A2M
Bldg 74 SCI
Lag Pump In
Use
At Pump 18 inHg PASS
Energy Center
(Panel 1) Vac Amico A2M
Bldg 74 SCI
Backup Lag
Pump In Use
At Pump 18 inHg PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 2 MAC-2
Compressor
Malfuction
At Compressor ºF PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 2 Line
Pressure
Abnormal
Above
Compressor
PSI PASS
Energy Center
(Panel 1) VAC Amico A2M
Bldg 60
Low Line
Pressure
At Pump 12 inHg PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 60
High CO Level At Compressor 10 PPM PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 60
High Dew Point At Compressor 35 ºF PASS
Report Section: MASTER ALARMS
Page: 11 of 263
Master Alarm Panel
Location/#* *If multiple panels per location
(e.g. "Engineering Panel 1")
System MFR Model Condition
Monitored
Switch or
Source
Location S e t P o in t
U n it o f
M e a s u re Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION
Energy Center
(Panel 1) MA Amico A2M
Bldg 60
Compressor
Malfuction
At Compressor ºF PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 60
High Line
Pressure
Above
Compressor
60 PSI PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 60
Low Line
Pressure
Above
Compressor
40 PSI PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 2
High Dew Point At Compressor 35 ºF PASS
Energy Center
(Panel 1) MA Amico A2M
Bldg 2
High CO Level At Compressor 10 PPM PASS
Energy Center
(Panel 2) MA Amico A2M
Bldg J2 MAC-1
Compressor
Malfuction
At Compressor ºF PASS
Energy Center
(Panel 2) MA Amico A2M
Bldg J2 MAC-1
Line Pressure
High
Above
Compressor
60 PSI PASS
Energy Center
(Panel 2) MA Amico A2M
Bldg J2 MAC-1
Line Pressure
Low
Above
Compressor
40 PSI PASS
Energy Center
(Panel 2) MA Amico A2M
Bldg J2 MAC-1
High Dew Point At Compressor 35 PSI PASS
Energy Center
(Panel 2) MA Amico A2M
Bldg J2 MAC-1
High CO Level At Compressor 10 PPM PASS
Energy Center
(Panel 2) MA Amico A2M
Bldg J2 MAC-2
Compressor
Malfuction
At Compressor ºF PASS
Energy Center
(Panel 2) MA Amico A2M
Bldg J2 MAC-2
Line Pressure
High
Above
Compressor
60 PSI PASS
Report Section: MASTER ALARMS
Page: 12 of 263
Master Alarm Panel
Location/#* *If multiple panels per location
(e.g. "Engineering Panel 1")
System MFR Model Condition
Monitored
Switch or
Source
Location S e t P o in t
U n it o f
M e a s u re Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION
Energy Center
(Panel 2) MA Amico A2M
Bldg J2 MAC-2
Line Pressure
Low
Above
Compressor
40 PSI PASS
Energy Center
(Panel 2) MA Amico A2M
Bldg J2 MAC-2
High Dewpoint At Compressor 35 ºF PASS
Energy Center
(Panel 2) MA Amico A2M
Bldg J2 MAC-2
High CO Level At Compressor 10 PPM PASS
Energy Center
(Panel 2) VAC Amico A2M
Bldg J2 MVP-1
Vac Malfuction At Pump ºF PASS
Energy Center
(Panel 2) VAC Amico A2M
Bldg J2 MVP-1
Vac Level Low Above Pump 12 inHg PASS
Energy Center
(Panel 2) VAC Amico A2M
Bldg J2 MVP-2
Vac Malfuction At Pump ºF PASS
Energy Center
(Panel 2) VAC Amico A2M
Bldg J2 MVP-2
Vac Level Low Above Pump 12 inHg PASS
Energy Center
(Panel 2) LA Amico A2M
Bldg J2 Lab Air
Lag
Compressor In
Use
At Compressor 80 PSI PASS
Energy Center
(Panel 2) LA Amico A2M
Bldg J2 Lab Air
Line Pressure
High
Above
Compressor
PSI PASS
Energy Center
(Panel 2) LA Amico A2M
Bldg J2 Lab Air
High Dewpoint At Compressor ºF PASS
Energy Center
(Panel 2) LA Amico A2M
Bldg J2 Lab Air
High CO Level At Compressor 10 PPM PASS
Energy Center
(Panel 2) VAC Amico A2M
Bldg 2J Lab Vac
Pressure Low
Above
Compressor
12 PSI PASS
Energy Center
(Panel 2) N2 Amico A2M
N2 Reserve In
Use At Manifold 270 PSI PASS
Energy Center
(Panel 2) N2 Amico A2M
N2 High Line
Pressure Above Maniflod 190 PSI PASS
Report Section: MASTER ALARMS
Page: 13 of 263
Master Alarm Panel
Location/#* *If multiple panels per location
(e.g. "Engineering Panel 1")
System MFR Model Condition
Monitored
Switch or
Source
Location S e t P o in t
U n it o f
M e a s u re Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION
Energy Center
(Panel 2) N2 Amico A2M
N2 Low Line
Pressure Above Maniflod 140 PSI PASS
Energy Center
(Panel 2) N2 Amico A2M
N2 High
Pressure
Reserve Low
Above Maniflod 250 PSI PASS
Energy Center
(Panel 2) N2 Amico A2M
N2 High
Pressure
Reserve In Use
Above Maniflod 250 PSI PASS
Energy Center
(Panel 2) N2O Amico A2M Reserve In Use At Manifold 110 PSI PASS
Energy Center
(Panel 2) N2O Amico A2M
Line Pressure
High Above Maniflod 60 PSI PASS
Energy Center
(Panel 2) N2O Amico A2M
Line Pressure
Low Above Maniflod 40 PSI PASS
Energy Center
(Panel 2) N2O Amico A2M
N2O High
Pressure
Reserve Low
Above Maniflod 90 PSI PASS
Energy Center
(Panel 2) N2O Amico A2M
N2O High
Pressure
Reserve In Use
Above Maniflod 90 PSI PASS
Energy Center
(Panel 2) CO2 Amico A2M Reserve In Use At Manifold 110 PSI PASS
Energy Center
(Panel 2) CO2 Amico A2M
Line Pressure
High Above Maniflod 60 PSI PASS
Energy Center
(Panel 2) CO2 Amico A2M
Line Pressure
Low Above Maniflod 40 PSI PASS
Energy Center
(Panel 2) CO2 Amico A2M
CO2 High
Pressure
Reserve Low
Above Maniflod 90 PSI PASS
Energy Center
(Panel 2) CO2 Amico A2M
CO2 High
Pressure
Reserve In Use
Above Maniflod 90 PSI PASS
Report Section: MASTER ALARMS
Page: 14 of 263
Master Alarm Panel
Location/#* *If multiple panels per location
(e.g. "Engineering Panel 1")
System MFR Model Condition
Monitored
Switch or
Source
Location S e t P o in t
U n it o f
M e a s u re Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 60
Line Pressure
High
Above
Compressor
60 PSI PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 60
Line Pressure
Low
Above
Compressor
40 PSI PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 60
Compressor
Malfuntion
At Compressor ºF PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 60
High Dewpoint At Compressor 35 ºF PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 60
High CO Level At Compressor 10 PPM PASS
Emergency Admin
(Panel 1) VAC Amico A2M
Bldg 60
Pump
Malfuction
At Pump ºF PASS
Emergency Admin
(Panel 1) VAC Amico A2M
Bldg 60
Low Line
Pressure
Above Pump 12 inHg PASS
Emergency Admin
(Panel 1) VAC Amico A2M
Bldg 74 SCI
Lag Pump In
Use
At Pump 17 inHg PASS
Emergency Admin
(Panel 1) VAC Amico A2M
Bldg 74 SCI
Low Line
Pressure
Above Pump 12 inHg PASS
Emergency Admin
(Panel 1) VAC Amico A2M
Bldg 74 SCI
Backup Lag In
Use
At Pump inHg PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 74 SCI
Line Pressure
High
Above
Compressor
60 PSI PASS
Report Section: MASTER ALARMS
Page: 15 of 263
Master Alarm Panel
Location/#* *If multiple panels per location
(e.g. "Engineering Panel 1")
System MFR Model Condition
Monitored
Switch or
Source
Location S e t P o in t
U n it o f
M e a s u re Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 74 SCI
Line Pressure
Low
Above
Compressor
40 PSI PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 74 SCI
Compressor
Malfunction
Above
Compressor
ºF PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 74 SCI
High Dewpoint At Compressor 35 ºF PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 74 SCI
High CO Level At Compressor 10 PPM PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 2 MAC-1
Compressor
Malfuction
At Compressor ºF PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 2 MAC-2
Compressor
Malfuction
At Compressor ºF PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 2
Line Pressure
Abnormal
Above
Compressor
PSI PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 2
High Dewpoint At Compressor 35 ºF PASS
Emergency Admin
(Panel 1) MA Amico A2M
Bldg 2
High CO Level At Compressor 10 PPM PASS
Emergency Admin
(Panel 1) O2 Amico A2M
Reserve Supply
In Use
O2 Bulk
Enclosure 80 inH2O PASS
Emergency Admin
(Panel 1) O2 Amico A2M
Reserve
Pressure Low
O2 Bulk
Enclosure
95 PSI PASS
Emergency Admin
(Panel 1) O2 Amico A2M
Reserve Liquid
Level Low
O2 Bulk
Enclosure 30 inH2O PASS
Emergency Admin
(Panel 1) O2 Amico A2M
Main Liquid
Level Low
O2 Bulk
Enclosure 75 inH2O PASS
Emergency Admin
(Panel 1) O2 Amico A2M
Line Pressure
High In Hospital 60 PSI PASS
Report Section: MASTER ALARMS
Page: 16 of 263
Master Alarm Panel
Location/#* *If multiple panels per location
(e.g. "Engineering Panel 1")
System MFR Model Condition
Monitored
Switch or
Source
Location S e t P o in t
U n it o f
M e a s u re Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION
Emergency Admin
(Panel 1) O2 Amico A2M
Line Pressure
Low In Hospital 40 PSI PASS
Emergency Admin
(Panel 1) VAC Amico A2M
BLDG 2 MVP-1
Lag Pump In
Use
At Pump 17 inHg PASS
Emergency Admin
(Panel 1) VAC Amico A2M
BLDG 2 MVP-2
Lag Pump In
Use
At Pump 15 inHg PASS
Emergency Admin
(Panel 1) VAC Amico A2M
BLDG 2
Low Line
Pressure
Above Pump 12 inHg PASS
Emergency Admin
(Panel 2) MA Amico A2M
Bldg J2 MAC-1
Compressor
Malfuction
At Compressure ºF PASS
Emergency Admin
(Panel 2) MA Amico A2M
Bldg J2 MAC-1
Line Pressure
High
Above
Compressor
60 PSI PASS
Emergency Admin
(Panel 2) MA Amico A2M
Bldg J2 MAC-1
Line Pressure
Low
Above
Compressor
40 PSI PASS
Emergency Admin
(Panel 2) MA Amico A2M
Bldg J2 MAC-1
High Dewpoint At Compressure 35 ºF PASS
Emergency Admin
(Panel 2) MA Amico A2M
Bldg J2 MAC-1
High CO Level At Compressure 10 PPM PASS
Emergency Admin
(Panel 2) MA Amico A2M
Bldg J2 MAC-2
Compressor
Malfuction
At Compressure ºF PASS
Emergency Admin
(Panel 2) MA Amico A2M
Bldg J2 MAC-2
Line Pressure
High
Above
Compressor
60 PSI PASS
Emergency Admin
(Panel 2) MA Amico A2M
Bldg J2 MAC-2
Line Pressure
Low
Above
Compressor
40 PSI PASS
Report Section: MASTER ALARMS
Page: 17 of 263
Master Alarm Panel
Location/#* *If multiple panels per location
(e.g. "Engineering Panel 1")
System MFR Model Condition
Monitored
Switch or
Source
Location S e t P o in t
U n it o f
M e a s u re Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION
Emergency Admin
(Panel 2) MA Amico A2M
Bldg J2 MAC-2
High Dewpoint At Compressure 35 ºF PASS
Emergency Admin
(Panel 2) MA Amico A2M
Bldg J2 MAC-2
High CO Level At Compressure 10 PPM PASS
Emergency Admin
(Panel 2) VAC Amico A2M
Bldg J2 MVP-1
Malfuction At Pump ºF PASS
Emergency Admin
(Panel 2) VAC Amico A2M
Bldg J2 MVP-1
Low Line
Pressure
Above Pump 12 inHg PASS
Emergency Admin
(Panel 2) VAC Amico A2M
Bldg J2 MVP-2
Malfuction At Pump ºF PASS
Emergency Admin
(Panel 2) VAC Amico A2M
Bldg J2 MVP-2
Low Line
Pressure
Above Pump 12 inHg PASS
Emergency Admin
(Panel 2) LA Amico A2M
BLDG J2
Lag In Use At Compressor PSI PASS
Emergency Admin
(Panel 2) LA Amico A2M
Bldg J2
Line Pressure
High
Above
Compressor
PSI PASS
Emergency Admin
(Panel 2) LA Amico A2M
Bldg J2
Line Pressure
Low
Above
Compressor
PSI PASS
Emergency Admin
(Panel 2) LA Amico A2M
Bldg J2
High Dewpoint At Compressor ºF PASS
Emergency Admin
(Panel 2) LA Amico A2M
Bldg J2
High High CO
Level
At Compressor PPM PASS
Emergency Admin
(Panel 2) Vac Amico A2M
Bldg J2
Line Pressure
Low
Above Pump 12 inHg PASS
Emergency Admin
(Panel 2) N2 Amico A2M Reserve In Use At Manifold 270 PSI PASS
Report Section: MASTER ALARMS
Page: 18 of 263
Master Alarm Panel
Location/#* *If multiple panels per location
(e.g. "Engineering Panel 1")
System MFR Model Condition
Monitored
Switch or
Source
Location S e t P o in t
U n it o f
M e a s u re Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION
Emergency Admin
(Panel 2) N2 Amico A2M
Line Pressure
High Above Manifold 190 PSI PASS
Emergency Admin
(Panel 2) N2 Amico A2M
Line Pressure
Low Above Manifold 140 PSI PASS
Emergency Admin
(Panel 2) N2 Amico A2M
High Pressure
Reserve Low Above Manifold PSI PASS
Emergency Admin
(Panel 2) N2 Amico A2M
High Pressure
Reserve In Use At Manifold PSI PASS
Emergency Admin
(Panel 2) N2O Amico A2M Reserve In Use At Manifold 110 PSI PASS
Emergency Admin
(Panel 2) N2O Amico A2M
Line Pressure
High Above Manifold 60 PSI PASS
Emergency Admin
(Panel 2) N2O Amico A2M
Line Pressure
Low Above Manifold 40 PSI PASS
Emergency Admin
(Panel 2) N2O Amico A2M
High Pressure
Reserve Low Above Manifold 60 PSI PASS
Emergency Admin
(Panel 2) N2O Amico A2M
High Pressure
Reserve In Use At Manifold PSI PASS
Emergency Admin
(Panel 2) CO2 Amico A2M Reserve In Use At Manifold 110 PSI PASS
Emergency Admin
(Panel 2) CO2 Amico A2M
Line Pressure
High Above Manifold 60 PSI PASS
Emergency Admin
(Panel 2) CO2 Amico A2M
Line Pressure
Low Above Manifold 40 PSI PASS
Emergency Admin
(Panel 2) CO2 Amico A2M
High Pressure
Reserve Low Above Manifold 60 PSI PASS
Emergency Admin
(Panel 2) CO2 Amico A2M
High Pressure
Reserve In Use At Manifold 125 PSI PASS
Emergency O/S Exam
O2 Amico A2M
High Line
Pressure
ER Ceiling
(A3M)
60 PSI PASS
Emergency O/S Exam
O2 Amico A2M
Low Line
Pressure
ER Ceiling
(A3M)
40 PSI PASS
Report Section: MASTER ALARMS
Page: 19 of 263
Master Alarm Panel
Location/#* *If multiple panels per location
(e.g. "Engineering Panel 1")
System MFR Model Condition
Monitored
Switch or
Source
Location S e t P o in t
U n it o f
M e a s u re Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
MASTER ALARMS: LOCATION & SPECIFICATION FUNCTION & CONDITION
Emergency O/S Exam
MA Amico A2M
High Line
Pressure
ER Ceiling
(A3M)
60 PSI PASS
Emergency O/S Exam
MA Amico A2M
Low Line
Pressure
ER Ceiling
(A3M)
40 PSI PASS
Emergency O/S Exam
VAC Amico A2M
Low Line
Pressure
ER Ceiling
(A3M) 12 inHg PASS
Report Section: MASTER ALARMS
Page: 20 of 263
TOTAL AREA ALARM SIGNALS
BY SYSTEM GAS:
48 45 5 3 2 47 2 0 0
152TOTAL AREA
ALARM SIGNALS
TOTAL AREA ALARM PANELS:
MANUFACTURER
(Or Current Parent
Company )
MODEL AREA ALARM DESCRIPTION
O
M A
N
O
N
C O
V A
C
W A
G D
IA
O th e r
Allied Digital II Gray cover with digital LCD display 26 26 3 1 25 1
Allied Impact Ivory Cover - Digital LEDs 10 10 10
Amico A2A Gray Cover with Digital Pressure 3 3 2 2 2 3
Amico A3A LCD Display 3 3 3
Beacon MEGA 2 Tan Cover - Digital LEDs 3 3
Beacon Mega 3 Touch Screen LCD 2 2 2 1
Tritech MedTouch Med Touch branding with touch LCD display 1 1 1
AREA ALARMS BREAKDOWN (EACH AREA ALARM SIGNAL COUNTED AS SEPARATE ALARM BY SYSTEM GAS BELOW)
TOTAL AREA
ALARM SIGNALS
Report Section: AREA ALARMS INVENTORY
Page: 21 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s u re
R e a d in g
(A ll G a s e s P
S I/
V A
C
W A
G D
H g
H ig h P re s s
S tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
1 Bldg 60 Rm C-166 C-105, 108 & 110 O2 Beacon MEGA 2 51 60 40 PASS
2 Bldg 60 Rm C-166 C-105, 108 & 110 Air Beacon MEGA 2 50 60 40 PASS
3 Bldg 60 Rm C-166 C-105, 108 & 110 Vac Beacon MEGA 2 20 12 PASS
4 Bldg 60 Rm C-161 C-114, 116, 119, 120, 123, 126 O2 Beacon MEGA 2 52 60 40 PASS
5 Bldg 60 Rm C-161 C-114, 116, 119, 120, 123, 126 Air Beacon MEGA 2 49 60 40 PASS
6 Bldg 60 Rm C-161 C-114, 116, 119, 120, 123, 126 Vac Beacon MEGA 2 20 12 PASS
7 Bldg 60 Rm C-155 C-130, 133, 136, 138, 139, 142, 145 O2 Beacon MEGA 2 52 60 40 PASS
8 Bldg 60 Rm C-155 C-130, 133, 136, 138, 139, 142, 145 Air Beacon MEGA 2 49 60 40 PASS
9 Bldg 60 Rm C-155 C-130, 133, 136, 138, 139, 142, 145 Vac Beacon MEGA 2 20 12 PASS
10 Bldg 74 O/S 1D-117 SCI Main Alarm O2 Allied Digital II 51 60 40 PASS
11 Bldg 74 O/S 1D-117 SCI Main Alarm MA Allied Digital II 49 60 40 PASS
12 Bldg 74 O/S 1D-117 SCI Main Alarm N2O Allied Digital II 53 60 40 PASS
13 Bldg 74 O/S 1D-117 SCI Main Alarm VAC Allied Digital II 29 60 12 PASS
14 Bldg 74 O/S 1D-117 SCI Main Alarm N2 Allied Digital II N/A 190 140 PASS Power failure
BLDG 74 OPP 1C-
RMS 1C-
100,104,108,110,11
4,118+
121,124,128,136
,140,144+ 148
O2 Allied Digital II 51 60 40 PASS
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
Report Section: AREA ALARMS
Page: 22 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s a d
G a s e s P
S I/
V A
C
W A g
H ig h P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
BLDG 74 OPP 1C-
RMS 1C-
100,104,108,110,11
4,118+
121,124,128,136
,140,144+ 148
MA Allied Digital II 49 60 40 PASS
BLDG 74 OPP 1C-
RMS 1C-
100,104,108,110,11
4,118+
121,124,128,136
,140,144+ 148
VAC Allied Digital II 28 12 PASS
BLDG 2 OPP 8C-
8C 113, 114, 117, 118, 119, 120, 121, 122, 128j, 128i, 128g, 128e
O2 Allied Impact N/A 60 40 NOT IN USE Under Construction
BLDG 2 OPP 8C-
8C 113, 114, 117, 118, 119, 120, 121, 122, 128j, 128i, 128g, 128e
MA Allied Impact N/A 60 40 NOT IN USE Under Construction
BLDG 2 OPP 8C-
8C 113, 114, 117, 118, 119, 120, 121, 122, 128j, 128i, 128g, 128e
VAC Allied Impact N/A 12 NOT IN USE Under Construction
BLDG 2 O/S 7C
7C 202, 203, 206, 207, 208, 212, 214, 215, 220, 221, 222
O2 Allied Digital II 50 60 40 PASS
BLDG 2 O/S 7C
7C 202, 203, 206, 207, 208, 212, 214, 215, 220, 221, 222
MA Allied Digital II 52 60 40 PASS
BLDG 2 O/S 7C
7C 202, 203, 206, 207, 208, 212, 214, 215, 220, 221, 222
VAC Allied Digital II 21 12 PASS
Report Section: AREA ALARMS
Page: 23 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s a d
G a s e s P
S I/
V A
C
W A g
H ig h P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
BLDG 2 O/S 7C-
7C 104, 107, 108, 109, 110, 111, 113, 118, 119, 120
O2 Allied Impact 50 60 40 PASS
BLDG 2 O/S 7C-
7C 104, 107, 108, 109, 110, 111, 113, 118, 119, 120
MA Allied Impact 52 60 40 PASS
BLDG 2 O/S 7C-
7C 104, 107, 108, 109, 110, 111, 113, 118, 119, 120
VAC Allied Impact 21 12 PASS
BLDG 2 O/S 7C-
7C 409-411, 414, 415, 418, 419, 420, 41, 422, 423, 425
O2 Allied Impact 50 60 40 PASS
BLDG 2 O/S 7C-
7C 409-411, 414, 415, 418, 419, 420, 41, 422, 423, 425
MA Allied Impact 52 60 40 PASS
BLDG 2 O/S 7C-
7C 409-411, 414, 415, 418, 419, 420, 41, 422, 423, 425
VAC Allied Impact 21 12 PASS
30 BLDG 2 6C-101
6C104-
106,110,112,113,11
5,116,117,120A+
121A
O2 Allied Digital II 51 60 40 PASS
31 BLDG 2 6C-101
6C104-
106,110,112,113,11
5,116,117,120A+
121A
MA Allied Digital II 49 60 40 PASS
32 BLDG 2 6C-101
6C104-
106,110,112,113,11
5,116,117,120A+
121A
VAC Allied Digital II 22 12 PASS
Report Section: AREA ALARMS
Page: 24 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s a d
G a s e s P
S I/
V A
C
W A g
H ig h P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
BLDG 2 6C-101
Right
6C-
201,202,203,204,20
8,209,216,217,218
O2 Allied Digital II 52 60 40 PASS
BLDG 2 6C-101
Right
6C-
201,202,203,204,20
8,209,216,217,218
MA Allied Digital II 52 60 40 PASS
BLDG 2 6C-101
Right
6C-
201,202,203,204,20
8,209,216,217,218
VAC Allied Digital II 22 12 PASS
BLDG 2 O/S 6C-
6C-408-
410,413,414,417-
422,424,425
O2 Allied Impact 52 60 40 PASS
BLDG 2 O/S 6C-
6C-408-
410,413,414,417-
422,424,425
MA Allied Impact 52 60 40 PASS
BLDG 2 O/S 6C-
6C-408-
410,413,414,417-
422,424,425
VAC Allied Impact 22 12 PASS
39 BLDG 2 I/S 5C-131 5C-131 O2 Allied Impact 49 60 40 PASS
40 BLDG 2 I/S 5C-131 5C-131+ 5C131A MA Allied Impact 50 60 40 PASS
41 BLDG 2 I/S 5C-131 5C-131 VAC Allied Impact 21 12 PASS
42 BLDG 2 @ N/ST
5C-404, 405, 406, 407, 408,410, 411, 412, 413, 414,419 , O2 Allied Impact 50 60 40 PASS
Report Section: AREA ALARMS
Page: 25 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s a d
G a s e s P
S I/
V A
C
W A g
H ig h P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
BLDG 2 400 Rms
N/ST
5C-404, 405, 406, 407, 408,410, 411, 412, 413, 414,419 , MA Allied Impact 50 60 40 PASS
BLDG 2 400 Rms
N/ST
5C-404, 405, 406, 407, 408,410, 411, 412, 413, 414,419 , VAC Allied Impact 21 12 PASS
45 BLDG 2 Center NS
4C-104,105,107, 108, 109, 111, 112, 114,119, 120, 121
O2 Allied Digital II 52 60 40 PASS
46 BLDG 2 Center NS
4C-104,105,107, 108, 109, 111, 112, 114,119, 120, 121
MA Allied Digital II 51 60 40 PASS
47 BLDG 2 Center NS
4C-104,105,107, 108, 109, 111, 112, 114,119, 120, 121
VAC Allied Digital II 25 12 PASS
48 BLDG 2 O/S 4C213
4C 215, 216, 219, 220, 221, 222, 223 O2 Allied Digital II 51 60 40 PASS
49 BLDG 2 O/S 4C213
4C 215, 216, 219, 220, 221, 222, 223 MA Allied Digital II 50 60 40 PASS
50 BLDG 2 O/S 4C213
4C 215, 216, 219, 220, 221, 222, 223 VAC Allied Digital II 25 12 PASS
BLDG 2 O/S 4C
4C 207, 208, 209 O2 Allied Digital II 51 60 40 PASS
BLDG 2 O/S 4C
4C 207, 208, 209 MA Allied Digital II 50 60 40 PASS
BLDG 2 O/S 4C
4C 207, 208, 209 VAC Allied Digital II 25 12 PASS
BLDG 2 4C Opp
Bed 13
4C Same Day
Surgery 1-28 O2 Allied Digital II 50 60 40 PASS
Report Section: AREA ALARMS
Page: 26 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s a d
G a s e s P
S I/
V A
C
W A g
H ig h P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
BLDG 2 4C Opp
Bed 13
4C Same Day
Surgery 1-28 MA Allied Digital II 52 60 40 PASS
BLDG 2 4C Opp
Bed 13
4C Same Day
Surgery 1-28 VAC Allied Digital II 25 12 PASS
BLDG 2 4C O/S Pre-
Op Entry
4C 316, 317, 318, 321, 322, 323, 324, 325, 327, 328, 329
O2 Allied Digital II 50 60 40 PASS
BLDG 2 4C O/S Pre-
Op Entry
4C 316, 317, 318, 321, 322, 323, 324, 325, 327, 328, 329
MA Allied Digital II 50 60 40 PASS
BLDG 2 4C O/S Pre-
Op Entry
4C 316, 317, 318, 321, 322, 323, 324, 325, 327, 328, 329
VAC Allied Digital II 17 12 PASS
BLDG 2 O/S 3C-
3rd Fl C Wing O2 Allied Impact 50 60 40 PASS
BLDG 2 O/S 3C-
3rd Fl C Wing MA Allied Impact 50 60 40 PASS
BLDG 2 O/S 3C-
3rd Fl C Wing VAC Allied Impact 21 12 PASS
BLDG 2 OPP 2C-
305C
2C 305C & 305I
Rehab/Therapy
Gym
O2 Allied Digital II N/A N/A N/A FAIL Power failure
BLDG 2 OPP 2C-
305C
2C 305C & 305I
Rehab/Therapy
Gym
MA Allied Digital II N/A N/A N/A FAIL Power failure
BLDG 2 OPP 2C-
305C
2C 305C & 305I
Rehab/Therapy
Gym
VAC Allied Digital II N/A N/A N/A FAIL Power failure
BLDG 2 2C
Therapy
2C 305, 412B, 407
Rehab/Therapy
Gym
O2 Allied Digital II 51 60 40 PASS
Report Section: AREA ALARMS
Page: 27 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s a d
G a s e s P
S I/
V A
C
W A g
H ig h P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
BLDG 2 2C
Therapy
2C 305, 412B, 407
Rehab/Therapy
Gym
MA Allied Digital II 50 60 40 PASS
BLDG 2 2C
Therapy
2C 305, 412B, 407
Rehab/Therapy
Gym
VAC Allied Digital II 22 12 PASS
BLDG 2 2C Oral
Surgery Entry
2C Oral Surgery 3, 4, 5, 6 O2 Allied Digital II 52 60 40 PASS
BLDG 2 2C Oral
Surgery Entry
2C Oral Surgery 3, 4, 5, 6 MA Allied Digital II 51 60 40 PASS
BLDG 2 2C Oral
Surgery Entry
2C Oral Surgery 3, 4, 5, 6 N2O Allied Digital II N/A NOT IN USE
BLDG 2 2C Oral
Surgery Entry
2C Oral Surgery 3, 4, 5, 6 VAC Allied Digital II 25 12 PASS
BLDG 2 2C Oral
Surgery Entry
2C Oral Surgery 3, 4, 5, 6 WAGD Allied Digital II 25 12 PASS
BLDG 2 2D
Elopment Risk
N/ST
2D 503-507 O2 Tritech MedTouch 50 60 40 PASS
BLDG 2 2D
Elopment Risk
N/ST
2D 503-507 MA Tritech MedTouch 50 60 40 PASS
BLDG 2 2D
Elopment Risk
N/ST
2D 503-507 VAC Tritech MedTouch 18 12 PASS
BLDG 2 O/S 2C
2C 204, 205, 207, 208, 209, 227, 228, O2 Allied Digital II 52 60 40 PASS
BLDG 2 O/S 2C
2C 204, 205, 207, 208, 209, 227, 228, MA Allied Digital II 51 60 40 PASS
Report Section: AREA ALARMS
Page: 28 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s a d
G a s e s P
S I/
V A
C
W A g
H ig h P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
BLDG 2 O/S 2C
2C 204, 205, 207, 208, 209, 227, 228, VAC Allied Digital II 20 12 PASS
BLDG 2
PolyTrauma 2C-213 A-D O2 Amico A2A 50 60 40 PASS
BLDG 2
PolyTrauma 2C-213 A-D MA Amico A2A 51 60 40 PASS
BLDG 2
PolyTrauma 2C-213 A-D VAC Amico A2A 23 12 PASS
BLDG 2 OPP 1C-
1C Clinic 11 O2 Allied Digital II 52 60 40 PASS
BLDG 2 OPP 1C-
1C Clinic 11 MA Allied Digital II 50 60 40 PASS
BLDG 2 OPP 1C-
1C Clinic 11 VAC Allied Digital II 24 12 PASS
BLDG 2 3T-114
Nurse Desk
3T-107 + 3T-112
MRI + 3T-114 MRI
Hold
O2 Allied Impact 52 60 40 PASS
BLDG 2 3T-114
Nurse Desk
3T-107 + 3T-112
MRI + 3T-114 MRI
Hold
MA Allied Impact 49 60 40 PASS
BLDG 2 3T-114
Nurse Desk
3T-107 + 3T-112
MRI + 3T-114 MRI
Hold
VAC Allied Impact 21 12 PASS
89 BLDG 2J 5A N/S 5A 224-5A290 O2 Allied Digital II 52 60 40 PASS
90 BLDG 2J 5A N/S 5A 224-5A290 MA Allied Digital II 49 60 40 PASS
91 BLDG 2J 5A N/S 5A 224-5A290 VAC Allied Digital II 18 12 PASS
92 BLDG 2J CCU N/S CCU 1-10+5A-109H O2 Allied Digital II 52 60 40 PASS
93 BLDG 2J CCU N/S CCU 1-10+5A-109H MA Allied Digital II 49 60 40 PASS
Report Section: AREA ALARMS
Page: 29 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s a d
G a s e s P
S I/
V A
C
W A g
H ig h P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
94 BLDG 2J CCU N/S CCU 1-10+5A-109H VAC Allied Digital II 17 12 PASS
95 BLDG 2J MICU N/S 5A109 MICU 1-10 O2 Allied Digital II 51 60 40 PASS
96 BLDG 2J MICU N/S 5A109 MICU 1-10 MA Allied Digital II 50 60 40 PASS
97 BLDG 2J MICU N/S 5A109 MICU 1-10 VAC Allied Digital II 20 12 PASS
BLDG 2J SICU
N/ST
SICU G-H, J-N, P-
T+ W-Y O2 Allied Digital II 51 60 40 PASS
BLDG 2J SICU
N/ST
SICU G-H, J-N, P-
T+ W-Y MA Allied Digital II 48 60 40 PASS
BLDG 2J SICU
N/ST
SICU G-H, J-N, P-
T+ W-Y VAC Allied Digital II 22 12 PASS
BLDG 2J TICU
N/ST
TICU L+ P-X O2 Allied Digital II 51 60 40 PASS
BLDG 2J TICU
N/ST
TICU L+ P-X MA Allied Digital II 49 60 40 PASS
BLDG 2J TICU
N/ST
TICU L+ P-X VAC Allied Digital II 22 12 PASS
BLDG 2J Hall to the
Right I/S GI Entry Special Procedure O2 Beacon Mega 3 51 60 40 PASS
BLDG 2J Hall to the
Right I/S GI Entry Special Procedure MA Beacon Mega 3 49 60 40 PASS
BLDG 2J Hall to the
Right I/S GI Entry Special Procedure VAC Beacon Mega 3 18 12 PASS
Report Section: AREA ALARMS
Page: 30 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s a d
G a s e s P
S I/
V A
C
W A g
H ig h P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
BLDG 2J Hall to the
Right I/S GI Entry Special Procedure WAGD Beacon Mega 3 18 60 40 PASS
BLDG 2J Hall to the
Right I/S GI Entry Endo 1-3 O2 Beacon Mega 3 51 60 40 PASS
BLDG 2J Hall to the
Right I/S GI Entry Endo 1-3 MA Beacon Mega 3 50 60 40 PASS
BLDG 2J Inside
MRI
Endo 1-3 VAC Beacon Mega 3 17 12 PASS
BLDG 2J Dialysis
N/ST Opp 13
Dialysis Treatment
Center O2 Allied Digital II 51 60 40 PASS
BLDG 2J Dialysis
N/ST Opp 13
Dialysis Treatment
Center MA Allied Digital II 50 60 40 PASS
BLDG 2J Dialysis
N/ST Opp 13
Dialysis Treatment
Center VAC Allied Digital II 22 12 PASS
BLDG 2J ENT
Reception 3B-100 ENT Clinics O2 Allied Impact 50 60 40 PASS
BLDG 2J ENT
Reception 3B-100 ENT Clinics MA Allied Impact 49 60 40 PASS
BLDG 2J ENT
Reception 3B-100 ENT Clinics VAC Allied Impact 22 12 PASS
BLDG 2J O/S MRI
Hold MRI + Hold O2 Allied Impact 50 60 40 PASS
BLDG 2J O/S MRI
Hold MRI + Hold MA Allied Impact 50 60 40 PASS
BLDG 2J O/S MRI
Hold MRI + Hold VAC Allied Impact 16 12 PASS
Report Section: AREA ALARMS
Page: 31 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s a d
G a s e s P
S I/
V A
C
W A g
H ig h P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
BLDG J2 ER O/S
Exam 4
ER Exam Rms 1-7, 25,26+ Psychiatric
Exams 5+6(1A-
405I+1A 405C)
O2 Amico A3A 51 60 40 PASS
BLDG J2 ER O/S
Exam 4
ER Exam Rms 1-7, 25,26+ Psychiatric
Exams 5+6(1A-
405I+1A 405C)
MA Amico A3A 49 60 40 PASS
BLDG J2 ER O/S
Exam 4
ER Exam Rms 1-7, 25,26+ Psychiatric
Exams 5+6(1A-
405I+1A 405C)
VAC Amico A3A 20 12 PASS
BLDG J2 ER O/S
Exam 17
ER Exam Rms 8, 9, 16-24 O2 Amico A3A N/A 60 40 PASS
BLDG J2 ER O/S
Exam 17
ER Exam Rms 8, 9, 16-24 MA Amico A3A N/A 60 40 PASS
BLDG J2 ER O/S
Exam 17
ER Exam Rms 8, 9, 16-24 VAC Amico A3A N/A 12 PASS
BLDG J2 ER O/S
Exam 13
ER Exam Rms 10-
O2 Amico A3A 51 60 40 PASS
BLDG J2 ER O/S
Exam 13
ER Exam Rms 10-
MA Amico A3A 50 60 40 PASS
BLDG J2 ER O/S
Exam 13
ER Exam Rms 10-
VAC Amico A3A 17 12 PASS
BLDG J2 O/S Exam
ER Exam Rms 27-
O2 Allied Digital II N/A N/A N/A UNAVAILABLE Under Construction
BLDG J2 O/S Exam
ER Exam Rms 27-
MA Allied Digital II N/A N/A N/A UNAVAILABLE Under Construction
BLDG J2 O/S Exam
ER Exam Rms 27-
VAC Allied Digital II N/A N/A N/A UNAVAILABLE Under Construction
132 O/S 1B-308 1B-300-400 Rms O2 Allied Digital II 50 60 40 PASS
Report Section: AREA ALARMS
Page: 32 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s a d
G a s e s P
S I/
V A
C
W A g
H ig h P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
133 O/S 1B-308 1B-300-400 Rms MA Allied Digital II 49 60 40 PASS
134 O/S 1B-308 1B-300-400 Rms N2O Allied Digital II 20 60 40 PASS
Bldg 2J OR Control
Desk Right OR 1-4,6-12+ Cysto O2 Amico A2A 51 60 40 PASS
Bldg 2J OR Control
Desk Right OR 1-4,6-12+ Cysto MA Amico A2A 49 60 40 PASS
Bldg 2J OR Control
Desk Right OR 1-4,6-12+ Cysto N2O Amico A2A 48 60 40 PASS
Bldg 2J OR Control
Desk Right OR 1-4,6-12+ Cysto VAC Amico A2A 18 12 PASS
Bldg 2J OR Control
Desk Right OR 1-4,6-12+ Cysto N2 Amico A2A 156 180 140 PASS
Bldg 2J OR Control
Desk Right OR 1-4,6-12+ Cysto CO2 Amico A2A 47 60 40 PASS
Bldg 2J OR Control
Desk Left OR 5 O2 Amico A2A 51 60 40 PASS
Bldg 2J OR Control
Desk Left OR 5 MA Amico A2A 49 60 40 PASS
Bldg 2J OR Control
Desk Left OR 5 N2O Amico A2A 49 60 40 PASS
Bldg 2J OR Control
Desk Left OR 5 VAC Amico A2A 20 12 PASS
Bldg 2J OR Control
Desk Left OR 5 N2 Amico A2A 156 180 140 PASS
Bldg 2J OR Control
Desk Left OR 5 CO2 Amico A2A 47 60 40 PASS
Bldg 2J Cath Lab
Control Rm-5B 661 Cath Lab O2 Allied Digital II 51 60 40 PASS
Bldg 2J Cath Lab
Control Rm-5B 661 Cath Lab MA Allied Digital II 49 60 40 PASS
Report Section: AREA ALARMS
Page: 33 of 263
# Physical Location Area/Rooms
Monitored System MFR Model
P re s s a d
G a s e s P
S I/
V A
C
W A g
H ig h P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
L o w P re s s tt in g
(A ll
G a s e s P
S I/
V A
C
W A g
Component
Condition /
Test Results
Deficiency Detail or
Corrective Action
Needed/Taken
AREA ALARMS: LOCATION & SPECIFICATION FUNCTION AND CONDITION
Bldg 2J Cath Lab
Control Rm-5B 661 Cath Lab VAC Allied Digital II 21 12 PASS
150 PACU Opp 10
5B Recovery 1-13, ISO
500B,500E,500F
O2 Allied Digital II 52 60 40 PASS
151 PACU Opp 10
5B Recovery 1-13, ISO
500B,500E,500F
MA Allied Digital II 51 60 40 PASS
152 PACU Opp 10
5B Recovery 1-13, ISO
500B,500E,500F
VAC Allied Digital II 21 12 PASS
2J Nuc Med
Reception Desk Nuc Med Area O2 Allied Digital II 50 60 40 PASS
2J Nuc Med
Reception Desk Nuc Med Area MA Allied Digital II 51 60 40 PASS
2J Nuc Med
Reception Desk Nuc Med Area VAC Allied Digital II 23 12 PASS
Report Section: AREA ALARMS
Page: 34 of 263
TOTAL VALVES
BY SYSTEM GAS:
22 30 14
23 0 9
473TOTAL
VALVES
TOTAL ZONE VALVE BOXES
MANUFACTURER VALVE TYPE VALVE DESCRIPTION
O
M A
N
O
N
C O
V A
C
W A
G D
IA
O th e r
Allied Zone - 1/4 Turn Accessible valve through which all station outlets/inlets are served 108 108 19 29 14 110 23 9
Amico Zone - 1/4 Turn Accessible valve through which all station outlets/inlets are served 6 6 6
Beacon Zone - 1/4 Turn Accessible valve through which all station outlets/inlets are served 11 10 3 1 10
VALVES BREAKDOWN (EACH SYSTEM GAS COUNTED AS SEPARATE ZONE VALVE)
473TOTAL
VALVES
Report Section: VALVES INVENTORY
Page: 35 of 263
# Physical Location Area/Rooms Served System MFR Valve Type
Gauge
Reading (All Gases PSI/
VAC & WAGD
inHg)
Component
Condition / Test
Results
Deficiency Detail or
Corrective Action
Needed/Taken
Bld 60 Main Entrance
Bld 60 All Wings Main
Valve O2 Beacon Zone - 1/4 Turn PASS
2 Bld 60 A Wing O/S A-
Bld 60 Rooms A103-
A118 O2 Beacon Zone - 1/4 Turn 53 PASS
3 Bld 60 A Wing O/S A-
Bld 60 Rooms A103-
A118 MA Beacon Zone - 1/4 Turn 50 PASS
4 Bld 60 A Wing O/S A-
Bld 60 Rooms A103-
A118 VAC Beacon Zone - 1/4 Turn 20 PASS
5 Bld 60 A Wing O/S
A151
Bld 60 Rooms A119-
A133 O2 Beacon Zone - 1/4 Turn 53 PASS
6 Bld 60 A Wing O/S
A151
Bld 60 Rooms A119-
A133 MA Beacon Zone - 1/4 Turn 49 PASS
7 Bld 60 A Wing O/S
A151
Bld 60 Rooms A119-
A133 VAC Beacon Zone - 1/4 Turn 20 PASS
8 Bld 60 B Wing O/S B-
Bld 60 Rooms B103-
B118 O2 Amico Zone - 1/4 Turn 53 PASS
9 Bld 60 B Wing O/S B-
Bld 60 Rooms B103-
B118 MA Amico Zone - 1/4 Turn 52 PASS
10 Bld 60 B Wing O/S B-
Bld 60 Rooms B103-
B118 VAC Amico Zone - 1/4 Turn 20 PASS
11 Bld 60 B Wing O/S B-
Bld 60 Rooms B119-
B132 O2 Amico Zone - 1/4 Turn 50 PASS
12 Bld 60 B Wing O/S B-
Bld 60 Rooms B119-
B132 MA Amico Zone - 1/4 Turn 50 PASS
13 Bld 60 B Wing O/S B-
Bld 60 Rooms B119-
B132 VAC Amico Zone - 1/4 Turn 20 PASS
14 Bld 60 C Wing O/S C-
Bld 60 Rms C105, 108 & 110 O2 Beacon Zone - 1/4 Turn 54 PASS
15 Bld 60 C Wing O/S C-
Bld 60 Rms C105, 108 & 110 MA Beacon Zone - 1/4 Turn 49 PASS
16 Bld 60 C Wing O/S C-
Bld 60 Rms C105, 108 & 110 VAC Beacon Zone - 1/4 Turn 21 PASS
VALVES: LOCATION & SPECIFICATION FUNCTION AND CONDITION
Report Section: VALVES
Page: 36 of 263
# Physical Location Area/Rooms Served System MFR Valve Type
Gauge
Reading (All Gases PSI/
VAC & WAGD
inHg)
Component
Condition / Test
Results
Deficiency Detail or
Corrective Action
Needed/Taken
VALVES: LOCATION & SPECIFICATION FUNCTION AND CONDITION
Bld 60 C Wing O/S C-
Bld 60 Rms C114, 116, 119, 120, 123, O2 Beacon Zone - 1/4 Turn 54 PASS
Bld 60 C Wing O/S C-
Bld 60 Rms C114, 116, 119, 120, 123, MA Beacon Zone - 1/4 Turn 52 PASS
Bld 60 C Wing O/S C-
Bld 60 Rms C114, 116, 119, 120, 123, VAC Beacon Zone - 1/4 Turn 19 PASS
Bld 60 C Wing O/S C-
Bld 60 Rms C130, 133, 136, 138, 139, 142, 145
O2 Beacon Zone - 1/4 Turn 52 PASS
Bld 60 C Wing O/S C-
Bld 60 Rms C130, 133, 136, 138, 139, 142, 145
MA Beacon Zone - 1/4 Turn 50 PASS
Bld 60 C Wing O/S C-
Bld 60 Rms C130, 133, 136, 138, 139, 142, 145
VAC Beacon Zone - 1/4 Turn 20 PASS
BLDG 74 SCI
O/S 1C-100
RM. 1C-
100,104,108,110,114, 118+ 121
O2 Allied Zone - 1/4 Turn 51 PASS
BLDG 74 SCI
O/S 1C-100
RM. 1C-
100,104,108,110,114, 118+ 121
MA Allied Zone - 1/4 Turn 52 PASS
BLDG 74 SCI O/S
1C-100
RM. 1C-
100,104,108,110,114, 118+ 121
VAC Allied Zone - 1/4 Turn 29 PASS
BLDG 74 SCI
O/S 1C-124
RMS 1C-124,128,136
,140,144+ 148 O2 Allied Zone - 1/4 Turn 50 PASS
Report Section: VALVES
Page: 37 of 263
# Physical Location Area/Rooms Served System MFR Valve Type
Gauge
Reading (All Gases PSI/
VAC & WAGD
inHg)
Component
Condition / Test
Results
Deficiency Detail or
Corrective Action
Needed/Taken
VALVES: LOCATION & SPECIFICATION FUNCTION AND CONDITION
BLDG 74 SCI
O/S 1C-124
RMS 1C-124,128,136
,140,144+ 148 MA Allied Zone - 1/4 Turn 50 PASS
BLDG 74 SCI
O/S 1C-124
RMS 1C-124,128,136
,140,144+ 148 VAC Allied Zone - 1/4 Turn 29 PASS
74 SCI O/S 1D-117
1D-127, 1D-133, 1D-
134+ 1B-111(Pool) O2 Allied Zone - 1/4 Turn NOT IN USE Under Construction
74 SCI O/S 1D-117
1D-127, 1D-133, 1D-
134+ 1B-111(Pool) MA Allied Zone - 1/4 Turn NOT IN USE Under Construction
74 SCI O/S…
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