S02 0001 Attch 3 2024 Puget Sound VA Medical Surgical Vacuum Pump Inspection Report.pdf

20 May 2024

VA Puget Sound Health Care System

Surgical Vacuum

SOURCE EVALUATION DATA

LOCATION OF VACUUM PUMP: ENERGY PLANT AREA SERVED: FACILITY/BLDG. 100

UNIT MANUFACTURER: ROGERS/KRVP SERIES TECH SUPPORT PHONE: 503-639-6151

UNIT MODEL NUMBER: KRVP-30-VAC SERIAL NUMBER: 23H6528852

PUMP MANUFACTURER: ROGERS CFM: 274 VOLTAGE: 460

VACUUM PUMP DATA MODEL # KRVP-30 SERIAL # H652885223 2023 HOURS: N/A 2024 HOURS: 3.9

THE VACUUM MAIN LINE PRESSURE IS: 20.7”HG GAUGE RANGE IS: 0-30HG

THE LEAD PUMP IS ON AT 19.8” HG AND OFF AT 24” HG LAG IS ON AT 17” HG AND OFF AT 22” HG

Yes No N/A ☐ ☐ ☒ 1. Is the data on this sheet for the following source(s): LEAD & LAG?

☒ ☐ ☐ 2. Is the entire area Facility served by this source?

☒ ☐ ☐ 3. Is the room adequately vented to prevent accumulation of heat per manufacturers’ recommendation?

☒ ☐ ☐ 4. Are there two or more pumps?

☒ ☐ ☐ 5. Does each pump have a check valve to prevent backflow through off-cycle units?

☒ ☐ ☐ 6. Does each pump have isolation valves on intake piping?

☒ ☐ ☐ 7. Does each pump have isolation valves (or equivalent) on exhaust piping? NOTE: If the answer is no, a tube cap can be used when pumps are removed from service.

☒ ☐ ☐ 8. Is there sufficient flexible couplings installed in the piping to and from the equipment?

☒ ☐ ☐ 9. Is there a receiver?

Yes No ☒ ☐ a) Does the receiver have an ASME data plate?

☒ ☐ b) Does the receiver have sufficient manual drain?

☒ ☐ c) Is the receiver valved to allow draining or servicing without interrupting the Vacuum system?

http://www.medgas.com/

VA Puget Sound Health Care System 20 May 2024

Yes No N/A ☒ ☐ ☐ 10. Is system capable of automatically activating additional units to maintain vacuum?

Yes No ☒ ☐ a) Is there a local audible / visual signal when lag pump is in operation?

☒ ☐ b) Does the signal latch, requiring manual reset?

☒ ☐ c) Is it wired to master alarm panels?

☒ ☐ ☐ 11. Is there automatic pump alternation to provide for even wear?

☒ ☐ ☐ 12. Are there dedicated disconnect switches, motor starting devices, and overload protection for each pump?

☒ ☐ ☐ 13. Is power supplied by the equipment branch of the essential electrical system?

14. Vacuum Exhaust:

Yes No ☒ ☐ a) Is the exhaust outdoors and at least 10 ft. from any door, window, air intake, or other opening in the building?

☒ ☐ b) Is the exhaust discharge turned down and screened or otherwise protected from vermin, debris, or precipitation?

☒ ☐ c) Is there a trapped drip leg with valved drain on the exhaust line to discharge condensate or oil?

☒ ☐ d) Is the exhaust piping considered to be of proper size to minimize back pressure?

Exhaust Location: Above mechanical room

☒ ☐ ☐ 15. Is Vacuum distribution piping hard-drawn copper or stainless steel pipe?

☒ ☐ ☐ 16. Is the source piping appropriately labeled for Vacuum?

Yes No ☒ ☐ Is the label background color white?

☒ ☐ ☐ 17. Is the source valve in the immediate vicinity of the source equipment?

Yes No ☒ ☐ Is the source valve labeled?

☒ ☐ ☐ 18. Is there a line vacuum low switch wired to the master alarm panels?

Yes No ☒ ☐ a) Is the switch located on the patient side of the main valve, or source valve if there is no main valve?

☒ ☐ b) Is the switch connected with a demand check fitting?

☒ ☐ c) Is the demand check fitting gas specific?

☒ ☐ d) Is there a gauge installed next to the switch after source/mainline shutoff valve?

Location of switch: Just upstream of Main Valve

COMMENTS:

http://www.medgas.com/