Attachment 3 - 668-14-107_Plumbing Survey_FINAL INVENTORY .pdf

VA Project Number 668-14-107 VA Project Number 668-14-107 VA Project Number 668-14-107 Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams

Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory

Building 1 - Main Hospital - Basement Building 1 - Main Hospital - Basement Building 1 - Main Hospital - Basement

Plumbing Fixture Schedule Notes (related to Task 1 and Subtasks 1A, 1B and

1C) Dead Leg Log Notes (related to Task 2 and Subtasks 2A, 2B and

2C) Critical Control Point

Area

Order

Bldg. No. /

Area No.

Building Number /

Building Name

Area Name Room

Number

Room

Name

Stack

Number

Fixture

Number

Fixture

Type

Faucet

Type

Used MORE than once each day

Used LESS than once each day

Used MORE than once each day

Used LESS than once each day See Exhibit 7 for use of this spreadsheet.

Dead Leg #

[DL-Bldg-Floor-Area-#-Length (ft, H or C)-Insp Date Location in Room

Accessible

(Y/N)

Length of Pipe Type

Inspection

Date

Drawing

Number

Length

Location

Uninsulated

See Exhibit 7 for use of this spreadsheet. Use of Critical Control Section to be determned

1-1 Building 1 - Main Hospital - Basement - Area 1 DL-01-B-01-01-36'H&C-11/24/15 C005 Above Ceiling Y 36' 5 ####### P-113

1/1 1/Main/1 A007 Kitchen 2 1-25 SS K X X DL-01-B-01-02-36'H-11/24/15 C005D Above Ceiling Y 36' 5 ####### P-113

1/1 1/Main/1 A007 Kitchen 2 1-24 SS K X X DL-01-B-01-03-57'H&C-11/24/15 C005 Above Ceiling Y 57' 1 ####### P-113

1/1 1/Main/1 A010 Housekeeping 1 1-23 SS K X X DL-01-B-01-04-75'H&C-11/24/15 Near Ceiling Y 75' 5 ####### P-113

1/1 1/Main/1 CB-C1 Hall 1 1-22 DF X DL-01-B-01-05-37'H&C-11/24/15 ####### Could not find on drawing

1/1 1/Main/1 C002 Dishwashing 4 1-18 SS K X X DL-01-B-01-06-29'C-02/05/16 C005 Above Ceiling Y 29' 3 2/5/2016 P-113

1/1 1/Main/1 C002 Dishwashing 4 1-19 SS K X X DL-01-B-01-07-27'H&C-02/05/16 A007 Above Ceiling Y 27' 5 2/5/2016 P-113

1/1 1/Main/1 C002 Dishwashing 4 1-20 SS K X X DL-01-B-01-08-25'H&C-02/05/16 Above Ceiling Y 25' 1 2/5/2016 P-113

1/1 1/Main/1 C002 Dishwashing 4 1-21 HB X DL-01-B-01-09-29'HWR-02/05/16 C002 Above Ceiling Y 29' 1 2/5/2016 P-113

1/1 1/Main/1 C003A Mens 23 1-4 LAV WB X X Wall Mounted Ball Valve for sanitizer mixing DL-01-B-01-10-30'H&C-02/05/16 C002 Above Ceiling Y 30' 5 2/5/2016 P-113

1/1 1/Main/1 C003A Mens 23 1-5 LAV WB X X DL-01-B-01-15-24'H&C-03/30/16 A007 Above Ceiling Y 24' 1 3/30/2016 P-113

1/1 1/Main/1 C003A Mens 23 1-6 LAV K X X

1/1 1/Main/1 C003A Mens 23 1-7 LAV K X X

1/1 1/Main/1 C003A Mens 22 1-8 UR X

1/1 1/Main/1 C003A Mens 22 1-9 UR X

1/1 1/Main/1 C003A Mens 22 1-10 WC X

1/1 1/Main/1 C003A Mens 22 1-11 WC X

1/1 1/Main/1 C003A Mens 22 1-12 WC X

1/1 1/Main/1 C003A Mens 22 1-13 SH K

1/1 1/Main/1 C003A Mens 22 1-14 SH K Inoperable, repair required

1/1 1/Main/1 C003A Mens 22 1-15 SH K

1/1 1/Main/1 C004A Womens 7 1-1 LAV WB X X

1/1 1/Main/1 C004A Womens 7 1-2 LAV K X X

1/1 1/Main/1 C004A Womens 7 1-3 WC X

1/1 1/Main/1 D008C Library 25 1-16 LAV WB X X

1/1 1/Main/1 D008G Maintenance 25 1-17 SS K X X Integral Eyewash

1L ICE MACH.

1M RINSE STA.

1N DISHWASH

1P RINSE STA.

1Q SPRAY NOZZ.

1/1 1/MAIN/1 OUTSIDE 4 1-26 HB

1/1 1/MAIN/1 D008A 23 1-27 HB

1-2 Building 1 - Main Hospital - Basement - Area 2 DL-01-B-02-01-36'C-11/24/15 B010 Above Ceiling Y 36' 3 ####### P-114

1/2 1/Main/2 A002 Breakroom 28 1-27 LAV WB X X DL-01-B-02-02-12'C-11/24/15 Y 12' ####### P-114 Looks like this is just a cut off copper pipe and bibb

1/2 1/Main/2 A006A RR 46 1-28 LAV WB X X DL-01-B-02-03-30'C-11/24/15 A007 Above Ceiling Y 30' 1 ####### P-114

1/2 1/Main/2 A006A RR 46 1-29 WC X DL-01-B-02-04-15'C-11/24/15 Above Ceiling Y 15' 3 ####### P-114

1/2 1/Main/2 A007E Kitchen 28 1-26 HB X +72"AFF DL-01-B-02-05-10'C-02/05/16

1/2 1/Main/2 B003 Maintenance 42 1-31 SS K X X DL-01-B-02-06-60'C-02/05/16 B012 Above Ceiling Y 60' 5 2/5/2016 P-114

1/2 1/Main/2 B003 Maintenance 42 1-32 HB K X X +60"AFF DL-01-B-02-07-25'H&C-02/05/16 B014 Above Ceiling Y 25' 1 2/5/2016 P-114

1/2 1/Main/2 B003 Maintenance 42 1-33 HB K X Steamwand DL-01-B-02-08-13'H&C-02/05/16 Above Ceiling Y 13' 4 2/5/2016 P-114

1/2 1/Main/2 B007 IT/Data Services 39 1-34 LAV K X X DL-01-B-02-09-20'H-02/05/16 Above Ceiling Y 20' 4 2/5/2016 P-114

1/2 1/Main/2 B011 Shower 38 1-37 SH K X X

1/2 1/Main/2 B016 Pathology 37 1-35 SS K X X

1/2 1/Main/2 B018 Pathology 38 1-36 LAV FP X X

1/2 1/Main/2 CB-A1 Hall 43 1-30 DF X

1/2 1/Main/2 B010 Exterior 33 1-43 HB X 2/10/2016

1-3 Building 1 - Main Hospital - Basement - Area 3 DL-01-B-03-01-54'C-11/24/15 A007 Above Ceiling N 54' 5 ####### P-115

1/3 1/Main/3 A007 Kitchen 2 1-38 LAV WB X X DL-01-B-03-02-27'C-11/24/15 Y 27' ####### P-115 Perhaps hot into A007A

1/3 1/Main/3 A007 Kitchen 2 1-39 DF X Integral fill station DL-01-B-03-03-98'C-03/21/16 Unfinished Mech Rm at Ceiling Y 98' 3 3/21/2016 P-115

A007 Kitchen 1-40 SS K X X

A007 Kitchen 1-41 SS K X X

A007A Storage 1-42 SS K X X

A007 Exterior 50 1-43 HB - X Adjacent to elevator tower – East Side

A007 Exterior 1-44 HB - Adjacent to elevator tower – West Side

A007 Exterior 1-45 HB - East Façade adjacent to mech. louvers

1A COFFEE STA.

1B SPRAY NOZZ.

1C ST. COOKER

1D ST. COOKER

1E ST. POT

1F HOLD STA.

1G ST. OVEN

1H ST. OVEN

1J ST. OVEN

1K PREP. STA.

1/3 1/Main/3 Exterior 1-46

Plumbing Fixture Legend Type

FP - Foot Pedal

K - Knob

L - Lever

S - Sensor

WB - Wrist Blade

Other - Specify in comments.

DF - Drinking Fountain

DHWT - Domestic Hot Water Tank

DW - Dishwasher

EWC - Electric Water Cooler

EWS - Eye Wash Station

FCT - Faucet

HB - Hose Bibb

ICE - Ice Machine

LAV - Lavatory

LT - Laundry Tray

NFWH - Non-Freeze Wall Hydrant

SH - Shower

SK - Sink

SP TUB - Special Tub

SS - Service Sink

TUB - Bathtub

TUB/SH - Bathtub/Shower

UR - Urinal

WC - Water Closet

WM - Washing Machine

Pipe lengths greater than 10 feet terminating at a cap.

Pipe lengths greater than 10 feet terminating at an infrequently used plumbing fixture. An infrequently used plumbing fixture is a fixture where the hot water line or cold water line is run less than once each day.

Pipe lengths greater than 25 feet terminating at a frequently used plumbing fixture. A frequently used plumbing fixture is a fixture where both the hot water line and cold water line are run at least once each day.

Pipe lengths greater than 10 feet terminating at a closed valve. 0

Pipe lengths greater than 10 feet terminating at a fitting. 4

Data from Plumbing Fixture Frequency of Use

Survey Form

Hot Water

(check box that applies)

Cold Water

(check box that applies)

Dead Leg Summary

Description Quantity

Faucet Type Abbreviations

Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams

Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory

Building 1 - Main Hospital - Floor 1 (Areas 1, 2 and 3) Building 1 - Main Hospital - Floor 1 (Areas 1, 2 and 3) Building 1 - Main Hospital - Floor 1 (Areas 1, 2 and 3)

Plumbing Fixture Schedule Notes (related to Task 1 and Subtasks 1A, 1B and 1C) Dead Leg Log Notes (related to Task 2 and Subtasks 2A, 2B and 2C) Critical Control Point

Area

Order

Bldg. No. /

Area No.

Building Number /

Building Name

Area Name

Room

Numbe r

Room

Name

Stack

Number

Fixture

Number

Fixture

Type

Faucet

Type

Used MORE than once each day

Used LESS than once each day

Used MORE than once each day

Used LESS than once each day See Exhibit 7 for use of this spreadsheet.

Dead Leg #

[DL-Bldg-Floor-Area-#-Length(ft, H or C)-Insp Date] Location in Room

Accessible

(Y/N)

Length of Pipe Type

Inspection

Date

Drawing

Number

Length

Location

Uninsulated

See Exhibit 7 for use of this spreadsheet. Use of Critical Control Section to be determned

13 1-4 Building 1 - Main Hospital - Floor 1 North - Area 1

DL-01-01-01-01-30'H&C-02/29/16 C113 Above Ceiling Y 30' 5 2/29/2016 P-116

DL-01-02-01-02-14'C-02/29/16 C109 Above Ceiling Y 14' 1 2/29/2016 P-116

1 /1 1/Main/1 D103 MENS (PUBLIC RESTROOM) 7 1-1 WC X DL-01-02-01-03-12'H-02/29/16 C109 Above Ceiling Y 12' 1 2/29/2016 P-116

1/1 1/Main/1 D103 MENS (PUBLIC RESTROOM) 7 1-2 UR X DL-01-02-01-04-11'C-02/29/16 D123 Above Ceiling Y 11' 1 2/29/2016 P-116

1/1 1/Main/1 D103 MENS (PUBLIC RESTROOM) 7 1-3 UR X

1/1 1/Main/1 D103 MENS (PUBLIC RESTROOM) 23 1-4 LAV S X X

1/1 1/Main/1 D103 MENS (PUBLIC RESTROOM) 23 1-5 LAV S X X

1/1 1/Main/1 D104 WOMENS (PUBLIC RESTROOM) 23 1-6 LAV S X X

1/1 1/Main/1 D104 WOMENS (PUBLIC RESTROOM) 23 1-7 LAV S X X

1/1 1/Main/1 D104 WOMENS (PUBLIC RESTROOM) 22 1-8 WC X

1/1 1/Main/1 D104 WOMENS (PUBLIC RESTROOM) 22 1-9 WC X

1/1 1/Main/1 D104 WOMENS (PUBLIC RESTROOM) 22 1-10 WC X

1/1 1/Main/1 C1-D6 CORRIDOR 22 1-11 DF X

1/1 1/Main/1 D124 GENERAL USE 22 1-12 SK S X X

1/1 1/Main/1 D123 ICU 22 1-13 SK S X X

1/1 1/Main/1 D123 ICU 22 1-14 SK S X X

1/1 1/Main/1 D119 LAB 22 1-15 SK WB X X (survey form) SS SINK W/DRAINBOARD

1/1 1/Main/1 D119 LAB 25 1-16 SK - (survey form) GRINDERPUMP

1/1 1/Main/1 D117 EXAM 25 1-17 SK FP X X

1/1 1/Main/1 D115 RR 4 1-18 WC X

1/1 1/Main/1 D115 RR 4 1-19 LAV OTHER X X (survey form) VANDALPROOF PUSHBUTTON SPIGOT W/TIMER

1/1 1/Main/1 C144 HOUSEKEEPING 4 1-20 SS K X X

1/1 1/Main/1 D114 EXAM 4 1-21 SK S X X

1/1 1/Main/1 D113 EXAM 1 1-22 SK S X X

1/1 1/Main/1 D111 EXAM 1 1-23 SK S X X

1/1 1/Main/1 D109 EXAM 2 1-24 SK S X X

1/1 1/Main/1 D107 EXAM 48 1-25 SK S X X

1/1 1/Main/1 D105 BREAKROOM 28 1-26 SK WB X X

1/1 1/Main/1 D135 EXAM 28 1-27 SK S X X

1/1 1/Main/1 D134 EXAM 46 1-28 SK S X X

1/1 1/Main/1 D133 EXAM 46 1-29 SK S X X

1/1 1/Main/1 D132 EXAM 42 1-30 SK S X X

1/1 1/Main/1 D131 EXAM 42 1-31 SK S X X

1/1 1/Main/1 D129 EXAM 42 1-32 SK S X X

1/1 1/Main/1 D127 EXAM 42 1-33 SK S X X

1/1 1/Main/1 D128 EXAM 39 1-34 SK S X X

1/1 1/Main/1 D130 EXAM 37 1-35 SK S X X

1/1 1/Main/1 D106 EXAM 38 1-36 SK S X X

1/1 1/Main/1 D108 MENS 38 1-37 UR X

1/1 1/Main/1 D108 MENS 2 1-38 WC X

1/1 1/Main/1 D108 MENS 2 1-39 LAV S X X

1/1 1/Main/1 D110 WOMENS 2 1-40 WC X

1/1 1/Main/1 D110 WOMENS 46 1-41 LAV S X X

1/1 1/Main/1 D118 EXAM 46 1-42 SK FP X X

1/1 1/Main/1 A141 VACANT 3 1-43 - - (survey form) CAPPED HW/CW

1/1 1/Main/1 C145C RR 7 1-44 LAV S X X

1/1 1/Main/1 C145C RR 7 1-45 WC X

1/1 1/Main/1 C145B RR 7 1-46 LAV S X X

1/1 1/Main/1 C145B RR 7 1-47 WC X

1/1 1/Main/1 C145E LAB 7 1-48 SK S X X

1/1 1/Main/1 C145E LAB 7 1-49 SK WB X X (survey form) ADDITIONAL INLINE WALL MOUNTED FLUSHVALVE

1/1 1/Main/1 C112B OFFICE 1-50 SK WB X X

1/1 1/Main/1 C112A OFFICE 1-51 SK L X X

1/1 1/Main/1 C113 MENS (PUBLIC RESTROOM) 15 1-52 LAV S X X

1/1 1/Main/1 C113 MENS (PUBLIC RESTROOM) 15 1-53 LAV S X X

1/1 1/Main/1 C113 MENS (PUBLIC RESTROOM) 15 1-54 UR X

1/1 1/Main/1 C113 MENS (PUBLIC RESTROOM) 15 1-55 UR X

1/1 1/Main/1 C113 MENS (PUBLIC RESTROOM) 15 1-56 WC X

1/1 1/Main/1 C109 WOMENS (PUBLIC RESTROOM) 15 1-57 WC X

1/1 1/Main/1 C109 WOMENS (PUBLIC RESTROOM) 15 1-58 LAV S X X

1/1 1/Main/1 C109 WOMENS (PUBLIC RESTROOM) 15 1-59 LAV S X X

1/1 1/Main/1 EXTERIOR EXTERIOR 7 1-60 NFWH X (survey form) OUTSIDE ROOM C145E BACKFLOW

1/1 1/Main/1 EXTERIOR EXTERIOR 7 1-61 NFWH X (survey form) OUTSIDE ROOM C145E

1/1 1/Main/1 EXTERIOR EXTERIOR 4 1-62 NFWH X (survey form) OUTSIDE ROOM D123

1/1 1/Main/1 EXTERIOR EXTERIOR 1-63 NFWH X (survey form) OUTSIDE ROOM D103/ESPRESSO

1/1 1/Main/1 C106B LAB 7 1A ICE MA. (survey form) SEE EQUIPMENT SCHEDULE SHEET P-116

1/1 1/Main/1 LOBBY LOBBY 1B 3-COMP SK SEE EQUIPMENT SCHEDULE SHEET P-116

1/1 1/Main/1 LOBBY LOBBY 1C SK SEE EQUIPMENT SCHEDULE SHEET P-116

1/1 1/Main/1 LOBBY LOBBY 1D ICE SEE EQUIPMENT SCHEDULE SHEET P-116

1/1 1/Main/1 LOBBY LOBBY 1E COFFEE SEE EQUIPMENT SCHEDULE SHEET P-116

1/1 1/Main/1 LOBBY LOBBY 1F ESPRESSO SEE EQUIPMENT SCHEDULE SHEET P-116

14 1-5 Building 1 - Main Hospital - Floor 1 Center - Area 2 DL-01-01-02-01-28'H-02/29/16 B109A Above Ceiling Y 28' 5 2/29/2016 P-117

1/2 1/Main/2 A127D RR 31 1-1 LAV L X X DL-01-01-02-02-27'C-02/29/16 B109A Above Ceiling Y 27' 5 2/29/2016 P-117

1/2 1/Main/2 A127D RR 31 1-2 WC X

1/2 1/Main/2 B117 HALL 31 1-3 LAV WB X X

1/2 1/Main/2 B119 RR 31 1-4 LAV L X X

1/2 1/Main/2 B119 RR 31 1-5 WC X

1/2 1/Main/2 B119 RR 31 1-6 WC X

1/2 1/Main/2 C1-B1 CORRIDOR 1-7 DF X

1/2 1/Main/2 B102 WOMENS 35 1-8 LAV S X X (survey form) GANGSTYLE FIBERGLASS SINK

1/2 1/Main/2 B102 WOMENS 35 1-9 WC X

1/2 1/Main/2 B103 WOMENS 35 1-10 WC X

1/2 1/Main/2 B106 MENS 35 1-11 LAV S X X (survey form) GANGSTYLE FIBERGLASS SINK

1/2 1/Main/2 B106 MENS 35 1-12 WC X

1/2 1/Main/2 B106 MENS 35 1-13 UR X

1/2 1/Main/2 B106 MENS 35 1-14 UR X

1/2 1/Main/2 B109A KITCHEN 1-15 SK WB, EW X X

1/2 1/Main/2 B109A KITCHEN 1-16 HB K X (survey form) WALL MOUNTED BALL VALVE FOR SANITIZER MIXING

1/2 1/Main/2 B107 SERVING 1G COFFEE (survey form) SEE EQUIPMENT SHEET P-118

1/2 1/Main/2 B107 SERVING 1H COFFEE SEE EQUIPMENT SCHEDULE SHEET P-118

1/2 1/Main/2 B107 SERVING 1J ICE TEA SEE EQUIPMENT SCHEDULE SHEET P-118

1/2 1/Main/2 B107 SERVING 1K FOUNTAIN SEE EQUIPMENT SCHEDULE SHEET P-118

1/2 1/Main/2 B107 SERVING 1L ST. TRAY SEE EQUIPMENT SCHEDULE SHEET P-118

1/2 1/Main/2 B107A KITCHEN 1M RINSE STA. SEE EQUIPMENT SCHEDULE SHEET P-118

1/2 1/Main/2 B107A KITCHEN 1N DISHWASHER SEE EQUIPMENT SCHEDULE SHEET P-118

1/2 1/Main/2 B109A KITCHEN 1P ST. OVEN SEE EQUIPMENT SCHEDULE SHEET P-118

1/2 1/Main/2 B109A KITCHEN 1Q ST. OVEN SEE EQUIPMENT SCHEDULE SHEET P-118

1/2 1/Main/2 B109A KITCHEN 1R ICE MA. SEE EQUIPMENT SCHEDULE SHEET P-118

1/2 1/Main/2 B109A KITCHEN 1S RINSE STA. SEE EQUIPMENT SCHEDULE SHEET P-118

1/2 1/Main/2 B109A KITCHEN 1T RINSE STA. SEE EQUIPMENT SCHEDULE SHEET P-118

1/2 1/Main/2 B109A KITCHEN 1U VEG. PREP SEE EQUIPMENT SCHEDULE SHEET P-118

1/2 1/Main/2 B109A KITCHEN 1V VEG. PREP SEE EQUIPMENT SCHEDULE SHEET P-118

15 1-6 Building 1 - Main Hospital - Floor 1 South - Area 3

1/3 1/Main/3 C1-E1 LOBBY 1-1 DF X

1/3 1/Main/3 A102F CHEMO LAB 1-2 SK S X X

1/3 1/Main/3 A102E CHEMO LAB 1-3 EW,SH X X (survey form) EMERGENCY USE ONLY

1/3 1/Main/3 A102E CHEMO LAB 1-4 SS K X X

1/3 1/Main/3 E107 WORKROOM 1-5 SK WB X X

1/3 1/Main/3 E138 HOUSEKEEPING 1-6 SS K X X

1/3 1/Main/3 E110 RR 1-7 WC X

1/3 1/Main/3 E110 RR 35 1-8 LAV S X X

1/3 1/Main/3 E119 LAB 35 1-9 SP TUB FP X X (survey form) LARGE SS UTILITY

1/3 1/Main/3 E119 LAB 35 1-10 SK S X X

1/3 1/Main/3 E117 BREAKROOM 35 1-11 LAV WB X X

1/3 1/Main/3 E139 RR 35 1-12 WC X

1/3 1/Main/3 E139 RR 35 1-13 LAV S X X

1/3 1/Main/3 E140 BREAKROOM 35 1-14 SK WB X X

1/3 1/Main/3 E135 EXAM 1-15 SK S X X

1/3 1/Main/3 E133 EXAM 1-16 SK S X X

1/3 1/Main/3 E129 RR 1-17 WC X

1/3 1/Main/3 E129 RR 1-18 LAV S X X

1/3 1/Main/3 E121 WORKROOM 1-19 SS WB X X

1/3 1/Main/3 E121 WORKROOM 1-20 SK S X X

1/3 1/Main/3 E136 EXAM 1-21 SK S X X

1/3 1/Main/3 E134 EXAM 1-22 SK S X X

1/3 1/Main/3 E130 EXAM 1-23 SK S X X

1/3 1/Main/3 E130 EXAM 1-24 SK S X X

1/3 1/Main/3 E128 EXAM 1-25 SK S X X

1/3 1/Main/3 E126 EXAM 1-26 SP TUB FP X X (survey form) LARGE SS UTILITY

1/3 1/Main/3 E126 EXAM 1-27 SK S X X

1/3 1/Main/3 E122 EXAM 1-28 SK S X X

1/3 1/Main/3 E120 EXAM 1-29 SK S X X

1/3 1/Main/3 E118 EXAM 1-30 SK NEED SURVEY INFO

Plumbing Fixture Legend Type

FP Foot Pedal

K Knob

L Lever

S Sensor

WB Wrist Blade

Other Specify in comments.

DF - Drinking Fountain

DHWT - Domestic Hot Water Tank

DW - Dishwasher

EWC - Electric Water Cooler

EWS - Eye Wash Station

FCT - Faucet

HB - Hose Bibb

ICE - Ice Machine

LAV - Lavatory

LT - Laundry Tray

NFWH - Non-Freeze Wall Hydrant

SH - Shower

SK - Sink

SP TUB - Special Tub

SS - Serv ice Sink

TUB - Bathtub

TUB/SH - Bathtub/Shower

UR - Urinal

WC - Water Closet

WM - Washing Machine

Pipe lengths greater than 10 feet terminating at a cap. 3

Pipe lengths greater than 10 feet terminating at a closed valve. 0

Pipe lengths greater than 10 feet terminating at a fitting. 0

Pipe lengths greater than 10 feet terminating at an infrequently used plumbing fixture. An infrequently used plumbing fixture is a fixture where the hot water line or cold water line is run less than once each day.

Pipe lengths greater than 25 feet terminating at a frequently used plumbing fixture. A frequently used plumbing fixture is a fixture where both the hot water line and cold water line are run at least once each day.

Data from Plumbing Fixture Frequency of

Use Survey Form

Hot Water

(check box that applies)

Cold Water

(check box that applies)

Dead Leg Summary

Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams

Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory

Building 1 - Main Hospital - Floor 2 (Areas 1 and 2) Building 1 - Main Hospital - Floor 2 (Areas 1 and 2) Building 1 - Main Hospital - Floor 2 (Areas 1 and 2)

Plumbing Fixture Schedule Notes (related to Task 1 and Subtasks 1A, 1B and

1C) Dead Leg Log Notes (related to Task 2 and Subtasks 2A, 2B and

2C) Critical Control Point

Area

Order

Bldg. No. /

Area No.

Building Number /

Building Name

Area Name Room

Number

Room

Name

Stack

Number

Fixture

Number

Fixture

Type

Faucet

Type

Used MORE than once each day

Used LESS than once each day

Used MORE than once each day

Used LESS than once each day See Exhibit 7 for use of this spreadsheet.

Dead Leg #

[DL-Bldg-Floor-Area-#-Length (ft, H or C)-Insp Date Location in Room

Accessible

(Y/N)

Length of Pipe Type

Inspection

Date

Drawing

Number

Length

Location

Uninsulated See Exhibit 7 for use of this spreadsheet. Use of Critical Control Section to be determned

16 1-7 Building 1 - Main Hospital - Floor 2 North - Area 1 DL-01-02-01-01-25'H&C-02/05/16 C221 Above Ceiling Y 25' 4 2/5/2016 P-119

1/MAIN/1 C208H PROCEDURE 20 1-1 SK WB X X DL-01-02-01-02-20'H-02/05/16 C206 Above Ceiling Y 20' 1 2/5/2016 P-119 1/MAIN/1 C208G PROCEDURE 20 1-2 SK WB X X DL-01-02-01-03-34'H&C-02/05/16 C208H/G Above Ceiling Y 34' 5 2/5/2016 P-119

1/MAIN/1 C208J RR 20 1-3 LAV S X X

1/MAIN/1 C208J RR 20 1-4 WC X

1/MAIN/1 C208F RR 20 1-5 LAV S X X

1/MAIN/1 C208F RR 20 1-6 WC X

1/MAIN/1 C208D XRAY 20 1-7 SK WB X X

1/MAIN/1 C222A STORAGE 22 1-8 SK WB X X

1/MAIN/1 C221 CONSULT 22 1-9 SK WB X X

1/MAIN/1 C219 CONSULT 22 1-10 SK WB X X

1/MAIN/1 C217 CONSULT 22 1-11 SK WB X X

1/MAIN/1 C215 RR 20 1-12 LAV S X X

1/MAIN/1 C215 RR 20 1-13 WC X

1/MAIN/1 C211 CT SCAN 20 1-14 SK WB X X

1/MAIN/1 C209 RR 22 1-15 WC X

1/MAIN/1 C209 RR 1-16 LAV S X X

1/MAIN/1 C207A VACANT 1-17 SK L X X

1/MAIN/1 C2-C1 CORRIDOR 1-18 DF X

17 1-8 Building 1 - Main Hospital - Floor 2 South - Area 2 DL-01-02-02-01-35'C-02/05/16 A200D Above Ceiling Y 35' 3 2/5/2016 P-120

1/MAIN/2 A232 MENS PUBLIC RESTROOMS 27 1-1 LAV S X X DL-01-02-02-02-30'C-02/05/16 A200A Above Ceiling Y 30' 5 2/5/2016 P-120 1/MAIN/2 A232 MENS PUBLIC RESTROOMS 27 1-2 UR X DL-01-02-02-03-13'H&HWR-02/05/16 A200A Above Ceiling Y 13' 1 2/5/2016 P-120 1/MAIN/2 A232 MENS PUBLIC RESTROOMS 27 1-3 WC X DL-01-02-02-05-11'H&C-02/05/16 A237 Above Ceiling Y 11' 1 2/5/2016 P-120 1/MAIN/2 A234 WOMENS PUBLIC RESTROOMS 27 1-4 LAV S X X DL-01-02-02-06-19'C-02/05/16 A236 Above Ceiling Y 19' 1 2/5/2016 P-120 1/MAIN/2 A234 WOMENS PUBLIC RESTROOMS 27 1-5 WC X DL-01-02-02-07-42'C-02/05/16 A238 Above Ceiling Y 42' 5 2/5/2016 P-120 1/MAIN/2 A234 WOMENS PUBLIC RESTROOMS 27 1-6 WC X DL-01-02-02-08-25'H-02/05/16 B247 Above Ceiling Y 25' 1 2/5/2016 P-120 1/MAIN/2 A236 LAB 27 1-7 SK S X X DL-01-02-02-09-23'C-02/05/16 B247 Above Ceiling Y 23' 1 2/5/2016 P-120 1/MAIN/2 A238 LAB 30 1-8 SK S X X (survey form) EXTERNAL MIXER DL-01-02-02-10-13'C-02/05/16 B250 Above Ceiling Y 13' 1 2/5/2016 P-120 1/MAIN/2 A240A EXAM 30 1-9 SK S X X (survey form) EXTERNAL MIXER DL-01-02-02-11-54'H&C-02/05/16 B250 Above Ceiling Y 54' 5 2/5/2016 P-120 1/MAIN/2 A240B EXAM 30 1-10 SK S X X (survey form) EXTERNAL MIXER DL-01-02-02-12-28'H&C-02/05/16 B255 Above Ceiling Y 28' 5 2/5/2016 P-120 1/MAIN/2 B248 IT/DATA 32 1-11 SK S X X (survey form) EXTERNAL MIXER DL-01-02-02-13-46'HWR-02/05/16 B257 Above Ceiling Y 46' 1 2/5/2016 P-120 1/MAIN/2 B250 BREAKROOM 30 1-12 SK L X X (survey form) HAND SPRAYER DL-01-02-02-14-21'H&C-02/05/16 A200 Above Ceiling Y 21' 1 2/5/2016 P-120 1/MAIN/2 B262A RR 35 1-13 LAV S X X (survey form) EXTERNAL MIXER

1/MAIN/2 B262A RR 35 1-14 WC X

1/MAIN/2 B256 LAB 39 1-15 SK L X X

1/MAIN/2 B262H LAB 39 1-16 SK FP X X

1/MAIN/2 B262J RR 39 1-17 LAV S X X

1/MAIN/2 B262J RR 39 1-18 SHOWER K X X

1/MAIN/2 B262J RR 39 1-19 WC X

1/MAIN/2 B257 EXAM 30 1-20 SK S X X (survey form) EXTERNAL MIXER 1/MAIN/2 B255 EXAM 30 1-21 SK S X X (survey form) EXTERNAL MIXER 1/MAIN/2 B253 EXAM 30 1-22 SK S X X (survey form) EXTERNAL MIXER

1/MAIN/2 A237 NUCLEAR MEDICINE 48 1-23 SK FP X X

1/MAIN/2 A202 HOUSEKEEPING 1-24 SS K X X

1/MAIN/2 A200E RR 1 1-25 WC X

1/MAIN/2 A200E RR 1 1-26 LAV WB X X

1/MAIN/2 A200E RR 1 1-27 UR X

1/MAIN/2 A200D LAB 2 1-28 SK FP X X

1/MAIN/2 A200D LAB 49 1-29 SK K X X

1/MAIN/2 A200A LAB 50 1-30 SK K X X

1/MAIN/2 A200A LAB 1-31 SS K X X (survey form) EXPOSED COPPER PIPING 1/MAIN/2 A200A LAB 50 1-32 EW X X (survey form) INTEGRAL OVHD SHWR

1/MAIN/2 A237A LAB 48 1-33 SK WB X X

1/MAIN/2 B250 BREAKROOM 30 1-34 ICE

Plumbing Fixture Legend Type

Data from Plumbing Fixture Frequency of Use

Survey Form

Hot Water

(check box that applies)

Cold Water

(check box that applies)

Dead Leg Summary

Description Quantity

Faucet Type Abbreviations

FP - Foot Pedal

K - Knob

L - Lever

S - Sensor

WB - Wrist Blade

Other - Specify in comments.

DF - Drinking Fountain

DHWT - Domestic Hot Water Tank

DW - Dishwasher

EWC - Electric Water Cooler

EWS - Eye Wash Station

FCT - Faucet

HB - Hose Bibb

ICE - Ice Machine

LAV - Lavatory

LT - Laundry Tray

NFWH - Non-Freeze Wall Hydrant

SH - Shower

SK - Sink

SP TUB - Special Tub

SS - Service Sink

TUB - Bathtub

TUB/SH - Bathtub/Shower

UR - Urinal

WC - Water Closet

WM - Washing Machine

Pipe lengths greater than 10 feet terminating at a cap.

Pipe lengths greater than 10 feet terminating at an infrequently used plumbing fixture. An infrequently used plumbing fixture is a fixture where the hot water line or cold water line is run less than once each day.

Pipe lengths greater than 25 feet terminating at a frequently used plumbing fixture. A frequently used plumbing fixture is a fixture where both the hot water line and cold water line are run at least once each day.

Pipe lengths greater than 10 feet terminating at a closed valve. 0

Pipe lengths greater than 10 feet terminating at a fitting. 1

Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams

Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory

Building 1 - Main Hospital - Floor 3 (Areas 1 and 2) Building 1 - Main Hospital - Floor 3 (Areas 1 and 2) Building 1 - Main Hospital - Floor 3 (Areas 1 and 2)

Plumbing Fixture Schedule Notes (related to Task 1 and Subtasks 1A, 1B and

1C) Dead Leg Log Notes (related to Task 2 and Subtasks 2A, 2B and

2C) Critical Control Point

Area

Order

Bldg. No. /

Area No.

Building Number /

Building Name

Area Name Room

Number

Room

Name

Stack

Number

Fixture

Number

Fixture

Type

Faucet

Type

Used MORE than once each day

Used LESS than once each day

Used MORE than once each day

Used LESS than once each day See Exhibit 7 for use of this spreadsheet.

Dead Leg #

[DL-Bldg-Floor-Area-#-Length (ft, H or C)-Insp Date Location in Room

Accessible

(Y/N)

Length of Pipe Type

Inspection

Date

Drawing

Number

Length

Location

Uninsulated See Exhibit 7 for use of this spreadsheet. Use of Critical Control Section to be determned

18 1-9 Building 1 - Main Hospital - Floor 3 North - Area 1 DL-01-03-01-01-28'H&C-02/10/16 C325 Above Ceiling Y 28' 5 2/10/2016 P-121

1 1/MAIN/1 C308 EXAM 16 1-1 SK S X X DL-01-03-01-02-40'H&C-02/10/16 C318 Above Ceiling Y 40' 5 2/10/2016 P-121

1 1/MAIN/1 C312 EXAM 16 1-2 SK S X X DL-01-03-01-03-32'H&C-02/10/16 C312 Above Ceiling Y 32' 5 2/10/2016 P-121

1 1/MAIN/1 C320 EXAM 16 1-3 SK WB X X

1 1/MAIN/1 C322 EXAM 16 1-4 SK S X X

1 1/MAIN/1 C324 EXAM 16 1-5 SK S X X

1 1/MAIN/1 C327 EXAM 7 1-6 SK S X X

1 1/MAIN/1 C325 EXAM 7 1-7 SK S X X

1 1/MAIN/1 C321 EXAM 7 1-8 SK S X X

1 1/MAIN/1 C319 EXAM 5 1-9 SK S X X

1 1/MAIN/1 C315 EXAM 5 1-10 K WB X X

1 1/MAIN/1 C313 EXAM 5 1-11 SK WB X X

1 1/MAIN/1 C3-C1 CORRIDOR 5 1-12 DF X

1 1/MAIN/1 C307 MENS PUBLIC RESTROOM 5? 1-13 LAV S X X

1 1/MAIN/1 C307 MENS PUBLIC RESTROOM 5 1-14 UR X

1 1/MAIN/1 C307 MENS PUBLIC RESTROOM 5 1-15 WC X

19 1-10 Building 1 - Main Hospital - Floor 3 South - Area 2 DL-01-03-02-01-18'C-02/26/16 A335 Above Ceiliing Y 18' 1 2/26/2016 P-122

GENERAL NOTES: DL-01-03-02-02-15'H-02/26/16 B345 Above Ceiling Y 15' 1 2/26/2016 P-122 Open Ended Pipe

1. All WC in mental health department are vandalproof pusch button operated

2. Patient rooms in mental health deprtment were not accessed due to patient confidentialities; fixture types and counts are assumed to be accurate at the direction of the staff.

1 1/MAIN/2 C303 HOUSEKEEPING 1 1-1 SS K X X

1 1/MAIN/2 C301 WOMENS PUBLIC RESTROOM 1 1-2 WC X

1 1/MAIN/2 C301 WOMENS PUBLIC RESTROOM 1 1-3 LAV S X X

1 1/MAIN/2 C301 WOMENS PUBLIC RESTROOM 1 1-4 WC X

1 1/MAIN/2 A300B RECEPTION 2 1-5 SK WB X X

1 1/MAIN/2 A334 RR 29 1-6 WC X

1 1/MAIN/2 A334 RR 29 1-7 LAV OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 A336 RR 30 1-8 WC X

1 1/MAIN/2 A336 RR 30 1-9 LAV OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 A338 BREAK / CONF 30 1-10 SK OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 A340 BREAK / CONF 30 1-11 SK WB X X

1 1/MAIN/2 A342 LAUNDRY 30 1-12 WM X X (survey form) RECESSED GRAYBOX

1 1/MAIN/2 B346 PATIENT 32 1-13 SH OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B346 PATIENT 32 1-14 WC X

1 1/MAIN/2 B346 PATIENT 32 1-15 SK OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B350 PATIENT 33 1-16 SK OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B350 PATIENT 33 1-17 WC X

1 1/MAIN/2 B350 PATIENT 33 1-18 SH OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B352 PATIENT 33 1-19 SH OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B352 PATIENT 33 1-20 WC X

1 1/MAIN/2 B352 PATIENT 33 1-21 SK OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B358 DAYROOM 33 1-22 SK OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B353 PATIENT 42 1-23 SK OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B349 PATIENT 42 1-24 SK S X X

1 1/MAIN/2 B349 PATIENT 42 1-25 WC X

1 1/MAIN/2 B349 PATIENT 42 1-26 SH OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B351 RR 42 1-27 SH OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B351 RR 42 1-28 WC X

1 1/MAIN/2 B351 RR 42 1-29 LAV L X X

1 1/MAIN/2 B347 PATIENT 45 1-30 SH OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B347 PATIENT 45 1-31 WC X

1 1/MAIN/2 B347 PATIENT 45 1-32 SK OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B345 PATIENT 45 1-33 SK OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 B345 PATIENT 45 1-34 WC X

1 1/MAIN/2 B345 PATIENT 45 1-35 SH OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 A339 HOUSEKEEPING 46 1-36 SK WB X X (survey form) INLINE FLUSH VALVE

1 1/MAIN/2 A339 HOUSEKEEPING 46 1-37 OTHER X X (survey form) BEDPAN STATION – ABANDONED IN PLACE

1 1/MAIN/2 A337 PATIENT 47 1-38 SK OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 A337 PATIENT 47 1-39 SH OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 A337 PATIENT 47 1-40 WC X

1 1/MAIN/2 A335 PATIENT 47 1-41 SH OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 A335 PATIENT 47 1-42 WC X

1 1/MAIN/2 A335 PATIENT 47 1-43 SK OTHER X X (survey form) VANDALPROOF PUSH BUTTON

1 1/MAIN/2 A333A WORKROOM 47 1-44 SK L X X

Plumbing Fixture Legend Type

Data from Plumbing Fixture Frequency of Use

Survey Form

Hot Water

(check box that applies)

Cold Water

(check box that applies)

Dead Leg Summary

Description Quantity

Faucet Type Abbreviations

FP - Foot Pedal

K - Knob

L - Lever

S - Sensor

WB - Wrist Blade

Other - Specify in comments.

DF - Drinking Fountain

DHWT - Domestic Hot Water Tank

DW - Dishwasher

EWC - Electric Water Cooler

EWS - Eye Wash Station

FCT - Faucet

HB - Hose Bibb

ICE - Ice Machine

LAV - Lavatory

LT - Laundry Tray

NFWH - Non-Freeze Wall Hydrant

SH - Shower

SK - Sink

SP TUB - Special Tub

SS - Service Sink

TUB - Bathtub

TUB/SH - Bathtub/Shower

UR - Urinal

WC - Water Closet

WM - Washing Machine

Pipe lengths greater than 10 feet terminating at a cap.

Pipe lengths greater than 10 feet terminating at an infrequently used plumbing fixture. An infrequently used plumbing fixture is a fixture where the hot water line or cold water line is run less than once each day.

Pipe lengths greater than 25 feet terminating at a frequently used plumbing fixture. A frequently used plumbing fixture is a fixture where both the hot water line and cold water line are run at least once each day.

Pipe lengths greater than 10 feet terminating at a closed valve. 0

Pipe lengths greater than 10 feet terminating at a fitting. 0

Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams

Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory

Building 1 - Main Hospital - Floor 4 (Areas 1 and 2) Building 1 - Main Hospital - Floor 4 (Areas 1 and 2) Building 1 - Main Hospital - Floor 4 (Areas 1 and 2)

Plumbing Fixture Schedule Notes (related to Task 1 and Subtasks 1A, 1B and

1C) Dead Leg Log Notes (related to Task 2 and Subtasks 2A, 2B and

2C) Critical Control Point

Area

Order

Bldg. No. /

Area No.

Building Number /

Building Name

Area Name

Room

Number

Room

Name

Stack

Number

Fixture

Number

Fixture

Type

Faucet

Type

Used MORE than once each day

Used LESS than once each day

Used MORE than once each day

Used LESS than once each day

See Exhibit 7 for use of this spreadsheet. Dead Leg #

[DL-Bldg-Floor-Area-#-Length (ft, H or C)-Insp Date Location in Room

Accessible

(Y/N)

Length of Pipe Type

Inspection

Date

Drawing

Number

Length

Location

Uninsulated See Exhibit 7 for use of this spreadsheet. Use of Critical Control Section to be determned

20 1-11 Building 1 - Main Hospital - Floor 4 North - Area 1

DL-01-04-01-01-29'C-03/23/2016 C410/A in Ceiling Y 29' 5 3/23/2016 P123

1/1 1/MAIN/1 C411 PATIENT 5 1-1 SH X X DL-01-04-01-02-20'C-03/23/2016 C411A in Ceiling Y 20' 4 3/23/2016 P123

1/1 1/MAIN/1 C411 PATIENT 5 1-2 WC X DL-01-04-01-03-14'H-03/23/2016 C411A in Ceiling Y 14' 4 3/23/2016 P123

1/1 1/MAIN/1 C411 PATIENT 5 1-3 SK WB X X DL-01-04-01-04-12'C-03/23/2016 C413A in Ceiling Y 12' 4 3/23/2016 P123

1/1 1/MAIN/1 C413 PATIENT 5 1-4 SK S X X DL-01-04-01-05-14'H-03/23/2016 C413A in Ceiling Y 14' 4 3/23/2016 P123

1/1 1/MAIN/1 C413 PATIENT 5 1-5 SH X X DL-01-04-01-06-16'C-03/23/2016 C415A in Ceiling Y 16' 4 3/23/2016 P123

1/1 1/MAIN/1 C413 PATIENT 5 1-6 WC X DL-01-04-01-07-11'H-03/23/2016 C415A in Ceiling Y 11' 4 3/23/2016 P123

1/1 1/MAIN/1 C415 PATIENT 7 1-7 SK S X X EXTERNAL MIXER DL-01-04-01-08-12'C-03/23/2016 C414A in Ceiling Y 12' 4 3/23/2016 P123

1/1 1/MAIN/1 C415 PATIENT 7 1-8 WC X DL-01-04-01-09-11'H-03/23/2016 C414A in Ceiling Y 11' 4 3/23/2016 P123

1/1 1/MAIN/1 C415 PATIENT 7 1-9 SH X X DL-01-04-01-10-20'H&C-03/23/2016 C412A in Ceiling Y 20' 4 3/23/2016 P123

1/1 1/MAIN/1 C414 PATIENT 16 1-10 SH X X

1/1 1/MAIN/1 C414 PATIENT 16 1-11 WC X

1/1 1/MAIN/1 C414 PATIENT 16 1-12 SK S X X EXTERNAL MIXER

1/1 1/MAIN/1 C412 PATIENT 22 A 1-13 SH X X

1/1 1/MAIN/1 C412 PATIENT 22 A 1-14 WC X

1/1 1/MAIN/1 C412 PATIENT 22 A 1-15 SK S X X EXTERNAL MIXER

1/1 1/MAIN/1 C410 PATIENT 22 B 1-16 SK WB X X

1/1 1/MAIN/1 C410 PATIENT 22 B 1-17 WC X

1/1 1/MAIN/1 C410 PATIENT 22 B 1-18 SH X X

1/1 1/MAIN/1 C406 PATIENT 22 1-19 SH X X

1/1 1/MAIN/1 C406 PATIENT 20 1-20 WC X

1/1 1/MAIN/1 C406 PATIENT 20 1-21 SK WB X X

1/1 1/MAIN/1 C4-C1 HALL 22 1-22 DF X

1/1 1/MAIN/1 C4-C1 HALL 22 1-23 SK S X X

21 1-12Building 1 - Main Hospital - Floor 4 South - Area 2 DL-01-04-02-01-36'C-03/23/2016 A426 in Ceiling Y 36' 5 3/23/2016 P124

1/2 1/MAIN/2 B449 OFFICE 45 1-1 SK S X X EXTERNAL MIXER DL-01-04-02-02-30'C-03/23/2016 B449 in Ceiling Y 30' 5 3/23/2016 P124

1/2 1/MAIN/2 B449 OFFICE 45 1-2 WC X DL-01-04-02-03-30'C-03/23/2016 B454 in Ceiling Y 30' 5 3/23/2016 P124

1/2 1/MAIN/2 B449 OFFICE 45 1-3 SH X X DL-01-04-02-04-38'C-03/23/2016 A427 in Ceiling Y 38' 5 3/23/2016 P124

1/2 1/MAIN/2 C4-B1 HALL 45 1-4 DF X DL-01-04-02-05-28'H-03/23/2016 A427 in Ceiling Y 28' 5 3/23/2016 P124

1/2 1/MAIN/2 C4-B1 HALL 42 1-5 SK S X X EXTERNAL MIXER DL-01-04-02-06-15'H&C-03/23/2016 B455A in Ceiling Y 15' 4 3/23/2016 P124

1/2 1/MAIN/2 B453 ONCALL RX 42 1-6 SK S X X DL-01-04-02-07-15'C-03/23/2016 B457A in Ceiling Y 15' 4 3/23/2016 P124

1/2 1/MAIN/2 B453 ONCALL RX 42 1-7 WC X DL-01-04-02-08-11'H-03/23/2016 B457A in Ceiling Y 11' 4 3/23/2016 P124

1/2 1/MAIN/2 B453 ONCALL RX 42 1-8 SH X X DL-01-04-02-09-20'C-03/23/2016 B456A in Ceiling Y 20' 4 3/23/2016 P124

1/2 1/MAIN/2 B455 EXAM 40 1-9 SK S X X EXTERNAL MIXER DL-01-04-02-10-13'H-03/23/2016 B456A in Ceiling Y 13' 4 3/23/2016 P124

1/2 1/MAIN/2 B455 EXAM 40 1-10 WC X DL-01-04-02-11-11'C-03/23/2016 B454A in Ceiling Y 11' 4 3/23/2016 P124

1/2 1/MAIN/2 B455 EXAM 40 1-11 SH X X DL-01-04-02-12-15'H-03/23/2016 B454 in Ceiling Y 15' 4 3/23/2016 P124

1/2 1/MAIN/2 B457 EXAM 40 1-12 WC X DL-01-04-02-13-12'H-03/23/2016 B452A in Ceiling Y 12' 4 3/23/2016 P124

1/2 1/MAIN/2 B457 EXAM 40 1-13 SH X X DL-01-04-02-14-14'C-03/23/2016 B448A in Ceiling Y 14' 4 3/23/2016 P124

1/2 1/MAIN/2 B457 EXAM 40 1-14 SK S X X DL-01-04-02-15-11'H-03/23/2016 B448A in Ceiling Y 11' 4 3/23/2016 P124

1/2 1/MAIN/2 B458 RR 40 1-15 LAV WB X X

1/2 1/MAIN/2 B458 RR 40 1-16 WC X

1/2 1/MAIN/2 B456 EXAM 40 1-17 WC X

1/2 1/MAIN/2 B456 EXAM 40 1-18 SH X X

1/2 1/MAIN/2 B454 EXAM 40 1-19 SH X X

1/2 1/MAIN/2 B454 EXAM 40 1-20 WC X

1/2 1/MAIN/2 B454 EXAM 40 1-21 SK S X X

1/2 1/MAIN/2 B452 EXAM 34 1-22 SH X X

1/2 1/MAIN/2 B452 EXAM 34 1-23 WC X

1/2 1/MAIN/2 B452 EXAM 34 1-24 SK S X X EXTERNAL MIXER

1/2 1/MAIN/2 B448 EXAM 32 1-25 SH X X

1/2 1/MAIN/2 B448 EXAM 32 1-26 WC X

1/2 1/MAIN/2 B448 EXAM 32 1-27 SK S X X EXTERNAL MIXER

1/2 1/MAIN/2 C4-B1 HALL 32 1-28 SK S X X EXTERNAL MIXER

1/2 1/MAIN/2 A440 BREAK 30 1-29 SK L X X

1/2 1/MAIN/2 A436 RR 30 1-30 WC X

1/2 1/MAIN/2 A436 RR 30 1-31 LAV WB X X

1/2 1/MAIN/2 A430 WORKROOM 30 1-32 SK WB X X

1/2 1/MAIN/2 A428 HOUSEKEEPING 29 1-33 SS K X X

1/2 1/MAIN/2 A426 LOUNGE 29 1-34 WC X

1/2 1/MAIN/2 A426 LOUNGE 29 1-35 SK WB X X

1/2 1/MAIN/2 C4-A1 HALL 29 1-36 OTHER X X AUTO HANDWASH UNIT

1/2 1/MAIN/2 A420A PATIENT 27 1-37 SK WB X X

1/2 1/MAIN/2 A420A PATIENT 27 1-38 WC X

1/2 1/MAIN/2 A420A PATIENT 30 1-39 SH X X

1/2 1/MAIN/2 A420 PATIENT 27 1-40 SK WB X X

1/2 1/MAIN/2 C404 PATIENT 26 1-41 SK WB X X

1/2 1/MAIN/2 C404A PATIENT 26 1-42 SH X X

1/2 1/MAIN/2 C404A PATIENT 26 1-43 WC X

1/2 1/MAIN/2 C4-A1 HALL 26 1-44 SK S X X

1/2 1/MAIN/2 A400G RR 2 1-45 WC X

1/2 1/MAIN/2 A400G RR 2 1-46 LAV K X X

1/2 1/MAIN/2 A431 HOUSEKEEPING P 1-47 SS WB X X ADDITIONAL IN LINE FLUSH VALVE

1/2 1/MAIN/2 A433 PHYSICAL THERAPY 47 1-48 LAV WB X X

1/2

1/MAIN/2 A433 PHYSICAL THERAPY 47 1-49 WC X

1/2 1/MAIN/2 A433 PHYSICAL THERAPY 47 1-50 SP TUB X X

FREE STANDING HYDRO THERAPY TUB WITH WALL

MOUNTED CONTROLS AND SANITIZER

1/2 1/MAIN/2 A453A ONCALL RX 42 1-51 SK

Plumbing Fixture Legend Type

Pipe lengths greater than 25 feet terminating at a frequently used plumbing fixture. A frequently used plumbing fixture is a fixture where both the hot water line and cold water line are run at least once each day.

FP - Foot Pedal

K - Knob

L - Lever

S - Sensor

WB - Wrist Blade

Other - Specify in comments.

DF - Drinking Fountain

DHWT - Domestic Hot Water Tank

DW - Dishwasher

EWC - Electric Water Cooler

EWS - Eye Wash Station

FCT - Faucet

HB - Hose Bibb

ICE - Ice Machine

LAV - Lavatory

LT - Laundry Tray

NFWH - Non-Freeze Wall Hydrant

SH - Shower

SK - Sink

SP TUB - Special Tub

SS - Service Sink

TUB - Bathtub

TUB/SH - Bathtub/Shower

UR - Urinal

WC - Water Closet

WM - Washing Machine

Pipe lengths greater than 10 feet terminating at a cap. 0

Pipe lengths greater than 10 feet terminating at a closed valve.

Pipe lengths greater than 10 feet terminating at a fitting. 0

Pipe lengths greater than 10 feet terminating at an infrequently used plumbing fixture. An infrequently used plumbing fixture is a fixture where the hot water line or cold water line is run less than once each day.

Data from Plumbing Fixture Frequency of Use

Survey Form

Hot Water

(check box that applies)

Cold Water

(check box that applies)

Dead Leg Summary

Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams

Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory

Building 1 - Main Hospital - Floor 5 (Areas 1 and 2) Building 1 - Main Hospital - Floor 5 (Areas 1 and 2) Building 1 - Main Hospital - Floor 5 (Areas 1 and 2)

Plumbing Fixture Schedule Notes (related to Task 1 and Subtasks 1A, 1B and

1C) Dead Leg Log Notes (related to Task 2 and Subtasks 2A, 2B and

2C) Critical Control Point

Area

Order

Bldg. No. /

Area No.

Building Number /

Building Name

Area Name

Room

Number

Room

Name

Stack

Number

Fixture

Number

Fixture

Type

Faucet

Type

Used MORE than once each day

Used LESS than once each day

Used MORE than once each day

Used LESS than once each day See Exhibit 7 for use of this spreadsheet.

Dead Leg #

[DL-Bldg-Floor-Area-#-Length (ft, H or C)-Insp Date Location in Room

Accessible

(Y/N)

Length of Pipe Type

Inspection

Date

Drawing

Number

Length

Location

Uninsulated See Exhibit 7 for use of this spreadsheet. Use of Critical Control Section to be determned

22 1-13 Building 1 - Main Hospital - Floor 5 North - Area 1 DL-01-05-01-01-11'C-02/05/16 C515A in Ceiling Y 11' 4 2/5/2016 P125

NOTE 1 (FROM SURVEY FORM): PREVIOUSLY DESIGNATED AS INPATIENT CARE ROOMS THE EXAM ROOM SHOWERS ARE NOT UTILIZED UNDER CURRENT OCCUPANCY. DL-01-05-01-02-26'H-02/05/16 C517 in Ceiling Y 26' 5 2/5/2016 P125

1/1 1/MAIN/1 C514A CONSULT/EXAM 22B 1-1 WC X DL-01-05-01-03-26'H-02/08/16 C516A in Ceiling Y 26' 5 2/8/2016 P125

1/1 1/MAIN/1 C514A CONSULT/EXAM 22B 1-2 SH X X SEE NOTE 1 ABOVE Capped & Disconnected DL-01-05-01-04-11'H&C-02/08/16 C514A in Ceiling N 11' 4 2/8/2016 P125

1/1 1/MAIN/1 C514 CONSULT/EXAM 22B 1-3 LAV WB X X DL-01-05-01-05-27'H-02/08/16 C5-C1 in Ceiling Y 27' 5 2/8/2016 P125

1/1 1/MAIN/1 C516 CONSULT/EXAM 22A 1-4 LAV WB X X DL-01-05-01-06-30'C-02/08/16 C513A in Ceiling Y 30' 5 2/8/2016 P125

1/1 1/MAIN/1 C516A CONSULT/EXAM 22A 1-5 SH X X SEE NOTE 1 ABOVE DL-01-05-01-07-20'C-02/08/16 C513A in Ceiling Y 20' 4 2/8/2016 P125

1/1 1/MAIN/1 C516A CONSULT/EXAM 22A 1-6 WC X

1/1 1/MAIN/1 C518 CONSULT/EXAM 22A 1-7 LAV WB X X

1/1 1/MAIN/1 C518A CONSULT/EXAM 16 1-8 WC X

1/1 1/MAIN/1 C518A CONSULT/EXAM 16 1-9 SH X X SEE NOTE 1 ABOVE

1/1 1/MAIN/1 C517A CONSULT/EXAM 7 1-10 SH X X SEE NOTE 1 ABOVE

1/1 1/MAIN/1 C517A CONSULT/EXAM 7 1-11 WC X

1/1 1/MAIN/1 C517 CONSULT/EXAM 5 1-12 LAV WB X X

1/1 1/MAIN/1 C515A CONSULT/EXAM 5 1-13 WC X

1/1 1/MAIN/1 C515A CONSULT/EXAM 5 1-14 SH X X SEE NOTE 1 ABOVE

1/1 1/MAIN/1 C515 CONSULT/EXAM 5 1-15 LAV WB X X

1/1 1/MAIN/1 C513 CONSULT/EXAM 24 1-16 LAV WB X X

1/1 1/MAIN/1 C513A CONSULT/EXAM 24 1-17 SH X X SEE NOTE 1 ABOVE Capped & Disconnected

1/1 1/MAIN/1 C513A CONSULT/EXAM 24 1-18 WC X

1/1 1/MAIN/1 C5-C1 HALL 24 1-19 LAV FP X X

23 1-14 Building 1 - Main Hospital - Floor 5 South - Area 2 DL-01-05-02-01-20'C-02/08/16 A500A in Ceiling Y 20' 1 2/8/2016 P126

1/2 1/MAIN/2 B539 PATIENT 22 1-1 LAV S X X DL-01-05-02-02-12'C-02/08/16 A535 in Ceiling Y 12' 1 2/8/2016 P126

1/2 1/MAIN/2 B539A PATIENT 22 1-2 SH X X DL-01-05-02-03-11'H&C-02/08/16 A526 in Ceiling Y 11' 1 2/8/2016 P126

1/2 1/MAIN/2 B539A PATIENT 22 1-3 WC X DL-01-05-02-04-31'H&C-02/08/16 A530 in Ceiling Y 31' 5 2/8/2016 P126

1/2 1/MAIN/2 C5-B1 HALL 22 1-4 DF X DL-01-05-02-05-16'H&C-02/08/16 A530 in Ceiling Y 16' 4 2/8/2016 P126

1/2 1/MAIN/2 B541 PATIENT 22A 1-5 LAV WB X X DL-01-05-02-06-53'H&C-02/08/16 A530 in Ceiling Y 53' 5 2/8/2016 P126

1/2 1/MAIN/2 B541A PATIENT 22A 1-6 SH X X DL-01-05-02-07-15'C-02/08/16 B538A in Ceiling Y 15' 4 2/8/2016 P126

1/2 1/MAIN/2 B541A PATIENT 22A 1-7 WC X DL-01-05-02-08-27'H-02/08/16 B538A in Ceiling Y 27' 4 2/8/2016 P126

1/2 1/MAIN/2 C5-B1 HALL 22A 1-8 LAV S X X DL-01-05-02-09-28'H-02/11/16 B542A in Ceiling Y 28' 4 2/11/2016 P126

1/2 1/MAIN/2 B543 PATIENT 16 1-9 LAV S X X DL-01-05-02-10-14'C-02/11/16 B542A in Ceiling Y 14' 4 2/11/2016 P126

1/2 1/MAIN/2 B543 PATIENT 7 1-10 SH X X DL-01-05-02-11-15'H&C-02/11/16 B541A in Ceiling Y 15' 4 2/11/2016 P126

1/2 1/MAIN/2 B543A PATIENT 7 1-11 WC X DL-01-05-02-12-18'H&C-02/11/16 B544A in Ceiling Y 18' 4 2/11/2016 P126

1/2 1/MAIN/2 C5-B1 HALL 5 1-12 LAV S X X DL-01-05-02-13-18'H&C-02/11/16 B546A in Ceiling N 18' 4 2/11/2016 P126

1/2 1/MAIN/2 B545A PATIENT 5 1-13 WC X DL-01-05-02-14-15'C-02/25/16 B545A in Ceiling Y 15' 4 2/25/2016 P126

1/2 1/MAIN/2 B545A PATIENT 5 1-14 SH X X DL-01-05-02-15-24'H-02/25/16 B545A in Ceiling Y 24' 4 2/25/2016 P126

1/2 1/MAIN/2 B545 PATIENT 5 1-15 LAV S X X DL-01-05-02-16-17'C-02/25/16 B543A in Ceiling Y 17' 4 2/25/2016 P126

1/2 1/MAIN/2 B547 RR 5 1-16 LAV WB X X DL-01-05-02-17-15'H&C-02/25/16 B539A in Ceiling Y 15' 4 2/25/2016 P126

1/2 1/MAIN/2 B547 RR 24 1-17 WC X

1/2 1/MAIN/2 B546 PATIENT 24 1-18 LAV S X X

1/2 1/MAIN/2 B546A PATIENT 24 1-19 SH X X

1/2 1/MAIN/2 B546A PATIENT 43 1-20 WC X

1/2 1/MAIN/2 B544A PATIENT 43 1-21 WC X

1/2 1/MAIN/2 B544A PATIENT 43 1-22 SH X X

1/2 1/MAIN/2 B544 PATIENT 43 1-23 LAV S X X

1/2 1/MAIN/2 B542A PATIENT 43 1-24 WC X

1/2 1/MAIN/2 B542A PATIENT 43 1-25 SH X X

1/2 1/MAIN/2 B542 PATIENT 43 1-26 LAV WB X X

1/2 1/MAIN/2 B540 PATIENT 44 1-27 LAV WB X X

1/2 1/MAIN/2 B538A PATIENT 44 1-28 SH X X

1/2 1/MAIN/2 B538A PATIENT 44 1-29 WC X

1/2 1/MAIN/2 B538 PATIENT 6 1-30 LAV FP X X

1/2 1/MAIN/2 B538 PATIENT 6 1-31 SS WB X X

1/2 1/MAIN/2 B538 PATIENT 6 1-32 OTHER FP X X (survey form) WALL MOUNTED HOSE SPRAY

1/2 1/MAIN/2 A530 NURSE STATION 30 1-33 LAV WB X X

1/2 1/MAIN/2 A530 NURSE STATION 30 1-34 OTHER - X X (survey form) AUTO HANDWASH UNIT

1/2 1/MAIN/2 A530C ICU 30 1-35 OTHER FP X X (survey form) WALL MOUNTED HOSE SPRAY

1/2 1/MAIN/2 A530C ICU 30 1-36 SS WB X X

1/2 1/MAIN/2 A530C ICU 30 1-37 LAV FP X X

1/2 1/MAIN/2 A530B ICU 30 1-38 OTHER FP X X (survey form) WALL MOUNTED HOSE SPRAY

1/2 1/MAIN/2 A530B ICU 30 1-39 SS WB X X

1/2 1/MAIN/2 A530B ICU 30 1-40 LAV FP X X

1/2 1/MAIN/2 A530A ICU 30 1-41 SS WB X X

1/2 1/MAIN/2 A530A ICU 30 1-42 OTHER FP X X (survey form)WALL MOUNTED HOSE SPRAY

1/2 1/MAIN/2 A530A ICU 30 1-43 FP X X

1/2 1/MAIN/2 A526 WORK 29 1-44 LAV WB X X

1/2 1/MAIN/2 A531 HOUSEKEEPING 29 1-45 SS K X X

1/2 1/MAIN/2 A537 HOUSEKEEPING 29 1-46 SS K X X

1/2 1/MAIN/2 A535 PHYSICAL THERAPY 28 1-47 WC X

1/2 1/MAIN/2 A535 PHYSICAL THERAPY 28 1-48 LAV WB X X

1/2

1/MAIN/2 A535 PHYSICAL THERAPY 47 1-49 SP TUB X X

(survey form) FREE STANDING HYDRO THERAPY TUB

W/WALL MOUNTED CONTROLS AND SANITIZER

1/2 1/MAIN/2 A500E BREAK 1-50 LAV L

1/2 1/MAIN/2 A501 RR 1 1-51 WC X

1/2 1/MAIN/2 A501 RR 1 1-52 LAV WB X X

1/2 1/MAIN/2 A500H LOCKER RM 1 1-53 LAV WB X X

1/2 1/MAIN/2 A500H LOCKER RM 1 1-54 WC X

1/2 1/MAIN/2 A503 STORAGE 1 1-55 LAV S X X

1/2 1/MAIN/2 C5-A3 HALL 1 1-56 DF X

1/2 1/MAIN/2 C5-B1 HALL 1 1-57 DF X

1/2 1/MAIN/2 A530A PATIENT 29 1-58 HB

1/2 1/MAIN/2 A526 WORK 29 1-59 ICE

cp

Plumbing Fixture Legend Type

Faucet Type Abbreviations

FP - Foot Pedal

K - Knob

L - Lever

S - Sensor

WB - Wrist Blade

Other - Specify in comments.

Data from Plumbing Fixture Frequency of Use

Survey Form

Hot Water

(check box that applies)

Cold Water

(check box that applies)

Dead Leg Summary

Description Quantity

DF - Drinking Fountain

DHWT - Domestic Hot Water Tank

DW - Dishwasher

EWC - Electric Water Cooler

EWS - Eye Wash Station

FCT - Faucet

HB - Hose Bibb

ICE - Ice Machine

LAV - Lavatory

LT - Laundry Tray

NFWH - Non-Freeze Wall Hydrant

SH - Shower

SK - Sink

SP TUB - Special Tub

SS - Service Sink

TUB - Bathtub

TUB/SH - Bathtub/Shower

UR - Urinal

WC - Water Closet

WM - Washing Machine

Pipe lengths greater than 10 feet terminating at a cap. 3

Pipe lengths greater than 10 feet terminating at a closed valve.

Pipe lengths greater than 10 feet terminating at a fitting. 0

Pipe lengths greater than 10 feet terminating at an infrequently used plumbing fixture. An infrequently used plumbing fixture is a fixture where the hot water line or cold water line is run less than once each day.

Pipe lengths greater than 25 feet terminating at a frequently used plumbing fixture. A frequently used plumbing fixture is a fixture where both the hot water line and cold water line are run at least once each day.

Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams

Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory

Building 1 - Main Hospital - Floor 6 (Areas 1 and 2) Building 1 - Main Hospital - Floor 6 (Areas 1 and 2) Building 1 - Main Hospital - Floor 6 (Areas 1 and 2)

Plumbing Fixture Schedule

Notes (related to Task 1 and Subtasks 1A, 1B and

1C) Dead Leg Log

Notes (related to Task 2 and Subtasks 2A, 2B and

2C) Critical Control Point

Area

Order

Bldg. No. /

Area No.

Building Number /

Building Name

Area Name

Room

Number

Room

Name

Stack

Number

Fixture

Number

Fixture

Type

Faucet

Type

Used MORE than once each day

Used LESS than once each day

Used MORE than once each day

Used LESS than once each day See Exhibit 7 for use of this spreadsheet.

Dead Leg #

[DL-Bldg-Floor-Area-#-Length (ft, H or C)-Insp Date]

Location in

Room

Accessible

(Y/N)

Length of Pipe Type

Inspection

Date

Drawing

Number

Length

Location

Uninsulated See Exhibit 7 for use of this spreadsheet. Use of Critical Control Section to be determned

24 1-15 Building 1 - Main Hospital - Floor 6 North - Area 1

1/1

1/MAIN/1 C610 EXAM/CONSULT 27 1-1 LAV S X X

1/1

1/MAIN/1 C612 EXAM/CONSULT 27 1-2 LAV S X X

1/1

1/MAIN/1 C614 EXAM/CONSULT 27 1-3 LAV S X X

1/1

1/MAIN/1 C616 EXAM/CONSULT 22B 1-4 LAV S X X

1/1 1/MAIN/1 C6-C1 HALL 22A 1-5 OTHER X X (survey form) AUTO HANDWASH UNIT

1/1

1/MAIN/1 C620 EXAM/CONSULT 22A 1-6 LAV S X X

1/1

1/MAIN/1 C622 EXAM/CONSULT 22A 1-7 LAV S X X

1/1

1/MAIN/1 C624 EXAM/CONSULT 16 1-8 LAV S X X

1/1 1/MAIN/1 C624 EXAM/CONSULT 16 1-9 SS WB X X (survey form)ADDITIONAL INLINE WALL MOUNTED FLUSH VALVE

1/1 1/MAIN/1 C624 EXAM/CONSULT 16 1-10 OTHER FP X X (survey form) WALL MOUNTED HOSE SPRAY

1/1 1/MAIN/1 C625 EXAM/CONSULT 7 1-11 SS WB X X (survey form) ADDITIONAL INLINE WALL MOUNTED FLUSH VALVE

1/1 1/MAIN/1 C625 EXAM/CONSULT 7 1-12 OTHER FP X X (survey form) WALL MOUNTED HOSE SPRAY

1/1

1/MAIN/1 C625 EXAM/CONSULT 7 1-13 LAV S X X

1/1

1/MAIN/1 C623 EXAM/CONSULT 5 1-14 LAV S X X

1/1

1/MAIN/1 C621 EXAM/CONSULT 5 1-15 LAV S X X

1/1

1/MAIN/1 C619 EXAM/CONSULT 5 1-16 LAV S X X

1/1

1/MAIN/1 C617 OFFICE 24 1-17 LAV S X X

1/1

1/MAIN/1 C617 OFFICE 24 1-18 LAV S X X

1/1

1/MAIN/1 C617 OFFICE 24 1-19 WC X

1/1

1/MAIN/1 C615 RR 24 1-20 LAV S X X

1/1

1/MAIN/1 C615 RR 24 1-21 WC X

25 1-16 Building 1 - Main Hospital - Floor 6 South - Area 2 DL-01-06-02-01-41'C-02/12/16 B655 in Ceiling Y 41' 5 2/12/2016 P128

1/2 1/MAIN/2 A632A RR 27 1-1 WC X DL-01-06-02-02-26'H&C-02/12/16 A636 in Ceiling Y 26' 5 2/12/2016 P128

1/2 1/MAIN/2 A632A RR 27 1-2 LAV S X X DL-01-06-01-03-47'C-02/29/16 C606 in Ceiling Y 47' 5 2/29/2016 P128

1/2

1/MAIN/2 A632 WORK 29 1-3 LAV L X X

1/2 1/MAIN/2 A638 WORK 29 1-4 SS WB X X (survey form) ADDITIONAL INLINE WALL MOUNTED FLUSH VALVE

1/2 1/MAIN/2 A638 WORK 47 1-5 OTHER FP X X (survey form) WALL MOUNTED HOSE SPRAY

1/2

1/MAIN/2 A638 WORK 47 1-6 LAV WB X X

1/2

1/MAIN/2 A636 PACU 47 1-7 LAV WB X X

1/2

1/MAIN/2 A637 POST OP 47 1-8 LAV WB X X

1/2

1/MAIN/2 A637C RR 47 1-9 LAV S X X

1/2

1/MAIN/2 A637C RR 47 1-10 WC X

1/2 1/MAIN/2 B643 PRE OP 45 1-11 OTHER (survey form) AUTO HANDWASH UNIT

1/2

1/MAIN/2 B643 PRE OP - 1-12 LAV WB X X

1/2

1/MAIN/2 B646 PROCEDURE 34 1-13 LAV S X X

1/2

1/MAIN/2 B648 PROCEDURE 34 1-14 LAV S X X

1/2

1/MAIN/2 B650 PATIENT 34 1-15 LAV S X X

1/2

1/MAIN/2 B654 PROCEDURE 40 1-16 LAV S X X

1/2

1/MAIN/2 B656 RR 40 1-17 LAV S X X

1/2

1/MAIN/2 B656 RR 40 1-18 WC X

1/2

1/MAIN/2 B655 PROCEDURE 40 1-19 LAV S X X

1/2

1/MAIN/2 B649 PROCEDURE 40 1-20 LAV S X X

1/2

1/MAIN/2 B647 PROCEDURE 43 1-21 LAV S X X

1/2 1/MAIN/2 A645 WORK 43 1-22 SS WB X X (survey form) ADDITIONAL INLINE WALL MOUNTED FLUSH VALVE

1/2 1/MAIN/2 A645 WORK 43 1-23 OTHER FP X X (survey form) WALL MOUNTED HOSE SPRAY

1/2

1/MAIN/2 A645 WORK 43 1-24 LAV WB

1/2 1/MAIN/2 C608 WORK 26 1-25 SS WB X X (survey form) ADDITIONAL INLINE WALL MOUNTED FLUSH VALVE

1/2 1/MAIN/2 C608 WORK 26 1-26 OTHER FP X X (survey form) WALL MOUNTED HOSE SPRAY

1/2

1/MAIN/2 C608 WORK 26 1-27 LAV WB X X

1/2

1/MAIN/2 C605 EXAM/CONSULT 26 1-28 LAV S X X

1/2

1/MAIN/2 C605 EXAM/CONSULT 26 1-29 LAV WB X X

1/2

1/MAIN/2 C6-A1 HALL 27 1-30 DF X

1/2

1/MAIN/2 A630 RR 27 1-31 WC X

1/2

1/MAIN/2 A630 RR 27 1-32 LAV S X X

1/2

1/MAIN/2 A633 HOUSEKEEPING 29 1-33 SS K X X

1/2

1/MAIN/2 A637D 30 1-34 ICE

Plumbing Fixture Legend Type

Data from Plumbing Fixture Frequency of Use

Survey Form

Hot Water

(check box that applies)

Cold Water

(check box that applies)

Dead Leg Summary

Description Quantity

Faucet Type Abbreviations

Pipe lengths greater than 25 feet terminating at a frequently used plumbing fixture. A frequently used plumbing fixture is a fixture where both the hot water line and cold water line are run at least once each day.

FP - Foot Pedal

K - Knob

L - Lever

S - Sensor

WB - Wrist Blade

Other - Specify in comments.

DF - Drinking Fountain

DHWT - Domestic Hot Water Tank

DW - Dishwasher

EWC - Electric Water Cooler

EWS - Eye Wash Station

FCT - Faucet

HB - Hose Bibb

ICE - Ice Machine

LAV - Lavatory

LT - Laundry Tray

NFWH - Non-Freeze Wall Hydrant

SH - Shower

SK - Sink

SP TUB - Special Tub

SS - Service Sink

TUB - Bathtub

TUB/SH - Bathtub/Shower

UR - Urinal

WC - Water Closet

WM - Washing Machine

Pipe lengths greater than 10 feet terminating at a cap. 0

Pipe lengths greater than 10 feet terminating at a closed valve.

Pipe lengths greater than 10 feet terminating at a fitting. 0

Pipe lengths greater than 10 feet terminating at an infrequently used plumbing fixture. An infrequently used plumbing fixture is a fixture where the hot water line or cold water line is run less than once each day.

Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams

Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory

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