ATTACHMENT A - Viera MRI Drawings.pdf

ATTCHMENT A - VIERA MRI DRAWINGS

Signature: _______________________________________________

Requested Start-Up Date: _____________ Time:_________________

Please contact Haskris Co. if you have any questions.

Checklist:

___ Unit is securely mounted and level.

___ No Refrigeration Service Contractor labels have been affixed to the interior or exterior of the R1200 ___ Clearances for service, ventilation, and access to control panel are adequate per R1200 Instruction Manual ___ Electrical service to R1200 per table below (Record inlet Voltage and Branch Circuit Rating):

Note: Checklist MUST be completed for “No Load” Start-up to be scheduled. R1200 cannot be started until completed checklis t has been returned via fax to Haskris no less than 5 business days prior to no load start-up.

Chiller must be installed and started no more than thirty (30) days after delivery.

Failure to do so will result in additional expense to the end user for replacement of pump seals

Installer’s Checklist for Haskris R1200, S/N HB__________ Project Name_______________________ Location___________________________

Install Completed By:

Company:_________________________________ Phone: _______________Fax:________________ Installer Name:____________________________________ Title:____________________________

___ Remove the rubber plug from inside wall of the 30 gallon tank ___ Confirm proper phase by verifying the red ‘FAULT’ LED is NOT lit on phase monitor. (See sect. 2.5.1) ___ Hard copper piping with vents/drains as required and properly supported ___ Vibration Isolators installed at R1200 on both water supply and return lines ___ Separately fused heat trace covered with suitable thickness of closed-cell, UV resistant insulation on all piping exposed to low ambient temperatures, as required.

___ Supply/Return lines labeled over insulation.

___ 12’ long loop of 1-1/2” reinforced opaque hose between supply and return outlet in equipment room provided.

___ Supply and return ball valves provided at indoor WW3 ___ Supply side temperature (0-100o F) and pressure (0-100 psig) gauges provided at indoor heat exchanger (WW3) ___ Return side temperature (0-100o F) and flow (5-25 gpm) gauges provided at indoor heat exchanger ___ All external piping flushed with water and dried per R1200 Instruction Manual.

___ Leak check performed and no leaks in external piping loop per R1200 Instruction Manual.

___ System (30 gallon tank & entire piping loop) is fil led with ______ gallons of glycol/distilled water solution ___ Reservoir is at tank full level ___ Lines air purged per R1200 Instruction Manual ___ Glycol solution _______% (Record actual measurement here).

___ Install has provided an additional 10 gallons of propylene glycol/distilled water (35% by volume) to top off system when no-load start-up is performed.

Directions: Fax completed checklist to Haskris (Fax#: 847-956-6595) no less than 5 business days prior to desired R1200 No Load Start-Up date. Haskris will notify the Installer of the Haskris Authorized Start-Up Agent. Installer will contact Haskris Authorized Start-Up Agent at least 2 business days in advance. No Load Start-Up subject to Technician availability. Start-Up will be done during normal working hours. Installer will issue a Credit Card Purchase Order to Haskris Start-Up Agent if any items are found incomplete and resulting in delay of system start-up.

Nominal Power: 480V (+5%,-10%)-3Ø-60Hz, MCA: 31.7A, MOCP 40A

L1-L2

L2-L3 Record Voltage at

Disconnect (V)

L1-L3

Confirm and Record Size of Time Delay Breaker (Fusing) Supplying Chiller

(A)

Haskris Co. Phone: 847-956-6420 100 Kelly Street Fax: 847-956-6595 Elk Grove Village, IL 60007

Done To be completed by

CONTROL and EQUIPMENT ROOMS Walls sanded and painted (except access opening if required) Flooring complete Ceiling Installed Cabinetry installed Wireway installed (with min 3” distance from top of ww to btm of filter panel rough opening on scan room side) Customer/contractor advised that only pre-approved punch list items may be addressed after delivery Floor drain in equipment room (located so it will NOT be directly under a system cabinet)

CHILLER AND HEAT EXCHANGER

Chiller installed (hard-wired, plumbed and ready for no-load startup) Chiller checklist completed and returned to Haskris (fax 847-956-6595) No load start-up scheduled with Haskris (completed chiller checklist required) 847-956-6420 prior to magnet delivery

ELECTRICAL

480 V, 30 Amp, 3 phase receptacle for Magnet Ramp supply (NEMA L16-30R outside of scan room door) 480 V, 100 Amp, 3 phase supply line pulled to planned location of RFIP cabinet 480 V, 3MCA, 15 MOCP, 3 phase supply line pulled to planned location of Heat Exchanger Single Point ground has been verified for MRI sub-panel Electrician scheduled to connect power to RFIP cabinet on 2nd day of delivery

ENVIRONMENTAL

HVAC operational in all rooms

COMMUNICATIONS

Phone lines available in control and equipment rooms for use by service personnel Phone # Network interface information sent to installchecklistgroup@hitachmed.com (pg 3 of 27 Oasis Standard Details) Network connections in place and functional with access to internet Network contact name:

FACILITIES

HMSA has 24 hour access Functional restroom facilities available in work area Empty 40 yd. dumpster on site morning of delivery with empty scheduled for 2nd morning Storage area for 6 cryogen dewars (36” x 48” each) available with unrestricted path to the Scan Room (42” width) Storage area approximately 600 sq. ft. (20’x30’) available near scan room for misc. equipment and parts

NOTE:

Please be advised that the site preparations as outlined in Site Planning Standard Details and related checklists are essential for delivery and installation. Because all arrangements for the delivery of your system must be completed two weeks in advance of delivery, any delay caused by incomplete site preparation will result in unavoidable additional cost related to scheduling and transportation of Riggers, delivery and installation personnel, cryogens, re-filling costs, storage costs, rescheduling fees, etc.

These additional charges could exceed $25,000.

Planned Delivery Date:_____________________________

Site Name:_________________________________________________________________________________________

Address:___________________________________________________________________________________________

NOTE: 1. Planned delivery date must be no less than fourteen (14) calendar days and ten (10) working days after this document is received by HMSA

2. The delivery date will be confirmed only after the signed checklist is received/accepted by HMSA and the availability of the rigging and installation teams is established.

3. By signing you acknowledge your acceptance of the requirements and responsibilities as explained above.

Key On-Site Contact Name: ____________________________________ Title:______________________________

Phone: ________________________________

Date:____________ HMSA FSE Signature: ____________________________________

Name printed____________________________________________

Date:____________ Customer Signature:______________________________________ (or authorized representative) .

Name printed____________________________________________ Notes:

1. Scan and e-mail PDF file to: InstallChecklistGroup@HitachiMed.com

2. Contact assigned Site Planner with any questions

3. If MedRad injector has been purchased (optional), customer/contractor must schedule installation with MedRad for day 4 or 5 of Oasis installation

HITACHI OASIS MARK II PRE-DELIVERY CHECKLIST (REV 06/18/12) DM# 84477 v2 3 of 3

HITACHI OASIS MARK II PRE-DELIVERY CHECKLIST

The successful delivery of the Hitachi OASIS MARK II with the cryostat pre-cooled (filled with cryogens) requires that certain items and systems MUST be completed and/or operational prior to the unit arriving on site. The items in this checklist MUST be completed in order to ensure a proper environment for maintaining the system once it is on site. The magnet, though filled with cryogens, will not be at field until later in the installation process. A clear schedule with a suite completion plan must also be in place to ensure a smooth room closure process during installation. ALTHOUGH ITEMS ON THIS CHECKLIST DO NOT NEED TO BE COMPLETED AT THE TIME IT IS FILLED OUT, THEY MUST BE COMPLETED PRIOR TO DELIVERY OF THE

SYSTEM.

THIS CHECKLIST MUST BE COMPLETED AND RETURNED TO HMSA TWINSBURG A MINIMUM OF FOURTEEN (14)

CALENDAR DAYS AND TEN (10) WORKING DAYS PRIOR TO DELIVERY

Done To be completed by

GENERAL CONSTRUCTION

All Rooms are clean of construction dust and debris (broom clean) Contractor / Customer advised no construction may take place during shimming process (days 4 - 7 after delivery) Contractor advised and prepared for system delivery/room closure schedule (see pg 2 of 27 OASIS Standard Details)

RF SHIELD

Preliminary test completed and shield verified ground free Floor levelness verified by RF vendor: +/- 1/8” over entire area of gantry and patient table 3”+ distance from top of wireway to bottom of filter panel rough opening on scan room side Wave Guides (4) installed in btm. wireway compartment. Must be flush to inside face of wireway on scan room side Wave Guides (2) installed above MCU. Must connect to (flush to inside face on scan rm side) overhead ww to gantry Filter Panel frames installed and ready for panel installation RF Vendor scheduled by contractor for access panel and filter panel installation and final test on 1st day of delivery

SCAN ROOM

All walls complete, sanded and painted (except access opening) Flooring complete. Protection to be provided by contractor and ready at start of delivery day 1 Ceiling complete Lighting and power outlets installed and functioning Wireway on-site and available for installation (electrician to complete any remaining wireway day after delivery) Cryogen vent flange at 8’-6 3/4” AFF and vent pipe run to exterior, complete and ready for connection to magnet Emergency exhaust fan (w/wall switch) operational (switch may be located in equipment or control rooms) Oxygen monitor installed

OASIS MarkⅡ White

Pure White

Silver on the ring

7.2Y 8.6/0.3

3.5Y 9.0/0.3

0.2Y 7.6/0.2

White 7.2Y 8.6/0.3

Yellow 5.8Y 9.0/5.0