New Equipment form.pdf
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- Solicitation number
- 36C24124B0027
About this file
This document outlines a federal contract opportunity for utility upgrades at the West Haven VA Medical Center in Connecticut. The selected contractor will upgrade utilities in approximately 6,000 square feet of existing operating room space, including pre-op, post-surgery, sterile and reusable medical equipment storage areas, mechanical spaces, and other locations required to bring the surgical suite up to current VA standards. Specific upgrades include architectural, civil/structural, mechanical, plumbing and steam HVAC systems, electrical power distribution, fire protection, medical gases, pneumatic tubes, nurse call, and data and communications including EHRM. Given the critical nature of the operating rooms, the contractor must phase construction to limit shutdown of the surgical suite to less than 60 days. The VA Connecticut Healthcare System seeks a general construction contractor to complete these utility upgrades and modernizations in accordance with the provided 100% construction drawings and specifications.
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Text version
NEW EQUIPMENT CHECK-IN SHEET
Equipment Nomenclature: PM#:
Manufacture:
Model: Serial #:
Service: CMR:
Location: Bldg.: Wing: Room:
Vendor:
Address:
Phone: ( ) - PO#: Acq. Value:$
Acq. Date: / / Warranty Exp: / / Life Exp: Yrs.
Stock #: NXRN:
Safety & Operation Inspection
1. Ground Resistance: Ohms 2. Electrical Leakage: ua
3. Operational/Functional/Check:
4. Manuals:
A. Operational B. Service:
C. Schematics/Part List/Diagrams:
5. Set Up/Assembled By: BMET Vendor:
6. Technical/Maintenance Training Needed? Yes: No:
Accepted/Not Accepted By: Date: / /
Comments:
PM Program Evaluation/Assignment
1. Equipment Category: 2.Resp. Shop:
3. Has this type of equipment been evaluated before: Yes: No:
4. PM: A. Electrical Safety Inspection Only Yes: No:
B. PM Neede, PM Program Guide No.: Yes: No: , or C. None (Circle)
5. Feq/hrs: Standard Equipment Category Freq, Hours & Caiticality
Change Defaults: Freq: Hours : Criticality:
Freq: Hours: Criticality:
| Equipment Nomenclature: |
| PM: |
| Manufacture: |
| Model: |
| Serial: |
| Service: |
| CMR: |
| Location: |
| Bldg: |
| Wing: |
| Room: |
| Vendor: |
| Address: |
| PO: |
| Acq Value: |
| Life Exp: |
| Stock 1: |
| Stock 2: |
| NXRN: |
| 1 Ground Resistance: |
| 2 Electrical Leakage: |
| 3 OperationalFunctionalCheck: |
| A Operational: |
| B Service: |
| C SchematicsPart ListDiagrams: |
| 5 Set UpAssembled By BMET: |
| Vendor_2: |
| AcceptedNot Accepted By: |
| Comments 1: |
| Comments 2: |
| 1 Equipment Category: |
| 2Resp Shop: |
| Yes_2: |
| No_2: |
| Yes_3: |
| No_3: |
| B PM Neede PM Program Guide No Yes: |
| No_4: |
| 5 Feqhrs: |
| Change Defaults Freq: |
| Hours: |
| Freq Hours: |
| Criticality: |
| Criticality_2: |
| Text2: |
| Text3: |
| Text4: |
| Text5: |
| Text6: |
| Text7: |
| Text8: |
| Text9: |
| Group13: Choice1 |
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