SOW Attachment 01 - Medical Gas Inspection Report.pdf

WILLIAM G FRANK MEDICAL GAS TESTING & CONSULTING LLC

2101 DOVER ROAD

EPSOM NH 03234

William G. Frank Medical Gas Testing & Consulting, LLC

2023 Medical Gas Testing and Evaluation

Testing Completed February 13 - 14, 2023

February 22, 2023

Maine VA Medical Center 1 VA Center

Augusta, ME 04330

TABLE OF CONTENTS BY SECTION

Table of Contents Section Introduction

Purpose of Inspection and Evaluation ............................................................... 1.1

Methodology to Complete Inspection .............................................................. 1.2

Signature Page .................................................................................................. 1.3

Inventory of Medical Gas Components

Summary Maintenance Deficiencies

Summary Compliance Deficiencies

Summary General Comments

Master Alarm Testing Results

Oxygen Particulate Testing Results

Leak Testing of Columns and Booms

Medical Air Moisture Testing Results

Alarm Testing Results

Zone Valve Testing Results

Outlet/Inlet Testing Results

Source Testing Results

Verification Reports Completed

Repairs Completed

Credentials

PURPOSE OF INSPECTION AND EVALUATION

The purpose of an inspection and evaluation of a medical gas system is to determine if the system functions as designed, to suggest areas for improvement, and to note what could be upgraded to meet NFPA 99, 2021 edition Health Care Facilities Code so that patient/employee safety is always being maximized.

Your facility was inspected by representatives using all state of the art testing equipment carrying all credentials necessary to properly inspect medical gas systems.

It is important to understand that the findings in this report may or may not be looked at as a patient or employee safety issue, but each item needs to be evaluated by hospital risk management personnel to determine if there are safety issues.

NFPA 99, 2021 EDITION PARAGRAPH 5.1.1.4 STATES THAT AN EXISTING SYSTEM

THAT IS NOT IN STRICT COMPLIANCE WITH THE PROVISIONS OF THIS CODE

SHALL BE PERMITTED TO BE CONTINUED IN USE UNLESS THE AUTHORITY

HAVING JURISDICTION HAS DETERMINED THAT SUCH USE CONSTITUTES A

DISTINCT HAZARD TO LIFE.

This report also may satisfy any preventative maintenance requirement from the Department of Health or The Joint Commission. Please note that our methodology constantly changes to meet any changes in NFPA and The Joint Commission requirements.

THIS REPORT REFLECTS THE DEFICIENCIES THAT WERE OBSERVED AT THE TIME

OF THE INSPECTION. OTHER DEFICIENCIES MAY ALSO EXIST THAT WERE NOT

OBSERVED DURING THIS INSPECTION.

METHODOLOGY TO COMPLETE INSPECTION

Medical Gas Sources – Medical air compressor, vacuum pumps, gas manifolds, and any other device used to deliver medical gases to patients.

1. Inventoried by location.

2. Leak checked and documented.

3. Recommendations to comply with NFPA 99, 2021 edition Health Care Facilities Code.

Master Alarm Panels – Alarm panels located at two separate locations throughout the facility. These panels monitor conditions directly from the medical gas sources.

1. Inventoried by location

2. Tested by removing existing pressure switches and other sensing devices to test the actuation points. No interruption of service is necessary as long as each device is mounted on code compliant demand fittings.

3. Verify proper points are being monitored at each panel.

4. Verify each panel is in the proper locations.

5. Verify proper labeling.

Area Alarm Panels – Alarm panels that are located throughout the facility that monitor medical gas pressures for the area only.

2. Tested by lowering pressure in each zone for each gas and documenting the alarm point.

3. Verify proper location.

4. Verify proper labeling.

Zone Valve Boxes – Accessible valves typically found in a corridor covered by a plastic window used mostly for emergency purposes.

2. Checked for leakage from packing, flange, and gauge port using oxygen safe leak detector.

3. Verify proper labeling.

4. Verify proper locations.

Medical Gas Outlets/Inlets – Connection points for each gas located mostly in patient areas. (Due to the continuing COVID-19 Pandemic, we will not be testing the outlets/inlets in any Airborne or Droplet precaution rooms)

1. Inventoried by location in each room or area inspected left to right and then top to bottom.

2. Complete an operational pressure test on each outlet and document pass/fail. (Test Parameters per NFPA 99, 2021 edition)

3. Check function of outlet/inlet and latching mechanism.

4. Check for leakage with equipment and without equipment attached.

5. Document connection type and outlet/inlet manufacturer.

Oxygen Particulate Analysis – Particulate is often found in existing medical gas systems due to improper installation methods that were used in the past.

1. Samples are taken on each floor in each building. (See particulate analysis section)

Medical Air Dewpoint Analysis – Moisture is removed from medical air systems at the source. Periodic Analysis of moisture throughout the facility is important to prevent possible contamination.

1. Samples are taken on each floor in each building. (See Medical Air Dewpoint Analysis Section)

2. A sample will be taken at the medical air source to compare building samples to.

Emergency Oxygen Supply Connection Box – This box is typically mounted on the outside of a facility to facilitate the back feeding of the oxygen system if there is an interruption in service.

2. Check existing location for proper compliance.

3. Check existing piping arrangement to insure proper order of components.

4. Check to make sure box is secured.

Testing to insure all medical gas booms, and columns are leak free – Most operating rooms and procedure rooms have some sort of device to help clinical personnel use the medical gases in the middle of the room by the patient. These devices are either medical gas booms or columns. The hoses and threaded connections inside these devices need to be checked periodically to ensure that there are no leaks.

1. All hoses and secondary equipment were removed from the outlets on each boom and column.

2. A test pressure for each system was observed and documented.

3. All medical gas valves were shut over a period of 10-minutes.

4. After the test period of 10-minutes had past the pressure was observed once again.

5. Any pressure drop was recorded.

6. Recommendations will be made to find existing leaks and to make repairs.

Reporting

1. All data was collected and broken down into (3) categories:

a. Items that are maintenance issues and need repair, adjustment, calibration, relabeling, or replacement. These items may or may not be an immediate patient safety issue but can be taken care of easily and without much coordination.

b. Design issues that do not meet NFPA 99, 2021 edition Health Care Facilities Code and need to be updated in the future. These items may or may not be patient safety issues but need to be addressed by hospital risk management personnel as soon as possible.

c. General comments that don’t fit in either category A and/or B.

SIGNATURE PAGE

SYSTEMS INSPECTED BY:

(ASSE 6005, 6020, 6030, and 6040 Certified)

Print Name: Lucas Bresaw

Signature:

SYSTEMS INSPECTED BY:

(ASSE 6005, 6020, and 6040 Certified)

Print Name: Steve Story

REPORT REVIEWED BY:

(ASSE 6005, 6020, 6030, and 6040 Certified)

Print Name: Matt Saunders

REPORT REVIEWED BY HOSPITAL PERSONNEL:

Signature: Date:

Department Floor Area

Alarm Zone

Valves Outlet/ Inlets

Outlet/Inlets Tested

Miscellaneous Data

Primary Care G 0 3 6 6 Clinical

Engineering G 0 3 3 3 Emergency

Department G 2 7 34 34 CT Scan 1 0 3 3 3

Nuclear Medicine 1 0 3 15 15

MRI 1 1 3 6 6

Radiology 1 0 6 15 15 Ultrasound 1 0 3 9 9

Ophthalmology 2 1 3 3 3 2 South 2 0 1 2 2 3 North 3 1 3 45 40

SCU 3 2 6 84 82

3 South 3 1 3 42 42

3 West/Day Surg 3 1 3 65 65 Interventional

Radiology 3 1 5 7 7

PACU 3 1 3 42 42

Surgical Services 3 1 31 89 84 4 North 4 0 3 52 46 4 South 4 1 3 51 51 4 West 4 0 3 8 8

5 South/Endo 5 4 21 51 51 6 North 6 1 3 38 38

Master Alarm 2

Building 200 Total Count: 20 122 670 652 97% Tested

INVENTORY OF MEDICAL GAS COMPONENTS

Building 200

Alarm Zone

Valves Outlet/ Inlets

Outlet/Inlets Tested

Miscellaneous Data

Hospice 1 1 3 36 35 Nursing Home 2 2 6 141 128

Alzheimer's Unit 3 2 6 150 135

Master Alarms 2

Building 207 Total Count: 7 15 327 298 91% Tested

Alarm Zone

Valves Outlet/ Inlets

Outlet/Inlets Tested

Miscellaneous Data

Building 200 Total Count: 20 122 670 652

Total Count: 7 15 327 298

Total Count: 27 137 997 950 95% Tested

Maine VA Medical Center - Total Inventories 2023

SUMMARY OF MAINTENANCE DEFICIENCIES

3 North

1. Room 301 – 1st oxygen outlet leaks.

2. Room 306 – 1st oxygen outlet leaks.

3. Room 319 – Oxygen outlet leaks.

SCU

1. Room 5 – 2nd oxygen outlet leaks from the back check.

3 South

1. Room 344 – Oxygen outlet leaks.

3 West (Day Surgery)

1. Room 356 – 2nd vacuum inlet leaks.

2. Room 358E (Bay 5) – Oxygen outlet leaks.

PACU

1. Room E360 (Bay 3) – 3rd vacuum inlet has a low flow of 2.0 scfm.

Surgical Services

1. Operating Room 1:

a. During the ten-minute standing pressure test the vacuum/WAGD system lost 22” Hg.

b. WAGD inlet on Column 1 has a low flow of 2.5 scfm and leaks.

2. Operating Room 3:

23” Hg.

b. WAGD inlet on the Column has a low flow of 2.5 scfm and leaks.

3. Operating Room 4:

24” Hg.

b. WAGD inlet on Column 2 has a low flow of 2.0 scfm and leaks.

4. Anesthesia Workroom – Oxygen zone valve located right of the Anesthesia Workroom leaks from the gauge port.

5 South/Endoscopy

1. Area alarm located at the Nurses’ Station, monitoring Procedure Room 544, has no audible alarm for the WAGD module.

Sources

1. Medical Air Compressor – Source valve leaks from the threaded connection on the downstream side.

Nursing Home

1. Room 213 – 2nd oxygen outlet leaks.

2. Room 227 – 2nd oxygen outlet leaks.

3. Room 262 – 3rd oxygen outlet leaks.

Alzheimer’s Unit

1. Room 320 – The oxygen particulate sample taken from this location met NFPA 99 criteria for weight but fails because it is visibly soiled.

2. Room 338:

a. 2nd oxygen outlet leaks.

b. 3rd oxygen outlet leaks.

3. Room 341 – 3rd oxygen outlet leaks.

SUMMARY OF COMPLIANCE DEFICIENCIES

MRI

1. Zone valves located inside Room M115 are not installed so that a wall intervenes between the oxygen valve and the outlet that it controls.1

Surgical Services

1. Operating Rooms 1-5 – Because the station outlets/inlets on the Columns in these rooms are installed in a down-facing position, the outlets/inlets need to be DISS connectors.2

4 North

1. Room 415D – Vacuum inlet in this room is being used for nonmedical applications.3

Valves

1. Many of the zone valves do not have threaded purge ports on the patient side and source side, please see spreadsheets for a full listing.4

Outlets/inlets

1. When clinical spaces are converted to nonclinical spaces, medical gas inlets and outlets that are not accessible for maintenance and testing shall be either removed or decommissioned. (See Rooms E362, Anesthesia Workroom, 403). 5

1. Oxygen Bulk Pad:

a. Bulk pad does not have appropriate protection. 6

b. Source valve needs to be relabeled with the name for the specific medical gas, rooms or areas served, and caution to not close or open the valve except in emergency.7

2. In-House Oxygen Components – There is no pressure indicator adjacent to the alarm-initiating device for the source main line pressure. 8

3. Emergency Oxygen Supply Connection – There are no alarms installed at the master alarms allowing the temporary oxygen supply to be monitored while in use.9

4. Medical Air Compressor:

a. Source valve has threaded connections on each side of the valve and not factory brazed extensions.10

b. 1st service valve after source valve has threaded connections on each side of the valve and not factory brazed extensions.11

c. 1st service valve after source valve does not permit in-line serviceability.12

d. Multiple service valves near the high/low pressure switch have threaded connections on each side of the valve and not factory brazed extensions.13

e. After the source valve there are multiple threaded unions on the pipeline near the high/low pressure switch.14

f. Several joints near the high/low pressure switch are prohibited straight-threaded connections. 15

g. Medical air intake is not located a minimum of 25 feet from ventilating system exhausts, fuel storage vents, combustion vents, plumbing vents, vacuum and WAGD discharges, or areas that can collect vehicular exhausts or other noxious fumes.16

h. Medical air intake shall be labeled in accordance with 5.1.11.1 with any method that would distinguish it as a medical air intake, on the roof.17

i. Some turns, offsets, and other changes in direction to the medical air intake piping are soft-soldered and not made with acceptable joining methods.18

5. Vacuum/WAGD Pumps:

a. Parts of the exhaust piping is painted.19

b. Where vacuum systems are used to serve WAGD systems in accordance with

5.1.10.2.3.1, labeling for the medical surgical vacuum source shall indicate that it serves both systems.20

c. Vacuum exhaust shall be labeled in accordance with 5.1.11.1 with any method that would distinguish it as a vacuum exhaust, on the roof.21

6. Nitrous Oxide Manifold:

a. 1st service valve after source valve has threaded connections on each side of the valve and not factory brazed extensions.22

b. 1st service valve after source valve does not permit in-line serviceability.23

c. After the source valve there is a threaded union on the pipeline near the 1st service valve.24

7. Loading Dock Manifold Room:

a. Manifold room shall be provided natural ventilation or mechanical exhaust ventilation in accordance with 9.3.7.5.1 through 9.3.7.8. 25

b. The indoor central supply location containing oxygen, nitrous oxide or other oxidizers does not have a door with a ¾ hour fire protection rating label.26

8. All medical gas sources – Source equipment needs to be labeled with the name color code of gas or vacuum system, areas served and emergency contact information for the department or individual responsible for maintaining the equipment.27

Hospice

1. Area alarm located at the Nurses’ Station needs to have “Room 109” added to the labeling.28

2. Zone valves located at the Nurses’ Station need to have “Room 109” added to their labeling.29

Nursing Home West

1. Area alarm located at the Nurses’ Station needs to have “Room 211” added to the labeling.30

Alzheimer’s Unit West

1. Zone valves located left of Room 309 need to have “Room 317” added to their labeling.31

2. When clinical spaces are converted to nonclinical spaces, medical gas inlets and outlets that are not accessible for maintenance and testing shall be either removed or decommissioned.32

Valves

1. None of the zone valves have threaded purge ports on the patient side and source side, please see spreadsheets for a full listing.33

1. Medical Air Compressor:

a. Medical air intake shall be relabeled in accordance with 5.1.11.1 with any method that would distinguish it as a medical air intake, on the roof.34

b. Main line piping in the compressor room needs to be labeled by stenciling or adhesive markers.35

c. Medical air intake is not located a minimum of 25 feet from ventilating system exhausts, fuel storage vents, combustion vents, plumbing vents, vacuum and WAGD discharges, or areas that can collect vehicular exhausts or other noxious fumes.36

2. Vacuum Pumps:

a. Vacuum exhaust shall be relabeled in accordance with 5.1.11.1 with any method that would distinguish it as a vacuum exhaust.37

b. Vacuum exhaust is located less than 25 feet from any door, window, air intake, or other openings in buildings or places of public assembly.38

3. All medical gas sources – Source equipment needs to be labeled with the name color code of gas or vacuum system, areas served and emergency contact information for the department or individual responsible for maintaining the equipment.39

1 NFPA 99, 2021 edition paragraph 5.1.4.6.1 (1)

2 NFPA 99, 2021 edition paragraph 5.1.5.17

3 NFPA 99, 2021 edition paragraph 5.1.14.3.3 and 5.1.14.3.4

4 NFPA 99, 2021 edition paragraph 5.1.4.1.6 (8)

5 NFPA 99, 2021 edition paragraph 5.1.14.3.5

6 NFPA 55, 2020 edition paragraph 4.11

7 NFPA 99, 2021 edition paragraph 5.1.11.2.1 and 5.1.11.2.4

8 NFPA 99, 2021 edition paragraph 5.1.8.2.2 (1)

9 NFPA 99, 2021 edition paragraph 5.1.3.5.13.2 (8)

10 NFPA 99, 2021 edition paragraph 5.1.4.1.6 (4) and 5.1.10.10 (2)

11 NFPA 99, 2021 edition paragraph 5.1.4.1.6 (4) and 5.1.10.10 (2)

12 NFPA 99, 2021 edition paragraph 5.1.4.1.6 (6)

13 NFPA 99, 2021 edition paragraph 5.1.4.1.6 (4) and 5.1.10.10 (2)

14 NFPA 99, 2021 edition paragraph 5.1.10.8 and 5.1.10.10 (2)

15 NFPA 99, 2021 edition paragraph 5.1.10.10

16 NFPA 99, 2021 edition paragraph 5.1.3.6.3.11 (B)

17 NFPA 99, 2021 edition paragraph 5.1.3.6.3.11 (I)

18 NFPA 99, 2021 edition paragraph 5.1.10.3.1

19 NFPA 99, 2021 edition paragraph 5.1.11.1.5

20 NFPA 99, 2021 edition paragraph 5.1.11.5.2

21 NFPA 99, 2021 edition paragraph 5.1.3.7.7.4

22 NFPA 99, 2021 edition paragraph 5.1.4.1.6 (4) and 5.1.10.10 (2)

23 NFPA 99, 2021 edition paragraph 5.1.4.1.6 (6)

24 NFPA 99, 2021 edition paragraph 5.1.10.8 and 5.1.10.10 (2)

25 NFPA 99, 2021 edition paragraph 9.3.6.5

26 NFPA 99, 2021 edition paragraph 5.1.3.3.2 (6)

27 NFPA 99, 2021 edition paragraph 5.1.11.5.1

28 NFPA 99, 2021 edition paragraph 5.1.9.1 (7) and 5.1.11.4.2 (3)

29 NFPA 99, 2021 edition paragraph 5.1.11.2.8

30 NFPA 99, 2021 edition paragraph 5.1.9.1 (7) and 5.1.11.4.2 (3)

31 NFPA 99, 2021 edition paragraph 5.1.11.2.8

32 NFPA 99, 2021 edition paragraph 5.1.14.3.5

33 NFPA 99, 2021 edition paragraph 5.1.4.1.6 (8)

34 NFPA 99, 2021 edition paragraph 5.1.3.6.3.11 (I)

35 NFPA 99, 2021 edition paragraph 5.1.11.1.1

36 NFPA 99, 2021 edition paragraph 5.1.3.6.3.11 (B)

37 NFPA 99, 2021 edition paragraph 5.1.3.7.7.4

38 NFPA 99, 2021 edition paragraph 5.1.3.7.7.2 (2)

39 NFPA 99, 2021 edition paragraph 5.1.11.5.1

SUMMARY OF GENERAL COMMENTS

1. The bulk oxygen signals for the 200 Building were not tested during the annual medical gas inspection and evaluation. These signals are tested by your bulk oxygen supplier and should be reported with their annual preventative maintenance program. These signals include the following:

a. Oxygen Main Liquid Level Low

b. Oxygen Reserve in Use

c. Oxygen Reserve Liquid Level Low

d. Oxygen Reserve Low Pressure

2. The bulk oxygen signals for the 207 Building were not tested during the annual medical gas inspection and evaluation. These signals are tested by your bulk oxygen supplier and should be reported with their annual preventative maintenance program. These signals include the following:

a. Oxygen Main Liquid Level Low

b. Oxygen Reserve in Use

c. Oxygen Reserve Liquid Level Low

MASTER ALARM TESTING RESULTS

Building 200 Sources

SCU Nurses’ Station

Signal Tested Result Pass/Fail

Signal Tested Result Pass/Fail

Oxygen High Pressure

60 psig Pass

Nitrous Oxide High Pressure

58 psig Pass

Oxygen Low Pressure

40 psig Pass

Nitrous Oxide Low Pressure

42 psig Pass

Medical Air High Pressure

60 psig Pass

Nitrous Oxide Secondary in Use

Pass

Medical Air Low Pressure

40 psig Pass

Nitrogen High Pressure

205 psig Pass

Vacuum/WAGD Low

-13” Hg Pass

Nitrogen Low Pressure

160 psig Pass

Nitrogen Secondary in Use

Pass

Boiler Plant

Signal Tested Result Pass/Fail

Signal Tested Result Pass/Fail

Oxygen High Pressure

60 psig Pass

Nitrous Oxide High Pressure

58 psig Pass

Oxygen Low Pressure

40 psig Pass

Nitrous Oxide Low Pressure

42 psig Pass

Medical Air High Pressure

60 psig Pass

Nitrous Oxide Secondary in Use

Pass

Medical Air Low Pressure

40 psig Pass

Nitrogen High Pressure

205 psig Pass

Vacuum/WAGD Low

-13” Hg Pass

Nitrogen Low Pressure

160 psig Pass

Nitrogen Secondary in Use

Pass

Testing Completed February 13, 2023

MASTER ALARM TESTING RESULTS

Building 207 Sources

2nd Floor Nurses’ Station

Signal Tested Result Pass/Fail

Signal Tested Result Pass/Fail

Oxygen High Pressure

58 psig Pass

Medical Air High Pressure

60 psig Pass

Oxygen Low Pressure

41 psig Pass

Medical Air Low Pressure

42 psig Pass

Vacuum Low

-15.5” Hg

Boiler Plant

Signal Tested Result Pass/Fail

Signal Tested Result Pass/Fail

Oxygen High Pressure

58 psig Pass

Medical Air High Pressure

60 psig Pass

Oxygen Low Pressure

41 psig Pass

Medical Air Low Pressure

42 psig Pass

Vacuum Low

-15.5” Hg

Testing Completed February 14, 2023

OXYGEN PARTICULATE RESULTS

Date Sample Taken

Building Department and Room #

Pre-Weight (In Grams)

Sample Weight

(In Grams)

Comments Result Pass/Fail

2/13/2023 200 Emergency, Room E56

.0684g .0687g No Discoloration

Pass

2/13/2023 200 Nuclear Med, Room E113

.0668g .0674g Slight Discoloration

Pass

2/13/2023 200 Ophthalmology, Room E223

.0711g .0711g No Discoloration

Pass

2/13/2023 200 3 North, Room 301

.0813g .0813g No Discoloration

Pass

2/13/2023 200 4 North, Room 415

.0805g .0805g No Discoloration

Pass

2/13/2023 200 Endoscopy, Room 529

.0707g .0710g Slight Discoloration

Pass

2/13/2023 200 6 North, Room 624

.0758g .0760g No Discoloration

Pass

2/14/2023 207 Hospice, Room 114

.0669g .0669g No Discoloration

Pass

2/14/2023 207 Nursing, Room 262

.0721g .0721g No Discoloration

Pass

2/14/2023 207 Alzheimer’s, Room 320

.0739g .0746g Visibly Soiled Fail

LEAK TESTING OF COLUMNS AND BOOMS

Date Testing Completed

Building Room # System Tested

Before Pressure

After Pressure

Pressure Drop

2/13/2023 200 Operating Room

Oxygen 53 psig 53 psig 0 psig

2/13/2023 200 Operating Room

Vacuum/

WAGD

-22” Hg 0” Hg 22” Hg

2/13/2023 200 Operating Room

Medical Air

54 psig 54 psig 0 psig

2/13/2023 200 Operating Room

Nitrous Oxide

48 psig 48 psig 0 psig

2/13/2023 200 Operating Room

Nitrogen

180 psig 180 psig 0 psig

Building Room # System Tested

Before Pressure

After Pressure

Pressure Drop

2/13/2023 200 Operating Room

Oxygen 57 psig 57 psig 0 psig

2/13/2023 200 Operating Room

Vacuum/

-23” Hg -23” Hg 0” Hg

Medical Air

55 psig 55 psig 0 psig

2/13/2023 200 Operating Room

Nitrous Oxide

48 psig 48 psig 0 psig

2/13/2023 200 Operating Room

Building Room # System Tested

Before Pressure

After Pressure

Pressure Drop

2/13/2023 200 Operating Room

Oxygen 51 psig 51 psig 0 psig

2/13/2023 200 Operating Room

Vacuum/

-23” Hg 0” Hg 23” Hg

Medical Air

52 psig 52 psig 0 psig

2/13/2023 200 Operating Room

Nitrous Oxide

50 psig 50 psig 0 psig

2/13/2023 200 Operating Room

190 psig 190 psig 0 psig

Building Room # System Tested

Before Pressure

After Pressure

Pressure Drop

2/13/2023 200 Operating Room

Oxygen 56 psig 56 psig 0 psig

2/13/2023 200 Operating Room

Vacuum/

-24” Hg 0” Hg 24” Hg

Medical Air

50 psig 50 psig 0 psig

2/13/2023 200 Operating Room

Nitrous Oxide

50 psig 50 psig 0 psig

2/13/2023 200 Operating Room

Building Room # System Tested

Before Pressure

After Pressure

Pressure Drop

2/13/2023 200 Operating Room

Oxygen 53 psig 53 psig 0 psig

2/13/2023 200 Operating Room

Vacuum/

-22” Hg -22” Hg 0” Hg

Medical Air

50 psig 50 psig 0 psig

2/13/2023 200 Operating Room

Nitrous Oxide

48 psig 48 psig 0 psig

2/13/2023 200 Operating Room

Building Room # System Tested

Before Pressure

After Pressure

Pressure Drop

2/13/2023 200 Endoscopy, Room 544

Oxygen 50 psig 50 psig 0 psig

2/13/2023 200 Endoscopy, Room 544

Medical Air

50 psig 50 psig 0 psig

2/13/2023 200 Endoscopy, Room 544

Vacuum -22” Hg -22” Hg 0” Hg

Building Room # System Tested

Before Pressure

After Pressure

Pressure Drop

2/13/2023 200 Endoscopy, Room 545

Oxygen 50 psig 50 psig 0 psig

2/13/2023 200 Endoscopy, Room 545

Medical Air

48 psig 48 psig 0 psig

2/13/2023 200 Endoscopy, Room 545

Vacuum -21” Hg -21” Hg 0” Hg

Building Room # System Tested

Before Pressure

After Pressure

Pressure Drop

2/13/2023 200 Endoscopy, Room 546

Oxygen 52 psig 52 psig 0 psig

2/13/2023 200 Endoscopy, Room 546

Medical Air

50 psig 50 psig 0 psig

2/13/2023 200 Endoscopy, Room 546

Vacuum -22” Hg -22” Hg 0” Hg

MEDICAL AIR MOISTURE TESTING RESULTS

Date Sample Taken

Building Department and Room #

Dew point Reading at

Air Compressor

Dew point Reading on each floor

Results Pass/Fail

Comments

2/13/2023 200 Emergency, Room E56

-29.5°F -7.4°F Pass

2/13/2023 200 Nuclear Med, Room E113

-29.5°F -7.2°F Pass

2/13/2023 200 Ophthalmology, Room E223

-29.5°F -11.5°F Pass

2/13/2023 200 3 North, Room 301

-29.5°F -17.0°F Pass

2/13/2023 200 4 North, Room 415

-29.5°F -28.7°F Pass

2/13/2023 200 Endoscopy, Room 529

-29.5°F -39.6°F Pass

2/13/2023 200 6 North, Room 624

-29.5°F -35.1°F Pass

2/14/2023 207 Hospice, Room 114

-21.1°F -21.5°F Pass

2/14/2023 207 Nursing, Room 262

-21.1°F -18.3°F Pass

2/14/2023 207 Alzheimer’s, Room 320

-21.1°F -28.4°F Pass

Maine VA Medical Center, Building 200 Alarm Testing

Floor Monitors Department Location Labeled Pass/Fail Comment 3 All Sources SCU Nurses' Station Yes Pass 1 All Sources Facilities Boiler Plant Yes Pass

G E47, E49, E55, E56 Emergency Department Right of E49 Yes Pass G E53A Emergency Department Right of E49 Yes Pass 1 M114, M120 MRI Inside M101 Yes Pass 2 E223 Ophthalmology Right of E223 Yes Pass

301, 303, 306, 308, 309, 312, 313, 316, 317, 318, 319, 320 3 North Inside Nurses' Station Yes Pass

3 Rooms 1-6 SCU Left of E331 Yes Pass 3 Rooms 7-11, E323 SCU Left of E330 Yes Pass

328, 330, 331, 335, 336, 339, 340, 343-346 3 South Inside Nurses' Station Yes Pass

356, 357, 358 A-K, 359, 361, 363, 374 3 West Inside Nurses' Station Yes Pass 3 E358 Interventional Radiology Inside E349 Yes Pass 3 E360 PACU Right of E360A Yes Pass 3 Main line pressure for OR 1-5 Surgical Services Inside E362 Nurse's Station Yes Pass Push button only 4 428, 434, 440-446 4 South Nurses' station Yes Pass 5 529, 536 5 South/Endoscopy Inside Nurses' Station Yes Pass 5 544 5 South/Endoscopy Inside Nurses' Station Yes Fail WAGD had no audible 5 545 5 South/Endoscopy Inside Nurses' Station Yes Pass 5 546 5 South/Endoscopy Inside Nurses' Station Yes Pass

601, 604, 605, 606, 610, 620, 621, 623, 624 6 North Across from 604 Yes Pass

Master Alarm Test Results Source Line Pressure High Pressure Low Pressure Secondary/Lag

Oxygen N/A 60 psig 40 psig N/A No final line gauge Medical Air 52 psig 60 psig 40 psig N/A

Vacuum/WAGD -21"Hg N/A -13" Hg. N/A Nitrous Oxide 54 psig 58 psig 42 psig Pass

Nitrogen 180 psig 200 psig 160 psig Pass

Maine VA Medical Center, Building 207 Alarm Testing

Floor Monitors Department Location Labeled Pass/Fail Comment 2 All Sources Nursing Home Nurse's Station Yes Pass 1 All Sources Facilities Boiler Plant Yes Pass

109, 110, 111, 113, 114, 115, 117, 118, 119, 120 Hospice Nurses' Station Yes Pass Add Room 109 to labeling

211, 213, 216, 217, 222, 223, 227, 229, 231 Nursing Home West Nurses' Station Yes Pass Add Room 211 to labeling

240, 242, 246, 249, 251, 252, 253, 258, 262 Nursing Home East Nurses' Station Yes Pass

309, 311, 312, 313, 314, 315, 317, 320, 321 Alzheimer's Unit West Nurses' Station Yes Pass

334, 336, 338, 339, 340, 341, 342, 346, 347 Alzheimer's Unit East Nurses' Station Yes Pass

Master Alarm Test Results Source Line Pressure High Pressure Low Pressure Secondary/Lag

Oxygen 51 psig 58 psig 41 psig N/A Medical Air 50 psig 60 psig 42 psig N/A

Vacuum -28"Hg N/A -15.5" Hg N/A

Zone Valve Testing

Floor Department Controls Gases Location Labeled Ports Notes G Primary Care C13, C23 Oxygen Left of C17 Yes No G Primary Care C13, C23 Medical Air Left of C17 Yes No G Primary Care C13, C23 Vacuum Left of C17 Yes No G Clinical Engineering 32 Oxygen Right of 030 Yes Yes G Clinical Engineering 32 Vacuum Right of 030 Yes Yes G Clinical Engineering 32 Medical Air Right of 030 Yes Yes G Emergency Department E47, E49, E55, E56 Oxygen Right of E49 Yes No G Emergency Department E47, E49, E55, E56 Medical Air Right of E49 Yes No G Emergency Department E47, E49, E55, E56 Vacuum Right of E49 Yes No G Emergency Department E53A Medical Air Inside E55 Yes No G Emergency Department E53A Vacuum Inside E55 Yes No G Emergency Department E53A Oxygen Inside E55 Yes No G Emergency Department Not in service Nitrous Oxide Inside E55 Yes No 1 CT Scan 104 Medical Air Right of 104 Yes Yes 1 CT Scan 104 Vacuum Right of 104 Yes Yes 1 CT Scan 104 Oxygen Right of 104 Yes Yes 1 Nuclear Medicine E108, 109, 111, 113, 114 Oxygen Left of E124 Yes No 1 Nuclear Medicine E108, 109, 111, 113, 114 Vacuum Left of E124 Yes No 1 Nuclear Medicine E108, 109, 111, 113, 114 Medical Air Left of E124 Yes No 1 MRI M114, M120 Oxygen Inside M115 Yes No No wall intervening with oxygen 1 MRI M114, M120 Medical Air Inside M115 Yes No No wall intervening with oxygen 1 MRI M114, M120 Vacuum Inside M115 Yes No No wall intervening with oxygen 1 Radiology 129, 131, 139, 143 Oxygen Right of 129 Yes Yes 1 Radiology 129, 131, 139, 143 Medical Air Right of 129 Yes Yes 1 Radiology 129, 131, 139, 143 Vacuum Right of 129 Yes Yes 1 Radiology 145 Oxygen Right of 143 Yes No 1 Radiology 145 Vacuum Right of 143 Yes No 1 Radiology 145 Medical Air Right of 143 Yes No 1 Ultrasound 153, 155, 155C Oxygen Across from 153 Yes No 1 Ultrasound 153, 155, 155C Medical Air Across from 153 Yes No 1 Ultrasound 153, 155, 155C Vacuum Across from 153 Yes No 2 Ophthalmology E223 Oxygen Right of E223 Yes No 2 Ophthalmology E223 Medical Air Right of E223 Yes No 2 Ophthalmology E223 Vacuum Right of E223 Yes No 2 2 South 247, 260 Oxygen Right of 238 Yes No

3 3 North 301, 303, 306, 308, 309, 312, 313, 316, 317, 318, 319, 320 Oxygen Left of 301 Yes No

Floor Department Controls Gases Location Labeled Ports Notes

3 3 North 301, 303, 306, 308, 309, 312, 313, 316, 317, 318, 319, 320 Medical Air Left of 301 Yes No

3 3 North 301, 303, 306, 308, 309, 312, 313, 316, 317, 318, 319, 320 Vacuum Left of 301 Yes No

3 SCU Rooms 1-6 Oxygen Left of E331 Yes No 3 SCU Rooms 1-6 Medical Air Left of E331 Yes No 3 SCU Rooms 1-6 Vacuum Left of E331 Yes No 3 SCU Rooms 7-11, E323 Oxygen Left of E330 Yes No 3 SCU Rooms 7-11, E323 Medical Air Left of E330 Yes No 3 SCU Rooms 7-11, E323 Vacuum Left of E330 Yes No

3 3 South 328, 330, 331, 335, 336, 339, 340, 343-346 Oxygen Right of 330 Yes No

3 3 South 328, 330, 331, 335, 336, 339, 340, 343-346 Medical Air Right of 330 Yes No

3 3 South 328, 330, 331, 335, 336, 339, 340, 343-346 Vacuum Right of 330 Yes No

3 3 West/Day Surgery 356, 357, 358 A-K, 359, 361, 363, 374 Oxygen Left of 357 Yes No

3 3 West/Day Surgery 356, 357, 358 A-K, 359, 361, 363, 374 Medical Air Left of 357 Yes No

3 3 West/Day Surgery 356, 357, 358 A-K, 359, 361, 363, 374 Vacuum Left of 357 Yes No 3 Interventional Radiology E358 Medical Air Right of E358 Yes No 3 Interventional Radiology E358 Oxygen Right of E358 Yes No 3 Interventional Radiology E358 Nitrogen Right of E358 Yes No 3 Interventional Radiology E358 Nitrous Oxide Right of E358 Yes No 3 Interventional Radiology E358 Vacuum/WAGD Right of E358 Yes No 3 PACU E360 Oxygen Left of E360 Yes No 3 PACU E360 Medical Air Left of E360 Yes No 3 PACU E360 Vacuum Left of E360 Yes No 3 Surgical Services E362 Oxygen Right of E362 Yes No 3 Surgical Services E362 Vacuum Right of E362 Yes No 3 Surgical Services OR 1 Oxygen Left of OR 1 Yes No 53 3 Surgical Services OR 1 Vacuum/WAGD Left of OR 1 Yes No 22, Lost all 3 Surgical Services OR 1 Medical Air Left of OR 1 Yes No 54 3 Surgical Services OR 1 Nitrous Oxide Left of OR 1 Yes No 48 3 Surgical Services OR 1 Nitrogen Left of OR 1 Yes No 180

Floor Department Controls Gases Location Labeled Ports Notes 3 Surgical Services OR 2/Cysto Oxygen Left of OR 2/Cysto Yes No 57 3 Surgical Services OR 2/Cysto Vacuum/WAGD Left of OR 2/Cysto Yes No 23 3 Surgical Services OR 2/Cysto Medical Air Left of OR 2/Cysto Yes No 55 3 Surgical Services OR 2/Cysto Nitrous Oxide Left of OR 2/Cysto Yes No 48 3 Surgical Services OR 2/Cysto Nitrogen Left of OR 2/Cysto Yes No 180 3 Surgical Services OR 3 Oxygen Left of OR 3 Yes No 51 3 Surgical Services OR 3 Vacuum/WAGD Left of OR 3 Yes No 23, Lost all 3 Surgical Services OR 3 Medical Air Left of OR 3 Yes No 52 3 Surgical Services OR 3 Nitrous Oxide Left of OR 3 Yes No 50 3 Surgical Services OR 3 Nitrogen Left of OR 3 Yes No 190 3 Surgical Services OR 4 Oxygen Right of OR 4 Yes No 56 3 Surgical Services OR 4 Vacuum/WAGD Right of OR 4 Yes No 24, Lost all 3 Surgical Services OR 4 Medical Air Right of OR 4 Yes No 50 3 Surgical Services OR 4 Nitrous Oxide Right of OR 4 Yes No 50 3 Surgical Services OR 4 Nitrogen Right of OR 4 Yes No 180 3 Surgical Services OR 5 Oxygen Right of OR 5 Yes No 53 3 Surgical Services OR 5 Vacuum/WAGD Right of OR 5 Yes No 22 3 Surgical Services OR 5 Medical Air Right of OR 5 Yes No 50 3 Surgical Services OR 5 Nitrous Oxide Right of OR 5 Yes No 48 3 Surgical Services OR 5 Nitrogen Right of OR 5 Yes No 180 3 Surgical Services Anesthesia Workroom Oxygen Right of Anesthesia Workroom Yes No Leaks from gauge port 3 Surgical Services Anesthesia Workroom Vacuum/WAGD Right of Anesthesia Workroom Yes No 3 Surgical Services Anesthesia Workroom Medical Air Right of Anesthesia Workroom Yes No 3 Surgical Services Anesthesia Workroom Nitrous Oxide Right of Anesthesia Workroom Yes No

4 4 North 403, 404, 404A, 406, 411, 413, 415, 415C Oxygen Right of 403 Yes Yes

4 4 North 403, 404, 404A, 406, 411, 413, 415, 415C Medical Air Right of 403 Yes Yes

4 4 North 403, 404, 404A, 406, 411, 413, 415, 415C, 415D Vacuum Right of 403 Yes Yes 4 4 South 428, 434, 440-446 Oxygen Left of 428 Yes No 4 4 South 428, 434, 440-446 Medical Air Left of 428 Yes No 4 4 South 428, 434, 440-446 Vacuum Left of 428 Yes No 4 4 West 456, 468, 470 Oxygen Left of 452 Yes Yes 4 4 West 456, 468 Medical Air Left of 452 Yes Yes 4 4 West 456, 468, 470 Vacuum Left of 452 Yes Yes 5 5 South/Endoscopy 529, 536 Medical Air Left of Endo entrance Yes No

Floor Department Controls Gases Location Labeled Ports Notes 5 5 South/Endoscopy 529, 536 Oxygen Left of Endo entrance Yes No 5 5 South/Endoscopy 529, 536 Vacuum Left of Endo entrance Yes No 5 5 South/Endoscopy 544 Nitrogen Left of 544 Yes Yes 5 5 South/Endoscopy 544 Oxygen Left of 544 Yes No 50 5 5 South/Endoscopy 544 Medical Air Left of 544 Yes No 50 5 5 South/Endoscopy 544 Nitrous Oxide Left of 544 Yes No 5 5 South/Endoscopy 544 WAGD Left of 544 Yes No 5 5 South/Endoscopy 544 Vacuum Left of 544 Yes No -22 5 5 South/Endoscopy 545 Nitrogen Left of 545 Yes Yes 5 5 South/Endoscopy 545 Oxygen Left of 545 Yes No 50 5 5 South/Endoscopy 545 Medical Air Left of 545 Yes No 48 5 5 South/Endoscopy 545 Nitrous Oxide Left of 545 Yes No 5 5 South/Endoscopy 545 WAGD Left of 545 Yes No 5 5 South/Endoscopy 545 Vacuum Left of 545 Yes No -21 5 5 South/Endoscopy 546 Nitrogen Right of 546 Yes Yes 5 5 South/Endoscopy 546 Oxygen Right of 546 Yes No 52 5 5 South/Endoscopy 546 Medical Air Right of 546 Yes No 50 5 5 South/Endoscopy 546 Nitrous Oxide Right of 546 Yes No 5 5 South/Endoscopy 546 WAGD Right of 546 Yes No 5 5 South/Endoscopy 546 Vacuum Right of 546 Yes No -22

6 6 North 601, 604, 605, 606, 610, 620, 621, 623, 624 Oxygen Left of 604 Yes No

6 6 North 601, 604, 605, 606, 610, 620, 621, 623, 624 Medical Air Left of 604 Yes No

6 6 North 601, 604, 605, 606, 610, 620, 621, 623, 624 Vacuum Left of 604 Yes No

Floor Department Controls Gases Location Labeled Ports Notes

1 Hospice 109, 110, 111, 113, 114, 115, 117, 118, 119, 120 Oxygen Nurses' Station Yes No Add Room 109 to label

1 Hospice 109, 110, 111, 113, 114, 115, 117, 118, 119, 120 Medical Air Nurses' Station Yes No Add Room 109 to label

1 Hospice 109, 110, 111, 113, 114, 115, 117, 118, 119, 120 Vacuum Nurses' Station Yes No Add Room 109 to label

2 Nursing Home West 211, 213, 216, 217, 222, 223, 227, 229, 231 Oxygen Left of 210 Yes No

2 Nursing Home West 211, 213, 216, 217, 222, 223, 227, 229, 231 Medical Air Left of 210 Yes No

2 Nursing Home West 211, 213, 216, 217, 222, 223, 227, 229, 231 Vacuum Left of 210 Yes No

2 Nursing Home East 240, 242, 246, 249, 251, 252, 253, 258, 262 Oxygen Right of East Wing Entrance Yes No

2 Nursing Home East 240, 242, 246, 249, 251, 252, 253, 258, 262 Medical Air Right of East Wing Entrance Yes No

2 Nursing Home East 240, 242, 246, 249, 251, 252, 253, 258, 262 Vacuum Right of East Wing Entrance Yes No

3 Alzheimer's Unit West 309, 311, 312, 313, 314, 315, 317, 320, 321 Oxygen Left of 309 Yes No Add Room 317 to label

3 Alzheimer's Unit West 309, 311, 312, 313, 314, 315, 317, 320, 321 Medical Air Left of 309 Yes No Add Room 317 to label

3 Alzheimer's Unit West 309, 311, 312, 313, 314, 315, 317, 320, 321 Vacuum Left of 309 Yes No Add Room 317 to label

3 Alzheimer's Unit East 334, 336, 338, 339, 340, 341, 342, 346, 347 Oxygen Inside Nurse's Station Yes No

3 Alzheimer's Unit East 334, 336, 338, 339, 340, 341, 342, 346, 347 Medical Air Inside Nurse's Station Yes No

3 Alzheimer's Unit East 334, 336, 338, 339, 340, 341, 342, 346, 347 Vacuum Inside Nurse's Station Yes No

Outlets/Inlet Testing

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Primary Care G C13 AHC - 500 Oxygen Pass

Vacuum Pass Medical Air Pass

Primary Care G C23 AHC - 500 Oxygen Pass Vacuum Pass

Medical Air Pass Clinical Engineering G 32 AHC - 500 Oxygen Pass

Medical Air Pass Vacuum Pass

Emergency Department G E47 AHC - 400 Oxygen Pass Medical Air Pass Medical Air Pass

Oxygen Pass Vacuum Pass Vacuum Pass Vacuum Pass Oxygen Pass

Medical Air Pass Medical Air Pass

Oxygen Pass Vacuum Pass Vacuum Pass Vacuum Pass

Emergency Department G E49 AHC - 400 Oxygen Pass Medical Air Pass

Vacuum Pass Emergency Department G E53A AHC - Series B Oxygen Pass

Vacuum Pass Medical Air Pass

Emergency Department G E55 AHC - 400 Oxygen Pass Vacuum Pass

Medical Air Pass Vacuum Pass Oxygen Pass

Medical Air Pass Vacuum Pass

Emergency Department G E56 AHC - 400 Oxygen Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Vacuum Pass

Medical Air Pass Vacuum Pass Oxygen Pass

Medical Air Pass Vacuum Pass

CT Scan 1 104 AHC - 500 Medical Air Pass Vacuum Pass Oxygen Pass

Nuclear Medicine 1 E108 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass Nuclear Medicine 1 E109 AHC - Series B Oxygen Pass

Medical Air Pass Vacuum Pass

Nuclear Medicine 1 E111 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass Nuclear Medicine 1 E113 AHC - Series B Oxygen Pass

Medical Air Pass Vacuum Pass

Nuclear Medicine 1 E114 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass MRI 1 M114 AHC - Series B Oxygen Pass

Medical Air Pass Vacuum Pass

MRI 1 M120 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass Radiology 1 129 AHC - Series B Oxygen Pass

Medical Air Pass Vacuum Pass

Radiology 1 131 AHC - 400 Oxygen Pass Medical Air Pass

Radiology 1 139 AHC - Series B Oxygen Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Medical Air Pass

Vacuum Pass Radiology 1 143 AHC - 400 Oxygen Pass

Medical Air Pass Vacuum Pass

Radiology 1 145 AHC - 400 Oxygen Pass Medical Air Pass

Vacuum Pass Ultrasound 1 153 AHC - 500 Oxygen Pass

Vacuum Pass Medical Air Pass

Ultrasound 1 155 AHC - Series B Oxygen Pass Vacuum Pass

Medical Air Pass Ultrasound 1 155C AHC - Series B Medical Air Pass

Vacuum Pass Oxygen Pass

Ophthalmology 2 E223 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass 2 South 2 247 AHC - Series B Oxygen Pass 2 South 2 260 AHC - Series B Oxygen Pass 3 North 3 301 AHC - Series B Oxygen Fail Leaks

Medical Air Pass Vacuum Pass Vacuum Pass

Medical Air Pass Oxygen Pass

3 North 3 303 AHC - Series B Oxygen N/A In use Medical Air Pass

Vacuum Pass 3 North 3 306 AHC - Series B Oxygen Fail Leaks

Medical Air Pass Vacuum Pass Vacuum Pass

Medical Air Pass Oxygen Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes 3 North 3 308 AHC - Series B Oxygen Pass

Medical Air Pass Vacuum Pass Vacuum Pass

Medical Air Pass Oxygen Pass

3 North 3 309 AHC - Series B Oxygen N/A Airborne precaution Medical Air N/A Airborne precaution

Vacuum N/A Airborne precaution 3 North 3 312 AHC - Series B Oxygen Pass

Medical Air Pass Vacuum Pass

3 North 3 313 AHC - Series B Vacuum Pass Medical Air Pass

Oxygen Pass 3 North 3 316 AHC - Series B Vacuum Pass

Medical Air Pass Oxygen Pass

3 North 3 317 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass 3 North 3 318 AHC - Series B Oxygen Pass

Medical Air Pass Vacuum Pass

3 North 3 319 AHC - Series B Vacuum Pass Medical Air Pass

Oxygen Fail Leaks 3 North 3 320 AHC - Series B Oxygen N/A In use

Medical Air Pass Vacuum Pass

SCU 3 Room 1 AHC - 400 Oxygen Pass Medical Air Pass Medical Air Pass

Oxygen Pass Vacuum Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes SCU 3 Room 2 AHC - 400 Oxygen Pass

Medical Air Pass Medical Air Pass

Oxygen Pass Vacuum Pass Vacuum Pass Vacuum Pass

SCU 3 Room 3 AHC - 400 Oxygen Pass Medical Air Pass Medical Air Pass

Oxygen N/A In use Vacuum Pass Vacuum Pass Vacuum Pass

SCU 3 Room 4 AHC - 400 Oxygen Pass Medical Air Pass Medical Air Pass

Oxygen Pass Vacuum Pass Vacuum Pass Vacuum Pass

SCU 3 Room 5 AHC - 400 Oxygen Pass Medical Air Pass Medical Air Pass

Oxygen Fail Leaks from back check Vacuum Pass Vacuum Pass Vacuum Pass

SCU 3 Room 6 AHC - 400 Oxygen Pass Medical Air Pass Medical Air Pass

Oxygen Pass Vacuum Pass Vacuum Pass Vacuum Pass

SCU 3 Room 7 AHC - 400 Oxygen Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Medical Air Pass

Oxygen Pass Vacuum Pass Vacuum Pass Vacuum Pass

SCU 3 Room 8 AHC - 400 Oxygen Pass Medical Air Pass Medical Air Pass

Oxygen Pass Vacuum Pass Vacuum Pass Vacuum Pass

SCU 3 Room 9 AHC - 400 Oxygen Pass Medical Air Pass Medical Air Pass

Oxygen Pass Vacuum Pass Vacuum Pass Vacuum N/A In use

SCU 3 Room 10 AHC - 400 Oxygen Pass Medical Air Pass Medical Air Pass

Oxygen Pass Vacuum Pass Vacuum Pass Vacuum Pass

SCU 3 Room 11 AHC - 400 Oxygen Pass Medical Air Pass Medical Air Pass

Oxygen Pass Vacuum Pass Vacuum Pass Vacuum Pass

SCU 3

E323

(Procedure room) AHC - 400 Oxygen Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Oxygen Pass Vacuum Pass Vacuum Pass Vacuum Pass

3 South 3 328 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

Medical Air Pass Oxygen Pass

3 South 3 330 AHC - Series B Vacuum Pass Medical Air Pass

Oxygen Pass 3 South 3 331 AHC - Series B Oxygen Pass

Medical Air Pass Vacuum Pass Vacuum Pass

Medical Air Pass Oxygen Pass

3 South 3 335 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

Medical Air Pass Oxygen Pass

3 South 3 336 AHC - Series B Vacuum Pass Medical Air Pass

Oxygen Pass 3 South 3 339 AHC - Series B Vacuum Pass

Medical Air Pass Oxygen Pass

3 South 3 340 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass 3 South 3 343 AHC - Series B Oxygen Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes 3 South 3 344 AHC - Series B Vacuum Pass

Medical Air Pass Oxygen Fail Leaks

3 South 3 345 AHC - Series B Vacuum Pass Medical Air Pass

Oxygen Pass 3 South 3 346 AHC - Series B Oxygen Pass

Medical Air Pass Vacuum Pass

3 West (Day Surgery) 3 356 AHC - DC Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Fail Leaks

3 West (Day Surgery) 3 357 AHC - DC Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

3 West (Day Surgery) 3 358A (Bay 1) AHC - DC Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

3 West (Day Surgery) 3 358B (Bay 2) AHC - DC Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

3 West (Day Surgery) 3 358C (Bay 3) AHC - DC Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

3 West (Day Surgery) 3 358D (Bay 4) AHC - DC Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

3 West (Day Surgery) 3 358E (Bay 5) AHC - DC Oxygen Fail Leaks Medical Air Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes 3 West (Day Surgery) 3 358F (Bay 6) AHC - DC Oxygen Pass

Medical Air Pass Vacuum Pass Vacuum Pass

3 West (Day Surgery) 3 358G (Bay 7) AHC - DC Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

3 West (Day Surgery) 3 358H (Bay 8) AHC - DC Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

3 West (Day Surgery) 3 358I (Bay 9) AHC - DC Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

3 West (Day Surgery) 3 358J (Bay 10) AHC - DC Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

3 West (Day Surgery) 3 358K (Bay 11) AHC - DC Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

3 West (Day Surgery) 3 359 AHC - DC Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

3 West (Day Surgery) 3 361 AHC - Series B Oxygen Pass Vacuum Pass

Medical Air Pass 3 West (Day Surgery) 3 363 AHC - Series B Oxygen Pass

Vacuum Pass Medical Air Pass

3 West (Day Surgery) 3 374 AHC - Series B Oxygen Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Interventional Radiology 3 E358 DISS Nitrogen Pass Panel

AHC - Series B Medical Air Pass Ceiling Oxygen Pass Vacuum Pass

Nitrous Oxide Pass Nitrogen Pass WAGD Pass

PACU 3 E360 (Bay 1) AHC - 400 Oxygen Pass Vacuum Pass

Medical Air Pass Vacuum Pass Oxygen Pass

Medical Air Pass Vacuum Pass

PACU 3 E360 (Bay 2) AHC - 400 Oxygen Pass Vacuum Pass

Medical Air Pass Vacuum Pass Oxygen Pass

Medical Air Pass Vacuum Pass

PACU 3 E360 (Bay 3) AHC - 400 Oxygen Pass Vacuum Pass

Medical Air Pass Vacuum Pass Oxygen Pass

Medical Air Pass Vacuum Fail Low flow 2.0 scfm

PACU 3 E360 (Bay 4) AHC - 400 Oxygen Pass Vacuum Pass

Medical Air Pass Vacuum Pass Oxygen Pass

Medical Air Pass Vacuum Pass

PACU 3 E360 (Bay 5) AHC - 400 Oxygen Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Medical Air Pass

Vacuum Pass Oxygen Pass

Medical Air Pass Vacuum Pass

PACU 3 E360 (Bay 6) AHC - 400 Oxygen Pass Vacuum Pass

Medical Air Pass Vacuum Pass Oxygen Pass

Medical Air Pass Vacuum Pass

Surgical Services 3 E362 AHC - 500 Oxygen N/A Blocked Vacuum N/A Blocked Oxygen Pass Vacuum Pass

Surgical Services 3 OR 1 Schraeder Nitrogen Pass Wall, Chemetron panel AHC - Series B Vacuum Pass Column 1, Downward facing non-DISS

Nitrous Oxide Pass Medical Air Pass

Oxygen Pass Vacuum Pass

DISS - Series B Nitrogen Pass AHC - Series B WAGD Fail Low flow 2.5 scfm and leaks

Oxygen Pass Vacuum Pass Column 2, Downward facing non-DISS

Nitrous Oxide Pass Medical Air Pass

Oxygen Pass Vacuum Pass

DISS - Series B Nitrogen Pass AHC - Series B WAGD Pass

Oxygen Pass Surgical Services 3 OR 2/Cysto Schraeder Nitrogen Pass Wall, Chemetron panel

AHC - Series B Vacuum Pass Column, Downward facing non-DISS Nitrous Oxide Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Oxygen Pass Vacuum Pass

DISS - Series B Nitrogen Pass AHC - Series B WAGD Pass

Oxygen Pass Surgical Services 3 OR 3 Schraeder Nitrogen Pass Wall, Chemetron panel

AHC - Series B Vacuum Pass Column, Downward facing non-DISS Nitrous Oxide Pass

Medical Air Pass Oxygen Pass Vacuum Pass

DISS - Series B Nitrogen Pass AHC - Series B WAGD Fail Low flow 2.5 scfm and leaks

Oxygen Pass Oxygen Pass Boom Oxygen Pass

Medical Air Pass Nitrous Oxide Pass

DISS - Series B Nitrogen Pass AHC - Series B WAGD Pass

Vacuum Pass Vacuum Pass

Surgical Services 3 OR 4 Schraeder Nitrogen Pass Wall, Chemetron panel AHC - Series B Oxygen Pass Column 1, Downward facing non-DISS

Medical Air Pass Nitrous Oxide Pass

Vacuum Pass Oxygen Pass WAGD Pass

Vacuum Pass DISS - Series B Nitrogen Pass AHC - Series B Oxygen Pass Column 2, Downward facing non-DISS

Medical Air Pass Nitrous Oxide Pass

Vacuum Pass

WAGD Fail Low flow 2.0 scfm and leaks

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Vacuum Pass

DISS - Series B Nitrogen Pass Surgical Services 3 OR 5 Schraeder Nitrogen Pass Wall, Chemetron panel

AHC - Series B Oxygen Pass Column 1, Downward facing non-DISS Medical Air Pass

Nitrous Oxide Pass Vacuum Pass Oxygen Pass WAGD Pass

Vacuum Pass DISS - Series B Nitrogen Pass AHC - Series B Oxygen Pass Column 2, Downward facing non-DISS

Medical Air Pass Nitrous Oxide Pass

Vacuum Pass Oxygen Pass WAGD Pass

Vacuum Pass DISS - Series B Nitrogen Pass

Surgical Services 3 Anesthesia Workroom AHC - 500 Medical Air N/A Blocked Vacuum Pass Oxygen Pass

Medical Air Pass Vacuum Pass Oxygen Pass

Nitrous Oxide N/A Blocked AHC - Series B WAGD N/A Blocked

4 North 4 403 AHC - 400 Oxygen N/A Blocked Medical Air N/A Blocked Medical Air N/A Blocked

Oxygen N/A Blocked Vacuum N/A Blocked Vacuum N/A Blocked

4 North 4 404 AHC - 400 Oxygen Pass Medical Air Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Vacuum Pass Vacuum Pass

4 North 4 404A AHC - 400 Oxygen Pass Medical Air Pass Medical Air Pass

Oxygen Pass Vacuum Pass Vacuum Pass

4 North 4 406 AHC - 400 Oxygen Pass Medical Air Pass

Vacuum Pass 4 North 4 411 AHC - Series B Oxygen Pass

Vacuum Pass Medical Air Pass Medical Air Pass

Vacuum Pass 4 North 4 411A AHC - Series B Oxygen Pass

Oxygen Pass Vacuum Pass

Medical Air Pass Medical Air Pass

Vacuum Pass Oxygen Pass

4 North 4 413 AHC - 400 Vacuum Pass Medical Air Pass

Oxygen Pass 4 North 4 415 AHC - 400 Vacuum Pass

Medical Air Pass Oxygen Pass Vacuum Pass

Medical Air Pass Oxygen Pass Vacuum Pass

Medical Air Pass Oxygen Pass

4 North 4 415C AHC - 400 Oxygen Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Medical Air Pass

Oxygen Pass Vacuum Pass Vacuum Pass

4 North 4 415D AHC - Series B Vacuum Pass Non-medical use 4 South 4 428 AHC - Series B Oxygen Pass

Medical Air Pass Vacuum Pass Vacuum Pass

Medical Air Pass Oxygen Pass

4 South 4 434 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

Medical Air Pass Oxygen Pass Oxygen Pass

Medical Air Pass Vacuum Pass Vacuum Pass

Medical Air Pass Oxygen Pass

4 South 4 440 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass 4 South 4 441 AHC - Series B Vacuum Pass

Medical Air Pass Oxygen Pass

4 South 4 442 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass 4 South 4 443 AHC - Series B Oxygen Pass

Medical Air Pass Vacuum Pass

4 South 4 444 AHC - Series B Vacuum Pass

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Oxygen Pass

4 South 4 445 AHC - Series B Vacuum Pass Medical Air Pass

Oxygen Pass Oxygen Pass

Medical Air Pass Vacuum Pass Vacuum Pass

Medical Air Pass Oxygen Pass

4 South 4 446 AHC - Series B Oxygen Pass Medical Air Pass

Vacuum Pass Vacuum Pass

Medical Air Pass Oxygen Pass Oxygen Pass

Medical Air Pass Vacuum Pass

4 West 4 456 AHC - 500 Oxygen Pass Vacuum Pass

Medical Air Pass 4 West 4 468 AHC - 500 Oxygen Pass

Vacuum Pass Medical Air Pass

4 West 4 470 AHC - 500 Oxygen Pass Vacuum Pass

5 South/Endoscopy 5 529 Exam room AHC - Series B Vacuum Pass Medical Air Pass

Oxygen Pass

5 South/Endoscopy 5 536 Prep/recovery bays AHC - Series B Vacuum Pass Bay A Medical Air Pass

Oxygen Pass Vacuum Pass Bay B

Department Floor Room # Outlet Type Outlet/Inlet Pass/Fail Notes Vacuum Pass Bay C

Medical Air Pass Oxygen Pass Vacuum Pass Bay D

Medical Air Pass Oxygen Pass Vacuum Pass Bay E

Medical Air Pass Oxygen Pass Vacuum Pass Bay F

Medical Air Pass Oxygen Pass

5 South/Endoscopy 5 544 Procedure room AHC - Series B Vacuum Pass Wall Oxygen Pass

Medical Air Pass DISS - Series B Nitrous Oxide Pass

WAGD Pass AHC - Series B Medical Air Pass Boom

Oxygen Pass Vacuum Pass Vacuum Pass Vacuum Pass

5 South/Endoscopy 5 545 Procedure room AHC - Series B Vacuum Pass Wall Oxygen Pass

Medical Air Pass DISS - Series B Nitrous Oxide Pass

WAGD Pass AHC - Series B Medical Air Pass Boom

Oxygen Pass Vacuum Pass Vacuum Pass Vacuum Pass

5 South/Endoscopy 5 546 Procedure room AHC -…