Form Cms-2786u - Fire Safety Survey Report - Asc & Esrd 2012 Life Safety Code Page 28
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39Name of Facility
2012 LIFE SAFETY CODE
ID
NOT
MET
N/A
REMARKS
PREFIX
MET
Gas and Vacuum Piped Systems – Central Supply System Operations
K906
Adaptors or conversion fittings are prohibited. Cylinders are handled in
accordance with 11.6.2. Only cylinders, reusable shipping containers, and
their accessories are stored in rooms containing central supply systems or
cylinders. No flammable materials are stored with cylinders. Cryogenic
liquid storage units intended to supply the facility are not used to transfill.
Cylinders are kept away from sources of heat. Valve protection caps are
secured in place, if supplied, unless cylinder is in use. Cylinders are not
stored in tightly closed spaces. Cylinders in use and storage are prevented
from exceeding 130 degrees Fahrenheit, and nitrous oxide and carbon
dioxide cylinders are prevented from reaching temperatures lower than
manufacture recommendations or 20 degrees Fahrenheit. Full or empty
cylinders, when not connected, are stored in locations complying with
5.1.3.3.2 through 5.1.3.3.3, and are not stored in enclosures containing
motor-driven machinery, unless for instrument air reserve headers.
5.1.3.2, 5.1.3.3.17, 5.1.3.3.1.8, 5.1.3.3.4, 5.2.3.2, 5.2.3.3, 5.3.6.20.4,
5.6.20.5, 5.3.6.20.7, 5.3.6.20.8, 5.3.6.20.9 (NFPA 99)
Gas and Vacuum Piped Systems – Maintenance Program
K907
Medical gas, vacuum, WAGD, or support gas systems have documented
maintenance programs. The program includes an inventory of all source
systems, control valves, alarms, manufactured assemblies, and outlets.
Inspection and maintenance schedules are established through risk
assessment considering manufacturer recommendations. Inspection
procedures and testing methods are established through risk assessment.
Persons maintaining systems are qualified as demonstrated by training and
certification or credentialing to the requirements of AASE 6030 or 6040.
5.1.14.2.1, 5.1.14.2.2, 5.1.15, 5.2.14, 5.3.13.4.2 (NFPA 99)
Gas and Vacuum Piped Systems – Inspection and Testing Operations
K908
The gas and vacuum systems are inspected and tested as part of a
maintenance program and include the required elements. Records of the
inspections and testing are maintained as required.
5.1.14.2.3, B.5.2, 5.2.13, 5.3.13, 5.3.13.4 (NFPA 99)
Form CMS-2786U (10/2016)
Page 28
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