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Healthcare Facility Compliance 11 items

Medical Gas & Vacuum Systems NFPA 99 Audit

Audit of piped medical gas and vacuum systems covering source equipment, alarms, zone valves, and outlet testing under NFPA 99.

NFPA 99CMS 42 CFR 482.41The Joint Commission EC

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Source Equipment

  • Are medical gas source systems (bulk oxygen, manifolds, medical air compressors) maintained and inspected per schedule? *
  • Is the medical air compressor system tested for dew point and carbon monoxide within limits? *
  • Is the bulk oxygen supply secured, with required separation distances and signage? *

Alarms & Monitoring

  • Are master alarm panels functioning at two locations continuously monitored by staff? *
  • Are area (local) alarms provided for critical care and anesthetizing locations and tested? *
  • Are alarm signals tested at least annually and documented? *

Zone Valves & Distribution

  • Are shutoff/zone valves labeled with the gas served and the area/room controlled? *
  • Are zone valves accessible and not obstructed for emergency shutoff? *

Outlets & Documentation

  • Are station outlets/inlets tested for flow, gas-specific indexing, and leaks? *
  • Is verification testing performed by a qualified party after any system alteration before patient use? *
  • Are inspection, testing, and maintenance records retained and available for survey? *

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