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JeffersonFrankford PMReport 20NOV20 Flipbook PDF

JeffersonFrankford PMReport 20NOV20


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Source Preventative Maintenance Report

Jefferson Health - Frankford Campus 4900 Frankford Avenue Philadephia, PA 19124

PERFORMED BY SERVICE DATE TECHNCIAN PROCESSED BY

Major Medical Hospital Services, Inc. November 20, 2020 Chris Carsia Robyn Rumbos

Scope of Work Performed Major Medical Hospital Services, Inc. has evaluated the medical source equipment system on the date indicated in this report and it meets the manufacturers and hospital guidelines in accordance NFPA, JACHO, Maintenance report. The preventive maintenance & testing has been performed in accordance with the most recent guidelines available and all recommendations may not require immediate compliance. The hospital is urged to repair or replace any items that are labeled for repair if not done at the time of service, as soon as possible. Information recorded during this preventative maintenance and included in this report represents our findings on the indicated evaluation date(s) only. Source equipment monitoring will be performed periodically by the trained professonals of MMHSI and results will be presented in an electronic report. This report will be prepared following the survey and will include a summary of the results, along with recommendations for actions needed to comply with the standards noted. Corrective Actions Medical Air: Changed both air filters and both cabinet filters. Med Air Dryer : Switched to #2 Dryer. Medical Vacuum: Changed oil, oil filters, and both cabinet filters.

Recommendations Recommend new touch screen, cable and transformer for medical air. Sales quote will follow before next PM.

Future Considerations This will be a statement regarding the overall state of the equipement and will include any recommendations for projected needs or system replacements.

No future considerations are needed at this time.

2

Medical Air Compressor Maintenance Record Facility: Address: Floor: System Mfg: System S/N: Date of Service:

Jefferson Health - Frankford Campus 4900 Frankford Avenue, Philadelphia, PA 19124 5th Penthouse Location: Powerex Model: (H)08/25/15 - 5824155-113 Service Area: Friday, November 20, 2020 Visit Type:

Ambient Temperature Minimum Run Time Disconnect Rating

80°F N/A 10.0A

Inspected = OK Wire Condition OK Strainers OK Auto Drains OK Safety Valves OK Grease Motors OK Set Points Cut In Cut Out

Lead 95 115

Manufacturer Model Number Serial Number Hours Condition Drive Bearing Carrier Bearing Pump Time Horse Power Drive Bearing Carrier Bearing Voltage A/B Voltage B/C Voltage A/C Amperage T1 Amperage T2 Amperage T3

System Size System Voltage Primary Fuse

Cleaned = CL Indicator Lights Gauges Check Valves Intake Elements Alternation PS2 90 110

PS3 85 105

Penthouse Mechanical Room MSQ05044P5 Entire Facility Preventative Maintenance

Quadraduplex Pump Type 460 System Amperage KLDR5 Secondary Fuse Not Applicable = NA OK Drive Belts OK Couplings OK Control Valves OK After Coolers OK Moisture Sep.

Scroll Pump 27.2A FLM7

Follow-up = FN Replaced = RP OK Air Leaks OK NA Safety Guards OK NA Adequate Clearance OK OK Proper Ventilation OK OK Local Alarms Tested OK

Lag 65 85

Lag in Use Lag is not currently in use

Pump 1

Pump 2

Pump 3

Pump 4

Powerex SLAE05E SE2093 6558 OK 92°F N/A

Powerex SLAE05E SE2101 5558 OK 90°F N/A

Powerex SLAE05E SE2096 6592 OK 92°F N/A

Powerex SLAE05E SE2103 6702 N/A 92°F N/A

Minutes N/A

Seconds N/A

Drive Motor 1 5 81°F 83°F 479 479 480 5.9A 6.3A 6.0A

Minutes N/A

Seconds N/A

Drive Motor 2 5 82°F 82°F 479 479 480 6.1A 6.1A 5.9A

Minutes N/A

Seconds N/A

Drive Motor 3 5 80°F 81°F 479 479 480 6.1A 6.2A 5.7A

Minutes N/A

Drive Motor 4 5 82°F 83°F 479 479 480 5.9A 5.6A 5.8A

Technician Comments Replaced both air filters and cabinet filters. Recommend new touch screen, cables and transformer next PM.

3

Seconds N/A

Medical Air Filtration and Monitoring Equipment Maintenance Record Facility: Address: Floor: System Mfg: System S/N: Date of Service:

Jefferson Health - Frankford Campus 4900 Frankford Avenue, Philadelphia, PA 19124 5th Penthouse Location: Penthouse Mechanical Room Powerex Model: MSQ05044P5 (H)08/25/15 - 5824155-113 Service Area: Entire Facility Friday, November 20, 2020 Visit Type: Preventative Maintenance

Dryer Bank Currently in Use

2

Change Over Schedule

Medical Air Dryer 1

Medical Air Dryer 2

Manufacturer Model Serial Number

Powerex MSQ05044P5 (H)08/25/15 - 5824155-113

Manufacturer Model Serial Number

Dryer Type

Desiccant

Dryer Type

Inspected = OK Desiccant OK Mufflers OK Gauges OK Separator OK

Cleaned = CL Safety Valve Switching Valve Condenser Auto Drain

In House

Not Applicable = NA OK Desiccant OK Mufflers OK Gauges OK Separator

Powerex MSQ05044P5 (H)08/25/15 - 5824155-113 Desiccant Follow-up = FN Replaced = RP OK Safety Valve OK OK Switching Valve OK OK Condenser NA OK Auto Drain OK

Carbon Monoxide Monitor Carbon Monoxide Level 0 PPM Manufacturer Enmet Monitor Model CO Guard

Dew Point Monitor Dew Point Temperature Manufacturer Monitor Model

Monitor Serial Number Date of Last Service Manufacturer Schedule Calibration Completed

Monitor Serial Number Date of Last Service Manufacturer Schedule Calibration Completed

11381524065 11/19/2020 Annually Yes

Pressure Regulators Line Pressure 52 PSI Manufacturer SMC Regulator Model AR40N042 Regulator Serial N/A Service Kit N/A Last Serviced Date N/A Service Completed N/A

Manufacturer Element Model Date Replaced Manufacturer Element Model Date Replaced Technician Comments Switched Dryers to #2.

4

-60°F Powerex PDPM1001AJ N/A Auto Daily Up to 10 yrs Auto Daily

Line Filter Bank 1 Wilkerson Manufacturer FRP-96-653 Element Model 5/2020 Date Replaced Line Filter Bank 2 Wilkerson Manufacturer FRP-96-653 Element Model 5/2020 Date Replaced

Wilkerson MSP-96-649 5/2020 Wilkerson MSP-96-649 5/2020

Medical Vacuum Maintenance Record Facility: Address: Floor: System Mfg: System S/N: Date of Service:

Jefferson Health - Frankford Campus 4900 Frankford Avenue, Philadelphia, PA 19124 5th Penthouse Location: Powerex Model: (H)08/27/15 5824155-108 Service Area: Friday, November 20, 2020 Visit Type:

Ambient Temperature Minimum Run Time Disconnect Rating Pipe Inlet Size Comments: Inspected = OK Wire Condition OK Strainers NA Auto Drains NA Safety Valves OK Grease Motors OK Set Points Cut In Cut Out

Lead 19 21

80°F 30 Min 40.0A 2"

System Size System Voltage Primary Fuse Pipe Outlet Size

Cleaned = CL Indicator Lights Gauges Check Valves Intake Elements Alternation PS2 N/A N/A

PS3 N/A N/A

Manufacturer Model Number Serial Number Hours Condition Drive Bearing Carrier Bearing

Pump 1 Busch RC0205D U153100051 21,001 OK 170°F 157°F

Pump Time

Minutes Seconds 30 10

Horse Power Drive Bearing Carrier Bearing Voltage A/B Voltage B/C Voltage A/C Amperage T1 Amperage T2 Amperage T3

Drive Motor 1 7.5 105°F 91°F 479 480 479 10.2A 9.9A 9.0A

Duplex 460 KLDR5 2"

Not Applicable = NA OK Drive Belts OK Couplings OK Control Valves OK Drip Leg OK Bearings

Penthouse Mechanical Room VTD07544P1 Entire Facility Preventative Maintenance

Pump Type System Amperage Secondary Fuse Misc.

Lube Vane Pump 22.4A KLDR7 N/A

Follow-up = FN Replaced = RP NA Safety Guards OK OK Water Control Valve NA NA Water Temp. In NA OK Water Temp. Out NA OK Local Alarms Tested NA

Lag 17 21

Lag in Use Lag is not currently in use

Pump 2 Busch RC0205D U153000-021 21,001 OK 171°F 164°F Minutes 30

Seconds 11

Drive Motor 2 7.5 102°F 90°F 479 480 479 10.8A 10.4A 10.0A

Pump 3 N/A N/A N/A N/A N/A N/A N/A Minutes N/A

Drive Motor 3 N/A N/A N/A N/A N/A N/A N/A N/A N/A

Technician Comments Changed oil, oil filters, and 2 cabinet filters.

5

Seconds N/A

Pump 4 N/A N/A N/A N/A N/A N/A N/A Minutes N/A

Seconds N/A

Drive Motor 4 N/A N/A N/A N/A N/A N/A N/A N/A N/A