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5-2.1 General Knowledge ...................................................... 5 1 5-3.2 Certifcation o f Bulk Medical Gas Systems
1 0-1 .3 Limitations for a Medical Gas Systems Installer ...... 7 Knowledge .................................................................... 1 6
1 0-1 .4 Reference and Industry Standards .............................. 7 20-2.5 Documenting and Recording of Inspections and
B.1 Administration ............................................................. 43 Medical Gas Systems Training Outline for 6050
B.2 Documents and Recording of Inspections Instructors to Become Qualified to Instruct ASSE 6035
and Tests ....................................................................... 43 Candidates
Annex C ................................................................. 45 E.2 Training Outline for Instructors o f Bulk Medical
Field Verification / Testing Procedures for Medical Gas Gas Systems Verifers .................................................. 67
Systems by Verifiers Qualified under ASSE Standard Bulk Medical Gas Systems Verifiers Training Outline for
6030 ASSE 6030 Verifiers to Become Qualified under ASSE
C.1 Preparation ................................................................... 45 Standard 6035
C.2 Test Equipment ........................................................... 45
E.3 Bulk Medical Gas Systems Verifers Training
C.3 General Requirements for Verifcation Tests .......... 46
Outline .......................................................................... 71
C.4 Verifcation o f Standing Pressure Test for Positive
Pressure Gases ............................................................. 47 Annex F ................................................................. 75
C.5 Verifcation o f Standing Vacuum Test for Vacuum Medical Air Compressor Inspection Check List
Systems .......................................................................... 47
F.1 Medical Air Compressor Inspection Check List .... 75
C.6 Verifcation Tests for Cross-Connections ................ 47
C.7 Verifcation o f Shut-o ff Valves ................................. 48
Annex G ................................................................ 77
C.8 Verifcation o f Master, Area and Local Alarms ...... 48
Vacuum Pump Inspection Check List
C.9 Verifcation o f Pressure/Vacuum Alarms ............... 48
G.1 Vacuum Pump Inspection Check List ...................... 77
C.1 0 Piping Purge ................................................................. 49
C.1 1
C.1 2
Piping Particulate Verifcation ................................... 49
Verifcation o f Piping Purity ...................................... 50
Annex H ................................................................ 79
C.1 3 Verifcation o f Final Tie-ins to Existing Systems ... 50
Manifold Inspection Check List
C.1 4 Verifcation o f System Operational Pressure and H.1 Manifold Inspection Check List ................................ 79
Vacuum ......................................................................... 51
Table 1 Required Concentrations o f Medical Gases ........... 52 Annex I .................................................................. 81
C.1 5 Verifcation o f Medical Gas Concentration ............ 52 Bulk Medical Gas Supply Inspection Check List
C.1 6 Verifcation o f Medical Air Compressor Source I.1 Bulk Medical Gas Supply Inspection Check List ... 81
Systems .......................................................................... 52
C.1 7 Labeling o f System Components ............................. 53 Annex J .................................................................. 83
C.1 8 Verifcation o f Medical Compressed Air Purity ..... 53 Recommended Guidelines for Conducting Planned
C.1 9 Verifcation o f Medical Gas Manifold Sources ...... 54 Medical Gas Systems Shutdown and Temporary Backfeed
C.20 Verifcation o f Bulk Gas Supply Systems ................ 55
J.1 Scope ............................................................................. 83
C.21 Verifcation o f Medical Vacuum Source
J.2 Be fore Shutdown Date ............................................... 83
Equipment .................................................................... 55
J.3 During Shutdown and System Backfeeding ............ 84
ASSE Pro fessional Qualifcations Standards incorporate requirements for education, training
and general knowledge. No person may be certifed to an ASSE Pro fessional Qualifcations Standard
unless they have met all o f the requirements contained within the applicable standard and is certifed
by a recognized third party certifcation agency.
Organizations wishing to adopt or list any ASSE Pro fessional Qualifcations Standard should print
the ASSE standard number on the cover page frst and in equal or larger type to that o f the adopting
or listing organization.
The American Society o f Sanitary Engineering is dedicated to the preservation o f public health
and safety through “Prevention Rather Than Cure.”
In 1 987, the American Society o f Sanitary Engineering’s Board o f Directors recognized the need
to develop Pro fessional Qualifcations Standards for the plumbing and mechanical industry. Since that
time ASSE has developed a number o f Pro fessional Qualifcations Standards, including the Series 5000,
Cross-Connection Control Pro fessional Qualifcations Standard, and the Series 6000, Pro fessional
Qualifcations Standard for Medical Gas Systems Personnel. Both o f these important documents, now
each considered the industry standard, were necessary to allow the Authority Having Jurisdiction (AHJ)
to have nationally recognized standards, developed in an open consensus process, to use in ensuring
that individuals working on these critically important systems possess the knowledge and experience
required to success fully perform the installation, testing, maintenance, inspection and verifcation needed
within the indus try.
It was clear that there was a need to develop a standard to address minimum requirements for
medical gas and vacuum systems installers, inspectors, verifers, maintenance personnel and instructors.
In subsequent revisions, requirements for medical gas generalists, bulk medical gas systems installers
and bulk medical gas systems instructors were added. The 201 2 revision adds one more standard, which
includes the minimum requirements for bulk medical gas systems verifers.
The ASSE/IAPMO/ANSI Series 6000, Pro fessional Qualifcation Standard for Medical Gas Systems
Personnel, is based on the requirements o f NFPA 99-201 2, Health Care Facilities Code.
These ASSE/IAPMO/ANSI Series 6000 Standards allow regulatory o ffcials to have uniform
minimum requirements for qualifed Medical Gas Systems Installers, Medical Gas Systems Inspectors,
Medical Gas Systems Verifers, Medical Gas Systems Maintenance Personnel, Medical Gas Systems
Instructors, Bulk Medical Gas Systems Installers, Bulk Medical Gas Systems Verifers and Bulk Medical
Gas Systems Instructors. In addition, these standards give uniform requirements for third-party certifers
so that individuals can be certifed to these standards.
The ASSE/IAPMO/ANSI Series 6000 Standards will continue to change through revision, not
only because the NFPA 99 Code changes on a regular basis, but because the industry responds to the
experience gained in the feld through the use o f these standards.
Recognition is made o f the time volunteered by members o f the Series 6000 working groups
who participated in the initial development o f this standard and the subsequent revisions.
This series o f standards was promulgated in accordance with procedures developed by the
American National Standards Institute (ANSI) .
Mike Massey
Tot Darden
EMGS Los Angeles, California
National Insp ection Testing & Certifcation (NITC)
Rick Ziegan
CHT, LLC
Brooklyn Heights, Ohio
1-1.1 Reference and Industry Standards 1 -1 .1 .1 2 ASTM B81 9 Standard Specifcation for Seamless
T h e fo llo wi ng li s t o f re fe re n c e a nd i nd u s tr y Copper Tube for Medical Gas Systems, 2000 edition
standards is part o f the requirements o f ASSE (R2006) .
Standard 6005, ASSE Standard 601 0, ASSE Standard
1 -1 .1 .1 3 ASTM B828 Standard Practice for Making Capillary
601 5, ASSE Standard 6020, ASSE Standard 6030,
Joints by Soldering o f Copper and Copper Alloy
ASSE Standard 6035, ASSE Standard 6040, ASSE
Tube and Fittings, 2002 edition (R201 0) .
Standard 6050 and ASSE Standard 6055. Re fer to
Annex K for information to contact the various 1 -1 .1 .1 4 AWS B2.2 Specifcation for Brazing Procedure and
standards organizations. Performance Qualifcation, 201 0 edition.
1 -1 .1 .1 ASME Boiler and Pressure Vessel Code, Section 1 -1 .1 .1 5 CGA C-9 Standard Color Marking o f Compressed
I X - Q uali fic atio n S tandard fo r We lding and Gas Containers for Medical Use, 4th edition, 2004
Brazing Procedures, Welders, Brazers, and Welding (R2008) .
and Brazing Operators, 201 0 edition, 201 1 addenda.
1 -1 .1 .1 6 CGA E-1 0 Maintenance o f Medical Gas and Vacuum
1 -1 .1 .2 AS S E 6 0 0 5 Medical Gas S ys tems Generalis ts Systems in Health Care Facilities, 3rd edition, 2007.
Pro fessional Qualifcations Standard, revised 201 2.
1 -1 .1 .1 7 CGA G-4.1 Cleaning Equipment for Oxygen Service,
1 -1 .1 .3 AS S E 6 0 1 0 Me d i c al G as S ys te m s I n s talle rs 6th edition, 2009.
Pro fessional Qualifcations Standard, revised 201 2.
1 -1 .1 .1 8 CGA G-1 0.1 Commodity Specifcation for Nitrogen,
1 -1 .1 .4 ASSE 601 5 Bulk Medical Gas Systems Installers 7th edition, 2008.
Pro fessional Qualifcations Standard, revised 201 2.
1 -1 .1 .1 9 CGA M-1 Guide for Medical Gas Supply Systems
1 -1 .1 .5 ASSE 6020 Medical Gas Systems Inspectors Pro fes - at Consumer Sites, 2nd edition, 2007.
sional Qualifcations Standard, revised 201 2.
1 -1 .1 .20 CGA M-7- Guideline for Qualifying Suppliers used
1 -1 .1 .6 A S S E 6 0 3 0 M e d i c a l G a s S ys te m s Ve r i fi e r s by Medical Gas Manufacturers and Distributors, 3rd
Pro fessional Qualifcations Standard, revised 201 2. edition 2009.
1 -1 .1 .7 ASSE 6035 Bulk Medical Gas Systems Verifers 1 -1 .1 .21 CGA P-2 Characteristics and Safe Handling o f Medi-
Pro fessional Qualifcations Standard, 201 2. cal Gases, 9th edition, 2006.
1 -1 .1 .8 ASSE 6040 Medical Gas Sys tems Maintenance 1 -1 .1 .22 CGA P-1 8 Standard for Bulk Inert Gas Systems at
Personnel Pro fessional Quali fications Standard, Consumer Sites, 3rd edition, 2006.
revised 201 2.
1 -1 .1 .23 CGA P-41 Locating Bulk Storage Systems in Courts,
1 -1 .1 .9 AS S E 6 0 5 0 Medical Gas S ys tems I ns tr ucto rs 1 st edition, 201 0.
Pro fessional Qualifcations Standard, revised 201 2.
1 -1 .1 .24 CGA SB-45 Proper Handling o f Insulated Tanks
1 -1 .1 .1 0 ASSE 6055 Bulk Medical Gas Systems Instructors that are in Obvious Signs o f Loss o f Vacuum, 1 st
Pro fessional Qualifcations Standard, revised 201 2. edition, 201 1 .
1 -1 .1 .1 1 ASTM B32 Standard Specifcation for Solder Metal, 1 -1 .1 .25 CGA V-1 Standard for Compressed Gas Cylinder
2008 edition. Valve Outlet and Inlet Connections, 1 2th edition,
2005.
1 -1 .1 .28 NFPA 55 Compressed Gases and Cryogenic Fluids 1 -1 .2.21 Fire stopping
Code, 201 0 edition.
1 -1 .2.22 Flowmeter
1 -1 .1 .29 NFPA 70 National Electrical Code, 201 1 edition.
1 -1 .2.23 Gas contamination
1 -1 .1 .30 NFPA 99 Health Care Facilities Code, 201 2 edition.
1 -1 .2.24 Gas-specifc demand check fttings
1 -1 .1 .31 NFPA 1 01 Life Safety Code, 201 2 edition.
1 -1 .2.25 Gas tungsten arc welding (GTAW) autogenous orbital
1 -1 .1 .32 US Food & Drug Administration Current Good welded j oints
Manufacturing Practices, Title 21 o f the CFR Parts
21 0 and 21 1 , revised 201 1 . 1 -1 .2.26 General anesthesia and levels o f sedation/analgesia
NOTE: All questions related to applicability shall be directed 1 -1 .2.27 Health care facility requirements
1 -1 .2.29 Hyperbaric
1-1.2 Terminology
T h e fo l lo wi n g l i s t o f te r m s i s p a r t o f th e 1 -1 .2.30 Hyperbaric medical gas piping systems and acces-
1 -1 .2.5 Blowdown
1 -1 .2.38 Manifold
1 -1 .2.1 4 Category 3 medical gas and Category 3 vacuum 1 -1 .2.48 Medical support gases
system
1 -1 .2.49 Metal inert gas (MIG) welded j oints
1 -1 .2.1 5 Category 3 gas powered devices supply system
1 -1 .2.50 Nitrogen, NF
1 -1 .2.1 6 Code
1 -1 .2.51 Nitrogen purge gas source alarm
1 -1 .2.64 Standard
standard include health care facilities within the scope b) Alarm panel locations
o f NFPA 99, Health Care Facilities Code. Medical c) Alarm settings
gas systems include vacuum piping. d) Atmospheric pressure
e) Building systems categories
f)
5-1.2 Purpose
Gage pressure
g) Manual valves, including source valves, main
The purpose o f this standard is to provide minimum valves, riser valves, service valves, in-line shut-
criteria, identifed by an industry consensus, for o ff valves, zone valves and valves for future
Medical Gas Systems, to ensure compliance with the connections
referenced standards in Section 5-1 .4. h) Medical support gases
i) Medical-surgical vacuum
5-1.3 Limitations j)
k)
Oxygen defcient atmosphere
Oxygen enriched atmosphere
Compliance with this standard in itself shall not l) Patient medical gases
constitute compliance with the requirements for a m) Pressure and vacuum sensors
Medical Gas Systems Installer per ASSE Standard n) Vacuum measurement
601 0, Bulk Medical Gas Systems Installer per ASSE o) Zone valve location
601 5, Medical Gas Systems Inspector per ASSE
Standard 6020, Medical Gas Systems Verifer per
ASSE Standard 6030, Bulk Medical Gas Systems
Veri fier per ASSE Standard 6035 , Medical Gas
5-2.2.1 The individual shall be able to list the parts and g) Medical-surgical vacuum systems and their
identify the maj or components o f medical gas and co mp o nents
vacuum systems and equipment. h) Pressure and vacuum switches and transducers
i) Pressure regulating valves
5-2.2.2 The individual shall be able to describe the categories
j) Pressure relie f valves
of medical gas s ys tems and their limitatio ns with
k) Shut-o ff valves
respect to Chapter 4 o f NFPA 99-201 2.
l) Vacuum inlets
5-2.2.3 The individual shall be able to identify and describe the m) Vacuum systems and components
operating p rincip les and perfo r mance characteris tics
n) Waste anesthetic gas disposal (WAGD) systems
o f the medical gas and vacuum systems; and identify
5-2.4.2 The individual shall be able to identify and describe
the fo llowing co mp o nents :
i) Operation o f bulk medical gas supplies contained in the annexes for the ASSE Series 6000.
o) Waste anesthetic gas disposal (WAGD) systems ASSE Standard 6001 , as used in NFPA 99-201 2 and
o ther lis ted indus try s tandards.
10-1.1 Scope 1 0-2.1 .1 The Medical Gas Systems Installer shall be able
to identify and demons trate knowledge of the
This standard applies to any individual who installs
applicable laws, codes, rules, listing agencies and
medical gas and vacuum s ys tems. Medical gas
regulations from the federal, state and local levels
systems and equipment covered in this standard
pertaining to medical gas and vacuum systems.
include health care facilities within the scope of
NFPA 99-201 2, Health Care Facilities Code. Installers 1 0-2.1 .2 The Medical Gas Systems Installer shall be able
include anyone who works on or installs piping or to identify and describe the actions that take place
components, including brazers. Medical gas piping prior to and after installing and testing a medical gas
systems include vacuum systems. system, including notifcation to:
a) Architect/engineer o f record
10-1.2 Purpose b)
c)
Job inspector
Premise owners
The purpose o f this standard is to provide minimum
d) Proper authorities (Authority Having Jurisdiction
performance criteria, identifed by industry consensus,
- AHJ)
fo r Medical Gas S ys tems Ins tallers to ens ure
c o mp lianc e with the re fe re nc e d s tandards in 1 0-2.1 .3 The Medical Gas Systems Installer shall be able to
Section 1 0-1 .4. identify and describe the basic concepts pertaining
to:
a) Absolute pressure
10-1.3 Limitations for a Medical Gas Systems b) Alarm panel locations
Installer c) Alarm settings
Compliance with this standard in itself shall not d) Atmospheric pressure
constitute compliance with the requirements for e) Category 3 gas-powered device supply systems
a Bulk Medical Gas Systems Installer per ASSE f) Category 3 medical gas systems
Standard 601 5, Medical Gas Systems Inspector per g) Category 3 vacuum and scavenging systems
ASSE Standard 6020, Medical Gas Systems Verifer h) Gage pressure
per ASSE Standard 6030, Bulk Medical Gas Systems i) Hyperbaric medical gas piping systems and
Veri fier per ASSE Standard 6035 , Medical Gas accessories
Systems Maintenance Person per ASSE Standard j) Instrument air
6040, Medical Gas Systems Instructor per ASSE k) Manual valves including source valves, main
Standard 6050 or Bulk Medical Gas Systems Instructor valves, riser valves, service valves, in-line valves,
per ASSE Standard 6055. zone valves and valves for future connections
l) Manufactured assemblies
m) Medical gas rails (MGR)
10-1.4 Reference and Industry Standards
n) Medical support gases
The Reference and Industry Standards listed in ASSE o) Medical-surgical vacuum
Standard 6001 are a part of this standard.
p) Oxygen defcient atmosphere
q) Oxygen enriched atmosphere
1 0-2.2.1 The Medical Gas Systems Installer shall be able to f) Medical gas manifolds
list the parts and to identify the maj or components g) Medical gas outlets
o f medical gas and vacuum systems and equipment. h) Medical support gas system components
i) Medical-surgical vacuum system components
1 0-2.2.2 The Medical Gas Systems Installer shall be able to j) Pressure and vacuum switches and transducers
describe the categories o f medical gas and vacuum
k) Pressure regulating valves
systems with respect to Chapter 4 o f NFPA 99–201 2
l) Pressure relie f valves
1 0-2.2.3 The Medical Gas Systems Installer shall be able to m) Shut-o ff valves
p e rfo r m an c e c h arac te ri s ti c s of th e m e d i c al g as
o) Vacuum systems and components
and vacuum systems, and identi fy the following p) Waste anesthetic gas disposal (WAGD) systems
co mp o nents : q) Welded j oints
a) Master, area and local alarm systems 1 0-2.4.2 The Medical Gas Systems Installer shall be able to
b) Medical air compressors and accessories identify and describe procedures for the use o f the
c) Medical gas manifolds fo llowing:
i) Pressure regulating valves describe the precautions and hazards associated with
to identi fy and describe the proper installation a) Acce p tab le p ip eline materials and j o ining
requirements for the medical gas and vacuum systems metho ds
1 0-2.4.1 The Medical Gas Systems Installer shall be able to on the “as-built” drawings:
l) Source equipment for each patient medical gas subsequent editions o f NFPA 99.
m) Source equipment for each medical support gas
n) Source equipment for medical-surgical vacuum
o) Source equipment for WAGD
p) Source shut-o ff valves
q) Zone valves
10-3.1 Terminology
Systems Installer 1 5-2.1 .4 The Bulk Medical Gas Systems Installer shall be able
Compliance with this standard in itself shall not to describe the following actions that take place prior
constitute compliance with the requirements for a to and after installing and testing a bulk system for
Medical Gas Systems Installer per ASSE Standard medical gas:
601 0, Medical Gas Systems Inspector per ASSE a) Documentation requirements
Standard 6020, Medical Gas Systems Verifer per b) Maintenance o f the system
ASSE Standard 6030, Bulk Medical Gas Systems c) Procurement o f components
Veri fier per ASSE Standard 6035 , Medical Gas d) Selection and qualifcation o f components
Systems Maintenance Person per ASSE Standard
e) Sizing o f the bulk medical gas system
6040, Medical Gas Systems Instructor per ASSE
f) Temporary supply systems
Standard 6050 or Bulk Medical Gas Systems Instructor
g) Training o f healthcare facility personnel on the
per ASSE Standard 6055.
operation o f the bulk medical gas supply system
1 5-2.2.1 The Bulk Medical Gas Systems Installer shall be able d) Pressure regulating valves
to list the parts and identify the maj or components e) Pressure relie f valves
f) Pressure building system 1 5-2.4.3 The Bulk Medical Gas Systems Installer shall be able
g) Pressure regulating valves to describe the precautions and hazards associated
h) Pressure relie f valves with tes ts as they relate to :
h) Reserve bulk medical gas supply applicable sections o f ASSE Standard 6000, NFPA
i) Reserve bulk medical gas supply shut-o ff valve 99 and NFPA 55.
or Authority Having Jurisdiction (AHJ) as necessary. subsequent editions o f NFPA 99 and applicable
Written reports shall include, as a minimum, the editions o f CGA M-1 and NFPA 55.
following:
1 5-3.3.2 Recertifcation shall be through a recognized third
a) Date o f test
p arty certificatio n agency and include a tes t to
b) Name o f tester subsequent editions o f NFPA 99 and applicable
c) System tested editions o f CGA M-1 and NFPA 55.
d) Test performed
e) Test pressure and pressure loss, where applicable
f) Test results (pass/ fail)
g) The frm’s QCU acceptance
15-3.1 Terminology
The Reference and Industry Standards listed in ASSE 20-2.2.3 The Medical Gas Systems Inspector shall be able
Standard 6001 are a part of this standard. to identify and describe the operating principles
and performance characteristics of the medical gas
20-2.1 General Knowledge and vacuum systems, and identi fy the following
components:
20-2.1 .1 The Medical Gas Systems Inspector shall be able to a) Master, area and local alarm systems
identify and show knowledge o f the applicable laws, b) Medical air compressors and accessories
codes, rules, listing agencies and regulations from the c) Medical gas manifolds
a) Brazed j oints 20-4.1 .2 Certifcation shall include the success ful completion
c) Master, area and local alarm systems ASSE Standard 6020 and applicable sections o f
d) Medical air compressors and accessories NFPA 99-201 2 and NFPA 55. Course instruction
shall be conducted by a Medical Gas Systems Instruc-
e) Medical air proportioning systems
tor certifed to ASSE 6050.
f) Medical gas manifolds
g) Medical gas outlets 20-4.1 .3 Certifcation to this standard shall be through a rec -
h) Medical support gas system components ognized third party certifcation agency. Certifcation
i) Medical-surgical vacuum pumps and accessories shall include a written and a practical examination
j) Pressure and vacuum switches and transducers covering ASSE Standard 6020 and applicable sections
k) Pressure regulating valves o f NFPA 99-201 2 and NFPA 55.
l) Pressure relie f valves
m) Shut-o ff valves
n) Vacuum inlets 20-4.2 Recertifcation
o) Vacuum systems and components
20-4.2.1 Medical Gas Systems Inspectors shall be recertifed
p) Waste anesthetic gas disposal (WAGD) systems
thro ugh a minimum 4- ho ur training co urs e to
q) Welded j oints
subsequent editions o f NFPA 99.
30-1.2 Purpose d)
e)
Atmospheric pressure
Dynamic (f owing) pressure
The purpose o f this standard is to provide minimum
f) Gage pressure
per formance criteria, identi fied by an indus try
g) Hyperbaric medical gas piping systems and
consensus, for Medical Gas Systems Verifers to
accessories
ensure compliance with the referenced standards in
h) Manual valves including source valves, main
Section 30-1 .4.
valves, riser valves, service valves, in-line valves,
zone valves and valves for future connections
30-2.4.1 The Medical Gas Systems Verifer shall be able to the physical identifcation o f medical gas pipeline
describe test procedures associated with the following components including the following, as applicable:
components: a) Assembly size
a) Master, area and local alarm systems b) Building location
b) Medical air compressors and accessories c) Location o f the assembly
c) Medical gas manifolds d) Manufacturer
d) Medical gas outlets e) Model number
e) Medical support gas system components f) Serial number
f) Medical-surgical vacuum system components g) Shut-o ff valves
g) Pressure and vacuum switches and transducers
30-2.5.3 The Medical Gas Systems Verifer shall be able to
h) Pressure regulating valves
record the test results of the following:
a) Date o f test
b) Medical Gas Systems Verifer identifcation
c) Medical Gas Systems Verifer initials
30-3.1 Terminology
ASSE Standard 6020, Medical Gas Systems Verifer g) Hyperbaric medical gas piping systems and
Maintenance Person per ASSE Standard 6040, Medical h) Manual valves including source valves, main
Gas Systems Instructor per ASSE Standard 6050 valves, riser valves, service valves, in-line valves,
or Bulk Medical Gas Systems Instructor per ASSE zone valves and valves for future connections
a) Documentation requirements
b) Selection and qualifcation o f components
35-2.3 Product Installation Knowledge
c) Sizing o f the bulk system – see Annex E.2.6.3
35-2.3.1 The Bulk Medical Gas Systems Verifer shall be able
- 6035 Training Outline
to describe the proper installation requirements for
d) Temporary supply systems the medical gas systems relating to:
e) Initial start-up period training o f healthcare
a) Local j urisdiction requirements
facility personnel, who are responsible for the
b) Manufacturer recommendations
bulk supply, on the operation o f the bulk supply
c) Physical location, ventilation and accessibility
system – see Annex E.2.6.4 - 6035 Training
Outline 35-2.3.2 The Bulk Medical Gas Systems Verifer shall be able
to identify and describe the problems resulting from
the improper installation o f bulk medical gas and
35-2.2 Product Performance Knowledge vacuum systems.
d) Gas sample pump and detector tubes shall also include the results of cross-connection
e) Gas sampling cylinders tests, f ow tests, alarm switch tests, medical gas
35-2.4.3 The Bulk Medical Gas Systems Verifer shall be able 35-2.5.2 The Bulk Medical Gas Systems Verifer shall record
to describe the precautions and hazards during feld the physical identifcation o f bulk medical gas system
a) Emergency oxygen supply connection (EOSC) b) Bulk Medical Gas Systems Verifer identifcation
c) Main bulk supply 35-2.5.5 Bulk Medical Gas Systems Verifer’s report shall
d) Master alarms include the following information:
e) Pressure regulating valves
a) All information in Section 35-2.5.3
f) Pressure relie f valves
b) The methodology used
g) Pressure switches and transducers
c) Exceptions, problems and/or comments
h) Reserve bulk supply
d) Bulk Medical Gas Systems Verifer signature
i) Secondary supply
j) Source shut-o ff valves 35-2.5.6 The Bulk Medical Gas Systems Verifer shall submit
40-1.1 Scope regulations from the federal, state and local levels
pertaining to medical gas and vacuum systems.
This standard applies to any individual who maintains
medical gas and vacuum systems. Healthcare facility 40-2.1 .2 The Medical Gas Systems Maintenance Personnel
personnel installing medical gas or vacuum systems shall be able to identi fy and describe the basic
shall be certifed to ASSE Standard 601 0. Medical concepts pertaining to:
gas systems include vacuum systems.
a) Absolute pressure
b) Alarm panel locations
The Reference and Industry Standards listed in ASSE v) Zone valve locations
40-2.1 .1 The Medical Gas Systems Maintenance Personnel Medical Gas Systems Maintenance Personnel shall
be able to describe how to fnd and implement n) Vacuum systems and components
manufacturer specifc maintenance requirements for o) Waste anesthetic gas disposal (WAGD) systems
the medical gas and vacuum system components,
40-2.4.2 Medical Gas Systems Maintenance Personnel shall be
including:
able to describe the precautions and hazards during
a) Installation instructions maintenance and testing related to:
b) Operation and maintenance manuals a) Confned spaces
c) Parts listings b) Electrical shutdown
d) Product labeling c) S hutdown no ti fication pro cedures for the
40-2.3.3 Medical Gas Systems Maintenance Personnel shall be specifc areas to be maintained and/or tested
40-3.1 Terminology
50-1.1 Scope 50-2.1 .1 The Medical Gas Systems Instructor shall be able
to identify and demons trate knowledge of the
This standard applies to any individual who trains or
applicable laws, codes, rules, listing agencies and
teaches installers, inspectors, verifers and healthcare
regulations from the federal, state and local levels.
facility maintenance personnel regarding medical
gas and vacuum distribution systems. Medical gas 50-2.1 .2 The Medical Gas Systems Instructor shall be able
systems and equipment covered in this standard to identify and describe the actions that take place
include health care facilities within the scope of prior to and after installing and testing a medical gas
NFPA 99-201 2. Medical gas systems include vacuum system, including:
systems.
a) Notifcation to j ob inspector
b) Notifcation to premise owners
and vacuum systems, and identi fy the following 50-2.4.2 The Medical Gas Systems Instructor shall be able to
co mp o nents :
identify and describe procedures for the use o f the
fo llowing:
a) Master, area and local alarm systems
a) Flow meter
b) Medical air compressors and accessories
b) Gas specifc testing devices
c) Medical gas manifolds
c) Oxygen analyzer
d) Medical gas outlets
d) Pressure gauge
e) Medical support gases
e) Vacuum gauge
f) M e d i c a l s u p p o r t g a s s ys te m s a n d th e i r
co mp o nents
50-2.4.3 The Medical Gas Systems Instructor shall be able
g) Medical-surgical vacuum sys tems and their to describe the precautions and hazards during tests
co mp o nents
relating to :
b) Brazing materials
50-2.3.1 The Medical Gas Systems Instructor shall be able
c) Certifcation o f brazers
to identi fy and describe the proper installation
d) Qualifcation o f welders and welding procedures
requirements for the medical gas and vacuum systems
e) Installer-performed testing
pertaining to :
f) Pipeline installation requirements
a) Local j urisdiction requirements
g) Planned system shutdown and temporary back
b) Manufacturer recommendations
feed
50-2.4.1 The Medical Gas Systems Instructor shall be able to a) Emergency oxygen supply connection (EOSC)
describe test procedures associated with the following b) Main line shut-o ff valves
co mp o nents :
c) Master, area and local alarm panels
d) Medical support gas outlets
a) Master, area and local alarm systems
e) Medical-surgical vacuum inlets
b) Medical air compressors and accessories
c) Medical gas manifolds
f) Patient medical gas outlets
50-3.1 Terminology
55-3.1 .4 Consultants
Bulk Medical Gas Systems Instructors not in the
direct employment by a bulk medical gas systems
frm are considered consultants and must also meet
the requirements found in the FDA CGMPs 21 CFR
part 21 1 .34.
O n the as-built drawings, record the following h. Adapters: Suffcient adapters shall be available to
information regarding the medical gas distribution adapt the pressure gauge(s) to each and every gas
system: specifc medical gas outlet (and vacuum inlet) .
a) Location o f the medical gas and vacuum source i. A leak detection solution designed and labeled
equipment for oxygen service (such as complying with
b) Location o f the medical gas and vacuum valves MIL-L-25567) shall be used.
c) Location o f the medical gas outlets (and vacuum j. Audible low pressure nitrogen purge alarm.
inlets)
d) Location o f alarm panels
A.3 Materials
A.1 .3 Additions and Modifcations to Existing Systems
Shut-o ff valves shall not be used to isolate active A.3.1 Tubing used for the medical gas systems shall be Type
m e d i c a l g a s p i p i n g s ys te m s fo r a d d i ti o n s o r
“L” (ASTM B81 9) medical gas tube (hard temper) ,
modifcations. The new work shall not be connected delivered to the j ob-site pre-cleaned and plugged or
to the existing piping until all inspections and tests capped, except Type “K” shall be used for sizes larger
are completed.
than DN80 (NPS 3) (3-1 /8” OD) where system
operating pressures are above a gauge pressure o f
1 275 kPa (1 85 psig) .
A.2 Equipment
In Canada: Soft temper tube shall be permitted to be used underground.
A.2.1 Equipment Required
A.3.2 Brazed copper-to-copper j oints shall be made using
a. Safety Equipment: Personal safety equipment
a BCuP Series brazing alloy without f ux. Dissimilar
(face s hield, goggles, etc. ) and fire fighting
metals shall be brazed using a cadmium- free BAg
equipment shall be available for use at all times.
Series brazing alloy with f ux.
Gloves, when used, shall be clean.
b. Equipment neces s ary for the pipe j oining A.3.3 Fittings shall be o f wrought copper capillary fttings
technique(s) being used for the application. or other approved tube fttings that when made up
A.3.4 Valves, fttings and other piping components for A.5.3 Procedure
positive pressure medical gas and support gas systems a) Tubes s hall b e s tored and protected from
s hall b e c leaned fo r “ oxyge n s e r vic e” b y the contamination with the use o f caps or tape leaving
manufacturer and delivered sealed, labeled, and kept no residue prior to installation.
sealed until prepared for installation, except fttings b) Fittings shall be stored in their original containers
that are permitted to be cleaned by a supplier or until the package is opened for ins tallation.
agency other than the manufacturer. The cleaning Fittings shall then be stored in a suitable container
process shall be in accordance with CGA G-4.1 , and/or location to prevent contamination prior
Cleaning Equipment for Oxygen Service. to installation.
A.4.2 Pipe shall be supported from the building structure. d) Immediately prior to installation, all tubing shall
be visually examined internally to assure that
A.4.3 Pipe penetrations shall be adequately fre-stopped in plugs and other obstructions have been removed
accordance with applicable codes and standards. and that there is no contamination present.
A.5.1 Purpose
The purpose of this section is to maintain a clean A.7 Assembly for Brazing
work area where the medical gas installation is in
the p urge gas s o urce is low. d) Cap all open tub e ends immediately upon
completion o f brazing, leaving the pipeline flled
A.8.3 Procedure
with nitrogen NF.
a) Establish a nitrogen NF purge in the pipeline
to be brazed.
b) Prior to brazing, check the open end o f the A.10 Visual Examination of Brazed Joints
purged tube with an oxygen analyzer to verify
proper purge f ow and the absence o f oxygen in A.1 0.1 Purpose
the purge gas. Prior to use, the oxygen analyzer The purpose o f this section is to determine the visual
shall be calibrated to 21 % oxygen using room condition o f the medical gas and vacuum j oints.
air. Do not braze until proper purge has been
A.1 0.2 Requirement
established.
Each j oint in the pipeline shall be visually inspected.
c) Braze the j oint nearest the supply end o f the
purge, working toward the exit end o f the purge.
A.11 Welding of Medical Gas and Vacuum manufacturer o f special medical equipment to
electrically isolate the equipment from the piping
Piping Systems distribution system.
valves) , but after installations o f the station a) All medical gas and vacuum systems shall be
outlets and inlets; reduced to atmospheric pressure.
2) Be fore closing o f the walls or concealing b) All sources o f test gas shall be disconnected
any piping; and from all o f the medical gas and vacuum systems
3) After inspectors are notifed as to when with the exception o f the one system to be
the test will be performed so it can be checked. This system shall be pressurized with
witnessed and the results recorded. nitrogen NF to 345 kPa (50 psig) gauge pressure.
b) Each section o f the piping systems for medical c) With appropriate adapters matching outlet/inlet
gas es and medical s up p o rt gas es s hall b e labels, check every station outlet/inlet in each
include:
c) D ate o f test
b) Location o f the medical gas and vacuum zone f) Oxygen Analyzer: Oxygen analyzers shall have
valves a range o f 0 -1 00%, and a rated accuracy o f ±
c) Location o f the medical gas outlets and vacuum 1 % oxygen or better.
inlets g) Nitrous Oxide: Nitrous oxide analyzers shall
d) Location o f medical gas and vacuum alarm have a minimum range o f 9 5 -1 00% and a
p anels
rated accuracy o f ± 1 % nitrous oxide or better.
e) Location o f the most remote medical gas outlet Instruments may be a pre-calibrated portable
for each gas, for each zone unit or laboratory instrument.
f) Location o f the emergency oxygen supply h) Nitrogen: Nitrogen analyzers shall have a minimum
connection (EOSC) range o f 95-1 00% and a rated accuracy o f ±
g) The test results for each o f these gases in each 1 % nitrogen or better. Instruments may be a
have a range o f 0 to at least 5 ppm, and a rated general requirements for veri fication testing o f
accuracy o f ± 1 ppm halogenated hydrocarbons medical gas and vacuum source equipment and
C.5 Verif cation of Standing Vacuum Test 5) Proceed to test and record the results o f
each medical gas and vacuum system in
for Vacuum Systems
accordance with steps 1 , 2, 3 and 4 above,
C.7 Verifcation of Shut-off Valves 2) Verify that the valve controls an outlet/inlet
in the building that its label indicates that it
serves by observing a decrease in pressure
C.7.1 Purpose
or vacuum.
The purpose o f this section is to veri fy that all
f) Source Valves
shut-o ff valves in medical gas and vacuum systems
1) Close each source shut-o ff valve and bleed
function properly and are properly labeled.
gas or vacuum from an outlet/inlet in the
C.7.2 Requirement system that its label indicates that it serves.
Each shut-o ff valve shall be labeled to identify the 2) Verify that the valve controls an outlet/inlet
system and room or area that it controls. in the system that its label indicates that it
serves by observing a decrease in pressure
C.7.3 Procedure
or vacuum.
a) Zone Valves
g) Records
1) Close each zone valve and bleed gas or
1) Record each shut-o ff valve and the building,
vacuum from an outlet/inlet in the room
area or room that it serves.
or area that its label indicates that it serves.
2) Verify that the valve controls all outlets/
inlets in the room or area that its label C.8 Verifcation of Master, Area and Local
indicates that it serves by observing a Alarms
decrease in pressure or vacuum at each
outlet/inlet. C.8.1 Purpose
3) Check adj acent zones to ensure that no The purpose o f this section is to verify that master,
loss o f pressure or vacuum has occurred area and local alarm systems function properly and
in other areas. are properly labeled.
b) In-Line Shut-o ff Valves for Servicing Individual
C.8.2 Requirement
Rooms or Areas
Master, area and local alarms shall function as
1) Close each in-line shut-o ff valve and bleed
required by NFPA 99-201 2.
gas or vacuum from an outlet/inlet in the
room or area that its label indicates that it C.8.3 Procedure
serves. Re fer to verifcation tests under C.9 through C.21 .
2) Verify that the valve controls an outlet/inlet
in the room or area that its label indicates
that it serves by observing a decrease in C.9 Verifcation of Pressure/Vacuum
pressure or vacuum. Alarms
c) Service Valves for Lateral Branch Piping from
Mains or Risers C.9.1 Purpose
1) Close each service shut-o ff valve and bleed The purpose o f this section is to verify the operation
gas or vacuum from an outlet/inlet in the o f the pressure alarms in the medical gas and vacuum
room or area that its label indicates that it systems.
serves.
C.9.2 Requirement
2) Verify that the valve controls an outlet/inlet
a) Pressure alarm switches and transducers shall
in the area or building that its label indicates
initiate an alarm on their respective master and
that it serves by observing a decrease in
area alarm panels whenever the line pressure is
pressure or vacuum.
20% above or 20% below the normal system
d) Riser Valves
pressure.
1) Close each riser shut-o ff valve and bleed
gas or vacuum from an outlet/inlet o ff the
NOTE: NFPA 99-201 2 allows the use o f source gas for these piping systems, the outlets downstream from the tie-
tests. New piping components should be tested with in in both the new and the existing piping are ready
nitrogen NF be fore tie-in to the existing system. I f for acceptance by the Authority Having Jurisdiction
contamination is present in the new piping, mixing (AHJ) or Responsible Facility Authority.
C.1 2.2 Requirement the existing piping that are each immediately
downstream of the tie-in.
Using nitrogen NF or the gas o f system designation
d) The new work shall be tested for operational
as the test gas, the variation o f the contaminants
pressure and gas concentration.
listed in Section C.1 2.1 between the gas in the test
cylinder and the gas at the most remote outlet from C.1 3.3 Procedure
the source gas shall not exceed the following:
a) Prior to the connection o f any new work to an
a) Dew point: 500 ppm or -1 2 °C at 345 kPa
existing piping system, the following tests must
(1 0 °F at 50 psig)
be success fully performed by the installer on the
b) Total hydrocarbons (excluding methane) : 5 ppm new work using nitrogen NF.
c) Halogenated hydrocarbons: 5 ppm 1) Visual inspection o f brazed j oints per A.1 0
a) Analyze and record the level o f contaminants in 3) Initial pressure test for medical gases and
the test gas at or near the test gas cylinder that medical support gases per A.1 5
are listed in Section C.1 2.1 . 4) Initial pressure test for vacuum and WAGD
b) Connect the test gas to the newly installed systems test per A.1 5
portion of the system at or near the source gas 5) Initial cross connection test per A.1 6
7) Piping particulate test per C.1 1 no- f ow static pressure o f 1 1 00 - 1 275 kPa (1 60
9) Labeling o f system components per C.1 7 f) When 85 LPM (3 SCFM) is drawn through
c) Prior to the tie-in o f new work to an existing a medical-surgical vacuum inlet, the vacuum
piping system, the verifer shall perform a visual pressure at an adj acent inlet shall not be reduced
particulate white cloth test to determine the to less than 300 mm (1 2 in) gage HgV.
d) After fnal tie-in o f new work to an existing be capable o f delivering fows and pressures that
piping s ys tem, the following tes ts s hall be are consistent with their intended use.
C.14 Verif cation of System Operational vacuum at an adj acent vacuum inlet while
maintaining the required fow through the inlet
Pressure and Vacuum being tested.
Nitrogen NF equal to or greater than 99 plus percent nitrogen or equal to or less than 1 percent oxygen
Compressed Medical Air USP equal to or greater than 20.9 percent oxygen
2) There is a local alarm o f medical air from systems utilizing on-site air
The purpose o f this section is to verify the presence 2) Carbon monoxide: 1 0 ppm.
and correctness o f the labeling for components o f 3) Carbon dioxide - air: 500 ppm.
the medical gas and vacuum distribution system (e.g., 4) Gaseous hydrocarbons - air: 25 ppm (as
distribution piping, station outlets and inlets, shut-o ff methane) .
valves, pressure gauges, alarm panels, etc.) . 5) Halogenated hydrocarbons - air: 2 ppm.
6) Oil (condensed) : Non-detectable.
C.1 7.2 Requirement
7) Liquid water: Non-detectable.
a) All pipelines shall be labeled with the name o f
8) Odor: Non-detectable.
the gas at least every 6 meters (20 feet) , at least
once in each room or space, on both sides o f In Canada: Dewpoint 10 °C
partitions penetrated by the piping, and once on
each foor on the vertical riser.
b) Each outlet/inlet shall be legibly identifed with
the name of the gas contained.
The purpose o f this section is to verify that medical cylinder banks and stop the test f ow of
gas supply mani folds changeover properly to a gas through the manifold. There should be
secondary and/or reserve supply and that proper no alarm indications on the master alarm
This Annex is provided for informational purposes only and is D.2.3 Problems related to how the system is used and
not a mandatory part o f ASSE Standard 6040. It re f ects typical maintained during its lifetime include leaking outlet
maintenance procedures for medical gas systems and equipment. seals, clogged vacuum inlets and piping (e.g., by
dust, by body f uids, inadequate particulate fltration,
corrosion o f automatic condensate drains, wear or
D.1 Scope embrittlement o f valve seals, physically damaged or
These preventative maintenance guidelines apply loose outlets, wear o f compressor or pump seals and
to all piped medical gas systems (including but bearings, and pressure sensor drift) .
not limited to oxygen, air, nitrogen, nitrous oxide,
carbon dioxide) and central vacuum systems, medical
air compressors and components, and source gas D.3 Minimum Maintenance Schedule
equipment which must receive regular preventative
D.3.1 Daily
maintenance for safe and reliable operation. This
document does not apply to construction of medical a) B ulk liquid systems - check tank contents,
gas systems. This document includes minimum reorder as needed. Visually inspect for any
with s p e c i fic guide line s and re quire me nts b y b) Bulk medical gas supply cylinder system with
check line p res s ures. i) Maintenance and periodic testing o f the bulk
e) System main line low and high pressure alarms medical gas system in conj unction with the bulk
- test audible and visual signals at the master medical gas s up p lier.
alarm panel(s) .
D. 3 . 6 Perio dically
h) Stop the test fow o f gas from the system. Silence the audible alarm. The visual alarm
should remain activated.
D.5.3 Reserve-in-Use Signal
4) Reduce the pressure to normal. The visual
Testing is recommended for all systems that have a
alarm should be deactivated.
backup supply connected to the main source.
c) For vacuum alarms:
a) Start a fow o f gas from piping system.
1) Decrease the vacuum from normal to 300
b) Close valve(s) to simulate depletion o f main
mm (1 2 in) Hg. Verify that the appropriate
supply. The reserve supply should engage at this
alarm activates. Silence the audible alarm.
time.
The visual alarm should remain activated.
c) Check main line pressure gauge for proper
2) Increase the vacuum to normal. The visual
reading.
alarm should be deactivated.
d) Check master alarm panels for activation o f
p ro p er s ignals.
D.5.6 All Valves
e) Silence audible signal. Visual should remain Evaluate all valves for leakage, proper labeling and
activated. general condition. Use an “oxygen” compatible
f) Open the valve(s) closed in step “b.” leak solution or an equally e ffective means for leak
g) Check alarm panels for deactivation o f signals. detection safe for use with oxygen. An ultrasonic
h) Stop the test fow o f gas from the system. leak detector and/or an oxidizing gas leak detector
may be used.
CAUTION: For assistance in testing bulk medical gas systems,
co ns ult the s up p lier.
D.5.7 Outlet/Inlet Performance
a) Test all patient terminals for pressure and fow,
D.5.4 Reserve Supply Low
latching, delatching, leakage and proper labeling.
Testing is recommended for all reserve sources. Use proper gas-specifc adapters.
a) Start fow o f gas from piping system. b) All 345 - 380 kPa (50 - 55 psig) gas outlets,
b) Close all operating supply shut-o ff or reserve including but not limited to oxygen, nitrous
cylinder valve(s) or both, if necessary, to test for oxide, medical air and carbon dioxide, should
the loss o f reserve pressure. deliver 1 00 LPM (3.5 SCFM) with a maximum
c) Close reserve supply shut-o ff or reserve cylinder pressure drop o f 35 kPa (5 psig) at the outlet.
valve(s) or both, if necessary, to simulate the loss c) Oxygen and medical compressed air outlets in
o f reserve pressure. critical care areas should provide a transient f ow
d) Open the valve(s) closed in step “b” immediately o f 1 70 LPM (6.0 SCFM) for at least three (3)
when reserve low signal is activated. s eco nds.
e) Check master alarm panels for activation o f d) Nitrogen and instrument air outlets at 1 1 00-
p ro p er s ignals.
1 275 kPa (1 60-1 85 psig) static pressure should
f) Silence audible signal. Visual signal should deliver 1 40 LPM (5.0 SCFM) with a maximum
remain activated. pressure drop o f 35 kPa (5 psig) .
g) Open the valve(s) closed in step “c.” e) Medical-surgical vacuum inlets should draw 85
h) Check master alarm panels for deactivation o f LPM (3.0 SCFM) without reducing the vacuum
warning s ignals.
at an adj acent inlet below 300 mm (1 2 inches)
i) Stop the test fow o f gas from the system. Hg vacuum.
c) Belts
d) Filter elements
e) Light bulbs
f) Timers
i) Water solenoids
j) Gaskets
k) Check valves
l) Vacuum gauges
m) Alternator
D. 9.4 Alarms:
a) Fuses
b) Trans formers
c) Circuit boards
D. 9.5 Valves:
a) O-rings/ seals
b) Poppets
c) Springs
d) Latches
e) Screws
f) Washers
Training Outlines
E.1 .5 Session V
a) Defnition o f building systems categories and
requirements per NFPA 99-201 2:
b) Category 1 requirements
c) Category 2 requirements
d) Category 3 requirements
E.1 .6 Session VI
a) Review NFPA 99-201 2 Annex A, B and C
b) Review pipeline material and material cleaning
c) Review brazing and installation requirements
d) Review installation procedures and the shut-
down and backfeed guidelines in Annex J
e) Review ASME BPVC Section IX or AWS B2.2
– Brazing Qualifcation Standards
f) Demonstration o f brazing with purge
E.1 .9 Session IX
Hands-on practice for brazer qualifcation.
E.1 .1 0 Session X
Proctored brazing exam for brazer qualifcation.
E. 2.5.4 When teaching candidates for Bulk Medical Gas d) Medical Gas System Verifer signature
Systems Verifers (ASSE 6035) about bulk cryogenic E. 2.5.9 The instructor o f candidates for Bulk Medical Gas
systems, the instructor shall instruct on how to Systems Verifers (ASSE 6035) Bulk Medical Gas
obtain written verifcation from the owner o f the System Instructor shall be able to instruct on how
bulk supply equipment (typically the bulk gas supplier submit all required written reports to:
but sometimes the facility) that initial start-up period
a) The party who contracted the verifcation
training for the healthcare facility personnel, who are
b) The owner o f the bulk medical gas system
responsible for the bulk supply, has been provided
c) The ASSE 6020 Inspector or Authority Having
as required by NFPA 99 – 201 2 Section 1 1 .5.2.1 .5.
Jurisdiction (AHJ)
E. 2.5.5 The instructor o f candidates for Bulk Medical Gas
Systems Verifers (ASSE 6035) shall instruct on
how to document and submit a written report on
all performance testing to the health care facility
representative, owner of the bulk gas system, Inspector,
or Authority Having Jurisdiction (AHJ) as necessary.
Written reports shall include, as a minimum, the
following:
a) Test performed
b) System tested
c) Date o f test
d) Name o f tester
99-201 2 Sections 5.1 .1 4.2. b) The owner o f the bulk medical gas system
c) The ASSE 6020 Inspector or Authority Having
E.3.5.4 If a bulk cryogenic system is present, the Bulk Medical Jurisdiction (AHJ)
Gas Systems Verifer shall obtain written verifcation
from the owner of the bulk supply equipment (typically
the bulk gas supplier but sometimes the facility)
that initial start-up period training for the healthcare
facility personnel who are responsible for the bulk
supply has been provided as required by NFPA 99-
201 2 Section 1 1 .5.2.1 .5.
This Annex is provided for information re ference purposes only F.1 .1 6 Lead pressure switch settings (psig: cut-in/cut-out)
and is not a mandatory part o f any ASSE Series 6000 Standard.
F.1 .1 7 Lag pressure switch settings (psig: cut-in/cut-out)
Each health care facility will consist o f different systems and
equipment. However, the data requirements o f each health care F.1 .1 8 Lag alarm installed
facility are similar. By following this Annex, a consistent set o f
data can be generated for each facility’s permanent record. F.1 .1 9 Functionally test lag alarm
F.1 Medical Air Compressor Inspection F.1 .21 Manual electrical disconnect switches installed
Check List
F.1 .22 Medical air system on emergency electrical power -
The medical air co mp res s o r s ys tem is a s o urce unit
verifed by whom
fo r the medical air p ip eline in a health care facility
and consists o f air compressors, air dryers, flters F.1 .23 Receiver
and the required regulating equipment to ensure a) Automatic drain present
a continuous, source supply o f medical air at a b) Manual drain present
co ns tant p res s ure.
c) Pressure gauge present
F.1 .37 Liquid ring separator high liquid level sensor installed
(if required) :
a) Connected to local alarm
In Canada: Ten (1 0) f
eet above ground, ff ty (50) f f
eet rom any medical air
This Annex is provided for information re ference purposes only G.1 .1 3 Lead vacuum switch setting (inches mercury): cut-in/
and is not a mandatory part o f any ASSE Series 6000 Standard. cut-out
Each health care facility will consist o f different systems and
G.1 .1 4 Lag vacuum switch settings (inches mercury) : cut-in/
equipment. However, the data requirements o f each Health
cut-out
Care Facility are similar. By following this Annex, a consistent
set o f data can be generated for each facility’s permanent record. G.1 .1 5 Lag alarm installed
G.1 .4 Confguration: Simplex, Duplex, Triplex, Quad, other c) Labeled for areas served
d) Labeled “D O NO T CLO S E EXCEPT IN
G.1 .5 Vacuum pump system manufacturer EMERGENCY”
G.1 .6 Vacuum pump system model number G.1 .22 Low vacuum alar m s witch ins talled in pro per
location:
G.1 .7 List manufacturer, model number and motor horse-
a) Vacuum gauge visible from a standing position
power for each individual vacuum pump
b) Vacuum gauge reading (inches mercury)
G.1 .8 Vacuum system dedicated to medical vacuum
In Canada: Ten (1 0) f
eet above ground, f
f ty (50) f f
eet rom any medical air
G.1 .9 When medical vacuum s ys tem is also us ed for intake and thirty (3 ) f
eet f
rom any door or op erable window.
G.1 .1 0 Flexible connectors on pump inlet and outlet pipes G.1 .23 Vacuum lines labeled properly
G.1 .1 1 Isolation valves to permit servicing each pump G.1 .24 Correct piping used to connect all components
G.1 .1 2 Check valves installed between pumps and receiver G.1 .25 Piping j oined by acceptable methods
This Annex is provided for information re ference purposes only H.1 .1 5 Pressure at which right to le ft bank changeover
and is not a mandatory part o f any ASSE Series 6000 Standard. occurs (kPa/psig)
Each health care facility will consist o f different systems and
H.1 .1 6 Manifold is equipped with status/warning lights
equipment. However, the data requirements o f each health care
facility are similar. By following this Annex, a consistent set o f H.1 .1 7 Manifold is on emergency electrical power (where
data can be generated for each facility’s permanent record. applicable) - verifed by whom
H.1 .7 Model number H.1 .21 Piped with b razed copper downs tream o f the
manifo ld
H.1 .1 3 Shut-o ff valve for each side o f manifold H.1 .24 No leaks detected in manifold piping
H.1 .1 4 Pressure at which le ft to right bank changeover H.1 .25 Area posted with proper signage
occurs (kPa/psig)
H.1 .26 Enclosed with lockable entry
This Annex is provided for information re ference purposes only I.1 .5 Owner o f bulk medical gas supply equipment
and is not a mandatory part o f any ASSE Series 6000 Standard.
I.1 .6 Bulk medical gas supplier
Each health care facility will consist o f different systems and
equipment. However, the data requirements o f each health care I.1 .7 Main supply tank secured
facility are similar. By following this Annex, a consistent set o f
data can be generated for each facility’s permanent record. I.1 .8 Piped with copper, brass or stainless steel
NOTE: Medical gas shutdowns vary in scope and size. Some h) Advance order supply o f needed cylinder gases.
sections within the guidelines may not apply, and Plan to have at least twice the amount o f gas
some shutdowns may require additional procedures that the Respiratory Care Department feels will
making the tie-in. down notice in Section J.6. This notice shall
announce dates, times, services to be interrupt-
ed, locations, and phone and beeper numbers o f
J.2 Before Shutdown Date those persons who will perform the shutdown.
performed to accomplish the goals o f the project. facility departments (Anesthesia, Respiratory
Create a detailed task list in proper sequence Care, Nursing, Engineering, etc.) to determine
with estimated time duration. which areas will be backfed and which areas will
c) Determine the day and time to shut down. need portable gas cylinders.
f) D etermine the duration o f the shut down name of the person who will monitor that
to all departments that the system is acceptable c) Secure cylinders to avoid a unit being knocked
for patient use) . over.
g) Acquire/ s chedule all ne ces s ar y materials, d) Preset cylinder regulators 35 kPa (5 psig) higher
equipment, labor and outside services required than system pressure.
for the scheduled shutdown. e) Confrm that all patients previously designated
h) Provide documentation that the individuals for individual portable gas cylinders and/ or
performing the medical gas installation are portable suction machines are supplied.
certifed to ASSE Standard 601 0. f) Once all cylinders are in place for backfeeding
i) P ro vide a le tte r/ do c um e ntatio n that the and the installers are ready to proceed, trans fer
equipment and material used are per NFPA the health care facility from its pipeline system(s)
99-201 2. to the backfeed one zone at a time. To do this,
j) Pre fabricate and test any applicable pipe or turn on the cylinder valve and then close the
k) Organize and brie f installers on the plans and minutes to deter mine that the pres s ure is
assure that the health care facility representative d) Compose report reviewing conduct o f the
has: shutdown and acquire testing and certifcation
1) Shut the valve(s) that normally supplies the documentation from the contractor, verifer,
area that is being backfed; etc., and verify that the system has passed all
2) Relieved the pressure from the pipeline that required testing.
is being shutdown; e) Modify any hospital drawings, specifcations,
3) Assured there is no fow at the point in the operation manuals, etc., to include any changes
pipeline to be breached; and done during this shutdown proj ect.
4) Monitor the backfeed and, if no problems
J.4.2 Shutdown Coordinator Responsibilities
arise, then have the health care facility
As temporary backfeed equipment is removed from
re pres entative ins truct the ins taller to
each location, place a check mark on the check list
proceed with the proj ect.
for that location. Turn over completed check list to
h) Monitor the back feed cylinder pres s ure as
the health care facility (See section J.3.2.a and J.3.2. f) .
determined by the health care facility and/or
shutdown coordinator. Change-out cylinders J.4.3 Installer Responsibilities
as necessary. a) Remove all materials, tools and equipment from
i) When the installer has fnished the tie-in or the work areas.
modi fication, noti fy the health care facility b) Obtain and fle copies o f all reports from the
representative to open the upstream (positive health care facility.
pressure) or downstream (vacuum) shut-o ff
valve to permit the tie-in or modifcation to be
leak tested. J.5 Recommended Equipment List
j) A s s u r e th e i n s ta l l e r h a s te s te d a l l n e w
J.5.1 Zone Backfeeding Equipment When Using Dual
connections for leaks using appropriate leak
Cylinders
detection method and the source gas pressure.
k) Assure that the gas concentration and white a) Adj ustable pressure regulators with adequate
cloth test at a minimum f ow rate o f 225 L/m (8 fow and gas specifc connections
SCFM) is performed at outlets directly affected b) High pressure cylinder CGA tee
Perform, using source gas at source gas pressure, the J.5.2 Zone Backfeeding Equipment When Using Single
white cloth test at a minimum fow rate o f 225 L/m Cylinders
(8 SCFM) and gas concentration test. a) Adjustable pressure regulator with adequate fow
and gas specifc connections
J.4.1 Health Care Facility Responsibilities with appropriate DISS and/or quick connect
ends
a) Supervise the blow-down test to assure no
IMPORTANT NOTICE
SERVICE INTERRUPTION
SERVICE AFFECTED:
DATE:
TIME:
AREA(S) AFFECTED:
REMARKS:
DATE ISSUED:
BY:
TITLE:
DISTRIBUTION:
Medical Air
Nitrous Oxide
Carbon Dioxide
Nitrogen
Instrument Air
Medical/Surgical Vacuum
WAGD
Medical Air
Nitrous Oxide
Carbon Dioxide
Nitrogen
Instrument Air
WAGD
Medical Air
Nitrous Oxide
Carbon Dioxide
Nitrogen
Instrument Air
Medical/Surgical Vacuum
WAGD
Medical Air
Nitrous Oxide
Carbon Dioxide
Nitrogen
Instrument Air
Medical/Surgical Vacuum
WAGD
Medical Air
Nitrous Oxide
Carbon Dioxide
Nitrogen
Instrument Air
WAGD
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