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Appendix 13 - Health Facility Inspection Check List

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0% found this document useful (0 votes)
101 views16 pages

Appendix 13 - Health Facility Inspection Check List

Ffhj hjvf vvhf ccdd

Uploaded by

Amina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

6.

13

Page 67 of 68
Health Facility Inspection Checklist
This checklist is to be used by DOH or outsourced Inspectors to record any non-compliance of the constructed
health facility either new or major refurbishment (exceeding 50% of the existing) to an existing facility.

1 Functional Planning Unit (FPU) or Department


Choose the applicable FPU(s) being reviewed (ideally use one sheet per FPU):
‰ Administration Unit ‰ Admissions Unit & Discharge ‰ Birthing Unit

‰ Cardiac Investigation Unit ‰ Catering Unit ‰ Clinical Information Unit

‰ Complementary and Alternative ‰ Coronary Care Unit ‰ Day Surgery/ Procedure Unit
Medicine Centre
‰ Dental Surgery Unit ‰ Education Unit ‰ Emergency Unit

‰ Endoscopy Unit ‰ Engineering & Maintenance Unit ‰ Health Centres

‰ Housekeeping Unit ‰ Inpatient Unit - Bariatric ‰ Inpatient Unit - General

‰ Intensive Care Unit - General ‰ IVF Unit (Fertilisation Centres) ‰ Laboratory Unit

‰ Linen Handling Unit ‰ Main Entrance Unit ‰ Maternity Unit

‰ Medical Imaging Unit - General ‰ Medical Imaging Unit - Nuclear ‰ Mental Health Unit - Adult
Medicine Unit & PET
‰ Mental Health Unit - Child & ‰ Mental Health Unit - Older Persons ‰ Mobile Healthcare Unit
Adolescent
‰ Mortuary - General ‰ Oncology Unit - Medical ‰ Oncology Unit - Radiation
(Chemotherapy)
‰ Operating Unit ‰ Outpatients Unit ‰ Pharmacy Unit

‰ Public & Staff Amenities ‰ Rehabilitation - Allied Health ‰ Renal Dialysis Unit

‰ Sterile Supply Unit (SSU) ‰ Supply Unit ‰ Waste Management Unit

FPU RDL: ‰ 1 ‰ 2 ‰ 3 ‰ 4 ‰ 5 ‰ 6
(Note: default = the Whole Facility RDL)

‰ New Facility ‰ Refurbishment % Refurbished %


%New %
% Cumulative Refurb %

Page 1 of 15
2 Architectural/ Medical Planning Compliance Checklist
Does the completed facility match the DOH approved design drawings? ‰ Yes ‰ No
Remarks:

Have all required NOC’s been submitted? ‰ Yes ‰ No


eg. Biomedical Testing, FANR etc.
Remarks:

Is the facility ready for inspection and access is available? ‰ Yes ‰ No


Note: for Pre-inspection Assessment, all building construction work should be completed and equipment
installed.
For Final Inspection, the hospital commissioning should be completed, literally ready to receive patients.
Remarks:

Do Room sizes matching the DOH approved design drawings? ‰ Yes ‰ No


Note: Normally up to 10% deviation in area should be accepted
Note: Guidelines use the no-gap area measurement which should not be confused with clear area
Note: Any area approved in the design must be accepted by the inspector
Remarks:

Do all the corridor widths comply with the DOH HFG? ‰ Yes ‰ No
Note: Minimum requirements of fire corridors (Civil Defense) may not be sufficient. Operating Unit and ICU
requires wider corridors.
Remarks:

Do clearances around beds and other objects comply with the DOH HFG? ‰ Yes ‰ No
Note: First refer to the FPU diagrams. If not available refer to the relevant RLS for guidance on clearances
Remarks:

Are all finishes appropriate, cleanable and installed correctly? ‰ Yes ‰ No


Note: Pay particular attention to any open joints, gaps, slip resistance and cleanability
Remarks:

Gap-free detailing is applied to all surfaces and joints? ‰ Yes ‰ No


Gap-free applies to joinery, walls, floors, fixtures etc
Remarks:

Are all critical elements are accessible for inspection? ‰ Yes ‰ No


Remarks:

Are there any cavity sliders (sliding doors) installed in clinical areas? ‰ Yes ‰ No

Page 2 of 15
Note: Cavity sliders may only be used in non-clinical areas such as administration. In all clinical areas any
sliding doors must only be surface sliders or swing doors. Surface above sliders should resist dust collection
Remarks:

Does minimum ceiling height comply with the DOH HFG? ‰ Yes ‰ No
Note: Default ceiling height is 2700 except procedural area which are 3000 AFFL.
Note: When limited and local deviations are observed check against the allowance permitted in Part D
Remarks:

Are all required Furniture, Fittings present and working? ‰ Yes ‰ No


Note: At pre-inspection assessment only fixed items are expected.
At final inspection all items are expected.
Remarks:

Are all required Medical Equipment provided and certified? ‰ Yes ‰ No


Note: Require certification by a competent supplier/ installer or Biomedical Engineer
Remarks:

Is an independent Medical Gas System Testing certificate available? ‰ Yes ‰ No


Note: Require certification by a competent supplier/ installer or Biomedical Engineer
Remarks:

Are all required Sanitary Fixtures present and working? ‰ Yes ‰ No


Note: At pre-assessment inspection all items are required and must be working correctly.
Remarks:

Hand wash basins are provided where they are required and shown in design? ‰ Yes ‰ No
Note: also check the types required, eg Type A, B, C. Higher type can replace lower type. Antiseptic Hand Gel
Dispenser is not a replacement for Hand Wash Basin.
Remarks:

Are all door openings adequate as per the DOH-HFG? ‰ Yes ‰ No


Note: Pay particular attention to areas requiring bed movement and the geometry of space
Note: Also look for any mandatory observation panels which may be required (none required for standard
patient bedrooms)
Remarks

Are door closers provided where they are required? ‰ Yes ‰ No


(eg. fire doors, accessible bathrooms etc)
Remarks:

Mandatory external windows, where required, are provided? ‰ Yes ‰ No

Page 3 of 15
Note: Refer to the allowances in the DOH-HFG, sometimes borrowed light is allowed eg in ICU
Mandatory direct light is only into Inpatient Bedrooms
Remarks:

Are window treatments for sun control appropriate in clinical areas? ‰ Yes ‰ No
Note: Curtains should not be used in clinical areas. Window sun control in operating theatres, labs, ED, ICU etc
can only be within double glazing. Curtains may be used in Inpatient Bedrooms except isolation rooms as well
as non-clinical areas.
Remarks:

Does the facility comply with the ergonomics standard as per DOH-HFG? ‰ Yes ‰ No
Note: Refer to Part C for examples of ergonomics
Remarks:

Are hand rails provided to at least one side of the main corridors? ‰ Yes ‰ No
Note: hand rails may be combined with crash bars but the handle still must comply with DOH-HFG
Remarks:

Page 4 of 15
3 MEP Engineering Compliance Checklist
Is the HVAC system commissioned according to the Project Requirements and DOH-HFG Part E?
Note: Is a report from the commissioning agent and TAB contractor available?
‰ Yes ‰ No
Remarks:

Is Adequate Filtration and Air changes been provided for spaces according to DOH-HFG?
‰ Yes ‰ No
Remarks:

Are the mandated air pressurisation requirements for spaces met? Has the commissioning agent verified the
pressure regime as per the guidelines? ‰ Yes ‰ No
Remarks:

Is a pressure display monitor provided for the isolation room? ‰ Yes ‰ No


Remarks:

Is the monitor displaying the correct +ve or -ve pressure requirements? ‰ Yes ‰ No
Remarks:

Has the exhaust for negative rooms been provided with HEPA filtration and stack discharge?
‰ Yes ‰ No
Remarks:

Has HEPA filtration been provided for the Operating Rooms, Burns Unit and Positive Isolation Rooms?
‰ Yes ‰ No
Remarks:

Has a fully ducted return air system been provided? ‰ Yes ‰ No


Note: Ceiling plenum can never be used as a supply or return air duct.
Remarks:

Has the MRI room been provided with non-ferrous MEP systems? ‰ Yes ‰ No
Remarks:

Has a quench pipe been provided? ‰ Yes ‰ No


Remarks:

Page 5 of 15
Has an emergency exhaust system been provided? ‰ Yes ‰ No
Remarks:

Are the pharmacy clean rooms provided with HEPA filters? ‰ Yes ‰ No
Remarks:

Have laboratory fume hoods been provided with dedicated exhaust? ‰ Yes ‰ No
Remarks:

Is the exhaust provided with HEPA filtration and stack discharge? ‰ Yes ‰ No
Remarks:

Are the IVF Procedure Rooms, Embryo Transfer Rooms and Labs provided with HEPA filtration?
‰ Yes ‰ No
Remarks:

Has a space pressurisation report been prepared for the spaces mentioned in the DOH guideline Part E
Section 2.14? ‰ Yes ‰ No
Remarks:

Has an O&M manual been provided and available to the owner? ‰ Yes ‰ No
Remarks:

Has emergency power been provided in accordance to DOH HFG Part E?


‰ Yes ‰ No
Remarks:

Has UPS power been provided in accordance to DOH HFG Part E?


‰ Yes ‰ No
Remarks:

Has IPS power been provided in accordance to DOH HFG Part E Guidelines? ‰ Yes ‰ No
Remarks:

Is the generator location as per DEWA requirements? ‰ Yes ‰ No


Remarks:

Are DEWA NoC and approval available? ‰ Yes ‰ No


Remarks:

Are the electrical rooms provided with 2 hour fire rating or fire suppression as per DEWA requirements?

Page 6 of 15
‰ Yes ‰ No
Remarks:

Is the central server room located at a level where flooding cannot occur? Or are there remedial measures in
place? ‰ Yes ‰ No
Remarks:

Is the system resilience covered as per DOH HFG Part E requirements?


‰ Yes ‰ No
Remarks:

Has the Fire Alarm system been commissioned according to Civil Defence requirements?
‰ Yes ‰ No
Remarks:

Has the Nurse Call and Emergency Call system provided? ‰ Yes ‰ No
Note: Pull-cord type is not acceptable as per DOH HFG.
Remarks:

Are the Annunciator or indicator lights provided and visible? ‰ Yes ‰ No


Remarks:

Has an O&M manual been submitted to the client representative and has the Facility Management team been
trained on the Electrical systems? ‰ Yes ‰ No
Remarks:

Has the system been installed as per DEWA requirements? ‰ Yes ‰ No


Remarks:

Has the main incoming water service to the building been provided with a DCV after the water meter?
‰ Yes ‰ No
Remarks:

Has the water system been treated with special water treatment equipment? ‰ Yes ‰ No
Note: If Yes, please select which system is present͗
‰ >Žǁ>ĞǀĞůŚĞŵŝĐĂůtĂƚĞƌdƌĞĂƚŵĞŶƚĨŽƌZĂǁtĂƚĞƌdĂŶŬ
‰ tĂƚĞƌ^ŽĨƚĞŶĞƌ
‰ hůƚƌĂsŝŽůĞƚ
‰ DƵůƚŝŵĞĚŝĂ&ŝůƚƌĂƚŝŽŶ
‰ ŽƉƉĞƌ^ŝůǀĞƌ/ŽŶŝƐĂƚŝŽŶ
‰ DŝĐƌŽĨŝůƚƌĂƚŝŽŶ
‰ ŽŽůŝŶŐtĂƚĞƌWůĂŶƚsŝĂ,ĞĂƚdžĐŚĂŶŐĞƌ
‰ ZĞǀĞƌƐĞKƐŵŽƐŝƐtĂƚĞƌdƌĞĂƚŵĞŶƚ
‰ KnjŽŶĞtĂƚĞƌdƌĞĂƚŵĞŶƚ

Page 7 of 15
Remarks:

,ĂƐǁĂƌŵǁĂƚĞƌďĞĞŶƉƌŽǀŝĚĞĚƚŽĞĂĐŚtĂƐŚ,ĂŶĚĂƐŝŶ͍ ‰ Yes ‰ No
Remarks:


 

Page 8 of 15
,ĂƐĂǀĂůǀĞĂƐƐĞŵďůLJƐĞƚ;ŝŶĐůƵĚĞƐWZsĂŶĚsͿďĞĞŶƉƌŽǀŝĚĞĚŽŶĐŽůĚĂŶĚŚŽƚǁĂƚĞƌƐĞƌǀŝĐĞƐƚŽĞĂĐŚƌŽŽŵ͍
‰ Yes ‰ No
Remarks:

,ĂƐĂǁĂƚĞƌďĂůĂŶĐŝŶŐǀĂůǀĞďĞĞŶƉƌŽǀŝĚĞĚŽŶƚŚĞŚŽƚǁĂƚĞƌƌĞƚƵƌŶƐŝĚĞ͍ ‰ Yes ‰ No
Remarks:

tŚĂƚŝƐƚŚĞƉŝƉĞŵĂƚĞƌŝĂůĨŽƌƚŚĞǁĂƚĞƌĐŽůĚĂŶĚŚŽƚǁĂƚĞƌƐƵƉƉůLJƐLJƐƚĞŵƐ͍
Remarks:

/ƐZKtĂƚĞƌƐLJƐƚĞŵďĞŝŶŐƉƌŽǀŝĚĞĚƚŽtĂƐŚĞƌŝƐŝŶĨĞĐƚŽƌƐĨŽƌŝƌƚLJhƚŝůŝƚŝĞƐ͍ ‰ Yes ‰ No
Remarks:

/ƐƚŚĞƌĞĂŶŝŶĚĞƉĞŶĚĞŶƚZKǁĂƚĞƌ^LJƐƚĞŵƚŽĚŝĂůLJƐŝƐĂƌĞĂƐ;ŽŶůLJĨŽƌŝĂůLJƐŝƐƌĞĂƐͿ͍
‰ Yes ‰ No
Remarks:

/ƐƚŚĞƌĞĂŶŝŶĚĞƉĞŶĚĞŶƚZKǁĂƚĞƌ^LJƐƚĞŵďĞĞŶƉƌŽǀŝĚĞĚĨŽƌĂƌĞĂƐŽƵƚƐŝĚĞĚŝĂůLJƐŝƐĂƌĞĂƐƐƵƉƉůLJ;ƐƵĐŚĂƐ^^͕
>ĂďŽƌĂƚŽƌLJ͕tĂƐŚĞƌŝƐŝŶĨĞĐƚŽƌƐ͕,sƋƵŝƉŵĞŶƚĞƚĐͿ͍ ‰ Yes ‰ No
Remarks:

ƌĞƚŚĞZKǁĂƚĞƌƐLJƐƚĞŵƐĞƌǀŝĐĞƉŝƉĞƐďĞĞŶŝŶƐƚĂůůĞĚŝŶƐƚĂŝŶůĞƐƐƐƚĞĞů͍ ‰ Yes ‰ No
If no, ƐƚĂƚĞǁŚŝĐŚŵĂƚĞƌŝĂůǁĂƐƵƐĞĚ:
Remarks:

,ĂƐtĂƚĞƌZĞĐLJĐůŝŶŐƐLJƐƚĞŵďĞĞŶŝŶƐƚĂůůĞĚ͍ ‰ Yes ‰ No


Remarks:


,ĂƐůĞĂŶ^ƚĞĂŵ^LJƐƚĞŵďĞĞŶƉƌŽǀŝĚĞĚƚŽƚŚĞĨĂĐŝůŝƚLJ͍ ‰ Yes ‰ No
Remarks:

,ĂƐZĂǁͬWůĂŶƚ^ƚĞĂŵďĞĞŶƉƌŽǀŝĚĞĚƚŽƚŚĞĨĂĐŝůŝƚLJ͍ ‰ Yes ‰ No
Remarks:

Has the system been installed as per Abu Dhabi Municipality requirements? ‰ Yes ‰ No
Remarks:

ƌĞƚŚĞŵĂŝŶĚƌĂŝŶĂŐĞůŝŶĞƐĞůĞĐƚƌŽͲĨƵƐŝŽŶǁĞůĚĞĚ͍ ‰ Yes ‰ No
Remarks:

&ŽƌKŶĐŽůŽŐLJƌĞĂƐ͕ŝƐƚŚĞƉŝƉĞŵĂƚĞƌŝĂůƵƐĞĚƐƚĂŝŶůĞƐƐƐƚĞĞů͍ ‰ Yes ‰ No
Remarks:

 

Page 9 of 15
/ƐƚŚĞůĂďŽƌĂƚŽƌLJĚƌĂŝŶĂŐĞƉŝƉĞŵĂƚĞƌŝĂůĚŝĨĨĞƌĞŶƚĨƌŽŵƚŚĞŐĞŶĞƌĂůǁĂƐƚĞƉŝƉĞĚƌĂŝŶĂŐĞ͍‰ Yes ‰ No
Remarks:

,ĂƐĂŶ^dWďĞĞŶƉƌŽǀŝĚĞĚ͍ ‰ Yes ‰ No
Remarks:

,ĂƐ>ŝƋƵŝĚKdžLJŐĞŶďĞĞŶƉƌŽǀŝĚĞĚǁŝƚŚsĂƉŽƌŝƐĞƌ͍ ‰ Yes ‰ No
Remarks:

,ĂǀĞϮŶŽ͘>ŝƋƵŝĚKdžLJŐĞŶdĂŶŬƐďĞĞŶƉƌŽǀŝĚĞĚ͍ ‰ Yes ‰ No
Remarks:

,ĂƐƚŚĞ>ŝƋƵŝĚKdžLJŐĞŶdĂŶŬ;ƐͿďĞĞŶƉƌŽǀŝĚĞĚĞdžƚĞƌŶĂůĂƐƉĞƌ,dDͲϬϮͲϬϭĚŝƐƚĂŶĐĞƐ͍
‰ Yes ‰ No
Remarks:

/ƐKdžLJŐĞŶ;ϵϱйWƵƌŝƚLJͿ'ĞŶĞƌĂƚŝŽŶĞŝŶŐWƌŽǀŝĚĞĚ͍ ‰ Yes ‰ No
Remarks:

/ƐKdžLJŐĞŶ;ϵϱйWƵƌŝƚLJͿ'ĞŶĞƌĂƚŝŽŶďĞŝŶŐƐƵƉƉůŝĞĚǁŝƚŚĞdžƚĞƌŶĂůĨƌĞƐŚĂŝƌ͍ ‰ Yes ‰ No
Remarks:

ƌĞƚŚĞŶƵŵďĞƌĐLJůŝŶĚĞƌƐƐLJƐƚĞŵƐŝnjĞĚďĂƐĞĚŽŶĂĐƚƵĂůĨůŽǁ͍ ‰ Yes ‰ No
Remarks:

/ƐƚŚĞƌĞĂŶƵƚŽŵĂƚŝĐLJůŝŶĚĞƌDĂŶŝĨŽůĚƐLJƐƚĞŵĨŽƌĞĂĐŚŐĂƐƐLJƐƚĞŵ͍ ‰ Yes ‰ No
Remarks:

/ƐƚŚĞƌĞĂŶŵĞƌŐĞŶĐLJDĂŶƵĂůDĂŶŝĨŽůĚ^LJƐƚĞŵĨŽƌĞĂĐŚŐĂƐƐLJƐƚĞŵ͍ ‰ Yes ‰ No
Remarks:

ŽďŽƚŚŵĂŶŝĨŽůĚƐƐLJƐƚĞŵƐĨŽƌĂůůŵĞĚŝĐĂůŐĂƐƐLJƐƚĞŵƐŚĂǀĞĂŶĞdžŚĂƵƐƚƚŽĂƚŵŽƐƉŚĞƌĞƉŝƉĞĨƌŽŵƚŚĞ
ŵĂŶŝĨŽůĚ͍ ‰ Yes ‰ No
Remarks:

/ƐƚŚĞĐLJůŝŶĚĞƌƌŽŽŵůŽĐĂƚĞĚŽŶƚŚĞŐƌŽƵŶĚĨůŽŽƌ͍ ‰ Yes ‰ No
Remarks:

ƌĞƚŚĞKdžLJŐĞŶĂŶĚEŝƚƌŽƵƐKdžŝĚĞLJůŝŶĚĞƌƐŝŶƚŚĞ^ĂŵĞZŽŽŵ͍ ‰ Yes ‰ No
Remarks:

/ƐƚŚĞƌĞĂƐƉĂƌĞLJůŝŶĚĞƌZŽŽŵŽƌũƵƐƚƐƉĂƌĞĐLJůŝŶĚĞƌĂƌĞĂ͍ ‰ Yes ‰ No
Remarks:


Page 10 of 15
 

Page 11 of 15
,ĂƐĐĞŶƚƌĂůĂƌďŽŶŝŽdžŝĚĞWůĂŶƚďĞĞŶƉƌŽǀŝĚĞĚ͍ ‰ Yes ‰ No
Remarks:

/ƐƚŚĞDĞĚŝĐĂůŝƌĂŶĚsĂĐƵƵŵ^LJƐƚĞŵƉƌŽǀŝĚĞĚ͍ ‰ Yes ‰ No
Remarks:

ƐƉĞƌƚŚĞ,s,hƐƚĂƌƚĞŐLJĨŽƌ^ƉĞĐŝĂůĂƌĞĂƐ;ƐƵĐŚĂƐŽƉĞƌƚĂŝŶŐƚŚĞĂƚŐƌĞƚƐ͕ĞŶĚĐŽƐĐŽƉLJƌŽŽŵƐ͕ĞƚĐͿŚĂƐĂ
^ŝŵƉůĞdž'^^ƵŶŝƚďĞĞŶƉƌŽǀŝĚĞĚĨŽƌĞĂŚĐ,h͍ ‰ Yes ‰ No
Remarks:

,ĂƐƚŚĞĨĂĐŝůŝƚLJďĞĞŶƉƌŽǀŝĚĞĚǁŝƚŚƵƉůĞdž'^^ƐLJƐƚĞŵĨŽƌŽƚŚĞƌĂƌĞĂƐŽƵƚƐŝĚĞƚŚĞƐŝŵƉůĞdžƵŶŝƚƐ͍
‰ Yes ‰ No
Remarks:

/ƐƚŚĞŵĂŝŶŵĞĚŝĐĂůŐĂƐĂůĂƌŵƉĂŶĞůƉƌŽǀŝĚĞĚ͍ ‰ Yes ‰ No
Remarks:

ƌĞƚŚĞŐĞŶĞƌĂůDĞĚŝĐĂů'ĂƐs^h͛ƐďĞĞŶƉƌŽǀŝĚĞĚĂƚƚŚĞ^ƚĂĨĨ^ƚĂƚŝŽŶƐ͍ ‰ Yes ‰ No
Remarks:


,ĂƐŵŽƌĞƚŚĂŶŽŶĞs^hďĞĞŶƉƌŽǀŝĚĞĚĨŽƌƐƉĞĐŝĂůĂƌĞĂƐĂƐĂƐKƉĞƌĂƚŝŶŐdŚĞĂƚƌĞƐ͕/h͛ƐĞƚĐ͍
‰ Yes ‰ No
Remarks:

,ĂƐĂĚĞĚŝĐĂƚĞĚs^hŽƌs^h͛ƐďĞĞŶƉƌŽǀŝĚĞĚƚŽƐƉĞĐŝĂůĐůŝŶŝĐĂůĂƌĞĂƐƐƵĐŚĂƐKƉĞƌĂƚŝŶŐdŚĞĂƚƌĞƐ͕/hĞƚĐ͍
‰ Yes ‰ No
Remarks:

,ĂƐƚŚĞs^hƉĂŶĞůďĞĞŶƉƌŽǀŝĚĞĚǁŝƚŚĞŵĞƌŐŶĞĐLJĂĐĐĞƐƐ͍ ‰ Yes ‰ No
Remarks:

Has building occupancy certificate been provided by Civil Defence? ‰ Yes ‰ No
Remarks:

Has the Electrical rooms (not LV switch rooms, but floor, just local floor rooms) been provided with an
extinguishing system? ‰ Yes ‰ No
Remarks:

Has the Server room been provided with an extinguishing system? ‰ Yes ‰ No
Remarks:

Has the oil type generator been provided with an extinguishing system? ‰ Yes ‰ No
Remarks:

Page 12 of 15


Page 13 of 15
Have the transformers been provided with an extinguishing system? ‰ Yes ‰ No
Remarks:

Have the Main Electrical Rooms (LV) been provided with an extinguishing system? ‰ Yes ‰ No
Remarks:

Have extinguishing systems been provided in the special clinical areas such as Operating Theatres, Endoscopy
procedure rooms etc? ‰ Yes ‰ No
Remarks:

Have extinguishing systems been provided inside the imaging rooms? ‰ Yes ‰ No
Remarks:

Has the system been installed as per Abu Dhabi Municipality requirements? ‰ Yes ‰ No
Remarks:

Has a gas solenoid valve been provided after the LPG or NG gas meter? ‰ Yes ‰ No
Remarks:

Is the LPG, NG or Diesel fuel connection -points locked and can only accessed via key access?
‰ Yes ‰ No
Remarks:

Is the LPG, NG or Diesel fuel connection points located on the ground floor? ‰ Yes ‰ No
Remarks:

What material has the LPG pipe been installed in?


Remarks:

What material has the NG pipe been installed in?


Remarks:

What material has the diesel pipe been installed in?


Remarks:

Are the fuel pipe systems installed in welded pipe? ‰ Yes ‰ No


Remarks:

Does the installed gas pipe run through the basement areas of the facility? ‰ Yes ‰ No
Remarks:

Page 14 of 15
If the installed pipe runs in the basement, is the pipe installed in a pipe-in-pipe system?
‰ Yes ‰ No
Remarks:

Has the fuel system been designed as per Abu Dhabi Municipality requirements? ‰ Yes ‰ No
Remarks:

Page 15 of 15

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