CHH Daily Rounds

• CHH Daily Rounds

• Conducted on

  Date

• Prepared by

Check Exhaust Fan Units

• EF-13

• EF-15

• EF-16

• Check RO/DI System:

14th Floor Boiler - Room 14113

Sight Glass

• OK

Cylinder

• OK

Bottom

• OK

Low Water Cut Out

• OK

High Water Cut Out

• OK

4th Floor - Room 4090A

• Boiler 1 Temperature (°F)

• Boiler 2 Temperature (°F)

• Gas Manifold Number 1 Lab CO₂

• Bank In Service

  Left

  Right

• Order Date

  Date

• Gas Manifold Number 2 Med CO₂

• Bank In Service

  Left

  Right

• Order Date

  Date

• Gas Manifold Number 3 Med NO₂

• Bank In Service

  Left

  Right

• Order Date

  Date

• Gas Manifold Number 5 Med N₂

• Bank In Service

  Left

  Right

• Order Date

  Date

• Gas Manifold Number 4 Med O₂

• Right Bank

• R1 Level -

• R2 Level -

• PSI -

• Left Bank

• L1 Level -

• L2 Level -

• PSI -

• Line PSI -

• Bank In Service

  Left

  Right

• Valves Open?

  Yes

  No

• Order Date

  Date

• CO₂ Monitor Water Level Adequacy

• Medical

• Lab