Information
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Royal Melbourne Hospital City Campus
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Conducted on
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Prepared by Melbourne Health Engineering
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Completed by:
Name & Title -
Risk Category
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Criteria 1 : AIR HANDLING UNITS
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Completed Planned Preventative Maintenance Fans
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Completed Planned Preventative Maintenance Air Filters
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Completed Planned Preventative Maintenance Dampers
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Completed Planned Preventative Maintenance Variable Speed Drives
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Completed Planned Preventative Maintenance Motors & Drives
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Completed Planned Preventative Maintenance Air Intake & Discharge<br>
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Completed Planned Preventative Maintenance Minimum Outdoor Air Quality<br>
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Completed Planned Preventative Maintenance Air Distribution & Balance
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Criteria 2 : SUPPLY AIR DUCTS
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Completed Planned Preventative Maintenance Humidifiers
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Completed Planned Preventative Maintenance Fire Dampers
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Completed Planned Preventative Maintenance Balance Dampers
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Completed Planned Preventative Maintenance Duct Inspections and Cleaning
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Completed Planned Preventative Maintenance Air Quality
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Criteria 3 : Exhaust Ducts
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Completed Planned Preventative Maintenance Fire Dampers
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Completed Planned Preventative Maintenance Balance Dampers
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Completed Planned Preventative Maintenance Duct Inspections and Cleaning
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Completed Planned Preventative Maintenance Kitchen Exhaust Ducts, Hoods and Grease Filters
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Criteria 4 : HEPA FILTERS - GENERAL
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Completed Planned Preventative Maintenance HEPA Filter Validation Testing
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Criteria 5 : Controls
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Completed Planned Preventative Maintenance: Pneumatic Controls
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Completed Planned Preventative Maintenance: Electric, Electronic & DDC Controls
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Criteria 6 : Cooling Towers
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Completed Planned Preventative Maintenance: Cooling Towers
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Completed Planned Preventative Maintenance: Chemical Dosing
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Criteria 7 : Chillers
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Completed Planned Preventative Maintenance: Centrifugal
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Completed Planned Preventative Maintenance: Screw
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Completed Planned Preventative Maintenance: Reciprocating
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Completed Planned Preventative Maintenance: Magnetic
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Completed Planned Preventative Maintenance: Air - Cooled Condensor
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Completed Planned Preventative Maintenance: Water - Cooled Condensor
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Completed Planned Preventative Maintenance: Chillers - General
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Criteria 8 : Pumps
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Completed Planned Preventative Maintenance: Pumps
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Criteria 9 : Plumbing Systems
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Completed Planned Preventative Maintenance: Warm - Water Systems
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Completed Planned Preventative Maintenance: Thermostatic Mixing Valves
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Completed Planned Preventative Maintenance: Hot - Water Systems
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Completed Planned Preventative Maintenance: Cold - Water Vessels & Tanks
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Completed Planned Preventative Maintenance: Water Filters For High Risk Processes
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Completed Planned Preventative Maintenance: Ice Machines & Storage
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Completed Planned Preventative Maintenance: Clinical Handwash Basin
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Completed Planned Preventative Maintenance: General Handwash Basin
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Completed Planned Preventative Maintenance: Reverse Osmosis Filtration Plant
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Criteria 10 : Cool Rooms & Freezers
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Completed Planned Preventative Maintenance: Cool / Freezer Room and Controls
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Completed Planned Preventative Maintenance: Condensing Unit
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Criteria 11 : Electrical
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Completed Planned Preventative Maintenance: Cardiac - Protected Areas
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Completed Planned Preventative Maintenance: Body - Protected Areas
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Completed Planned Preventative Maintenance: Emergency Lighting & Power
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Completed Planned Preventative Maintenance: Emergency Generator
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Completed Planned Preventative Maintenance: Lighting
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Completed Planned Preventative Maintenance: Electrical Installation
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Completed Planned Preventative Maintenance: Electric Duct Heaters
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Completed Planned Preventative Maintenance: Switchboard & Wiring
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Completed Planned Preventative Maintenance: Electric Motors
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Criteria 12 : Piped Medical Gas Systems
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Completed Planned Preventative Maintenance: Medical Air Compressor - General
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Completed Planned Preventative Maintenance: Medical Air Compressor - Specific
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Completed Planned Preventative Maintenance: Medical Breathing Air Purity
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Completed Planned Preventative Maintenance: Medical Vacuum Pump - General
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Completed Planned Preventative Maintenance: Medical Vacuum Pump - Specific
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Completed Planned Preventative Maintenance: Medical Gas Manifold Inspection
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Completed Planned Preventative Maintenance: Medical Gas Manifold Check
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Completed Planned Preventative Maintenance: Medical Oxgen Systems
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Completed Planned Preventative Maintenance: Safety Valves
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Completed Planned Preventative Maintenance: Gas Failure Warning Systems
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Completed Planned Preventative Maintenance: Terminal Units
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Pressure Gauges & Switches
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Criteria 13 : Building Fabric (Inspections & Corrective Maintenance)
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Floor Finishes
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Wall Finishes
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Ceilings
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Door Closers & Seals
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Access Panels
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Fixed Cabinets & Fittings
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Minor Water Damage
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Major Water Damage (Flood)
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Water Damage to Carpet
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Criteria 14 : Surgical Air Systems
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Completed Planned Preventative Maintenance: Pressure Gradients - OT
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Completed Planned Preventative Maintenance: Ventilation Rates (Air Change Rate) - Operating Room
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Completed Planned Preventative Maintenance: Air Velocity and Flow Characteristics - Ultra Clean Ventilation System - Operating Room
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Completed Planned Preventative Maintenance: Air Velocity and Flow Characteristics - Conventional System - Operating Room
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Completed Planned Preventative Maintenance: HEPA Filter Validation
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Completed Planned Preventative Maintenance: Conventional Operating Room Particle Concentrations Validation (Room Class)
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Completed Planned Preventative Maintenance: Ultra Clean Ventilation Operating Room Particle Concentrations Validation (Room Class)
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Completed Planned Preventative Maintenance: Airflow Visualisation - Operating Room
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Completed Planned Preventative Maintenance: Airflow Visualisation
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Completed Planned Preventative Maintenance: Pressure Recovery
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Completed Planned Preventative Maintenance: Room Exhaust
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Completed Planned Preventative Maintenance: Room Doors, Pass Through Cabinets
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Criteria 15 : Special Air Systems
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Completed Planned Preventative Maintenance: Positive Pressure Gradient
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Completed Planned Preventative Maintenance: Negative Pressure Gradient
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Completed Planned Preventative Maintenance: Ventilation Rates (Air Change Rate)
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Completed Planned Preventative Maintenance: Negative Pressure Isolations Rooms Supply Air
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Completed Planned Preventative Maintenance: Negative Pressure Isolations Rooms Exhaust
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Completed Planned Preventative Maintenance: Cytotoxic Suite Exhaust
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Completed Planned Preventative Maintenance: Cytotoxic Supply Air
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Criteria 16 : Sterilising
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Completed Planned Preventative Maintenance: Drying Cabinet
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Completed Planned Preventative Maintenance: Pre - Vacuum Steriliser
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Completed Planned Preventative Maintenance: Downward Displacement Steriliser
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Completed Planned Preventative Maintenance: Dry - Heat Steriliser
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Completed Planned Preventative Maintenance: Ethylene Oxide Steriliser
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Completed Planned Preventative Maintenance: Peracetic Acid Steriliser
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Completed Planned Preventative Maintenance: Hydrogen Peroxide Plasma Steriliser
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Completed Planned Preventative Maintenance: Ultrasonic Cleaner
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Completed Planned Preventative Maintenance: Rack Conveyor Washer
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Completed Planned Preventative Maintenance: Batch Washer
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Criteria 17 : Reporting
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Reporting & Verification - Quarterly
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Reporting & Verification - Annual
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Corrective Actions to address mandatory standards non - conformance:
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