Oncology Site Inspection Report v2.0

Machine Type:

Inspection type:

Site Status:

Has the hospital administration been notified of the proposed date of the equipment delivery?

Have the authorities been informed where public areas may be used for equipment delivery / access?

Is the off loading area clear?

Will it be clear on the date of delivery?

Is the off loading area flat and at the same height as the entrance to the hospital building?

Will arrangements be made for a shallow gradient ramp or leveled area to allow easier access of the equipment?

What is being used to offload truck?

Has Riggers visited site for evaluation?

Does the forklift have enough space to maneuver, allowing for the area that crates will take up when unloaded? (Approx 3,800 sq. ft)

Does the above have a SWL of 11,000 lbs?

Is there enough truck parking space?

Any obstacle in rigging or staging path require protection?

Are there any gradients on the access route into the hospital building?

Have arrangements been made for a rigging company to be available for the first two days of the installation?

Have they had experience installing Linacs in the past year?

Does the delivery meet guidelines for a "Standard Delivery"?

Has rigging company site visit been scheduled?

All floors must support a load of 4,850 lbs. (a point load of 1,323 lbs) Can the floor withstand this load?

Have arrangements been made to correct this?

Is the minimum clear height on the access route to the treatment room higher than 80"? (2015mm)

Have arrangements been made for this to be altered?

Is the minimum clear width on the access route to the treatment room wider than 45-1/4"? (1150mm)

Are there any tight corners to be negotiated?

Is it necessary to remove any door frames?

Have arrangements been made for this work to be done?

Do any floor ducts or floor finishes require protection?

Have arrangements been made for this work to be done?

Are there any gradients on the route to, or inside the treatment room?

What are the gradients?

Is the ceiling height behind the fascia wall > 9' to allow for Linac assembly? (This includes sprinkler heads, vents, lights, etc)

Has the access route been cleared of debris and swept clean?

Has the Precise Table Pit been constructed?

Does it meet the specifications on Elekta drawings sheet S1 thru S3?

Has figure 1 been filled out completely?

Do floor raceway cutouts meet Elekta specs?

Are the mild steel angle frames (pit edging) that surround the Precise Table Pit 2" x 2" x 1/4" in size and anchored into the concrete?

Has the pit edging been held above concrete floor whatever thickness final floor will be per Pit Edge detail on sheet S2 of Elekta drawings?

Has the treatment room been cleared of debris and swept clean?

Is the room clear of workers?

Has the concrete been poured?

Has a copy of the concrete test results been received by Elekta?

Was the concrete poured monolithic with no topping leveling layer?

Does the concrete floor below the Linac, around the table pit, and in the floor of the table pit meet levelness spec as indicated on sheet S1 of Elekta drawings?

Has the final floor been laid?

If the final floor finish is not laid then the concrete floor must be sealed to reduce dust, has this been done?

Have arrangements been made to protect the floor?

Has the wall covering been added?

Is ceiling finished?

Is the long axis of the beam parallel and vertically above the front/rear axis (G-T axis) of the table pit?

What is the distance between the floor level and the highest point that the hook can be raised when using the I-Beam? (Min 94-1/2" (2400mm)

Have all parts of the lifting system been load tested to 7000 lbs Safe Working Load?

Has a copy of the certificate been sent to Elekta?

Is a one ton chain hoist and trolley available?

Are the cable ducts finished?

Are they clear of debris and clean?

Does the ducting meet the requirements on Elekta drawing sheet E2?

Are the ducts / conduits between the treatment room and the control room dry and clear for pulling cables?

Are pull strings installed in the duct / conduits between the treatment room and the control area?

Is the treatment room fascia wall constructed?

Is the opening of the fascia wall centered on the G-T line of isocenter?

Has a space been left to allow the chain hoist on the I-Beam to pass?

Is wood blocking in header of fascia for goal post anchors? (Wood 2x4 typ.)

Is the 3-phase circuit breaker in position?

Is power supplied to the above circuit breaker(s)?

Has the 3-phase cable been supplied from the primary circuit breaker to FB2? (via PCDU if applicable)

Are all ion pump wires (#10 conductors) pulled from PCDU to FB2?

Has the electrician checked for proper phase rotation? (CW)

Is the Client Interface Terminal Box in position?

Has time delay been tested and passed?

Has the radiation door been tested and passes?

Has the Neutron Door been tested and passes?

Has the Laser Alignment System been tested and passes?

Has the Motion Stop Switches been tested and passes?

Has the Treatment Room Lights (both dimmed & fluorescent) been tested and passes?

Has the Radiation Warning Light(s) been tested and passes?

Has the Fascia Door Switch(es) been tested and passes?

Has the Shut Off Solenoids been tested and passes?

Has the Water Chiller Start Circuit been tested and passes?

Have all the interlocks been tested?

Is voltage present on the Emergency Off and/or Door Switch Circuit? (Should not be present)

Have all low voltage inputs into CITB been checked for short to ground?

Is the air conditioning system functional?

Tested ?

Is filtration to 90-95% efficiency?

Ductwork cleaned to remove the dust?

Is the final lighting installed?

Is the final lighting operational?

Have all cabinets and countertops in treatment room been installed?

Has the Applicator Storage cabinet been check for proper dimensions?

Have the laser recesses (side & sagittal) been constructed to correct size and location in reference to isocenter? (L x W x AFF)

Have aluminum plates been rigid mounted to concrete on 1/2" standoffs? (Side and sagittal lasers)

Has aluminum plate been mounted on a rigid structure for overhead laser to proper height above finished ceiling?

Have the false ceiling tiles been installed?

If there is a ceiling mounted I-Beam, have any struts or panels in the false ceiling been mounted across the path of the chain hoist and trolley?

Is a fire detection system installed in the treatment room? (In both the patient area or gantry areas)

Cat cables, & outlets for CCTV and Intercom system installed?

Have the cables been verified to be shielded cables and terminated properly?

Is the XVI Circuit breaker (SDX) installed? (480v/70a)

Are the power conductors pulled from SDX to the Generator location?

Does the Shunt Trip Circuit Breaker for SD & SDX operate correctly?

Is a functional sink with water and drain in the treatment room?

Will the contractor provide a 3/4" water hose to the room for use with a core drill?

Have all camera mounting plates been checked for proper locations?

Is the 3 Point to Point CAT5 cables in place and in the appropriate locations?

Is the control desk in position?

Will a chair that meets IEC regulations for computer work be available at the start of the installation? ( i.e. height, back tilt adjustment, etc.)

Are the cable ducts finished?

Are the cable ducts grounded?

Are the single phase outlets installed?

Is single phase power supplied to them?

Who is responsible for installing CCTV & Intercom systems

Operational?

Are the cable ducts clean and clear?

Are the cable ducts?

Do the cable ducts meet the requirements on Elekta drawings sheet E2

Do the cable duct covers fit correctly?

Are all removable panels below the control desk accessible?

Can they be removed easily?

Has the final floor been laid?

Have the ceiling grid and ceiling tiles been installed?

Is the air conditioning system functional, tested , and cleaned to remove dust?

Is the final lighting installed?

Is the final lighting operational?

Is the Control Cabinet position clear?

Is site implementing a systems computer closet?

Does closet have adequate air flow?

Does closet have pullout shelving?

Have 3" grommeted cable passages been cut in the control desk counter top?

Is a telephone, with the ability to phone internationally and be direct dialed, located in the control area?

Has the control area been cleared of debris and swept clean?

Chiller Operation?

Has Chiller start-up been scheduled?

Is the temperature gauges in place?

Is both supply and return line pressure gauges installed?

Is the flow gauge that can read 4-16 gpm installed?

Has a water filter been installed?

Are the three external Solenoids in place?

Have these Solenoids been tested & operate correctly?

Are the manual shut off valves in position?

Are the 1" hose barbs installed and in proper location?

Is the chilled water system fully operational?

Is site using city water as a back up?

Has the hospital provided a State-Approved Shielding Plan to allow start of equipment installation?

Has a copy of this shielding plan been sent to the Installation Manager?

Has the radiation door been approved by the customer's Physicist of Record?

Is the Photon energy 10Mv or higher?

Is Physicist prepared to perform a leakage test using a Neutron meter to confirm any leakage is within safe working levels before installation can continue?

Is the Main Vault Entrance Door installed and operational?

Is the treatment room within 50 ft of a MRI or located in a room that was once occupied by a MRI?

Does the treatment room meet the following guidelines? The composite (victor - summed) magnetic flux denisity within the Linac's swept volume is LESS than 100 microtesla. The variation of the composite magnetic flux density is over 0.5m in any direction within the Linac's swept volume shall be less than 20 microtesla.

Are there any other Linac treatment rooms built onto the sides of this treatment room?

Is the client planning to connect the Control Cabinet to an external computer system or customer network?

Is network available?

Has the network been tested as functional?

Are 10 gallons of distilled water available? (De-mineralized water is not acceptable)

Is a cylinder of Dry Nitrogen available? ( size "C" is acceptable, min 99.9% purity required)

Who is providing Dry Nitrogen

Expected day gases are to be on site?

Is a cylinder of SF6 available? ( size "B" or "C" is acceptable, min 99% purity required)

Who is providing SF6?

Expected day gases are to be on site?

Has provisions been made for disposing of, or recycling all packaging and crates?

It the site a new or existing building?

Has all building work been completed?

Is any hospital staff working on the access route?

Have arrangements been made for the area to be clear on the delivery day and the following day?

Is a lockable area available for the storage of the delivered equipment and tools?

Any political issues or problems to be aware of?

State the communication arrangements with regards to the ordering and delivery of spare parts from Elekta to the hospital during installation.