Title Page

  • Title:

  • Client / Site

  • Address:

  • Project Number:

  • Conducted on

  • Prepared by

Hospital contacts:

  • Main hospital contact:

  • Building contractor:

  • Electrical contractor:

  • IT administrator

  • Radiation protection advisor

  • Accepting Physicist:

Pre-installation notifications

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

  • Date:

  • Has insurance cover been arranged for the delivery of the equipment?

  • Have the authorities been informed where public are may be used for delivery?

  • Any comments or considerations?

Access to the site/ off-loading area

  • Is the off-loading area clear and clean?

  • Has provision been made to prevent dust and debris getting in to the hospital and to the equipment?

  • Will it be clear on the date of the delivery?

  • What is the dimension the off-loading area?

  • Is the off-loading area flat and the same height as the entrance of hospital building?

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

  • What is being used to off-load the equipment?

  • Does the above have a SWL of 5 tones?

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

  • Have arrangements been made for an installation rigging crew to be available for delivery?

  • Have they experience of moving heavy equipment?

  • How many people?

  • Is an interpreter available during the rigging process to enable communication of site?

  • Contact information:

  • Is the hospital a new building?

  • Has all building work been finished?

  • Are there any building workers in the area up to, or inside, the treatment room or control area?

  • Are any hospital staff working on access route?

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

  • Has provision been made for disposing of, or recycling, all packages and crates?

  • Any comments or considerations:

Access to the treatment room

  • Can the floor withstand a point of load of 600kg?

  • Is the minimum clear height on the access route to the treatment room higher than 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 970mm?

  • Have arrangements been made for this to be altered?

  • Are there any corners below the recommended dimensions in the planning guide?

  • Have arrangements been made for this to be altered?

  • It is necessary to remove any door frames?

  • Have arrangements been made for this to be altered?

  • Do any floor ducts requires protection?

  • Have arrangements been made for this to be altered?

  • Any gradients on the route to, or inside, the treatment room?

  • Comment about:

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

Treatment Room

  • Is the concrete slab a minimum of 220mm thick?

  • Is the concrete slab clear of screed?

  • Has a concrete core sample been tested?

  • Has a copy of the test certificate been supplied?

  • What is the value of compression test?

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

  • Has the pit of Precise Table constructed?

  • Is the pit clear of screed?

  • Is the pit internal width of 1400mm?

  • Is the pit internal length of > 3175mm?

  • Is the pit height of 315mm?

  • Is there a floor channel near the back of the technical room for cabling distribution?

  • Are the steel angle frame that surround the Precise Table pit 50x50x6 mm anchored in to the concrete?

  • Has the final floor been laid?

  • Then the concrete must to be sealed to decrease dust. Has this been done?

  • Have arrangement been made to protect the floor during delivery?

  • Have the wall coverings been added?

  • Have the room fittings been completed?

  • Have the laser cavities protective boxes been constructed?

  • Have steel plates for mounting the lasers been fitted?

  • Have the CCTV infrastructure been made for installation?

  • Is the ceiling finished?

  • If the ceiling mounted I-section guider is being used, have the ceiling tiles been removed to give clear access to the guider?

  • Is the treatment room fascia constructed?

  • Is the height of the opening > 2700mm?

  • Is the width od the opening > 2800mm?

  • What is the lifting facilities are available?

  • I-section guider attached to the ceiling?

  • Has a space been left in the Fascia partition to allow the travelling hoist on the I-section guider?

  • In the long axis of the guider parallel and vertically above the front/rear axis (G-T axis) of the floor cavity?

  • Is the distance between the floor level and the highest point to which the hook can be raised minimum 2400mm?

  • Is the maximum SWL can support 3 tones?

  • Is a copy of the SWL available?

  • Fascia should be built after installation, is that planned?

  • Are the cable ducts finished?

  • Are they cleaned of debris?

  • Does the ducts meets the requirements of planning guide?

  • Is the duct between treatment and control area dry? No water is allowed.

  • Are pull strings installed in the duct/channel between treatment and control area?

  • Is the Three-phase mains isolator in position?

  • Is the three-phase electrical supply free of transitory interference?

  • Phase 01:

  • Phase 02:

  • Phase 03:

  • Single Phase:

  • Has a three-phase cable been supplied from the mains isolator to the proposed position of the voltage stabilizer?

  • Is there a voltage stabilizer presented, installed and calibrated by the manufacture?

  • Has a three-phase cable been supplied from the voltage stabilizer to the position of interface cabinet?

  • Will treatment room monitors be mounted such that the bottom edge of the TRM is more than 1800mm of height from the finished floor?

  • Is the treatment monitor supports available?

  • Is the HRC in position?

  • Is the main door interlock connected to the HRC?

  • Are the secondary doors interlocks connected to the HRC?

  • Are the lasers connected to the HRC?

  • Are the room lights connected to the HRC?

  • Is the warning light connected to the HRC?

  • Is the water chiller remote start control connected to the HRC?

  • Is the emergency buttons connected to the HRC?

  • Are all of the connections in the HRC correctly labeled?

  • Is the air conditioning function and tested?

  • State the humidity of the air inside of the treatment room:

  • State the temperature of the air inside of the treatment room:

  • Is a fire detector system installed in the treatment room?

  • Are there hose pipes to bring the chilled water to the machine?

  • Do the pipe have fittings for connecting the flexible hose?

  • Is the chiller machine functional and calibrated?

Control area

  • Is the control desk in position and finished?

  • Have suitable cable passages been cut in the control desks?

  • Are the cable ducts finished?

  • Are the cables cleaned and clear?

  • Are chairs available on site?

  • Are cable ducts laid in to the concrete?

  • Are the floor cover fit correctly?

  • Do the cable ducts meets the requirements of the planning guide?

  • Are all removable panels below the control desk accessible?

  • Are the single-phase sockets fitted?

  • Is single-phase socket powered supplied?

  • Has the final floor finish been laid?

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

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

  • Is the air conditioning functional?

  • Is the final light fitted?

  • Is the final lighting operational?

  • Is position of the MCC and FEC clear of obstruction?

  • Any comments or considerations:

Chilled water supply

  • Is a standalone chiller available on site?

  • Is the chiller functional and calibrated by the third suppliers manufacture?

  • State the water supply temperature:

  • State the water supply pressure:

  • State the water return pressure:

  • State the water supply flow rate:

  • Are manual stop valves in position?

  • Are there hose-pipes to bring chilled water to the equipment area?

  • Do the pipes have fittings for connecting the flexible hose?

  • Any comments or considerations:

Installation requirements

  • Has the radiation plan been approved by the locally nuclear agency?

  • Has the main door installed as the physicist specification guidelines?

  • Is a cylinder of 99.9% SF6 available?

  • State any political issues or problems to be avoided.

  • State any special communication arrangements with regard to the ordering and delivery of service parts from Elekta to the hospital during the installation.

  • Is the site approved to start the installation?

  • Date:

  • signed-off by:

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