10/30/2021
Page 1 of 6
Task ID
Task Desc
Est Hours
Procedure
Tag No
Frequency:
Months
0045
AHU 1 Supply Fan Motor
1.50
Shut unit down at main computer
Lockout and tag main VFD
Wipe down motor and lube per specs
Check belts replace if needed
0001
0047
AHU 1 Return Fan Motor
1.50
Clean motor and lube
Check belts for wear and replace with same if
needed
0002
0046
AHU 1 Supply Fan
1.50
Shut unit sown at main computer
Lockout and tag main VFD
Wipe fan down and lube per specs
Check belts replace if needed
0003
0048
AHU 1 Return Fan
1.50
Clean fan and lube
0004
0053
AHU 2 Supply Fan Motor
1.50
Turn off unit at main computer.
Lockout and tag main VFD
Wipe motor down grease per specs.
0005
0055
AHU 3 Supply Fan Motor
1.50
Shut unit down at main computer.
Lockout and tag main VFD
Clean motor lube per specs
Check belts replace if needed
0006
0054
AHU 2 Supply Fan
1.50
Shut unit down at main computer
Lockout and tag main VFD
Wipe fan down and grease per specs
Check belts tighen or replace as needed
0007
0056
AHU 3 Supply Fan
1.50
Shut down unit at main computer
lockout and tag main VFD
Clean fan and lube per specs
Check belts replace if needed
0008
0064
AHU 1 Heat Wheel
2.00
Shut down unit at main computer
Lockout and tag main VFD
Clean wheel faces with vacume
0009
0062
AHU 4 Heat Wheel
1.00
Shut down unit at main computer
Lockout and tag main VFD
Clean wheel faces with vacume
0010
0065
AHU 5 Supply Fan Motor
1.50
Shut down unit at main computer
Lockout and tag main VFD
Wipe down motor and lube per specs
Check belts and replace if needed
0011
0066
AHU 5 Supply Fan
1.50
Shut down unit at main computer
Lockout and tag main VFD
Wipe down fan and lube per specs
Check belts and replace if needed
0012
0028
AHU 4 Humidity Boiler
1.00
Turn unit off at main computer lock out power
supply. Wipe unit down check operation of unit
per specs
0013
0038
AHU 1 Humidity Boiler
1.00
Turn unit off at main computer lock power
supply. Wipe unit down check operation per
specs
0014
0043
Chiller Cooling Tower
2.00
Turn unit off at main computer lock out power
supply. Clean and lube motor per specs.
Check condition of belt replace if needed
0015
0026
Kitchen Hood Makeup Air Unit
2.00
Shut unit off at main computer. Remove Filters
clean if needed check inside of unit for any
0016
Planned Work by Daily, Monthly, Yearly (sample)
Frequency equals Months
10/30/2021
Page 2 of 6
Task ID
Task Desc
Est Hours
Procedure
Tag No
Frequency:
Months (continued)
obstructions. Grease fan and motor per specs
0057
AHU 4 Supply Fan Motor
1.50
Shut down unit at main computer
Lockout and tag main VFD
Wipe motor down and lube per specs
Check belts replace if needed
0017
0059
AHU 4 Return Fan Motor
1.50
Shut unit down at main computer
Lockout and tag main VFD
Wipe motor down and lube per specs
Check belts and replace if needed
0018
0058
AHU 4 Supply Fan
1.50
Shut down unit at main computer
lockout and tag main VFD
Wipe fan down lube per specs
Check belts replace if needed
0019
0060
AHU 4 Return Fan
1.50
Shut unit down at main computer
Lockout and tag main VFD
Wipe fan down and lube per specs
check belts replace if needed
0020
0061
AHU 4 Heat Wheel Motor
1.00
Shut down unit at main computer
Lockout and tag main VFD
Wipe motor down. Ckeck wheel operation
0021
0067
Chiller 1 Main Pump CHP1
0.50
Shut unit down at main computer
Lockout and tag main VFD
Wipe unit down and lube per specs
0022
0068
Chiller 2 Main Pump CHP 2
0.50
Shut unit down at main computer
Lockout and tag unit at main VFD
Wipe unit down and lube per specs
0023
0069
Chilled Water Pump CHP3
0.50
Shut unit down at main computer
Lockout and tag main VFD
Wipe unit down and lube per specs
0024
0070
Chilled Water Pump CHP4
0.50
Shut down unit at main computer
Lockout and tag main VFD
Wipe unit down and lube per specs
0025
0071
Condenser Water Pump CWP1
0.50
Shut unit down at main computer
Lockout and tag main VFD
Wipe unit down an lube per specs
0026
0072
Condenser Water Pump CWP2
0.50
Shut unit down at main computer
Lockout and tag main VFD
Wipe unit down and lube per specs
0027
0051
Water Cooled Liquid Chiller 1
1.00
Wipe chiller down with wet cloth check to make
sure no obstructions around pump or anything
leaning aginst chiller.
0028
0052
Water Cooled Liquid Chiller 2
1.00
Wipe chiller down with wet cloth check that there
are no obstruction around chiller pump or
anything leaning on chiller.
0029
0005
Dietary Refridgerator Motors
3.00
Check and Clean All Refridgerator Motors per
Manufacturer's Specifcations
0034
0006
Elevator
1.00
Check All Operations according to
Manufacturer's Specifications
0035
0011
Physical Therapy Traction Table
0.75
Clean and Inspect Unit according to
Manufacturer's Specifications.
0040
0013
Dietary Dishwasher Booster Heater
1.00
Turn off power to unit, Inspect all Electrical
Contacts for excess wear. Check all Safety
0041
Planned Work by Daily, Monthly, Yearly (sample)
Frequency equals Months
10/30/2021
Page 3 of 6
Task ID
Task Desc
Est Hours
Procedure
Tag No
Frequency:
Months (continued)
Devices and record any Abnormal Findings.
Turn Power Back on and Return Unit to Service.
Check Operation of Unit.
0014
Dietary Garbage Disposals
2.00
Turn off power to unit (s) and check for
excessive wear. Clean as Required and return
unit (s) to service.
0042
0016
Dietary Plate Warmer
1.00
DISCONNECT POWER TOP UNIT AND
CHECK ALL SWITCHES AND MOVING
PARTS. RETURN UNIT TO SERVICE AND
RECONNECT POWER.
0044
0017
Hot Water Boilers (Heating)
6.00
CHECK OPERATION OF UNITS PER
MANUFACTURER'S SPECIFICATIONS.
CLEAN AS NEEDED . RECORD ALL
FINDINGS ON PROPER FORM.
0045
0018
Dry Chemical Fire Extinguishers
2.00
Check Extinguishers for damage. Check
condition of Horn and Hose, Repair as needed,
Punch out Correct month and initial.
0046
0020
Dietary CO2 Exhaust Hood Extinguisher
0.50
Clean and Inspecr per applicable codes, punch
out proper month and initial.
0048
0021
Emergency Room Ceiling Exam Lites
0.50
Clean and adjust hinged arms to insure that lite
stays in place
0049
0022
Sewage Pump Pits
4.00
Clean and lube Float Rods and Motors, Check
Operation of Pumps.
Clean Sump Pit walls of accumulated Grease
and other matter.
0050
0023
Grease Interceptor Pit
3.00
Clean and inspect pit for accumulated grease.
Have Grease removed by Approved Agency
0051
0024
Lower Level Energy Recovery Wheel
1.00
Turn off power to unit, Open side panels as
needed to perform inspections, Clean unit. Lube
per spec's
Replace side panels and turn power to unit back
on. Return Unit to service
0052
0025
Fridgidaire Gas Dryer 1 & 2
4.00
Turn off power to unit, Open top and remove
front of unit, Clean and inspect Unit. Replace
front of unit and Close top. Remove exhaust
duct vacuume out from back of unit to roof top.
Return to service
0053
0027
Hair Dryer 1 & 2
1.00
Reomve Unit from Service and Clean Unit. Lube
Fan Motor as reqiured.
0054
0029
OPC OBGYN Exhaust Fan
2.00
Disconnect Power to Unit and Clean as Needed.
Return Unit to Service.
0055
0031
X-Ray Waiting Room Exhaust Fan
1.00
Disconnect Power to Unit, Clean and Inspect as
Needed, Return Unit to Service.
0056
0032
Computer Room A/C
1.00
Disconnect Power to Unit, Clean and Inspect
Unit, Restore Power to Unit and Return to
Service.
0057
0033
Physical Therapy Tub Room A/C
2.00
Disconnect Power to Unit, Service per
Manufacturer's Instructions, Change Air Filters,
Reconnect Power to Unit and Return Unit to
Service
0058
0034
Physical Therapy Main A/C Unit
2.00
Disconnect Power to Unit , Remove Cover
Panels, Clean and Inspect Unit per
0059
Planned Work by Daily, Monthly, Yearly (sample)
Frequency equals Months
10/30/2021
Page 4 of 6
Task ID
Task Desc
Est Hours
Procedure
Tag No
Frequency:
Months (continued)
Manufacturer's Specifications, Change Air Filters
and return Unit to Service
0035
Cat Scan A/C
1.00
Disconnect Power to Unit, Remove Front
Panels, Clean and Inspect as Necessary.
Replace Front Panels and Return to Service.
0060
0036
Ford Pick Up
2.00
Oil Filter: Carquest B4651-MP
Oil : 6 quarts 5W30
Lube all grease zurts
0061
0037
Skilled Care Fan Coil Units
6.00
Clean and Inspect Units per Manufacturer's
Specifications, Change Air Filter as needed.
7-3/4x25-3/4
0062
0039
OB Fan Coil Units
2.00
Clean and Inspect Units per Manufacturer's
Specifications, Change Air Filter as Needed.
7-3/4x25-3/4
7-3/4x21
0063
0040
Miscellaneous Fan Coil Units
2.00
Clean and Inspect Units per Manufacturer's
Specifications, Change Air Filter as Needed
7-1/2x41-3/8
0064
0041
HydroPulse Water Heaters
0.75
Clean and Inspect Units per Manufacturer's
Specifications.
0065
0042
Roof Exhaust Fans
2.00
Clean and Inspect all Roof Exhaust Fans, Check
Condition of Belt, Replace as Needed.
0066
0050
AHU 1 Return Air Filters
0.50
Check interior of unit at filter rack and clean if
needed
Replace filters noting date of install on filters
24x24x2 and 24x12x2
0069
0063
AHU 1 Heat Wheel Motor
2.00
Shut down unit at main computer
Lockout and tag main VFD
Wipe down motor and lube per specs
Check belt replace or tighten as needed
0070
0075
Hospital Heat Pump 1
0.50
Shut down unit at main computer
Lockout and tag main VFD
Wipe down unit and lube per specs
0073
0076
Hospital Heat Pump 2
0.50
Shut down unit at main computer
Lockout and tag main VFD
Wipe down unit and lube per specs
0074
0077
Domestic Hot Water Pump 1
0.50
Shut unit down at main disconnect
Wipe down unit and lube per specs
0075
0078
Domestic Hot Water Pump 2
0.50
Shut down unit at main disconnect
Wipe down unit and lube per specs
0076
0079
Energy Center VFD's
1.00
Shut down at main disconnect
Use compressed air to blow out inside of cabinet
and fan
0077
0080
Boiler Room VFD's
1.00
Shut down at main disconnect
Use compressed air to blow out inside of cabinet
and fan
0078
0081
AHU 4 Mech Room VFD's
1.00
Shut down at main disconnect
Use compressed air to blow out inside of cabinet
and fan
0079
0012
Central Med Vacuum System
1.50
Clean Unit, Inspect for damaged Belts and Lube
as needed.
0081
0030
Building Wide Sump Pumps
2.00
Disconnect Power to Units and Inspect. Clean
0082
Planned Work by Daily, Monthly, Yearly (sample)
Frequency equals Months
10/30/2021
Page 5 of 6
Task ID
Task Desc
Est Hours
Procedure
Tag No
Frequency:
Months (continued)
as Needed and Return Units to Service. Check
to see if unit operate properly
0083
AHU 2 Air Filters
1.00
Shut down unit at main computer
Lockout and tag main VFD
Remove old filters replace with new
0083
0084
AHU 3 Air Filters
1.00
Shut down unit at main computer
Lockout and tag main VFD
Remove old filters replace with new
0084
0085
AHU4 Fresh Air Intake Filters
1.00
Shut down unit at main computer
Lockout and tag main VFD
Remove old filters replace with new
24x24x2
0085
0086
AHU 4 Return Air Filters
1.00
Shut unit down at main computer
Lockout and tag main VFD
Remove old filters replace with new
24x24x2
0086
0087
AHU 5 Fresh Air Intake Filters
1.00
Shut unit down at main computer
Lockout and tag main VFD
Remove old filters replace with new
0087
0088
Lower Level FCU 2
0.50
Replace Filter 9-7/8x35-7/8x1
0088
0089
Lower Level FCU 3
0.50
Replace Filter 9-7/8x35-7/8x1
0089
0090
Lower Level FCU 4
0.50
Replace Filter 9-7/8x59-7/8x1
0090
0091
Lower Level FCU 5
0.50
Replace Filters 9-7/8x43-7/8x1
0091
0092
Lower Level FCU 6
0.50
Replace Filter 9-7/8x59-7/8x1
0092
0093
Lower Level FCU 7
0.50
Replace Filter 9-7/8x43-7/8x1
0093
0094
Lower Level FCU 8
0.50
Replace Filter 9-7/8x35-7/8x1
0094
0095
Lower Level FCU 9
0.50
Replace Filter 15-1/2x33-7/8x1
0095
0096
Lower Level FCU 10
0.50
Replace Filter 15-1/2x33-7/8x1
0096
0097
Lower Level FCU 11
0.50
Replace Filter 15-3/8x17-7/8x1
0097
0098
Lower Level Energy Wheel
1.00
Replace Filters 24x24x2
0098
0099
HEATING BOILER 1
0.00
SHUT BOILER DOWN AT MAIN COMPUTER
WIPE BOILER DOWN
CHECK IGNITORS FOR ARC BURNS OR
BROKEN, REPLACE IF NEEDED
0099
0100
HEATING BOILER 2
0.00
SHUT BOILER DOWN AT MAIN COMPUTER
WIPE BOILER DOWN
CHECK IGNITORS FOR ARC BURNS OR
BROKEN, REPLACE IF NEEDED
0100
0101
Cafeteria Ice Machine
0.00
Shut down unit with switch
Remove front cover
Clean and sanatize as per manufactures
instruction on inside cover.
Change water filters
0101
0102
East Wing Ice machine
0.00
Shut unit down with switch
Remove front cover
Clean and sanitize as per manufactures
specifications on inside front cover.
Change water filters
0102
0103
West Wing Ice machine
0.00
Shut down unit with switch
Remove front cover
Clean and sanitize as per manufactures specs
on inside front cover.
0103
Planned Work by Daily, Monthly, Yearly (sample)
Frequency equals Months
10/30/2021
Page 6 of 6
Task ID
Task Desc
Est Hours
Procedure
Tag No
Frequency:
Months (continued)
Change water filters
0104
Cooling Tower
4.00
Shut cooling tower down at main computer.
Shut down condeser pumps at main computer.
Shut down chillers at main computer.
Shut main water off in energy center.
Shut pan heater off.
Shut off chemecal pumps.
Open drain on cooling tower basin half way and
allow to drain completly.
Wash out dirt and wipe pan.
Lube Motor and check belt.
Shut basin drain valve.
Open main water fill valve to basin
Turn on chemecal pumps.
When basin is full turn on pan heater.
Turn on condenser pumps.
Turn on cooling tower.
Turn on chillers.
0104
0105
Sprinkler Testing
4.00
Test Pressures and Flow
0105
0082
Med Gas Testing
0.00
Contact Hoffman Medical to do Testing
0111
0113
Anesthesia Machine Waste Gas Testing
1.00
Call Hoffman Medical for Machine testing
0111
0116
Fire Dept. Connection
0.00
Fire department connections are visible and
accessible.
Couplings or swivels are not damaged and
rotate smoothly.
Plugs or caps are in place and undamaged.
Gaskets are in place.
Identification signs are in place.
Check valve is not leaking.
Automatic drain valve is in place and operating
properly.
Fire department connection clapper in in place
and operating properly.
Interior of the connection is inspected for
obstructions.
Visible piping supplying the fire department
connection is undamaged.
Following NFPA 25 13.8 and 13.8.1
requirements.
0116
Totals: 93 records printed