This regulation requires facilities to maintain documented maintenance programs for medical gas, vacuum, WAGD, and support gas piped systems, including a complete inventory of source systems, control valves, alarms, assemblies, and outlets. Inspection and maintenance schedules and procedures must be established through risk assessment, taking into account manufacturer recommendations. Personnel performing maintenance must be qualified through training and certification or credentialing per NFPA 99 (AASE 6030 or 6040). This is a Life Safety Code / physical plant requirement applicable to any facility type surveyed under CMS-2786R.
View official sourceK907 Gas and Vacuum Piped Systems – Maintenance Program Medical gas, vacuum, WAGD, or support gas systems have documented maintenance programs. The program includes an inventory of all source systems, control valves, alarms, manufactured assemblies, and outlets. Inspection and maintenance schedules are established through risk assessment considering manufacturer recommendations. Inspection procedures and testing methods are established through risk assessment. Persons maintaining systems are qualified as demonstrated by training and certification or credentialing to the requirements of AASE 6030 or 6040. 5.1.14.2.1, 5.1.14.2.2, 5.1.15, 5.2.14, 5.3.13.4.2 (NFPA 99) Form CMS-2786R (07/2018) Page 39 Name of Facility 2012 LIFE SAFETY CODE ID PREFIX MET NOT MET N/A REMARKS