Free checklist
Medical gas system quarterly maintenance checklist
A quarterly medical gas system round is short on purpose: it catches the wear items that fail between annual services. This checklist is sized for a tech with a phone. Every item says what to look at and the photo that proves the round happened. Work is commonly verified against NFPA 99. Confirm the edition your authority having jurisdiction has adopted.
- Items
- 5
- Photos required
- 8
- Built for
- Subcontractors
Who runs it
The facilities or medical gas maintenance tech on the quarterly round, alongside clinical staff where patient areas are entered.
When in the schedule
Every quarter, timed so the source equipment and the alarm panels are checked on the same pass since a source event should show at the panel.
The checklist
Every item, and the photo that proves it
The photo count on each row is what RTI would require before the item can be submitted. Copy the list as is, or load it into RTI and let the gate enforce it.
Source and manifold
- 2 photos
Oxygen, medical air and vacuum source status observed
Each source in normal operation, in-use and reserve banks reading as expected, no source in an alarm or changeover-locked state.
- 2 photos
Manifold and cylinder area condition checked
Cylinders secured and segregated full from empty, manifold regulators steady, no hissing or frost at fittings, ventilation and signage intact.
Alarms
- 2 photos
Master and area alarm panels showing normal
Panels reading normal with no active or muted alarms, lamp/audible test exercised, gas and zone labels on each panel legible.
Zone valves and outlets
- 1 photo
Zone valve boxes labeled and accessible
Each valve box labeled for the gas and the area it serves, window intact, nothing stored in front of it, valve position as expected.
- 1 photo
Station outlets condition checked, no leaks or odor
Outlets hold and release a probe without dragging, faceplates and gas-specific fittings intact, no hissing at the wall and no odor in the room.
What usually sends this back
The failures are almost always the evidence, not the work
- Master alarm buzzer silenced weeks ago and left silenced, so a low-oxygen source condition never announces at the panel.
- A zone valve box blocked by a stored cart or gurney, so the shutoff can't be reached in the room it serves.
- An outlet that leaks or drags on plug-in noted verbally by a nurse but never worked into the maintenance record.
Run it with the Photo Gate
A checklist nobody can submit half-finished
Load this list into RTI, stick a QR tag on the area it covers, and the submit button stays locked until every mandatory item is answered and the 8 required photos exist. Approved walks roll into a branded turnover package with a tamper-evident record behind every line.
Submission state
The gate is enforced on the server, so it holds even if the phone is offline when the walk happens.
Verified against
Common questions
- What does this medical gas system quarterly checklist cover?
- 5 items across 3 sections, covering source and manifold, alarms, zone valves and outlets. Each item spells out what the person walking the job is actually looking for, not just a box to tick.
- Who should run this inspection?
- The facilities or medical gas maintenance tech on the quarterly round, alongside clinical staff where patient areas are entered.
- When in the schedule should this walk happen?
- Every quarter, timed so the source equipment and the alarm panels are checked on the same pass since a source event should show at the panel.
- Why does every item ask for a photo?
- 8 of the 5 items call for photo evidence. A checklist answer without the photo is a claim; the photo is what makes the record worth something in a dispute and lets a reviewer approve work without re-walking the job.
- What most often fails a medical gas system quarterly inspection?
- Master alarm buzzer silenced weeks ago and left silenced, so a low-oxygen source condition never announces at the panel. A zone valve box blocked by a stored cart or gurney, so the shutoff can't be reached in the room it serves. An outlet that leaks or drags on plug-in noted verbally by a nurse but never worked into the maintenance record.
- Can I use this checklist in RTI?
- Yes. Start a free RTI workspace, build this list as a checklist, and the Photo Gate holds the submit button until every mandatory item is answered and its photos are attached. Approved inspections roll into a branded turnover package with a tamper-evident audit trail.
Related checklists
2642 items and 4211 photo requirements in total.