{"id":4559,"date":"2026-10-27T02:57:47","date_gmt":"2026-10-27T02:57:47","guid":{"rendered":"https:\/\/sanyangmedical.com\/as-built-sheet-theatre-committee-signs\/"},"modified":"2026-10-27T02:59:06","modified_gmt":"2026-10-27T02:59:06","slug":"as-built-sheet-theatre-committee-signs","status":"publish","type":"post","link":"https:\/\/sanyangmedical.com\/fr\/as-built-sheet-theatre-committee-signs\/","title":{"rendered":"The As-Built Sheet a Theatre Committee Signs"},"content":{"rendered":"<p>An as-built sheet is the one page per theatre that records what was installed and measured, not what the design asked for. The design Room Data Sheet states the intent; the as-built sheet states the result. Committees sign the second document and file the first. In 2026, a room file that stops at the design sheet leaves four of six lines unverified, which is 67% of the room unproven, while the remaining 33% arrives as factory paperwork. According to ISO 13485:2016 clause 4.2.4, documents are reviewed and approved before issue. A design value copied into a handover file is not a measurement.<\/p>\n<h2>What Is an As-Built Sheet for a Single Theatre?<\/h2>\n<p>A theatre as-built sheet is a per-room record that pairs each design value with a measured value and names the evidence behind the measurement. The page covers six lines: ceiling anchor coordinates, anchor proof load, delivered configuration code, service drop positions, clearance envelope and firmware baseline. Four of the six lines are measured on site, so 67% of the 2026 sheet exists only after installation. First, the sheet belongs to the room, not to the unit. Second, each line carries an instrument or record identifier. Third, each line carries one signer. According to ISO 13485:2016 clause 4.2.5, records must stay legible, identifiable and retrievable. A photograph of a tape measure fails the identifiable test. One printed page, signed, with a revision letter in the header, is the whole format.<\/p>\n<h2>Why Does the Design Room Data Sheet Stop Being True?<\/h2>\n<p>A Room Data Sheet is a design document that states a room\u2019s required services, clearances and equipment schedule before the equipment is ordered. Three events make parts of the design sheet obsolete: the chosen unit differs from the scheduled model, a trade moves a service point, and commissioning adds a bracket or a spacer. Each event is normal, and none is a defect. What fails is the paperwork trail, because the design revision keeps travelling while the room changes. In practice, the <a href=\"\/or-room-data-sheets-equipment\/\">room data sheet stage<\/a> closes the design intent and its review rounds, not the installed result. According to the Facility Guidelines Institute, room requirements are written for a stated clinical function and the equipment list that serves it. A design value without a measured partner is 50% of a record, and the 2026 sheet measures the other half in the theatre.<\/p>\n<h2>Which Values Must Be Measured, Not Copied?<\/h2>\n<p>A measured value is a number read on site with a named instrument and a date, and the 2026 sheet accepts nothing else for four of its six lines, which is 67% of the page. The four are anchor coordinates, proof load, service drop positions and clearance envelope. The remaining two lines, or 33%, come from the factory. Four rules fix the site lines: 1. read anchor coordinates from the room datum, not from the drawing grid; 2. apply and witness the proof load instead of quoting a datasheet; 3. read service drops at the outlet face; 4. read clearance with the table at full travel and the pendant at full extension. According to IEC 60601-1, model and serial markings sit on the equipment plate, so each line quotes the plate. In practice, the four rules separate a record from a brochure. Finally, a copied design value cannot be defended in year three, when the room is refurbished and nobody remembers the original gap.<\/p>\n<h3>The Six As-Built Lines in One Table<\/h3>\n<p>The table lists the six 2026 lines, the value each one carries and the party that records the value on site. Each row names one evidence type, so a reader can ask for the paper rather than for the claim.<\/p>\n<table>\n<thead>\n<tr>\n<th>Line<\/th>\n<th>Value recorded<\/th>\n<th>Recorded by<\/th>\n<th>Evidence attached<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Ceiling anchor coordinate<\/td>\n<td>Measured X and Y offset from the room datum<\/td>\n<td>Installation team<\/td>\n<td>Laser measurement printout<\/td>\n<\/tr>\n<tr>\n<td>Anchor proof load<\/td>\n<td>Test load applied, with hold time<\/td>\n<td>Commissioning engineer<\/td>\n<td>Witnessed test sheet<\/td>\n<\/tr>\n<tr>\n<td>Configuration code<\/td>\n<td>Delivered accessory, control and mounting set<\/td>\n<td>Equipment factory<\/td>\n<td>Build record per serial<\/td>\n<\/tr>\n<tr>\n<td>Service drop position<\/td>\n<td>Outlet face coordinates against the design set<\/td>\n<td>Main contractor<\/td>\n<td>Marked-up drawing revision<\/td>\n<\/tr>\n<tr>\n<td>Clearance envelope<\/td>\n<td>Free distance at full table travel and pendant reach<\/td>\n<td>Hospital with contractor<\/td>\n<td>Photograph with scale bar<\/td>\n<\/tr>\n<tr>\n<td>Firmware baseline<\/td>\n<td>Version string read from the delivered unit<\/td>\n<td>Equipment factory<\/td>\n<td>Screen capture per serial<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>How Is a Pendant Anchor Recorded?<\/h3>\n<p>A pendant anchor record is a coordinate pair plus a proof load, both tied to one ceiling plate and one theatre number. The pair covers one of the six lines, or 17% of the page, and the coordinate is read from the room datum that the <a href=\"\/one-room-datum-three-drawing-sets-set-out-check\/\">set-out check before the first anchor<\/a> fixes, so three drawing sets share one origin. The proof load is applied to the installed plate, not to a sample in a laboratory. First, record the coordinate before the equipment is hung. Second, apply the test load after the plate is fixed and before the first procedure. Third, read the same coordinate again after the load is removed, so the 2026 record reads the value 3 times. According to ISO 14971:2019, risk control measures are verified before release, and a ceiling fixing is a risk control measure against fall hazard. One reading is an opinion.<\/p>\n<figure>\n<img decoding=\"async\" src=\"https:\/\/sanyangmedical.com\/wp-content\/uploads\/2026\/07\/iec-earth-bond.png\" alt=\"Earth bond continuity test being run on an operating table base during commissioning, with the clamp, test lead and instrument visible for the as-built record\" width=\"1024\" height=\"768\" loading=\"lazy\"><figcaption>A measured value belongs on the room sheet only after the instrument, the serial and the date are written beside it.<\/figcaption><\/figure>\n<h2>How Is a Deviation Logged Before It Disappears?<\/h2>\n<p>A deviation entry is a numbered line that states the design value, the measured value, the cause and the evidence that closed the gap. The log sits on the same page as the six lines, so a reader sees the gap and the fix together. Five fields make one entry: deviation number, design value, measured value, owner and closure evidence. Two of the five fields, or 40%, carry numbers, and three carry accountability. First, number the entry inside the room series. Second, name the party that closes the gap. Third, attach the evidence, which is a photograph, a re-measurement or a revised drawing. According to ISO 13485:2016 clause 4.2.4, a changed document is reviewed and approved by the function that approved the original, so a closure needs the same signature as the line. The <a href=\"\/or-installation-interface-pack-factory-handover\/\">installation interface pack<\/a> is where most 2026 entries begin.<\/p>\n<h2>Who Signs the As-Built Sheet?<\/h2>\n<p>Three parties sign the as-built sheet, and each party signs only the lines its own work produced. The split is two lines each, so 33% of the page carries each signature. The factory signs the configuration code and the firmware baseline. The main contractor signs the anchor coordinates and the service drop positions. The hospital signs the clearance envelope and witnesses the proof load. First, the signature sits beside the value, not at the foot of the page. Second, the signature carries a date. Third, the signer\u2019s role is printed, not hand-written. According to <a href=\"https:\/\/www.law.cornell.edu\/cfr\/text\/21\/820.181\" target=\"_blank\" rel=\"noopener\">21 CFR 820.181<\/a>, a device master record must include or point to device specifications, acceptance criteria and installation procedures, so the factory half answers a regulatory question. The hospital half answers an insurance question. A 2026 page signed at the foot by one person answers neither.<\/p>\n<h3>What Does the Factory Sign?<\/h3>\n<p>The factory signs two lines: the configuration code and the firmware baseline, both keyed to the serial number on the machine plate. The configuration code states which accessories, control profile and mounting set left the factory with that serial. The firmware baseline states the version string at the moment of dispatch. First, the code is printed on the build record, not typed into the handover file by an installer. Second, the version string is read from the unit, not from a release note. Third, both lines quote the serial, so a swapped accessory becomes visible. According to IEC 60601-1, model and serial markings sit on the equipment itself, which makes the plate the reference for both lines. Two of six lines, or 33%, arrive from the factory already signed in 2026. The other four wait for site measurement.<\/p>\n<h3>What Does the Hospital Sign?<\/h3>\n<p>The hospital signs two lines: the clearance envelope and the witness line for the anchor proof load. Both lines depend on how the room will be used, which the factory cannot know. Clearance is measured with the table at full travel and the pendant arm at full extension, and the measured distance is written beside the design distance. The witness line states that a named hospital representative saw the test load applied and held. First, the hospital signs after the measurement, never before. Second, the hospital keeps a copy on the day of signature. Third, the hospital rejects a blank clearance cell rather than accepting a design figure. According to ISO 13485:2016 clause 4.2.5, a record must be retrievable for the lifetime of the device, and the 2026 copy held on site is the retrievable copy for 33% of the page.<\/p>\n<h2>How Is the As-Built Revision Frozen?<\/h2>\n<p>A revision letter is the state of the sheet at a named date, and the freeze is the act of closing further edits to that letter. Three letters carry one theatre: R0 for the design issue, R1 for the measured issue, R2 for the accepted issue. Two of the three, or 67%, end up superseded, which is why the series is filed rather than overwritten. First, R0 is filed when the Room Data Sheet is approved. Second, R1 is filed when all six lines carry a value and every deviation has a closure entry. Third, R2 is filed when the three signatures and the committee minute exist. According to <a href=\"https:\/\/www.iso.org\/standard\/68078.html\" target=\"_blank\" rel=\"noopener\">ISO 19650-1:2018<\/a>, information is exchanged, recorded, versioned and organised through a common framework, which is what a three-letter series does at room scale. The 2026 file keeps all three letters.<\/p>\n<h2>What Should the Committee Refuse to Sign?<\/h2>\n<p>A refusal is a written rejection of one line, not of the whole handover, and the committee should refuse five conditions. First, refuse a sheet where a design value sits in a measured column. Second, refuse a deviation entry with no closure evidence. Third, refuse a measurement with no instrument identifier or date. Fourth, refuse a signature placed before the measurement. Fifth, refuse a revision letter with no R0 behind it. Five conditions reach six lines, so 83% of the page has a stated refusal test. According to ISO 13485:2016 clause 4.2.4, only current versions are available at points of use, so the 2026 file marks the R0 copy superseded rather than deleting it. The <a href=\"\/or-documentation-handover\/\">post-handover documentation<\/a> set carries the per-category certificates, while the as-built sheet carries the room. A committee that signs a copied design value inherits the gap for the life of the theatre.<\/p>","protected":false},"excerpt":{"rendered":"<p>An as-built sheet is the one page per theatre that records what was installed and measured, not what the design asked for. The design Room Data Sheet states the intent; the as-built sheet states the result. Committees sign the second document and file the first. In 2026, a room file that stops at the design &#8230; <a title=\"The As-Built Sheet a Theatre Committee Signs\" class=\"read-more\" href=\"https:\/\/sanyangmedical.com\/fr\/as-built-sheet-theatre-committee-signs\/\" aria-label=\"En savoir plus sur The As-Built Sheet a Theatre Committee Signs\">Lire la suite<\/a><\/p>","protected":false},"author":1,"featured_media":4511,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_title":"","rank_math_description":"","rank_math_focus_keyword":"","rank_math_robots":"","rank_math_canonical_url":"","rank_math_facebook_title":"","rank_math_facebook_description":"","rank_math_twitter_title":"","rank_math_twitter_description":"","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"","_yoast_wpseo_focuskw":"","_yoast_wpseo_canonical":"","_yoast_wpseo_meta-robots-noindex":"","_yoast_wpseo_meta-robots-nofollow":"","_yoast_wpseo_opengraph-title":"","_yoast_wpseo_opengraph-description":"","_yoast_wpseo_twitter-title":"","_yoast_wpseo_twitter-description":"","_aioseo_title":"","_aioseo_description":"","_aioseo_keywords":"","_aioseo_robots_default":"","_aioseo_robots_noindex":"","_aioseo_og_title":"","_aioseo_og_description":"","_aioseo_twitter_title":"","_aioseo_twitter_description":"","aiosp_title":"","aiosp_description":"","aiosp_keywords":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_analysis_target_kw":"","_seopress_robots_canonical":"","_seopress_robots_index":"","_seopress_robots_follow":"","_seopress_social_fb_title":"","_seopress_social_fb_desc":"","_seopress_social_twitter_title":"","_seopress_social_twitter_desc":"","_genesis_title":"","_genesis_description":"","_genesis_canonical":"","_genesis_noindex":"","_genesis_nofollow":"","slim_seo":"","footnotes":""},"categories":[111,109],"tags":[],"class_list":["post-4559","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-certifications","category-operating-room-design"],"_links":{"self":[{"href":"https:\/\/sanyangmedical.com\/fr\/wp-json\/wp\/v2\/posts\/4559","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sanyangmedical.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sanyangmedical.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sanyangmedical.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sanyangmedical.com\/fr\/wp-json\/wp\/v2\/comments?post=4559"}],"version-history":[{"count":1,"href":"https:\/\/sanyangmedical.com\/fr\/wp-json\/wp\/v2\/posts\/4559\/revisions"}],"predecessor-version":[{"id":4562,"href":"https:\/\/sanyangmedical.com\/fr\/wp-json\/wp\/v2\/posts\/4559\/revisions\/4562"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sanyangmedical.com\/fr\/wp-json\/wp\/v2\/media\/4511"}],"wp:attachment":[{"href":"https:\/\/sanyangmedical.com\/fr\/wp-json\/wp\/v2\/media?parent=4559"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sanyangmedical.com\/fr\/wp-json\/wp\/v2\/categories?post=4559"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sanyangmedical.com\/fr\/wp-json\/wp\/v2\/tags?post=4559"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}