Modular FORM User manual
SEMI-RECESSED HEADWALL
(oor mount)
INSTALLATION MANUAL
2
OVERVIEW
Form® is a UL-listed configurable headwall system. This system includes multiple horizontal equipment channels
integrated into the fascia of the unit which provide mounting points for a variety of accessories. Included in the
system are medical gas and electrical services, as well as provisions for nurse call systems, communications and
future additional services.
This document gives installation instructions specific to units that are semi-recessed (built into the interior
building partition wall with only the panels being proud of the wall surface), as well as being mounted to the
floor. The illustrations shown in this document are examples which will be similar to but not exactly like all
headwalls in this category. Installation instructions for floating units (hanging from the surface of the wall but
not touching the floor) or surface mounted units (mounted to the face of an existing partition) are provided in
separate documents.
UNPACKING AND INSPECTION
1. Upon receipt of units and prior to unpacking, inspect shipping containers for damage. Document any
damage found and notify the carrier and Modular Services Company.
2. Locate the carton for the unit you wish to install. Labels at each end of the carton identify the unit type
and general description of contents, as well as the room number or area of installation (if applicable).
3. Unpack the unit from shipping container, taking care not to damage the unit.
4. Verify that all components are included, according to the packing slip.
5. Inspect the units for defects in materials or workmanship prior to installation. It is the responsibility of the
customer to report any damage or deficiencies to Modular Services Company immediately upon discovery.
PREPARATION
Review the final approved shop drawings and the submittal booklet, which will provide you with technical
details specific to your installation, such as:
• Equipmenttypesandquantities
• Roomnumbersandlocationinthebuilding(ifapplicable)
• Electricalrequirements
3
DETAIL A
A
Figure 1.
Legs of studs and
header face away from
rough opening
1. Install adjustable base into rough opening.After the base is positioned as shown in Figure 2, secure it to
the floor with anchors (provided by others) in at least two places. If the floor is excessively wavy, be sure to
secure the base in locations where it is already contacting the floor (i.e. don't force the base into a valley in
the floor). Next, pivot the top of the base until it is level and secure in place with the included self drilling
screws. Once in place, remove and discard alignment bracket.
UNIT INSTALLATION
Figure 2.
Center base in
rough opening
B
DETAIL B
ROUGH-IN OPENING
Rough opening dimensions depend on the specific configuration chosen and are provided upon receipt of
approved submittal drawings.
Edgeofalignment
bracket should be
flush with finished
drywall
4
2. Install frame section 1. Secure frame section 1 to the base with the screws provided. Next, secure frame
section to king stud of rough opening via the attached mounting brackets on the side of the frame.
D
C
DETAIL D
DETAIL C
Figure 3.
3. Install frame section 2. Section 2 attaches to section 1 via sets of slots and tabs on the framing members.
After section 2 is attached to section 1, secure section 2 to the base using the screws provided.
E
DETAIL E
Figure 4.
Interlocking slots
and tabs
Secure frame to
base using pre-
drilled holes
Mounting bracket
attaches to rough
opening
5
Figure 5.
4. Repeat the previous process (Figure 4) to install sections 3 and 4 (Figure 5).
MEDICAL GAS CONNECTIONS
Medical gas outlets are pre-manifolded and terminated near the top of each section, or as indicated on the
approved drawings.
1. Use extreme care in making medical gas service connections.
2. Eachsingle-pointconnectionhasbeenprovidedwithacolor-codedmedicalgaslabel.
3. All medical gas connections are to be made and tested in accordance with NFPA 99.
ELECTRICAL CONNECTIONS
1. Make sure all electrical power circuits are locked off prior to hook up.
2. Review wiring diagram or shop drawing.
3. All connections are labeled on the unit at the point of connection.
4. Connect electrical service according to wiring diagram, being careful to observe labeling at service connection
junction boxes.
5. For back-fed units, proper installation of wiring bushing plates is essential for proper grounding continuity
between headwall and rough-in template.
a. Feed wiring from template junction box through the bushing plate into the headwall junction box.
b. Secure bushing plate to the template junction box using 6-32 machine screws (provided).
c. Secure bushing plate to the headwall junction box using four #8 self-drilling screws (provided).
6.TestequipmentinaccordancewithNFPA70(TheNationalElectricalCode),inadditiontoanyapplicablestate
or local codes.
6
Figure 7.
DETAIL F
F
Panel hanger brackets
2. Install panels, starting at the bottom. The panels must be placed against the studs and moved downward so
that the panel hangers engage properly. Make sure panel seams are aligned with one another and outside
perimeter panel edges are flush before proceeding to next step.
Figure 6.
Drywall down
to indexing
point
1/4" filler required to cover base (provided by others).
This material could be drywall, plywood, masonite or
other material specified by contractor.
PANEL & TRIM INSTALLATION
1. Drywall to the side edges of the Form® headwall framing (drywall should cover headwall mounting bracket
shown in Unit Installation, Step 2) above the headwall. Drywall above the headwall should terminate at the
upper drywall indexing location (i.e. bracket with leg bent outward indicating termination point of drywall).
Add 1/4" filler to face of headwall base. All drywall must be complete before proceeding to next step.
7
G
DETAIL G
3. Next, locate Horizontal Channel assemblies with end caps on each end. Figure 8 shows a side-view detail of
how the channel should be oriented within the frame. Simply rock the channel back in place making sure to
line up the mounting holes from the channel to the frame.
G
DETAIL G
Figure 8.
Figure 9.
4. Fix the horizontal channel in place using the #10 x 1" long self-tapping screws in each hole. To cover up the
screws, install the screw cap by inserting one end into the track and running your finger along its length until
it clicks in place. Figure 9 shows how the channel should appear after install.
RockExtrusioninPlace,
Align Mounting Holes
8
5. Install the GCX track assemblies using the #12 screws provided (Figure 10).
DETAIL H
H
Figure 10.
6. Install cover plates, sconce lights and miscellaneous devices/accessories (provided per customer requirements;
may or may not be present on all models) to panels that were field installed.
Figure 11.
9
INSTALLATION TERMS AND CONDITIONS
EachModularServicesunit,orunitsection,shallbecompletelypre-wiredfornormal,emergencyandlowvoltage
according to the approved submittal. Communication devices and wiring shall be supplied by others. These
devices include nurse call, television, code blue, telephone, monitor jacks, etc.
The customer shall be responsible for all incoming electrical conduits, wiring hook-up of electrical services, and if
applicable, interconnect wiring between sections. All hardware light fixtures shall be installed, connected and
lamped by contractor. After installation is complete, the customer shall test equipment functions, as well as
electricalreceptaclesandground,inaccordancewiththeNationalElectricalCode.
Medical gas contractor shall be responsible for incoming piping and hook-up of all medical gas services. The
medical gas contractor shall be responsible for purging, pressure testing, gas identification, and system
certification in accordance with NFPA 99.
Modular Services Company shall have no responsibility or liability for delays, however caused. Owner shall hold
Modular Services harmless from damages or injury related to any failure or neglect of owner, its employees,
agents or licensees. Modular Services shall not be liable for consequential damages; makes no warranties,
expressed or implied; and assumes no obligation other than those expressly contained herein.
WARRANTY
Modular Services Company warrants that all equipment assemblies shall be free from defects in material and
workmanship for a period of 12 months from date of the owner’s acceptance to the installing contractor or the
date the equipment is put into service, whichever comes first. Warranty excludes electric lamps and/or any
material not furnished by Modular Services. Warranty does not cover damage due to improper installation
and/or abuse.
It is the responsibility of the customer to report any noted product deficiencies to Modular Services immediately
upon discovery. It is the responsibility of Modular Services to expediently resolve the discrepancy. Any modification
made to the product without the written authorization from Modular Services will void this warranty.
Also, in the event product modifications or repairs are made without the written consent of Modular Services,
Modular Services shall not be held liable for any cost associated with the modification or repair.
There are no warranties of fitness which extend beyond the description on the face hereof.
DCN# 50-1077 — Rev. 6/2016©2016 Modular Services Company
500E.BrittonRd.•OklahomaCity,OK73114
Tel:800.687.0938•Fax:405.528.0368
www.modularservices.com
info@modularservices.com
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