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Rajeshwar Hospital's maintenance department is responsible for maintaining the extensive heating, air-conditioning, refrigeration, and ventilation systems in hospitals. The equipment they operate includes boilers, air-conditioning equipment, diesel engines, turbines, pumps, condensers, generators, and compressors. They start up, regulate, shut down, or repair this equipment. They manually operate equipment, make adjustments, and regularly check safety devices.

It is their responsibility to ensure that all of these systems are operating not just correctly, but also efficiently and safely. Routine maintenance is part of the job, such as replacing filters, lubricating moving parts, and checking the air quality of the ventilation systems. Some other duties include minor welding, minor plumbing, and electrical repairs, and minor carpentry repairs to walls, roofs, windows, or ceilings.