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This document is a preventative maintenance checklist for an aspirator. It includes sections to record asset details, safety precautions, test equipment used, qualitative and quantitative inspection tasks, electrical safety testing, notes, and sign off. The qualitative tasks involve inspecting various components for integrity and proper operation. The quantitative task checks the vacuum accuracy. Upon completion of all inspection points, the equipment is indicated as either functioning or non-functioning, with corrective work orders recorded if needed.

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Sylvester Junir
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
432 views3 pages

025

This document is a preventative maintenance checklist for an aspirator. It includes sections to record asset details, safety precautions, test equipment used, qualitative and quantitative inspection tasks, electrical safety testing, notes, and sign off. The qualitative tasks involve inspecting various components for integrity and proper operation. The quantitative task checks the vacuum accuracy. Upon completion of all inspection points, the equipment is indicated as either functioning or non-functioning, with corrective work orders recorded if needed.

Uploaded by

Sylvester Junir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CHECKLIST NO:

10208-025

KEMENTERIAN KESIHATAN MALAYSIA


BER

BEMS Planned Preventive Maintenance Checklist


Aspirators

SEKUTU

BER

TAM

BAH

PPM YTD : ( 1 / 1 )

MUTU

TYPE CODE : 10-208

PART 1 ASSET DETAILS


WORK ORDER NO

PMW915/15/00

91500

ASSET NO

MANUFACTURER

Clements Medical Equipment Pty Ltd

FREQUENCY

3MONTHLY (

) 12MONTHLY (

) 6MONTHLY (

MODEL

Clements SUC 84109

PPM HOUR

0.50

PART 2 SPECIAL PRECAUTION


If there is evidence of body fluid contamination, submit the device for cleaning and decontamination before inspecting it.
Wear appropriate Personnel Protection Equipment (PPE) during work.
Wear grounded electrostatic wristband when handling PCB or electronic components.
Refer to the safety procedure for additional precautions and guidance as per manufacturer guidelines.
Make sure the test equipment used are duly calibrated.

PART 3 TEST APPARATUS


DESCRIPTION

ASSET NO / SERIAL NO

CALIBRATION DUE ON

ELECTRICAL SAFETY ANALYZER


PRESSURE METER/ GAUGE
_____________________________
_____________________________
_____________________________

PART 4 QUALITATIVE TASKS


Tick ( ) which appropriate

PASS

1. Chassis - verify physical integrity,


cleanliness and condition

FAIL

NA

PASS

FAIL

NA

9. Tubes/Hoses - verify physical integrity

10. Vacuum gauge - verify integrity

3. Circuit Breaker/ Fuse - verify integrity of


external circuit breaker and/or rating of
external fuse

11. Collection Jar - verify physical integrity


and condition

4. Power Cord - verify physical integrity

5. Strain Relief - verify physical integrity at


both ends of line cord

6. Fittings/Connectors - verify integrity

7. Controls/Switches/Keypad - verify proper


operation of controls

8. Indicators/ Displays - verify proper


illumination and operation

4. Seal Ring on the Bung - Check

2. Mount/ Fasteners - verify physical integrity

PART 5 PREVENTIVE MAINTENANCE TASKS


Tick ( ) which appropriate
DONE

NOT DONE **

NA

DONE

1. Clean and disinfect the unit

2. Check Suction Tubing, Collection Jar and


Bung

3. Suction Tubing - Check

5. Overflow Cut Off Valve Seal - Check


6. Exhaust Filter - Check

NOT DONE **

Notes:
*For all parts, NA defined as NOT APPLICABLE
**If you have ticked 'NOT DONE', then input relevant remarks in Part 8
***Choose whichever applicable. Please indicate in Part 8 for any part replaced

NA

CHECKLIST NO:
10208-025

KEMENTERIAN KESIHATAN MALAYSIA


BER

BEMS Planned Preventive Maintenance Checklist


Aspirators

SEKUTU

BER

TAM

BAH

PPM YTD : ( 1 / 1 )

MUTU

TYPE CODE : 10-208

WORK ORDER NO

PMW915/15/00

PART 6 QUANTITATIVE TASKS


Tick ( ) where appropriate
Description

Vacuum accuracy

KKM/BEMS/1444

UOM

Set
Values

mmhg

-735

Measured
Values

Limit/Tolerance

NA

PASS

FAIL

NA

Version 2.10, 01-Apr-2011

CHECKLIST NO:
10208-025

KEMENTERIAN KESIHATAN MALAYSIA


BER

BEMS Planned Preventive Maintenance Checklist


Aspirators

SEKUTU

BER

TAM

BAH

PPM YTD : ( 1 / 1 )

MUTU

TYPE CODE : 10-208

WORK ORDER NO

PMW915/15/00

PART 7 ELECTRICAL SAFETY TEST


ELECTRICAL SAFETY TEST, (attach report)
(In accordance to MS IEC 60601/61010/ 62353)
PASS

FAIL

NA

PART 8 NOTES

Reference:
Service manual Clements SUC 84109

CORRECTIVE MAINTENANCE REQUIRED


WORK ORDER NO

FUNCTIONING

____________________________________________

NOT FUNCTIONING
NEXT PPM DATE

_________________

PPM has been performed in accordance to the checklist and the equipment is functioning to the intended purpose.

COMPLETED BY :

DATE :
KKM/BEMS/1444

Version 2.10, 01-Apr-2011

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