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Class C Form

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shadysaad352017
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13 views1 page

Class C Form

Uploaded by

shadysaad352017
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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Class C PPM Report

Site/Hospital Name Company Name:


Equipment ID
Job Order Number
Equipment
Manufacturer
Job order Date
Model
Serial Number PPM status
Department Completed Pending Not Available

Description Procedure Result Description Procedure Result

Inspect & Clean the Main Body Check The Functions of The Unit &

Operational
No scratches, No Cracks, No Damages Calibrate

Check
Visual Inspection

Inspect & Clean Dust Filter Check the Printer Performance

Inspect & Clean probes and sensors Check the Keypad Function
Inspect & Clean Tubing connections Check the Power Cord & Fuses
Electrical
Check

Inspect & Clean Electrodes Check all Physical Electrical connection


Check Battery Performance
Check That All Labels and PPM Stickers
(Changing Power & Battery status)
Check Movement of wheels. Inspect alarm limits & sound range.
Mechanical

Parameter
Check

Safety

Check, Temperature range, Grounding


Check Fan Movement & Connection
connection, Pressure limits
Check Motor & Lubricate Test function of emergency stop button
REMARKS:

.......................................................................................................................................
.....................................................................................................................................................
.......................................................................................................................................

‫يالمركزي ي‬/‫يمديريالمستشفي‬ ‫ي ر‬
‫مشفيالصيانةيالموقعي‬ ‫ي‬ ‫يمديريالموقعي‬ ‫يالمسئوليعنيالقسمي ي‬ ‫المهندسيالمسئولي‬/‫الفني‬
‫ي__________ي ي‬/‫ياالسمي‬ ‫ي__________ي‬/‫ياالسمي‬ ‫ي__________ي‬/‫ياالسمي‬ ‫ي__________ي‬/‫ياالسمي‬ ‫ي__________ي‬/‫االسمي‬
‫يالتوقيعي__________ي_ ي‬ ‫يالتوقيعي__________ي‬ ‫يالتوقيعي__________ي‬ ‫يالتوقيعي__________ي‬ ‫التوقيعي__________ي‬

‫يي‬ ‫ي‬ ‫ي‬


‫يي‬

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