Preventative Maintenance Inspection Form
DFU-0276-4r0_fmt_en-US PM – 6/8
Electrical Safety Test:
Record the Model number, Serial number, and Calibration date of the Electrical Safety Analyzer.
Model Number: __________________________ Serial number: _____________________
Calibration Date: __________________________
Perform the following Electrical Safety Tests
Measured Value
Pass/Fail
(Measure from Ground on inlet terminal to
<0.1 ohm
(Chassis)
(Chassis)
Single Fault –
<0.5mA
Normal Condition
<0.5mA
Earth Leakage Current
Single Fault –
<1.0mA
*Test limits provided are per IEC 60601-1 3
rd
Edition and IEC 62353:2014-09
Results
If all steps have passed or measured within tolerance then the device can be put back into service.
If an item has failed please contact Arthrex Technical Assistance Center at Toll-Free Technical Support:
1-(888) 420-9393, Monday through Friday, 9:00 AM – 5:00 PM EST.