B. Braun Dialog+ - Page 351

5. Technical Safety Inspection and Preventive Maintenance 1/2010 5 - 6
BA-TE-DE08C M.KAY Dialog+ SW9xx_SM_Chapter 5-1_1-2010.doc/pdf <110301> yymmdd B. Braun Avitum AG
Dialog
+
SW 9.xx
S M
Check List (S = Technical Safety Inspection Points; M = Preventive Maintenance Points)
Note: Text in { } brackets is information for the execution of the check list!
NO YES OK
Applied Measurement Equipment:
Electrical Safety: ...................................................................................... * ID/Serial No.: .................................
Conductivity: ............................................................................................. * ID/Serial No.: .................................
Temperature: ............................................................................................. * ID/Serial No.: .................................
Pressure: ..................................................................................................... * ID/Serial No.: .................................
Flow: ............................................................................................................ * ID/Serial No.: .................................
Balance: ...................................................................................................... * ID/Serial No.: .................................
Pressure Manometer: ............................................................................. * ID/Serial No.: .................................
Template 1.4/1.5: ..................................................................................... * ID/Serial No.: .................................
Other Measurement Device: ................................................................. * ID/Serial No.: .................................
....................................................................................................................... * ID/Serial No.: .................................
* If applicable, please enter the type and identification number of the equipment used
CHECK RESULTS:
Customer specific parts or information on the machine (e.g. stickers/labels) were removed during the technical
safety inspection/preventive maintenance or repair:
New labelling must be performed by responsible organisation (user):






Results of Test and Evaluation:
0 = no deficiencies; 1 = minor deficiencies; 2 = deficiencies requiring repair
2  1  0 

Comments:
.............................................................................................................................................................................................................................................................
.............................................................................................................................................................................................................................................................
.............................................................................................................................................................................................................................................................
The technical safety inspection/technical safety inspection with preventive maintenance was passed:
  
Next Inspection Date:
................................................................................................................................................................
The technical safety inspection/technical
safety inspection with preventive
maintenance was performed correctly.
Name Service Technician/Company:
................................................................................................................................................................
................................................................................................................................................................
Date / Signature
{
n
Maintenance Kit}
{A maintenance kit can be ordered for the technical safety
inspection with preventive maintenance of a Dialog machine. All
parts are included which are recommended for exchange during a
preventive maintenance.}
{Art. No. Description}
{3451893D Maintenance Kit}
{
o
Maintenance Kit/Supplement HDF Online}
{A second maintenance kit can be ordered for the technical
safety inspection with preventive maintenance. As a supplement
this kit includes all parts recommended for exchange during a
preventive maintenance of a HDF online machine.}
{Art. No. Description}
{34560686 Maintenance Kit/Supplement HDF Online}