Inspection report
Address:
Carried out: [ ] Repeat inspection [ ] Inspection prior to initial operation (reference value)
[ ] Inspection following repairs/maintenance
Equipment type: [ ] Hospital bed [x]
Care bed
Protection class: [ ] I [x] II
Bed type: Dali Inventory number:
Location: Serial number:
Application environment
(IEC60601-2-52): [ ] 1 [ ] 2 [x] 3 [x] 4
[ ] 5
Manufacturer: Burmeier GmbH & Co.
KG
Applied parts: Mattress base, headboard, footboard, safety
sides
Testing equipment used (type/inven-
tory no.):
1:
Medical Device Regulation classifica-
tion: Class I
2:
I. Visual inspection OK Not
OK
Description of de-
fect
Visual inspection of the electrical components
What? How?
Stickers and type plates Present, legible
Up-to-date instruction manual
for the product in question
Present, legible
Control unit/plug-in power sup-
ply housing
Correct position, dam-
age, signs of spilt liq-
uids/contamination
that may affect the in-
sulation
Motor housings and lifting tubes
Handset: housing and keypad
film
Motor and handset cables Damage, routing of
cable
Cable harness/switch mode
power supply sockets
Available, correct po-
sition
Maintenance
Part B: Operator and Technical Personnel 35