Cincinnati Sub-Zero WarmAir 135 - Inspection Form

WarmAir

Model 135 Manual INSPECTION FORM
Page 24 of 43
Inspection Form
MAKE COPIES FOR PREVENTATIVE MAINTENANCE PROGRAM
WarmAir

System - Model 135 Unit
Functional & Safety Inspection and Preventative Maintenance
Location:
Performed by:
Date:
Unit Serial Number:
Hospital Control Number:
Every 6 mo.
1. Damage Inspection - Unplug Power Cord! Risk of Electrical Shock!
Pass Fail
X
1.1
External cabinet is free of damage and secure
X
1.2
Control panel is free of damage and legible
X
1.3
All labels are legible and secure
X
1.4
I.V. Pole Clamp and knob are functional and secure
X
1.5
Bed Hook is functional and secure
X
1.6
Power cord plug is free of damage and secure
X
1.7
Power cord and strain relief are free of damage and secure
X
1.8
Power switch is functional and secure
X
1.9
Hose is free of cuts or punctures
X
1.10
Rubber feet are free of damage and secure
X
1.11
Heater screen is free of damage, unobstructed, and secure
X
1.12
Air filter is free of damage, debris, and is secure
2. Functional Verification
Pass Fail
X
2.1
Plug unit into proper voltage outlet and turn the power switch to the
on position, all LEDs should blink twice and the audible beeper sounds
X
2.2
Press all four setting buttons sequentially, the corresponding LED and
audible signal activate
X
2.3
The blower activates when ‘FAN ONLY’ is selected
X
2.4
The blower and the heater activate when selecting a heat setting
3. Temperature Setting Verification
Pass Fail
X
3.1
Ensure hose is extended. Place temperature sensor in center of
airstream, flush with the hose fitting. (see Appendix 1 on page 43)
X
3.2
Turn unit on. Set unit on "Low". Run for 5 minutes.
Record temperature here. _____________
Acceptable temperature range defined in Appendix 1 on page 43.
X
3.3
Set unit on "Medium". Run for 5 minutes.
Record temperature here. _____________
Acceptable temperature range defined in Appendix 1 on page 43.
X
3.4
Set unit on "High". Run for 5 minutes.
Record temperature here. _____________
Acceptable temperature range defined in Appendix 1 on page 43.