Functional check form, B30
C-1
Document no. 2044677-001
APPENDIX C: Functional check form, B30
OK = Test OK N.A. = Test not applicable Fail = Test failed
Customer
Service
Service engineer
Date
Monitor Installation
L- E- N-
Visual Inspection OK N.A. Fail
1. Check all units visually
Functional Inspection OK N.A. Fail
3.2.1. General
3.2.2. Display S/N
3.2.3. Keyboard(s) S/N
3.2.4. Frame unit S/N
3.2.6. Multiparameter Hemodynamic Modules S/N
. ECG and RESP measurements
. Temperature measurement
. Invasive blood pressure measurement
. SpO2 measurement
. Non invasive blood pressure measurement
3.2.8. Network connection
3.2.9. Final