GE Discovery NM/CT 670 - Appendix A: Customer Checklist; Safety Declaration; Completion Sign Off

Discovery NM/CT 670 – Standard Integration Instructions
5483063-1EN, Rev.2, ©2015 GE Healthcare A-1
Appendix A: Customer Checklist
-The checklist must be completed by the customer and delivered to GE prior to installation.
IMPORTANT
This checklist is general in nature and is intended to assist the customer in verifying site preparation. The checklist
does not cover all details in this manual, and it is the customer’s responsibility to fully prepare the site, taking into
account all details and specifications set out in this manual.
Site Information Contact Information Contact Persons Name Telephone email
Site name Site project coordinator
Department System administrator
Street Chief technologist
City, State, Zip Facilities engineer
Country Shipping/Receiving
Telephone Physician
Fax Other
Safety Declaration
I hereby confirm that the relevant site personnel have read the Safety and
System Overview Manual
, in conjunction with this Site Preparation Manual.
Name
Position
Signature
Completion Sign Off
I hereby confirm that pre-installation is complete and that I have examined and
confirmed all items in the Pre-Installation Customer Checklist
Name
Position
Signature