GSi 18 - Response handswitch; GSI Audiogram Form

GSI 18
Response handswitch
If the optional response handswitch is used, ensure that the plugs and jacks are properly connected.
GSI Audiogram Form
The GSI 18 Audiogram form (see Figure 1) consists of three distinct parts:
• Space for entering personal information about the subject to be tested.
• A convenient chart for manually plotting test data.
• Space for entering comments about the subject or the test.
Left - Blue
Right - Red
Comments
500 750 1000 1500 2000 3000 4000 6000 8000
Frequency - Hz
Figure 1: Audiogram Form
Age Sex
-10
0
10
20
30
40
50
60
70
80
90
100
110
120
125
250
Chart No. 1717-9600 Rev B
2-5
Ear - Phone
Date Time
Response
No
Response
Earphone
Insert phone
Printed in USA
1718-0100 Rev. E
Audiometer Model No.
Serial No.
Job Location
Examiner
Signature
Symbols
AUDIOGRAM
Name No.