Maico PILOT TEST - Checklists for Device and Audiometer Testing

Operation Manual PILOT TEST
8504660 Rev. 3
43
06/11/2019
6.6 Checklists
6.6.1 Checklist for Subjective Device Check
Model:
Serial #:
Test person:
- All keys can be pressed easily 
- All the cords are disentangled 
- Connectors and cables are intact 
- Cushions of the headphone are cleaned 
- Cushions of the headphone are undamaged 
Test subject:
PILOT TEST carried out with test person:
() correct answer; (x) wrong answer; (na) no answer
Level
(dB HL)
Word from
Group 1
Test person’s answer(s)
Today
RIGHT EAR
Today
LEFT EAR
Last session
RIGHT EAR
Last session
LEFT EAR
50
45
40
35
30
25
20
15
15
15
If the difference between today's and last answer of the test person is 10 dB or more
on the same ear, perhaps the PILOT TEST needs service!
Tested:
Date: