Electrical Safety Inspection A-17
ELECTRICAL SAFETY INSPECTION FORM
(Class I equipment)
Overall assessment:
Opened repair type, not modify the power part
including transformer or patient circuit board
Opened repair type, modify the power part including
transformer or patient circuit board
Test item: 1, 2, 3, 4, 5, 6, 7, 8
Measurement equipment /SN:
Device Enclosure and Accessories
Protective Earth Resistance
NC: 300μA(refer to
UL60601-1) *
NC: 500μA(refer to
IEC60601-1) *
SFC: 1000μA
Single Fault condition(SFC)
BF applied part:
NC:100μA, SFC: 500μA
Single Fault condition(SFC)
Mains on Applied Part Leakage
Patient
Auxiliary
Leakage
Current
Max:
BF applied part:
NC:100μA, SFC: 500μA
Single Fault
condition(SFC)
NOTE:
The equipment which sell to America shall comply with the requirement of UL60601-1,
others shall comply with the requirement of IEC60601-1.
Name/ Signature: ____________________ Date:_____________________________