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3.2.5 Preventative maintenance test report
Customer name
Customer address
Servicing person
Servicing company
Equipment under test
(EUT)
Model of EUT
SN of EUT
Hardware version
Software version
Test equipment Model/No. Effective date of calibration
Test items Test records Test
results(Yes/No)
Visual inspection
The case, display screen, buttons, knob, SMR, modules, power
cord, wall-mount bracket and accessories have no obvious signs
of damage.
Ye s No
The external connecting cables are not frayed and the connector
pins are not loose and bent.
Ye s No
The external connectors are not loose or their pins are not bent.
Ye s No
The safety labels and data plate are clearly legible.
Ye s No
NIBP test
The difference is within ±3 mm when 0, 50 or 200 mmHg is set
for NIBP accuracy test.
Ye s No
There is no leakage with NIBP, or the manual leakage test result
does not exceed 6mmHg/min.
Ye s No
Sidestream CO
2
test
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