Newport HT50 - OVP Test Record

CALIBRATION / OPERATIONAL VERIFICATION PROEDURE
5-12 SERHT50NA A0808
TEST RECORD FOR HT50
Hospital/Organization__________________________________________________________________
Model No. HT50-H1-B _________
Serial No. ___________________ Software Version ____________ Hour Meter ________________
Tested By _______________________________________________ Date _____________________
Released By _____________________________________________ Date _____________________
OVP TESTS PASS REMARKS
Pre-Test Inspection
Front Panel Test
System Leak Test
Pressure Calibration P1= P2=
Pressure Meter Calibration
Volume Calibration Volume factor = ___________
Pressure Relief Calibration
Exhalation Valve Calibration
Pressures Verification
P trig
PEEP / CPAP
Pressure Control
Exhalation Valve Sealing
Manual Inflation
High Paw Alarm
Low Paw Alarm
Check Prox Line Alarm
Battery Test
Humidifier
TEST EQUIPMENT IDENTIFICATION ID NO.
Calibration Analyzer
Oxygen Analyzer
Electrical Safety Analyzer
Digital Multimeter
ELECTRICAL SAFETY TEST COMMENTS
TEST TOLERANCE ACTUAL
Ground Resistance < 0.1Ω
Maximum Leakage < 500 µA
The HT50 is operational when all tests have been performed successfully.