English; Version 08 | 2019-04-24
Inspection sheet
Annual technical safety control
Make sure the DC Cord is correctly plugged into the generator.
Do not press the foot-activated switch while testing the device.
Ensure that country-specific regulations and requirements, which include the generally accepted technical stand-
ards, as well as valid regulations for occupational safety and accident prevention, will be implemented and com-
plied with during setup, operation and maintenance.
Device: remOVE DC Impulse
Safety classification: II
☐ Inspection before initial start-up (refer-
ence value)
☐ Repeated inspection
☐ Inspection after maintenance
☐ Foot-activated switch
☐ DC Cord
☐ Power cord
☐ Test Instrument for electrical tests
1. Electrical tests (The tests must be executed
when the device is fully charged)
1.1 Are all cable insulations intact?
Insulation must be intact
☐ passed ☐ failed
☐ annex, where appropriate
1.2 Insulation resistance according to the standard
EN 62353:2014 figure 4
☐ passed ☐ failed
☐ annex, where appropriate
1.3 Direct measurement for the device leakage
current according to the standard EN
62353:2014 figure 7
☐ passed ☐ failed
☐ annex, where appropriate
1.4 Direct measurement of the leakage current of
the applied part according to the standard EN
62353:2014 figure 10
☐ passed ☐ failed
☐ annex, where appropriate