Philips HeartStart XL+ - Other Test Data:; III: Repair; Post-repair Delivery Checklist

C: Repair Record III: Repair
204
Other Test Data:
Op Check:  PASS  FAIL  N/A
Shock:
 PASS  FAIL  N/A
Pace:
 PASS  FAIL  N/A
Pads/Paddles ECG:
 PASS  FAIL  N/A
Leads ECG Test:
 PASS  FAIL  N/A
Other Test Data comments: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Customer complaint reproduced?
 YES  NO / Comments: _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Additional problems found?
 NO  YES / Comments: _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Other comments on the Diagnosis: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
III: Repair
Repair Parts Replaced (consumed):_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Calibration performed:  Battery  NBP  EtCO
2
SW: Outgoing _ _ _ _ _ _ _ _ _ _ _ _ _
Post-repair Delivery Checklist
 Performance Verification passed.
 Safety Tests passed.
 Accessories and carrying case in place.
 Unit placed on shipping shelf / delivered to the customer.
Repair / maintenance performed by:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (name, signature, and date)