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Philips M1013A IntelliVue G1 - Carrying out and Reporting Tests; Test Report

Philips M1013A IntelliVue G1
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4 Testing and Maintenance Reporting of Test Results
70
The actual tests (incl. visual inspections, performance tests, safety and system tests) and
measurements required
Date of testing and of the concluding evaluation.
A record of the actual values of the test results, and whether these values passed or failed the tests.
Date and confirmation of the person who performed the tests and evaluation.
The device under test should be marked according to the test result: passed or failed.
Carrying Out and Reporting Tests
Test Report
Testing Organization:
Name of testing person:
Date:
(Check one of the following three options)
Test before putting into service (reference value)
Recurrent Test
Tes t a ft er Re pa ir
Responsible Organization:
Device Under Test: ID-Number:
Product Number: Serial No.:
Accessories:
Measurement Equipment (Manufacturer, Type,
Serial No., Calibration Date):
Safety Test Method used
Functional Test (parameters tested):
Mains voltage and frequency used during safety
testing:

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