PAGE 9-111097626, VER. 03
9.4 SIMPLYGO FINAL TEST AND BALANCING PROCEDURE DATA SHEET
SimplyGo Final Test and Balancing Data Sheet
SERIAL NUMBER ______________MDL NUMBER_____________PCA Revision (>=6 or <= 5)______
Motor Type (Moog or Shinano)___________RA#(if applicable)________________
Final Test Data Sheet
Balancing Procedure Test Data Sheet
Note: All information on this data sheet should be entered in the correct location after the associated test was completed. The data sheet must be signed and
dated by the technician preforming the tests. Leave unused sections blank and circle “Pass or Fail”
Operator (Print): ___________________ Signature: _________________ Date: ___________
STEP NUMBER/PROCEDURE READING SPECIFICATION
RESULTS
PASS OR FAIL
Step 3 / Fan Starts Fan Starts PASS / FAIL
Step 23 / Verify Battery Symbol
Battery symbol is displayed PASS / FAIL
Step 24/ Verify External Power Status
Symbol
External power status
displayed
PASS / FAIL
Step 25 / Verify SimplyGo Automatically
triggers pulse after startup
PASS / FAIL
Step 26 / Verify Pulse Symbol
Pulse symbol is displayed PASS / FAIL
Step 27 / Verify Pulse Mode Flow Read-
ings
Reading @ Setting 2.0,_________ ml 24 ml +/- 4 ml PASS / FAIL
Step 28 / Verify Pulse Mode Flow Read-
ings
Reading @ Setting 6.0, __________ml 72 ml +/- 10.8 ml PASS / FAIL
Step 30 / Verify Sleep Mode Pulse Flow
Readings
Reading @ Setting 2.0, __________ml 25 ml +/- 4
ml
PASS / FAIL
Step 31 / Verify Sleep Mode Pulse Flow
Readings
Reading @ Setting 6.0,
_________ml 75 ml +/- 11.25
ml
PASS / FAIL
Step 36 / Verify Continuous Flow Read-
ings
Reading @ Setting 0.5, _______LPM 0.500 +/- 0.150 LPM PASS / FAIL
Step 37 / Verify Continuous Flow Read-
ings
Reading @ Setting 2.0,
_______LPM 2.000 +/- 0.300 LPM PASS / FAIL
Balancing Procedure Step 2/ O2 Purity a. Internal Reading @ Setting 2.0,
%O2
b. External Reading @ Setting 2.0,
%O2
All readings are 87%- 96%
Respective readings are
within 3% of each other
PASS / FAIL
Balancing Procedure Step 4 / (4) O2
Purities
All readings > 87% PASS / FAIL
Balancing Procedure Step 5 / Verify O2
Factors
O2 Factor _____________
O2 Factor _____________
O2 Factor _____________
All <1.25 PASS / FAIL
Step 9 / Verify the control panel
functions and unit beeps
All buttons function &
Audible Beep is heard
PASS / FAIL
To Next Page
Loading...
