Siemens POLYMOBIL III - Checking the kV and Tube Current (IR)

Electrical safety / reports 7 - 3
Siemens AG RXB8-115.034.02 Page 3 of 6 POLYMOBIL III
Medical Solutions Rev. 03 04.05 CS PS 24
Device leakage current / report 7
System:
Material number:
Serial number:
Customer-spec. ident number
(*1) Meas. circuit: See Fig. 2 to Fig. 3, next page
Device leakage current
First measured
value
Repeat measurements value
Device leakage current
(highest
measured value)
[mA]
Line voltage
during the measurement
[V~]
Device leakage current
(corrected value)
[mA]
(*1) Meas. circuit:
Meas. inst.
type:
Meas. inst.
Ser. No.:
Meas. inst.
calibrated up to:
Assessment:
Date:
Name:
Signature: