Welch Allyn 53ST0 - Checklist and Test Results Report Form

Service manual Functional verification 31
Checklist and test results report form
Use a copy of this form to track your progress through the functional verification.
 Test Result
Pass
(or
N/A)

Fail

Battery charging
Power-on self-test
Beeper
Monitor-off current (mA):
Init/idle current (mA):
Baseline current (mA):
Battery voltage Monitor (V): DMM (V):
NIBP characterization test
NIBP verification
Pressure leakage Before (mmHg): After (mmHg):
Pressure accuracy 80 mmHg SYS: Manometer:
150 mmHg SYS: Manometer:
300 mmHg SYS: Manometer:
Valve/pump current Valve/Pump (mA)
- Baseline (mA)
Difference (mA)
Inflation Elapsed time (sec):
Deflation Manometer reading (mmHg):
Max allowable cuff pressure
Adult mmHg kPa
Pediatric mmHg kPa
Neonate mmHg kPa
Overpressure cut-off (Pass-Fail)
Printer current Peak (mA):
SpO
2
Saturation (%): Pulse (bpm):
Temperature  Fahrenheit:  Celsius:
Nurse call relay pins 1-2 Alarm () No Alarm ()
pins 2-3 Alarm () No Alarm ()
Battery charge time
Battery discharge time
Battery voltage volts
Monitor serial #:
Tested by:
Test date: