GE HEALTHCARE CARESCAPE Monitor B650 Technical Manual page 219

APPENDIX A: Installation check form
CARESCAPE Monitor B650
Customer
Service record #
Service engineer
Prior to testing verify all equipment is calibrated via "Cal" labeling and record Cal Due Dates
Measuring equipment / test gases used:
Equipment / tool / gas:
PASS = Test passed
Visual inspection
The monitor and the connected peripheral devices are undamaged.
The monitor and the connected peripheral devices are properly
mounted with specified mounting solutions.
The cables between the patient monitor and the connected devices
are intact, properly connected and secured to the right connectors.
The modules are properly connected and locked.
The pivoting module frame and battery door are properly locked.
Electrical safety tests
Date of manufacture of the device:
Is there less than 12 months since the device was manufactured?
Yes:
No:
Power outlet is correctly wired.
Power cord and plug are undamaged and all conductors are properly connected.
Ground (earth) integrity
a.) Ground continuity test
Manufacturer:
N.A. = Test not applicable
Yes: you do not have to perform the electrical safety tests. To continue the
installation check, mark the electrical safety test completion N.A. and proceed
to Functional check. If available, attach the original electrical safety test
results to this check form.
No: continue to perform the electrical safety tests.
without power cord
with power cord
Monitor type B650-
Software version
Model/Type/Part No: Serial Number/ID:
FAIL = Test failed
Observed result
Observed result Acceptance
criteria
≤ 0.1 ohms
≤ 0.2 ohms
Installation check form
S/N
Cal Due Date:
PASS FAIL
PASS N.A. FAIL
A - 1 (4)
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