GE HEALTHCARE CARESCAPE Monitor B650 Technical Manual page 223

APPENDIX B: Maintenance check form
CARESCAPE Monitor B650
Customer
Service record #
Service engineer
Planned maintenance
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
Power outlet is correctly wired.
Power cord and plug are undamaged and all conductors are properly connected.
Ground (earth) integrity
a.) Ground continuity test
b.) Impedance of protective earth
connection
Earth leakage current test
Normal Condition (NC)
Corrective maintenance
Manufacturer:
N.A. = Test not applicable
without power cord
with power cord
without power cord
with power cord
Polarity: Normal
Monitor type B650-
Software version
Module type
Start date
Model/Type/Part No: Serial Number/ID:
FAIL = Test failed
Observed result
Observed result Acceptance
criteria
≤ 0.1 ohms
≤ 0.2 ohms
≤ 0.1 ohms
≤ 0.2 ohms
≤ 500 µA
≤ 300 µA
Maintenance check form
S/N
S/N
Cal Due Date:
PASS FAIL
PASS N.A. FAIL
EN /IEC
UL
B - 1 (4)
2081903-001