GE LOGIQ 100 PRO Technical Publication page 194

GE H
EALTHCARE
D 5305880-100, R
IRECTION
PM INSPECTION CERTIFICATE
Customer Name:
System Type
Probe 1: Frequency:
Probe 2: Frequency:
Probe 3: Frequency:
Probe 4: Frequency:
Probe 5: Frequency:
Probe 6: Frequency:
Probe 7: Frequency:
Probe 8: Frequency:
Probe 9: Frequency:
* Scan Format: Phased Array, Linear Array, Curved Array, Mechanical Array or Other
FUNCTIONAL CHECKS
CLEANING
Functional Check (if applicable)
B-Mode Function
M-Mode Function
Control Panel
Monitor
Applicable Software Options
Applicable Hardware Options
Measurement Accuracy
GE Approved Peripherals
COMMENTS:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________
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Ap p r o v e d Do c u m e n t - 5 3 0 5 8 8 0 - 1 0 0 T PH_ r 3 . p d f Pa g e 1 9 5 o f 1 9 7
3
EVISION
System ID:
Model Number:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
OK? or
N/A
Console
Monitor
Cables and Connectors
GE Approved Peripherals (VCR, VGP)
Probe Holders
External I/O
Section 10-6 - Electrical Safety Tests
LOGIQ™ 100 PRO S
Dispatch Number / Date Performed:
Serial Number:
Model Number:
Model Number:
Model Number:
Model Number:
Model Number:
Model Number:
Model Number:
Model Number:
Model Number:
PHYSICAL INSPECTION AND
Physical Inspection and Cleaning
(if applicable)
M
ERVICE ANUAL
Warranty/Contract/HBS
Manufacture Date:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Inspect Clean