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Preventive Maintenance (PM) Checklist
The preventive maintenance (PM) checklist #PL-F-33 should be completed by responsible
individuals of healthcare center. It should be noted that PM checklist only is used to perform
systematic inspection of the equipment and will not guarantee their correct function.
Form No. : PL-F-33
State:
Device model:
No.
Visual
1
inspection
2
Display screen
3
Battery
4
Saving date& time settings
5
Saving system settings
6
Accessories
7
Recorder
8
Review
Final result:
Pass □
Expert recommendation:
SAADAT Co.
PM Form ( Electrocardiograph )
City:
Healthcare center:
Serial number:
Test and Inspection Item
No damage or breakage in the case
Correct function of the touch screen
Correct function of the keyboard
Cleaning and disinfection according to the user manual
Correct display of Waveform area and information
Unplugging the system (check the battery function)
Periodic usage of the battery
Check ECG cable (clamps, leadwires, trunk)
Check ECG clip clamp and suction bulb (visual and
sulfation test)
Cleaning and disinfection according to the user manual
Correct function of the recorder
Appropriate size of the recorder paper
Check the eject key function on the recorder door
Check the paper holder
Check the recorder error messages
Check Review window periodically
Fail □
Installation date:
44
Ward:
Inspection date:
OK
NOK
N/A
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