Preventive Maintenance Checklist Spirometer

 

Preventive Maintenance Checklist

Equipment : Spirometer Brand : Serial No. :

Date : Period : Room :

 No 1 2 3 4 5 6 7 8

Physical / Quantitativ Test Periksa body / Kondisi Baterai Kontrol / Switch Perlengkapan / Konektor Kable / Aksesoris Indikator / Display Periksa Display Periksa Filter Periksa Perinter

9 10

Periksa Kabel pengaturan ECG (6 Bulanan) Periksa Kondisi fungsi dengan standar

Test Equipment Used : Remarks

Performed by :

:

Verifled by :

Pass

Fail