Appendix A: Installation Check Form - GE CARESCAPE B850 Service Manual

APPENDIX A: Installation check form

CARESCAPE Monitor B850
Customer
Service record #
Service engineer
Other devices connected to the monitor system
Device
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 power cord and USB cables are properly secured with the supplied
retaining clips.
All the network cables, both MC and IX Network, are intact and properly
connected to the right connectors.
The modules are properly connected and locked.
Electrical safety tests
Date of manufacture of the device:
Is there less than 12 months since the device was manufactured?
Serial number
Manufacturer:
N.A. = Test not applicable
Monitor type
Software version
Device
Model/Type/Part No: Serial Number/ID:
FAIL = Test failed
Observed result
Installation check form
S/N
Serial number
Cal Due Date:
PASS FAIL
A- 1 (4)
2106778-001