GE B30 Technical Reference Manual page 245

APPENDIX D: Planned maintenance check form,
B30
Customer
Service
Service engineer
Monitor Installation
L-
Measuring equipment used:
Equipment / tool:
OK = Test OK
Visual Inspection
4.1.2. General
4.1.3. E-PSM(P)W Module
Notes
Functional Inspection
4.2.1. General
4.2.2. Display
4.2.3. Keyboard(s)
Notes
E-
Manufacturer:
N.A. = Test not applicable
Planned maintenance check form, B30
N-
Model/Type/Part Serial Number /
Number: ID:
Fail = Test failed
S/N
Date
Calibration
Date:
OK N.A. Fail
OK N.A. Fail
Document no. 2044677-001
D-1