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PART 2 SPECIAL PRECAUTION If there is evidence of body fluid contamination, submit the device for cleaning and decontamination before inspecting it. Wear appropriate Personnel Protection Equipment (PPE) during work. Make sure the test equipment used are duly calibrated.
PART 2 SPECIAL PRECAUTION If there is evidence of body fluid contamination, submit the device for cleaning and decontamination before inspecting it. Wear appropriate Personnel Protection Equipment (PPE) during work. Make sure the test equipment used are duly calibrated.
PART 2 SPECIAL PRECAUTION If there is evidence of body fluid contamination, submit the device for cleaning and decontamination before inspecting it. Wear appropriate Personnel Protection Equipment (PPE) during work. Make sure the test equipment used are duly calibrated.
MANUFACTURER Medela AG MODEL Vario 026 FREQUENCY 3MONTHLY ( ) 6MONTHLY ( ) 12MONTHLY ( ) PPM HOUR 1.00 PART 2 SPECIAL PRECAUTION If there is evidence of body fluid contamination, submit the device for cleaning and decontamination before inspecting it. Wear appropriate Personnel Protection Equipment (PPE) during work. Wear grounded electrostatic wristband when handling PCB or electronic components. Refer to the safety procedure for additional precautions and guidance as per manufacturer guidelines. Make sure the test equipment used are duly calibrated. PART 3 TEST APPARATUS PART 4 QUALITATIVE TASKS Tick ( ) which appropriate PASS FAIL NA PASS FAIL NA ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) PART 5 PREVENTIVE MAINTENANCE TASKS Tick ( ) which appropriate DONE NOT DONE ** NA Notes: *For all parts, NA is defined as NOT APPLICABLE **If you have ticked 'NOT DONE', then justify in Part 8 ***Choose whichever applicable KKM/BEMS/0268 ( ) KEMENTERIAN KESIHATAN MALAYSIA BEMS Planned Preventive Maintenance Checklist Aspirator ( ) ( ) ( ) and condition 12. Vacuum gauge - verify integrity ( ) ( ) ( ) ( ) ( ) ( ) 3. Cables - verify integrity ( ) ( ) ( ) 11. Tubes/Hoses - verify integrity ( ) ( ) ( ) 13. Check maximum vacum DESCRIPTION ASSET NO / SERIAL NO CALIBRATION DUE ON ELECTRICAL SAFETY ANALYZER PRESSURE METER/ GAUGE _____________________________ _____________________________ _____________________________ _____________________________ Version 2.10 , 01-Apr-2011 ( ) ( ) ( ) 8. Fittings/Connectors - verify integrity ( ) ( ) ( ) 7. Strain Relief - verify physical integrity at both ends of line cord 6. Line Cord - verify physical integrity 10. Indicators/ Displays - verify proper illumination and operation ( ) 14. Suction jar - verify physical integrity 1. Chassis - verify physical integrity, cleanliness and condition 2. Mount/ Fasteners - verify physical integrity 4. AC Plug - verify physical integrity 5. Circuit Breaker/ Fuse - verify integrity of external circuit breaker and/or rating of external fuse ( ) ( ) ( ) 3. Filter - check / replace *** ( ) 9. Controls/Switches - verify proper operation of controls ( ) ( ) TYPE CODE : 10-208 CHECKLIST NO: 10208-005 PPM YTD : ( 1 / 1 ) 1. Clean the Exterior 2. Inspect/ Clean Interior of unit ( ) BER SEKUTU BER TAM BAH MUTU WORK ORDER NO PART 6 QUANTITATIVE TASKS Tick ( ) where appropriate Set Measured Values Values KKM/BEMS/0268 CHECKLIST NO: 10208-005 PPM YTD : ( 1 / 1 ) Version 2.10 , 01-Apr-2011 1 Description Limit/Tolerance PASS KEMENTERIAN KESIHATAN MALAYSIA BEMS Planned Preventive Maintenance Checklist UOM Aspirator TYPE CODE : 10-208 -63 to -57 ( ) ( ) kPa -60 Vacuum Level FAIL NA ( ) BER SEKUTU BER TAM BAH MUTU WORK ORDER NO PART 7 ELECTRICAL SAFETY TEST ELECTRICAL SAFETY TEST, (attach report) (In accordance to MS IEC 60601/ 61010/ 62353) PASS FAIL NA PART 8 NOTES CORRECTIVE MAINTENANCE REQUIRED FUNCTIONING NOT FUNCTIONING WORK ORDER NO ____________________________________________ NEXT PPM DATE _________________ PPM has been performed in accordance to the checklist and the equipment is functioning to the intended purpose. COMPLETED BY : DATE : KKM/BEMS/0268 CHECKLIST NO: 10208-005 PPM YTD : ( 1 / 1 ) Version 2.10 , 01-Apr-2011 TYPE CODE : 10-208 KEMENTERIAN KESIHATAN MALAYSIA BEMS Planned Preventive Maintenance Checklist Aspirator BER SEKUTU BER TAM BAH MUTU