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RICHMOND HOSPITAL (P) LTD

COIMBATORE
Daily Equipment Cleaning Records for the Month of RH/F/HK/06, Issue No.01
S. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Name of the Equipment Location
No
1. OT Lamp - 1 OT - A

2. OT Lamp - 2 OT - A

3. OT Lamp - 3 OT - B

4. Anesthesia workstation OT - A

5. Anesthesia workstation OT - B

6. C Arm Machine - 1 OT - A

7. C Arm Machine - 2 OT - B
OT Table - Fracture
8. Table Attached OT - A
OT Table - With out
9. Fracture Table Attached OT - B
Instrument
10. Fracture Table Room

11. Suction Apparatus - 1 OT - A

12. Suction Apparatus - 2 OT - B

13. Tourniquet Machine - 1 OT - A

14. Tourniquet Machine - 2 OT - B

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Daily Equipment Cleaning Records for the Month of RH/F/HK/06, Issue No.01
S. Name of the Equipment 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Location
No
15. Diathermy - 1 OT - A

16. Diathermy - 2 OT - B

17. Laminar Air Flow OT - A

18. Fumigation Machine - 1 Instrument

Room
Instrument
19. Fumigation Machine - 1 Room

20. Oxygen Centralized

21. Nitrogen Centralized

22. Suction Centralized

Scrub
23. Scrub Unit
Room
CSSD Autoclave
24. Autoclave Machine (Harizontal) Room
Autoclave
25. CSSD Room
Autoclave Machine (Harizontal)
Doctor
26. Scopy Trolley I
Room
27. Scopy Trolley II Scrub
Room
OT Staff Sign

OT Incharge Sign

Authorised Signature
Scopy Trolley I

Scopy Trolley II