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Maintenance Form: Anesthesia Unit

This maintenance form is for an anesthesia unit and contains sections for recording the department/location, manufacturer/type, serial number, inventory number, and inspector of the unit. It also lists various qualitative tasks that are checked during maintenance, including checking the chassis, network, CO2 absorber, alarms, labeling, audible signals, mount, flowmeter, brakes, battery/charger, AC plug, fail-safe oxygen valve, line cord, directional valve, strain relief, vaporizer back-pressure check valve, tubes, bellows or piston, cables, pressure-relief mechanism, fan, filters, gas cylinders, controls/switch, humidifier, indicator/display, accessories, and self-test and time

Uploaded by

Hendrana Tjahjadi
Copyright
© © All Rights Reserved
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
11 views

Maintenance Form: Anesthesia Unit

This maintenance form is for an anesthesia unit and contains sections for recording the department/location, manufacturer/type, serial number, inventory number, and inspector of the unit. It also lists various qualitative tasks that are checked during maintenance, including checking the chassis, network, CO2 absorber, alarms, labeling, audible signals, mount, flowmeter, brakes, battery/charger, AC plug, fail-safe oxygen valve, line cord, directional valve, strain relief, vaporizer back-pressure check valve, tubes, bellows or piston, cables, pressure-relief mechanism, fan, filters, gas cylinders, controls/switch, humidifier, indicator/display, accessories, and self-test and time

Uploaded by

Hendrana Tjahjadi
Copyright
© © All Rights Reserved
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Maintenance Form

Anesthesia Unit
Date :
Dept/Loc
Merk/Type
S/N
No. Inventory
Inspector

:
:
:
:
:

Qualitative Tasks
P

Chassis

Network

CO2 Absorber

Alarm

Labeling

Audible Signals

Mount

Flowmeter

Brakes

Battery/Charger

AC Plug

Fail-Safe Oxygen Valve

Line Cord

Directional Valve

Strain Relief

Vaporizer Back-Pressure Check Valve

Tubes

Bellows or Piston

Cables

Pressure-Relief Mechanism

Fittings

Fan

Filters

Gas Cylinders

Controls/Switch

Humidifier

Indicator/Display

Accessories

Self-Test
Time/Date Setting

Note

it

gps/mf.001/r.00/013

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