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BEM - QP - 2 - RI Checklist

This document is a checklist for routine inspections of medical equipment. It contains details of the inspection such as the work order number, location, and frequency. It lists special precautions to take regarding contamination and personal protective equipment. The main part outlines 10 routine inspection tasks to check things like the chassis, fittings, controls, indicators, and cleanliness. A summary section is included to note the results of each inspection task using pass, fail, or not applicable indicators. Space is also provided for remarks and notes.

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Khairul Azwan
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0% found this document useful (0 votes)
360 views1 page

BEM - QP - 2 - RI Checklist

This document is a checklist for routine inspections of medical equipment. It contains details of the inspection such as the work order number, location, and frequency. It lists special precautions to take regarding contamination and personal protective equipment. The main part outlines 10 routine inspection tasks to check things like the chassis, fittings, controls, indicators, and cleanliness. A summary section is included to note the results of each inspection task using pass, fail, or not applicable indicators. Space is also provided for remarks and notes.

Uploaded by

Khairul Azwan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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KEMENTERIAN KESIHATAN MALAYSIA CHECKLIST NO: RI-001

BER
SEKUTU
BEMS Routine Inspection Checklist
BER TAM
BAH
M UTU
RI YTD : ( 1 / 1 )

PART 1 ROUTINE INSPECTION DETAILS

WORK ORDER NO LOCATION

FREQUENCY ANNUALLY

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.
Refer to the safety procedure for additional precautions and guidance as per manufacturer guidelines.

PART 3 ROUTINE INSPECTION TASKS

1. Chassis - verify physical integrity, cleanliness and condition 6. Audible/Visual alarms - verify proper operation, automatic and activation

2. Mount / Fasteners - verify physical integrity 7. Accessories - verify as appropriate

3. Fittings / Connectors - verify integrity 8. Labeling - verify caution and warning labels

4. Controls/ Switches/ Keypad/ Knob - verify proper operation of controls 9. Functioning test - verify equipment functionality and carry out adjustment if necessary

5. Indicators/ Displays - verify proper illumination and operation 10. Cleanliness - Clean exterior of the equipment

PART 4 SUMMARY OF RI

** Notes for RI Task Column: ( √ ) Pass ( X ) Fail ( NA ) Not Applicable

RI Tasks (as Part 3) **


No Asset No Asset Description Model Serial No. Remarks
1 2 3 4 5 6 7 8 9 10

PART 5 NOTES

Routine inspection has been performed in accordance to the checklist.

COMPLETED BY :

DATE :

KKM/BEMS/RI-001 Version 1.00, 17 Sept 2015

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