Scribd
Upload
15 views5 pages

PM_Report_Schedule_B_VCT

The document outlines a preventive maintenance (PM) report schedule for various medical imaging systems, detailing tasks to be completed, inspection criteria, and follow-up actions. It includes sections for preliminary tasks, general inspections, specific equipment checks, and finalization of the maintenance process. The report ensures compliance with GE Healthcare PM specifications and includes space for signatures and comments.

Uploaded by

Andrew Sinyagin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
15 views5 pages

PM_Report_Schedule_B_VCT

The document outlines a preventive maintenance (PM) report schedule for various medical imaging systems, detailing tasks to be completed, inspection criteria, and follow-up actions. It includes sections for preliminary tasks, general inspections, specific equipment checks, and finalization of the maintenance process. The report ensures compliance with GE Healthcare PM specifications and includes space for signatures and comments.

Uploaded by

Andrew Sinyagin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

System ID:

SR#:
Date:

PM Report Schedule B

LightSpeed VCT, Discovery CT750 HD, Revolution Discovery CT,


Revolution GSI, Revolution HD, and Discovery CT
Customer Name: Service Record #:

System ID/ Serial Number: Customer Equipment ID:

Service Manual Document Number: Software Version:

PM Frequency: months

System Type (Select:)

PRELIMINARY TASKS
Last PM Inspection
Verify last PM Inspection

Last Inspection Date : Last Schedule Completed:

List any Schedule B tasks that were completed earlier

PM Schedule Sys B

Review Error Logs


Task Completed Comments/Follow-up
System Application Stop and Start Errors
Table Hydraulic Errors

Initial Procedures
Check Temperature and Humidity
Room Temperature Humidity Pass/Fail Comments/Follow-up
Scan room Temp &
Humidity

General Gantry Inspection


Task Pass/Fail Comments/Follow-up
Test Display Lights
Test E-stops
Test Patient Tilt Sensors

Checklist PM Document #: DOC0928611 © 2014, General Electric Company


Revision Number: 8.0 All Rights Reserved Page 1 of 5
System ID:
SR#:
Date:

Laser Alignment Inspection


Task Pass/Fail Comments/Follow-up
Internal Alignment Lights
External Axial to Internal Axial Distance

System Options
Task Pass/Fail Comments/Follow-up
Nemoto Injector Inspection

Collimator Inspection
Task Pass/Fail Comments/Follow-up
Aperture and Filter Positions and Operation
Protective Window & Opening,
Inspection

Gantry Power Off (Covers Off)


General Tasks
Task Pass/Fail Comments/Follow-up
Gantry Tilt Zero Check

Emergency Off Switch (on wall)


Gantry Cover Cables Inspection
UPS Power Off Inspection

General Console Cleaning & Inspection


Task Pass/Fail Comments/Follow-up
Clean Component Filters, Fans & Grills
Visual Fan Inspection
Seismic Anchor Check (if necessary)

Slip Ring & Brush Block Inspection and Maintenance


Task Pass/Fail Comments/Follow-up
Remove Slip Ring Brush Debris

Slip Ring Tracks Inspected

Clean Brush Blocks


Brush Tip Inspection

Checklist PM Document #: DOC0928611 © 2014, General Electric Company


Revision Number: 8.0 All Rights Reserved Page 2 of 5
System ID:
SR#:
Date:

Gantry Filter Cleaning


Task Pass/Fail Comments/Follow-up
Clean DAS Detector Plenum Filter

Clean Detector Face Plate

Clean Gantry Heater Filter


Clean Top Cover Fans
Inspect Rotating Path Components & Cables

Hydraulic Tilt Pump (Inspect for Leaks)


Task Pass/Fail Comments/Follow-up
Hydraulic Tilt Cylinder & Fittings

Hydraulic Tilt Pump & Reservoir

NGPDU
Task Pass/Fail Comments/Follow-up

Inspect Electronic Components

Inspect Seismic Anchor Bolts

Torque all Connectors

Gantry Power On (Covers Off)


General Tasks

Task Select Comments/Follow-up


Grease Gantry Main Bearing
Record Gantry Rotations

Plenum Fans (5) Operational


UPS Powered and Operational

Tube Heat Exchanger & Pump


Task Select Comments/Follow-up
Inspect/Clean Tube Heat Exchanger
Inspect/Clean JEDI Inverter Fan
Tube Heat Exchanger Pump Inspection

Checklist PM Document #: DOC0928611 © 2014, General Electric Company


Revision Number: 8.0 All Rights Reserved Page 3 of 5
System ID:
SR#:
Date:

Power On (Covers On)


General Tasks
Task Select Comments/Follow-up
Inspect Rotational Clearances
Scan Window Inspection/Replacement

Finalization
System Scanning Test
QA Phantom
Task Location Gantry Serial #
Serial #

Scan Scan Failures Artifacts Artifact Types


Series 1 (Scout/Auto Voice)
Series 2 (Axial/Tilt)
Series 3 (Helical/Auto Voice)

General Tasks
Task Select Comments/Follow-up
X-ray On Indicators
Scan Control Pushbuttons Test
Completed
Update Site Log
Complete PM Paper Work
Complete Customer Reports

Is follow-up work required?

Service Scheduled Date:


This inspection passed and meets all GE Healthcare PM specifications
Comments:

Characters Remaining:

Checklist PM Document #: DOC0928611 © 2014, General Electric Company


Revision Number: 8.0 All Rights Reserved Page 4 of 5
System ID:
SR#:
Date:

Tools Used:
Description Serial Number Bar Code Cal Due Date
Add Tool

Remove Tool

GE Representative:

FSEs completing this PM 1

FSE Signature Data...


FSE Name:
SSO #:
FSE SR #:

Customer Signature: Yes No

Final PM Complete Date


Completed:

Checklist PM Document #: DOC0928611 © 2014, General Electric Company


Revision Number: 8.0 All Rights Reserved Page 5 of 5

You might also like