SOMERSET HILLS HOSPITAL AND MEDICAL CTR. Work Order#: 1289
Notice:   Inspection
Control: 1201 DEFIBRILLATOR Risk: A
Asset/Property Known As Class type
Model 2400 Facility Maintenance 0
Serial 938492 Building Function
Manufacturer HEWPAC Location Free Index
Area FLOOR3 Cost Center ADMINISTRATION CENTER Medical Equip Type
Room Department SURGERY System
Reference Area Served CC# 2345
DRAINS
WATER FILTER
CYCLE
Requested by: MILES LINCOLN Extension: 0923
Date & Time: 05/22/2005     15:14:45 Approved by:   Priority:
Trade: BIOMED Shop: Printer:
Assigned to:  ANNE WILSON QA Category: 6 INSPECTIONS Work Type:
Entered by:  Precaution: Week Due: 46
Service History    
ANNE WILSON 08/31/2002 6 MONTH INSPECT
Inspection Procedures Next Inspection: Last Inspection: 05/26/2005
1. Inspect exterior of equipment for damage or missing hardware. Int:2 times/yr T:60
2. Inspect the power cord, strain relief and plug/s for any signs of damage.
3. Turn unit off, open user accessible covers and inspect unit for damage.
4. Clean unit interior components and exterior with vacuum or compressed air.
5. Inspect interior for signs of corrosion or missing hardware. Repair as required.
6. Inspect electrical components for signs of excessive heat or deterioration.
7. Inspect condition of all paddle sets paying special attention to cables.
8. Verify operation of analog/digital display. Check maximum charge time.
9. Inspect energy select switch or potentiometer for mechanical integrity.
10. Verify correct operation of features such as high energy and emergency charge.
11. Verify synchronizer operation for correct fire time and flag pulse.
12. Verify defibrillator output is within ±10% of set output.
13. Fire defibrillator at maximum power into load.
14. Defibrillator output should not vary significantly.
15. Inspect condition of batteries. Replace as needed.
16. Inspect battery charger and cable for damage.
17. Verify correct operation of all buttons, controls, displays and/or indicators.
18. SEE NEXT PAGE!
Part Number/ Description Qty Price Total Price
       
       
Employee Time Service Codes Date Time of Day WO#
          1289
           
           

 
SOMERSET HILLS HOSPITAL AND MEDICAL CTR. Work Order#: 1289

Control: 1201 DEFIBRILLATOR Risk: A
Area: FLOOR3 SURGERY Page# 2
18. Verify correct operation of unit in all functional modalities.
19. Clean exterior of unit including all accessories, cables, controls and displays.
20.