CASE 8000 PM Inspection Report Template June 1999

CASE 8000

DPMFRM-022 30 Jun 1999

Preventive Maintenance Inspection Report

Page 1 of 4 Customer______________________________ Customer Number______________________ Date___________ FE ___________________________________ FE ID________ Call Number______________________________ Equipment Serial Number ________________ Software Revision _________

Configuration (ä) ___ 12SL ___ Data Storage on File Server

___ Remote Viewing

___ Full Disclosure

Tools 1. Leakage tester 2. Standard hand tools

3. Multimeter 4. Service Manual (p/n 415047-001)

5. ESD Mat and Wrist Strap

Visual Inspection (ä) Inspect the following for excess wear and/or any visual signs of damage. 1. __Coiled patient cable 3.____AC power cord 2. __Patient leadwires 4.____Chassis hardware

Cleaning (ä) 1. ___ Clean all internals of dust

2. ___ Clean external surfaces

Calibration (ä) 1. ___ Writer Tests

2. ___ Key Pad Test

Electrical Safety Checks (ä) Refer to PM Application Form DPMAPP-001-4 class __ for leakage standards for specific voltages. 1. ___ Wall Receptacle Test 2. ___ Ground Continuity (Impedence of protected connection) Test(≤ .1Ω or ≤.2Ω w/power cord) 3. Leakage Ground(Earth) wire leakage to ground test Chassis(Enclosure) leakage to ground test Source Risk(Patient cable leakage to ground) Leakage Sink Risk(Patient cable leakage into patient leads) Leakage

Normal ___ ___ ___ NA

Open Reversed ___ ___ ___ NA

Closed Normal Reversed NA NA ___ ___ ___ ___

___ ___

Checkout Procedure (ä) A.___ Attach ECG simulator, press the RHYTHM key and check the report for proper data, paper tracking and clarity. B.___ Select a protocol and start treadmill(or ergometer) to verify speed and grade( or workload for ergometers) are operating properly. C.___ Depress the Emergency stop button(if installed) while the treadmill(if installed) is running at 3 m.p.h. to verify the treadmill stops correctly. D.___ Depress the Treadmill Stop button on the CASE 8000 stress keyboard while the treadmill(if installed) is running at 3 m.p.h. and verify the treadmill stops correctly. E.___ Perform the Keyboard Test using the Service Screen. F.___ Perform Writer Diagnostics from the Service Screen.

Template Revision D