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Preventive Maintenance Checklist

Equipment : Doppler Date :


Brand : Period :
Serial No. : Room :

No Fisik / Uji Kuantitatif Pass Fail


1 Chassis / Mounts / Fasteners
2 Kontrol / Switch
3 Perlengkapan / Konektor
4 Kabel / Aksesoris
5 Baterai
6 Indikator / Display
7 Self-test
8 Transduser
9 Parameter
10 Cek Kondisi Baterai
11 Cek Kondisi Transduser

Test Equipment Used :

Remarks :

Performed by : Verifled by :

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