PREVENTIVE MINTENANCE AND CALIBRATION REPORT

Hospital/Clinic: ____________________________
Department : LABORATORY Date: ____________
Instrument : __Fully Automated Chemistry Analyzer__
Manufacturer/Model: _____________________________
Serial : ______________________
Software version: ______________________

Perform cleaning procedure:

Sampling Probe ( ) Reagent storage/ Guiding Track ( )

Sample Rack ( ) Cover Panel ( )
Sample storage/Guiding Track ( ) Interior/Exterior ( )
Reagent Rack ( ) Tubing’s/hose ( )

Test/Checked the following:

 Photometer Assembly(light source, optics filter, forward optics, Photo diode array)( )
 Cuvette Auto-cleaning Assembly (six clean probes, tubing’s)
( )
 Temperature
( )
 Query/History (alarms, patient results, QC results)
( )
 ABS (Absorbance, Read blank)
( )
 Cleaning Status of all cuvettes
( )
  Syringe Operation Detection ( )

A/D READING

340 nm ________ 405 nm ________450 nm ________ 578 nm ________

450 nm ________ 510 nm ________630 nm ________ 700 nm ________

Lamp working time: _______H

Remarks/Recommendation:

___________________________________________________________________
___________________________________________________________________
________

Performed By: Noted by:

______________________ _______________________
Service Engineer Costumer

______________________ _______________________
Date Date
109-Sct. Dr. Lazcano St. Sacred Heart, QC
Telefax: (+632) 411-0422
Biosystrading@biotechsystems.ph