Installation Inspection Report

GM60A

User Name
Name of Hospital
Contact Information

Address

Installer Name
Installation Date
Contact Information

Product Name S/N

1. Components and S/W Version

2. Detector Calibration
Check List
3. Network and DICOM Information Check
4. Installation Check Result

I hereby certify that an installation inspection has been conducted in accordance with the check list above and the results showed no
abnormality.

YYYY/MM/DD Inspector :
(sign)

YYYY/MM/DD Customer :
(sign)

DXQL-0015E (Ver : 1)
 1. Components and S/W Version

□ Product Information

Product name

S/N Manufacturing date

Component List S/N Component List S/N

Detector 1 Detector 2

□ Software Version

List Version List Version

Detector 1
W/S version
Detector 2

2. Detector calibration
Inspection Standards and Results
No. Item
[Record the values measured]
- After performing the calibration of detector
1. Check if there is no image artifact. Check List Result
2. Check if a bad pixel or bad line can be corrected by manual
calibration. Bad pixel
BPM data Detector 1
1 [Check during Bad line
installation] ※ Standards for failure
- A bad pixel exceeding 5x5 matrix is not corrected even after manual Bad pixel
calibration. Detector 2
- A bad line is not corrected after manual calibration or a bad line Bad line
that is composed of more than 4 columns is found.

3. Network Setting / DICOM Setting information Check

No. Item IP Gateway / DNS / Port AETitle

1 Local information

2 MWL information

3 Store information

※ DICOM Printer and other Information Input

Remote Control
Printer Model Printer Server MPPS Server SC Server RMS Usage Status
Availability

4. Installation Inspection Result

Date

Inspector
Comprehensive
Pass / Fail
Inspection Result

DXQL-0015E (Ver : 1)