ASHA HEALTH CARE

Preventive Maintenance Record

Ref. No.:-
Issue No.:- 01 Frequency :- Monthly
Machine No.:-
Machine Name:- O.T. Bed
Date,Month & Year
Sr. No. Check Points Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21
1 Oiling & Greasing
2 Cleaning
3 Wheels
4 Hydraulics
5 H/W Fitment

Date & Sig.

 ASHA HEALTH CARE
Preventive Maintenance Record
Ref. No.:-
Issue No.:- 01 Frequency :- Monthly
Machine No.:-
Machine Name:- Centrifuge
Date,Month & Year
Sr. No. Check Points Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21
1 Cleaning
2 Motor
3 Electrical Points
4 Bush
5 Indicator
6 Speed Controller

Date & Sig.

 ASHA HEALTH CARE
Preventive Maintenance Record
Ref. No.:-
Issue No.:- 01 Frequency :- Monthly
Machine No.:-
Machine Name:- O2 Cylinder
Date,Month & Year
Sr. No. Check Points Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21
1 Cleaning
2 Trolley Wheel
3 Pressure Gauge
4 Volve
5 Pipe

Date & Sig.

 ASHA HEALTH CARE
Preventive Maintenance Record
Ref. No.:- EHS/F/22
Issue No.:- 01 Frequency :- Monthly
Machine No.:-
Machine Name:- Fumigation Machine
Date,Month & Year
Sr. No. Check Points Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21
1 Cleaning
2 Motor
3 Bush
4 Unwanted Noise

Date & Sig.

 ASHA HEALTH CARE
Preventive Maintenance Record
Ref. No.:-
Issue No.:- 01 Frequency :- Monthly
Machine No.:-
Machine Name:- Autoclave Machine
Date,Month & Year
Sr. No. Check Points Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21
1 Cleaning
2 Steam Releaser
3 Pressure Volve
4 Pressure Gauge
5 Steam Controller
6 Vessle Lock

Date & Sig.

 ASHA HEALTH CARE
Preventive Maintenance Record
Ref. No.:-
Issue No.:- 01 Frequency :- Monthly
Machine No.:-
Machine Name:- Examination Light
Date,Month & Year
Sr. No. Check Points Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21
1 Cleaning
2 Bulb
3 Electrical Wire
4 Switch

Date & Sig.

 ASHA HEALTH CARE
Preventive Maintenance Record
Ref. No.:-
Issue No.:- 01 Frequency :- Monthly
Machine No.:-
Machine Name:- SUCTION MACHINE
Date,Month & Year
Sr. No. Check Points Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21
1 Cleaning
2 Pipe Status
3 Motor
4 H/w Fitment
5 Electrical Points

Date & Sig.

 ASHA HEALTH CARE
Preventive Maintenance Record
Ref. No.:-
Issue No.:- 01 Frequency :- Monthly
Machine No.:-
Machine Name:- ECG MACHINE
Date,Month & Year
Sr. No. Check Points Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21
1 Cleaning
2 Volve
3 ECG Leads
4 Battery Backup
5 Electrical Points

Date & Sig.

 ASHA HEALTH CARE
Preventive Maintenance Record
Ref. No.:-
Issue No.:- 01 Frequency :- Monthly
Machine No.:- B.P.-03
Machine Name:- B.P. Machine
Date,Month & Year
Sr. No. Check Points Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21
1 Cleaning
2 Leakage in Pump & Tube
3 Damage of Pipe
4 Damage of Cuff
5 Lock Conditions

Date & Sig.

 ASHA HEALTH CARE
Preventive Maintenance Record
Ref. No.:-
Issue No.:- 01 Frequency :- Monthly
Machine No.:- B.P.-02
Machine Name:- B.P. Machine
Date,Month & Year
Sr. No. Check Points Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21
1 Cleaning
2 Leakage in Pump & Tube
3 Damage of Pipe
4 Damage of Cuff
5 Lock Conditions

Date & Sig.

 SHIV SHAKTI LIME PRODUCTS
Preventive Maintenance Record
Ref. No.:-
Issue No.:- 01 Frequency :- Monthly
Machine No.:-
Machine Name:- ICU Monitor
Date,Month & Year
Sr. No. Check Points Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21
1 Cleaning
2 Cuff / Connecting Lead
3 Socket
4 Plug
5 Electrical Points

Date & Sig.

 ASHA HEALTH CARE
Preventive Maintenance Record
Ref. No.:-
Issue No.:- 01 Frequency :- Monthly
Machine No.:- B.P.-01
Machine Name:- B.P. Machine
Date,Month & Year
Sr. No. Check Points Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21 Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21
1 Cleaning
2 Leakage in Pump & Tube
3 Damage of Pipe
4 Damage of Cuff
5 Lock Conditions

Date & Sig.