You are on page 1of 1

SERVICE REPORT

DATE REPORTED: 9/28/2022


DATE SERVICE: 10/6/2022

MAINTENANCE : CUSTOMER : MCU Hospital - Filemon D. Tanchoco, Sr. Medical Foundation Inc.
FOR CHECK UP ADDRESS : Morning Breeze Subdivision, Caloocan, 1400 Metro Manila
SERVICE CALL EQUIPMENT TYPE : Air Purifier
FOR EVALUATION
INSTALLATION BRAND : ASU HOUR READING :
RECALL - UPGRADE MODEL : 24-A CONTROL NO. :
SERIAL NUMBER : 123456789-27 DEPARTMENT : PICU

REPORTED PROBLEM :
WARRANTY : No Power, Not Functioning
YES
NO, 8/13/20 ASSESMENT AND INITIAL FINDING :
CONTRACT Burnt Electronic Ballast,UV Lamp and BT134 Triac (3pcs)
Burnt Motor windings
WORK DONE :
Replace Board - Version 3, Test Components output voltages
Replace Fan Motor, Test Resistances and Speed
Replace UV Lamp
Replace Electronic Ballast, Rewires
Functionality Test
FOR BILLING : Actual/Simulation
YES Check UV Function
NO Test Run for 2 hours
General Cleaning
Wrap
PARTS AND CONSUMMABLES USED:
Board - Version 3.0
Fan Motor
Electronic Ballast
UV Lamp
REMARKS- RECCOMENDATION
READY FOR PATIENT USE
FOR OBSERVATION
FOR REPAIR
FOR PULL OUT

BIOMEDICAL ENGINEER HOSPITAL/CUSTOMER REPRESENTATIVE

Jayson Antonio Vilma Pacleb

SIGNATURE OVER PRINTED NAME / DATE SIGNATURE OVER PRINTED NAME / DATE

You might also like