Professional Documents
Culture Documents
Contact information
Company / depot / stockist (name, address, stamp) Practice / clinic (name, address, stamp)
Counter stands
Maintenance counter / batches since previous maintenance Date of the previous maintenance
Log output
Computer
MELAflash CF card MELAprint 42/44
(e.g. MELAtrace/MELAview etc.)
Software
Failure to observe the safety instructions can result in injury or damage to the device.
Perform the maintenance in accordance with the maintenance instructions.
This record serves only for recording the performed activities.
Please make a copy of the maintenance record. The original record is to remain in the possession of the practice / clinic and the
copy is to be kept by the service technician. Send the completed maintenance record as well as program log via e-mail
(wp@melag.de) to MELAG.
The maintenance work carried out is recorded by ticking off individual points.
Spare parts marked with * are not included in the maintenance set and must be ordered separately if required.
Preparations
2.1 Vacuum test Notes / measures
successful Leak. rate: mbar/min
Vacuum test before maintenance
not successful
4 Work performed in accordance with the "Guidelines for recurrent tests of pressure devices":
clean
Storage tank (wastewater and feed water side)
cleaned
must be cleaned
clean
replaced*
not existing
Leaks
remedied
not existing
Water stains and limescale
removed
checked / OK
replaced*
5.6 Water filter for internal water outflow hose Notes / measures
checked / OK
Water filter
replaced
5.7 Water inflow and wastewater hose (if existing) Notes / measures
Hose clamps tightened
Leaks checked / OK
checked / OK
Fastening screws (4 pcs.)
tightened
cleaned
Filter insert and Cu seals of the swivel screw fitting
replaced*
not existing
Function check
6.1 Program run "Vacuum test" Notes / measures
Vacuum test successful Leak. rate: mbar/min
Leakage rate < 0.8 mbar/min OK
Electrical check in acc. with DIN VDE 0701-0702 or comparable national standard Notes / measures
Automatic test procedure, log included OK
The program logs are part of the maintenance and must be attached to the maintenance record.
If No:
Maintenance could not be completed as the following problems emerged:
Other notes:
We confirm that the maintenance was performed entirely in accordance with the specifications outlined above.
_________________________________________ _________________________________________
Signature of the service technician Signature from practice / clinic representative