Date Of Print: 9/26/2022 8:24:44 AM WO/Status:AAH-PM-202209-01155/PendingVerification

Preventive Maintenance

Work Order AAH-PM-202209-01155 Frequency Every 1 Year(s)

Work Description YEARLY PPM FOR THERMOMETER, Created Date 09-Sep-2022 05:28:53 PM
ELECTRONIC, ORAL, AA01-051258

Location Full Path Department/Section Priority

Al Ain Hospital Anesthesia and Intensive Care 4 (Low/PPM/Deferred)
Institute/ICU

Device Specification Equipment Type: Thermometer, Electronic, Equipment ID

Oral
Serial No.: 12401964 Manufacturer: Welch Allyn Thermometer,
Electronic, Oral/SEHA-
0000020001
Installation Date : 30-Sep-2013 Warranty Expiry Date: Local Asset No:
AA01-051258
Type: Model No: Sure Temp Plus 692 External Asset No:

RiskLevel:Low Supplier: New Medical Centre (NMC) Next PPM Date:01-Sep-

2023
TypeOfmaintenance:Supplier Maintenance TypeOfMaintenance SpecialCondition: Previous PPM Date:01-
Sep-2021
Assigned To (Company/Supervisor): Vendor Name: ONE HEALTH Class:

Type of Work PPM-Biomedical Type of Service PM - Medical Equipments

Type of Problem Routine Biomedical Equipment Is the system/equipment down? NO

Yes/No.
Maintenance
If yes, Start Down Time: End Down Time:

Is CM Required? NO If Yes, CM Work ID:

Technical Remarks Carried out PPM as per SEHA checklist. Handed over the unit to end user in good working
condition.

Man Power Used

SN. Eng / Technician Planned Start Planned End Actual Start Actual End Signature
Date/Time Date/Time Date/Time Date/Time
1 M. Vairamanickam 01-Sep-2022 30-Sep-2022 22-Sep-2022 22-Sep-2022
01:00:00 AM 05:00:00 PM 09:00:00 AM 09:20:00 AM

Comments

End User Engineering Deparment

Name Name:
Signature Signature

Equipment "Approved" For Use Equipment "Not Approved" For Use