GE Healthcare PM Report Schedule B Optima CT520

GE Healthcare
PM REPORT Schedule B,
Optima CT520
SITE INFORMATION
Site Name      
System ID       Room Number      
System Type (Select:) Select
FE Name       Inspection Date       RFS#      

PRELIMINARY TASKS
Last PM Inspection
Verify last PM Inspection.
Last Inspection Date       Last Schedule Completed: Select
List any Schedule B tasks that were completed earlier.      

Review Error Logs

Check the tasks you completed and list any follow-up work scheduled.
Task Completed Comments/Follow-up
Table Hydraulic Errors      
System Application Stop and Start Errors      
Linux Reboot and Shutdown Errors      
Record Gantry Rotations            

Initial Procedures
Check Temperature and Humidity
Record the temperature and humidity. Indicate if these are within spec.
Room Temperature Humidity Pass/Fail Comments/Follow-up
Scan room             Select      
Control Room             Select      

Console
Task Completed Comments/Follow-up
Console Monitor Cleaning & Inspection      

General Gantry Inspection

Task Pass/Fail Comments/Follow-up
Listen for Unusual Noises Select      
Test Display Lights Select      
Test E-stops Select      
Test Patient Tilt Sensors Select      

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GE Healthcare PM Report Schedule B Optima CT520

Collimator Inspection
Task Pass/Fail Comments/Follow-up
Aperture and Filter Positions and Select      
Operation
Protective Window and Opening Select      
Inspected/Cleaned Debris

Tilt Speed and 30o Functional Check

Task Pass/Fail Comments/Follow-up
Tilt Speed +10       -10       Select      
Gantry Tilts to +30o Select      
Gantry Tilts to -30o Select      

Power Adaptor Initial Checks

Task Comments/Follow-up
Highest Line-to-Line Voltage       Select      
Lowest Line-to-Line Voltage       Select      
Highest Voltage <1.02 x Lowest Voltage Select      

Gantry Power Off (Covers Off)

General Tasks
Task Pass/Fail Comments/Follow-up
Gantry Tilt Zero Check       Select      
Emergency Off Switch Select      
UPS Power Off Inspection Select      

General Console Cleaning & Inspection

Task Pass/Fail Comments/Follow-up
Clean Component Filters, Fans & Grills Select      
Clean, Inspect, Replace Desktop Select      
Components
Visual Fan Inspection Select      
Seismic Anchor Check (if necessary) Select      

Slip Ring & Brush Block Inspection and Maintenance

Task Pass/Fail Comments/Follow-up
Remove Slip Ring Brush Debris Select      
Slip Ring Tracks Inspected Select      
Brush Blocks Cleaning Select      
Brush Tip Inspection Select      

CT Belt Tension & Adjustment

Task Pass/Fail Comments/Follow-up

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GE Healthcare PM Report Schedule B Optima CT520

Inspect and Adjust Tension Belt Select      

Gantry Filter Cleaning

Task Pass/Fail Comments/Follow-up
Clean DAS Detector Plenum Filter      Select      
Clean Detector Face Plate Select      
Clean Gantry Heater Filter Select      
Clean Top Cover Fans      Select      
Rotating Path Components & Cables Select      
Inspection

Hydraulic Tilt Pump (Inspect for Leaks)

Task Pass/Fail Comments/Follow-up
Hydraulic Tilt Cylinder & Fittings      Select      
Hydraulic Tilt Pump & Reservoir Select      

Power Adaptor
Task Pass/Fail Comments/Follow-up
Vacuum Covers & Inside Adaptor Select      
Inspect Electronic Components Select      
Torque all Connectors Select      
Verify Tap Connections Match Select      
Inspect Seismic Anchor Bolts Select      

Power On (Covers Off)

Tube Heat Exchanger & Pump
Task Select Comments/Follow-up
Inspect/Clean Tube Heat Exchanger      Select      
Inspect/Clean JEDI Inverter Fan Select      

General Tasks
Task Pass/Fail Comments/Follow-up
UPS Powered and Operational      Select      
Plenum Fans (5) Operational Select      
Grease Gantry Main Bearing Select      
No. Revs since last greasing      

Power Off (Covers On)

Tilt Speed Adjustment
Task Pass/Fail Comments/Follow-up
Tilt Speed Adjustment Select      

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GE Healthcare PM Report Schedule B Optima CT520

Power On (Covers On)

General Tasks
Task Pass/Fail Comments/Follow-up
Scan Window Inspection/Replacement Select      
Inspect Rotational Clearances Select      

Finalization
System Scanning Test
Task QA Phantom Location Gantry Serial #
Serial #
                 
Scans Scan Failures Artifacts Artifact Types
Series 1 (Scout/Auto Voice) Select Select      
Series 2 (Axial/Tilt) Select Select      
Series 3 (Helical/Auto Voice) Select Select      

General Tasks
Task Select Comments/Follow-up
X-ray On Indicators Select      
Scan Control Pushbuttons Test Select      
Completed
GIB Updates Completed      
Site Log Updated      
PM Paper work completed for this site      

Comments:     
Is follow-up work required?:Select
Service Scheduled Date:      
This inspection passed and meets all GE Healthcare PM specifications.

Revision History
Rev Date Reason for Change
1 Aug/6/2012 Initial Release

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