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‫قسم االمن والسالمة‬

Safety & Security Section

‫نموذج خطوات الصيانة الدورية لألجهزة الطبية‬


PREVENTIVE MAINTENANCE WORKING INSTRUCTIONS FORM

:Dept :Date
:Location :Model
: .Desc :S/N
:.Manufac :Code
.Eng/Tech
Electrical Safety
: Case leakage current Max. allowable 500µA Passed [ ]Failed] [
:Chassis to ground resistance Max. allowable 0.1 ohm Passed [ ]Failed] [
PPM Procedures
] [

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.………………………………………………………………………………………………………………Additional Remarks
……………………………………………………………………………………………………………………………………
All electrical Tests and operational checks are performed in accordance with manufacturer's recommendations
.and specifications
] : [:Estimated MH ] : [ Actual MH Biomedical Manager

: Completed By :In Charge Personnel

Signature Signature Signature

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