DIRECTORATE OF BIOMEDICAL ENGINEERING

PREVENTIVE MAINTENANCE REPORT

Traction Units

FACILITY: DEPT.: LOC.:

W/O NO.: DATE: INSPECTOR:
MFR.: MODEL: S/N:
INV. NO.: TIME:------.-------hr

SYSTEM COMPONENTS
CTRL No. Description

No Test Equipment (Major) S.N. Cal. Due Date Ref.

Y N RSS MOH.
1 Ground resistance ohmmeter    
(Major, Acceptance)
2 Leakage current meter or    
electrical safety analyzer (Major,
Acceptance)
3 100 lb spring scale or    
dynamometer (Major, Acceptance)
4 Stopwatch or watch with a second    
hand (Major, Acceptance)

SUPPLIES
Weights (five 10 lb, one 50 lb), accurate to at least 5% and a connector for
attaching them to the traction unit (Major, Acceptance)
Lubricants recommended by the manufacturer (Major, Acceptance)

QUALITATIVE TASKS
Pass Fail Pass Fail
Chassis/Housing (Acceptance) Circuit Breaker/Fuse (Major)
Chassis/Housing (Major) Controls/Switches (Acceptance)
Mount/Fasteners (Acceptance) Controls/Switches (Major)
Mount/Fasteners (Major) Motor (Acceptance)
Casters/Brakes (Acceptance) Motor (Major)
Casters/Brakes (Major) Indicators/Displays (Major,
Acceptance)
AC Plug (Acceptance) Alarms (Acceptance)
AC Plug (Major) Alarms (Major)
Line Cord (Acceptance) Labeling (Major, Acceptance)
Line Cord (Major) Accessories (Acceptance)
Strain Reliefs (Major, Acceptance) Accessories (Major)
Circuit Breaker/Fuse (Acceptance)

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 QUANTITATIVE TASKS
Set/Indicated Measured Pass Fail
Grounding Resistance (0.5 ) (Major,
Acceptance)
Chassis Leakage Current (300 µA)
(Acceptance)
Chassis Leakage Current (300 µA)
(Major)
Timer Accuracy (±10%) (Major,
Acceptance)
Traction Control Accuracy (±10%)
(Major, Acceptance)
(Major, Acceptance)
(Major, Acceptance)
Intermittent Traction (20 sec) (Major,
Acceptance)

PREVENTIVE MAINTENANCE
Done Done
Clean (Major) Calibrate (Major)
Lubricate (Major)

USED PARTS
No Part descriptions Part no QTY UNIT TOTAL ‫مستند‬ ‫مستند ادخاالت‬
PRICE PRICE ‫إخراجات‬
1

Equipment Utilization Analysis

No Utilization level INDICATOR Optimum Measured O/M*100%
1 > 100% Over 
loaded
2 (80-100)% Loaded  Comments :
3 (50- Medium 
79.9)% load
4 < 50 % Low load 
5 Not used  Reason  Stand by in store
 Old unit in store
 High running cost
 Consumables not available
 Need maintenance
 Need user training
 Lack of Users / Operators
 Not needed in the location
 Not practical for use
 Missing parts /accessories or manuals

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 NOTES

UNIT PASS the P.P.M Procedure YES NO

UNIT Needs : 1.parts 2.manuals 3.test equip-t 1 2 3
UNIT Needs : 1.maintenance in field 2.to be transferred to central W.S 1 2
UNIT IS RECOMMANDED TO BE REMOVED FROM USE YES NO

DONE BY DATE SIGN

ENG\ TECH
APPROVED DATE SIGN
BY
NOTES OF GROUP \WORK SHOP SUPER VISER

G\WS DATE SIGN

SUPERVISER

qf 771-17 rev. c