ASPIRATOR Generic

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FAREAST MEDSOLUTIONS CORP CHECKLIST NO:

BEMS Preventive Maintenance & Calibration Checklist


ASPIRATORS
PPM YTD : ( __/ 1)
TYPE CODE :

PART 1 ASSET DETAILS

WORK ORDER NO ASSET NO

MANUFACTURER MODEL

FREQUENCY 3 MONTHLY ( ) 6 MONTHLY ( ) 12 MONTHLY ( √ ) PPM HOURS 0.75

PART 2 SPECIAL PRECAUTION

If there is evidence of body fluid contamination, submit the device for cleaning and decontamination before inspecting it.
Wear appropriate Personnel Protection Equipment (PPE) during work.
Wear grounded electrostatic wristband when handling PCB or electronic components.
Refer to the safety procedure for additional precautions and guidance as per manufacturer guidelines.
Make sure the test equipment used are duly calibrated.

PART 3 TEST APPARATUS


Tick (Ö ) where appropriate

DESCRIPTION ASSET NO / SERIAL NO MANUFACTURER / MODEL

DIGITAL MULTIMETER

PRESSURE GAUGE

______________________________

______________________________

________________________________

PART 4 QUALITATIVE TASKS

Tick (Ö ) where appropriate


PASS FAIL NA PASS FAIL NA
1. Chassis - verify physical integrity, 10. Motor/Pump - confirm physical condition
( ) ( ) ( ) ( ) ( ) ( )
cleanliness and condition and proper operation. Verify quantity and
quatity of oil.
2. Mount/ Fasteners - verify physical
( ) ( ) ( ) ( ) ( ) ( )
integrity and proper mounting 11. Labelling

3. Casters/Brakes - if mounted, verify 12 Filters / O-rings / Gasket


( ) ( ) ( ) ( ) ( ) ( )
physical integrity
13 Overflow-Stop Mechanisms- inspect &
4. Power Cord - verify proper insulation verify proper operation of overflow
( ) ( ) ( ) ( ) ( ) ( )
and integrity protection on unit so equipped
5. Strain Relief - verify physical integrity at
( ) ( ) ( )
both ends of line cord

6. Circuit Breaker/ Fuse - verify integrity of ( ) ( ) ( )


external circuit breaker and/or rating of
external fuse

7. Fittings/ Connectors - check all


fittings/connectors ( ) ( ) ( )

8. Controls/Switches/Keypad - verify
( ) ( ) ( )
proper operation of controls

9. Indicators/ Displays - verify proper ( ) ( ) ( )


illumination and operation

PART 5 PREVENTIVE MAINTENANCE TASKS

Tick (Ö ) where appropriate


DONE NOT DONE ** NA DONE NOT DONE ** NA

1. Cleanliness - Clean Interior and Exterior


( ) ( ) ( ) 3. Top up/replace oil if necessary ( ) ( ) ( )
of the Equipment
Notes:
2 Lubricate
( ) ( ) ( ) *For all parts, NA is defined as NOT APPLICABLE
**If you have ticked 'NOT DONE', then justify in Part 8

KKM/KWS/BEMS/0378 Version 1.00 , effective date


FAREAST MEDSOLUTIONS CORP CHECKLIST NO:
BEMS Preventive Maintenance & Calibration Checklist
ASPIRATORS
PPM YTD : ( __/ 1)
TYPE CODE :

WORK ORDER NO

PART 6 QUANTITATIVE TASKS

Tick (Ö ) where appropriate


Set Measured
Description UOM
Values Values Limit/Tolerance PASS FAIL NA

1 Rate of Vacuum Rise mmHg/sec ( +/-5%) ( ) ( ) ( )

Maximum Vacuum (block the port and measure


2 mmHg 600< ( +/-10%) ( ) ( ) ( )
the maximum vacuum pressure)

Vacuum Gauge Accuracy , compare the reading


3 mmHg 200 ( +/-10%) ( ) ( ) ( )
with the analyzer reading
400 ( +/-10%) ( ) ( ) ( )

600 ( +/-10%) ( ) ( ) ( )

The expanded uncertainties are based on an estimated confidence probability of approximately 95 % and have a coverage factor of k=2 unless stated otherwise.

PART 7 ELECTRICAL SAFETY TEST

ELECTRICAL SAFETY TEST, (attach report)

PASS FAIL NA

PART 8 NOTES

CORRECTIVE MAINTENANCE REQUIRED REMOVED FROM USE FIT TO USE

WORK ORDER NO ____________________________________________ NEXT PPM DATE _________________

COMPLETED BY : ACKNOWLEDGED BY:


BIOMEDICAL ENGR CLIENT REP

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