G
EBRAUCHSANWEISUNG
P
FLEGEBETT
WESTFALIA III 24 V
OLT
· I
NSTRUCTION
M
ANUAL FOR
N
URSING
B
ED
WESTFALIA III 24 V
OLT
41
Test protocol of
an inspection of
electro-medical
equipment
according to
DIN EN 62353:
2008-08
Page 2 of 2
III. Performance check
OK
Not
OK
Defect Description
Performance check of the electrial components
Motion limit switching of the motors
Automatic cut-off
Hand switch, blocking functions
Test according to instructions for use
Drive motors
Text, Abnormal Noise Development
Strain relief and security of routing the cable
Secure, Correct position
Strain relief for power adapter cable
Secure hold
Performance check of the mechanical components
Joints and pivots
Smooth operation
Trapeze with belt strap
Secure hold
Castors
Drive and brake
Emergency lowering of the backrest
Test according to instructions for use
Side rail
Safe locking / Secure hold / Safe unlocking
Lower leg rest
Latching
Accessories (e. g. trapeze pole, trapeze)
Secure, Damage, Suitability
Result of the inspection:
All values within permissible range:
yes
no
Next inspection date:
Inspection passed:
yes
no
If inspection was not passed:
Defective, do not use the bed! => Repair
Defective, do not use the bed! => Take out of Service
Bed does not meet the safety standards
Test approval sticker applied:
yes
no
Part of this inspection report:
Comments:
Inspected on:
Inspector:
Signature:
Evaluated on:
Operator / Expert:
Signature:
