Heliodent Plus
Yearly Maintenance Checklist
Customer: ____________________ Address: ________________________________
Dealer: _______________________ Address: ________________________________
Date of original installation: _______ Date of inspection: ________________________
Report of Assembly FD 2579 # ____
SCHEDULE
Yes
No
Remarks
All manuals are present
Test instruments as required
Any mechanical damage noticed
All labels are present and legible
All indicator lights are O.K.
Radiation indicator
X-ray
lights up, audible buzzer O.K.
Deadman feature O.K.
Tube current is within specified limits
Measurement: . . . . . mA
Specified exposure time O.K.
Measurement: . . . . .sec
Specified kV Value is O.K.
Measurement: . . . . . kV
Exposure button O.K. Resistance within specified limits
All keys O.K.
Mechanical adjustment of the support arm is O.K.
The unit is in compliance with
MFG specified tests and safety
Technician:____________________ Dealer: _________________________________
Manufacturer
Model
Accuracy
Last calibrated
Voltmeter
mAmeter
Exposure Time
62 15 144 D 3507.101.01.03.02
