Checklist PP MTK 70_03
Ambit:
Ganshorn Medizin
Electronic GmbH
Checklist for PowerCube Ergo /SSO Rev E
Technical Support
Revision
:
Rev01 30.11.2012
page 1 of 4
1. Examinee
Date:
Examiner:
System:
Company:
Options:
Accessories
S/N
Last check:
Next check:
Reason of this check:
Preventive Maintenance
Check after Repair
This check is only to be carried out from authorized persons (MPBetreibV §11)!
All following parameters have to be checked under ambient conditions allowed for measurement use and with a
supply voltage of 230 V / 50Hz!
Respect the warm-up time of 30 minutes!
The pressure sensors must be checked with pos. und neg. pressure; the higher deviation applies!
2. Check ambient conditions
Temperature; tolerance from +15 °C to +35 °C
°C
Rel. humidity ; tolerance from 30% to 80%
%
Ambient pressure; tolerance from 700 hPa to 1050 hPa
hPa
3. Test equipment
Multimeter
Type:
S/N:
Flowmeter
Type:
S/N:
Pressure tester
Type:
S/N:
Thermometer
Type:
S/N:
Barometer
Type:
S/N:
Hygrometer
Type:
S/N:
4. Test and calibration gas
Ergo; 15,9% O
2
4.5, 5% CO
2
4.5, Rest N
2
4.5
O
2
CO
2
Use-by date:
5. Deviations, Establishments and Evaluation
Yes
No
Test passed
Date of test:
Signature (examiner):
User
User
Function / department:
Name / Signature: