Electrical Safety Inspection A-17
ELECTRICAL SAFETY INSPECTION FORM
(
Class I equipment
)
Overall assessment:
□
Scheduled inspection
Test item: 1, 2, 3
□
Unopened repair type
Test item: 1, 2, 3
□
Opened repair type, not modify the power part
including transformer or patient circuit board
Test item: 1, 2, 3, 4, 5
□
Opened repair type, modify the power part including
transformer or patient circuit board
Test item: 1, 2, 3, 4, 5, 6, 7, 8
Location:
Technician:
Equipment:
Control Number:
Manufacturer:
Model:
SN:
Measurement equipment /SN:
Date of Calibration:
INSPECTION AND TESTING
Pass/Fail Limit
1
Power Cord Plug
2
Device Enclosure and Accessories
3
Device Labeling
4
Protective Earth Resistance
Ω
Max 0.2 Ω
5
Earth
Leakage
Normal condition(NC)
____μA
Max:
NC: 300μA(refer to
UL60601-1) *
NC: 500μA(refer to
IEC60601-1) *
SFC: 1000μA
Single Fault condition(SFC)
____μA
6
Patient
Leakage
Current
Normal condition(NC)
□
BF__
_μA
Max:
BF applied part:
NC:100μA, SFC: 500μA
Single Fault condition(SFC)
□
BF___
μA
7
Mains on Applied Part Leakage
□
BF___
μA
Max:
BF applied part: 5000μA
8
Patient
Auxiliary
Leakage
Current
Normal condition(NC)
□
BF___
μA
Max:
BF applied part:
NC:100μA, SFC: 500μA
Single Fault
condition(SFC)
□
BF___
μA
NOTE:
The equipment which sell to America shall comply with the requirement of UL60601-1,
others shall comply with the requirement of IEC60601-1.
Name/ Signature: ____________________ Date:_____________________________
Summary of Contents for DC-68
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Page 45: ...System Installation 3 15...
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Page 108: ...8 2 Field Replaceable Unit 8 1 Explosive View A0 B0 C0 D0 E0 F0 G0...
Page 121: ...Field Replaceable Unit 8 15 8 2 5 Main Unit Assembly E0 E2 E4 E6 E5 E9 E8 E3 E7 E1...
Page 123: ...Field Replaceable Unit 8 17 E13 E22 E10 E17 E16 E14 E18 E19 E23 E20 E21 E15 E11 E12 E24...
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