Mizuhosi 6875 Preventive Maintenance Download Page 1

  

 

 

6875 hana Table 

                  T e c h n i c a l    S e r v i c e s    D e p a r t m e n t 

Preventative Maintenance Checklist                                             Phone: 800-777-4674 PST     Fax: 510-429-8324 

 
 

50603-06 Rev. A                                                  ECN# 10016                              Effective Date 3/9/2010                                               Page 1 of 4

 

Preventive Maintenance (PM) Checklist 

Model: 6875 Hana table 

Work Instruction number 50603-06 

 

 

Contact Information: 

Date: ________________Model/Serial#: _______________________  

Account #:  ____________________  

Hospital Name: _________________________________ City & State: ________________________________ 

Contact Name: _______________________ Position: ___________________ Phone: _____________________ 

Equipment Location:  ________________________________________________________________________ 

Service Representative: _____________________ Service Organization: _______________________________ 

Service Rep. phone: ________________________ Home location: ____________________________________  

 

Customer contact accepting service: ______________________          __________________      ____________ 

 

 

                  Name please print 

            Signature                           Date 

 

Service Representative: ________________________           _______________             ___________________ 

 

 

Name please print                             Signature                            Date 

 

Using this report:  

Please proceed through each step and place an “x” in the “(  )” as each item representing Pass 

Fail (  ) (  ) criteria is inspected.  If a step has failed, please indicate with an “x” and note the reasons in the 
comments section.  If you resolve the failure place an “x” in the “Pass” area and indicate the corrective action again 
in the comments section.  If you are unable to perform any Pass/Fail check, please contact Mizuhosi Technical 
Services for assistance and circle the check.  

 

Biohazards when servicing equipment: 

Please take appropriate precautions for servicing potentially biohazard  

contaminated equipment or working in biohazard surroundings. Please wear protective surgical gloves and long 
sleeved gowns at all times. If your gloves or protective clothing tears, replace immediately. Have the hospital staff 
clean the equipment appropriately prior to servicing. Clean your tools that may become contaminated with 
biohazards prior to placing back in your tool kit for removal from the location. If you suspect biohazards are present 
do not handle until they have been cleaned. 

 

ESD Precautions:

 Electro-Static Discharge can damage sensitive electronic printed circuit boards. If you are 

servicing any part of the equipment inside that is near or in contact with PCB’s or other sensitive devices, please 
properly ground yourself with a proper ESD strap.  

 

(If serviced by an outside service organization, the record must be reviewed, signed, and dated by Technical 
Services Dept.  Refer to last page of this document). 

                                                                                                       

Summary of Contents for 6875

Page 1: ...presenting Pass Fail criteria is inspected If a step has failed please indicate with an x and note the reasons in the comments section If you resolve the failure place an x in the Pass area and indicate the corrective action again in the comments section If you are unable to perform any Pass Fail check please contact Mizuhosi Technical Services for assistance and circle the check Biohazards when s...

Page 2: ...__________________________________ 2 3 ON OFF Power Switch Circuit Breaker is properly secured operational and plastic cover is not torn or pierced Comments _________________________________________________________________________ 3 Basic Setup 3 1 Attach Hand Pendant Comments _________________________________________________________________________ 3 2 Power Switch ON a Connect table Power Cord t...

Page 3: ...h ON a Press and hold HEIGHT UP HEIGHT DOWN button run to its limit b Press and hold REV TREN TREN button run to its limit c Press and hold LEFT LATERAL RIGHT LATERAL ROLL button run to its limit d RETURN TO LEVEL run table to max height up rev tren and lateral roll right Press and hold Return to Level button verify table goes back to level 2deg and to the lowest position e Switch the selector kno...

Page 4: ...Covers Using Hand Pendant press and hold HEIGHT UP button raising tabletop to maximum height and toggle Power Switch to OFF 7 1 Visually inspect all stainless steel sheet metal covers for damage verify that they are not bent Comments _________________________________________________________________________ This section is for Technical Services use only Reviewed _________________________ Signature...

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