108
1505093, Edition 2012-05, Version 5
GB
13 Inspection Plan
OndaSpace
System Data
Date of installation:
Ondal serial number:
Operator serial number:
Device location:
Important Information
Inspections must be performed by trained service personnel.
The inspection intervals must be observed.
After 10 years, the functional inspection must be performed once a year.
Visual inspection (once a year)
OK
OK NOK
OK NOK
OK NOK
OK NOK
OK NOK
OK NOK
OK NOK
OK NOK
OK NOK
Functional inspection (every 2 years)
OK NOK
OK NOK
OK NOK
OK NOK
OK NOK
Confirmation of the inspection performed
The inspection tasks mentioned above were executed incl. the necessary adjustments and safety inspection:
1st year
6th year
Date
Signature/stamp
Date
Signature/stamp
2nd year
7th year
Date
Signature/stamp
Date
Signature/stamp
3rd year
8th year
Date
Signature/stamp
Date
Signature/stamp
4th year
9th year
Date
Signature/stamp
Date
Signature/stamp
5th year
10th year
Date
Signature/stamp
Date
Signature/stamp
1540866, Edition 2012-02, Version 2
Check and grease securing segment*
horiz. a. vert. joints smooth running, grease if required
Vertical lift correct, readjust if required**
- all welding points free from cracks**
Load comp./spring tension correct, readjust if required
Securing ring in position and shape (extension/spring arm
Collision damage
applicable if current conducting cables are integrated)
9
2
4
6
Subject to change and errors. Edition 2012-02
The medical device handbook which belongs to each medical device and is prescribed in accordance with the German Medical Product User Regulations
(MPBetreibV) must be available on site. Service and maintenance work and also safety inspections shall be documented in this medical device handbook.
Inspection reports, including the present report, must be filed in the corresponding medical device handbook.
Period of use in years
1
2
10
7
Free rotatability/limit stops
(depending on the version)
**
Ondal Medical Systems GmbH Wellastraße 6 D-36088 Hünfeld Germany Phone +49 6652 / 81600 Fax +49 6652 / 81392
** If one of these problems is detected during the inspection, the spring arm must be taken out of service immediately as a precaution in order to prevent any
further damage to persons or equipment. Inform the system suppliers immediately.
* Damaged or deformed components should be replaced as a precaution. Plase contact the spring arm supplier.
Inspection of protective conductor transition resistance**
(only
After 10 years, the cables and hoses (if existing) must be inspected and replaced if required**
8
10
All rating plates are in position and legible
The parts of the pendant system are not deformed*
Inspection Plan
for
NOK
The plastic parts are free from cracks*
Acrobat Swing
This inspection plan is only valid when combined with the Ondal Installation and Operating Instructions which must be complied
with complementary to the inspections.
3
Acrobat LCH
8
Supplier:
Acrobat 2000
The system is free from defects in paint wor
The plastic parts are available and in position*
4
5
6
Acrobat 77
At the specified intervals, the pendant system must be inspected for the following points by Ondal, a company
authorised by Ondal, or by personnel with the corresponding qualification:
Acrobat 3000
