PREVENTATIVE MAINTENANCE GUIDE
FOR MANUAL HOSPITAL CRIBS
HARD Serial # of Inspected Unit:_________Facility Serial # of Inspected Unit___________
YES NO
3.0 Physical Inspection of Crib Components
Side Rails, End Assemblies & Slide Rods
3.1 Do Any of the rails on the crib have bent
fi
ller bars, or damaged or broken welds?
3.2 On both the head and foot ends, check the weld assemblies paying special
attention to the upper and lower crib eyes. Are the welds free of damage or breaks?
3.3 Do all trigger assemblies
fi
rmly latch in place to secure the rails, and retract &
release properly when the Johns Hopkins handle is utilized?
3.4 Does the Johns Hopkins handle operate properly on all rails?
3.5 Raise and lower the side rails and end rails to verify they operate in a smooth
motion.
3.6 Are the bushings present in the rail openings at the top and bottom? These are
the plastic bushings that help the rail glide up and down on the slide rods.
3.7 Are the components at the top and bottom of the slide rods intact and free of
damage?
3.9 Are the protective teething bar covers present on the top of the side rails?
3.10 If the crib has Portland or Dialysis Gates in the side rails, do the trigger
assemblies retract and release? Do the gates remain securely closed when tugged
on?
3.11 Are all of the components of the Gatch Extender present and in working order?
See the service manual for a list of components.
Continued on next page...
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3.12 Are the brackets and connectors present and free of damage on all IV poles?
3.13 At the top of the IV pole, are all the components present, free of damage and
securely fastened?
3.14 On the upper portion of the IV pole, are the components present that are used
as the release knob?
3.15 Raise and lower the IV pole to be sure it operates in a smooth, east manner and
locks in place properly when raised.
IV Pole(s)
____ ____
____ ____
____ ____
____ ____
____ ____
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