Gebrüder Martin GmbH & Co. KG
KLS Martin Platz 1
D-78532 Tuttlingen/Germany
Inspection plan
Delete as appropriate: marLED® X/E9i/E15/E3 on ceiling tube 110, marLED® E9i battery/E15 battery
TFT, surgiCam®, marTouch®/marTouch® Pro
ceiling, wall, mobile
Serial number/
CN light system:
Room/
OR №:
Serial number MP1/
Date of production:
/
Serial number MP2/
Date of production:
/
Serial number MP3/
Date of production:
/
Serial number MP4/
Date of production:
/
Serial number of optional
accessory devices/
Date of production:
/
Serial number of optional
accessory devices/
Date of production:
/
Customer:
Company:
Important information!
The test intervals must be observed.
For the inspection, the additional information from the Service Manual/Instructions for Use and the
manuals of the components from third-party manufacturers must be observed.
OK
= okay;
Not OK
= not okay;
N/A
= not applicable
In case of
N/A
: If the object is present but cannot be tested, the reason must be indicated in the field
Comment
1. Checking the wall/ceiling assembly
OK Not OK N/A
a) Checking the wall/ceiling assembly for stability
☐
☐
☐
b) Checking the suspension arm system for damage
☐
☐
☐
c) Checking the suspension arm system for correct assembly
☐
☐
☐
