Barkey GmbH & Co. KG
Barkey Autocontrol 3XPT Inspection Log for Technical Safety Inspections Ver 2 GB
Inspection Log
2 Pages
Preview
Page 1
Inspection log for technical safety inspections (TSI) Owner:
_______________________
Serial number:
_________________________
_______________________
Start-up:
_________________________
_______________________
Date:
_________________________
Internal Device-ID-No. (Owner): NOTE:
Barkey autocontrol 3XPT
____________________________________________________
The following checks must be carried out every 12 months on this device. They may only be carried out by persons who are competent in this field due to training.
not OK
OK
1. Visual inspection – Damage to housing and handle recess – External damage to connecting cables or to connecting plugs – Signs of overloading or improper handling – Inadmissible access and alterations – Proper condition of protective cover – Soiling and corrosion affecting safety – Legibility of labelling – Condition and functional safety of fixing elements – Ventilation openings not soiled or blocked
2.
Maintenance – Clean fan and ventilation openings – Replace batteries (every 3 years) – Check date and time and set if necessary
3.
Temperature check
ac-200-SV-0011-02/V2 GB page 1
Reference resistance (serial number):
__________________________
– Temperature display channel 1 (ch1 a):
(37.0 ± 0.5 °C) _________ °C
(ch1 b):
(37.0 ± 0.5 °C) _________ °C
– Temperature display channel 2 (ch2 a):
(37.0 ± 0.5 °C) _________ °C
(ch2 b):
(37.0 ± 0.5 °C) _________ °C
– Temperature display room temperature:
(37.0 ± 0.5 °C) _________ °C
– Temperature display external sensor:
(37.0 ± 0.5 °C) _________ °C
Inspection log for technical safety inspections (TSI) Owner:
_______________________
Serial number:
_________________________
_______________________
Start-up:
_________________________
_______________________
Date:
_________________________
Internal Device-ID-No. (Owner): NOTE:
Barkey autocontrol 3XPT
____________________________________________________
The following checks must be carried out every 12 months on this device. They may only be carried out by persons who are competent in this field due to training.
not OK 4.
Testing device:
5.
OK
Measurements in accordance with EN 62353: 2008-08 Applied parts: CF ____________________________
– Insulation resistance:
(RISO ≥ 70 MΩ)
_________ MΩ
– Device leakage current:
(∆I ≤ 100 µA)
_________ µA
– Patient leakage current:
(IEPA ≤ 50 µA)
_________ µA
Overtemperature check Test adapter (serial number):
____________________________
– Software overtemperature triggering channel 1:
(41.0 °C)
– Electrical overtemperature triggering channel 1: – Software overtemperature triggering channel 2:
(41.0 °C)
– Electrical overtemperature triggering channel 2:
6.
Functional inspection – Green LED illuminates after the device being switched on – yellow and orange LEDs flash twice when the device being switched on – Double acoustic signal when the device being switched on – Warming devices become warm
7.
Comments:
______________________________________________________________________ ______________________________________________________________________
ac-200-SV-0011-02/V2 GB page 2
______________________________________________________________________ 8.
TSI has been passed
no
9.
Setting the calibration date / attaching the inspection label
yes
Test carried out by (company / department): ________________________________
Technician:
_______________________
________________________________
Date:
_______________________
________________________________
Signature:
_______________________