Check List - Getinge MAQUET Axcel AXL 5001 Technische Beschreibung

CHECKLIST
Axcel

Installation
Delivery date: ..................... Installation date: .......................

Servicing
Preventive / Curative
Hospital:
Building: ................................................................
Service: ..................................................................
Cupola n°1
Cupola n°2
Cupola n°3

Configuration fully operational

Free of direct risk but deficiences detected.
May be corrected on short term.
.................................................................................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
..................................................................................................................................................................
Name: ...................................................................
Date: .....................................................................
Installer/Technician authorized by MAQUET
Notice technique / Technical manual / Technische Beschreibung
SERVICE PROTOCOL
For use during Installation / Servicing
Valid until: ....................................
Product(s) identification
Ref. number: .................................
Ref. number: .................................
Ref. number: .................................
Overall assessment
Remarks
Signature
0125205

Contract Order n°.......................

Chargeable

Other:....................................................
Commissioning date: ..........................
Floor level: ............................................................
Operating room: ...................................................

Configuration shall not be used
until all deficiences are corrected

Configuration no longer safe.
Taking out of service is recommended.
Name: ..................................................................
Function: ..............................................................
Customer
RETAIN THIS COPY
S/N: .................................
S/N: .................................
S/N: .................................
75