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Check List Preventive Maintenance

This document contains a checklist for preventative maintenance of an autoclave. It includes checks of electrical safety, maintenance items like checking voltages, heaters, and water drainage systems. Safety tests are performed to check for grounding faults and insulation resistance. Spare parts and tools needed include fuses, a multimeter, and electrical safety analyzer. Observations and recommendations are noted regarding the equipment's condition and safety test results.

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maini
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47 views2 pages

Check List Preventive Maintenance

This document contains a checklist for preventative maintenance of an autoclave. It includes checks of electrical safety, maintenance items like checking voltages, heaters, and water drainage systems. Safety tests are performed to check for grounding faults and insulation resistance. Spare parts and tools needed include fuses, a multimeter, and electrical safety analyzer. Observations and recommendations are noted regarding the equipment's condition and safety test results.

Uploaded by

maini
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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RSUD MUNYANG KUTE

IPS-RS CHECK LIST PREVENTIVE REDELONG

RSUD MKR MAINTENANCE KABUPATEN BENER MERIAH

Equipment : Autoclave N. Invent :


Sub-Unit :
Brand : Building :
Model /Type : Room :
Serial N. : Interval Maint :
Year : 2019
CHECK LIST MAINTENANCE
1 2
OK Not OK OK Not OK

SAFETY CHECK
1 Cek Tahanan Ground **)  
2 Cek Kebocoran Arus Ground Pada Kondisi Normal **)  
MAINTENANCE
1 Periksa Tegangan Listrik  
2 Periksa Kabel Kelistrikan  
3. Periksa Dan Ukur Heather Pemanas  
4 Periksa Fungsi Parameter Pada Autoclave  
5 Periksa Tutup Autoclave  
6 Periksa Pembuangan Air  
7 Periksa Selang Pembuangan Air, Ganti Bila Perlu  
8 Periksa Kebersihan Alat  
9 Uji Kinerja Alat  
 
 
 
 
 

PERFORM DATE (Tanggal Melakukan)


EXECUTION TIME (Waktu Eksekusi)
(PPM STANDARD TIME Hrs.)
TECHNICIAN NAME AND SIGNATURE
(Nama dan Tanda Tangan Teknisi)
USER NAME AND SIGNATURE
(Nama Pengguna dan Tanda Tangan)
OBSERVATIONS (Pengamatan) :
1. ...............................................................................................................................................................
............................................................................................................................................................
2. ...............................................................................................................................................................
.............................................................................................................................................................
3. ...............................................................................................................................................................
.............................................................................................................................................................
ELECTRICAL SAFETY EVALUATION
(For equipment class I)

No Measure
Measure step Norm unity 1 2
MONITOR
1 Mains Voltage 22010% Volts
2 Power -----* VA
3 Ground Leakage Current ≤ 500 µA
3.1 Single fault condition (Open feed line) ≤ 1000 µA
4 Insulated Resistance between line conductors to ground 2 M
5 Ground Resistance ≤ 0.2 

Changeable Material Minimum Spare parts Tools and Measuring Equipments

Surface cleaner, Lens cleaner Fuse Multimeter


Contact cleaner, Grease Standard Service Tools
Flannel / tissue, Brush Electrical Safety Analyzer/
Portable Vacuum Cleaner

OBSERVATIONS

1.

2.

RECOMMENDATION 1 2
The equipment has no problems. Result of safety test showed no deviation from the required
reference values  
The equipment has minor problems that do restrict its use. However they should be corrected as the
preventive measure. Result of safety test showed no deviation from the required reference values  
The equipment has major problems. For safety reasons, the equipment may not be used until the
problem has been resolved.  

* In the equipment evaluation it must not exceed a consume power of 3.5KW.

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