Fresenius Medical Care 4008 HDF 3/11.97 (TM) 2-3
Technical safety checks report Seite 1/1
Manufacturer: ............................. Date: .............................
Machine: ............................. Technician: .............................
Operating hours: .............................
The following checks and inspections have to be carried out on the machine at least every 12
months by persons who are capable of carrying out such technical safety checks efficiently as
a result of their training, knowledge and experience gained in practice and are not subject to
instructions as to their checking activity.
(See also BMA Bulletin dated 02.04.1987)
TSC WA No. OKDescription Desired value/function
Extent of checks and time limits for technical safety checks.
TIME LIMIT: every 12 months
1 UF2 pump
TSC 1.1 ❑Delivery volume (1 ml/stroke) 60 strokes = 60 ml ± 1%
2 VDE inspections (values according to EN 60601-1)
TSC 2.1 ❑Protective ground resistance max. 0.3 Ω
TSC 2.2 ❑Summarized leakage current Must fulfill both conditions:
1. No more than 1.5 times the “summari-
zed value first measured”
(“Summarized value first measured”:
Refer to the machine card enclosed with
the machine.)
2. No more than 1 mA
The technical safety checks are to be recorded in the equipment log and the results of the
checks documented.
If the machines are not safe in function and/or operation they are to be repaired or the operator
is to be informed as to the dangers involved when using the machine in its given state.
The correct completion of the listed work and the correctness of statements made are hereby
certified.
Signature, technician: Signature, customer:
..........................., date ............................. ................................ , date .............................
.................................................................... .........................................................................
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