218 AK 98™ Dialysis Machine - Electrical safety inspection
HCEN12630 Revision 07.2015
Program version 1.xx
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Name of testing organization Date
Name of testing Service engineer Signature
This record is to be signed and filed by the Service Engineer responsible for the
Electrical Safety Inspection.
1
If this is the ESI at installation please make comparison with the ”Production Summary” measured values
supplied by the manufacturer at delivery of the machine.
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