PREVENTIVE MINTENANCE AND CALIBRATION REPORT
Hospital/Clinic: ____________________________
Department : LABORATORY Date: ____________
Instrument : __Fully Automated Chemistry Analyzer__
Manufacturer/Model: _____________________________
Serial : ______________________
Software version: ______________________
Perform cleaning procedure:
Sampling Probe ( ) Reagent storage/ Guiding Track ( )
Sample Rack ( ) Cover Panel ( )
Sample storage/Guiding Track ( ) Interior/Exterior ( )
Reagent Rack ( ) Tubing’s/hose ( )
Test/Checked the following:
Photometer Assembly(light source, optics filter, forward optics, Photo diode array)( )
Cuvette Auto-cleaning Assembly (six clean probes, tubing’s)
( )
Temperature
( )
Query/History (alarms, patient results, QC results)
( )
ABS (Absorbance, Read blank)
( )
Cleaning Status of all cuvettes
( )
Syringe Operation Detection ( )
A/D READING
340 nm ________ 405 nm ________450 nm ________ 578 nm ________
450 nm ________ 510 nm ________630 nm ________ 700 nm ________
Lamp working time: _______H
Remarks/Recommendation:
___________________________________________________________________
___________________________________________________________________
________
Performed By: Noted by:
______________________ _______________________
Service Engineer Costumer
______________________ _______________________
Date Date
109-Sct. Dr. Lazcano St. Sacred Heart, QC
Telefax: (+632) 411-0422
Biosystrading@biotechsystems.ph