Customer / med. Facility / practice:
Address:
Carried out: Repeat inspection
_____________________________________________
Hospital bed
Equipment type:
Bed type: WESTFALIA III 24 Volt
Location:
Grade level (IEC60601-2-52): 1 2 3 4 5
Manufacturer: Burmeier GmbH & Co. KG
Testing equipment used (Type / Inventory Number):
MPG Classification: Class I
I. Visual Inspection
Visual inspection of the electriacl components
Stickers and type plates
Housing of power adapter unit / Power adapter
Motor housing and lifting rods of motors
Motor bolt
Hand switch
Motor-, hand switch- and main cables
Plug and plug covering strip of control unit
Visual inspection of the mechanical components
Stickers and type plates
Safe working load / patient weight
Trapeze pole/socket
Bed frame
Spring wood slats
Castors
Reclining surface
Wooden boards
Welded seams
Side rail
Knurled screws
Wearing parts such as joints
Locking ring of backrest/thigh rest
II. Electric measurments according to DIN EN 62353:2008-08 (leakage current, direct)
Proceed as follow:
1.
Plug the power adapter into the test socket on the measuring instrument.
2.
Insert the plug of the 24 volt cable into the special adapter (extra accessory; request from BURMEIER).
3.
Connect the special adapter with the test probe of the test unit.
4.
Start procedures with the measuring instrument
Result: Bed SK II (Type B)
40
G
˛ Nursing bed
Presence, legible
Damage
Correct position, Damage
Check that the lock washer is properly in place
Damage, Foil intact
Damage, Routing
Available, Correct position
Presence, legible
Presence, legible
Damage, Deformation
Damage, Deformation
Damage, Splinters
Damage
Damage, Deformation
Damage, Splinters
Split welded seams
Damage, Splinters
Tight fit
Damage
Check that the ring is properly in place
Value of first
Limit Value
measurement
0,1 mA
mA
P
WESTFALIA III 24 V
EBRAUCHSANWEISUNG
FLEGEBETT
Inspection prior initial operation
Inspection following repairs / servicing
I
Protection classification:
Inventory Number:
Serial Number:
User-specific: none
1.
2.
Not
OK
Defect Description
OK
Not
OK
Defect Description
OK
Current actual
value
mA
· I
OLT
NSTRUCTION
Test protocol of
an inspection of
electro-medical
˛ II
M
N
B
WESTFALIA III 24 V
ANUAL FOR
URSING
ED
equipment
according to
DIN EN 62353:
2008-08
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OLT