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Medical Equipment Inspection Checklist

Equipment ID: NW2I100Y
Model: Carroll LLC IfOr
Department: Radiology
Inspection Date: 2025-02-12
Inspector: Hugh Mayer

Physical Condition

Checkpoint Pass Fail N/A Notes
Equipment housing intact Power supply unstable, needs replacement. Next review scheduled for 2/13/2025
Display screen clear - Feature not available in this model
Control buttons functional
Power cord undamaged
Mounting brackets secure
Wheels/casters condition
Labels and markings legible -
Accessories complete

Electrical Safety

Checkpoint Pass Fail N/A Notes
Ground connection
Insulation resistance
Leakage current
Power supply stable
Battery backup functional
Circuit breaker operation
Surge protection - Optional component not present. Next review scheduled for 2/14/2025
Cable connections secure

Performance Tests

Checkpoint Pass Fail N/A Notes
Self-test passed
Calibration check Power supply unstable, needs replacement. Last checked on 2/12/2025
Alarm systems
Backup systems
Output accuracy
Response time
Data storage/retrieval
Network connectivity
Sensor accuracy

Overall Status

Inspection Result: ☑
Next Inspection Due: 2025-12-29