.......... 1514 First Street North
Winter Haven, FL 33881
Ph. : 863-292-4280
Mar-2019
Equipment Safety
and Calibration
Report
..........
CFHC Winter Haven
by American Bio-Medics ~ “Servicing Technology for Life”
Central florida health care, inc.
Winter haven
CENTRAL FLORI
WINTE
2019 Equipme
Line # Control # Equipment Description Manufacturer Name
1 0659 Ekg Machine Burdick
2 0009 Ekg Machine Burdick
3 1484 Scale,Floor,Electronic Detecto Scale Company
4 1251 Table, Exam-Treatment The Brewer Company
5 1254 Otoscope-Opthalmoscope Welch Allyn Inc.
6 1255 Table, Exam-Treatment The Brewer Company
7 1256 Table, Exam-Treatment The Brewer Company
8 1258 Otoscope-Opthalmoscope Welch Allyn Inc.
9 1260 Table, Exam-Treatment The Brewer Company
10 1261 Otoscope-Opthalmoscope Welch Allyn Inc.
11 1262 Otoscope-Opthalmoscope Welch Allyn Inc.
12 1263 Table, Exam-Treatment The Brewer Company
13 1265 Nebulizer, Nonheated Salter Labs
14 1267 Table, Exam-Treatment The Brewer Company
15 1268 Otoscope-Opthalmoscope Welch Allyn Inc.
16 1272 Centrifuge The Drucker Co.
17 1274 Glucose Analyzer Hemocue Incorporated
18 1275 Hemoglobinometer Hemocue Incorporated
19 1276 Microscope, Lab Jenco International, Inc.
20 1278 Urinometer Siemens Healthcare
21 1281 X-Ray Film Processors Konica Minolta Medical
22 1282 Monitor, Multiparameter Welch Allyn Inc.
23 1284 Autoclave Midmark Corporation
24 1457 Scale,Floor,Electronic Health O Meter Inc
IDA HEALTH CARE
ER HAVEN
ent Inventory List
Model No. Serial No. Last Serviced Status
Atria 6100 AS100-003309 10-Aug-18 Not Located
Eclipse 850 92300-006579 15-Mar-19 In Service
PRODOC P300010101212902 01-Mar-19 In Service
5000-13HAM124 ET024479 01-Mar-19 In Service
76710 211869 01-Mar-19 In Service
5000-05NEO40 ET024477 01-Mar-19 In Service
5000-05NEO40 ET024478 01-Mar-19 In Service
76710 NSN1258 01-Mar-19 In Service
5000-02US392 ET024476 01-Mar-19 In Service
76710 NSN1261 01-Mar-19 In Service
76710 NSN1262 01-Mar-19 In Service
5000-02US392 ET024475 01-Mar-19 In Service
8350 1656963 01-Mar-19 In Service
5000-17US403 ET024474 01-Mar-19 In Service
76710 NSN1268 01-Mar-19 In Service
642E 520907-260 01-Mar-19 In Service
201 1036118058 09-Mar-18
201+ 1048013586 09-Mar-18 Not Located
. Unknown V204920 01-Mar-19 Not Located
Clinitek Status NSN1278 01-Mar-19
Regius 110 090204846 01-Mar-19 In Service
42MTB 201102889 01-Mar-19 In Service
M11-022 V1007238 01-Mar-19 In Service
349KLX 3500016391 01-Mar-19 In Service
In Service
In Service
CENTRAL FLORI
WINTE
2019 Equipme
Line # Control # Equipment Description Manufacturer Name
25 1460 Table, Exam-Treatment Midmark Corporation
26 1461 Integrated Wall System Welch Allyn Inc.
27 1465 Integrated Wall System Welch Allyn Inc.
28 1470 Table, Exam-Treatment Midmark Corporation
29 1471 Monitor, Multiparameter Welch Allyn Inc.
30 1472 Monitor, Multiparameter Welch Allyn Inc.
31 1473 Monitor, Multiparameter Welch Allyn Inc.
32 1477 Integrated Wall System Welch Allyn Inc.
33 1478 Integrated Wall System Welch Allyn Inc.
34 1479 Table, Exam-Treatment Midmark Corporation
35 1481 Integrated Wall System Welch Allyn Inc.
36 1484 Scale,Floor,Electronic Detecto Scale Company
37 1485 Scale,Floor,Electronic Health O Meter Inc
38 1702 Refrigerator Electrolux Home Produc
39 1706 Aed Defibrillator Philips Medical Systems
40 1707 Charger Base, Tympanometer Welch Allyn Inc.
41 1708 Tympanometer Welch Allyn Inc.
42 1709 Refrigerator Whirlpool Corp
43 1710 Refrigerator Whirlpool Corp
44 1884 Refrigerator, Medications Sunpentown Intl.
45 1887 Dental X-Ray Gendex Dental Systems
46 1888 Monitor, Multiparameter Welch Allyn Inc.
47 1889 Chair Dental Midmark Corporation
48 1890 Chair Dental Midmark Corporation
IDA HEALTH CARE
ER HAVEN
ent Inventory List
Model No. Serial No. Last Serviced Status
223-016 V1345043 01-Mar-19 In Service
Connex 100000100113 01-Mar-19 In Service
Connex 100000080113 01-Mar-19 In Service
223-016 V1232453 01-Mar-19 In Service
45MT0 20130100317 01-Mar-19 In Service
45MT0 20130100314 01-Mar-19 In Service
45MT0 20130100278 01-Mar-19 In Service
Connex 100000060113 01-Mar-19 In Service
Connex 100000090113 01-Mar-19 In Service
223-016 V1339036 01-Mar-19 In Service
Connex 100000070113 01-Mar-19 Not Located
ProDoc P300010101212902 01-Mar-19 In Service
4025 402500137 01-Mar-19 In Service
cts LFTR1814LWG BA33321608 01-Mar-19 In Service
Hearstart HS1 A13F-01721 01-Mar-19 In Service
71123 NSN1707 01-Mar-19 In Service
23300 201301738 01-Mar-19 In Service
ET0MSRXTQ02 VS05074486 01-Mar-19 In Service
ET0MSRXTQ02 VS05074505 01-Mar-19 In Service
626-336-2299 NABU143038920043 01-Mar-19 In Service
110-0205G1 GO1400600 01-Mar-19 In Service
42N0B 201416391 01-Mar-19 In Service
153592-003 V1597009 01-Mar-19 In Service
153592-003 V1596694 01-Mar-19 In Service
CENTRAL FLORI
WINTE
2019 Equipme
Line # Control # Equipment Description Manufacturer Name
49 1891 Amalgamator Optimix Kerr Corporation
50 1892 Chair Dental Midmark Corporation
51 1893 Battery Charger Kerr Corporation
52 1894 Dental Hand Piece Cleaner Kaltenbach and Voigt
53 1895 Ultrasonic Cleaner Midmark Corporation
54 1896 Autoclave Midmark Corporation
55 1897 Autoclave, Cassette Midmark Corporation
56 1898 Chair Dental Midmark Corporation
57 1899 Scaler, Dental Dentsply International
58 1900 Dental X-Ray Gendex Dental Systems
59 1901 Dental X-Ray Gendex Dental Systems
60 1902 Dental X-Ray Gendex Dental Systems
61 1903 Battery Charger Kerr Corporation
62 1904 Incubator Biological 3m Health Care
63 1906 Refrigerator Electrolux Home Produc
64 1907 Trimmer Module Buffalo Dental Mfg.
65 1909 Mixer, Clinical Labroratory Whip Mix Corp
66 1910 Dental Handpiece Controller Kaltenbach and Voigt
67 1911 Motor Drive Handler Red Wing Intl.
68 2019 Table, Exam-Treatment Midmark Corporation
69 2073 Table, Exam-Treatment Midmark Corporation
70 2090 Ecg Preamp Midmark Corporation
71 2161 Centrifuge The Drucker Co.
IDA HEALTH CARE
ER HAVEN
ent Inventory List
Model No. Serial No. Last Serviced Status
100 15028499 01-Mar-19 In Service
153592-003 V1597717 01-Mar-19 In Service
Demi Plus 760046744 01-Mar-19 In Service
Quattrocare Plus 0010244 01-Mar-19 In Service
MM250 BVV081445820 01-Mar-19 In Service
M11-020 V1575380 01-Mar-19 In Service
M3-001 V1561313 01-Mar-19 In Service
153592-003 V1597690 01-Mar-19 In Service
Cavitron Plus G137-06852 01-Mar-19 In Service
110-0205G1 3200739 01-Mar-19 In Service
110-0205G1 3200740 01-Mar-19 In Service
110-0205G1 3200738 01-Mar-19 In Service
Demi Plus 760046745 01-Mar-19 In Service
116 1774419 01-Mar-19 In Service
cts FFPS31L22QM KA41850077 01-Mar-19 In Service
61792 25153 01-Mar-19 In Service
10650 0114810303 01-Mar-19 In Service
4957 13-0000907 01-Mar-19 In Service
26A 816108/17/14/056 01-Mar-19 In Service
204-001 V1606088 09-Mar-18 Not Located
204-001 V1540222 01-Mar-19 In Service
IQECG 474651 09-Mar-18 Not Located
642E 520407-759 01-Mar-19 In Service
CENTRAL FLORI
WINTE
2019 Equipme
Line # Control # Equipment Description Manufacturer Name
72 2227 AED Defibrillator Philips Medical Systems
73 2228 AED Defibrillator Philips Medical Systems
74 2470 Monitor, Multiparameter Welch Allyn Inc.
75 2516 Chair Dental Midmark Corporation
76 2517 Radiography, Dental Progeny by Midmark
77 2518 Chair Dental Midmark Corporation
78 2519 Radiography, Dental Progeny by Midmark
79 2520 Chair Dental Midmark Corporation
80 2535 Integrated Wall System Welch Allyn Inc.
81 2536 Table, Obstetrical Midmark Corporation
82 2653 Glucose Analyzer Hemocue Incorporated
83 2654 Hemoglobinometer Hemocue Incorporated
84 2655 Lights, Examination McKesson Medical
85 2656 Charger Base, Tympanometer Welch Allyn Inc.
86 2657 Tympanometer Welch Allyn Inc.
87 2658 Nebulizer, Ultrasonic Drive Medical
88 2803 Battery Charger, Speculum Welch Allyn Inc.
89 2804 Scaler, Dental Dentsply International
90 2946 Glucose Analyzer Hemocue Incorporated
91 3006 Light, Curing Benco Dental
92 CFHCWH1 Curing Light Voco America
93 CFHCWH2 Curing Light Voco America
94 CFHCWH3 Scale,Floor,Electronic Health O Meter Inc
95 CFHCWH4 Centrifuge The Drucker Co.
IDA HEALTH CARE
ER HAVEN
ent Inventory List
Model No. Serial No. Last Serviced Status
Heartstart HS1 A16C-00142 31-Aug-18 Not Located
Heartstart HS1 A16C-00151 15-Mar-19 In Service
45MT0 20080301492 01-Mar-19 In Service
153592-003 V1791220 01-Mar-19 In Service
30-A1025 DB73493 01-Mar-19 In Service
153592-003 V1798052 01-Mar-19 In Service
30-A1025 DB73494 01-Mar-19 In Service
153592-003 V1779401 01-Mar-19 In Service
Connex 100047244316 01-Mar-19 In Service
625-395121 V1805966 01-Mar-19 In Service
201 1611118036 09-Mar-18
HB 201+ 1607013064 01-Mar-19 Not Located
551 BH0092506 01-Mar-19 In Service
71123 NSN2656 01-Mar-19 In Service
23300 201601216 09-Mar-18 In Service
18080 13S150309795 01-Mar-19
74011 NSN2803 01-Mar-19 Not Located
GEN-137 G137-07107 01-Mar-19 In Service
201 1813119043 01-Mar-19 In Service
Soleil Plus C02C060260V4 16-Mar-19 In Service
EC 3 NSN 05-Oct-18 In Service
EC 3 NSN 05-Oct-18 In Service
500KL 5000148046 01-Mar-19
642E 180813DM108 01-Mar-19 Not Located
Not Located
In Service
In Service
American Bio~Medics Work Order #: 23823
Equipment Data MediMizer™
Control #: 0009 Description: EKG Machine
Manufacturer: Burdick / Cardiac Science, Inc Model #: ECLIPSE 850
Status: In Service
Serial #: 92300-006579
Work Order PO #: Pref. Vendor: Burdick Corp / Cardiac Science, Inc.
Facility: CFHC Winter Heaven Contact: (800) 426-0377
Department: X-Ray CFHCWH
Location: CFHC Winter Haven 1st St. System:
Floor: 1 Room #: X-Ray Building:
Risk Priority: 2 Last Seen: 03/15/19 Inspections: Last:03/15/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone:
Service Requested: Safety, Performance and PM.
Notes: Battery last replaced 5/30/2013. Recommend battery replacement.
Date WO # Service Requested Past Service Information Service
03/15/19 23823 Safety, Performance and PM. Completed All Scheduled Inspect
04/26/18 21795 Safety, Performance and PM. Unit Not Located
06/23/17 19887 Safety, Performance and PM. Replaced Battery/Batteries
06/23/17 19887 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/15/19 10 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .13 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 47.6 uA
Passed: PERFORM LEAD LEAKAGE PER TESTER INSTRUCTIONS. SEE NEXT CHECK FOR LIMITS.
Passed: LIMITS: ISOLATED UNITS < 20 MICRO AMPS. NON-ISOLATED UNITS < 50 MICRO AMPS 7.0 uA
Passed: CHECK CART CASTERS FOR MECHANICAL INTEGRITY IF APPLICABLE.
Passed: CHECK CONDITION OF CABLES AND ELECTRODES. CHECK CABLE CONNECTOR AND MATE.
Passed: CHECK LEAD SELECTOR DETENTING AND BETWEEN LEAD SHORTING ACTION.
Passed: CHECK CALIBRATION PULSE AND DECAY TIME. CHECK BALANCE & FREQEUNCY RESPONSE
Passed: CHECK OPERATION OF FREQUENCY RESPONSE SWITCH.
Passed: CHECK GAIN AND POSITION CONTROLS. CHECK CHARTS SPEEDS FOR PROPER TIME.
Passed: CHECK DRIVE ROLLERS AND DRIVE MOTOR. CHECK PAPER BAIL ASSEMBLY.
Passed: CHECK LINEARITY AND STEP RESPONSE OF SIGNAL AT HIGH, MID AND LOW POSITION.
Passed: CHECK PRINTHEAD TEMPERATURE CONTROL. CHECK AUTO RECORDING.
Passed: CHECK OTHER OPTIONS SUCH AS PULSE AND PRESSURE TRANSDUCERS.
Passed: CHECK INTERIOR FOR SIGNS OF ELECTRICAL OR MECHANICAL DAMAGE.
Passed: CLEAN INTERIOR PAYING SPECIAL ATTENTION TO SWITCHES AND CONTROLS.
Passed: CLEAN DRIVE ROLLERS AND PAPER FEED ASSEMBLY. CLEAN FAN AND FILTER.
Passed: CLEAN MOTOR DRIVE BELTS. LUBRICATE UNIT AS RECOMMENED BY MANUFACTURER.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23812
Equipment Data MediMizer™
Control #: 0659 Description: ELECTROCARDIOGRAPHS,
Manufacturer: Burdick / Cardiac Science, Inc Model #: ATRIA 6100
Status: Unit Not Located
Serial #: AS100-003309
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: X-Ray CFHCWH
Location: System:
Floor: Room #: Building:
Risk Priority: 2 Last Seen: 08/10/18 Inspections: Last:08/10/18 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone:
Service Requested: Safety, Performance and PM.
Notes: Unable to locate.
Date WO # Service Requested Past Service Information Service
03/01/19 23812 Safety, Performance and PM. Unit Not Located
08/10/18 22718 Safety and Performance Safety and Performance
05/04/18 21630 Safety, Performance and PM. Unit Not Located
03/10/17 19742 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 2 minutes Unit Not Located (Quick Entry)
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23662
Equipment Data MediMizer™
Control #: 1177 Description: STERILIZERS, STEAM, TABLE TOP
Manufacturer: Pelton & Crane Model #: DELTA Q
Status: Removed From Inventory
Serial #: AF-017464
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Dental, CFHC Winter Haven
Location: Winter Haven, FL System:
Floor: 1 Room #: Dental Building:
Risk Priority: 2 Last Seen: 05/25/18 Inspections: Last:03/09/18 Next:
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (863) 413-8600
Service Requested: Safety, Performance and PM.
Notes: Removed from service and equipment inventory.
Date WO # Service Requested Past Service Information Service
03/01/19 23662 Safety, Performance and PM. Removed from Inventory
05/25/18 22394 Not working Replaced Gasket
05/17/18 22394 Not working Replaced Plug
04/11/18 22394 Not working Service Began
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 2 minutes Removed from Inventory (Quick Entry)
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23513
Equipment Data MediMizer™
Control #: 1250 Description: OTOSCOPE-OPTHALMOSCOPE
Manufacturer: Welch Allyn Inc. Model #: 76710
Status: In Service
Serial #: NSN1250
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Room # 101 System:
Floor: 1 Room #: 101 Building:
Risk Priority: 0 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Notes: Unit is double insulated.
Date WO # Service Requested Past Service Information Service
03/01/19 23513 Safety and Performance. Completed All Scheduled Inspect
03/09/18 21519 Safety and Performance. Completed All Scheduled Inspect
03/10/17 19522 Safety and Performance. Completed All Scheduled Inspect
04/11/16 17560 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 5 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 8 uA
Passed: CHECK LAMP FOR DISCOLORATION. CHECK LAMP SOCKET AND LAMP LENS.
Passed: CHECK ON/OFF MECHANISM FOR PROPER OPERATION. CHECK BATTERY AND CONTACTS.
Passed: CLEAN LENS, FILTERS AND MAGNIFIERS. CHECK BATTERY CHARGER OPERATION.
Passed: CHECK HANDLES AND COILED CORDS INTEGRITY.
Passed: CHECK OPERATION OF EACH SIDE MICROSWITCHES.
Passed: CHECK CONDITION OF POWER CORD PLUG AND REPLACE, IF NECESSARY.
Passed: CHECK POWER SWITCH FOR PROPER OPERATION.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23514
Equipment Data MediMizer™
Control #: 1251 Description: TABLE, EXAM-TREATMENT
Manufacturer: The Brewer Company Model #: 5000-13HAM124
Status: In Service
Serial #: ET024479
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Room # 101 System:
Floor: 1 Room #: 101 Building:
Risk Priority: 4 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23514 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21520 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19523 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17561 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 7 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .17 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 15 uA
Passed: CHECK MECHANICAL INTEGRITY OF HEAD AND FOOT REST AND OTHER ACCESSORIES.
Passed: CHECK ALL CONTROLS FOR PROPER OPERATION
Passed: CHECK FOR PROPER OPERATION BY CYCLING THROUGH ALL POSSIBLE MOVEMENTS.
Passed: CHECK THAT ALL MOVEMENTS ARE SMOOTH AND WITHOUT HESITATION OR BINDING.
Passed: CHECK OVERALL CONDITION OF TABLE FOR DAMAGE
Passed: VISUALLY CHECK THE EXTERIOR OF THE TABLE FOR ANY SIGNS OF DAMAGE.
Passed: VERIFY CORRECT ARTICULATION OF ALL MECHANICAL ASSEMBLIES.
Passed: VISUALLY INSPECT ELECTRICAL FOR SIGNS OF DAMAGE AND/OR OVERHAEATING
Passed: VISUALLY CHECK THE CONDITION OF THE POWER CORD AND PLUG FOR CRACKS, CUTS,
Passed: BARE OR BROKEN WIRES AND SIGNS OF EXCESSIVE HEAT (DISCOLORATION).
Passed: CHECK ALL MOVING SURFACES, PIVOTS, GEARS AND MECHANISMS.
Passed: LUBRICATE WHERE NECESSARY. CHECK MOTOR AND BRUSHES.
Passed: CLEAN INTERIOR. CLEAN FILTERS AND TRAPS WHERE APPLICABLE.
Passed: CHECK ELECTRICAL CABLES FOR CRACKING OR WEAR TO OUTER JACKET.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23515
Equipment Data MediMizer™
Control #: 1254 Description: OTOSCOPE-OPTHALMOSCOPE
Manufacturer: Welch Allyn Inc. Model #: 76710
Status: In Service
Serial #: 211869
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Room # 102 System:
Floor: 1 Room #: 102 Building:
Risk Priority: 0 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Notes: Unit is double insulated.
Date WO # Service Requested Past Service Information Service
03/01/19 23515 Safety and Performance. Completed All Scheduled Inspect
03/09/18 21521 Safety and Performance. Completed All Scheduled Inspect
03/10/17 19525 Safety and Performance. Completed All Scheduled Inspect
04/11/16 17563 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 5 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 8 uA
Passed: CHECK LAMP FOR DISCOLORATION. CHECK LAMP SOCKET AND LAMP LENS.
Passed: CHECK ON/OFF MECHANISM FOR PROPER OPERATION. CHECK BATTERY AND CONTACTS.
Passed: CLEAN LENS, FILTERS AND MAGNIFIERS. CHECK BATTERY CHARGER OPERATION.
Passed: CHECK HANDLES AND COILED CORDS INTEGRITY.
Passed: CHECK OPERATION OF EACH SIDE MICROSWITCHES.
Passed: CHECK CONDITION OF POWER CORD PLUG AND REPLACE, IF NECESSARY.
Passed: CHECK POWER SWITCH FOR PROPER OPERATION.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23516
Equipment Data MediMizer™
Control #: 1255 Description: TABLE, EXAM-TREATMENT
Manufacturer: The Brewer Company Model #: 5000-05NEO40
Status: In Service
Serial #: ET024477
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Room # 102 System:
Floor: 1 Room #: 102 Building:
Risk Priority: 4 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23516 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21522 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19526 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17564 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 7 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .39 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 14 uA
Passed: CHECK MECHANICAL INTEGRITY OF HEAD AND FOOT REST AND OTHER ACCESSORIES.
Passed: CHECK ALL CONTROLS FOR PROPER OPERATION
Passed: CHECK FOR PROPER OPERATION BY CYCLING THROUGH ALL POSSIBLE MOVEMENTS.
Passed: CHECK THAT ALL MOVEMENTS ARE SMOOTH AND WITHOUT HESITATION OR BINDING.
Passed: CHECK OVERALL CONDITION OF TABLE FOR DAMAGE
Passed: VISUALLY CHECK THE EXTERIOR OF THE TABLE FOR ANY SIGNS OF DAMAGE.
Passed: VERIFY CORRECT ARTICULATION OF ALL MECHANICAL ASSEMBLIES.
Passed: VISUALLY INSPECT ELECTRICAL FOR SIGNS OF DAMAGE AND/OR OVERHAEATING
Passed: VISUALLY CHECK THE CONDITION OF THE POWER CORD AND PLUG FOR CRACKS, CUTS,
Passed: BARE OR BROKEN WIRES AND SIGNS OF EXCESSIVE HEAT (DISCOLORATION).
Passed: CHECK ALL MOVING SURFACES, PIVOTS, GEARS AND MECHANISMS.
Passed: LUBRICATE WHERE NECESSARY. CHECK MOTOR AND BRUSHES.
Passed: CLEAN INTERIOR. CLEAN FILTERS AND TRAPS WHERE APPLICABLE.
Passed: CHECK ELECTRICAL CABLES FOR CRACKING OR WEAR TO OUTER JACKET.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23517
Equipment Data MediMizer™
Control #: 1256 Description: TABLE, EXAM-TREATMENT
Manufacturer: The Brewer Company Model #: 5000-05NEO40
Status: In Service
Serial #: ET024478
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Room # 100 System:
Floor: 1 Room #: 100 Building:
Risk Priority: 4 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23517 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21523 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19527 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17565 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 7 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .10 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 15 uA
Passed: CHECK MECHANICAL INTEGRITY OF HEAD AND FOOT REST AND OTHER ACCESSORIES.
Passed: CHECK ALL CONTROLS FOR PROPER OPERATION
Passed: CHECK FOR PROPER OPERATION BY CYCLING THROUGH ALL POSSIBLE MOVEMENTS.
Passed: CHECK THAT ALL MOVEMENTS ARE SMOOTH AND WITHOUT HESITATION OR BINDING.
Passed: CHECK OVERALL CONDITION OF TABLE FOR DAMAGE
Passed: VISUALLY CHECK THE EXTERIOR OF THE TABLE FOR ANY SIGNS OF DAMAGE.
Passed: VERIFY CORRECT ARTICULATION OF ALL MECHANICAL ASSEMBLIES.
Passed: VISUALLY INSPECT ELECTRICAL FOR SIGNS OF DAMAGE AND/OR OVERHAEATING
Passed: VISUALLY CHECK THE CONDITION OF THE POWER CORD AND PLUG FOR CRACKS, CUTS,
Passed: BARE OR BROKEN WIRES AND SIGNS OF EXCESSIVE HEAT (DISCOLORATION).
Passed: CHECK ALL MOVING SURFACES, PIVOTS, GEARS AND MECHANISMS.
Passed: LUBRICATE WHERE NECESSARY. CHECK MOTOR AND BRUSHES.
Passed: CLEAN INTERIOR. CLEAN FILTERS AND TRAPS WHERE APPLICABLE.
Passed: CHECK ELECTRICAL CABLES FOR CRACKING OR WEAR TO OUTER JACKET.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23518
Equipment Data MediMizer™
Control #: 1258 Description: OTOSCOPE-OPTHALMOSCOPE
Manufacturer: Welch Allyn Inc. Model #: 76710
Status: In Service
Serial #: NSN1258
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Room # 100 System:
Floor: 1 Room #: 100 Building:
Risk Priority: 0 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Notes: Unit is double insulated.
Date WO # Service Requested Past Service Information Service
03/01/19 23518 Safety and Performance. Completed All Scheduled Inspect
03/09/18 21524 Safety and Performance. Completed All Scheduled Inspect
03/10/17 19529 Safety and Performance. Completed All Scheduled Inspect
04/11/16 17567 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 5 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 9 uA
Passed: CHECK LAMP FOR DISCOLORATION. CHECK LAMP SOCKET AND LAMP LENS.
Passed: CHECK ON/OFF MECHANISM FOR PROPER OPERATION. CHECK BATTERY AND CONTACTS.
Passed: CLEAN LENS, FILTERS AND MAGNIFIERS. CHECK BATTERY CHARGER OPERATION.
Passed: CHECK HANDLES AND COILED CORDS INTEGRITY.
Passed: CHECK OPERATION OF EACH SIDE MICROSWITCHES.
Passed: CHECK CONDITION OF POWER CORD PLUG AND REPLACE, IF NECESSARY.
Passed: CHECK POWER SWITCH FOR PROPER OPERATION.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23519
Equipment Data MediMizer™
Control #: 1260 Description: TABLE, EXAM-TREATMENT
Manufacturer: The Brewer Company Model #: 5000-02US392
Status: In Service
Serial #: ET024476
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Room #106 System:
Floor: 1 Room #: 106 Building:
Risk Priority: 4 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23519 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21525 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19531 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17569 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 7 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .17 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 14 uA
Passed: CHECK MECHANICAL INTEGRITY OF HEAD AND FOOT REST AND OTHER ACCESSORIES.
Passed: CHECK ALL CONTROLS FOR PROPER OPERATION
Passed: CHECK FOR PROPER OPERATION BY CYCLING THROUGH ALL POSSIBLE MOVEMENTS.
Passed: CHECK THAT ALL MOVEMENTS ARE SMOOTH AND WITHOUT HESITATION OR BINDING.
Passed: CHECK OVERALL CONDITION OF TABLE FOR DAMAGE
Passed: VISUALLY CHECK THE EXTERIOR OF THE TABLE FOR ANY SIGNS OF DAMAGE.
Passed: VERIFY CORRECT ARTICULATION OF ALL MECHANICAL ASSEMBLIES.
Passed: VISUALLY INSPECT ELECTRICAL FOR SIGNS OF DAMAGE AND/OR OVERHAEATING
Passed: VISUALLY CHECK THE CONDITION OF THE POWER CORD AND PLUG FOR CRACKS, CUTS,
Passed: BARE OR BROKEN WIRES AND SIGNS OF EXCESSIVE HEAT (DISCOLORATION).
Passed: CHECK ALL MOVING SURFACES, PIVOTS, GEARS AND MECHANISMS.
Passed: LUBRICATE WHERE NECESSARY. CHECK MOTOR AND BRUSHES.
Passed: CLEAN INTERIOR. CLEAN FILTERS AND TRAPS WHERE APPLICABLE.
Passed: CHECK ELECTRICAL CABLES FOR CRACKING OR WEAR TO OUTER JACKET.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23520
Equipment Data MediMizer™
Control #: 1261 Description: OTOSCOPE-OPTHALMOSCOPE
Manufacturer: Welch Allyn Inc. Model #: 76710
Status: In Service
Serial #: NSN1261
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Room #106 System:
Floor: 1 Room #: 106 Building:
Risk Priority: 0 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Notes: Unit is double insulated.
Date WO # Service Requested Past Service Information Service
03/01/19 23520 Safety and Performance. Completed All Scheduled Inspect
03/09/18 21526 Safety and Performance. Completed All Scheduled Inspect
03/10/17 19532 Safety and Performance. Completed All Scheduled Inspect
04/11/16 17570 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 5 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 8 uA
Passed: CHECK LAMP FOR DISCOLORATION. CHECK LAMP SOCKET AND LAMP LENS.
Passed: CHECK ON/OFF MECHANISM FOR PROPER OPERATION. CHECK BATTERY AND CONTACTS.
Passed: CLEAN LENS, FILTERS AND MAGNIFIERS. CHECK BATTERY CHARGER OPERATION.
Passed: CHECK HANDLES AND COILED CORDS INTEGRITY.
Passed: CHECK OPERATION OF EACH SIDE MICROSWITCHES.
Passed: CHECK CONDITION OF POWER CORD PLUG AND REPLACE, IF NECESSARY.
Passed: CHECK POWER SWITCH FOR PROPER OPERATION.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23521
Equipment Data MediMizer™
Control #: 1262 Description: OTOSCOPE-OPTHALMOSCOPE
Manufacturer: Welch Allyn Inc. Model #: 76710
Status: In Service
Serial #: NSN1262
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Room # 103 System:
Floor: 1 Room #: 103 Building:
Risk Priority: 0 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Equipment Notes: Changed Control # 1264 to Control# 1248.
Changed Control # from 1248 to 1262 on 4/10/2014.
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Notes: Unit is double insulated.
Date WO # Service Requested Past Service Information Service
03/01/19 23521 Safety and Performance. Completed All Scheduled Inspect
03/09/18 21527 Safety and Performance. Completed All Scheduled Inspect
03/10/17 19533 Safety and Performance. Completed All Scheduled Inspect
04/11/16 17571 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 5 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 8 uA
Passed: CHECK LAMP FOR DISCOLORATION. CHECK LAMP SOCKET AND LAMP LENS.
Passed: CHECK ON/OFF MECHANISM FOR PROPER OPERATION. CHECK BATTERY AND CONTACTS.
Passed: CLEAN LENS, FILTERS AND MAGNIFIERS. CHECK BATTERY CHARGER OPERATION.
Passed: CHECK HANDLES AND COILED CORDS INTEGRITY.
Passed: CHECK OPERATION OF EACH SIDE MICROSWITCHES.
Passed: CHECK CONDITION OF POWER CORD PLUG AND REPLACE, IF NECESSARY.
Passed: CHECK POWER SWITCH FOR PROPER OPERATION.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23522
Equipment Data MediMizer™
Control #: 1263 Description: TABLE, EXAM-TREATMENT
Manufacturer: The Brewer Company Model #: 5000-02US392
Status: In Service
Serial #: ET024475
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Room # 103 System:
Floor: 1 Room #: 103 Building:
Risk Priority: 4 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23522 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21528 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19534 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17572 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 7 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .12 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 14 uA
Passed: CHECK MECHANICAL INTEGRITY OF HEAD AND FOOT REST AND OTHER ACCESSORIES.
Passed: CHECK ALL CONTROLS FOR PROPER OPERATION
Passed: CHECK FOR PROPER OPERATION BY CYCLING THROUGH ALL POSSIBLE MOVEMENTS.
Passed: CHECK THAT ALL MOVEMENTS ARE SMOOTH AND WITHOUT HESITATION OR BINDING.
Passed: CHECK OVERALL CONDITION OF TABLE FOR DAMAGE
Passed: VISUALLY CHECK THE EXTERIOR OF THE TABLE FOR ANY SIGNS OF DAMAGE.
Passed: VERIFY CORRECT ARTICULATION OF ALL MECHANICAL ASSEMBLIES.
Passed: VISUALLY INSPECT ELECTRICAL FOR SIGNS OF DAMAGE AND/OR OVERHAEATING
Passed: VISUALLY CHECK THE CONDITION OF THE POWER CORD AND PLUG FOR CRACKS, CUTS,
Passed: BARE OR BROKEN WIRES AND SIGNS OF EXCESSIVE HEAT (DISCOLORATION).
Passed: CHECK ALL MOVING SURFACES, PIVOTS, GEARS AND MECHANISMS.
Passed: LUBRICATE WHERE NECESSARY. CHECK MOTOR AND BRUSHES.
Passed: CLEAN INTERIOR. CLEAN FILTERS AND TRAPS WHERE APPLICABLE.
Passed: CHECK ELECTRICAL CABLES FOR CRACKING OR WEAR TO OUTER JACKET.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23523
Equipment Data MediMizer™
Control #: 1265 Description: NEBULIZER, NONHEATED
Manufacturer: Salter Labs Model #: 8350
Status: In Service
Serial #: 1656963
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Winter Heaven System:
Floor: 1 Room #: Building:
Risk Priority: 3 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Performance.
Notes: Unit has two prong plug.
Date WO # Service Requested Past Service Information Service
03/01/19 23523 Performance. Completed All Scheduled Inspect
03/09/18 21529 Performance. Completed All Scheduled Inspect
03/10/17 19536 Performance. Unit Not Located
04/11/16 17574 Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 4 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK FILTERS
Passed: CHECK AIR OUTPUTS
Passed: CHECK EXTERIOR OF UNIT FOR CORROSION. CLEAN LINT FILTER.
Passed: CHECK AIR INLET ORIFICE FOR RESTRICTIONS.
Passed: CHECK O-RINGS AND GASKETS. CHECK OPERATION OF UNIT.
Passed: CHECK UNIT FOR SIGNS OF DAMAGE
Passed: CHECK TWO PRONG ELECTRICAL CORD.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23524
Equipment Data MediMizer™
Control #: 1267 Description: TABLE, EXAM-TREATMENT
Manufacturer: The Brewer Company Model #: 5000-17US403
Status: In Service
Serial #: ET024474
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Room # 104 System:
Floor: 1 Room #: 104 Building:
Risk Priority: 4 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23524 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21530 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19538 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17576 Safety, Performance and PM. Unit Not Located
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 7 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .10 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 14 uA
Passed: CHECK MECHANICAL INTEGRITY OF HEAD AND FOOT REST AND OTHER ACCESSORIES.
Passed: CHECK ALL CONTROLS FOR PROPER OPERATION
Passed: CHECK FOR PROPER OPERATION BY CYCLING THROUGH ALL POSSIBLE MOVEMENTS.
Passed: CHECK THAT ALL MOVEMENTS ARE SMOOTH AND WITHOUT HESITATION OR BINDING.
Passed: CHECK OVERALL CONDITION OF TABLE FOR DAMAGE
Passed: VISUALLY CHECK THE EXTERIOR OF THE TABLE FOR ANY SIGNS OF DAMAGE.
Passed: VERIFY CORRECT ARTICULATION OF ALL MECHANICAL ASSEMBLIES.
Passed: VISUALLY INSPECT ELECTRICAL FOR SIGNS OF DAMAGE AND/OR OVERHAEATING
Passed: VISUALLY CHECK THE CONDITION OF THE POWER CORD AND PLUG FOR CRACKS, CUTS,
Passed: BARE OR BROKEN WIRES AND SIGNS OF EXCESSIVE HEAT (DISCOLORATION).
Passed: CHECK ALL MOVING SURFACES, PIVOTS, GEARS AND MECHANISMS.
Passed: LUBRICATE WHERE NECESSARY. CHECK MOTOR AND BRUSHES.
Passed: CLEAN INTERIOR. CLEAN FILTERS AND TRAPS WHERE APPLICABLE.
Passed: CHECK ELECTRICAL CABLES FOR CRACKING OR WEAR TO OUTER JACKET.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23525
Equipment Data MediMizer™
Control #: 1268 Description: OTOSCOPE-OPTHALMOSCOPE
Manufacturer: Welch Allyn Inc. Model #: 76710
Status: In Service
Serial #: NSN1268
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Room # 104 System:
Floor: 1 Room #: 104 Building:
Risk Priority: 0 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Notes: Unit is double insulated.
Date WO # Service Requested Past Service Information Service
03/01/19 23525 Safety and Performance. Completed All Scheduled Inspect
03/09/18 21531 Safety and Performance. Completed All Scheduled Inspect
03/10/17 19539 Safety and Performance. Completed All Scheduled Inspect
04/11/16 17577 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 5 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 8 uA
Passed: CHECK LAMP FOR DISCOLORATION. CHECK LAMP SOCKET AND LAMP LENS.
Passed: CHECK ON/OFF MECHANISM FOR PROPER OPERATION. CHECK BATTERY AND CONTACTS.
Passed: CLEAN LENS, FILTERS AND MAGNIFIERS. CHECK BATTERY CHARGER OPERATION.
Passed: CHECK HANDLES AND COILED CORDS INTEGRITY.
Passed: CHECK OPERATION OF EACH SIDE MICROSWITCHES.
Passed: CHECK CONDITION OF POWER CORD PLUG AND REPLACE, IF NECESSARY.
Passed: CHECK POWER SWITCH FOR PROPER OPERATION.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23766
Equipment Data MediMizer™
Control #: 1269 Description: HEMATOLOGY ANALYZER , AUTOMATED
Manufacturer: Abbott Laboratories Model #: CELL-DYN EMERALD
Status: Removed From Inventory
Serial #: 031811-002550
Work Order PO #: Pref. Team: LAB
Team Leader:
Facility: CFHC Winter Heaven
Department: Laboratory
Location: Laboratory System:
Floor: 1 Room #: Lab Building:
Risk Priority: 3 Last Seen: 03/10/17 Inspections: Last:03/10/17 Next:
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone:
Service Requested: Safety and Performance.
Notes: Removed from service and equipment inventory.
Date WO # Service Requested Past Service Information Service
03/01/19 23766 Safety and Performance. Removed from Inventory
03/09/18 21609 Safety and Performance. Unit Not Located
03/10/17 19622 Safety and Performance. Completed All Scheduled Inspect
04/11/16 17653 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 2 minutes Removed from Inventory (Quick Entry)
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23767
Equipment Data MediMizer™
Control #: 1270 Description: SHAKER, LABRATORY
Manufacturer: Unico Scientific Model #: TTR-200
Status: Removed From Inventory
Serial #: T10121101013
Work Order PO #: Pref. Team: LAB
Team Leader:
Facility: CFHC Winter Heaven
Department: Laboratory
Location: Laboratory System:
Floor: 1 Room #: Lab Building:
Risk Priority: 4 Last Seen: 03/10/17 Inspections: Last:03/10/17 Next:
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone:
Service Requested: Safety, Performance and PM.
Notes: Removed from service and equipment inventory.
Date WO # Service Requested Past Service Information Service
03/01/19 23767 Safety, Performance and PM. Removed from Inventory
03/09/18 21610 Safety, Performance and PM. Unit Not Located
03/10/17 19623 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17654 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 2 minutes Removed from Inventory (Quick Entry)
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23753
Equipment Data MediMizer™
Control #: 1272 Description: Centrifuge
Manufacturer: The Drucker Co. Model #: 642E
Status: In Service
Serial #: 520907-260
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Laboratory
Location: Laboratory System:
Floor: 1 Room #: Lab Building:
Risk Priority: 2 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone:
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23753 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21604 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19616 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17648 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 10 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .09 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 12 uA
Passed: CHECK TIMER FOR SMOOTH OPERATION. CHECK OPERATION OF BRAKING.
Passed: CHECK OPERATION OF TACHOMETER IF APPLICABLE.
Passed: CHECK FOR VIBRATIONS AND EXCESS NOISE. CHECK HEAD BALANCE.
Passed: MEASURE ROTOR SPEED USING PHOTOTACHOMETER. RECORD MEASUREMENT BELOW.
Passed: SETTING #1 : 3375 RPM INDICATED --------- RPM ACTUAL 3371 RPM
Passed: ALL READINGS ARE TAKEN WITH ROTOR FULLY LOADED.
Passed: CHECK TIMER ACCURACY USING STOPWATCH. RECORD MEASUREMENT BELOW.
Passed: SET TIMER AT 5 MINUTES: ACTUAL 5.0minutes
Passed: CHECK OPERATION OF REFRIGERATION AND THERMOSTAT IF APPLICABLE.
Passed: CHECK INTERIOR FOR SIGNS OF ELECTRICAL OR MECHANICAL DAMAGE.
Passed: CHECK INTERIOR FOR SIGNS OF PHYSICAL OR ELECTRICAL DAMAGE.
Passed: CLEAN INTERIOR PAYING SPECIAL ATTENTION TO SWITCHES AND CONNECTORS.
Passed: CHECK MOTOR BRUSHES. CHECK ARMATURE FOR WEAR. CLEAN-OUT CARBON BUILD-UP.
Passed: LUBRICATE MOTOR AND MECHANICAL PARTS WHERE APPLICABLE.
Passed: REPLACE BRUSHES IF NECESSARY
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23754
Equipment Data MediMizer™
Control #: 1274 Description: GLUCOSE ANALYZER
Manufacturer: Hemocue Incorporated Model #: 201
Status: Unit Not Located
Serial #: 1036118058
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Laboratory
Location: Laboratory System:
Floor: 1 Room #: Lab Building:
Risk Priority: 0 Last Seen: 03/09/18 Inspections: Last:03/09/18 Next: 03/01/20 Performance and PM
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone:
Service Requested: Performance and PM.
Notes: Unable to locate,
Date WO # Service Requested Past Service Information Service
03/01/19 23754 Performance and PM. Unit Not Located
03/09/18 22392 Performance and PM. Completed All Scheduled Inspect
03/10/17 19617 Performance and PM. Removed from Inventory
04/11/16 17649 Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 2 minutes Unit Not Located (Quick Entry)
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23755
Equipment Data MediMizer™
Control #: 1275 Description: HEMOGLOBINOMETER
Manufacturer: Hemocue Incorporated Model #: 201+
Status: Unit Not Located
Serial #: 1048013586
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Laboratory
Location: Laboratory System:
Floor: 1 Room #: Lab Building:
Risk Priority: 4 Last Seen: 03/09/18 Inspections: Last:03/09/18 Next: 03/01/20 Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone:
Service Requested: Performance.
Notes: Unable to locate
Date WO # Service Requested Past Service Information Service
03/01/19 23755 Performance. Unit Not Located
03/09/18 22393 Performance. Completed All Scheduled Inspect
03/10/17 19618 Performance. Removed from Inventory
04/11/16 17650 Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 2 minutes Unit Not Located (Quick Entry)
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23756
Equipment Data MediMizer™
Control #: 1276 Description: MICROSCOPE, LABORATORY OPTICAL
Manufacturer: Jenco International, Inc. Model #: UNKNOWN
Status: In Service
Serial #: V204920
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Laboratory
Location: Laboratory System:
Floor: 1 Room #: Lab Building:
Risk Priority: 4 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone:
Service Requested: Safety and Performance.
Date WO # Service Requested Past Service Information Service
03/01/19 23756 Safety and Performance. Completed All Scheduled Inspect
03/09/18 21605 Safety and Performance. Completed All Scheduled Inspect
03/10/17 19619 Safety and Performance. Completed All Scheduled Inspect
04/11/16 17651 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 10 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .11 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 9 uA
Passed: CHECK OVERAL CONDITION OF HARDWARE ON DEVICE, LATCHES, CASTERS, COVERS
Passed: CHECK MECHANICAL INTEGRITY OF ALL CONTROLS AND SWITCHES
Passed: CHECK MECHANICAL INTEGRITY OF WHEELS, BRAKES AND LOCKS
Passed: CHECK CONDITION OF POWER CORD AND PLUG
Passed: PERFORM EXTERNAL SCOPE & LENSE CLEANING
Passed: CHECK BASIC OPERATION & PERFORM A VISUAL INSPECTION FOR DAMAGE
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23526
Equipment Data MediMizer™
Control #: 1278 Description: URINOMETER
Manufacturer: Siemens Healthcare Diagnostics Model #: CLINITEK STATUS
Status: In Service
Serial #: NSN1278
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Laboratory System:
Floor: 1 Room #: Lab Building:
Risk Priority: 0 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Notes: DC powered 12v - 1.8A
Date WO # Service Requested Past Service Information Service
03/01/19 23526 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21532 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19541 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17579 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 4 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK CONDITION OF POWER CORD AND PLUG
Passed: CHECK OVERAL CONDITION OF HARDWARE ON DEVICE, LATCHES, HOSES AND COVERS.
Passed: CHECK MECHANICAL INTEGRITY OF ALL CONTROLS AND SWITCHES
Passed: CHECK DC OUTPUT OF IN LINE POWER TRANSFORMER: 12vDC 1.8A
Passed: IF APPLICABLE, CHECK BATTERIES CONDITION AND REPLACE ,IF NECESSARY.
Passed: CHECK OPERATION OF TRAY MOVEMENT FOR SMOOTH AND QUIET OPERATION.
Passed: CHECK TRAY LAMP. CHECK ALL INDICATORS. CHECK START SWITCH OPERATION.
Passed: USING STANDARD TEST STRIPS, PERFORM CALIBRATION CHECKS TO SPECIFICATION.
Passed: CHECK INTERIOR FOR SIGNS OF ELECTRICAL OF MECHANICAL DAMAGE.
Passed: CLEAN INTERIOR PAYING SPECIAL ATTENTION TO READ TRAY.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23527
Equipment Data MediMizer™
Control #: 1279 Description: AUDIOMETRIC EVOKED POTENTIAL
Manufacturer: Welch Allyn Inc. Model #: 28200
Status: Removed From Inventory
Serial #: GS14670
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: X-Ray Room System:
Floor: 1 Room #: X-Ray Building:
Risk Priority: 0 Last Seen: 10/05/18 Inspections: Last:10/05/18 Next:
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Notes: Removed from service and equipment inventory.
Date WO # Service Requested Past Service Information Service
03/01/19 23527 Safety, Performance and PM. Unit Not Located
10/05/18 22975 Safety and Performance Safety and Performance
03/09/18 21533 Safety, Performance and PM. Unit Not Located
03/10/17 19542 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 2 minutes Unit Not Located (Quick Entry)
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23528
Equipment Data MediMizer™
Control #: 1281 Description: X-RAY FILM PROCESSORS,AUTOMATIC
Manufacturer: Konica Minolta Medical Imaging, USA Model #: REGIUS 110
Status: In Service
Serial #: 090204846
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: X-Ray Room System:
Floor: 1 Room #: X-Ray Building:
Risk Priority: 4 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23528 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21534 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19544 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17582 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 5 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .07 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 105 uA
Passed: CHECK OVERAL CONDITION OF HARDWARE ON DEVICE, LATCHES, HOSES AND COVERS.
Passed: CHECK MECHANICAL INTEGRITY OF ALL CONTROLS AND SWITCHES
Passed: CHECK CONDITION OF POWER CORD AND PLUG
Passed: CHECK ROLLER AND CROSSOVER ASSEMBLIES FOR WEAR AND IMPROPER OPERATION.
Passed: CHECK TEMP OF INLET WATER, DEVELOPER SOLUTION, FIXER SOLUTION, WASH WATER.
Passed: CHECK OPERATION OF DETECTION ROLLER, THICKNESS ALARM,REPLENISH PUMP ACTION
Passed: CHECK DEVELOPER AND FIXER REPLENISHER RATE, IF APPLICABLE.
Passed: CHECK DEVELOPER AND FIXER RECIRCULATING PUMP.
Passed: CHECK OVERALL OPERATION OF UNIT.
Passed: CHECK INTERIOR FOR SIGNS OF ELECTRICAL OR MECHANICAL DAMAGE.
Passed: CLEAN INTERIOR PAYING SPECIAL ATTENTION TO SWITCHES AND CONTROLS.
Passed: CHECK INTERIOR FOR SIGNS OF CHEMICAL LEAKS OR CONTAMINATION.
Passed: CLEAN COOLING FANS AND FILTERS WHERE APPLICABLE. LUBRICATE UNIT AS NEEDED.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23529
Equipment Data MediMizer™
Control #: 1282 Description: MONITOR, MULTIPARAMETER
Manufacturer: Welch Allyn Inc. Model #: 42MTB
Status: In Service
Serial #: 201102889
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Hallway System:
Floor: 1 Room #: Hallwy Building:
Risk Priority: 3 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Date WO # Service Requested Past Service Information Service
03/01/19 23529 Safety and Performance. Completed All Scheduled Inspect
10/05/18 22976 Error C05. Not working Replaced Bladder
03/09/18 21535 Safety and Performance. Removed Probe
03/09/18 21535 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 10 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK CONDITION OF POWER CORD AND PLUG
Passed: CHECK OVERAL CONDITION OF HARDWARE ON DEVICE, LATCHES, HOSES AND COVERS.
Passed: CHECK MECHANICAL INTEGRITY OF ALL CONTROLS AND SWITCHES
Passed: CHECK DC OUTPUT OF IN LINE POWER TRANSFORMER: 8vDC 750mA
Passed: IF APPLICABLE, CHECK BATTERIES CONDITION AND REPLACE ,IF NECESSARY.
Passed: BATTERY REPLACED ON March / 2018
Passed: CHECK OVERALL CONDITION OF UNIT FOR DAMAGE
Passed: CHECK ALL CONTROLS AND INDICATORS FOR PROPER OPERATION
Passed: CHECK DISPLAY FOR PROPER LINEARITY, SIZE, AND INTENSITY
Passed: CHECK HEART RATE ACCURACY PER MFG. SPECS
Passed: CHECK HEART RATE ALARMS PER MFG. SPECS.
Passed: CHECK RESPIRATION PARAMETERS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK INVASIVE PRESSURE ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK NIBP ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 120/80 mmHg 115/79 mmHg
Passed: ---------------------------------------------------------------------------
Passed: CHECK RECORDER FOR PROPER OPERATION AND DISPLAY IF APPLICABLE
Passed: CHECK TRENDING OPTIONS FOR PROPER OPERATION IF APPLICABLE
Passed: CHECK SPO2 ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 98% SPO2 98% SPO2
Passed: ---------------------------------------------------------------------------
Passed: CHECK ALL CONNECTORS FOR DAMAGE
Passed: CHECK TEMPERATURE CALIBRATION USING CALIBRATION KEY.
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 97.3 Degrees F 97.3 dF
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23530
Equipment Data MediMizer™
Control #: 1284 Description: Autoclave
Manufacturer: Midmark Corporation Model #: M11-022
Status: In Service
Serial #: V1007238
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Clean Closet System:
Floor: 1 Room #: Building:
Risk Priority: 0 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23530 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21536 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19546 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17584 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 10 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .23 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 18 uA
Passed: CHECK DOOR GASKET AND DOOR ASSEMBLY FOR PROPER FIT AND SEAL.
Passed: CHECK MECHANICAL AND OPERATIONAL INTEGRITY OF DOOR LOCKING MECHANISM.
Passed: CHECK INSIDE OF TANK FOR CRACKS AND RUSTING. ALSO CHECK TRAYS FOR SAME.
Passed: OPERATE UNIT. CHECK FOR WATER OR STEAM LEAKS.
Passed: CHECK FOR TIME TO MAX OPERATING TEMPERATURE AND PROPER GAUGE CORRELATION.
Passed: REPLACE FILL AND RESERVOIR FILTERS. REPLACE DOOR GASKET IF NEEDED.
Passed: CHECK OPERATION OF OVER PRESSURE AND OVER TEMPERATURE DEVICES.
Passed: CHECK INTERIOR FOR SIGNS OF PHYSICAL OR ELECTRICAL DAMAGE.
Passed: CLEAN INTERIOR PAYING SPECIAL ATTENTION TO SWITCHES AND CONNECTORS.
Passed: LUBRICATE TIMING MECHANISM. REMOVE AND CLEAN CONTROL VALVES.
Passed: CLEAN BELLOWS CHAMBER. REPLACE BELLOWS IF NEEDED.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23531
Equipment Data MediMizer™
Control #: 1457 Description: SCALE,FLOOR,ELECTRONIC
Manufacturer: Health O Meter Incorporated Model #: 349KLX
Status: In Service
Serial #: 3500016391
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Hallway System:
Floor: 1 Room #: Hallwy Building:
Risk Priority: 3 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Notes: Weight accuracy check: 11.8 lbs@12lbs, 30.2lbs@30lbs, 41.8lbs@42lbs, 60.6 lbs@60lbs,
72.4lbs@72lbs
Date WO # Service Requested Past Service Information Service
03/01/19 23531 Safety, Performance and PM. Completed All Scheduled Inspect
11/09/18 23281 Scale is not powering up. Repaired Connector
03/09/18 21538 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19550 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 6 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK CONDITION OF POWER CORD AND PLUG
Passed: CHECK OVERAL CONDITION OF HARDWARE ON DEVICE, LATCHES, HOSES AND COVERS.
Passed: CHECK MECHANICAL INTEGRITY OF ALL CONTROLS AND SWITCHES
Passed: IF APPLICABLE, CHECK BATTERIES CONDITION AND REPLACE ,IF NECESSARY.
Passed: CHECK OVERALL CONDITION OF SCALE FOR DAMAGE.
Passed: CHECK THAT ALL DIGITS AND INDICATOR LAMPS FUNCTION PROPERLY
Passed: ZERO SCALE AND PLACE A CALIBRATED WEIGHT ON SCALE AND CHECK FOR ACCURACY
Passed: CHECK ALL MOVING PARTS FOR MECHANICAL INTEGRITY
Passed: CHECK ACCURACY OF UNIT USING A STANDARD SET OF WEIGHTS
Passed: CHECK WEIGHTS THREE SETTINGS
Passed: CHECK BATTERIES AND REPLACE IF NECESSARY.
Passed: CLEAN INTERIOR. CHECK INTERNAL PARTS FOR WEAR. LUBRICATE WHERE NECESSARY.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23532
Equipment Data MediMizer™
Control #: 1458 Description: COMPUTER, LAPTOP EKG
Manufacturer: Hewlett Packard / Computer & Business Model #: PROBOOK 4520S
Status: Removed From Inventory
Serial #: 2CE110034D
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: X-Ray System:
Floor: 1 Room #: X-Ray Building:
Risk Priority: 4 Last Seen: 03/10/17 Inspections: Last:03/10/17 Next:
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Equipment Notes: Changed Control #1308 to Control #1458
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Notes: Removed from service and equipment inventory.
Date WO # Service Requested Past Service Information Service
03/01/19 23532 Safety, Performance and PM. Removed from Inventory
03/09/18 21539 Safety, Performance and PM. Unit Not Located
03/10/17 19551 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17589 Safety, Performance and PM. Unit Not Located
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 2 minutes Removed from Inventory (Quick Entry)
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23427
Equipment Data MediMizer™
Control #: 1460 Description: TABLE, EXAM-TREATMENT
Manufacturer: Midmark Corporation Model #: 223-016
Status: In Service
Serial #: V1345043
Work Order PO #:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Adult Triage System:
Floor: 1 Room #: Building:
Risk Priority: 4 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23427 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21513 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19513 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17553 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 7 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .12 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 206 uA
Passed: CHECK MECHANICAL INTEGRITY OF HEAD AND FOOT REST AND OTHER ACCESSORIES.
Passed: CHECK ALL CONTROLS FOR PROPER OPERATION
Passed: CHECK FOR PROPER OPERATION BY CYCLING THROUGH ALL POSSIBLE MOVEMENTS.
Passed: CHECK THAT ALL MOVEMENTS ARE SMOOTH AND WITHOUT HESITATION OR BINDING.
Passed: CHECK OVERALL CONDITION OF TABLE FOR DAMAGE
Passed: VISUALLY CHECK THE EXTERIOR OF THE TABLE FOR ANY SIGNS OF DAMAGE.
Passed: VERIFY CORRECT ARTICULATION OF ALL MECHANICAL ASSEMBLIES.
Passed: VISUALLY INSPECT ELECTRICAL FOR SIGNS OF DAMAGE AND/OR OVERHAEATING
Passed: VISUALLY CHECK THE CONDITION OF THE POWER CORD AND PLUG FOR CRACKS, CUTS,
Passed: BARE OR BROKEN WIRES AND SIGNS OF EXCESSIVE HEAT (DISCOLORATION).
Passed: CHECK ALL MOVING SURFACES, PIVOTS, GEARS AND MECHANISMS.
Passed: LUBRICATE WHERE NECESSARY. CHECK MOTOR AND BRUSHES.
Passed: CLEAN INTERIOR. CLEAN FILTERS AND TRAPS WHERE APPLICABLE.
Passed: CHECK ELECTRICAL CABLES FOR CRACKING OR WEAR TO OUTER JACKET.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23533
Equipment Data MediMizer™
Control #: 1461 Description: INTEGRATED WALL SYSTEM
Manufacturer: Welch Allyn Inc. Model #: CONNEX
Status: In Service
Serial #: 100000100113
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Adult Triage System:
Floor: 1 Room #: Building:
Risk Priority: 3 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Notes: Replaced lithium ion battery.
Date WO # Service Requested Past Service Information Service
03/01/19 23533 Safety and Performance. Completed All Scheduled Inspect
02/08/19 23369 Unit is re-starting on its own. Replaced Accessory
02/08/19 23369 Unit is re-starting on its own. Reset System
03/09/18 21327 Unit is rebooting continuosly. Safety and Performance
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 10 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .18 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 73 uA
Passed: PERFORM LEAD LEAKAGE PER TESTER INSTRUCTIONS. SEE NEXT CHECK FOR LIMITS.
Passed: LIMITS: ISOLATED UNITS < 20 MICRO AMPS. NON-ISOLATED UNITS < 50 MICRO AMPS
Passed: CHECK OVERALL CONDITION OF UNIT FOR DAMAGE
Passed: CHECK ALL CONTROLS AND INDICATORS FOR PROPER OPERATION
Passed: CHECK DISPLAY FOR PROPER LINEARITY, SIZE, AND INTENSITY
Passed: CHECK HEART RATE ACCURACY PER MFG. SPECS
Passed: CHECK HEART RATE ALARMS PER MFG. SPECS.
Passed: CHECK RESPIRATION PARAMETERS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK INVASIVE PRESSURE ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK NIBP ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 120/80 mmHg 116/83 mmHg
Passed: ---------------------------------------------------------------------------
Passed: CHECK RECORDER FOR PROPER OPERATION AND DISPLAY IF APPLICABLE
Passed: CHECK TRENDING OPTIONS FOR PROPER OPERATION IF APPLICABLE
Passed: CHECK SPO2 ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 98% SPO2 98% SPO2
Passed: ---------------------------------------------------------------------------
Passed: CHECK ALL CONNECTORS FOR DAMAGE
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23534
Equipment Data MediMizer™
Control #: 1465 Description: INTEGRATED WALL SYSTEM
Manufacturer: Welch Allyn Inc. Model #: CONNEX
Status: In Service
Serial #: 100000080113
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Adult Triage System:
Floor: 1 Room #: 107 Building:
Risk Priority: 3 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Date WO # Service Requested Past Service Information Service
03/01/19 23534 Safety and Performance. Completed All Scheduled Inspect
03/09/18 21541 Safety and Performance. Completed All Scheduled Inspect
03/10/17 19554 Safety and Performance. Replaced Lamp
03/10/17 19554 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 10 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .18 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 72 uA
Passed: PERFORM LEAD LEAKAGE PER TESTER INSTRUCTIONS. SEE NEXT CHECK FOR LIMITS.
Passed: LIMITS: ISOLATED UNITS < 20 MICRO AMPS. NON-ISOLATED UNITS < 50 MICRO AMPS
Passed: CHECK OVERALL CONDITION OF UNIT FOR DAMAGE
Passed: CHECK ALL CONTROLS AND INDICATORS FOR PROPER OPERATION
Passed: CHECK DISPLAY FOR PROPER LINEARITY, SIZE, AND INTENSITY
Passed: CHECK HEART RATE ACCURACY PER MFG. SPECS
Passed: CHECK HEART RATE ALARMS PER MFG. SPECS.
Passed: CHECK RESPIRATION PARAMETERS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK INVASIVE PRESSURE ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK NIBP ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 120/80 mmHg 114/83 mmHg
Passed: ---------------------------------------------------------------------------
Passed: CHECK RECORDER FOR PROPER OPERATION AND DISPLAY IF APPLICABLE
Passed: CHECK TRENDING OPTIONS FOR PROPER OPERATION IF APPLICABLE
Passed: CHECK SPO2 ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 98% SPO2 98% SPO2
Passed: ---------------------------------------------------------------------------
Passed: CHECK ALL CONNECTORS FOR DAMAGE
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23535
Equipment Data MediMizer™
Control #: 1470 Description: TABLE, EXAM-TREATMENT
Manufacturer: Midmark Corporation Model #: 223-016
Status: In Service
Serial #: V1232453
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Adult Triage System:
Floor: 1 Room #: 108 Building:
Risk Priority: 4 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23535 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21542 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19559 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17599 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 7 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .09 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 120 uA
Passed: CHECK MECHANICAL INTEGRITY OF HEAD AND FOOT REST AND OTHER ACCESSORIES.
Passed: CHECK ALL CONTROLS FOR PROPER OPERATION
Passed: CHECK FOR PROPER OPERATION BY CYCLING THROUGH ALL POSSIBLE MOVEMENTS.
Passed: CHECK THAT ALL MOVEMENTS ARE SMOOTH AND WITHOUT HESITATION OR BINDING.
Passed: CHECK OVERALL CONDITION OF TABLE FOR DAMAGE
Passed: VISUALLY CHECK THE EXTERIOR OF THE TABLE FOR ANY SIGNS OF DAMAGE.
Passed: VERIFY CORRECT ARTICULATION OF ALL MECHANICAL ASSEMBLIES.
Passed: VISUALLY INSPECT ELECTRICAL FOR SIGNS OF DAMAGE AND/OR OVERHAEATING
Passed: VISUALLY CHECK THE CONDITION OF THE POWER CORD AND PLUG FOR CRACKS, CUTS,
Passed: BARE OR BROKEN WIRES AND SIGNS OF EXCESSIVE HEAT (DISCOLORATION).
Passed: CHECK ALL MOVING SURFACES, PIVOTS, GEARS AND MECHANISMS.
Passed: LUBRICATE WHERE NECESSARY. CHECK MOTOR AND BRUSHES.
Passed: CLEAN INTERIOR. CLEAN FILTERS AND TRAPS WHERE APPLICABLE.
Passed: CHECK ELECTRICAL CABLES FOR CRACKING OR WEAR TO OUTER JACKET.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23536
Equipment Data MediMizer™
Control #: 1471 Description: MONITOR, MULTIPARAMETER
Manufacturer: Welch Allyn Inc. Model #: 45MT0
Status: In Service
Serial #: 20130100317
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Adult Triage System:
Floor: 1 Room #: Building:
Risk Priority: 3 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Notes: Battery replaced 5/2018.
Date WO # Service Requested Past Service Information Service
03/01/19 23536 Safety and Performance. Completed All Scheduled Inspect
05/19/18 21543 Safety and Performance. Replaced Battery/Batteries
05/19/18 21543 Safety and Performance. Completed All Scheduled Inspect
03/10/17 19560 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 10 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: PERFORM LEAD LEAKAGE PER TESTER INSTRUCTIONS. SEE NEXT CHECK FOR LIMITS.
Passed: LIMITS: ISOLATED UNITS < 20 MICRO AMPS. NON-ISOLATED UNITS < 50 MICRO AMPS
Passed: CHECK OVERALL CONDITION OF UNIT FOR DAMAGE
Passed: CHECK ALL CONTROLS AND INDICATORS FOR PROPER OPERATION
Passed: CHECK DISPLAY FOR PROPER LINEARITY, SIZE, AND INTENSITY
Passed: CHECK HEART RATE ACCURACY PER MFG. SPECS
Passed: CHECK HEART RATE ALARMS PER MFG. SPECS.
Passed: CHECK RESPIRATION PARAMETERS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK INVASIVE PRESSURE ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK NIBP ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 120/80 mmHg 113/87 mmHg
Passed: ---------------------------------------------------------------------------
Passed: CHECK RECORDER FOR PROPER OPERATION AND DISPLAY IF APPLICABLE
Passed: CHECK TRENDING OPTIONS FOR PROPER OPERATION IF APPLICABLE
Passed: CHECK SPO2 ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 98% SPO2 98% SPO2
Passed: ---------------------------------------------------------------------------
Passed: CHECK ALL CONNECTORS FOR DAMAGE
Passed: CHECK TEMPERATURE CALIBRATION USING CALIBRATION KEY.
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 97.3 Degrees F 97.3 dF
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23537
Equipment Data MediMizer™
Control #: 1472 Description: MONITOR, MULTIPARAMETER
Manufacturer: Welch Allyn Inc. Model #: 45MT0
Status: In Service
Serial #: 20130100314
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Adult Triage System:
Floor: 1 Room #: Building:
Risk Priority: 3 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Notes: Battery replaced on 1/18/2019
Date WO # Service Requested Past Service Information Service
03/01/19 23537 Safety and Performance. Completed All Scheduled Inspect
01/18/19 23365 Battery not holding charge. Replaced Battery/Batteries
03/09/18 21544 Safety and Performance. Completed All Scheduled Inspect
03/09/18 21544 Safety and Performance. Replaced Battery/Batteries
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 10 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: PERFORM LEAD LEAKAGE PER TESTER INSTRUCTIONS. SEE NEXT CHECK FOR LIMITS.
Passed: CHECK OVERALL CONDITION OF UNIT FOR DAMAGE
Passed: CHECK ALL CONTROLS AND INDICATORS FOR PROPER OPERATION
Passed: CHECK DISPLAY FOR PROPER LINEARITY, SIZE, AND INTENSITY
Passed: CHECK HEART RATE ACCURACY PER MFG. SPECS
Passed: CHECK HEART RATE ALARMS PER MFG. SPECS.
Passed: CHECK RESPIRATION PARAMETERS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK INVASIVE PRESSURE ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK NIBP ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 120/80 mmHg 114/83 mmHg
Passed: ---------------------------------------------------------------------------
Passed: CHECK RECORDER FOR PROPER OPERATION AND DISPLAY IF APPLICABLE
Passed: CHECK TRENDING OPTIONS FOR PROPER OPERATION IF APPLICABLE
Passed: CHECK SPO2 ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 98% SPO2 98% SPO2
Passed: ---------------------------------------------------------------------------
Passed: CHECK ALL CONNECTORS FOR DAMAGE
Passed: CHECK TEMPERATURE CALIBRATION USING CALIBRATION KEY.
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 97.3 Degrees F 97.3 dF
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23538
Equipment Data MediMizer™
Control #: 1473 Description: MONITOR, MULTIPARAMETER
Manufacturer: Welch Allyn Inc. Model #: 45MT0
Status: In Service
Serial #: 20130100278
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Adult Triage System:
Floor: 1 Room #: Building:
Risk Priority: 3 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Notes: Battery replaced 12/2018.
Date WO # Service Requested Past Service Information Service
03/01/19 23538 Safety and Performance. Completed All Scheduled Inspect
12/12/18 23320 Battery is not holding the charge. Replaced Battery/Batteries
03/09/18 21545 Unit is due for battery replacement. Replaced Accessory
03/09/18 21546 Safety. Replaced Battery/Batteries
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 10 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: PERFORM LEAD LEAKAGE PER TESTER INSTRUCTIONS. SEE NEXT CHECK FOR LIMITS.
Passed: CHECK OVERALL CONDITION OF UNIT FOR DAMAGE
Passed: CHECK ALL CONTROLS AND INDICATORS FOR PROPER OPERATION
Passed: CHECK DISPLAY FOR PROPER LINEARITY, SIZE, AND INTENSITY
Passed: CHECK HEART RATE ACCURACY PER MFG. SPECS
Passed: CHECK HEART RATE ALARMS PER MFG. SPECS.
Passed: CHECK RESPIRATION PARAMETERS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK INVASIVE PRESSURE ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK NIBP ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 120/80 mmHg 114/83 mmHg
Passed: ---------------------------------------------------------------------------
Passed: CHECK RECORDER FOR PROPER OPERATION AND DISPLAY IF APPLICABLE
Passed: CHECK TRENDING OPTIONS FOR PROPER OPERATION IF APPLICABLE
Passed: CHECK SPO2 ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 98% SPO2 98% SPO2
Passed: ---------------------------------------------------------------------------
Passed: CHECK ALL CONNECTORS FOR DAMAGE
Passed: CHECK TEMPERATURE CALIBRATION USING CALIBRATION KEY.
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 97.3 Degrees F 97.3 dF
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23539
Equipment Data MediMizer™
Control #: 1477 Description: INTEGRATED WALL SYSTEM
Manufacturer: Welch Allyn Inc. Model #: CONNEX
Status: In Service
Serial #: 100000060113
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Adult Triage System:
Floor: 1 Room #: Building:
Risk Priority: 3 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Date WO # Service Requested Past Service Information Service
03/01/19 23539 Safety and Performance. Completed All Scheduled Inspect
03/09/18 21548 Safety and Performance. Completed All Scheduled Inspect
03/10/17 19565 Safety and Performance. Replaced Lamp
03/10/17 19565 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 10 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: PERFORM LEAD LEAKAGE PER TESTER INSTRUCTIONS. SEE NEXT CHECK FOR LIMITS.
Passed: CHECK OVERALL CONDITION OF UNIT FOR DAMAGE
Passed: CHECK ALL CONTROLS AND INDICATORS FOR PROPER OPERATION
Passed: CHECK DISPLAY FOR PROPER LINEARITY, SIZE, AND INTENSITY
Passed: CHECK HEART RATE ACCURACY PER MFG. SPECS
Passed: CHECK HEART RATE ALARMS PER MFG. SPECS.
Passed: CHECK RESPIRATION PARAMETERS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK INVASIVE PRESSURE ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK NIBP ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 120/81 mmHg 112/81 mmHg
Passed: ---------------------------------------------------------------------------
Passed: CHECK RECORDER FOR PROPER OPERATION AND DISPLAY IF APPLICABLE
Passed: CHECK TRENDING OPTIONS FOR PROPER OPERATION IF APPLICABLE
Passed: CHECK SPO2 ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 98% SPO2 98% SPO2
Passed: ---------------------------------------------------------------------------
Passed: CHECK ALL CONNECTORS FOR DAMAGE
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23540
Equipment Data MediMizer™
Control #: 1478 Description: INTEGRATED WALL SYSTEM
Manufacturer: Welch Allyn Inc. Model #: CONNEX
Status: In Service
Serial #: 100000090113
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Adult Triage System:
Floor: 1 Room #: 109 Building:
Risk Priority: 3 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Date WO # Service Requested Past Service Information Service
03/01/19 23540 Safety and Performance. Completed All Scheduled Inspect
03/09/18 21549 Safety and Performance. Completed All Scheduled Inspect
03/10/17 19566 Safety and Performance. Completed All Scheduled Inspect
04/11/16 17607 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 10 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: PERFORM LEAD LEAKAGE PER TESTER INSTRUCTIONS. SEE NEXT CHECK FOR LIMITS.
Passed: CHECK OVERALL CONDITION OF UNIT FOR DAMAGE
Passed: CHECK ALL CONTROLS AND INDICATORS FOR PROPER OPERATION
Passed: CHECK DISPLAY FOR PROPER LINEARITY, SIZE, AND INTENSITY
Passed: CHECK HEART RATE ACCURACY PER MFG. SPECS
Passed: CHECK HEART RATE ALARMS PER MFG. SPECS.
Passed: CHECK RESPIRATION PARAMETERS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK INVASIVE PRESSURE ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: CHECK NIBP ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 120/80 mmHg 113/82 mmHg
Passed: ---------------------------------------------------------------------------
Passed: CHECK RECORDER FOR PROPER OPERATION AND DISPLAY IF APPLICABLE
Passed: CHECK TRENDING OPTIONS FOR PROPER OPERATION IF APPLICABLE
Passed: CHECK SPO2 ACCURACY AND ALARMS PER MFG. SPECS. IF APPLICABLE
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 98% SPO2 98% SPO2
Passed: ---------------------------------------------------------------------------
Passed: CHECK ALL CONNECTORS FOR DAMAGE
Passed: CHECK TEMPERATURE CALIBRATION USING CALIBRATION KEY.
Passed: RESULTS:
Passed: SETTING ACTUAL
Passed: 97.3 Degrees F 97.3 dF
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23541
Equipment Data MediMizer™
Control #: 1479 Description: TABLE, EXAM-TREATMENT
Manufacturer: Midmark Corporation Model #: 223-016
Status: In Service
Serial #: V1339036
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Adult Triage System:
Floor: 1 Room #: 109 Building:
Risk Priority: 4 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23541 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21550 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19567 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17608 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 7 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK ELECTRICAL SAFETY
Passed: CHECK GROUND RESISTANCE {pass < .5 OHMS} .14 Ohms
Passed: CHECK ELECTRICAL LEAKAGE {pass < 300 uA} 212 uA
Passed: CHECK MECHANICAL INTEGRITY OF HEAD AND FOOT REST AND OTHER ACCESSORIES.
Passed: CHECK ALL CONTROLS FOR PROPER OPERATION
Passed: CHECK FOR PROPER OPERATION BY CYCLING THROUGH ALL POSSIBLE MOVEMENTS.
Passed: CHECK THAT ALL MOVEMENTS ARE SMOOTH AND WITHOUT HESITATION OR BINDING.
Passed: CHECK OVERALL CONDITION OF TABLE FOR DAMAGE
Passed: VISUALLY CHECK THE EXTERIOR OF THE TABLE FOR ANY SIGNS OF DAMAGE.
Passed: VERIFY CORRECT ARTICULATION OF ALL MECHANICAL ASSEMBLIES.
Passed: VISUALLY INSPECT ELECTRICAL FOR SIGNS OF DAMAGE AND/OR OVERHAEATING
Passed: VISUALLY CHECK THE CONDITION OF THE POWER CORD AND PLUG FOR CRACKS, CUTS,
Passed: BARE OR BROKEN WIRES AND SIGNS OF EXCESSIVE HEAT (DISCOLORATION).
Passed: CHECK ALL MOVING SURFACES, PIVOTS, GEARS AND MECHANISMS.
Passed: LUBRICATE WHERE NECESSARY. CHECK MOTOR AND BRUSHES.
Passed: CLEAN INTERIOR. CLEAN FILTERS AND TRAPS WHERE APPLICABLE.
Passed: CHECK ELECTRICAL CABLES FOR CRACKING OR WEAR TO OUTER JACKET.
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23542
Equipment Data MediMizer™
Control #: 1481 Description: INTEGRATED WALL SYSTEM
Manufacturer: Welch Allyn Inc. Model #: CONNEX
Status: Unit Not Located
Serial #: 100000070113
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Adult Triage System:
Floor: 1 Room #: 110 Building:
Risk Priority: 3 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety and Performance
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety and Performance.
Notes: Unable to locate.
Date WO # Service Requested Past Service Information Service
03/01/19 23542 Safety and Performance. Completed All Scheduled Inspect
03/09/18 21551 Safety and Performance. Completed All Scheduled Inspect
03/10/17 19569 Safety and Performance. Completed All Scheduled Inspect
04/11/16 17610 Safety and Performance. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 2 minutes Completed All Scheduled Inspections (Quick Entry)
03/18/19 07:26 PM Page 1
American Bio~Medics Work Order #: 23544
Equipment Data MediMizer™
Control #: 1484 Description: SCALE,FLOOR,ELECTRONIC
Manufacturer: Detecto Scale Company Model #: PRODOC
Status: In Service
Serial #: P300010101212902
Work Order PO #: Pref. Team: CLINENG
Team Leader:
Facility: CFHC Winter Heaven
Department: Adult Triage
Location: Hallway System:
Floor: 1 Room #: Hallwy Building:
Risk Priority: 3 Last Seen: 03/01/19 Inspections: Last:03/01/19 Next: 03/01/20 Safety, Performance and
Warranty Expires: Parts: / / Labor: / /
Old Control #:
Equipment Notes: Changed control # 1018 to Control #1484
Work Order Data
Work Order Type: Inspection, P.M. or S.P.R. Requested On: 03/01/19 12:00 AM Due: 03/31/19
Person Requesting: Scheduled Phone: (813) 413-8600
Service Requested: Safety, Performance and PM.
Date WO # Service Requested Past Service Information Service
03/01/19 23544 Safety, Performance and PM. Completed All Scheduled Inspect
03/09/18 21553 Safety, Performance and PM. Completed All Scheduled Inspect
03/10/17 19571 Safety, Performance and PM. Completed All Scheduled Inspect
04/11/16 17613 Safety, Performance and PM. Completed All Scheduled Inspect
Date Tech Verb Noun Minutes R Service Entry Area Part # Qty Unit Cost Description
Date Tech Verb Noun Minutes R
Service Information for this Work Order
Emanuel Colon (Employee)
03/01/19 6 minutes Completed All Scheduled Inspections (Quick Entry)
Passed: CHECK OVERAL CONDITION OF HARDWARE ON DEVICE, LATCHES, HOSES AND COVERS.
Passed: CHECK MECHANICAL INTEGRITY OF ALL CONTROLS AND SWITCHES
Passed: CHECK CONDITION OF POWER CORD AND PLUG, IF APPLICABLE.
Passed: CHECK BATTERY CONDITION.
Passed: CHECK ALL MOVING PARTS FOR MECHANICAL INTEGRITY AND WEAR.
Passed: USING STANDARD WEIGHTS CHECK ACCURACY AT THE FOLLOWING POINTS.
Passed: ADULT SCALE: 12LBS(11.8LBS) 30LBS(30.4LBS) 42.4LBS(42.4LBS)
Passed: 61.0LBS(61.0LBS) 72LBS(72.8LBS)
Passed: CLEAN INTERIOR. CHECK INTERNAL PARTS FOR WEAR. LUBRICATE WHERE NECESSARY.
03/18/19 07:26 PM Page 1
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2019 Equip Safety & Cal Report CFHC Winter Haven
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