0 physical inspection, 0 front panel button test, 0 leads test – ZOLL R Series Monitor Defibrillator Rev J User Manual
Page 162: 0 power supply test, 0 leakage current test, 0 paddles test, 0 heart rate display test, 0 pulse calibration test, 0 notch filter test, 0 heart rate alarm test
9650-0903-01 Rev. J
ZOLL R Series
Maintenance Test Checklist
Serial No.
Location
Tester
Signature
Date
Use this checklist to
record the results of the
R Series maintenance
tests, and keep it for
your records.
1.0
Physical Inspection
2.0
Front Panel Button
Test
3.0
Leads Test
4.0
Power Supply Test
5.0
Leakage Current
Test
6.0
Paddles Test
7.0
Heart Rate Display
Test
8.0
Pulse Calibration
Test
9.0
Notch Filter Test
10.0 Heart Rate Alarm
Test
Result of Check:
o No action required
o Minor problems corrected
o Disposable supplies
replaced
o Major problems identified
(unit out of service)
Additional Remarks
Pass Fail
N/A
1.1
o
o
o
1.2
o
o
o
1.3
o
o
o
1.4
o
o
o
1.5
o
o
o
1.6
o
o
o
1.7
o
o
o
1.8
o
o
o
1.9
o
o
o
1.10
o
o
o
1.11
o
o
o
1.12
o
o
o
1.13
o
o
o
1.14
o
o
o
1.16
o
o
o
Pass Fail
N/A
2.1
o
o
o
2.2
o
o
o
2.3
o
o
o
2.4
o
o
o
2.5
o
o
o
2.6
o
o
o
2.7
o
o
o
2.8
o
o
o
2.9
o
o
o
2.10
o
o
o
2.11
o
o
o
2.12
o
o
o
2.13
o
o
o
2.14
o
o
o
2.15
o
o
o
2.16
o
o
o
2.17
o
o
o
Pass Fail
N/A
3.1
o
o
o
3.2
o
o
o
3.3
o
o
o
3.4
o
o
o
Pass Fail
N/A
4.1
o
o
o
4.3
o
o
o
4.4
o
o
o
4.5
o
o
o
4.8
o
o
o
o
o
o
4.10
o
o
o
4.13
o
o
o
4.14
o
o
o
4.15
o
o
o
4.18
o
o
o
4.19
o
o
o
4.20
o
o
o
Pass Fail
N/A
5.1
o
o
o
Pass Fail
N/A
6.1
o
o
o
6.2
o
o
o
6.3
o
o
o
6.4
o
o
o
6.5
o
o
o
6.6
o
o
o
6.7
o
o
o
6.8
o
o
o
Pass Fail
N/A
7.1
o
o
o
Pass Fail
N/A
8.2
o
o
o
Pass Fail
N/A
9.3
o
o
o
Pass Fail
N/A
10.1
o
o
o
10.2
o
o
o
10.3
o
o
o
10.4
o
o
o
10.5
o
o
o
10.6
o
o
o
10.7
o
o
o
10.8
o
o
o
10.9
o
o
o
10.10
o
o
o
10.11
o
o
o
10.12
o
o
o
10.13
o
o
o
10.14
o
o
o
10.15
o
o
o
10.16
o
o
o
10.17
o
o
o
10.18
o
o
o
10.19
o
o
o
10.20
o
o
o
10.21
o
o
o