Medical Device Maintenance Inspection
Device Information
Device Name
Model
Serial Number
Location
Manufacturer
Inspection Date
Inspection Checklist
Inspection Item
Status
Remarks
Power Supply
Pass
Fail
N/A
Display/Indicators
Pass
Fail
N/A
Cables/Connectors
Pass
Fail
N/A
Calibration
Pass
Fail
N/A
Accessories
Pass
Fail
N/A
Comments / Recommendations
Inspected By
Signature