Joerns Healthcare Oxford Elevate Manuel De L'utilisateur Et Garantie page 31

E ngli sh
Work performed:
Periodic verification
Repair (maintenance) - calibration
Modification
Date work completed
(DD/MM/YY)
Organisation ID # - Service provider
Name/address of service provider
Represented by
Signature of service provider
Signature of end user
Verification summary
Work performed:
Periodic verification
Repair (maintenance) - calibration
Modification
Date work completed
(DD/MM/YY)
Organisation ID # - Service provider
Name/address of service provider
Represented by
Signature of service provider
Signature of end user
Verification summary
Approved
Approved
Oxford
®
Elevate
Failed
Failed
294000.10065 Rev. B
31