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    Item Department/Section Equiptment Description Job Request NO

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    anon_939938070
    The document is a job request form listing equipment in need of repair from various hospital departments. It includes 4 items: a weighing scale for the NICU, a cautery machine for the OR, an ECG machine for the ICU, and a droplight for the ER. It provides details of each item such as brand/model, serial number, date assessed, complaint, assessment of the issue, any parts needed, and the technician assigned. The form requests repairs to medical equipment from different departments across the hospital.

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    Item Department/Section Equiptment Description Job Request NO

    Uploaded by

    anon_939938070
    23 views12 pages
    The document is a job request form listing equipment in need of repair from various hospital departments. It includes 4 items: a weighing scale for the NICU, a cautery machine for the OR, an ECG machine for the ICU, and a droplight for the ER. It provides details of each item such as brand/model, serial number, date assessed, complaint, assessment of the issue, any parts needed, and the technician assigned. The form requests repairs to medical equipment from different departments across the hospital.

    Original Description:

    Assessment

    Original Title

    Assessment

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    The document is a job request form listing equipment in need of repair from various hospital departments. It includes 4 items: a weighing scale for the NICU, a cautery machine for the OR, an ECG machine for the ICU, and a droplight for the ER. It provides details of each item such as brand/model, serial number, date assessed, complaint, assessment of the issue, any parts needed, and the technician assigned. The form requests repairs to medical equipment from different departments across the hospital.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    23 views12 pages

    Item Department/Section Equiptment Description Job Request NO

    Uploaded by

    anon_939938070
    The document is a job request form listing equipment in need of repair from various hospital departments. It includes 4 items: a weighing scale for the NICU, a cautery machine for the OR, an ECG machine for the ICU, and a droplight for the ER. It provides details of each item such as brand/model, serial number, date assessed, complaint, assessment of the issue, any parts needed, and the technician assigned. The form requests repairs to medical equipment from different departments across the hospital.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 12

    JOB REQUEST DEPARTMENT/SECTION

    ITEM EQUIPTMENT DESCRIPTION


    NO.

    1 19-0357 NICU Weighing Scale

    2 19-0372 OR Cautery Machine

    3 19-0338 ICU Complex ECG Machine

    4
    19-0359 ER Droplight
    DATE/TIME DATE
    BRAND/MODEL SERIAL COMPLAINT
    ASSESSED: REQUESTED

    Detecto/ Neonate N/A 5/20/2019 For Repair

    Bovie/ AARON A2350 AA3116068 5/23/2019 Switch Intermittent

    Carewell/ ECG-1103 123L18700773E13 5/14/2019 Failed to print ECG Leads

    5/22/2019
    N/A N/A Not Functional
    ASSESSMENT PARTS NEEDED QTY. ASSESSED BY

    Unit is out of order Defective


    counter weight For Prieto/ Lloren
    further evaluation and assessment and
    possible repair/ Correction

    Defective power switch for purchase of Prieto/ Lloren


    defective parts

    Under Warranty
    For referral to supplier (centramed) For Prieto/ Lloren
    further assessment and repair

    Prieto/ Lloren
    Defective receptacle for purchase order receptacle 1
    ASSIGNED TO
    JOB REQUEST DEPARTMENT/SECTION
    ITEM EQUIPTMENT DESCRIPTION
    NO.

    Aircon Unit/ Package Type/Floor


    1 1 19-0009 Laboratory/ BloodBank Mounted 3T

    2 2 19-0370 MMS/ Supply Bio- Refrigerator

    Aircon Unit/
    3 3 Radiology Wall Mounted 2HP

    4 4

    19-0393 ENT-OPD Aircon Unit/ Wall mounted

    5
    19-0385 Emergency Room/ I.M Aircon Unit/ Floor mounted/ 5T
    DATE/TIME DATE
    BRAND/MODEL SERIAL ASSESSED: REQUESTED

    42BFMFSUCAR03TEA 3/28/2019
    Carrier/ ASBFM360BA 1/7/2019
    A12PC0021545

    FUJI Chiller 5/22/2019 5/22/2019

    Media D2102002912157021 2/4/2019

    6/26/2019

    Carrier 596083 6/20/2019 6/20/2019


    COMPLAINT ASSESSMENT PARTS NEEDED QTY.

    Compressor Motor
    For Check-up NH52NXBT
    LRA. 91

    Defective filter drier, advice toreplace filter Filter drier 1 pc.


    not functioning properly drier and new recharge refrigerant #22 refrigerant #22 2kg

    Defective compressor motor


    Grounded/ shorted starting starting and
    common winding. Recommended for Comp. Motor
    For Check-up and repair replacement of compressor motor. Model: PH240X2C- 1 pc.
    3FTUI LRA: 45

    Defective Motor Terminal Winding, Motor Compressor 1 pc.


    commom, starting, running, grounded Mode:
    For Check-up No Cooling advice replacement new motor compressor 2P19S3R236A

    Model: ZR54KS-TF5-
    522 LRA. 1 pc.
    non- functional 125/135
    ASSESSED BY ASSIGNED TO

    Baldon

    Tran/ Baldon
    JOB REQUEST DEPARTMENT/SECTION
    ITEM EQUIPTMENT DESCRIPTION
    NO.

    1 19-0408 HIMS Filimh Room Stand Fan

    2 19-0409 CSS Stand Fan


    DATE/TIME DATE
    BRAND/MODEL SERIAL COMPLAINT
    ASSESSED: REQUESTED

    Astron/ Jaguar 81-1635 OF4-16-267889 6/14/2019 not functioning

    National/ F 401M 571404135 6/14/2019 6/11/2019 defective


    ASSESSMENT PARTS NEEDED QTY. ASSESSED BY

    Winding was burned and grounded, Unit


    is beyoned repair and recommended for Tahud
    CONDEMN.

    Winding was burned and grounded, Unit


    is beyoned repair and recommended for Tahud
    CONDEMN.
    ASSIGNED TO

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