Service Request Type: Service Request Number:

Service Report Corrective Repair 2022-02/02034

Customer Details

Customer Name: RSUD.Prof Aloei Saboe Location: Jakarta-Indonesia

PO #: Contact Phone: +6281356604725
Contact Nome: Mr.Fahmi Sjawie Email Address:
Initial Problem Description: Preventive maintenance

Equipment Details

System ID: - Initial Equipment Status: Cathlab GE Innova 3100

Serial Number: 582236BU6 Entitlement: -
Angiography GE
Product Description:

Activity Description

Activity #: Activity Close Dote:

Activity Type: Field Support Engineer Name: Sukrisdianto
Tube Slice Reading:
Problem Description: Preventive Maintenance

Couse/ Diagnosis:
Feb,10 Feb 2022
- Preventive Maintenancen Angiography
- Preventive maintenance AW workstation

Resolution/ Service Performed: Feb 10-Feb-2022:

- Check and inspect error log In DL service OK
- Check and inspect input suplay Electricity the Hospital 380-400 Volt OK
- Check and inspect Electricity Phase to Phase 380volt,Phase To Neutral 220 volt OK
- Check and inspect Functional table OK
- Check and inspect sensor cover detector,sensor cover tube OK
- Check and inspect up and down Lift detector OK
- Check and inspect C-arm Movement,LAO,RAO,Cladual,Cranial OK
- Check and inspect Gantry Movement OK
- Check and inspect Detector Movement Up and down OK
- Check and inspect Chiler OK
- Check and inspect cooling system OK
- Check and inspect cabinet C1 and check PC DL,PC RTAC OK
- Check and inspect Cabinet C2 MCB board,Positioner board,Regulator Bord OK
- Check and inspect UPS back Up OK
- Check and inspect batterai UPS OK
- Check and inspect temperature room machine OK
- Test Flouro and cine from media apron OK
- Send to data patien from cathlab system to AW workstation OK
- Check and inspect Aplication AW OK
- General cleaning PC AW and functional test OK

Recommendotion :

“ Maintenance according to schedule “

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 Service Request Type: Corrective Repair
Service Report Request Number: 232202-35

Date Time Hours Labour Type

Feb 10, 2022 08:30-17:00 Onsite Repair
Nov 10,2022 17:00-00:00 Zona Travel

Ports Used Details

Port Number 0tY Description Asset Serial No

Expense Tracker

Expense Dote Type 0tY Comments

Engineer Signoture: Customer Signoture:

10-Feb-2022 17:00
SUKRISDIANTO
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