GE Healthcare PM REPORT

LightSpeed 5.X SCHEDULE B

GANTRY REVOLUTIONS:
DATE:
SITE: SYSTEM ID:

Procedure Inspect Clean Split

CONSOLE
Console Inspection ______ ______ ______

GANTRY
Handling & Removal of Slip Ring Brush Debris ______ ______ ______
Schleifring Maintenance and brush inspection ______ ______ ______

Comments:

Is Follow Up Work Required? ‰ Yes ‰ No If yes, indicate the reschedule date: ___________

Field Engineer: Id#: Dispatch#:

ls5x_schb, Revised 10 Nov. 2008 Page 1 of 1