GE M
EDICAL
S
YSTEMS
D
IRECTION
2392751-100, R
EVISION
3
V
IVID
™ 4 S
ERVICE
M
ANUAL
Chapter 10 - Periodic Maintenance
10-31
Section 10-9
PM and Safety Inspection Certificates
Vivid™ 4 Preventative Maintenance Inspection Certificate
Customer Name:
System ID:
Dispatch Number / Date Performed:
Warranty/Contract/HBS
System Type
Model Number:
Serial Number:
Manufacture Date:
Probe 1:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Probe 2:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Probe 3:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Probe 4:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Probe 5:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Probe 6:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Probe 7:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Probe 8:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Probe 9:
Frequency:
Scan Format*:
Model Number:
Serial Number:
*Scan Format: Phased Array, Linear Array, Curved Array, Mechanical Array, or other
Functional Checks
(if applicable)
OK?
or
N/A
Physical Inspection and Cleaning
(if applicable)
Inspect
Clean
2D-Mode Function
Control Console
Doppler Modes Function
Monitor
CF-Mode Function
Air Filter
M-Mode Function
Probe Holders
Applicable Software Options
External I/O
Applicable Hardware Options
Wheels, Brakes & Swivel Locks
Control Console
Cables and Connectors
Monitor
GE-approved Peripherals (VCR, CD-RW, MOD, Printers)
Measurement Accuracy
GE-approved Peripherals
Comments: