Electrical safety / reports
6 - 3
Siemens AG
SPR8-125.034.02
Page 3 of 6
POLYMOBIL Plus
Medical Solutions
Rev. 02
03.05
CS PS 24
Device leakage current/ report
6
System:
Material number:
Serial number:
Customer Ident number
(*1) Measuring circuit: See Fig. 2 to Fig. 3, next page
Device leakage current
First measured
value
Repeat measurement
value
Device leakage current
(highest measured value)
[mA]
Line voltage
during the measurement
[V~]
Device leakage current,
corrected value
[mA]
(*1) Measuring circuit:
Meas. instrument
Type:
Meas. instrument
Ser-No.:
Meas. instrument
calibrated up to:
Assessment:
Date:
Name:
Signature: