Test report
According to the service manual WM 66611
WEINMANN Emergency Medical Technology GmbH + Co. KG, Frohbösestraße 12, 22525 Hamburg, GERMANY
Tel: +49 40 88 18 96-120, Fax: +49 40 88 18 96-481
WM 66611 – 07/
2021
Page 3 of 3
Serial number
9.9
Checking the accessories
OK
Not
OK
Oxygen cylinder
x
The oxygen cylinder shows no signs of external damage.
x
The valve of the oxygen cylinder is fully functional.
x
The pressure reducer on the oxygen cylinder is fully functional.
x
The oxygen cylinder has a valid test certificate.
Pressure hose
x
The pressure hose shows no signs of external damage.
x
The O-ring in the pressure hose shows no signs of external damage.
x
The pressure hose label is present and legible.
Connection nozzle
x
The connection nozzle shows no signs of external damage.
x
The O-ring in the connection nozzle shows no signs of external damage.
The instructions for use are present.
Yes No
The final inspection was performed and passed.
Date
Signature
Summary of Contents for OXYWAY Click
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