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Neurosurgical Equipment Maintenance and Safety Log

Comprehensive Documentation Template for Equipment Management

Neurosurgery

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Template Content

Last updated: Mar 24, 2025

Equipment Information

  • Equipment Name/Model: ________________
  • Serial Number: ________________
  • Location: ________________
  • Manufacturer: ________________
  • Purchase Date: ________________

Maintenance Schedule

Daily Checks

  • Power system integrity
  • Visual inspection of cables and connections
  • Calibration verification
  • Safety mechanisms test

Weekly Maintenance

  • Software updates check
  • Backup systems test
  • Sterilization verification
  • Performance optimization check

Service Record

Date Service Type Technician Details Next Service Due

Safety Incidents

Incident Documentation

  • Date: ________________
  • Nature of Incident: ________________
  • Action Taken: ________________
  • Reporter: ________________

Calibration Record

  • Last Calibration Date: ________________
  • Calibration Performed By: ________________
  • Next Due Date: ________________
  • Calibration Certificate #: ________________

Quality Assurance

Monthly Verification

  • Performance meets specifications
  • Safety features operational
  • Documentation complete
  • Staff training current

Notes

Authorization

Inspected By: ________________ Date: ________________ Signature: ________________

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