Orthopedic Equipment Maintenance and Calibration Log

Comprehensive Documentation Template for Equipment Management

Orthopedics

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Last updated: Mar 24, 2025

Equipment Information

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

Maintenance Schedule

Date Type Description Next Due Technician
□ Routine
□ Calibration
□ Repair
□ Routine
□ Calibration
□ Repair

Calibration Details

Parameters Checked

  • □ Accuracy
  • □ Precision
  • □ Range of Motion
  • □ Force Measurements
  • □ Digital Display
  • □ Safety Features

Issues and Repairs

Date Problem Description Action Taken Parts Replaced Cost

Quality Control

  • Last Inspection Date: _________________
  • Inspection Result: □ Pass □ Fail
  • Inspector Name: _________________
  • Comments: _________________

Safety Checks

  • □ Electrical Safety Test
  • □ Mechanical Safety Check
  • □ Emergency Stop Function
  • □ Warning Labels Intact
  • □ User Manual Available

Certification

I certify that the maintenance/calibration was performed according to manufacturer specifications and facility protocols.

Signature: _________________ Date: _________________

License/Certification #: _________________

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