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Vascular Surgery Equipment Maintenance Log Template

Comprehensive Documentation System for Equipment Safety and Compliance

Vascular Surgery

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Template Content

Last updated: Mar 24, 2025

Equipment Information

  • Equipment Name: _______________
  • Model Number: ________________
  • Serial Number: ________________
  • Location: ____________________
  • Manufacturer: ________________

Maintenance Schedule

Daily Checks

  • Power-up system test
  • Visual inspection of cables and connections
  • Calibration verification
  • Safety features check

Weekly Maintenance

  • Software updates check
  • Backup systems test
  • Sterilization verification
  • Emergency stop function test

Service Record

Date Service Type Technician Details Next Service Due

Quality Control Checks

Monthly Validation

  • Imaging Quality: ________________
  • Resolution Test: ________________
  • Safety Parameters: ______________

Quarterly Assessment

  • Performance Metrics: ____________
  • Compliance Review: _____________
  • Safety Certification: ___________

Equipment Issues Log

Date Issue Description Action Taken Resolved By Follow-up Required

Annual Certification

  • Last Certification Date: _________
  • Certification Authority: _________
  • Next Due Date: ________________

Notes

Sign-off

Inspected By: ________________ Date: _______________________

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