GE H
RAFT
EALTHCARE
D
KTD102576, R
IRECTION
Section 10-10
Electrical Safety Test Form
Electrical Test Performed
Outlet (correct ground & wiring config.)
System Ground Continuity
Chassis Source Leakage Current -
Potential equilibrium connector
Chassis Source Leakage Current -
Monitor housing
Chassis Source Leakage Current -
Probe connector
Patient Lead Source Leakage
(Lead to Ground)
Patient Lead Source Leakage
(Lead to Lead)
Patient Lead Source Leakage
(Isolation)
Peripheral 1 Leakage Current
Peripheral 1 Ground Continuity
Peripheral 2 Leakage Current
Peripheral 2 Ground Continuity
Peripheral 3 Leakage Current
Peripheral 3 Ground Continuity
Probe Number
(from previous page)
Probe 1:
Probe 2:
Probe 3:
Probe 4:
Probe 5:
Probe 6:
Probe 7:
Probe 8:
Probe 9:
10-26
7
DRAFT (A
EVISION
Max Value
Allowed
Max Value
Allowed
Section 10-10 - Electrical Safety Test Form
23, 2012)
UGUST
Value
Measured
OK?
PROBES
Max Value
Measured
OK?
V
E8 / V
OLUSON
OLUSON
S
M
ERVICE
ANUAL
Comments
Comments
E6