This document is an electrical safety test form for a piece of equipment. It lists the part number and serial number, then records the results of tests measuring chassis resistance, enclosure leakage current, earth leakage current, and patient leakage current under various conditions. The limits for acceptable readings according to safety standards are also provided. The form is signed off by the tester.
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Electrical Safety Test Form Caleo PDF
This document is an electrical safety test form for a piece of equipment. It lists the part number and serial number, then records the results of tests measuring chassis resistance, enclosure leakage current, earth leakage current, and patient leakage current under various conditions. The limits for acceptable readings according to safety standards are also provided. The form is signed off by the tester.
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Caleo
The following Equipment has been electrically tested, and the values have been recorded for your convenience.
Part Number:
Serial Number:
Chassis Resistance in Ohms
* Limits Chassis Resistance: £ 0.2 Ohms
Enclosure Leakage Current in µA, unit switched on:
N.C. - Normal Ground, Normal Polarity, Normal Neutral: £ 100 µA
N.C. - Normal Ground, Reverse Polarity Normal Neutral: £ 100 µA S.F.C. - Open Ground, Normal Polarity, Normal Neutral: £ 300 µA S.F.C. - Open Ground, Reverse Polarity, Normal Neutral: £ 300 µA
Earth Leakage Current in µA, unit switched on:
N.C. - Open Ground, Normal Polarity, Normal Neutral: £ 300 µA
N.C. - Open Ground, Reverse Polarity, Normal Neutral: £ 300 µA S.F.C. - Open Neutral, Open Ground, Normal Polarity: £ 300 µA S.F.C. - Open Neutral, Open Ground, Reverse Polarity: £ 300 µA
Patient Leakage Current in µA, unit switched on:
N.C. - Normal Ground, Normal Polarity, Normal Neutral: £ 100 µA
N.C. - Normal Ground, Reverse Polarity, Normal Neutral: £ 100 µA S.F.C. - Open Ground, Normal Polarity, Normal Neutral: £ 500 µA S.F.C. - Open Ground, Reverse Polarity, Normal Neutral: £ 500 µA
* All limits according to UL2601-1 / Table 19.100 and Table IV
Name: Date: Signature:
Caleo Electrical Safety Test Form November 2001 Page 1 of 1