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Name: __________________________________________ Date: _____________ Score: _____________
Procedure 24–5 Steps
Start Time: End Time: Total Time:
Steps
Possible
Points
First
Attempt
Second
Attempt
Third
Attempt
1. Assemble equipment and supplies. 5
2. Inspect each item on the list for cleanliness and record
findings. If not clean, clean the item appropriately.
15
3.
Demonstrating self-awareness to an emergency
situation, check the equipment for safety factors:
a. Electric cord and plugs
b. Loose screws or bolts
15
4. Check for operability:
a. Test any light source; replace burned-out bulbs.
b. Inspect items for wear; order replacement parts.
c. Briefly operate seldom-used equipment.
15
5. Check required operational standards:
a. Freezer temperature
b. Refrigerator temperature
c. Autoclave test strip
15
6. Correctly fill out the equipment maintenance checklist,
sign it, and submit it to the appropriate person for action.
a. Write the date on the maintenance checklist.
b. Note and report equipment that requires repairs.
15
Points Awarded / Points Possible
______ /
80
