Title Page

  • Site conducted

  • Conducted on

  • Location

  • Job No.

  • Technician

Nursecall Equipment Details

  • Equipment make

  • Approximate age of system Yrs;

  • Type of system/model

  • Number of bedrooms;

DESCRIPTION OF SYSTEM

  • Description of System

  • Observations and Recommendations

Control Panel CP

Control Panel CP

  • Number of panels on site ?

  • Condition of panel?

  • CP sounder operational?

  • Wireless antennae condition?

SYSTEM DEVICE

System Device

  • Devices fixed securely?

  • Call point operating correctly?

  • Labels clear and undamaged?

  • Devices are in clean condition?

  • Pull cords operating correctly?

  • Door monitoring points operational?

  • Pressure mats operating correctly?

  • Wireless devices operating correctly?

BATTERY CHECK

Battery Check

  • Date batteries installed?

  • Condition of Batteries?

  • Battery aH?

  • Condition of battery leads?

  • Battery Charging voltage

  • Charging voltage healthy?

Sounders and indicators

Sounders and indicators

  • Sounders have similar tone?

  • indicators working correctly?

  • Indicators clean and illuminating?

  • Indicators unobstructed to view?

Corridor Displays

  • Corridor Display Type?

  • Number of displays?

  • Corridor Displays Clean?

  • Corridor Display operational?

SITE PAPERWORK

Site Paperwork.

  • Log book supplied and updated?

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Details

  • Engineers Signature

  • Date of Inspection

  • Contractor Details

    City Facilities Management Limited
    Caledonia House
    Lawmoor Street
    Glasgow
    G5 0US

    Tel 0141 418 9000

NURSECALL SYSTEM ANNUAL MAINTENANCE INSPECTION

  • room Number

  • Room

  • Room
  • Wall Callpoint

  • Bed Cord

  • Pull Cord

  • Door Indicator

  • Pressure Mat

  • Door Monitor

  • Other Type

  • Room name if not bedroom:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.