Audit

Table Head Extensions

Head Supports / Extensions

Device Name

Asset / Reference Number

Mattress Integrity
Function / Safety

Bed Extentions

Urology / Neuro spine and Leg extensions /

Device Name

Asset / Reference Number

Function / Safety
Mattress Integrity

Pronation Devices

Prone Gell Pads / Wilson Frame

Device Name

Asset / Reference Number

Mattress Integrity
Function / Safety

Leg Holders

Lithotomy Poles / Hydraulic leg Holders

Device Name

Asset / Reference Number

Mattress Integrity
Function / Safety

Flat Gell Pads

Short and Long Flat Gell Pads

Device Name

Asset / Reference Number

Mattress Integrity
Function / Safety

Head Support Pronation Gell Pad

Pronation Face Gell pads

Device Name

Asset / Reference Number

Mattress Integrity
Function / Safety

Lateral Support Gell Pads

lateral foldable gel Pads

Device Name

Asset / Reference Number

Mattress Integrity
Function / Safety

Lateral Supports

Side supports with pads

Device Name

Asset / Reference Number

Mattress Integrity
Function / Safety

Ortho Black Pads

black Pads

Device Name

Asset / Reference Number

Mattress Integrity
Function / Safety

Ortho Black Pads

black Pads

Device Name

Asset / Reference Number

Mattress Integrity
Function / Safety

Lateral Arm Supports

Lateral Arm Holders

Device Name

Asset / Reference Number

Mattress Integrity
Function / Safety
Hand Tables

Device Name

Asset / Reference Number

Mattress Integrity
Function / Safety

Table ArmBoards

OR Table Armboards

Device Name

Asset / Reference Number

Mattress Integrity
Function / Safety
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.