Title Page
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Trust
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Hospital
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Conducted on
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Prepared by
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Location
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Ward / Name Of The System
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SF Case Number
Health Check - PC
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Photo Of The System (Pre-Works)
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System Number (FL No.)
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Master Frame No's
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Add-on Frame No's
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Manufacturing Date
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Dell Service TAG
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PC Model
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MAC Address
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Host/PC Name
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IP Address (If Applicable)
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Windows O/S
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Windows Service Pack
Health Check - SQL
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SQL Version
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SQL Instance Name
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SQL Authentication (e.g. Local/mixed)
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SQL User Account (e.g. sa)
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Database Name
Health Check - Domain
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Domain Account
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Local Admin Account
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SMTP Server
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From Address
Health Check - Software
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Software Version
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SPS UI Username
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SPS Admin Username
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SPS UI Exit Password
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Client PC
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Portal
Health Check - Physical Inspection
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Please TICK the checkbox when complete & make note of any works completed or actions required.
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Test drawers with open drawer on 0,6,12 compartments
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Check all drawer fronts for damaged/missing rivets
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Check plastic handles in drawer fronts (damaged / missing)
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Check locking bar mechanism
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Check PIC bus cable
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Check all power leads (mains and UPS leads) for signs of damage
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Has the UPS battery been replaced as part of the annual service
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Reason for not replacing
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Ensure UPS software is correctly installed and working
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Check all com’s leads (serial, monitor, keyboard, all UPS leads)
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Check monitor for wear and calibration
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Ensure all lid screws are in place
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Check cupboard door alignment
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Has the fan air filter been cleaned / replaced as part of annual service
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Reason for not replacing
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Clean / wipe dust out of P.C. bay
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Check functionality of screen gas filters
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Check all drawers override easily
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Does system have any other SPS Software
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LAN Sync
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Please list all parts used from FST stock
- UPS Battery - 7980912T
- Gas Struts - 7981708F
- Cooling Fan Filters - 0004M
- Other
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Qty Gas Struts
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Qty - Cooling Fan Filters
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Please list parts used
Health Check - Other
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Super Users or Best Person on site to deal with issues. Contact details
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All keys available
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Please Provide Details
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Have All Keys Been Tested & Confirmed Working
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Please Provide Details / New Keys Required?
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Over Ride Key No
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Back Up Location
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Special Instructions for site (eg No Master Keys to be used)
Customer Sign-Off
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Are you satisfied with the service you have recieved today
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Please provide details to help us improve our service
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Would you like to leave any feedback
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Please provide feedback
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Have the areas worked in been left clean & tidy
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Please provide details to help us improve our service
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Is there any other information you would like to feedback?
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Please provide details
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Customer Sign-Off
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A copy of this document will be sent to your nominated email address. Thank you for your assistance today. Please let us know if you require any further information.
