Chair Inspection

Chair Function

Repair completed

Swivel brake

Repair completed

Headrest

Repair completed

Condition

Light inspection

Light powers up

Repair completed

Brightness levels

Repair completed

Swivel function

Repair completed

Delivery units

AW syringes

Repair completed

Exhaust filter

Replaced

Air leaks

Repair completed
Extractor swivals/spool valves
Repair completed

Oiled

Oiled

HVE swivel
Repair completed

Saliva ejector
Repair completed
Low speed tubing
Repair completed
High speed tubing

Repair completed

Tool holder

Repair completed

Table swivel

Repair completed

Dentist delivery unit

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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.