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Colorectal Surgery Equipment Maintenance Log Template

Comprehensive Documentation System for Surgical Equipment Management

Colorectal Surgery

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Template Content

Last updated: Mar 24, 2025

Equipment Information

  • Device Name/Model: ________________
  • Serial Number: ____________________
  • Manufacturer: _____________________
  • Purchase Date: ____________________
  • Location: ________________________

Maintenance Schedule

Daily Checks

  • Equipment cleaning and disinfection
  • Visual inspection of cables and connections
  • Functionality test of basic operations
  • Calibration verification (if applicable)

Weekly Maintenance

  • Deep cleaning of all components
  • Software updates check
  • Backup battery testing
  • Safety mechanism verification

Service Record

Date Service Type Technician Details Next Service Due

Critical Equipment Specific Checks

Endoscopic Equipment

  • Light source intensity
  • Image quality assessment
  • Channel integrity check
  • Leak testing results

Surgical Staplers

  • Firing mechanism inspection
  • Safety lock verification
  • Cartridge compatibility check

Issues and Repairs Log

Date Issue Description Action Taken Resolution Cost

Certification and Compliance

  • Last Certification Date: _______________
  • Next Certification Due: _______________
  • Regulatory Standards Met: _____________

Sign-off

Maintenance Performed By: _______________ Date: _______________ Supervisor Approval: _______________

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