Template

Medical Device Service Report

by Liam User, from the Community

10+

This medical device service report template helps technicians document field maintenance and repairs for UV phototherapy and similar equipment. Record scope of work, device and model details, serial numbers, lamp hours, intensity measurements, parts replaced, and whether work is under warranty. Log functional tests for cooling, lighting, sensors, and touchscreens, and calibrate modules with before-and-after readings in mW/cm2. Include photos of issues, note follow-up actions with timelines, itemize charges and total cost, and capture technician and owner signatures to confirm completion and next steps.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
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Medical Device Service Report

About author

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