Wo Bems SBH915 2407 000038
Wo Bems SBH915 2407 000038
Wo Bems SBH915 2407 000038
BEMS
A. Request Details
Hospital Wanita dan Kanak-Kanak /
Hospital Name / Code Priority Normal
SBH915
Service Work No. WO/BEMS/SBH915/2407/000038 Service Request No. SR/SBH915/20240711/B005942
Request Date / Time 11-Jul-2024 22:50 Requestor Name Margrate Ak Mosen @ Moeng
Requestor Location Name L5_neonat - Clean Utility Room Designation Nurse Contact No. 829
Asset Location Code / Name 0104012 / L5_neonat - Clean Utility Room Type Code 13-217
Department Code /
User Area Code / User Area Name UN03 / Nicu L 3 I02 / In-patient Care Services
Department Name
Manufacturer TOP Corp Brand / Model TOP / TOP-5300
V3 - Added installed facilities (new building, plant,
Workgroup W2-Biomedical Engineering Variation Status
equipment or land)
Request details To check and repair Infusion Pumps, Syringe unable to charge at Nicu Level 3
B. Contract/Warranty Information
C. Assessment Details
Response Finding
D. Part Details
E. Employee Details
F. Process Status
¨ Propose for BER ¨ Propose for RW ¨ Equipment In Use ¨ Technical Advise ¨ Equipment not at location
G. Completion
Performance Test ¨ Done ¨ Not Applicable ¨ Not Done Electrical Safety Test ¨ Done ¨ Not Applicable ¨ Not Done
Date/Time Work
Date/Time Work Start
Completed
Action Taken
QC Code
Date:11-Jul-2024 23:35