ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAIAJAKALAMANAOAPAQARASATAUAVAWAXAY
1
RUMAH SAKIT UMUM DAERAH dr. MOHAMMAD SOEWANDHIE
2
CHECKLIST HARIAN PENGECEKAN ALAT KESEHATAN
3
RUANG ONKOLOGI RADIASI
4
TAHUN 2026
5
6
7
Bulan :Juni
8
9
10
NoNama Alat Medis (Merk/Type/SN)Item yang diperiksaTanggal
11
123456789101112131415161718192021222324252627282930
12
1LINEAR ACCELERATORSF6 Gas Pressure30.7731.5030.3233.1632.9433.0233.2033.2433.5433.0233.2532.7133.19
13
VARIAN/TRUE BEAM/5592
Temperature Chiller14.8417.1114.9816.4215.9615.8815.8016.5817.3115.9117.0415.2516.91
14
Facility Supply6.585.866.365.835.995.815.805.785.855.835.8406.075.86
15
Water LevelNormalNormalNormalNormalNormalNormalNormalNormalNormalNormalNormalNormalNormal
16
MPC 6X & Geometry PassPassPassPassPassPassPassPassPassPassPassPassPass
17
MPC 10XPassPassPassPassPassPassPassPassPassPassPassPassPass
18
Temp Ruangan (Dinding)19.819.919.720.019.920.1202020.920.12020.120
19
Humidity Ruangan (Dinding)45464645454544454745474547
20
Humidity41424255425455545554545554
21
2BRAKHITERAPIQA TestPassPassPassPassPassPassPassPassPassPassPassPassPass
22
BEBIG SAGINOVA/Door Lock/Door SensorPassPassPassPassPassPassPassPassPassPassPassPassPass
23
HDR AFTER LOADER 191Temperature18.118.218.118.318.118.418.518.318.11818.118.418.1
24
3CT SIMULATORWarming Tube51310184119104206613
25
CANON // VAREX IMAGING TSX-201A // MCS7078D 3CF2262455 // 667592PLaser Check (Internal)OkOkOkOkOkOkOkOkOkOkOkOkOk
26
Laser Check (Eksternal)OkOkOkOkOkOkOkOkOkOkOkOkOk
27
Temperature17.417.517.519.517.921.221.2212121.221.22118.2
28
Humidity44444544414142414141424246
29
30
Dilaksanakan oleh : Nopa & All Adin
31
Diketahui oleh,
32
Koordinator Onkologi Radiasi
KEPALA IPS
33
34
35
36
37
AHMAD ZAKI DZULFIKAR
(Fitria Putri Rahayu, A.Md. TEM)
38
NIP. 19870302 200902 2 008
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100