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Step
1
of
5
- Device Information
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Device Information
Device Model
*
iPAD SP1 Semi
iPAD SP1 Fully
iPAD NF1200
iPAD NF1201
Serial Number
*
Manufactured Date
*
MM slash DD slash YYYY
Reported Issue
None Reported.
Diagnosis
Update Voice and Firmware.
Battery Information
Battery Serial Number
*
Manufactured Date
*
MM slash DD slash YYYY
Battery Voltages
Slot One
Slot Two
Slot Three
EEPROM Data
Used Time
Shocks for Adult
Shocks for Child
Half Charging
Battery Insert Test
Periodic Self Test
Accessories
Battery
*
Yes
No
Adult Pads
*
Yes
No
Paediatric Pads
*
Yes
No
Carry Case
*
Yes
No
Manual
*
Yes
No
Extras
Software Information
Current Software Version
*
Updated Software Version
*
Language Updated
Yes
No
Final Test
Power-On Test
PASS
FAIL
CANNOT COMPLETE
Pads Test
PASS
FAIL
CANNOT COMPLETE
Internal Discharge
PASS
FAIL
CANNOT COMPLETE
Shock Test
PASS
FAIL
CANNOT COMPLETE
Shock Test (J)
Engineer's Details
Engineer's Name
First
Last
Date of Issue
*
DD slash MM slash YYYY
Signature
*
Communication
Send a copy to customer?
Email
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