d现场检验调查表(xray)

《d现场检验调查表(xray)》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、辽宁省医疗器械检验所现场检验条件调查表QuestionnaireonTestingSpot1.基本情况（BasicCondition）制造商名称：Manufacturer:生产厂地址：Address:产品名称：Name:型号规格：Model:商标名称：Trademark:真实性承诺：我们承诺《现场检验条件调查表》中填写内容真实无误，若有不符，承担由此而产生的一切责任和后果。AuthenticityPromise:Wepromisethat“QuestionnaireonTesting”wefilledinist

2、rulyandinerrable.Ifitdoesnottrulywiththeform,wewilltaketheresponsibilityforallthelegalissueoccurred.填表人签字：印刷体：Filledby:Print:批准人签字：印刷体：Approvedby:Print:(公章)年月日(Seal)date:V5.3LMTI-QSD-D222A-S07/72.试验现场条件（TestingSpotCondition）要求：现场试验的场地及相关的电源、通风、照明、电离辐射防护等条件应满

3、足X射线机（CT机）试验的要求。Requirement:Theconditionsoftestingspotonthesite,supply,ventilate,lighting,ionizationradiationprotectionshouldmeetthetestingrequirementsofX-rayequipmentCT.试验场地名称及地点：Thenameandaddressoftestingsite:工作面积：m2状态：□独立□局部WorkingareaStateIndependencePar

4、t环境温度：℃相对湿度：％□空调□自然状态EnvironmenttemperatureRelativehumidityConditionerNaturecondition通风状况：□空调□自然通风VentilatedconditionConditionerNature照明状况：□人工采光□自然采光LightingconditionSupplyinglightNaturelight电源条件：相数：□单相□三相电源电阻：ΩSupplyconditionPhasesinglephaseTriphasePowerres

5、istance电压：V频率：Hz容量：kWVoltageFrequencyElectricalcapacity电磁干扰的防止：□无干扰源□有干扰源ElectromagneticinterferencepreventionNo-interferenceInterference□有干扰源，但有防止措施Interference,buthaspreventionmethod振动噪音的防止：□无噪声源□有噪声源VibrationnoisepreventionNo-noiseNoise□有噪声源、但有改善措施Noise,b

6、uthasimprovablemethod保护接地的条件：□有专用接地系统□有临时接地系统ProtectiveearthingconditionSpecialearthingsystemTemporaryearthingsystem□无接地系统No-earthingsystem电离辐射的防护：□永久性防护（隔室操作）□临时防护（防护屏）IonizationradiationprotectionPermanenceprotectionTemporaryprotection□无辐射防护No-radiationpro

7、tectionV5.3LMTI-QSD-D222B-S07/73.试验辅助人员（TestingAssistant）要求：应有熟悉标准、检验操作的专业技术人员协助工作。Requirement:Technicalstaffswhoarefamiliarwiththestandardandtestshouldassistwiththework.名称Name性别Sex职务/职称Title专业Major从事专业年限Yearsatthisfield4.试验仪器设备（TestingInstruments）要求：应提供试验所需

8、要的仪器设备。Requirement:Theinstrumentshouldbesuppliedfortestingrequirement.仪器设备名称Nameofinstrument要求Requirement型号Model量程及准确度Measuringrangeandaccuracy计量有效期CalibrationPeriodofValidity温度计Thermometer用于环境温