Log

Medical equipment planned maintenance log - JCI FMS.7, FMS.2, healthcare (international)

Log planned maintenance, testing, and calibration of medical equipment, including identification, service details, test results, and follow-up dates to support JCI FMS.7 and FMS.2.

Fill it in online - free, no account needed. 21 questions.

What it is for

This template provides a structured log for recording all planned maintenance, testing, and calibration activities for medical equipment.

The full question list

1. Equipment Identification

  1. Equipment name and model *
  2. Manufacturer *
  3. Serial number *
  4. Asset tag number (if applicable)
  5. Equipment risk classification *
  6. Location (department/room) *

2. Maintenance Details

  1. Date and time of maintenance/test *
  2. Type of service performed *
  3. Description of work performed *
  4. Service provider / Technician name *
  5. Service provider / Technician company *

3. Test Results and Status

  1. Equipment passed all maintenance/test criteria *
  2. Specific readings or results (if applicable)
  3. Equipment taken out of service due to failure
  4. Date and time equipment was taken out of service (if applicable)
  5. Date and time equipment was returned to service (if applicable)

4. Follow-up and Next Due Date

  1. Next scheduled maintenance/calibration due date *
  2. Any recommendations or notes for future maintenance

5. Sign-off

  1. Name of person completing this log *
  2. Date and time of completion *
  3. Signature of person completing this log *

References

How the score works

The score is the share of scored questions that pass. N/A is left out of the score; text, dates and signatures are recorded but not scored. A completed template is a record of what you checked; it is not an inspection by a regulator or an accreditation body.

Questions

Why is planned maintenance important for medical equipment?

Planned maintenance ensures medical equipment operates safely and effectively, reducing the risk of malfunction, improving patient safety, and extending the lifespan of devices.

How often should medical equipment be maintained?

The frequency of maintenance depends on the equipment type, manufacturer's recommendations, risk classification, and regulatory or accreditation standards. This log helps track those schedules.