
Orthopedic Trauma Table T e c h n i c a l S e r v i c e s D e p a r t m e n t
Preventative Maintenance Checklist Phone: 800-777-4674 PST Fax: 510-429-8324
Ovation Orthopedic Trauma Table
Model: 6310
Work Instruction Number 50603-10
Contact Information:
Date: ________________Model/Serial#: _______________________ Account #: ____________________
Hospital Name: ________________________ _________ City & State: ________________________________
Contact Name: _______________________ Position: ___________________ Phone: _____________________
Equipment Location: ___________________________ ____________________________________ _________
Service Representative: _____________________ Service Organization: ____________________________ ___
Service Rep. phone: ________________________ Home location: ____________________________________
Customer contact accepting service: ______________________ __________________ ____________
Name please print Signature Date
Service Representative: ________________________ _______________ ________________ ___
Name please print Signature Date
Using this report: Please proceed through each step and place an “x” in the “( )” as each item representing Pass Fail
( ) ( ) criteria is inspected. If a step has failed, please indicate with an “x” and note the reasons in the comments
section. If you resolve the failure place an “x” in the “Pass” area and indicate the corrective action again in the
comments section. If you are unable to perform any Pass/Fail check, please contact Mizuhosi Technical Services for
assistance and circle the check
Biohazards when servicing equipment: Please take appropriate precautions for servicing potentially biohazard
contaminated equipment or working in biohazard surroundings. Please wear protective surgical gloves and long
sleeved gowns at all times. If your gloves or protective clothing tears, replace immediately. Have the hospital staff
clean the equipment appropriately prior to servicing. Clean your tools that may become contaminated with
biohazards prior to placing back in your tool kit for removal from the location. If you suspect biohazards are present
do not handle until they have been cleaned.
(If serviced by an outside service organization, the record must be reviewed, signed, and dated by Technical
Services Dept. Refer to last page of this document).
50603-10 Rev. A ECN# 10016 Effective Date 3/9/2010 Page 1 of 3

Orthopedic Trauma Table T e c h n i c a l S e r v i c e s D e p a r t m e n t
Preventative Maintenance Checklist Phone: 800-777-4674 PST Fax: 510-429-8324
Surgical Tables Covered:
6310 Ovation Table (electrical version)
Tools Required:
Digital Multi-meter with probes and hook leads.
Normal Hand Tools
Materials Required:
Ovation Orthopedic Trauma Table Model 6300/6310 User Guide – NW0224
Ovation Orthopedic Trauma Table MMaaiinntteennaannccee aanndd RReeppaaiirr MMaannuuaall –– NNWW00338844
Pass Fail
1. General Overall Condition.
1.1 ( ) ( ) Table base is clean, without signs of hazardous contamination, is consistent with proper care.
Comments: _________________________________________________________________________
1.2 ( ) ( ) All labels are intact and are legible.
Comments: _________________________________________________________________________
2. Power Input Inspection.
2.2 ( ) ( ) Power cord with AC plug is free of wear, corrosion, insulation cracks, and plug is
properly attached to power cord.
Comments:__________________________________________________________________________
2.3 ( ) ( ) The table base "ON/OFF" switch / circuit-breaker, is properly attached and splash protector is not torn
or pierced. When switched on, green light illuminates.
Comments: _________________________________________________________________________
3. All Casters Operate Properly.
3.1 ( ) ( ) Spar casters rotate and roll freely and smoothly full 360 degrees.
Comments: _________________________________________________________________________
3.2 ( ) ( ) Base casters rotate and roll freely and smoothly full 360 degrees.
Comments: _________________________________________________________________________
3.3 ( ) ( ) All casters do not shake or have abnormal uniformity.
Comments: _________________________________________________________________________
50603-10 Rev. A ECN# 10016 Effective Date 3/9/2010 Page 2 of 3