Imaging Modality PM & QA Checklist Pack (CT, MRI, Ultrasound, X-Ray)
PM and QA checklists for CT, MRI, ultrasound, and X-ray — pass/fail and readings per step, rolled up into an imaging QA dashboard by modality.
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PM & Preventive Maintenance Checklists
PM Checklist Pack by Modality
A multi-tab preventive-maintenance checklist workbook covering four common modalities — infusion pumps, patient monitors, ventilators, and defibrillators — with a step-by-step task list, pass/fail marking, and reading-capture cells on each tab. You record what was done to the device, who did it, and the date, then keep the completed sheet as part of your service-record trail. It records maintenance activity only; it never connects to a device and asserts no maintenance interval, task list, or manufacturer figure as authoritative — the intervals and steps you follow are the ones you enter and confirm against your own procedures.
- Format
- ZIP
- File size
- 65 KB
- Version
- v1.0.0 · updated August 2026
- Delivery
- Instant download · Secure checkout
Coming soon
This template is still in production. Join the waitlist and we will tell you the day it lands.
Join the WaitlistThis template is a documentation aid, not legal, regulatory, or accreditation advice. AAMI EQ56/EQ103, Joint Commission Environment of Care standards, and CMS Conditions of Participation are real published standards; you remain responsible for your own compliance determination.
Instant digital download · all sales final. Refund policy.
What’s included
- Preventive-maintenance checklists organised by device modality
- Pass/fail and technician-entered reading fields on every line
- Completion and sign-off block per checklist
- Blank modality template for devices not covered out of the box
- Compatible with Excel 2016+ and Google Sheets
Want this automated?
HTM Compliance Manager tracks PM schedules, calibration due-dates, and generates this exact audit binder automatically across every client hospital you service.
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