Sertifikat Kalibrasi [PDF]

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SERTIFIKAT KALIBRASI CALIBRATION CERTIFICATE



Nomor Order CAL 10 / 390-398 Nomor Sertifikat MGF.290



13



1298



Identitas Alat Instrument Details



Nama



: Fetal Doppler



Name



Merek Pabrik Manufactur



Tipe



: Doppler(Ultrasonic Fetal Doppler) : Display it on digital LCD



Type



Nomor Seri Serial Number



: 54512



Identitas Pemilik Owner Identification



Nama



Designation



Alamat



: Rumah Sakit Bunda Harapan : Jalan Rasuna said, Jakarta



Addres



Sertifikat ini terdiri dari halaman



3



This certificate consists of



3 page



Diterbitkan tanggal



20



November 2013 Date of issue



Direktur Director Manager



/



20 November 2013



Manajer Teknik Technical



Alex Baharudin.SE Arief Firmansyah.SST No Order CAL 13 / 10 / 390-398



Imam



Order Number



Lembar ke 2 dari 3 lembar Page………………..of…………………………………………………………………………………………………………… …………………………………………………………….



Data Alat Pelanggan Customer’s Equpment



1. 2. 3. 4. 5.



Nama Alat/Equipment Name : Fetal Doppler Merk Pabrik/Manufacturer : Doppler(Ultrasonic Fetal Doppler) Tipe/Type : Display it on digital LCD No.Seri/Serial Number : 54512 Rentang Ukur/Range : 50-210 BPM



Pelaksanaan Kalibrasi Execution of calibration



1. 2. 3. 4.



Tempat/Place Ruangan/Room Tanggal/Date Teknisi/Technician



: Rumah Sakit Bunda Harapan : Mawar : 20 Oktober 2013 : Imam Arief Firmansyah.SST



Peralatan Standar Kalibrasi : Standard Calibration Equipment



No



1



Deskripsi Tertelusur



Tipe



No.Seri



Description Traceability



Type



Serial Number



Fetal Stimulator LK-120-IDN



PS320



65890



No.Sertifikat Certificate Number



1209 MGS.876



Kondisi Ruangan : Environmental Condition



No Parameter/Parameter Terukur/Measured 1 2



Suhu 0,8 Kelembaban



Kondisi Fisik dan Fungsi Alat: Physical Condition and Function of Equipment



Awal/Before Akhir/After 24,4 ± 0,8 24,8 ± 51 ± 2



51 ± 2



No Deskripsi/Description Fungsi Alat



Kondisi Fisik Physical Condition



Function



of Equipment



1



Badan dan Permukaan/Enclosure and surfaces Baik 2 Probe/Probe Baik 3 Kabel/Cable Baik No Order CAL 13 / 10 / 390-398



Baik Baik Baik



Order Number



Lembar ke 3 dari 3 lembar Page………………..of…………………………………………………………………………………………………………… …………………………………………………………....



HASIL KALIBRASI/CALIBRATION RESULT Setting BPM/Setting BPM Setting Alat Ketidakpastian



Toleransi



Equipmen Setting Uncertainyy



Tolerance (± 5%)



(95%



CL, k=2)



BPM BPM 150 0,7



± BPM



±



± 7,5



Akurasi/Accuracy Pembacaan alat Ketidakpastian



Pembacaan Standar



Equipment Reading Uncertanty



Koreksi



Standard Reading



Correction (95% CL,



k=2)



Naik Naik Turun BPM



Turun



Up



Down



BPM



BPM



Naik Turun Up



Down



BPM



Up



Down



BPM



BPM



0



1,9



BPM 0



0



0



0



47,0



1,0



1,9 50



49,0



3,0



1,9



1,9



90 120



88,0 118.0



86,0 115,0



148.0 209,0



2,0



4,0 2,0



5,0



1,9



1,9 1,9



146,0



2,0



4,0



1,9



207,0



1,0



3,0



1,9



1,9 150 1,9 210 1,9 Keterangan Remarks



1. Hasil ketidakpastian pengukuran mempunyai tingkat kepercayaan 95% dengan factor cakupan(k)=2 Results of measurement uncertainty has a confidence level of 95% with a coverage factor (k) = 2



2. Nilai Sebenarnya = Nilai Pembacaan Alat+ Nilai Koreksi True value = Equipment Reading Value + Correction Value



3. Hasil kalibrasi tertelusur ke system Satuan Internasional (SI) Calibration results are traceable to the International Unit System