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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
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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
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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