will only be performed when directed by equip- ment manufacturers or higher authority. (See Section 10, article 10-3 for additional guidance).
i. Equipment Condition Update. The
equipment condition will be updated whenever an item of equipment receives servicing that changes the current condition.
j. Equipment Installation. The installa-
tion of newly procured equipment will be conducted by the BIOMED when installation is not included in the purchase price of the equipment. Before the installation, a determina- tion must first be made of whether or not installation by Government personnel will void manufacturers’ warranties.
k. Acceptance Inspections. Acceptance
inspections will be performed and documented in DMLSS on all transferred or newly acquired equipment. The device code/nomenclature assigned in the DMLSS equipment record must match the actual equipment functionality. If nomenclature is incorrect, notify the Equipment Manager immediately for correction. Mainte- nance history records must be established and properly maintained for each item of equipment for the entire life of the equipment. A barcode number should be established for each mainte- nance significant item and remains unchanged unless transferred to another activity. DMLSS barcode labels shall be used to identify main- tenance significant equipment below the pro- perty accounting threshold. Refer to Section 8, article 8-1 for additional guidance regarding tagging of equipment.
l. Administrative Procedures. Adequate
administrative procedures will be established for the control and documentation of all work performed.
m. Technical Library. A technical library of operator and service manuals, miscellaneous technical reference manuals, parts listings, schematics, and wiring diagrams will be main- tained for all maintenance significant equipment. To reduce storage space and ease library man- agement, BIOMED should request electronic copies of manufacturer’s literature when avail- able. All literature should be recorded in DMLSS. Upon transfer of equipment, all man- uals should be included with the equipment.
n. BMET Training. A technical training program for continuing education will be established and maintained within the BIOMED. Technical skill levels, experiences, and special training acquired by each BMET must be docu- mented per Joint Commission requirement. Training should be directed towards theory of operation, maintenance, and repair of equipment currently installed within the command, or being procured. BMET training must be documented in DMLSS.
o. Operator Training. Training must be provided to operators when a new make or model of equipment is received in the command. The BMET, manufacturer, or vendor must pro- vide this training before placing the unit into service. See related topic “Equipment History” in Section 10, article 10-3.
p. Technical Guidance. Technical guid- ance and assistance will be provided to equip- ment operators and address user maintenance procedures and proper operation of equipment. Trained operators will establish training within their department/division ensuring their person- nel are sufficiently qualified.
q. Repair Parts Management Program. A viable and economical repair parts man- agement program will be established (see Section 10, article 10-6).
2. Maintenance
a. Types of Maintenance Requirements (MR). There are three types of MR:
(1) Scheduled Maintenance (SM),
serves to ensure proper operation, inherent reliability, increase operational availability, and prevents excessive wear of moving parts. Scheduled maintenance may include:
(a) Inspection (INSP).
(b) Preventive Maintenance (PM). (c) Calibration (CAL).
(d) Scheduled Parts Replacement (SPR).
(2) Unscheduled Maintenance (UM) often referred to as corrective maintenance or repair of malfunctioning equipment.
10-3 EQUIPMENT MANAGEMENT MANUAL 10-3
3 Jan 2008 10-8
(3) No Maintenance Required (NMR)applies to equipment that normally requires no scheduled maintenance based on the No Signi- ficant Risk (NSR) assessment, but is included in the equipment files to document UM.
b. Maintenance Levels. There are three
maintenance levels:
(1) Level I (Performance Testing). Consists of operator maintenance performed before, during, and after equipment usage. It is the basic maintenance required to keep equip- ment operating on a daily basis. Procedures usually consist of maintaining fluid levels, simple lubrication, daily inspections, cleaning, and/or operator calibration checks and adjustments. Level I maintenance is to be performed by the operator.
(2) Level II (Inspection, Preventive Maintenance, Calibration, and Parts Replace- ment). Relates to scheduled periodic (planned) technical inspection, lubrications requiring dis- assembly, replacement of worn or deteriorated parts, interior cleaning, calibration verification and/or adjustment, and verification Level I per- formance. Level II maintenance is to be per- formed by a BMET or qualified service support contract.
(3) Level III maintenance consists of maintenance requiring complete overhaul of the item of equipment and is considered depot-level maintenance or equipment manufacturer service center level maintenance. At activity discretion, performance of Level III maintenance by the local maintenance shop is permitted if required parts, personnel with technical expertise, tools and test equipment, and man-hours are avail- able. Level III maintenance will usually result in extension of service life and should be docu- mented in appropriate service history.
3. Scheduled Maintenance Program. An aggressive scheduled maintenance program is the most important single factor in reducing the risk of injury and achieving maximum perform- ance, efficiency, and life-cycle management. Scheduled maintenance programs provide regular systematic servicing, minor repairs, and detection of potential equipment malfunctions. Early detection of worn or failing components will often allow sufficient time to obtain replace- ment parts.
a. Responsibilities
(1) The first line of responsibility is the equipment operators and supervisors of areas where equipment is being used and operated. Supervisors will ensure that scheduled operator maintenance and performance testing is being conducted and documented. This responsibility must be well defined in the MEMP.
(2) BMETs are responsible for perform- ance testing and documentation of Level II and III scheduled maintenance. Performance can be through the use of in-house or certified con- tracted service personnel; however, documenta- tion of performance remains the responsibility of the BMET.
b. Risk Level Assessment. Assessments
of risk level takes into account both outcome probability and severity of risk of injury to patients or staff caused by device failure or user error. The Risk Levels are defined as:
(1) “High-Risk devices” (Risk Level 1). Life-support, key resuscitation, critical monitor- ing, and other devices whose failure or misuse is reasonably likely to cause serious injury or death to patient or staff.
(2) “Medium-Risk devices” (Risk Level 2). Devices, including many diagnostic instru- ments, whose misuse, failure, or absence would have a significant impact on patient care, but would not likely cause direct serious injury.
(3) “Low-Risk devices” (Risk Level 3). Devices whose failure or misuse is unlikely to result in serious injury.
(4) “No Significant Risk” (Risk Level 4). c. Scheduling Maintenance Frequency. The frequency of scheduled maintenance of medical equipment included in the MEMP should be in accordance with the manufacturers' requirements or frequency established by NAVMEDLOGCOM. BIOMED is required to use the DMLSS Device Code and Life Expectancy
Table: http://www-nmlc.med.navy.mil/gov_only/
equipment/Device_Codes/mdc.asp in assigning risk level and frequency of scheduled mainte- nance. Information within this table shall be interpreted as the minimum requirement.