Q1) In the last year, approximately how many failures did routine EST uncover, whether on acceptance or on routine use?

    None

    1-5

    6-10

    >10

Q2) Approximately how many electrical failures (as apposed to physical damage) could have caused immediate hazard to the patient or the operator?

    None

    1-5

    6-10

    >10

Q3) Out of these failures, what was the percentage roughly where the cause was due to:

The lead                     %       

The equipment           %   

Manufacturing fault    %

Other                         %       

Q4) What test equipment do you use?

    In-house developed

    Commercial medical equipment tester (e.g. RIGEL)

    Other (e.g. PAT tester)

Additional Comments:

Q5) Does your department carry out EST on commercial loan items?

    On a regular basis

    On commission only

    Varies depending on the item

    Never

Q6) Does your department carry out EST on laboratory items (e.g. biochemistry analysers, glucometers, etc.)?

    On a regular basis

    On commission only

    Varies depending on the item

    Never

Q7) Does your department carry out EST on research equipment?

    On a regular basis

    On commission only

    Varies depending on the item

    Never

Q8) Does your department carry out EST on systems (e.g. endoscopy trolleys, anaesthetic trolleys, etc.)?

    On a regular basis

    On commission only

    Varies depending on the item

    Never

Q9) Does your department carry out EST on domiciliary equipment?

    On a regular basis

    On commission only

    Varies depending on the item

    Never

Q10) At what frequency does your department carry out EST on hospital owned medical equipment?

    Less than once-a-year

    Once-a-year

    More than once-a-year

    Varies depending on the equipment

Q11) If the answer to 10 is (Varies) then on what criteria

    Medical Device Directive Classification

    Environment (e.g. wet area)

    Detachable mains lead

    Risk evaluation/ Risk centred maintenance

    Other

Additional Comments:

Q12) Do you label equipment to show it has passed testing after an EST?

    Yes

    No

    Sometimes

Q13) If the answer to 12 is (Yes) then what type 

    Tamper-proof

    Laminated

    Fabric

    Other

Additional Comments:

Q14) Do you record actual test values?

    Yes, always

    At commission only

    Sometimes, depending on the circumstance

    Never

Q15) Do you carry out functional tests on equipment as part of EST?

    Yes, always

    Sometimes, depending on the equipment

    Never

Q16) What plug-top fuse is used?

    Standardised at one value – e.g. 5A

    Varies depending on load

Q17) What detachable mains leads management system do you use?

    Inventory

    Colour

    Other

    None

Additional Comments:

Q18) What methods does your department use for staff training to perform EST?

    In house mentoring or one on one training

    Studied as part of a further education course run by a college

    Short Course training run by companies or other EBME Departments

    Other

Q19) Do you send off your EST equipment for calibration?

    Yes

    No

Q20) Do you monitor the EST % actually tested compared to planned?

    Yes

    No

Additional Comments: