(Attachment _2) AR40-61 CH 6-5.pdf

may provide on-site maintenance services when resources permit. Items that require service beyond the capability or authority of the supporting activity will be evacuated to the appropriate USAMMA maintenance division.

(1) Direct support maintenance— ( a ) P r o v i d e s a l l a u t h o r i z e d m a i n t e n a n c e f u n c t i o n s t h a t e x c e e d t h e a u t h o r i t y , c a p a b i l i t y , o r c a p a c i t y o f u n i t maintenance.

(b) Provides unit-level maintenance services to medical units without organic capabilities.

(c) Repairs components and/or modules identified as direct support level on MACs.

(d) Provides on-site support to combat zone medical units by means of mobile support teams.

(e) Provides technical assistance to supported units.

(f) Fabricates minor repair parts when necessary to meet operational readiness requirements.

(2) General support maintenance—

(a) Provides all authorized repair functions that exceed the authority, capability, or capacity of direct support units.

(b) Provides unit-level maintenance services to medical units without organic capabilities.

(c) Repairs components and/or modules identified as general support level on MACs.

(d) Provides on-site support to communication zone units by means of mobile support teams.

(e) Provides technical assistance to supported units.

(f) Fabricates repair parts when required.

d. Depot level maintenance. Depot level maintenance—

(1) Performs overhaul and rebuild of end items and components in support of the wholesale supply system and as

"repair and return" actions.

(2) Performs maintenance services and functions for the wholesale supply system.

(3) Provides on-site mobile support teams on an as-required basis.

(4) Performs special inspections, tests, and modification program actions.

(5) Provides end items, components, and repair parts through established programs in support of MTOE and TDA medical units.

(6) Manufactures items and parts when required.

(7) Provides services on a non-reimbursable basis to consumer Defense Health Program and OMA-funded active

Army units. Services are reimbursable when they are provided to ARNG/ARNGUS, USAR, or other eligible DOD or Government agencies.

e. TDA maintenance operations. TDA maintenance operations encompass unit, direct support, and general support maintenance functions and are characterized by fixed facilities collocated with HCAs, research and development activities, and other AMEDD activities. Services and functions are provided for organic medical equipment within these facilities and to area support missions and/or ISSA missions as directed by the commands.

Section II Primary Equipment Maintenance Services

6–4. Preventive maintenance checks and services PMCS are the systematic care, servicing, and inspection of medical equipment. (See TB MED 750–1 for additional information on medical equipment maintenance.) HCA commanders will oversee PMCS programs.

6–5. Electrical safety inspections and tests

a. All HCAs must provide safe environments to prevent electrical shock hazards.

(1) HCA MERs will test patient care-related electrical medical equipment on a scheduled basis in accordance with

NFPA 99.

(2) TDA HCA safety officers/managers will designate, in writing, critical care, wet, and anesthetizing locations, as defined in NFPA 99. These designations will be made annually and will be submitted to each HCA’s safety committee for review and to HCA commanders for approval and signatures.

(3) TDA HCA safety officers will inspect and document all nonmedical electrical equipment. In order for HCAs to maintain JCAHO accreditation, these inspections must be conducted in accordance with NFPA 99.

b. TDA HCA MERs will annotate maintenance records, denoting that initial or periodic safety tests were performed.

If equipment fails, remedial maintenance work orders will be generated. Use the appropriate medical equipment safety testing forms for the type of equipment tested. (See TB 38–750–2.)

c. The TDA HCA MERs will ensure that line isolation monitors are tested in accordance with NFPA 99.

d. To the maximum extent possible, OCONUS fixed facilities must comply with the same standards as CONUS facilities. If unique electrical or grounding problems exist due to variations in facilities, give primary concern to patient and operator safety. MERs must take immediate action to correct identifiable electrical safety hazards.

e. MTOE unit commanders are not mandated to comply directly with all requirements listed in NFPA 99, however, effort will be made to prevent electrical shock hazards and to establish electrically safe environments. At a minimum, 35AR 40–61 • 28 January 2005

c. The TDA HCA MERs will ensure that line isolation monitors are tested in accordance with NFPA 99.

b. TDA HCA MERs will annotate maintenance records, denoting that initial or periodic safety tests were performed.g p y p If equipment fails, remedial maintenance work orders will be generated. Use the appropriate medical equipment safetyq p g testing forms for the type of equipment tested. (See TB 38–750–2.)

6–5. Electrical safety inspections and tests