NAVMED 6700-3 (Enclosure 2).pdf

The document is a NAVMED 6700/3 Medical/Dental Equipment Maintenance Record form used to track maintenance and repair activities for medical equipment. The two-page form contains sections for recording equipment details such as nomenclature, model number, serial number, manufacturer information, and life expectancy. The form also includes spaces to log maintenance data, electrical safety checks, resistance measurements, and a comprehensive repairs accomplished section that tracks in-shop and out-shop repairs with details like date, NSN/part number, source, quantity, unit cost, total cost, labor hours, and work order number.

This maintenance record form is specifically designed for naval medical facilities to document equipment maintenance history, enabling thorough tracking of repairs, maintenance performed, and associated costs. The form's note indicates it should be used for unscheduled maintenance, with Maintenance Improvement Procedures (MIPs) recommended for scheduled preventative maintenance. Additionally, the form instructions specify that a copy should be submitted to NAVMEDMATSUPPCOM for each equipment item when originally procured to assist in repair parts provisioning.