🔊 Tympanometer — Calibration & Service Log
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⚠ Ensure calibration cavities (0.5 cc and 2.0 cc) are clean and dry before calibration. Take a clear photo of the tympanometer and probe assembly before starting.
Job Details
Mobile / Unit *
GM1
GM2
GM3
GM4
GM5
GM6
GM7
GM8
SIOC 2
SIOC 3
SIOC 4
RAF
Guud Vision Clinic
Cape Town
Service Date *
Location
Technician First Name *
Technician Surname *
Machine Brand
Machine Model
Serial Number
Before You Start — Required Photo
Photo — Tympanometer & Probe (Before) *
Damage Assessment
Component
Condition
Comments
Probe assembly — probe tip, rubber seal, and housing
OK
Minor Wear
Damaged
N/A
Probe cable and connector
OK
Minor Wear
Damaged
N/A
Insert ear tips (various sizes)
OK
Minor Wear
Damaged
N/A
External housing — screen, buttons, ports
OK
Minor Wear
Damaged
N/A
Printer unit (if applicable)
OK
Minor Wear
Damaged
N/A
Power cable and supply
OK
Minor Wear
Damaged
N/A
Service Checklist
Done
Task
Comments
Clean probe tip and check for wax blockage
Inspect rubber seal on probe; replace if cracked or stiff
Check all insert ear tip sizes; discard worn or discoloured tips
Clean screen and housing
Verify probe tone is audible (226 Hz default)
Run test with calibration cavity (0.5 cc and 2 cc)
Check acoustic reflex stimulator output
Review stored results for correct data capture
Calibration Record
Step
Method / Target
Result
Comments / Measured Value
Probe Tone Frequency
Verify 226 Hz probe tone with frequency counter; target ±1 Hz
Pass
Fail
0.5 cc Cavity
Measure equivalent ear-canal volume in 0.5 cc cavity; target 0.5 ± 0.1 cc
Pass
Fail
2.0 cc Cavity
Measure equivalent ear-canal volume in 2.0 cc cavity; target 2.0 ± 0.2 cc
Pass
Fail
Pressure Range
Confirm pressure sweep −400 to +200 daPa without fault
Pass
Fail
Peak Compliance
Measure known cavity; peak compliance within ±10% of expected
Pass
Fail
Acoustic Reflex Thresholds
Verify reflex activator output level at 1000 Hz; ±3 dB tolerance
Pass
Fail
Final reproducibility check
Repeat 0.5 cc measurement three times; results within ±0.05 cc
Pass
Fail
Post-Service Functionality Check
Result
Check
Comments
Pass
Fail
Tympanograms reproduce correctly on test cavities
Pass
Fail
Probe seal intact with no air leaks
Pass
Fail
Pressure sweep completes without alarms
Pass
Fail
Acoustic reflex thresholds within tolerance
Pass
Fail
Insert ear tips clean and undamaged
Pass
Fail
Next calibration due date recorded
After Service — Required Photo
Take the same photo as before to confirm the probe and equipment are clean.
Photo — Tympanometer (After) *
Notes & Sign-off
Technician Notes
Technician Signature (type full name)
Technician Sign-off Date
Supervisor Signature (type full name)
Supervisor Sign-off Date
Post-Service Photos / Calibration Certificate (optional)
Save Calibration Log