Erection Monitoring Device Usage Log Form
Please complete this form to log each session of erection monitoring device usage. Ensure all details are accurate and complete for operational tracking.
Session Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Session Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Session End Time
*
Hour Minutes
AM
PM
AM/PM Option
Device Serial or ID Number
*
Operator or User Name
*
Device Status at Start
*
Please Select
Operational
Requires Calibration
Maintenance Needed
Other
Observed Readings (Primary Value)
*
Observed Readings (Secondary Value, if applicable)
Issues or Malfunctions Observed
Additional Notes
Submit Log
Should be Empty: