Hand this form to the service engineer to keep for his and your safety.
1. Unit contents :
Risk of infection:
Risk of toxicity:
Risk from radioactive sources:
(List all potentially hazardous materials that have been stored in this unit.)
Notes :
2.
Contamination
Unit interior
No contamination
Decontaminated
Contaminated
Others:
3. Instructions for safe repair/maintenance/disposal of the unit
a) The unit is safe
b) There is some danger (see below)
Procedure to be adhered to in order to reduce safety risk indicated in b) below.
Date :
Signature :
Address, Division :
Telephone :
Product name :
CO
Incubator
2
Please decontaminate the unit yourself before calling the service engineer.
72
Please fill in this form before servicing.
Safety check sheet
of the unit
Model No.
MCO-
CAUTION
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Serial number :
No
No
No
No
No
No
No
No
Date of Installation :