CAUTION

Please fill in this form before servicing.

Hand over this form to the service engineer to keep for his and your safety.

Safety check sheet

1. Refrigerator contents :

Yes

No

Yes

No

Risk of infection:

Yes

No

Risk of toxicity:

Yes

No

Risk from radioactive sources:

 

 

(List all potentially hazardous materials that have been stored in this unit.) Notes :

2.Contamination of the unit Unit interior

No contamination Decontaminated Contaminated Others:

Yes No Yes No Yes No Yes No

3. Instructions for safe repair/maintenance of the unit

 

 

a) The unit is safe to work on

Yes

No

b) There is some danger (see below)

Yes

No

Procedure to be adhered to in order to reduce safety risk indicated in b) below.

Date :

Signature :

Address, Division :

Telephone :

Product name:

Model:

Serial number:

Date of installation:

Ultra-low temperature

MDF-

 

 

freezer

 

 

 

 

 

 

 

Please decontaminate the unit yourself before calling the service engineer.

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Sanyo MDF-793AT, MDF-593AT instruction manual Safety check sheet