6 CAUTION
Please fill
in
this form before servicing.
Provide this form to the service engineer to keep for safety.
1.
Freezer
contents:
Risk of infection:
Risk of toxicity:
Safety
check
sheet
DYes
DYes
o No
o No
Risk from radioactive sources: 0 Yes 0 No
(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:
DYes
DYes
DYes
3.
Instructions for safe repair/maintenance
of
the unit
o No
o No
o No
a) The unit is safe to work on 0 Yes 0 No
b) There is some danger (see below) 0 Yes 0 No
Procedure to be adhered to
in
order to reduce safety risk indicated
in
b) above:
Date:
Signature:
Address, Division:
Telephone:
Product name: Model: Serial number:
Laboratory Freezer SF-L6111
Please decontaminate the unit yourself before calling the service engineer.
20
Date of installation:
English