Sanyo MCO-19AIC, UV instruction manual Safety check sheet, 157

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. Unit contents :	Yes	No
Risk of infection:	Yes	No
Risk of toxicity:	Yes	No
Risk from radioactive sources:	Yes	No

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

2.Contamination of the unit

Unit interior	Yes	No
No contamination	Yes	No
Decontaminated	Yes	No
Contaminated	Yes	No
Others:

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 :

CO2 incubator

Model :

MCO-19AIC(UV)

MCO-19AIC

Serial number :

Date of Installation :

Please decontaminate the unit yourself before calling the service engineer.

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