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Rev.(0.0),202110 Page1
INSTALLATIONREPORTANDCHECKLIST
Foranalyzer CY006CYANHemato
Distributor
(Companyname)
Coordinates
(Country,city)
(TelephoneandEmail)
Maintenanceengineer
(Name)
(TelephoneandEmail)
Institution
(Laboratoryname)
Coordinates
(Country,city)
(TelephoneandEmail)
Labmanager
(Name)
(TelephoneandEmail)
Installationreport
Serialnumber
Deliverydate
Installationdate
Contentpackinglistverified
□
Yes
□
No
Installationchecklistcompleted
(seepage2)
□
Yes
□
No
Usertraininggiven
□
Yes
□
No
Warrantyactivated
(seepage2)
□
Yes
□
No
Warrantyenddate:
Theinstallationreportofthelaboratoryequipmentisapprovedandsignedby:
Firstandlastname:
Date:
Signature:
This form is a compulsory requirement for ISO certification, laboratory accreditation, good
laboratorypracticesandthelegalrequirementsinmanycountries.Fillitoutandbefutureready.
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