Esco Lexicon - Log Record Template

Freezer
:
_______________________________________________________________
Serial Number
:
_______________________________________________________________
Person in Charge
:
_______________________________________________________________
1. This log record should be used by the operator to record any new agent that has been introduced to
the freezer during its operation, problems encountered, etc.
2. Please also record any major maintenance procedure performed by the service technician, for
example: parts replacement, recertification, etc.
Date
Event
User Signature
Supervisor Signature
In case of emergencies, please call:
Name
:
_______________________________________________________________
Cell Phone Number
:
_______________________________________________________________
E-mail
:
_______________________________________________________________