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GE Frac-920 - Health and Safety Declaration Form

GE Frac-920
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7.2 Health and Safety Declaration Form
On site service
Ser
To ma
clean
a
equip
m
not su
additi
o
Yes
Provi
expl
a
for a
n
ans
w
Equi
p
I her
e
area
Nam
Posi
t
job t
i
Sign
e
v
ice Ticket
#
ke the mutual
a
nd free of an
y
m
ent, please c
f
ficiently clea
n
o
nal charges.
No
P
P
I
P
r
w
A
i
p
C
a
A
E
d
e
a
nation
n
y “No
w
ers here:
p
ment type /
e
by confirm t
h
has been ma
d
e:
t
ion or
i
tle:
e
d:
#
:
protection a
n
y
hazardous
c
c
omplete this
c
n
ed, accessibl
e
P
lease revie
w
P
rovide expla
I
nstrument h
a
P
lease rinse t
u
r
esidue. Ensur
w
ipe test or o
t
A
dequate spa
i
nstallation. In
p
rior to GE ar
r
C
onsumable
s
a
ny area tha
t
A
ll buffer / w
a
E
xcess contai
Product No:
h
at the equip
m
d
e safe and a
c
n
d safety of G
E
c
ontaminants
b
c
hecklist and
e
and safe for
w
the actions
b
nation for an
y
a
s been clea
n
u
bing or pipin
g
e the area ar
o
t
her suitable s
ce and cleara
some cases t
r
ival.
s
, such as col
u
t
may impede
a
ste vessels
a
ners have be
e
m
ent specified
c
cessible.
E
service pers
o
b
efore a Servi
c
p
resent it to th
e
an engineer
m
b
elow and an
s
y
“No answe
ed of hazard
o
g
, wipe down
s
o
und the instr
u
urvey.
nce is provid
e
his may requi
r
u
mns or gels,
h
access to th
e
re labeled.
e
n removed f
r
above has be
e
o
nnel and our
c
c
e Engineer st
e Service Engi
m
ay lead to de
s
werYes or
e
rs in box bel
o
o
us substanc
e
s
canner surfa
c
u
ment is clea
n
e
d to allow saf
re customer t
o
have been re
m
e
instrument .
f
rom the area
Seria
en cleaned to
Com
p
Date
GE and GE
GE Healthc
NJ 08855-
1
© 2010-14
On Sit
e
Safet
y
c
ustomers, all
arts a repair.
T
neer upon arr
l
ays in servici
n
“No.
o
w.
e
s.
c
es, or other
w
. If radioactivi
t
e access for i
n
o
move equip
m
m
oved or isol
a
to provide a
c
l No:
remove any
h
p
any or instit
u
(YYYY/MM/D
D
m
onogram are trad
e
a
re Bio-Sciences Co
1
327
General Electric Co
m
e
Servi
c
y
Decla
r
equipment a
n
T
o avoid delay
s
ival. Equipme
n
n
g the equipm
w
ise ensure re
m
t
y has been u
s
n
strument ser
v
m
ent from no
r
a
ted from th
e
c
cess.
h
azardous sub
u
tion:
D
):
e
marks of General
E
rp, 800 Centennial
A
m
pany—All rights re
s
D
c
e Hea
r
ation
F
n
d work areas
s
in the servici
n
t and/or wor
k
ent and could
m
oval of any
d
s
ed, please pe
v
ice, repair or
r
mal operatin
g
e
instrument
a
b
stances and t
E
lectric Company.
A
venue, P.O. Box 132
s
erved. First publish
e
D
OC1149542/28-98
0
lth &
F
orm
must be
ng of your
k
areas
be subject to
angerous
rform a
g
location
a
nd from
h
at the
7
, Piscataway,
e
d April 2010.
0
0-26 AC 05/2014
52 Frac-920 and Frac-950 Operating Instructions 28-9622-09 AC
7 Reference information
7.2 Health and Safety Declaration Form

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