LaboGene Fortuna 900 - Annex 3 - Decontamination Statement

Instruction manual for Fortuna
12062017QA01
Item No. 700745
CopyRight © 2017
Page 48 of 49
14 Annex 3 - Decontamination statement
Statement regarding personal safety for repair/inspection
ScanLaf is legally obliged to protect its employees from all dangers. We therefore kindly ask you to
copy and complete this statement before work is commenced.
Subject:
Service report no.
Service agreement no.
The undersigned hereby declares that the above repair/inspection will not expose the service
technician to hazardous biological, chemical or radioactive agents. Reservations, if any, may
be indicated here (e.g., use of gloves, respiratory gear, etc.).
Date
Name in block letters
Signature