55
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. Freezer 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) Y
es
No
Procedure to be adhered to in order to reduce safety risk indicated in b) below.
Date :
Signature :
Address, Division :
Telephone :
Product name: Model: Serial number: Date of installation:
Ultra-low temperature MDF-
freezer
Please decontaminate the unit yourself before calling the service engineer.
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