Sanyo MPR-721 - Safety check sheet

A 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. R efrigerator contents : DYes DNo
Risk of infection: DYes DNo
Risk of toxicity: DYes DNo
Risk from radioactive sources: DYes DNo
(List all potentially hazardous materials that have been stored in this unit.)
Notes:
2. C ontamination of the unit
Unit interior
□ Y es □ No
No contamination
□ Yes □ No
Decontaminated
□ Yes
□ No
Contaminated
□ Yes
□ No
Others:
3. I nstructions for safe repair/maintenance of the unit
a) The unit is safe to work on DYes DNo
b) There is some danger (see below) DYes DNo
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 :
Pharmaceutical MPR-721
Refrigerator MPR-721R
Please decontaminate the unit yourself before calling the service engineer.
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