Download - Panasonic Biomedical

CAUTIONPlease fill in this form before servicing.Hand over this form to the service engineer to keep for his and your safety.Safety check sheet1. Refrigerator contents :Risk of infection:Risk of toxicity:Risk from radioactive sources:□Yes□Yes□Yes□Yes□No□No□No□No(List all potentially hazardous materials that have been stored in this unit.)Notes :2. Contamination of the unitUnit interiorNo contaminationDecontaminatedContaminatedOthers:□Yes□Yes□Yes□Yes□No□No□No□No3. Instructions for safe repair/maintenance of the unita) The unit is safe to work onb) There is some danger (see below)□Yes□Yes□No□NoProcedure to be adhered to in order to reduce safety risk indicated in b) below.Date :Signature :Address, Division :Telephone :Product name :PharmaceuticalRefrigeratorModel :MPR-Serial number : Date of Installation :Please decontaminate the unit yourself before calling the service engineer.44