HAEMONETI
CS®
Cl
eani
n
g
and Mai
n
tenance Rec
o
rd
D
ev
ice
serial
number:
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Y
ear of ope
ra
ti
on:
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Ann
u
al
pr
ev
en
ti
ve
mainten
ance sh
ou
ld
be sc
hedu
led
b
y a
sup
er
visor
w
h
en ap
pr
o
p
riate an
d p
erfo
rmed b
y a H
aem
o
n
etics
ser
vice r
ep
resen
ta
ti
ve
or a
qu
alified en
gin
eer
.
A
nnual m
aintenan
ce perfor
med b
y:
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Date
pe
rformed:
..
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R
ev
ie
w
ed b
y:
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Date/ini
tials:
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Act
io
n
Cl
ea
n ca
bi
n
et
, co
nt
ro
l pa
ne
l
an
d v
al
ves
.
Cl
ea
n ai
r
d
et
ect
or
s.
Cl
ea
n
p
u
m
p
ro
to
rs
.
Cl
ea
n
ce
nt
ri
fu
ge
c
o
ve
r a
n
d
w
ell.
Cl
ea
n o
p
ti
ca
l bo
w
l se
ns
o
r.
C
le
an
op
tic
al l
ine
se
ns
or
.
C
le
an
a
ir
filte
rs
.
In
sp
ec
t O
-r
in
g;
a
pply
s
ilic
on
lubr
ic
an
t.
C
lea
n
DPM (and
S
P
M).
V
eri
fy
b
ioh
az
ard
w
ast
e ba
g.
M
ain
ten
an
ce
pe
rf
or
me
d
b
y:
(d
at
e a
n
d
ini
tia
ls)
Revi
ew
ed
b
y:
(d
at
e a
n
d
ini
tia
ls)
