L-770HP--E
SAFETY STATEMENT ON RETURNED GOODS
When you return your Coriolis flowmeter for repair or other processing, send us a fax of this Safety Statement
and, at the same time, attach it to the equipment to be returned for our need to provide a safe working
environment to our employees.
Unless the Safety Statement on Returned Goods is attached to the returned equipment, or if we find it difficult
to ensure safety, we may decline, at our discretion, to accept and process the returned equipment.
(In case some residual metered fluid may be present in the housing, consult OVAL sales office or nearest representative.)
Equipment to
be returned
Sensor Unit
Transmitter
Model
Serial No.
Process Fluid
Names
List all chemicals and process fluids in contact with the equipment.
Health and Safety
Hazards
If an MSDS is available, attach here.
Precautions
(First aid)
If an MSDS is available, attach here.
NOTE: MSDS stands for Material Safety Data Sheet. It informs us of the physical and
chemical properties of materials and how to handle them.
I hereby certify that the equipment being returned has been cleaned and decontaminated in accordance with
good industrial practices. This equipment poses no health or safety risks due to contamination.
Date:
Company Name
Address
Phone No.
Fax No.
Job Title
Signature by
Reason for return
Remarks
