102
SAFETY CHECK SHEET
CAUTION
Please fill in this form before servicing.
Hand over this form to the service engineer for their
and your safety.
Safety check sheet
1. Stored material
Risk of infection:
□
Yes
□
No
□
Maybe
Risk of toxicity:
□
Yes
□
No
□
Maybe
Risk from radioactive sources:
□
Yes
□
No
□
Maybe
List all potentially hazardous materials that have been stored in this unit:
2.
Contamination in the unit
a) Contamination
□
Yes
□
No
□
Maybe
Types
of
contamination
(if
any):
b) Decontaminated
□
Yes
□
No
Methods used for the decontamination work:
3. Status of the unit
The unit is now safe to work on
□
Yes
□
No
If the answer is "No,"
Details
on
the
danger:
Measures we should take to reduce the danger:
Date:
Signature:
Address, Division:
Telephone:
Product name:
O
2
/CO
2
incubator
Model No.
MCO-
Serial number:
Date of Installation:
Please decontaminate the unit yourself before calling the service engineer.
Summary of Contents for MCO-50ML
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