11
Non-hazard Declaration
Declaration of Safety and Acceptability as Non-Hazardous to Health
The safety and health of our employees, the legal regulations governing the handling of materials that pose hazards
to health and the environment and the regulations governing occupational safety mandate and require that this Non-
hazardous Declaration be filled out completely for all equipment returned to the respective Sartorius affiliate, subsidiary,
dealer or distributor listed for your country. No repair or return is possible unless a completed Non-hazardous Declaration
form has been submitted.
Fax or mail a copy of a completed Non-hazardous Declaration form in advance to the respective Sartorius affiliate,
subsidiary, dealer or distributor listed for your country (for the fax number or address, please refer to our list of countries).
We require this information before the equipment | component arrives. An additional copy must accompany the equipment |
component. If necessary, the shipping company must be notified.
Incomplete entries or non-compliance with this procedure will automatically lead to considerable delays in processing.
In the event of return, we do not differentiate between
– still utilizable and | or repairable used electrical and electronic equipment and no longer utilizable and | or repairable used
electrical and electronic equipment or
– between waste that is subject to monitoring by the supervisory authorities and waste that is not subject to any special
monitoring by the supervisory authorities (used electrical and electronic equipment).
Model:
Serial No.:
I | we guarantee that the following measures have been taken:
The equipment | component has been freed of hazardous materials to ensure that persons involved with the handling | repair
are not exposed to any hazard or danger whatsoever.
The equipment has been packaged for safety and the complete labeling has been affixed to it.
The shipping agent has been notified (as prescribed) about the hazardous nature of the shipment.
The person sending in the equipment | component is hereby notified that said person shall be liable to Sartorius, its affiliates,
subsidiaries, dealers and distributors as well as to any third parties – in particular to any of employees of Sartorius, its
affiliates, its subsidiaries, dealers or distributors involved with the handling | repair of the equipment | component – for any
damage, caused by entries that are incomplete or incorrect on account of negligence, gross negligence or willful intent.
Name:
Position:
Date:
Signature:
Company’s stamp: