
Countertop RFID User Guide, REV3, 8/3/21 14
APPENDIX D: SAFETY CHECKLIST
Please fill out this form before servicing and ensure that the unit is properly marked with any applicable
markings to denote any hazards inside.
Provide this form to the service engineer to keep for safety purposes.
SAFETY CHECKLIST
Device Contents:
Risk of infection
Yes
No
Risk of toxicity
Yes
No
Risk of radioactive sources
Yes
No
Please list any potentially hazardous materials that have been stored in this device:
Contamination of the device:
No contamination
Yes
No
Decontaminated
Yes
No
Contaminated
Yes
No