Thermo Electron iEMS, User Manual

Page: 56 / 61

Appendix B: Certificate of Decontamination
iEMS

Incubator/Shaker User Manual Rev. 3.0, Cat. no. 1506200A 56
Appendix B: Certificate of Decontamination
The decontamination procedure is required prior to shipping the instrument to
Thermo Electron Oy, e.g., for repair. If, for any reason, the instrument is
shipped back to Thermo Electron Oy, it must be accompanied by a dated and
signed Certificate of Decontamination, which must be attached to the outside of
the package containing the instrument. See Section 7.4 Decontamination
procedure.
Failure to confirm decontamination will incur additional labor charges or at
worst the items will be returned for proper cleaning.
Before returning any instrument(s) or item(s), ensure that they are fully
decontaminated. Confirm A or B status:
Name:
Address:
Tel./Fax:
Name:
Serial no.:
A)
I confirm that the returned items have not been contaminated by body fluids, toxic,
carcinogenic or radioactive materials or any other hazardous materials.
B)
I confirm that the returned items have been decontaminated and can be handled
without exposing the personnel to health hazards.
Materials used in the unit:
Che Biological
•
Radioactive *)
Specific information
about contaminants:
Decontamination
procedure
1 :
Date and place:
Signature:
Name (block capitals):
*) The signature of a Radiation Safety Officer is also required when the unit has been
used with radioactive materials.
This unit is certified by the undersigned to be free of radioactive contamination.
Date and place:
Signature:
Name (block capitals):
1 Please include decontaminating solution used.