Thermo Scientific iEMS Incubator, User Manual

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Appendix B: Certificate of Decontamination
Thermo Scientific iEMS Incubator / Shaker HT User Manual Rev. 2.4, Cat. no. 1506400A 55
Appendix B: Certificate of Decontamination
The decontamination procedure is required prior to shipping the instrument to
Thermo Fisher Scientific Oy, for example, for repair. If, for any reason, the
instrument is shipped back to Thermo Fisher Scientific 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 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.
PHOTOCOPIABLE