Instruction Manual
K SERIES Cryostorage System
IM: CryoCeK
Revision: 02
Approved by: CB
Page
69
of
87
Appendix B - SERVICE HISTORY LOG
IMPORTANT
: Fill in this form each time a service of your Worthington Industries Cryostorage System has been done.
Customer Information
Operating Company Name:
Service Company Name:
Cryostorage System Information
Cryostorage Model:
Serial No:
Controller Model:
Serial No:
Version No:
Following services (inspection, tests, repairs) have been logged:
Date
LOG NO
Parts serviced and/or replaced
Technician/Company
Signature
NOTE
: Keep this Service History Log up to date for your own protection. For medical device vigilance reasons
please send a copy of this updated form to Worthington Cylinders GmbH, Customer Service via Fax: +43 7485
606 100 or Email: [email protected].