Appendix B
Certificate of Decontamination
Decontamination and disinfection procedures of the instrument must be performed for repair or return
before shipping. This must be performed for safety of both the customer and the manufacturer.
Instrument:
Serial no.:
Name:
Contact
information:
Address:
The method of decontamination
Dampen a lint-free cloth with70% ethanol or nucleic acid degrading solution and clean all parts of the
instrument that can be contaminated, including the components, the surface, etc. Then, wipe again
with a cloth dampened with DW immediately.
Repeat as many times as needed depending on the degree of contamination.
Additional fees may be charged for the decontamination procedure before service if the
decontamination procedure has not been performed or this certificate is not provided. Check the
following contents.
□
The product for service or return is not contaminated by toxic, carcinogenic, radioactive, or any
other harmful material.
□
The decontamination procedure has been performed for the product for service or return and it
will not be harmful to the handler of the instrument.
The type of materials used with the instrument
□
Chemical materials
□
Biological materials
□
Radioactive Materials
Remarks on the contamination
Decontamination process
Location:
Date:
Name/signature:
If radioactive material was used with the instrument, a signature of the radiation safety manager is
needed for the removal of radioactive contamination.
Location:
Date:
Name/signature:
