77210163GB Issue 3
66
Part 2 Guidelines for Returning Instruments
Please use the checklist below to ensure that the instrument being returned is ready for collection.
· All reagents / wax removed from instrument, including vapour traps (if applicable) . . . . . . . . . . . . .
· Accessories are secured / itemised . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
· Instrument has had transit clamps fitted as per operator guide . . . . . . . . . . . . . . . . . . . . . . . . . . . .
· Instrument is packed in original packaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES / NO
RMA NUMBER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CARRIER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FOR ATTENTION OF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thermo Fisher Scientific, Tudor Road, Manor Park, Runcorn, WA7 1TA, United Kingdom
Tel: +44 (0) 1928 534050; Fax: +44 (0) 1928 534049; www.thermo.com/pathology.
Part 1 DECONTAMINATION CERTIfICATE
Any instrument or part of any instrument must be clean before being returned, and where necessary
accompanied by a completed Decontamination Certificate. Should the instrument or any part of it be
received in an unclean condition, or Thermo Fisher Scientific consider it to be a hazard, the instrument or
part will be returned unrepaired at the expense of the customer.
It is important that the certificate is forwarded by post or fax, and a copy attached to the exterior of the
container. Containers will not be opened until the company is in possession of the required certificate.
This form MUST be completed by the customer and NOT a Thermo or distributor employee.
If an instrument or part is to be returned to THERMO, please note the following:-
1 If the instrument or any part of it has been exposed to, or been in contact with potential pathogenic or
radioactive material, it is essential that it is decontaminated.
2 Set procedures are laid down in the European Health and Safety Directives for decontamination.
To avoid any misunderstanding, we request that all instruments or parts returned to us must be
accompanied by a certificate stating the following:
We certify that this (Model) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Serial No
· has not been exposed to pathogenic, radioactive or other hazardous material and has been cleaned
OR
· has been decontaminated and cleaned (if exposed to the above) according to approved procedures,
following exposure to:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Position . . . . . . . . . . . . . . . . . . . . . . . . .
Name (Block Capitals) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Company or Organisation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Full address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
· Has the instrument been used for work with human, or animal, Transmissible Spongiform
Encephalopathies, e.g. Creutzfeld-Jacob disease, Scrapie or BSE?
YES / NO
If yes, please contact Thermo Service before taking any further action.
PRODUCT RETURN SAfETY DECLARATION
Содержание Cryotome
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