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Pyramid Innovation Ltd 12-08-2014
Annexe B
Product return Safety Declaration Form
Part1 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
Pyramid Innovation Ltd 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 by a Distributor or distributor employee.
If an instrument or part is to be returned to Pyramid Innovation Ltd, 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)
•
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:
Has the instrument been used for work with human or animal Transmissible Spociform Encephalopathies, e.g. Creutzfeld-
Jacob disease, Scrapie or BSE?
YES / NO
If yes, please contact Pyramid Innovation service before taking any further action.
Signed ...................................................................... Position ...................................................................
Name (Block Capitals) .............................................................................................................................
Company or Organization .........................................................................................................................
Full Address
............................................................................................................................................
.........................................................................................................................................................................
Part 2 Guidelines for Returning Instruments
PI006-D040 v1 Twin Hopper Manuel d'utilisation
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Serial No
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