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Notice d'utilisation : Enceinte de securite HERAsafe KS
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Invoice recipient / Customer no.:
Location / Forwarding address:
Year of manufacturer:
KC:
ST:
Name of te> clinician:
Appointed date:
order date:
Ordered by:
Order no.:
Type of device:
ID no. / Order no.:
Operating hours:
Equipment no.:
Factory no.:
Service device no.:
Date of delivery:
Date of start-up:
Customer inventory no.:
Certficate of decontaminatior
Dear customer,
when using biological and chemical agents within and ouside of devices, hazards to the health of the operating personnel may be present
and contamination of the surroundings of the device may occur when service or repair works are carried out.
Within the scope of national and international legal regulations, such as
- responsibility of a company for the protection of its employees,
- responsibility of the operator for the operational safety of devices,
all possible hazards must absolutely be prevented. Prior to any calibration, service, and repair works, prior to any relocation of a device,
and prior to the shut-down of a device, the device must be decontaminated, disinfected, and cleaned as required by the work to be carried out.
Therefore, we ask you to fill in this certificate of decontamination before you start with the required work.
Yours sincerely
KENDRO Laboratory Products GmbH
Works to be carried out (please mark where applicable
Service
□
Filter replacement
□
Repair
□
Relocation
□
Calibration
□
Transport
□
Declaration of possible contamination (please mark where applicable)
The device is clear of biological material
□
The device is clear of dangerous chemical substances
□
The device is clear of radioactivity
□
The device is clear of other dangerous substances
□
The device is clear of cytostatic agents
□
Certificatio n:
Prior to carrying out the required work, we have decontaminated, disinfected, and cleaned the device as described
in the operating instructions of the device and in accordance with nationally applicable regulations.
The device does not present any hazards.
Note:
Date, legally binding signature, stamp
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