Sanyo MPR-1013R Instruction Manual - Page 27

Safety check sheet

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CAUTION Please fill in this form before servicing. Hand over this form to the service engineer to keep for his and your safety. Safety check sheet 1. Refrigerator contents : Risk of infection: Risk of toxicity: Risk from radioactive sources: ˘Yes ˘Yes ˘Yes ˘Yes ˘No ˘No ˘No ˘No (List all potentially hazardous materials that have been stored in this unit.) Notes : 2. Contamination of the unit Unit interior No contamination Decontaminated Contaminated Others: ˘Yes ˘Yes ˘Yes ˘Yes ˘No ˘No ˘No ˘No 3. Instructions for safe repair/maintenance of the unit a) The unit is safe to work on b) There is some danger (see below) ˘Yes ˘Yes ˘No ˘No Procedure to be adhered to in order to reduce safety risk indicated in b) below. Date : Signature : Address, Division : Telephone : Product name: Pharmaceutical Refrigerator Model: MPR-513, 513R MPR-1013, 1013R Serial number: Please decontaminate the unit yourself before calling the service engineer. Date of installation: 26

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26
CAUTION
Please fill in this form before servicing.
Hand over this form to the service engineer to keep for his and your safety.
Safety check sheet
1. Refrigerator contents :
Risk of infection:
Risk of toxicity:
Risk from radioactive sources:
(List all potentially hazardous materials that have been stored in this unit.)
Notes :
2.
Contamination
of the unit
Unit interior
No contamination
Decontaminated
Contaminated
Others:
3. Instructions for safe repair/maintenance of the unit
a) The unit is safe to work on
b) There is some danger (see below)
Procedure to be adhered to in order to reduce safety risk indicated in b) below.
Date :
Signature :
Address, Division :
Telephone :
Product name:
Pharmaceutical Refrigerator
Model:
MPR-513, 513R
MPR-1013, 1013R
Serial number:
Date of installation:
Please decontaminate the unit yourself before calling the service engineer.
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Yes
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No
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Yes
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No
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Yes
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No
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Yes
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No
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Yes
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No
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Yes
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No
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Yes
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No
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Yes
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No
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Yes
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No
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Yes
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No