Sanyo mpr-214f Instruction Manual - Page 34

Safety check sheet - model

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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 ˘Yes ˘No b) There is some danger (see below) ˘Yes ˘No Procedure to be adhered to in order to reduce safety risk indicated in b) below. Date : Signature : Address, Division : Telephone : Product name: Model: Serial number: Pharmaceutical Refrigerator with Freezer MPR-214F Please decontaminate the unit yourself before calling the service engineer. Date of installation: 33

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33
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:
Model:
Serial number:
Date of installation:
Pharmaceutical Refrigerator
MPR-214F
with Freezer
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