SAFETY CHECK SHEET
CAUTION
1. Stored material
Risk of infection:
Risk of toxicity:
Risk from radioactive sources:
List all potentially hazardous materials that have been stored in this unit:
2. Contamination in the unit
a) Contamination
Types of contamination (if any):
b) Decontaminated
Methods used for the decontamination work:
3. Status of the unit
The unit is now safe to work on
If the answer is "No,"
Details on the danger:
Measures we should take to reduce the danger:
Date:
Signature:
Address, Division:
Telephone:
Product name:
CO
incubator
2
Please decontaminate the unit yourself before calling the service engineer.
88
Please fill in this form before servicing.
Hand over this form to the service engineer for their
and your safety.
Safety check sheet
Model No.
MCO-
□
□
Yes
No
□
□
Yes
No
□
□
Yes
No
□
□
Yes
No
□
□
Yes
No
□
□
Yes
No
Serial number:
□
Maybe
□
Maybe
□
Maybe
□
Maybe
Date of Installation: