Health And Safety Clearance Form For Bvc Systems And Accessories - vacuubrand BVC basic Manual

Health and safety clearance form for BVC systems and accessories

Devices will not be accepted for any handling before we have received this declaration.
Please read and comply with "Notes on return to the factory" in the instructions for use.
Attention: Only devices free of contamiantion hazardous to health may
send for inspection / repair!
Device (Model): ...................................................................................................................................
1.
Serial no.: ............................................................................................................................................
2.
Reason for return / malfunction: ..........................................................................................................
3.
.............................................................................................................................................................
4. Has the device been used in a copper process step (e.g., semiconductor production):
5. Substances (gases, liquids, solids, biological material, e. g. bacteria, viruses) in contact with the device /
which have been pumped:
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
6. Biohazard safety level of the laboratory:
Genetic engineering safety level of the laboratory:
7. Risk level of the used biological material:
8. Radioactive contamination:
9. The following parts have been decontaminated inside and outside prior to sending to the factory and the
effectivity of the decontamination has been ensured:
Bottle ..................................................................
Screw cap ...........................................................
Couplings ...........................................................
Filter ...................................................................
Hoses .................................................................
Handle VHC .......................................................
Bottle support .....................................................
Vacuum pump: Comply with section 10! .........
Other: ............................................................................................................................
If necessary, order instructions for decontamination at VACUUBRAND!
Documents are only to be used and distributed completely and unchanged. It is strictly the users´ responsibility to check carefully
the validity of this document with respect to his product. 25/11/2013 // 999281
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Health and safety clearance form BVC page 1 of 2
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