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7.3 Gesundheits- und Sicherheitserklärungsformular
7.3
Gesundheits- und Sicherheitserklärungsformular
Wartung vor Ort
Zur Aufzeichnung von Details zur Dekontamination vor einem Vor-Ort-Service muss ein
Bericht zum On Site Service Health & Safety Declaration Form, wie etwa im folgenden
Beispiel, verwendet werden.
228
Serv
vice Ticket #
#:
To ma
ke the mutual
protection an
nd safety of GE
clean a
and free of any
y hazardous c
contaminants b
equipm
ment, please c
complete this c
checklist and p
not su
fficiently clean
ned, accessible
e and safe for
additio
onal charges.
P
Please review
w the actions b
Yes
No
Provide expla
P
nation for any
I
Instrument ha
as been clean
P
Please rinse tu
ubing or piping
residue. Ensur
r
e the area aro
w
wipe test or ot
ther suitable s
A
Adequate spa
ce and cleara
installation. In
i
some cases t
prior to GE arr
p
rival.
C
Consumables
s, such as colu
a
any area that
t may impede
All buffer / wa
A
aste vessels a
Excess contai
E
ners have bee
Provi
de
expla
anation
for an
ny "No"
answ
wers here:
Equip
pment type /
Product No:
I here
eby confirm th
hat the equipm
ment specified
area
has been mad
de safe and ac
ccessible.
Nam
e:
Posit
tion or
job ti
itle:
Signe
ed:
On Site
Safety
E service perso
onnel and our c
customers, all
before a Servic
ce Engineer st
arts a repair. T
present it to the
e Service Engi
neer upon arr
an engineer m
may lead to de
lays in servicin
below and ans
swer "Yes" or
"No".
y "No" answe
ers in box belo
ow.
ed of hazardo
ous substance
es.
g, wipe down s
scanner surfac
ces, or otherw
ound the instru
ument is clean
. If radioactivit
urvey.
nce is provide
ed to allow saf
e access for in
his may requir
re customer to
o move equipm
umns or gels, h
have been rem
moved or isola
access to the
e instrument .
re labeled.
en removed fr
from the area
to provide ac
Seria
l No:
above has bee
en cleaned to
remove any h
Comp
pany or institu
Date
(YYYY/MM/DD
GE and GE
monogram are trade
GE Healthc
are Bio-Sciences Co
NJ 08855-1
1327
© 2010-14
General Electric Com
Amersham WB system Bedienungsanleitung 29-0214-77 AE
e Servic
ce Hea
lth &
y Declar
ration F
Form
equipment an
nd work areas
must be
To avoid delays
s in the servici
ng of your
ival. Equipmen
nt and/or work
k areas
ng the equipm
ent and could
be subject to
wise ensure rem
moval of any d
angerous
ty has been us
sed, please pe
rform a
nstrument serv
vice, repair or
ment from nor
rmal operating
g location
ated from the
e instrument a
and from
ccess.
hazardous sub
bstances and t
hat the
ution:
D):
emarks of General E
Electric Company.
rp, 800 Centennial A
Avenue, P.O. Box 132
7, Piscataway,
mpany—All rights res
served. First publishe
ed April 2010.
DOC1149542/28-980
D
00-26 AC 05/2014
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