Decontamination certificate (master) – Leica Biosystems CM1100 Uživatelská příručka
Stránka 34
34
Návod k použití V1.2 – 06/2006
14.
Decontamination Certificate
(master)
Dear Customer,
any product which is be returned to Leica Microsystems or serviced on site, must be cleaned and decontaminated in the
appropriate manner. Leica accepts that it is not possible to decontaminate for CJD and its variants and in this instance follow-
ing current customer safety guidelines is acceptable. Equipment exposed to CJD samples cannot be returned to Leica
Microsystems for repair.This certificate, duly completed, must be placed in the unit prior to packaging or handed over to the
service engineer. Packages will not be opend nor servicing commenced until the Company or service engineer have received
a satisfactory certificate. Should returned goods be considered a hazard by the Company, they will be returned immediately to
the customer at his/her expense.
NB: Microtome knives must be in boxes.
Important - to avoid refusal of shipment:
Place one copy in the unit prior to packaging or hand it over to the service engineer. Customer assumes all responsibility for
the immediate return shipment of articles sent to Leica without proper decontamination documentation.
If you have any further question, please call your local Leica organisation.
Description
Name/Model
Fabr. No.
KAT No.
Quantity
A
This equipment has not been in contact with unfixed biological samples.
B
This equipment has been exposed internally or externally to hazardous materials as
indicated below:
1
3
The equipment has been prepared to ensure safe handling/transportation.
Whenever possible, please use the original transportation case/box.
Please provide further detail here:
Blood, body fluids, pathological samples
Other biohazards
Chemicals/substances hazardous to health
Other hazards
2
This equipment has been cleaned and decontaminated:
Please provide further detail here:
If yes, give details of the method:
If no*, please indicate why not:
* Such equipment must not be returned without the written agreement of Leica Microsystems.
Tick Box A if applicable. Otherwise please complete all parts of B, providing furt-
her information as requested or appropriate.
Yes No
Yes No
Yes No
Leica Internal Use: If applicable, note corresponding Job and RAN-/RGA-Number:
Job Sheet No.:
SU Return Goods Authorisation:
BU Return Authorisation Number:
Signature/Date
Name
Institute
Department
Adress
Position
Phone
Facsimile
Leica Microsystems Nussloch GmbH
Heidelberger Str. 17-19
69226 Nussloch, Germany
Phone: ++49 (0) 6224 143 0
Fax:
++49 (0) 6224 143 200
www.leica-microsystems.com
Yes