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Warning not to use pumps in patient, Connected applications, Publication history – Watson-Marlow 620R User Manual

Page 18: Decontamination certificate

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Watson-Marlow Bredel E-Manuals

http://www.watson-marlow.co.uk/pdfs-global/m-620r-gb-01.htm[02/02/2012 14:33:33]

Limited.

TYGON is a trademark of the Saint Gobain Performance Plastics Company.

STA-PURE is a trademark of W L Gore & Associates.

The information contained in this document is believed to be correct but Watson-Marlow

Limited accepts no liability for any errors it contains, and reserves the right to alter

specifications without notice.

Patient-connected use: warning

Warning

: These products are not designed for use in, and should not be used for patient

connected applications.

Publication history

m-620r-gb-01.htm: Watson-Marlow 620R

First published 11 02.

Decontamination certificate

In compliance with the UK Health and Safety at Work Act and the Control of Substances

Hazardous to Health Regulations, you are required to declare the substances which have

been in contact with product(s) you return to Watson-Marlow or its subsidiaries or

distributors. Failure to do so will cause delays. Please ensure that you fax us this form and

receive an RGA (Returned Goods Authorisation) before you despatch the product(s). A

copy of this form must be attached to the outside of the packaging containing the

product(s). Please complete a separate decontamination certificate for each product.

You are responsible for cleaning and decontaminating the product(s) before return.

Your name

Company

Address

Postcode/zip

Country

Telephone

Fax

Product type

Serial number

To speed the repair, please

describe all known faults

The product has ...

Been used

Not been used

If the product has been used, please complete all the following sections. If the product has

not been used, please just sign this form.

Names of chemicals

handled with product(s)

Precautions to be taken in

handling these chemicals

Action to be taken in the

event of human contact

I understand that the personal data collected will be kept confidentially in accordance with

the UK Data Protection Act 1998.

This manual is related to the following products: