Warning not to use pumps in patient, Connected applications, Publication history – Watson-Marlow 620R User Manual
Page 18: Decontamination certificate
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.