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I Am Clean Tag Long2

The document contains a form from the Clinical Equipment Management Department that is to be filled out before using any equipment. The form has fields for date, time, name, and a note to remove stickers before using equipment. This form is repeated multiple times throughout the document.

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Melric Lamparas
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0% found this document useful (0 votes)
48 views2 pages

I Am Clean Tag Long2

The document contains a form from the Clinical Equipment Management Department that is to be filled out before using any equipment. The form has fields for date, time, name, and a note to remove stickers before using equipment. This form is repeated multiple times throughout the document.

Uploaded by

Melric Lamparas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Clinical Equipment Management Department Clinical Equipment Management Department Clinical Equipment Management Department

I am clean I am clean I am clean

Date _________ / _________ / _________ Date _________ / _________ / _________ Date _________ / _________ / _________

Time AM PM NIGHT Time AM PM NIGHT Time AM PM NIGHT

Name Name Name


CEMD ON DUTY CEMD ON DUTY CEMD ON DUTY

Please remove before using equipment Please remove before using equipment Please remove before using equipment

Clinical Equipment Management Department Clinical Equipment Management Department Clinical Equipment Management Department

I am clean I am clean I am clean

Date _________ / _________ / _________ Date _________ / _________ / _________ Date _________ / _________ / _________

Time AM PM NIGHT Time AM PM NIGHT Time AM PM NIGHT

Name Name Name


CEMD ON DUTY CEMD ON DUTY CEMD ON DUTY

Please remove before using equipment Please remove before using equipment Please remove before using equipment

Clinical Equipment Management Department Clinical Equipment Management Department Clinical Equipment Management Department

I am clean I am clean I am clean

Date _________ / _________ / _________ Date _________ / _________ / _________ Date _________ / _________ / _________

Time AM PM NIGHT Time AM PM NIGHT Time AM PM NIGHT

Name Name Name


CEMD ON DUTY CEMD ON DUTY CEMD ON DUTY

Please remove before using equipment Please remove before using equipment Please remove before using equipment
Clinical Equipment Management Department Clinical Equipment Management Department Clinical Equipment Management Department

I am clean I am clean I am clean

Date _________ / _________ / _________ Date _________ / _________ / _________ Date _________ / _________ / _________

Time AM PM NIGHT Time AM PM NIGHT Time AM PM NIGHT

Name Name Name


CEMD ON DUTY CEMD ON DUTY CEMD ON DUTY

Please remove before using equipment Please remove before using equipment Please remove before using equipment

Clinical Equipment Management Department Clinical Equipment Management Department Clinical Equipment Management Department

I am clean I am clean I am clean

Date _________ / _________ / _________ Date _________ / _________ / _________ Date _________ / _________ / _________

Time AM PM NIGHT Time AM PM NIGHT Time AM PM NIGHT

Name Name Name


CEMD ON DUTY CEMD ON DUTY CEMD ON DUTY

Please remove before using equipment Please remove before using equipment Please remove before using equipment

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