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3085-042-02 Installation Report M300

This document is an installation report for a Microlab series instrument. It records information about the dealer, customer, instrument type and serial number. It checks for any transport damage or missing parts and documents the initial check out. The installation process is described, including whether any failures occurred. Chemical installation is then outlined, including running calibration, controls and quality control material to test applications. Test results are recorded and technical acceptance is documented with signatures from the service engineer and customer.

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Smart Biomedical
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131 views2 pages

3085-042-02 Installation Report M300

This document is an installation report for a Microlab series instrument. It records information about the dealer, customer, instrument type and serial number. It checks for any transport damage or missing parts and documents the initial check out. The installation process is described, including whether any failures occurred. Chemical installation is then outlined, including running calibration, controls and quality control material to test applications. Test results are recorded and technical acceptance is documented with signatures from the service engineer and customer.

Uploaded by

Smart Biomedical
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Installation Report Microlab Series

Dealer Customer

Name: ........................... Name: ...............................


Contact person: ............................ Contact person: .................................
Telephone nr: ............................ Telephone nr: .................................

Type of instrument: ..................................

Serial nr. .......................... Installation date: .................................

Transport damage

Package damaged: Yes No


Parts damaged Yes No

If yes, please specify:

Initial check-out
Parts missing? Part number Part description
(Check against packing list)
___________ ________________________
Yes  Please specify parts ___________ ________________________
___________ ________________________
No
___________ ________________________
___________ ________________________

Installation

Did any failure occur during installation and / or first run?

Yes  Please fill out “Malfunction Report”

No

Please fax or e-mail this report to:


ELITechGroup B.V. Copy 1 customer
Van Rensselaerweg 4 Copy 2 distributer
6956 AV Spankeren Copy 3 ELITechGroup B.V.
The Netherlands
E-mail: [email protected]

Document 3085-042-02 1/2


Serial number: ………………

Chemical Installation

Run Reagent Blank.

Run Calibrations.

Run QC material for several clinical chemistry applications.


(A few enzymes, a few substrate tests using customer’s reagent)

Test QC range level 1 Test result QC range level 2 Test result

Remarks:

Technical acceptance

Date (ddmmyyyy):………………

Service Engineer:………….. Customer:……………………….

Name:……………………….. Name:……………………………

Signature:…………………… Signature:……………………….

Please fax or mail this report to:

ELITechGroup B.V. Copy 1 customer


Van Rensselaerweg 4 Copy 2 Distributer
6956 AV Spankeren Copy 3 ELITechGroup B.V.
The Netherlands
Email: [email protected]
Fax no. +31-313-427807

Document 3085-042-02 2/2

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