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RI EM Declaration for equipment maintenance

I hereby certify that:

I have read and understood the Farmcare requirements for equipment maintenance as laid out in the Practice operational manual.
I have in my possession a copy of the OV/ATT required equipment list, the maintenance checklist and McLintock/VGrip syringe instructions.
I am able to dismantle, clean, sterilise and reassemble McLintock/VGrip syringes according to the manufacturer’s instructions.
I have received adequate training from my Practice to be able to perform routine maintenance and calibration on test equipment.

Training date:
Trainer:

The maintenance of testing equipment will be carried out in accordance with the Farmcare ‘Maintenance Checklist’ and recorded.

This maintenance will be carried out by (tick as appropriate):

Myself

TB Testers

Both

Before the audit period, I have personally checked that all TB testers carry all required equipment.

RI EM Name

Practice Name

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

4th October 2024 2:54 pm GMT

RI EM Declaration for equipment maintenance Uploaded by UKFarmcare Admin - admin@ukfarmcare.com IP 87.127.55.97

4th October 2024 3:04 pm GMT

gemma test - gemma.rowe@ukfarmcare.com added by UKFarmcare Admin - admin@ukfarmcare.com as a CC'd Recipient Ip: 84.64.226.209

5th November 2024 1:33 pm GMT

Admin email - admin@ukfarmcare.com added by UKFarmcare Admin - admin@ukfarmcare.com as a CC'd Recipient Ip: 87.127.55.97