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TB tester Declaration for equipment maintenance

I hereby certify that:

I have read and understood Farmcare requirements for equipment maintenance, as laid out in the TB Testing – A Quality Assurance manual.
I have in my possession a copy of the OV required equipment list, the maintenance checklists and McLintock/VGrip syringe instructions.
I am able to dismantle, clean, sterilise and reassemble my 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 my 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

The responsible individual for equipment maintenance

Both

Before every test new or sterilised needles will be used.
Before and after every test, TB syringes, scissors, callipers, taggers and all other testing equipment are clean, disinfected and maintained in accordance with the Farmcare Protocol.

TB Tester Name:

TB Tester Number:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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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

21st October 2024 3:06 pm GMT

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

21st October 2024 3:15 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 1:30 pm GMT

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