blade control record

Post on 18-Oct-2015

29 Views

Category:

Documents

1 Downloads

Preview:

Click to see full reader

TRANSCRIPT

BLADE TYPE ISSUED

BLADE CONTROL RECORD

BLADE TYPE ISSUED

(AR, FP, SH, SC)ISSUED BY

ISSUERS

SIGNATUREISSUED TO

(NAME AND KNIFE ID. CODE)DATETIMERECEIVERS

SIGNATUREOLD BLADE RETURNED

INTACT YES / NO(IF NO COMPLETE REVERSE)

ISSUERS

SIGNATURE

RECEIVERS

SIGNATUREREASON FOR NON RETURN OF BLADE/RETURN OF A DAMAGED BLADEACTION TAKENDATETIME

BLADE TYPE KEY = Automatic Retractable (AR), Folding Pen (FP), Sheath (SH), Scalpel (SC)

HD 16.17 Revision 1

PAGE 1 OF 2

Issue Date: 15.02.00

top related