Pharmaceutical Refrigerator Page 1 of 2

Installation Qualification IQ Version 1.0

Pharmaceutical Refrigerator

Model: .........................................

Serial No.: ...................................

Date of Installation: ....................

Herewith is confirmed that the documentation provided is complete and up to date:

Operating instructions

Herewith is confirmed that the delivery scope is complete and undamaged:

Pharmaceutical Refrigerator model MPR S313

Shelfs
Control panel
1 set of keys
Casters

Herewith is confirmed that the following set-up and installation work has been completed:

Packing removed
Installation according to operating instructions
Electrical connection according to operating instructions

Evaluation of the entire condition:

Usable environment condition: temperature 5°C ~ 30°C, humidity equal or less than 80% R.H.
Accessibility for maintenance and cleaning is ensured
Without defects
With defects
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 Pharmaceutical Refrigerator Page 2 of 2

Installation Qualification IQ Version 1.0

Instructed personnel
Function (SE)

Name Function Date Signature