Autoclave SSR-3A-X1 Use and Operation [EQUIP 2.5] Certification

Autoclave SSR-3A-X1 Use and Operation [EQUP 2.5] Certification

The individual listed below has read and fully understands procedure EQUIP 2.5 Autoclave SSR-3A-X1 Use and Operation. They have received training from their laboratory manager or PI, and agree to follow all department protocols listed in the above procedure.

Type of submission*
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Name*
First Last
Date*
MM slash DD slash YYYY
UWM Email*

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Are you associated with a research lab as a student or employee?*
Who is the PI for the lab you are associated with?*
Trainer Name:*
Individuals must receive initial training from their PI, supervisor, or a lab manager.
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- I have received training by the person selected above, and have had the opportuninty to ask questions.
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*
- I have reviewed and fully understand the procedure listed above.
Initials or signature*
Use a computer mouse or touchscreen device to sign in the area below.
Initials or signature of trainee*
Use a computer mouse or touchscreen device to sign in the areas below.
To be filled out by the trainer:*
- I certify that the individual listed above has been trained, and has demonstrated the ability to follow this procedure.
Initials or signature of supervisor/Instructor/Trainer*
Initials or signature of supervisor/Instructor/Trainer