Statement of Product Cleanliness and Decontaminations

In our effort to protect the health of our employees and provide a safe working environment, Onset recommends that all products returned for service are clean and uncontaminated by harmful substances such as hazardous materials, chemicals, insects, and pests. For a list of compatible cleaning methods, see the Product Cleaning Reference Guide.

If you are returning any product, you must complete this form to describe the environment from which the equipment was taken, any hazardous substances to which the equipment was exposed, and any cleaning and/or decontamination processes that were performed.

Please submit this form or fax the completed form to 508-759-9100 to the attention of Technical Support. Onset Corporation reserves the right to refuse service on product where specific applications may cause health and safety concerns for its employees.

Thank you for supporting our efforts to protect the health and safety of our employees.

SRO/RMA#: *

Company Name: *

Contact Name: *

Street Address: *

City, State, Zip: *

Email Address: *

Phone: *

Describe the environmental conditions and substances to which the equipment was exposed (e. g. fresh water, saltwater, storm runoff, food products, waste products, etc.,).

Attach the Material Safety Data Sheet(s) if any:

Attach txt, html, pdf, doc, docx, jpg, tar or zip file. Please TAR or ZIP multiple files together.

Describe how the equipment was cleaned and/or decontaminated.

I hereby certify that the returned equipment has been cleaned and decontaminated according to good industrial practices, is in compliance with relative regulations and poses no health or safety risks to the recipient; or

This equipment poses no health or safety risks to the recipient, as is.

Please affirm the above is true: *

Please type your name here to affirm all information given above is true

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