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Report Unsafe Equipment
 
  Report Questionable, Unsafe or Potentially Unsafe Equipment

  The equipment or system in question is:
MET Listed Equipment  
MET Field Evaluated Equipment  
Non-Certified (No Label) or "CE" only Equipmnet  
Other (Describe below)  
   
 
 
  Your job title is:
Electrical Inspector / Building Official  
Electrical Contractor  
Health Care/ Biomedical  
Other  
   
   
 
  Your Name  
   
   
 
  Phone Number  
   
     
 
  Description of Equipment  
  Manufacturer  
   
  Model Number  
   
  Serial Number  
   
  Listing # / Certification #  
   
  Brief Narrative of Equipment Issue  
   
   
 
  Will you report to CPSC-Consumer Product Safety Commission (Recommended)
Yes  
No  
     
   
     
 
  CPSC Links  
     
  For Inspectors, Police, Fire Investigators  
  https://www.cpsc.gov/fpinc.html  
   
  For Consumers, Contractors, Biomedical Technicians  
  https://www.cpsc.gov/incident.html  
   
  For Healthcare Equipment Injury or Death  
  https://www.cpsc.gov/hcpinc.html  
   
  For Manufacturers, Distributors, Retailers  
  https://www.cpsc.gov/sec15.html  
     
 

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