Class II Biological Safety Cabinet Factory Test Report Form Step 1 of 3 33% Password(Required)Enter the technician access password to complete this report.Customer DetailsSOF Number(Required)Customer P.O. Number(Required)Customer Name(Required)Customer Code(Required)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Cabinet DetailsMake(Required)Select Cabinet MakeUltimaUltrasafeUltrasafe MK2MK5MinisafeCustom UnitLocation(Required)Select LocationMinto, NSWThomastown, VICAthol Park, SABangkok, ThailandCramlington, UKSerial Number(Required)Model Number(Required)Test InformationTested by(Required)Test Date(Required) MM slash DD slash YYYY Report Number(Required)Technician Signature(Required) ConstructionQualification of construction requirements of a Class II Biological Safety Cabinet in accordance with AS 2252.2Photo RequirementsThe following is a list of photographs that you will require to complete this form:ChecklistFeel free to check off the photos as you take them Outer Shell (3 sides) Work Zone Crevice-Free Surfaces Front Viewing Window Side Panels Lights Work Floor Grilles Sump Welds Laminar HEPA(s) Exhaust HEPA Access Panel UV Lamps Gas Tightness Test Photometer Print Out Outer Shell Example photos required: Please upload clear photos similar to the examples below. Example Outer Shell Back Example Outer Shell Left Example Outer Shell Right Outer Shell Material – Visual Evidence(Required)Please upload a photo documenting the three metallic sides on the outer shell Drop files here or Select files Max. file size: 512 MB. Outer Shell on Three Sides Must Be Metallic(Required)Please select ‘Pass’ or ‘Fail’Select ResultPassFailPaint Colour(Required)Select the paint colour on the outer shellSelect OptionOyster (Standard)Appliance WhiteOther (Please Specify)Paint Colour (Other)Please specify the paint colourPaint Type(Required)Select the paint type on the outer shellSelect OptionPowder coat (Standard)Other (Please Specify)Paint Type (Other)Please specify the paint typeConfirm Paint Quality(Required)Please select ‘Pass’ or ‘Fail’Select ResultPassFailVisual Evidence of Failed Paint Quality Drop files here or Select files Max. file size: 512 MB. Work Zone MaterialsStainless Grade(Required)Select grade of stainless steel usedSelect Grade2B 304 Stainless Steel (Standard)No. 4 304 Stainless Steel2B 316 Stainless SteelNo. 4 316 Stainless SteelOther (Please Specify)Stainless Grade (Other)Please state the grade of stainless steel usedSealants Used(Required)Select the sealant used. Sealants should be non-porous and chemical resistant.Select SealantSilicone (Standard)AcrylicHybrid PolymerPolyurethaneWelded WKZ (no sealant used) Example photos required: Please upload clear photos similar to the examples below. Example Silicone Seal Example Silicone Seal Example Workzone Weld Crevice-Free Surfaces – Visual Evidence(Required)Inspect surfaces to confirm they are smooth and crevice free and upload photographic proofMax. file size: 512 MB. Crevice-Free Surfaces(Required)Please select ‘Pass’ or ‘Fail’Select ResultPassFailViewing WindowFront Viewing Window Full Workzone Width – Visual Evidence(Required)Please provide a photo of the Safety GlassMax. file size: 512 MB. Front Viewing Window Full Workzone Width(Required)Is the Safety Glass full width as per the design spec?Select ResultYesNoSafety Glass Sealing Arrangement(Required)Does the Safety Glass seal with the body of the cabinet in the working positions?Select ResultYesNoSafety Glass Cleaning(Required)Is the Safety Glass able to be cleaned?Select ResultYesNoWindow Type(Required)Please select the type of window on the cabinetSelect OptionHingedSashSecuring MechanismTest the securing mechanism operates effectivelySelect ResultPassFailSide Panels – Visual Evidence(Required)Please provide a photo of the Side Panels Drop files here or Select files Max. file size: 512 MB. Side Panels(Required)If clear side panels are required, please confirm the safety glass is correctly used to maintain an effective perimeter field.Select ResultYesNoWork AccessOpening Full Width(Required)Is the width of the work access opening the same as the width of the work zone?Select ResultYesNoClosing Method(Required)Please select the method of closing the Work Zone Aperture Select OptionNight CoverSash WindowClosing Method – UV Usage(Required)Can the Work Access Opening be closed during Ultraviolet Light usage?Select ResultYesNoOverride Inaccessible(Required)Is the Override inaccessible during normal operation?Select ResultYesNoIlluminationLights – Visual Evidence(Required)Please provide a photo of the LightsMax. file size: 512 MB. Confirm Mounting Location of Lights(Required)Are the Work Zone lights mounted externally of the Work Zone?Select ResultYesNoLamp Type(Required)Select lamp typeSelect TypeLEDFluorescentHalogenOther (Please Specify)Lamp Type (Other)Please specify the lamp typeDirect Light Shielded from Operator(Required)Is the operator shielded from direct light?Select ResultYesNoWork Floor Example photo required: Please upload a clear photo similar to the example below. Example Work Floor Work Floor – Visual Evidence(Required)Please provide a photo of the Work FloorMax. file size: 512 MB. Work Floor Condition(Required)Is the work floor rigid, stable, and readily removable (not fastened)? Select all that apply. Rigid Stable Removable Solid or Perforated?(Required)As per the design, is the work floor solid or perforated?Select OptionSolidPerforatedRetaining Lip for Solid Work Floor(Required)Is a solid retaining lip present around the perimeter of the work floor?Select ResultYesNoGrilles Example photo required: Please upload a clear photo similar to the example below. Example Grille at Rear Plenum Grilles – Visual Evidence(Required)Please provide a photo of the GrillesMax. file size: 512 MB. Air Intake Grille – Fitted(Required)Is an Air Intake Grille fitted between the front of the cabinet and the leading edge of the work floor?Select ResultYesNoAir Intake Grille – Placement(Required)Is the grille suitably placed without the need for fastening and to prevent loose material being drawn into the motor blower?Select ResultYesNoGrille/Filter Medium at Rear Plenum(Required)Is a grille or filter medium fitted in the rear plenum to prevent loose material being drawn into the work zone?Select ResultYesNoGrille Design(Required)Does the grille design minimise occlusions of airflow by operators garments or arm rests?Select ResultYesNoSump Example photos required: Please upload clear photos similar to the examples below. Example of GOOD Sump Welds Example of BAD Sump Welds Sump – Visual Evidence(Required)Please provide a photo of the SumpMax. file size: 512 MB. Watertight Sump(Required)Is the sump watertight?Select ResultYesNoSump Welds(Required)Are all joints welded, ground flush and dressed?Select ResultYesNoSump Capacity(Required)Is the sump sized to retain a minimum of 5 litre volume of liquid?Select ResultYesNoSump Obstructions(Required)Is the floor of the sump free from obstruction, attachments and able to be cleaned and disinfected?Select ResultYesNoHEPA Filter ConstructionLaminar HEPA – Visual Evidence(Required)Please upload a photo of the Laminar HEPA test labelMax. file size: 512 MB. Additional Laminar HEPA(Required)Is there an additional Laminar Flow HEPA filter?Select OptionYesNoLaminar HEPA 2 (If installed) – Visual EvidencePlease upload a photo of the SECOND Laminar HEPA test label (if installed)Max. file size: 512 MB. Exhaust HEPA Label – Visual Evidence(Required)Please upload a photo of the Exhaust HEPA test labelMax. file size: 512 MB. HEPA Construction Compliance(Required)Confirm Installed HEPA’s are constructed in compliance with AS 4260 as required in AS 2252.2 Select ResultPassFailHEPA Type(Required)Minimum requirements for HEPA filters are HEPA Type 1 (dry), Class A (fully disposable)Select ResultPassFailSeal Condition(Required)Confirm the absence of fluid, gel or grease sealsSelect ResultPassFailGuards Fitted(Required)Select ResultPassFailPressure Drop Monitor(Required)Select ResultPassFailAerosol Sampling Ports and Tubing(Required)Is the sampling port accessible, has a sealing cap or plug and positioned in the negative zone of the cabinet?Select ResultPassFailBlowersBlower Quantity(Required)How many blowers are present?Separate Exhaust and Laminar Blowers(Required)Are there separate blowers used for exhaust and laminar flow?Select ResultYesNoAlarmsAlarm Operation(Required)Confirm alarms are operational as per AS 2252.2 when:Select exactly 4 choices. Window is open/in an unsafe position Laminar Pressure High Laminar Pressure Low Exhaust Pressure Low Pressure Switch Located Outside Negative Pressure Zone?(Required)Is the Pressure Switch located outside the negative pressure zone?Select ResultYesNoPressure Switch ProtectionIs the pressure switch protected by a 0.2µm hydrophobic filter?Select ResultPassFailAccess PanelsAccess Panel – Visual Evidence(Required)Please provide a photo of the sealed access panelMax. file size: 512 MB. Access Panel Sealed(Required)Ensure the access panel is sealedSelect ResultPassFailAccess Panel Label(Required)Are the contaminated access zones labelled with a biohazard label and wording that instructs ‘decontaminate cabinet prior to removal’?Select ResultYesNoElectricalElectrical Wiring Compliance(Required)Ensure wiring is compliant to AS 3000Select ResultPassFailElectrical Wiring Penetrations(Required)Are wiring penetrations into contaminated zones sealed?Select ResultYesNoElectrical Components Outside Containment Boundaries(Required)Other than blower motors, pressure switches/power outlets (and associated wiring) confirm that all electrical components are located outside of contamination zones.Select ResultPassFailExternal Control Enclosure(Required)Ensure a control enclosure is mounted outside the containment boundaries, with a cover that is removable only with the use of tools. Select ResultPassFailPermanent Wiring Labels(Required)Ensure that permanent wiring diagrams and labelling is fitted (externally a label for service functions and major electrical components identified, a wiring diagram is permanently fixed insde the cover)Select ResultPassFailPower Supply(Required)Please state the voltage output of the power supply being fed to the cabinet during testingUV LampsUV Lamps – Visual Evidence(Required)Please provide a photo of the UV LampsMax. file size: 512 MB. UV Lamps Fitted(Required)Confirm the UV Lamps are a permanent feature within the workzoneSelect ResultPassFailUV Lamp Interlock(Required)Confirm that the lamps do no operate when the work access opening cover is NOT in place.Select ResultPassFailUV Lamp Automatic Off Switch(Required)Confirm that the Automatic Off Switch is installed and performing to turn the UV lamp off automatically after disinfecting.Select ResultPassFailUV Warning Labels(Required)Are the UV Warning Labels fitted?Select ResultYesNoOptional FeaturesGas Supply(Required)Is there a gas supply provided?Select OptionYesNoGas Supply – Control(Required)Is the gas supply controlled by approved solenoid valve?Select OptionYesNoGas Supply – Test(Required)Gas only flows when blowers are switched onSelect ResultPassFailAbsorbent Filter(Required)Is there an absorbent filter?Select OptionYesNoAbsorbent Filter – Removability(Required)Confirm the absorbent filter is removable?Select ResultPassFailPost-use Overrun Controls(Required)Are there post-use overrun controls fitted?Select OptionYesNoPost-use Overrun Controls – Test(Required)Confirm that the blowers continue to operate for at least five minutes after switch off with a visual indicator when cabinet is in this mode of operation.Select ResultPassFailTester Signature(Required) PerformanceThe following section relates to performance dataAir Velocity and UniformityCabinet Size(Required)Select Size6090120150180CustomCustom SizeEnter the custom cabinet size.Closest Standard SizePlease select the standard size closest to the custom Select Size6090120150180Custom60 Cabinets (3×3 Grid)NumberNumberNumberNumberNumberNumberNumberNumberNumber90/120 Cabinets (6×3 Grid)NumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumber150/180 (8×3 Grid)NumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberNumberThis field is hidden when viewing the formSection BreakThis field is hidden when viewing the formSum3This field is hidden when viewing the formAvg3This field is hidden when viewing the formMax3This field is hidden when viewing the formMin3This field is hidden when viewing the formSum6This field is hidden when viewing the formAvg6This field is hidden when viewing the formMax6This field is hidden when viewing the formMin6This field is hidden when viewing the formSum8This field is hidden when viewing the formAvg8This field is hidden when viewing the formMax8This field is hidden when viewing the formMin8Results: 60Final Average VelocityMax VelocityMin VelocityMax Variation (%)Min Variation (%)Results: 90/120Final Average VelocityMax VelocityMin VelocityMax Variation (%)Min Variation (%)Results: 150/180Final Average VelocityMax VelocityMin VelocityMax Variation (%)Min Variation (%)ExclusionsExclusions documented(Required)Is there undirectional airflow occurring within the work zone and adjacent to the viewing window, side and rear windows?Filter System Pressure Drop (Pa)Filter System Pressure Drop (Pa) – INITIAL(Required)Please record the INITIAL pressure dropExhaustLaminarGaugeFilter System Pressure Drop (Pa) – FINAL(Required)Please record the FINAL pressure dropExhaustLaminarGaugeWork Zone IntegrityLeft Hand Side(Required)Select ResultPassFailFront(Required)Select ResultPassFailRight Hand Side(Required)Select ResultPassFailFilter IntegrityLaminar Flow Filter(Required)Select ResultPassFailExhaust Filter(Required)Select ResultPassFailMax Velocity (m/s)Laminar Nominal SizeHeight (mm)Length (mm)Depth (mm)Qty. Add RemoveExhaust Nominal SizeHeight (mm)Length (mm)Depth (mm)Qty. Add RemoveAerosol generator pressure(Required)Test Liquid Used(Required)Please enter the test liquid used for the testUpstream Concentration Laminar(Required)Upstream Concentration Exhaust(Required)Illuminance (lighting intensity)Illuminance profile (lux) – uncorrected values shown150300300150 Add RemoveSound Level dB(A)Operating(Required)Ambient(Required)CorrectedAir Barrier ContainmentAir Barrier ContainmentUse the plus button to add more rows as required. Please complete the relevant fields in the following format: Pass = Y | Fail = N90cm (3')120cm (4')180cm (6')Other Add RemoveExhaust Filter Velocity (m/s)(Required)Laminar Fan %(Required)Exhaust Fan %(Required)UV Radiant IntensityIntensity profile (mW/m2) – uncorrected values shown150300300150 Add RemoveGas TightnessGas Tightness Test Performed?(Required)Was a gas tightness test performed?Select OptionYesNoGas Tightness – Visual EvidenceMax. file size: 512 MB. Gas Tightness Test ResultPlease select the result of the testSelect ResultPassFailTag and TestTag Number(Required)E.V(Required)Volts(Required)Tag and Test of Cabinet Lead (Optional)Tag Number (Cabinet Lead)AmpsKWPhotometer ReadingsPhotometer Print Out(Required)Please upload a photo of the photometer print outMax. file size: 512 MB. Serial Numbers of Test Instruments Used During the TestAnemometer – Serial Number(Required)Light Meter – Serial Number(Required)UV Meter – Serial Number(Required)Photometer – Serial Number(Required)Aerosol Generator – Serial Number(Required)Pressure – Serial Number(Required)Manometer – Serial Number(Required)Sound Level Meter – Serial Number(Required)Other Instruments Used(Please list as Equipment; Serial Number)Correction Factors of Test Instruments Used During the TestInsert Corrected Values OnlyAnemometer – Correction Factors(Required)Use the plus button to create additional rows as neededFromToCorrection Factor (m/s) Add RemoveLight Meter – Correction Factors(Required)Use the plus button to create additional rows as neededFromToCorrection Factor (lux) Add RemoveUV Meter – Correction Factors(Required)Use the plus button to create additional rows as neededFromToCorrection Factor (mW/m2) Add RemoveTester Signature(Required) Δ
