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Invacare IOC100P User's Manual
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1. CGA870 Seal Washer Metal Washer with Viton or equivalent Seal Creates the interface between the post valve and the conserver regulator Besides offering a rugged interface it also surrounds the oxygen path in a ring of stainless steel or brass Vent Hole Maintains proper internal pressure DO NOT obstruct with any object such as a label or tight fitting carrying bag NOTE Use only a CGA870 Seal Washer Metal Washer with Viton Seal DO NOT use a plastic compression gasket FIGURE 2 2 Connection view of the IOCIOOP with CGA870 Connection Part No 1160840 lI Invacare Element SECTION 3 INSTALLING THE CONSERVING REGULATOR SECTION 3 INSTALLING THE CONSERVING REGULATOR A WARNING DO NOT allow oil from your hands or other sources to come into contact with the regulator gasket or cylinder post valve These substances may become flammable in the presence of oxygen and cause injury Avoid touching the cylinder post valve whenever possible Example of items to avoid are hand creams or lotions cooking oils suntan oils or sun blocks and similar oily products If you use these types of products wash your hands prior to use If the cylinder post valve should come in contact with such substances it should be cleaned off with a damp cloth prior to connecting it to the conserving regulator DO NOT direct flow of oxygen at any person or flammable material when opening the cylinder DO NOT use without CGA870 Seal Washer M
2. Invacare Corporation or its subsidiaries unless otherwise noted WD 40 is a registered trademark of the WD 40 Company 3 in is a registered trademark of American Home Products Corporation Viton is a registered trademark of Dupont Performance Elastomers Rev 11 10
3. CE CENTER SUCH EVALUATION SHALL BE SOLELY DETERMINED BY INVACARE THE FOREGOING EXPRESS WARRANTY IS EXCLUSIVE AND IN LIEU OF ANY OTHER WARRANTIES WHATSOEVER WHETHER EXPRESSED OR IMPLIED INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE AND THE SOLE REMEDY FOR VIOLATIONS OF ANY WARRANTY WHATSOEVER SHALL BE LIMITED TO REPAIR OR REPLACEMENT OF THE DEFECTIVE PRODUCT PURSUANT TO THE TERMS CONTAINED HEREIN THE APPLICATION OF ANY IMPLIED WARRANTY WHATSOEVER SHALL NOT EXTEND BEYOND THE DURATION OF THE EXPRESS WARRANTY PROVIDED HEREIN INVACARE SHALL NOT BE LIABLE FOR ANY CONSEQUENTIAL OR INCIDENTAL DAMAGES WHATSOEVER SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGE OR LIMITATION OF HOW LONG AN IMPLIED WARRANTY LASTS SO THE ABOVE EXCLUSION AND LIMITATION MAY NOT BE APPLICABLE THIS WARRANTY SHALL BE EXTENDED TO COMPLY WITH STATE PROVINCIAL LAWS AND REQUIREMENTS Yes you can Inovo Part No 3000373 Rev NC Invacare Corporation www invacare com USA One Invacare Way Elyria Ohio USA 44036 2125 800 333 6900 Technical Services 800 832 4707 Distributed by Invacare Part No 1160840 2010 Invacare Corporation rights reserved Republication duplication or modification in whole or in part is prohibited without prior written permission from Invacare Trademarks are identified by All trademarks are owned by or licensed to
4. DO NOT try to loosen the T handle beyond the stop Otherwise damage to the oxygen conserving regulator will occur NOTE For information on how to operate the cylinder consult your equipment provider 1 Completely close the oxygen cylinder valve 2 Turn the oxygen conserving regulator selector switch to 2 L min continuous flow position gt Wait for oxygen to stop flowing from the oxygen conserving regulator Turn the T handle to loosen the connection to the post valve g Remove the oxygen conserving regulator from the post valve Invacare Element 18 Part 1160840 SECTION 6 TYPICAL PRODUCT PARAMETERS SECTION 6 TYPICAL PRODUCT PARAMETERS OXYGEN DELIVERY SELECTOR LITER SWITCH FLOW POSITION EQUIVALENCY 0 OFF l l 2 2 3 3 4 4 5 5 6 6 CONTINUOUS FLOW EMERGENCY BYPASS SETTING Factory Preset at 2 5 L min REQUIRED OPERATING 200 psi to 3000 psi PRESSURE 13 8 bar to 206 8 bar REGULATOR Built in 25 5 psi 1 7 bar 34 bar brass high pressure with aluminum low pressure materials DIMENSIONS Weight Approximately 14 8 ounces 420 grams Overall Length Approximately 5 L 12 7 cm x 2 5 H 6 4 cm x 2 5 W 6 4 cm OPERATING CONDITIONS TEMPERATURE 32 F 0 C to 122 F 50 C OPERATING RELATIVE HUMIDITY 15 to 95 OPERATING ALTITUDE 0 to 10 000 feet 0 to 3 048 meters STORAGE T
5. GUIDELINES DO NOT allow oil from your hands or other sources to come into contact with the cylinder post valve These substances may become flammable in the presence of oxygen and cause injury Avoid touching the cylinder post valve whenever possible Example of items to avoid are hand creams or lotions cooking oils suntan oils or sun blocks and similar oily products If you use these types of products wash your hands prior to use If the bottle fitting should come in contact with such substances it should be cleaned off with a damp cloth prior to connecting it to the conserving regulator NEVER oil or lubricate the oxygen conserving regulator or cylinder post valve NEVER use any penetrating oil or lubricant such as WD 40 or 3 in 1 oil If continued difficulty is experienced contact your supplier for assistance DO NOT store cylinders near sources of heat or flame DO NOT use while sleeping without consulting your healthcare provider This product is designed to operate with a standard single lumen adult oxygen nasal cannula with a maximum length of seven feet The cannula is for single patient use only Cannula MUST be installed on outlet connection prior to use DO NOT place the unit under such items as blankets bed coverings chair cushions clothing and away from heated or hot surfaces including space heaters stoves and similar electrical appliances When this product is in use a small amount of oxygen is vented With r
6. NG INSTRUCTIONS SECTION 4 OPERATING INSTRUCTIONS DANGER NEVER smoke in an area where oxygen is being administered NEVER use near any type of flame or flammable explosive substances vapors or atmosphere CAUTION DO NOT use pediatric low flow nasal cannulas or oxygen masks with the oxygen conserving regulator DO NOT block the cannula connection or kink cannula tubing when the oxygen conserving regulator is in use This may damage the oxygen conserving regulator 1 Prior to each use inspect product for visible damage DO NOT use if any damage is found A WARNING DO NOT direct flow of oxygen at any person or flammable material when adjusting the flow dial N Turn the selector switch on the oxygen conserving regulator to the 0 OFF position before opening the cylinder valve Refer to FIGURE 4 2 on page 17 To reduce the risk of rapid oxygen recompression and fire open the cylinder valve slowly and completely so the pressure gauge moves slowly as it indicates the cylinder pressure gt Invacare Element 14 Part No 1160840 SECTION 4 OPERATING INSTRUCTIONS 4 Listen for leaks If a leak is present close the cylinder valve check the CGA870 seal washer and reinstall If the leak persists DO NOT use the equipment Contact your Home Care Provider for repair 5 Check the oxygen pressure gauge to verify the cylinder pressure 6 Ensure that the vent hole on the side of th
7. ON 7 MAINTENANCE SECTION 7 MAINTENANCE A CAUTION DO NOT use cleaning solutions DO NOT immerse product in any kind of liquid All repairs MUST be done by Invacare Corporation 1 Disconnect all connections before cleaning 2 After each use clean exterior of the product with a clean lint free cloth 3 Store product in a clean area free from grease oil and other sources of contamination Part No 1160840 21 Invacare Element SECTION 8 TROUBLESHOOTING SECTION 8 TROUBLESHOOTING If oxygen conserving regulator fails to function consult the Troubleshooting guide If problem cannot be corrected consult your Dealer Home Care equipment provider PROBLEM No flow Unit does not pulse Unit flows or pulses continuously POSSIBLE CAUSE Cylinder valve is closed 2 Regulator in position 3 Cylinder empty 4 Oxygen conserving regulator not sensing breath 5 Oxygen cannula is blocked or kinked l Unit is set to the CF position 2 Unit was not set to OFF prior to opening the cylinder valve 3 Vent hole is obstructed SOLUTION Turn the cylinder valve to the position 2 Set to prescribed setting 3 Replace cylinder 4 Check position of cannula in nose DO NOT breathe through mouth 5 Remove kinks Clean or replace if necessary Turn the selector switch to the appropriate delivery setting 2 Turn the sel
8. RANSPORTATION Maximum 40 F 40 C 1 RH Maximum 145 F 63 C 44 RH Part No 1160840 Invacare Element SECTION 6 TYPICAL PRODUCT PARAMETERS SHOCK VIBRATION Not to exceed IEC 601 1 requirements Not to exceed IEC 68 2 6 IEC 68 2 34 No smoking or open flames Consult accompanying documents OXYGEN CYLINDER DURATION The total delivery of oxygen via the conserver is related to the breathing rates it is user adaptive in that the total oxygen delivered per minute will automatically adjust with user need as expressed by increased or decreased breathing rates For example at all settings twice as much oxygen per minute will be delivered if one breathes twenty 20 times per minute as compared with ten 10 times per minute Refer to OXYGEN DURATION TABLE below OXYGEN DURATION TABLE SETTING 2 3 4 5 6 Continuous Flow 2 L min Cylinder Type Cylinder Volume Estimated Cylinder Duration in Hours Liters 2015 psi Based on 20 breaths min M2 36 19 9 6 5 4 3 3 M4 A 113 5 9 2 9 2 0 1 5 1 2 1 0 9 M 6 B 164 8 5 4 3 28 21 1 7 1 4 1 4 ML6 171 8 9 45 3 0 2 2 18 1 5 1 4 M9 C 246 12 8 64 4 3 3 2 2 6 2 1 2 1 D 425 22 1 11 1 7 4 5 5 4 4 3 7 3 5 680 35 4 17 7 11 8 8 9 7 1 5 9 5 7 Invacare Element 20 Part No 1160840 SECTI
9. T attempt to repair product DO NOT immerse product in any kind of liquid Part No 1160840 7 Invacare Element SECTION GENERAL GUIDELINES Store product in a clean area when not in use NEVER smoke in an area where oxygen is being administered NEVER use aerosol sprays near the equipment ALWAYS confirm prescribed dose before administering to patient and monitor on a frequent basis DO NOT use if dirt or contaminants are present on or around cylinder valve product or connecting devices Not suitable for use in the presence of flammable anesthetic mixture NEVER use near any type of flame or flammable explosive substances vapors or atmosphere ALWAYS follow ANSI and CGA standards for Medical Gas Products and Flowmeters E 7 and Oxygen Handling G 4 NO OXYGEN is delivered when the pointer is aligned with Off DO NOT block the outlet fitting or kink the cannula when the product is in use this may damage the unit The use of this device is limited to the oxygen patient Cylinders MUST be used only by the oxygen patient and are not to be distributed to any other individual for any purpose This product is NOT to be used by patients who breathe through their mouths DO NOT use a humidifier with this product DO NOT allow cylinders to tip or fall Secure gas cylinders so they cannot fall Ensure cylinder is always in upright position Invacare Element 8 Part No 1160840 SECTION I GENERAL
10. User Manual Invacare Element Pneumatic Conserver IOC100P Dealer This manual MUST be given to the end user User Before using this product read this manual and save for future reference For more information regarding Invacare products parts and services INVACARE please visit www invacare com Yes you can WARNING WARNING DO NOT use this product or any available optional equipment without first completely reading and understanding these instructions and any additional instructional material such as owner s manuals service manuals or instruction sheets supplied with this product or optional equipment If you are unable to understand the warnings cautions or instructions contact a healthcare professional dealer or technical personnel before attempting to use this equipment otherwise injury or damage may occur ACCESSORIES WARNING Invacare products are specifically designed and manufactured for use in conjunction with Invacare accessories Accessories designed by other manufacturers have not been tested by Invacare and are not recommended for use with Invacare products NOTICE The information contained in this document is subject to change without notice NOTE Updated versions of this manual are available on www invacare com Invacare Element 2 Part No 1160840 TABLE OF CONTENTS TABLE OF CONTENTS SPECIAL NOTES sccsccsccsoscscccccsscsosscscosossese
11. ds savings is possible Additionally the oxygen available during the very first part of inhalation contributes mostly to meet oxygen needs The oxygen conserving regulator takes advantage of these facts to provide maximum efficiency in the delivery of oxygen This device is designed to be an integral component of a lightweight long lasting ambulatory oxygen system Invacare Element 6 Part No 1160840 SECTION I GENERAL GUIDELINES SECTION I GENERAL GUIDELINES When using the oxygen conserving regulator basic precautions should ALWAYS be followed including the following WARNING SECTION 1 GENERAL GUIDELINES contains important information for the safe operation and use of this product Operating Information Caution Federal law restricts this device to sale by or on the order of a physician or any other practitioner licensed by the law of the state in which he she practices to use or order the use of this device This product is not intended as a life sustaining or life supporting device Only personnel instructed and trained in the use of the oxygen conserving regulators cylinders should operate this product Product contains magnetic ferrous material that may affect the results of an MRI Be sure all connections are tight and leak free DO NOT use a liquid leak detector to test for leaks DO NOT autoclave DO NOT gas sterilize with ethylene oxide DO NOT clean with aromatic hydrocarbons DO NO
12. e unit is not obstructed 7 Position the cylinder so the oxygen cylinder valve outlet is pointing away from the user and any other person s 8 Attach a standard adult single lumen oxygen nasal cannula no longer than seven feet to the product s outlet fitting DO NOT use pediatric low flow nasal cannulas or oxygen masks with this product NOTE A unit without cannula attached may pulse if set at position 1 6 9 Place the cannula over your ears and position the prongs in your nose according to the cannula manufacturer s instructions or as instructed by your Health Care provider Refer to FIGURE 4 1 OD EX FIGURE 4 1 Cannula Placement Part No 1160840 15 Invacare Element SECTION 4 OPERATING INSTRUCTIONS A WARNING NO OXYGEN is delivered in between settings To obtain desired flow the indicating pointer MUST align with a specific number on the dial To avoid injury to patient ALWAYS confirm prescribed setting before administering to patient and monitor flow a frequent basis 10 Turn the selector switch until indicating pointer is aligned with the prescribed setting Refer to FIGURE 4 2 on page 17 NOTE The continuous flow setting CF is designed for emergency use only The amount of oxygen delivered when using the oxygen conserving regulator in continuous flow mode is preset to 2 L min liters per minute Remember that in this mode the oxygen will be consumed at a much faster rate Return to an
13. ector switch to OFF wait a few moments then set at proper delivery setting 3 Remove obstructions such as labels or carrying bag and resume use as usual Replacement Parts Accessories HF2POST6BAG Carrying Bag or HF2POST9BAG Carrying Bag Invacare Element 22 Part No 1160840 LIMITED WARRANTY LIMITED WARRANTY PLEASE NOTE THE WARRANTY BELOW HAS BEEN DRAFTED TO COMPLY WITH FEDERAL LAW APPLICABLE TO PRODUCTS MANUFACTURED AFTER JULY 4 1975 This warranty is extended only to the original purchaser user of our products This warranty gives you specific legal rights and you may also have other legal rights which vary from state to state Invacare warrants this product to be free from defects in materials and workmanship for a period of two years from date of purchase If within such warranty period any such product shall be proven to Invacare s satisfaction to be defective such product shall be repaired or replaced at Invacare s option This warranty does not apply to problems arising from normal wear and tear or failure to adhere to these instructions nor does it include shipping charges incurred in replacement part installation or repair of any such product Invacare s sole obligation and your exclusive remedy under this warranty shall be limited to such repair and or replacement For warranty service please contact the Invacare service department during normal business hours at the toll free telepho
14. egards to clothing wearing the unit under clothing may saturate fabrics with oxygen and cause them to burn rapidly if exposed to sparks or flame It may take several hours for oxygen levels in fabrics to return to normal Part No 1160840 9 Invacare Element SECTION 2 FEATURES SECTION 2 FEATURES DANGER This product is not intended as a life sustaining or life supporting device CAUTION Missing or illegible labels MUST be replaced Contact customer service at the number on the back page Model IOC100P Cylinder Post Valve T Handle Clamp Cylinder Alignment Pins CGA870 Seal Washer Oxygen Pressure Gauge w Rubber Guard Selector Switch Oxygen Supply Outlet Fitting Vent Hole FIGURE 2 1 Model IOCIOOP Cylinder Post Valve T Handle Clamp This is used to attach the unit to any CGA870 post valve cylinder Oxygen Pressure Gauge Enables the user to monitor the contents of the compressed oxygen cylinder and is protected by a rubber guard Invacare Element 10 Part No 1160840 SECTION 2 FEATURES Selector Switch Enables the user to select the desired setting as well as OFF and CF continuous flow When not in use the switch should be turned to the OFF position Oxygen Supply Outlet Use this fitting to attach a standard cannula Cylinder Alignment Pins When assembling the unit these parallel pins MUST be inserted into the holes on the CGA870 post valve
15. etal washer with elastomer seal DO NOT use plastic yoke seals Plastic compression gasket Use CGA870 Seal Washer made of Viton and brass The CGA870 Seal Washer supplied with the oxygen conserving regulator is reusable CAUTION DO NOT use tools to tighten T handle this can lead to over tightening and will cause damage to the oxygen conserving regulator Ensure all connections are tight and leak free DO NOT use liquid leak detector to test for leaks Invacare Element 12 Part No 1160840 SECTION 3 INSTALLING THE CONSERVING REGULATOR NOTE For information on how to operate the cylinder consult your equipment provider NOTE For this procedure refer to FIGURE 3 1 1 Loosen the cylinder post valve T Handle 2 Lower the conserver over any CGA870 post valve cylinder with the alignment pins toward the holes on the cylinder neck 3 Align the two pins and gasket with the corresponding holes on FIGURE 3 1 Attaching the the cylinder post valve IOCIOOP to the Cylinder NOTE Cylinder post valve T Handle should be aligned with indentation on post valve 4 While holding the unit in place tighten the cylinder post valve by turning clockwise 5 Attach standard cannula 7 ft 2 13 or less in length to the oxygen supply outlet fitting NOTE Tighten only by hand The use of a tool to tighten the T Handle may damage the unit Part No 1160840 13 Invacare Element SECTION 4 OPERATI
16. ne number identified on the back cover of this manual Upon receiving notice of an alleged defect in a product Invacare will issue a serialized return authorization It shall be the responsibility of the purchaser to pack the product s or part s in an appropriate manner to avoid shipping damage and return the product s or part s at the purchaser s expense to either Invacare s plant or service center as specified by Invacare in advance The defective product s or component part s must be returned for warranty inspection using the serial number as identification within 30 days of the return authorization date DO NOT return any product s or part s to our factory or service center without prior consent C O D shipments will be refused please pre pay shipping charges LIMITATIONS AND EXCLUSIONS THE FOREGOING WARRANTY SHALL NOT APPLY TO SERIAL NUMBERED PRODUCTS IF THE SERIAL NUMBER HAS BEEN REMOVED OR DEFACED PRODUCTS SUBJECTED TO NEGLIGENCE ACCIDENT IMPROPER OPERATION MAINTENANCE OR STORAGE PRODUCTS MODIFIED WITHOUT INVACARE S EXPRESS WRITTEN CONSENT INCLUDING BUT NOT LIMITED TO MODIFICATION THROUGH THE USE OF UNAUTHORIZED PARTS OR ATTACHMENTS PRODUCTS DAMAGED BY REASON OF REPAIRS MADE TO ANY COMPONENT WITHOUT THE SPECIFIC CONSENT OF INVACARE PRODUCTS DAMAGED BY CIRCUMSTANCES BEYOND INVACARE S CONTROL OR PRODUCTS REPAIRED BY ANYONE OTHER Part No 1160840 23 Invacare Element THAN INVACARE OR AN INVACARE SERVI
17. other source before running out of oxygen Refer to FIGURE 4 2 on page 17 A WARNING When pointer on contents gauge enters red zone it is recommended to replace or refill the cylinder 11 Breathe through the nose and feel a pulse of oxygen as you inhale NOTE When on a pulse setting there is flow or a pulse only at the beginning of each breath If you do not feel the pulse at the beginning of each breath check the setting If there is still no pulse turn dial to 2 L min continuous setting Refer to FIGURE 4 2 on page 17 NOTE Because each patient s breathing pattern is different and the environment varies it may be difficult to feel some low setting pulses Invacare Element 16 Part 1160840 SECTION 4 OPERATING INSTRUCTIONS 12 When finished using the system close the oxygen supply cylinder valve and continue breathing through the nasal cannula until no further oxygen flow is detected 13 Remove the nasal cannula and turn the selector switch to the 0 OFF position 14 When not in use store in a clean dry location Continuous Flow Setting CF Selector Switch FIGURE 4 2 Selector Switch Part No 1160840 17 Invacare Element SECTION 5 REMOVING THE CONSERVING REGULATOR SECTION 5 REMOVING THE CONSERVING REGULATOR A DANGER NEVER attempt to remove the oxygen conserving regulator from an oxygen cylinder unless the cylinder valve is completely closed CAUTION
18. ous situation which if not avoided could result in death or serious injury CAUTION Caution indicates a potentially hazardous situation which if not avoided may result in property damage or minor injury or both Receiving Inspection Remove product from package and inspect for damage If there is any damage DO NOT use Contact your dealer Home Care equipment provider Intended Use The oxygen conserving regulator is intended for prescription use only to be used as part of a portable oxygen delivery system for patients that require supplemental oxygen in their home and for ambulatory use Disposal Instructions This device and its packaging contain no hazardous materials No special precautions need to be taken when disposing the device and or it s packaging Invacare Element 4 Part No 1160840 SPECIAL NOTES Principles of Operation The oxygen conserving regulator is designed to be used with high pressure oxygen systems It consists of a cylinder connection cylinder contents gauge if equipped high to low pressure regulator orifice plate and a conserving demand module The regulator reduces the high pressure of the cylinder to the working pressure of the orifice plate The orifice plate uses calibrated orifices to deliver a selected flow to the conserving demand module The conserving demand module controls the pulse size and timing to the patient It supplies a pulse of oxygen at the beginning of each b
19. reath This reduces the oxygen demand on the system and limits the drying of the airways The flow is determined by setting the flow control knob to the prescribed flow The oxygen is supplied to the patient though the cannula DANGER DO NOT SMOKE while using this device Keep all matches lit cigarettes or other sources of ignition out of the room in which this product is located and away from where oxygen is being delivered NO SMOKING signs should be prominently displayed Textiles and other materials that normally would not burn are easily ignited and burn with great intensity in oxygen enriched air Failure to observe this warning can result in severe fire property damage and cause physical injury or death Part No 1160840 5 Invacare Element INTRODUCTION INTRODUCTION The oxygen conserving regulator includes a combination of low pressure regulator and an oxygen conserver designed for use with a cylinder as an ambulatory oxygen system It is capable of delivering a precise amount of supplemental oxygen at the optimal point in the breathing cycle The conserver greatly increases the efficiency in the delivery of oxygen maximizing the beneficial effects and eliminating unnecessary oxygen waste When we breathe approximately one third of the time is spent inhaling and two thirds exhaling As a result oxygen delivered by continuous flow is wasted during exhalation By eliminating oxygen flow during exhalation a two thir
20. s 4 Receiving 4 Intended 4 Disposal INStructionss 4 Principles OF Pera clon 5 INTRODUCTION SECTION I GENERAL GUIDELINES 7 Operating Informations 7 SECTION 2 FEATURES 00000000000000000000000000000000000 10 SECTION 3 INSTALLING THE CONSERVING REGULATOR 000000000000000000000000000000000000000000000000000 12 SECTION 4 OPERATING INSTRUCTIONS 14 SECTION 5 REMOVING THE CONSERVING REGULATOR 000000000000000000000000000000000000000000000000000 18 SECTION 6 TYPICAL PRODUCT PARAMETERS 19 Oxygen Cylinder Duration sssssssssececsssssssssssssssesssesssseeses 20 SECTION 7 MAINTENANCE 000000000000000000000000000 21 SECTION 8 TROUBLESHOOTING 00000000000000000000 22 Replacement Parts Accessories 22 LIMITED WARRANTY 000000000000000000000000000000000000 23 Part No 1160840 3 Invacare Element SPECIAL NOTES SPECIAL NOTES Signal words are used in this manual and apply to hazards or unsafe practices which could result in personal injury or property damage Refer to the following table for definitions of the signal words SIGNAL MEANING WORD DANGER Danger indicates an imminently hazardous situation which if not avoided will result in death or serious injury WARNING Warning indicates a potentially hazard
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