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Inspection report for HP cleaners
Inspection report on annually carried out Labour Safety Inspection (UVV) according to the
Guidelines for Liquid Spray Equipment. (This inspection sheet serves as proof for the completion of
the retest and must be kept carefully!) Kränzle-Test Stamp Mark: Order Number UVV200106
Owner:
Address:
Scope of inspection:
Type plate (on hand)
Operating manual (on hand)
Protective covering, -device
Pressure line (tightness)
Pressure gauge (function)
Float valve (tightness)
Spraying device (marking)
HP-hose/ connector (damage, marking)
Safety valve opens at 10% / 20% excess
Pressure reservoir
Heating oil line (tightness)
Solenoid valve (function)
Thermostat (function)
Flow controller (function)
Power cable (damage)
Power plug (damage)
Protective conductor (connected)
Emergency Off Switch (function)
On/Off-switch
Water quantity safety device (function)
Used chemicals
Allowed chemicals
Inspection data
High-pressure nozzle
Operating pressure ............bar
Cutting-off pressure.............bar
Smoke spot number...........acc. to Bacharach scale
CO²-value...........................% CO²
Efficiency rating..................%
Conductor resist. not exceeded / value:
Insulation
Leakage current:
Gun locked
Inspection result (tick)
The appliance was checked by an expert according to the Guidelines for Liquid Spray Equipment,
the defects found have been rectified so that the Labour Safety can be confirmed.
The appliance was checked by an expert according to the Guidelines for Liquid Spray Equipment.
The Labour Safety cannot be confirmed unless the defects found are rectified by repair or
replacement of the faulty parts.
The next retest according to the Guidelines for Liquid Spray Equipment has to be carried out by:
Month
Place, Date
Year
Type therm:
Serial no.:
Rep.-order-no.:
ok yes
no
determ. value
Signature
repaired
set value
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