Documentation Of The Annual Expert Inspection - IMMOOS SS1 Supplement To Operating Instructions

4-cycle motor drive for immoos self-driven carriage
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12. Documentation of the annual expert inspection

Prescribed verification of the inspection conducted.
Product:
IMMOOS self-driven carriage type SS1 with 4-cycle motor drive
Serial number:.............................
Purchase date
............................................
Date of inspection
GA_EN_Zusatz_SS1mitMotor_Rev0; Datum: 10/2018
Owner ..................................................................................
Assessment of deficiencies found
Date of first use
.................................................
Official stamp / signature
Page 9

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