Appendix A: Service Form - Nederman ATEX Series Instruction Manual

EN A, A EX 2GD, A EX 3GD - Vacuum Cleaners

Appendix A: Service form

NOTE! If an inspection result (for example, a measured value) differs significantly from a
previous result, find the cause for the difference.
Copy the maintenance checklist, fill it in and save it as a service record.
For values, note the value in the result column, otherwise a tick will suffice if the item has
been performed or considered.
Customer
Vacuum Type/Model
Service date
Serviced by
Items to inspect
VACUUM OFF
Silencer
Compressed air hose
Containers
Trolley
Suction hoses, couplings
Preseparator/cyclone
Accessories
Other items, specify
VACUUM ON
Gaskets
Lid, vacuum head
Ejector nozzle
Containers
Filters
Silencer material
Filterbag
Float ball
Wear plate, silo
Wear plate, grit and dust separator
Other items, specify
VACUUM ON (TOP COVER ATTACHED)
Start/stop switch function
Vacuum
Noise level
OTHER ITEMS (SPECIFY)
34
OK Reparied Replaced Replaced part number