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The test card must be completed in full by
the expert during the annual inspection.
This test card does not claim to cover all
test criteria and does not relieve the expert
from his decision about the overall
condition.
Date
_______________________________________________________________________
Year 1
_______________________________________________________________________
Year 2
_______________________________________________________________________
Year 3
_______________________________________________________________________
Year 4
_______________________________________________________________________
Year 5
_______________________________________________________________________
Year 6
_______________________________________________________________________
Year 7
_______________________________________________________________________
Year 8
_______________________________________________________________________
Year 9
_______________________________________________________________________
Year 10
_______________________________________________________________________
T E S T C A R D
FOR ANNUAL MONITORING
Next
Signature
inspection
Type SSE 02 :
________________________
Manufactured on:
___________________
Serial no.:
_________________________
Purchase date:
______________________
Date of first use:
_____________________
Life span at the latest:
Reason for inspection
_________________
14 | 15
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