Sunrise Medical Series 550 User Manual page 25

Service Type Pre-delivery
Condition report :
Action taken :
Date :
_________________
Service Type Pre-delivery
Condition report :
Action taken :
Date :
_________________
Service Type Pre-delivery
Condition report :
Action taken :
Date :
_________________
Service Type Pre-delivery
Condition report :
Action taken :
Date :
_________________
VOYAGER 420 - 550 – 800 (rev. 3)
Periodic inspection
Inspected by:
____________________ ____________________
Printed
Periodic inspection
Inspected by:
____________________ ____________________
Printed
Periodic inspection
Inspected by:
____________________ ____________________
Printed
Periodic inspection
Inspected by:
____________________ ____________________
Printed
Minor Major
Signature
Minor Major
Signature
Minor Major
Signature
Minor Major
Signature
LOG BOOK
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