EN
Hazard
Description
Impact
Impact
Crushing
Crushing
Shearing
Shearing
Wedging
Wedging
Conveying
Conveying
Cutting
Cutting
Hooking
Hooking
Service
Service
Date:
Date:
Maintenance
Maintenance
[ ]
[ ]
Repair
Repair
[ ]
[ ]
Upgrading
Upgrading
[ ]
[ ]
Other
Other
[ ]
[ ]
Signature
Signature
Date:
Date:
Maintenance
Maintenance
[ ]
[ ]
Repair
Repair
[ ]
[ ]
Upgrading
Upgrading
[ ]
[ ]
Other
Other
[ ]
[ ]
Signature
Signature
Date:
Date:
Maintenance
Maintenance
[ ]
[ ]
Repair
Repair
[ ]
[ ]
Upgrading
Upgrading
[ ]
[ ]
Other
Other
[ ]
[ ]
Signature
Signature
Inward or Outward Door Operator
Installation notes and/or actions taken to eliminate or reduce the risk
Operator name:
Operator name:
Description
Description
Operator name:
Operator name:
Description
Description
Operator name:
Operator name:
Description
Description
DIGIWAY Plus
45
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