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RECORDS
A record must be kept for each trolley with the following details (see example record log below).
It is the responsibility of the user organization to provide the record and to enter onto the record the details
required and to store the trolley Inspection report of the mandatory inspection signed by an authorized
Harken R27 Inspector.
MODEL / TYPE
MANUFACTURER
HARKEN
YEAR OF MANUFACTURE
OTHER IMPORTANT INFORMATION (I.E. DOCUMENT NUMBER):
Reason for Entry
Date
(Periodic exam or repair)
20
EQUIPMENT RECORD
DESCRIPTION
ADDRESS
N15W24983 BLUEMOUND RD.,
PEWAUKEE, WI USA
PURCHASE DATE
INSPECTION / REPAIR HISTORY
Defect notes, repairs
carried out and other
important information
ENGLISH
SERIAL NUMBER
TEL / FAX / EMAIL / WEBSITE
(262) 691-3320 / (262) 701-5780
HARKEN@HARKEN.COM
WWW.HARKEN.COM
DATE FIRST PUT INTO USE
Name and signature
of competent person
Date of next
periodic examination
13/11/19
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