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Sample form 2: Completion and inspection form
This document is intended for the initial certification of a new installation or of an alteration or addition to
1.
an existing installation and of an inspection.
The signatures appended are those of the persons authorised by the companies executing the work of
2.
design, construction and inspection and testing respectively. A signatory authorised to certify more than
one category of work shall sign in each of the appropriate places.
Dates to be inserted.
3.
Where particulars of the installation recorded herein constitute a sufficient schedule for the purpose of
4.
Regulation 514–09–01 further drawings / schedules need not be provided. For other installations the
additional drawings/schedules listed below apply.
Insert here the time interval recommended between periodic inspections. Regard should be paid to
5.
relevant National or Local legislation and reference should be made to chapter 13.
The page numbers of each sheet should be indicated together with the total number of sheets involved.
6.
Inst. 7–24
(4) Schedule of additional records.
Installation & Configuration: Horizon macro outdoor
68P02902W03-A
CONTROLLED INTRODUCTION
GSM-204-423
(6) page 2 of . . . . pages
31st Oct 01
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