Documenting the checks
Documentation for
regular checks in accordance with the maintenance schedule
recurring check in accordance with national rules
unplanned check after specific events
Name:
Year of construction:
The device was checked on ______________. As a result
none of
the following
defects determined:
Scope of inspection:
Outstanding part checks:
Continued operation is:
forbidden
permitted
Place, date
Stamp
Inspector
Operating company:
Defects acknowledged:
Defects rectified:
Assembly and instruction manual
Serial number:
Follow-up inspection is
required
not required
Signature (Technical expert/competent person*)
*Name of competent person
Operating company: Address:
116 / 124
BL164 GB Edition 07/2017
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