Advertisement
T h e t e s t l i s t m u s t b e
completed in full by the
expert during the annual
inspection.
This test list does not claim
to cover all test criteria and
does not relieve the expert
from his decision about the
overall condition.
Date
_______________________________________________________________________
Year 1
_______________________________________________________________________
Year 2
_______________________________________________________________________
Year 3
_______________________________________________________________________
Year 4
_______________________________________________________________________
Year 5
_______________________________________________________________________
Year 6
_______________________________________________________________________
Year 7
_______________________________________________________________________
Year 8
_______________________________________________________________________
Year 9
_______________________________________________________________________
Year 10
_______________________________________________________________________
TEST CARD
FOR ANNUAL MONITORING
Type product name:
Production date:
Charge no.:
___________
Purchase date:
Date of first Use:
Maximum life span until:
Next
Signature
inspection
______________________________
________________________________
Serial no.:
_________________________________
_______________________________
/
Reason for inspection
20 | 21
_______________
EN
Advertisement
