BHM Medical Ergolift 2, Instructions For Use Manual, Page: 28 / 32

Log Book
27
Service Type Pre-delivery Periodic inspection Minor Major
Condition report :
Action taken :
Date :
_________________
Inspected by:
____________________ ____________________
Printed Signature
Service Type Pre-delivery Periodic inspection Minor Major
Condition report :
Action taken :
Date :
_________________
Inspected by:
____________________ ____________________
Printed Signature
Service Type Pre-delivery Periodic inspection Minor Major
Condition report :
Action taken :
Date :
_________________
Inspected by:
____________________ ____________________
Printed Signature
Service Type Pre-delivery Periodic inspection Minor Major
Condition report :
Action taken :
Date :
_________________
Inspected by:
____________________ ____________________
Printed Signature