Steel frame Table form lift TL 1512
106
213300043
15 Test inspection for expert checks
The inspection depends on the national regulations
In Germany the inspection duties for the end-user/user are defined in the
Betriebssicherheitsverordnung
(Regulation for operational safety)
Test results based on the German Betriebssicherheitsverordnung
On ____________________the Table lift, manufacturing number _______ was subject to
a visual inspection and function test. No defects/the following defects were found
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
The initial start-up causes concerns/no concerns The inspection must be repeated/not repeated
___________________
___________________
___________________
City, Date
Signature
Signature
Expert
Manager
Name of expert
_________________________________________
Address:
_________________________________________
Job description
_________________________________________
Employed by:
_________________________________________
Repeat inspection
On ____________________the Table lift, manufacturing number _______ was subject to
____________________
a repeated inspection. The objections raised during the inspection, dated
_____________________
were corrected/not corrected.
___________________
___________________
___________________
City, Date
Signature
Signature
Expert
Manager
