Bornack O LIGHT, User Manual, Page: 16 / 20

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The test list must be
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.
T E S T C A R D
FOR ANNUAL MONITORING
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
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1. year
2. year
3. year
4. year
5. year
6. year
7. year
8. year
9. year
10. year
Date Signature
Next
Inspection
Reason for inspection
Type product name: O LIGHT
Production date:
_________________________
Charge no:
______________
Serial no.:
_______
Purchase date:
__________________________
Date of first use:
_________________________
Life span ends at the latest:
_________________