BELT EXxxx/ELARAxxx DATE : 14/03/2017 88/88
B.P. 140 - ZAC de La Peyrolière
84405 APT CEDEX - FRANCE
RECORD CARD
REFERENCE
…………………………………………………………………
TYPE OF EQUIPMENT
⓬
EN358
⓭
The record card must be completed by the user before the product is first used, then
regularly updated and kept.
⓮
To be exclusively used as described in the product data sheet.
BELT & WORK
POSITIONING SYSTEME
COMPANY
USER NAME
BATCH / SERIAL N°
DATE OF PRODUCTION
/
/
DATE OF 1st USE
/
/
DATE OF PURCHASE
/
/
Checking of the product
The product has to be checked at least once a year by qualified personnel (e.g. manufacturer).
Filled in following equipment record shall be kept with these instructions:
Date of inspection
Report / Comments
Date of next
inspection
⓫
Stamp & Signature
1
2
3
4
5
6
7
8
9
10