EQUIPMENT RECORD
PERIODIC EXAMINATION AND REPAIR HISTORY
Product:
Model and type/identification
Other relevant Information (eg. Document Number)
Identification number
Date first put into use
Tel, Fax, Email
Trade Name
Address
Date
Reason for entry
(periodic examination or repair)
Defects noted, repair
carried out and other
relevant information
Name and Signature
of trained user
Periodic
examination
next due date
Purchase date
Year of manufacturer
Manufacturer
© 2021 D
E
WALT. D
E
WALT® is a registered trademark of the D
E
WALT Industrial Tool Co., used under license.
All rights reserved. The yellow and black color scheme is a trademark for D
E
WALT Power Tools and
Accessories.
Trademark Licensee: DFP Safety Corp. 20711 Holt Ave. Suite 1525 Lakeville, MN 55044
800-391-1862, www.dfpsafety.com.
A licensee of DEWALT Industrial Tool Co.
The warranty of this product is covered by: DFP Safety Corp.
For Customer Service info, please call: 800-391-1862
La garantía de este producto está cubierta por: DDFP Safety Corp.
Para obtener información sobre el servicio al cliente, llame al: 800-391-1862
La garantie de ce produit est couverte par: DFP Safety Corp.
Pour obtenir des renseignements sur le service à la clientèle, veuillez
composer le : 800-391-1862
Product Manufactured by:
Producto fabricado por:
Produit fabriqué par:
DFP SAFETY CORP.
20711 Holt Ave. Suite 1525
Lakeville, MN 55044
S A F E T Y
©
P/N DL 203001 Rev.B 2022/02/17
