Stand 02.01.09, GB 33, Geared head drill Page 52 of 52
20 Acceptance certificate
Machine type:
Geared head drill
Type:
GB 33
Serial No.:
Sight check/accessories corresponding to examine statement
IO NIO note
Visible defects/rust:
Safety notes at the machine existing:
Defect in paint work:
Accessories corresponding to user manual existing:
User manual existing:
Electric corresponding to examine statement
IO NIO note
Plug mounted at service pipe/ checked:
Motor/s run checked at checking facility:
Electrical end switch checked:
Electrical operating switch checked:
Illuminating checked:
Emergency stop switch/ control checked:
Earth conductor test accomplished
Mechanic corresponding to examine statement
IO NIO note
Mechanical operating parts checked:
Show window oil checked:
Date of acceptance
Signature examiner
