
MAINTENANCE REGISTER
Da
te
Description of
job
Signa
tur
es
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Te
chnician
Customer
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Te
chnician
Customer
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Te
chnician
Customer
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Te
chnician
Customer
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Te
chnician
Customer
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Te
chnician
Customer
Installa
tion tec
hnician _____________________________________________________
Customer ___________________________________________________________________ T
ype of
system _____________________________________________________________
Serial number ______________________________________________________________ Installa
tion da
te_____/____/_________Activa
tion______________________________
System configur
ation
PA
R
T
MODEL
SERIAL NUMBER
Actua
tor
FA
A
C
C850
Saf
ety de
vice 1
Saf
ety de
vice 2
Photocell pair 1
Photocell pair 2
Contr
ol de
vice 1
Contr
ol de
vice 2
R
emote contr
ol
Flashing lamp
Other de
vice
Indica
tion of
r
esidual risks and of
f
or
eseea
ble impr
oper use
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