Handicare Prism Medical 303090, Owner'S Manual

Page: 24 / 26

P600 Lift - User Guide (753102) Rev: 14 MAR 2017 Page: 24
Service Record History
Complete this section after each service, repair inspection and/
or maintenance. Photocopy additional pages as required.
Service Type:
□ Periodic Inspection □ Monthly Inspection □ 6 Month Inspection □ Repair □ Yearly Inspection □ Other:_________
Completed By :
_________________________
_____________________________
Printed Name Signature
Company: _____________________________________________________________
Remarks & Action Taken:
Date: _______________________ Time: ________________________
Service Type:
□ Periodic Inspection □ Monthly Inspection □ 6 Month Inspection □ Repair □ Yearly Inspection □ Other:_________
Completed By :
_________________________
_____________________________
Printed Name Signature
Company: _____________________________________________________________
Remarks & Action Taken:
Date: _______________________ Time: ________________________
Service Type:
□ Periodic Inspection □ Monthly Inspection □ 6 Month Inspection □ Repair □ Yearly Inspection □ Other:_________
Completed By :
_________________________
_____________________________
Printed Name Signature
Company: _____________________________________________________________
Remarks & Action Taken:
Date: _______________________ Time: ________________________
Service Type:
□ Periodic Inspection □ Monthly Inspection □ 6 Month Inspection □ Repair □ Yearly Inspection □ Other:_________
Completed By :
_________________________
_____________________________
Printed Name Signature
Company: _____________________________________________________________
Remarks & Action Taken:
Date: _______________________ Time: ________________________
Service Type:
□ Periodic Inspection □ Monthly Inspection □ 6 Month Inspection □ Repair □ Yearly Inspection □ Other:_________
Completed By :
_________________________
_____________________________
Printed Name Signature
Company: _____________________________________________________________
Remarks & Action Taken:
Date: _______________________ Time: ________________________
Service Type:
□ Periodic Inspection □ Monthly Inspection □ 6 Month Inspection □ Repair □ Yearly Inspection □ Other:_________
Completed By :
_________________________
_____________________________
Printed Name Signature
Company: _____________________________________________________________
Remarks & Action Taken:
Date: _______________________ Time: ________________________