Oxford
®
Low Profile Weigh Scale
13
English
Work performed:
Periodic verification
Repair (maintenance) - calibration
Modification
Date work completed
(DD/MM/YY)
Organisation ID # - Service provider
Name/address of service provider
Represented by
Signature of service provider
Signature of end user
Verification summary
Approved Failed
Work performed:
Periodic verification
Repair (maintenance) - calibration
Modification
Date work completed
(DD/MM/YY)
Organisation ID # - Service provider
Name/address of service provider
Represented by
Signature of service provider
Signature of end user
Verification summary
Approved Failed
