PERIODIC EXAMINATION RECORD
Date
Reason for entry
Examination Notes
Name
signature
Please read this document carefully, it gives instructions for the correct use of this product
Inspection Record
Model
Serial Number
Purchased from
Purchase Date
Date first used
Comments
The manufacturer recommends this product should be inspected prior to use along with periodically independent
inspection in line with UK LOLER 1998.
The manufacturer reserve the right to change specifications or modify these instructions without prior notification. E & O E
