Instruction Record
36
Woodway PPS Series Accessories / Fall Protection Operating Instructions
12/2015
WOODWAY – Fall Protection System
for WOODWAY Slat-Belt Treadmills from the Medical PPS Series
Series no.:
____________________________
Model:
____________________________
The above device was properly set up / installed on:
__________________________
(Date)
Technical instruction was completed on:
__________________________
(Date)
Place of transfer / instruction: __________________________________________________________
__________________________________________________________
__________________________________________________________
The following persons received instructions:
_______________________________________
_______________________________________
(Name and function)
(Signature)
_______________________________________
_______________________________________
(Name and function)
(Signature)
_______________________________________
_______________________________________
(Name and function)
(Signature)
_______________________________________
_______________________________________
(Name and function)
(Signature)
Remarks:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________
_______________________________________
(Location, Date)
Name (printed capital letters) and signature
Instructor (Medical device consultant)
