EQUIPMENT RECORD
Product :
Model & type/identication
Manufacturer
Year of manufacture
Other relevant information (e.g. Document number)
PERIODIC EXAMINATION AND REPAIR HISTORY
Date
Reason for entry
(periodic examination
or repair)
Defects noted, repairs
carried out and other
relevant information
Name and signature
of competent user
Periodic examination
next due date
Trade name
Identication number
Address
Tel, fax, email into use
Purchase date
Date rst put into use
Advanced Safety Solutions Inc.
304, County Park Road, Avella, Pa 15312.
Содержание Ansi 9206C-LE
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