AL
C UIM4PC
9150
7/
10
/13_
19
EQUIPMENT RECORD
Product:
Model & type/identification
Trade name
Identification number
Manufacturer
Address
Tel, fax, email into use
Year of manufacture
Purchase date
Date first put into use
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
AUSTLIFT TRIPOD DOUBLE HEAD
7
TRIPOD DOUBLE HEAD USER MANUAL
