EN
The test list must be
completed in full by the
expert during the annual
inspection.
This test list does not
claim to cover all test
criteria and does not
relieve the expert from
his decision about the
overall condition.
TEST CARD
FOR ANNUAL MONITORING
Type:
_________________________________
Production date:
_________________________
Charge:
________________
Serial no.:
_______
Purchase date:
__________________________
Date of first Use:
________________________
Maximum life span until:
__________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Date
Signature
Next
inspection
Reason for inspection
