UNIT INSPECTION
SAFETY INSPECTION
£
All Fasteners Tight
£
All Guards/Shields Installed and Secured
£
Engine (if equipped) Fluid Levels Checked
£
All Safety Decals Clear and Legible
£
Drive Belts Tensioned, Pulleys Aligned
£
Reflectors, Slow Moving Vehicle Sign are Clean
£
Machine and All Bearings Lubricated
£
Safety Chain on Hitch
£
Conveyor Belt Aligned and Tensioned
£
Reviewed Operating and Safety Instructions
£
Conveyor Belt Moves Freely
£
Conveyor Tube Raises and Lowers Smoothly
£
Tire Pressure Checked
I have thoroughly instructed the buyer on the above described equipment. The review included the
content of the Operator’s Manual, equipment care, adjustments, safe operation and warranty policy.
Date _____________________
Dealer’s Signature _________________________________________
The above equipment and Operator’s Manual have been received by me. I have been thoroughly
instructed as to care, adjustments, safe operation and applicable warranty policy.
Date _____________________
Buyer’s Signature __________________________________________
The Dealer must fill out this form, and be signed by both the Dealer and Buyer at the time of delivery.
Scan or photograph the completed form (must be legible), and email it to: [email protected]
A copy of this form may also be mailed to: Box 760, 275 Hespler Ave, Winkler Manitoba R6W 4A8.
Buyer’s Name ____________________________
Dealer’s Name ____________________________
Address __________________________________ Address
__________________________________
City ______________________________________ City
______________________________________
Province/State ____________________________ Province/State
____________________________
Postal Code/Zip Code _____________________
Postal Code/Zip Code _____________________
Country __________________________________ Country
__________________________________
Phone Number ____________________________
Phone Number ____________________________
Unit’s Model Number ______________________
Unit’s Serial Number _______________________
Delivery Date _____________________________
General Purpose:
£
Private
£
Commercial
PRODUCT REGISTRATION FORM
and INSPECTION REPORT
Содержание 1635-FL
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