EN
MODEL AND TYPE OF EQUIPMENT
SERIAL / BATCH NUMBER
REFERENCE NUMBER
DATE OF MANUFACTURE
DATE OF PURCHASE
DATE OF FIRST USE
USER NAME
IDENTITY CARD
It is the responsibility of the user organisation to provide the identity card and to fill in the datails required. The identity
card should be filled in before the first use by a competent person, responsible in the user organisation for protective
equipment. Any information about the equipment like periodic inspections, repairs, reasons of equipment’s withdrawal
from use shall be noted into the identity card by a competent person in the organisation. The identity card should be
stored during a whole period of equipment utilization. Do not use the equipment without the identity card.
PERIODIC INSPECTION AND REPAIR HISTORY CARD
DATE OF
INSPECTION
REASON FOR
INSPECTION
OR REPAIR
DEFECTS, CONDITION
NOTED REPAIRS CARRIED
OUT
NAME AND SIGNATURE
OF COMPETENT PERSON
NEXT
INSPECTION DATE
Declaration of conformity downloadable from www.kapriol.com
