Cleaning Device PWA 1000i Page 26
10. Safety Inspection Checklist
Please make copies before filling out for the first time!
Safety inspections must be conducted at least once a year!
Audit according to § 14 paragraph 2+3 Betriebssicherheitsverordnung
(BetrSichV) in correlation to DGUV 109-010
OK | Missing or faulty | Rechecked
1.
Operating instruction
2.
Identification plate
3.
Warning signs
4.
Condition of fluid hoses*
5.
Condition of compressed air hoses*
6.
Clean intake filters
7.
Check washer cabinet for leaks
8.
Function test of all control elements
9.
Grounding of the gun cleaner
10.
Function test of exhaust
* Check for brittleness etc.
Result of the safety inspection
No faults, can be operated without restrictions.
Restricted operation, faults to be fixed by _______________.
Operation not permitted, Re-inspection necessary.
____________________________ _________________________________
Signed by qualified person
Signed by operator
Item checked
Model: ____________________________
Serial-no.:___________________________
Construction year:____________________________________
Location determination: ________________________________
_____________________________
