IDENTITY CARD
IT IS RESPONSIBILITY OF THE USER ORGANISATION TO PROVIDE THE IDENTITY CARD AND TO FILL IN THE DETAILS REQUIRED. THE IDENTITY
CARD SHOULD BE FILLED IN ONLY BY COMPETENT PERSON RESPONSIBLE FOR PROTECTIVE EQUIPMENT. THE IDENTITY CARD SHOULD BE FILLED
IN BEFORE THE FIRST USE OF THE EQUIPMENT. ANY INFORMATION ABOUT THE EQUIPMENT LIKE: PERIODIC INSPECTIONS, REPAIRS, REASONS OF
EQUIPMENT’S WITHDRAWN FROM USE SHALL BE NOTED. THE IDENTITY CARD SHOULD BE STORAGED DURING A WHOLE PERIOD OF EQUIPMENT
UTILIZATION. DO NOT USE THE EQUIPMENT WITHOUT THE IDENTITY CARD.
PRODUCER:
PROTEKT, 93-403 LODZ, ul. Starorudzka 9, POLAND, tel: +48 (42) 680 20 83, fax: +48 (42) 680 20 93, www.protekt.com.pl
NOTES
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MODEL AND TYPE OF EQUIPMENT
REF. NUMBER
SERIAL NUMBER
DATE OF MANUFACTURE
DATE OF PURCHASE
DATE OF FIRST USE
USER NAME
PERIODIC EXAMINATION AND REPAIR HISTORY
DATE
REASON FOR SERVICING /
REPAIR
REPAIRS CARRIED OUT
NAME AND
SIGNATURE OF
COMPETENT PERSON
DATE OF
NEXT
EXAMINATION
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