Lift Model Number_______________________
Lift Serial Number_______________________
Service Performed:
_____________________________________________________________________
Action
Date
_____________________________________________________________________
Action
Date
_____________________________________________________________________
Action
Date
_____________________________________________________________________
Action
Date
_____________________________________________________________________
Action
Date
_____________________________________________________________________
Action
Date
_____________________________________________________________________
Action
Date
_____________________________________________________________________
Action
Date
_____________________________________________________________________
Action
Date
_____________________________________________________________________
Action
Date
_____________________________________________________________________
Action
Date
_____________________________________________________________________
Action
Date
MAINTENANCE RECORD
18