Numéro de modèle de l'élévateur _____________________
Numéro de série de l'élévateur_____________________
Entretien effectué :
__________________________________________________________________________
Action
__________________________________________________________________________
Action
__________________________________________________________________________
Action
__________________________________________________________________________
Action
__________________________________________________________________________
Action
__________________________________________________________________________
Action
__________________________________________________________________________
Action
__________________________________________________________________________
Action
__________________________________________________________________________
Action
__________________________________________________________________________
Action
__________________________________________________________________________
Action
__________________________________________________________________________
Action
__________________________________________________________________________
Action
RELEVE DE MAINTENANCE
16
Date
Date
Date
Date
Date
Date
Date
Date
Date
Date
Date
Date
Date