Transfer Protocol - Nussbaum POWER LIFT HL 2.60 SST DG Manuel D'exploitation

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The lift
with serial number.....................................
at (company name)...................................................
checked for function and safety and put into operation.
The following listed people (operators) were trained to handle the lift after it was set up by a
trained assembler of the manufacturer or a contract partner (specialist).
(Date, name, signature, empty lines must have a scored out)
.....................................
Date
.....................................
Date
.....................................
Date
.....................................
Date
.....................................
Date
.....................................
Date
Service partner: .....................................................................................................(Stamp)
Operating Manual and Inspection Book

Transfer protocol

was set up on ..........................................
..................................................
Name
..................................................
Name
..................................................
Name
..................................................
Name
..................................................
Name
..................................................
Name, specialist
- 7 -
POWER LIFT HL 2.60 SST DG
in........................................................
.....................................
Signature
.....................................
Signature
.....................................
Signature
.....................................
Signature
.....................................
Signature
.....................................
Signature of specialist

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975482

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