Nussbaum COMBI LIFT 480H Manuel D'exploitation page 71

Transfer protocol
The system 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
_________________________
Datum
Service partner:
OPI_COMBI LIFT 480H_V4.2_DE-EN-FR-IT – Teile-Nr: 0030173
_____________________________________________
Name
_____________________________________________
Name
_____________________________________________
Name
_____________________________________________
Name
_____________________________________________
Name
_____________________________________________
Name, specialist
_________________________________________________________________________
Stamp
was set up on (date) ______________________
in (town, city) _____________________________
_________________________
Signature
_________________________
Signature
_________________________
Signature
_________________________
Signature
_________________________
Signature
_________________________
Signature of specialist
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