Publicité
Product:
Model and type/identification
Manufacturer
Year of manufacture
Other relevant information (e.g. Document number)
Reason for entry
(periodic examination
Date
or repair)
EQUIPMENT RECORD
Trade name
Address
Purchase date
PERIODIC EXAMINATION AND REPAIR HISTORY
Defects noted, repair
carried out and other
relevant information
Identification number
Tel, fax, email
Date first put into use
Name and signature
of competent user
English
Periodic
examination
next due date
25
Publicité
