Protocol / Function and visual safety check
Location
_________________________
_________________________
_________________________
Regular check
Further operation harmless, no defects at time of checking
Following defects are detected:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Further operation possible, defects must be repaired
Further operation risky, check-over necessary
(Tick where applicable.If check-over is needed, tick additionally)
1) The operatior certify that the floor comply with the specifications according to the operation manual
Check carried out
______________________________
Place,Date, Name of technical expert
Notice of defects
Defects repaired on the _________
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69
(VBG14/BGR500)
Initial operation check
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Lift
Producer
ATH
Type/Model
_________________________
serial n˚/
production year _________________________
Check-Over
______________________________
Company stamp/Signature technical expert
______________________________
Company stamp/Signature client/operator
______________________________
Company stamp/Signature client/operator