Inspection Log
Back-in-Box-Lift K70 / K90 / K90 ACTIVE Page 85 of 100
Inspection result of an extraordinary inspection / a re-inspection
Serial No. /Type
*
………………………………………………………………………………………………….
Number plate ………………………………………………………………………………………………….
On ……………..………… the Back-in-Box-Lift was subject to an extraordinary inspection / a
re-inspection.
Reason for inspection ..………………………………………………………………………………………….
Scope of inspection …………..……………………………………………………………………………….
………………………………………………………………………………………………………………………………
No / the following defects were found:
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
There are no issues to preclude continued operation / Re-inspection is required.
Place, date ………………………………………………………………………………………………….
Note has been taken of the result of the inspection.
All deficiencies have been rectified.
Confirmation by the owner or his representative with date and signature
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