63
Protocol / Function and visual safety check
(VBG14/BGR500)
Location Lift
_________________________ Producer ATH
_________________________ Type/Model _________________________
_________________________ serial n˚/
production year _________________________
Regular check
Initial operation check
Check-Over
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 Company stamp/Signature technical expert
Notice of defects
⇒ ⇒ ⇒ ______________________________
Company stamp/Signature client/operator
Defects repaired on the _________
⇒ ⇒ ⇒
______________________________
Company stamp/Signature client/operator
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