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Bornack RS-S05 - INSPECTION LIST; FOR ANNUAL SUPERVISION

Bornack RS-S05
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The inspection list needs to be filled out
completely by the expert at the annual ins-
pection.
This inspection list does not claim to spe-
cify all inspection criteria and does not re-
lease the expert from his decision about
the overall condition..
inSpection liSt
for annual supervision
_______________________________________________________________________
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_______________________________________________________________________
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Year 
Year 
Year 
Year 
Year 
Year 
Year 
Year 
Year 
Year 
Date Signature
Date of next
inspection
Reason for inspection
Type RS-S:
_____________________
Date of production:
__________________
Serial number:
______________________
Purchase date:
______________________
Date of first use:
____________________
Latest due date
for decommissioning:
________________