MAN. 126 rev.4 Use and maintenance manual S19
71 of 77
8.7
Replacement of safety devices
Description of the component.....................................................................
Manufacturer..............................................................................................
Provided by................................................................................................
Cause of the replacement...........................................................................
……………………………………………………………………………………
Place…………………………. Date…………………….………
Stamp and signature of the responsible
for the firm in charge The user
_______________________________________________________
Description of the component.....................................................................
Manufacturer..............................................................................................
Provided by................................................................................................
Cause of the replacement...........................................................................
……………………………………………………………………………………
Place…………………………. Date…………………….………
Stamp and signature of the responsible
for the firm in charge The user
Description of the component.....................................................................
Manufacturer..............................................................................................
Provided by................................................................................................
Cause of the replacement...........................................................................
……………………………………………………………………………………
Place…………………………. Date…………………….………
Stamp and signature of the responsible
for the firm in charge The user
_______________________________________________________
Description of the component.....................................................................
Manufacturer..............................................................................................
Provided by................................................................................................
Cause of the replacement...........................................................................
……………………………………………………………………………………
Place…………………………. Date…………………….………
Stamp and signature of the responsible
for the firm in charge The user