CMC S19N - 13.3 Replacement of mechanisms

To Next Page

To Previous Page

MAN.219 Rev.8 ENG - Use and maintenance manual S19N page 61 of 71

In this day……………. the property of the MEWP in question is transferred

to the company/society……………………………………………………………

This is to certify that, at the date mentioned above, the technical, dimen-

sional and functional characteristics of the MEWP concerned are conform

to those provided in origin and that any variation has been listed on this

log.

The Seller The Buyer

___________________________________________________________

In this day…………… the property of the MEWP in question is transferred

to the company/society……………………………………………………………

This is to certify that, at the date mentioned above, the technical, dimen-

sional and functional characteristics of the MEWP concerned are conform

to those provided in origin and that any variation has been listed on this

log.

The Seller The Buyer

13.3 Replacement of mechanisms

Description of the element………………………………………………………

Manufacturer………………………………………………………………………

Supplied by………………………………………………………………………...

Cause of the replacement……………………………………………………...

……………………………………………………………………………………

Place…………………………. Date…………………….………

Stamp and signature person in charge The user

_________________________________________________________