Finkbeiner EHB702 - Regular Verification Inspection Record

Inspection log
Walter Finkbeiner GmbH
Alte Poststrasse 9/11
72250 Freudenstadt / Germany
www.finkbeiner.eu
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PB-BA-EHB702-102GB
22.02.2011
12.4 Inspection results on a regular verification
Above mentioned lift was subjected to a regular / special inspection*)
Inspection scope:
_______________________________________________________________________________
_______________________________________________________________________________
The following deficiencies were ascertained:
_______________________________________________________________________________
_______________________________________________________________________________
Pending partial inspections:
_______________________________________________________________________________
Further operation is / is not objected *)
Verification is / is not required. *)
The authorized expert / competent person
___________________________________ _____________________________________
Place, date signature authorized expert / competent person
_____________________________________
_____________________________________
adress / stamp of authorized expert / competent
person
Operator
Deficiencies noticed: _____________________________________
signature operator
Deficiencies repaired (date): _____________ _____________________________________
signature operator
*) Delete non-applicable