GEDA 200Z - Appendix B Test Documentation

Rack and pinion hoist
Assembly and Operating Instructions
91 / 100 BL108 GB Edition 03.2018 Rev. 02
12 Appendix B Test Documentation
Documentation for
 regular check in accordance with the maintenance schedule
 unplanned check after unusual events
Name:
Year of manufacture:
Serial number:
Works number:
The machine was checked on______________.
As a result
 none
 the following
Defects determined:
Scope of inspection:
Outstanding part checks:
Continued operation is:
 prohibited
 permitted
Follow up inspection is
 necessary
 not necessary
Place, date
Signature
(Technical specialist/competent person*)
*Name of competent person
Operating company: Address:
Operating company:
Defects acknowledged:
Defects rectified:
Stamp
Inspector