GEDA
®
300 Z / ZP
Page 99 of 101 Rev.: 001
BL 121 EN Translation of the original operating manual 2011 / 05
Documentation for a
regular check according to the service schedule
extraordinary check after unusual events
Name:
Year of manufacture:
Serial number:
Fabrication number:
The machine underwent a check on______________. As a result
no
the following
defects were recorded:
Scope of inspection:
Outstanding part checks:
Continued operation is:
prohibited
permitted
Follow up inspection is
necessary
not necessary
Place, date Signature
(Technical expert / qualified person*)
*Name of qualified person
Operating company: Address:
Operating company:
Defects acknowledged:
Defects rectified:
Stamp
Inspector
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