HETRONIC CS 434

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7 Appendix A

Installation and safety test declaration

This form must be completed and signed by the person responsible for

undertaking installation of the system.

HETRONIC will not accept liability for the correctness of the installation

of the radio remote control system. As the operator, you have

responsibility for ensuring that the radio remote control system and the

machine have been properly coordinated with each other and tested,

and that all relevant safety provisions are maintained (see section 2).

Intended use!

Machine data: Manufacturer: .............................................

Type description: .............................................

Serial number: .............................................

Year of manufacture: .............................................

Radio remote control system:

Manufacturer: HETRONIC GmbH

Type description: .............................................

….........................................

ID number: ........................................................

I/We have carried out the installation, start-up and safety checks for the

radio remote control system on the above-mentioned machine.

In doing so and in this respect, the latest standards and regulations

applicable to this type of machine have been maintained.

Location/address: ...................................................................................

Date: .......................................................................................................

Company: ...............................................................................................

................................................................................................................

Name of person responsible: .................................................................

Signature: ..............................................................................................

HETRONIC CS 434 - Page 32