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Inspection report for HP cleaners
Inspection report on annually carried out Labour Safety Inspection (UVV) according
to the Guidelines for Liquid Spray Equipment. (This inspection sheet serves as proof
for the completion of the retest and must be kept carefully!)
Owner: _____________________ Type: therm CA ____ Built: ________
Address: _____________________ Serial no.: _______________________
_____________________ Rep.-order-no.: ___________________
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Inspection result (tick):
The appliance was checked by an
expert according to the Guidelines for
Liquid Spray Equipment, the defects
found have been rectified so that the
Labour Safety can be confirmed.
The appliance was checked by an
expert according to the Guidelines for
Liquid Spray Equipment. The Labour
Safety cannot be confirmed unless the
defects found are rectified by repair or
replacement of the faulty parts.
Place, Date: ___________________
Signature: _____________________
The next retest according to the Guidelines
for Liquid Spray Equipment has to be carried
out by:
Month: __________ Year: _____________
- Test Stamp Mark: Order Number UVV200106
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