Stiegelmeyer Deka - Page 113

Appendix
Inspection Report
Deka
113
Overall Inspection Result
Defects/Remarks:
[ ] No safety or functional defects were detected
[ ] No direct risk, the defects detected can be rectified quickly
[ ] Appliance must be taken out of circulation until the defects have been rectified!
[ ] Appliance does not conform to requirements – modification/replacement of components/
decommissioning recommended.
Test approval
sticker applied:
[ ] Yes
[ ] No
Next inspection date:
Documents that form part of this inspection report:
Checked:
Date:
Name:
Signature:
Test approval
sticker applied:
Date:
Name:
Signature:
Address/stamp of responsible company: